TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (GRIEVANCE DECISIONS. 1. The Plan or the Plan's Designee shall notify a Member, the Member's Representative or Health Care Provider acting on behalf of the Member of its benefit determination on review of an Adverse Decision in accordance with the following, as appropriate.
Appears in 2 contracts
Samples: Student Health Plan Individual Enrollment Agreement, Student Health Plan Individual Enrollment Agreement
TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (GRIEVANCE DECISIONS. 1. The Plan or the Plan's ’s Designee shall notify a Member, the Member's ’s Representative or Health Care Provider acting on behalf of the Member of its benefit determination on review of an Adverse Decision in accordance with the following, as appropriate.
Appears in 2 contracts
Samples: In Network Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan
TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (GRIEVANCE DECISIONS. 1. The Plan or the Plan's Plan‟s Designee shall notify a Member, the Member's Member‟s Representative or Health Care Provider acting on behalf of the Member of its benefit determination on review of an Adverse Decision in accordance with the following, as appropriate.
Appears in 1 contract
Samples: In Network Group Contract
TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (GRIEVANCE DECISIONS. 1. The Plan or the Plan's Designee shall notify a Member, the Member's ’s Representative or Health Care Provider acting on behalf of the Member of its benefit determination on review of an Adverse Decision in accordance with the following, as appropriate.
Appears in 1 contract
Samples: Individual Plan Agreement
