Claims Process

Summary

This section describes how claims are filed with the plan, and how these claims are processed by the plan. If the participant, spouse or dependent children are covered under another health care plan or Medicare, this plan coordinates benefits with the other plan or Medicare. This section also describes the coordination of benefit method used by this plan. In the event of an illness or injury caused by another person, this plan contains a third-party liability provision which is explained in detail.

Topics Discussed In This Section

How To File A Claim
Timely Filing Requirement
Coordination of Benefits (COB)
Facility of Payment
Coordination of Benefits (COB) With Medicare
Trust’s Right To Reimbursement
Right To Receive and Release Necessary Information
No Waiver of Claim Paid In Error – Recovery By Trust
Misrepresentation
Assignment
Veterans Benefits