Common use of Claim Review Clause in Contracts

Claim Review. Upon receipt of any written claim for benefits, the Administrator shall be notified and shall give due consideration to the claim presented. If the claim is denied to any extent by the Administrator, the Administrator shall furnish the claimant with a written notice setting forth (in a manner calculated to be understood by the claimant): (a) the specific reason or reasons for denial of the claim; (b) a specific reference to the Plan provisions on which the denial is based; (c) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (d) an explanation of the provisions of this Article.

Claim Review. Upon receipt of any written claim for benefits, the Administrator shall be notified and shall give due consideration to the claim presented. If the claim is denied to any extent by the Administrator, the Administrator shall furnish the claimant with a written notice setting forth (in a manner calculated to be understood by the claimant): (a) ): the specific reason or reasons for denial of the claim; (b) ; a specific reference to the Plan provisions on which the denial is based; (c) ; a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (d) and an explanation of the provisions of this Article.