Appeals Process Language Sample Clauses

Appeals Process Language. 1) The appeals process will provide the opportunity for all education stakeholders to identify deficiencies in the evaluation system; resolve differences among stakeholders; refine and improve the system in a meaningful way that will benefit our students; and ▇▇▇▇▇▇ a shared responsibility for improving educator effectiveness. 2) The appeal process shall allow for a final determination of the appealing Teacher’s Performance Evaluation Rating and a final determination of whether that Teacher retains non-probationary status; it shall not serve the purpose of determining employment and/or termination. 3) The teacher has 15 work days after receiving the evaluation to file an appeal of an evaluation. The appeal shall be filed in writing with the Evaluator. The evaluator, in turn, shall notify the Superintendent. The Superintendent shall then notify the Association President and H.R. 4) The Appeals Process shall be completed within 45 work days. This limit may be waived or changed by mutual agreement of the teacher and the District. The appeals process and results shall remain confidential. 5) A panel of Five Individuals shall convene to review the teacher’s appeal. The panel shall consist of two teachers chosen by the Association, two administrators chosen by the Superintendent, and a mutually agreed upon fifth member of the committee. These individuals shall not be related to the appealing Teacher or his/her Evaluator, nor have knowledge of the appealing Teacher’s evaluation. These individuals shall complete training by CDE, or a mutually agreed upon third party, in the evaluation process. The District and Association shall maintain a list of qualified panelists to serve on the Appeals Panel. Panelist’s term shall be limited to 3 years. 6) Should the Panel convene during contracted hours, the District shall provide a substitute for the Teacher Panelists and Appealing Teacher. Should the Panel convene outside of contracted hours, the Teacher Panelists shall be compensated at the teacher’s, per diem rate. 7) The Appealing Teacher shall present a variety of documentation to the Panel to dispute their Evaluation Rating. The Panel shall consider all such documentation in reaching a decision. Documentation shall be relevant to the professional practice standards. 8) The Panel shall make a decision regarding the rating in the evaluation and the non-probationary status of the Teacher. The Superintendent shall review the Panel’s recommendation. The Superintendent shall...
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Related to Appeals Process Language

  • Appeals Process A provider may be denied approval to offer the free entitlements or have their funding withdrawn as set out above. The provider can appeal against that decision.

  • Appeals Procedure If Employee appeals to the Administrator, Employee or his authorized representative may submit in writing whatever issues and comments he believes to be pertinent. The Administrator shall reexamine all facts related to the appeal and make a final determination of whether the denial of benefits is justified under the circumstances. The Administrator shall advise Employee in writing of: (1) The Administrator's decision on appeal. (2) The specific reasons for the decision. (3) The specific provisions of the Agreement on which the decision is based. Notice of the Administrator's decision shall be given within 60 days of the Claimant's written request for review, unless additional time is required due to special circumstances. In no event shall the Administrator render a decision on an appeal later than 120 days after receiving a request for a review.

  • How to File an Appeal of a Prescription Drug Denial For denials of a prescription drug claim based on our determination that the service was not medically necessary or appropriate, or that the service was experimental or investigational, you may request an appeal without first submitting a request for reconsideration. You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM). The prescription drug appeal must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. You will receive written notification of our determination within thirty (30) calendar days from the receipt of your appeal. Your appeal may require immediate action if a delay in treatment could seriously jeopardize your health or your ability to regain maximum function, or would cause you severe pain. To request an expedited appeal of a denial related to services that have not yet been rendered (a preauthorization review) or for on-going services (a concurrent review), you or your healthcare provider should call: • our Grievance and Appeals Unit; or • our pharmacy benefits manager for a prescription drug appeal. Please see Section 9 for contact information. You will be notified of our decision no later than seventy-two (72) hours after our receipt of the request. You may not request an expedited review of covered healthcare services already received.

  • Review Scope The parties confirm that the Asset Representations Review is not responsible for (a) reviewing the Receivables for compliance with the representations and warranties under the Transaction Documents, except as described in this Agreement or (b) determining whether noncompliance with the representations and warranties constitutes a breach of the Eligibility Representations. For the avoidance of doubt, the parties confirm that the review is not designed to determine why an Obligor is delinquent or the creditworthiness of the Obligor, either at the time of any Asset Review or at the time of origination of the related Receivable. Further, the Asset Review is not designed to establish cause, materiality or recourse for any Test Fail (as defined in Section 3.05).

  • Review Procedure If the Plan Administrator denies part or all of the claim, the claimant shall have the opportunity for a full and fair review by the Plan Administrator of the denial, as follows: