Claims
Procedure
A request for
health and security benefits will usually be approved or denied within 90 days
from the date the claim is received by the plan. In some situations, the plan
may need more information to act on a claim. The plan will request the
information and inform the participant about any delay and the reasons for the
delay within this initial 90-day period and will then decide on the claim within
the following 90-day
period. If
a claim is ignored or denied, in whole or in part, the participant will receive
a written statement from the plan. It will explain the specific reasons for the
denial and the plan provision on which the denial is based. The statement will
also explain if there is anything that can be done to help facilitate the claim,
such as provide additional information.
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