Examples of Claims Review Committee in a sentence
The expenses incurred by a Claims Review Committee will be paid by the Plan.
The period that the employee is involved in a return to work program shall be considered as part of the recovery process and will not be used or referred to by the Employer in any other proceedings, other than proceeding under the Long Term Disability Addendum (Claims Review Committee and Rehabilitation Review Committee).
The expenses incurred by the Claims Review Committee will be paid by the Plan.
In the event a covered employee disputes the decision of the claims-paying agent regarding a claim for benefits under this Plan, the employee may arrange to have their claim reviewed by a Claims Review Committee composed of a medical doctor designated by the claimant, one individual designated by the Employer, and a medical doctor agreed to by the first two individuals who shall act as Chairperson of the Committee.
If any claimant shall have a dispute as to eligibility, type, amount, or duration of such benefits, the dispute shall be resolved by the Claims Review Committee of the Board of Directors as hereinafter set forth.
If the insurance carrier continues to deny the claim the employee may request the Claims Review Committee (CRC) to review the medical and make a determination.
In the event a covered employee disputes the decision of the claims-paying agent regarding a claim for benefits under this Plan, the employee may arrange to have his/her claim reviewed by a Claims Review Committee composed of three (3) medical doctors; one (1) designated by the claimant, one (1) by the Employer, and a third agreed to by the first two.
The expenses incurred by a Claims Review Committee will be paid by the plan.
The LTD Claims Review Committee shall be composed of three doctors, licensed to practise medicine in British Columbia by the College of Physicians and Surgeons of BC, one (1) designated by the employee, one (1) designated by the Employer and the third (the Chairperson) to be mutually agreed upon and designated by the first two (2) doctors.
Notwithstanding any other provision of this Plan, no action may be commenced with respect to or arising out of any claim for benefits against the Plan (or the Directors or any of its or their agents) more than one hundred eighty (180) days after the Participant, Beneficiary, provider or other individual, as the case may be (“Claimant”) is first given a written notice of the denial of his or her appeal by the Claims Review Committee (“Committee”) of the Board of Directors.