Plan Claims definition
Examples of Plan Claims in a sentence
Participants in the Basic Disability Plan may apply and obtain approval for Expanded Disability Plan enrollment with a health statement, subject to approval by the Disability Plan Claims Administrator.
Expanded Disability Plan enrollment after the 30 day new hire period is subject to a health statement approval by the Disability Plan Claims Administrator.
The arbitrator shall be selected from a list of nine potential arbitrators chosen from the National Panel of Employee Benefit Plan Claims Arbitrators.
Any controversy or claim made on or after November 1, 2004, resulting from the denial, in whole or in part, by the Committee of any Claimant's claim for benefits under this Plan and/or claims for breach of fiduciary duties (other than such claims brought by Directors) shall be resolved by arbitration administered by the American Arbitration Association ('AAA') under its Employee Benefit Plan Claims Arbitration Rules, incorporated by reference herein.
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 Plan (Claims Review Committee and Rehabilitation Review Committee).
Any controversy or claim made on or after November 1, 2004, resulting from the denial, in whole or in part, by the Committee of any Claimant's claim for benefits under this Plan and/or claims for breach of fiduciary duties (other than such claims brought by Directors) shall be resolved by arbitration administered by the American Arbitration Association (“AAA”) under its Employee Benefit Plan Claims Arbitration Rules, incorporated by reference herein.
Subject to Section 9.1 of this Plan, Claims that are asserted against multiple Debtors shall be treated as separate Claims against each applicable Debtor.
Adjudicate Plan Claims in an expeditious and courteous manner, responding to each Claim with a benefit determination within 30 calendar days of receipt of the Claim.
Maintain adequate staff in medical and dental claims offices for the effective administration of the Plan Claims processing and payments.
In accordance with the requirements set forth in Attachment G, adjudicate Plan Claims in an expeditious and courteous manner, responding to each Claim with a benefit determination within 30 calendar days of receipt of the Claim.