Appeal Procedures definition
Examples of Appeal Procedures in a sentence
Any action by Us under these provisions is subject to review in accordance with the Appeal Procedures We establish.
The Grievance Procedure is not applicable to adverse benefit determinations, including rescission of coverage, and their appeals which are subject to PPACA Claims Procedure Requirements provided in §6.7 and reflected in the Company’s Appeal Procedures attached as Exhibit .
Any problem or claim between You and HMO or between You and a Participating Provider must be dealt with using the process described in Complaint and Appeal Procedures.
If Your request is denied, You may appeal the decision as described in Complaint and Appeal Procedures.
Appeal Procedures - Upon completion of the probationary period, employees shall continue from year to year unless the Superintendent terminates the employee for just cause.
Grievances arising from the denial of merit increases shall not be arbitrable under this Agreement but shall be processed pursuant to the Agency Merit Increase Appeal Procedures developed under the 1978-1980 Agreement between the parties.
If the extension is determined not to be Medically Necessary, the coverage for the length of stay/service will not be extended, except as otherwise described in the Complaint and Appeal Procedures section.
By Sponsoring Institution for Academic Dismissal under the Fair Hearing and Academic Appeal Procedures.
See the External Appeal Procedures provision for additional information about filing an external Appeal.
If the Executive Director is not satisfied with the response of the Organizer, the Executive Director may issue a notice of revocation, which shall include the grounds for revocation, the effective date of the notice of revocation, a statement that the decision may be appealed, and a copy of the Charter Schools Hearing Panel Appeal Procedures, and shall be sent to the Organizer in accordance with the notice procedures set forth in Section 19.02.