Initial Determination of Qualification for Benefits Sample Clauses

Initial Determination of Qualification for Benefits. Upon completion of a Participant’s Elimination Period, the Plan Administrator will contact the Participant to determine whether the Participant satisfies the qualification requirements specified in Article 7. A Participant who satisfies these requirements shall be deemed to have filed a Benefits Claim for purposes of this Article. In order for a Participant or Beneficiary to entitle himself/herself to the payment of any benefits for which the Participant is eligible under this Plan, the Participant shall furnish such pertinent information and documentary evidence as the Plan Administrator may require to determine whether such requirements are satisfied. A Participant must also provide the Plan Administrator with written authorization to obtain information from the Participant’s Doctors pertaining to diagnosis and other related matters. If the Plan Administrator determines that the Participant satisfies these requirements, the Plan Administrator will send the Participant a written notice of approval. Within 30 days of receiving this notice, the Participant must provide the Plan Administrator with all additional information requested by the Plan Administrator to enable the Plan Administrator to properly calculate the Participant’s Monthly Benefits in accordance with Article 7. The Plan Administrator may delay payment of benefits if it does not receive the requested information. The Plan Administrator, at its own expense, reserves the right and opportunity to require the examination by a Doctor or interview by a representative of the Plan Administrator of the person whose Disability is the basis of a claim hereunder, when and so often as may reasonably be required during the pendency of such claim.
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Related to Initial Determination of Qualification for Benefits

  • DISQUALIFICATION FOR PAST PERFORMANCE AND FINDINGS OF NON RESPONSIBILITY Bidder may be disqualified from receiving awards if Bidder, or anyone in Bidder’s employment, has previously failed to perform satisfactorily in connection with public Bidding or contracts or is deemed non- responsible.

  • Application for Benefits Requests for short-term leaves shall be in writing, upon the appropriate form prescribed and provided by the District, and shall be filed with the unit member's supervisor and the appropriate manager five (5) days in advance of the intended leave (except in emergency situations), unless otherwise stated by the provisions of the specific leave.

  • Eligibility for Benefits A member will not be eligible to receive Long Term Disability benefits until their Income Protection benefits have expired.

  • Salary Determination 12.5.1 A unit member shall receive a salary not less than the minimum salary nor more than the maximum salary (Articles 12.3 and 12.4) for the rank to which appointed, except as provided in Articles 4.15, 5.6, 10.6.1 or Article 10.6.1.1. The effective dates for salaries shall be the appropriate dates specified in Article 12.2.2.

  • SALARY DETERMINATION FOR EMPLOYEES IN ADULT EDUCATION PCA Article B.3 does not apply in School District No. 34 (Abbotsford).

  • Determination of Agreement 29. (1) In any of the following events namely if —

  • Adverse Benefit Determination An adverse benefit determination is any of the following:  Denial of a benefit (in whole or part),  Reduction of a benefit,  Termination of a benefit,  Failure to provide or make a payment (in whole or in part) for a benefit, and  Rescission of coverage, even if there is no adverse effect on any benefit. An appeal of an adverse benefit determination can be made either as an administrative appeal or as a medical appeal, as defined further in this section. Our Customer Service Department phone number is (000) 000-0000 or 0-000-000-0000.

  • Eligibility Determination The State or its designee will make eligibility determinations for each of the HHSC HMO Programs.

  • Order of Benefit Determination Rules When a Member is covered by two or more plans, the rules for determining the order of benefit payments are as follows:

  • Certification of Funds; Budget and Fiscal Provisions; Termination in the Event of Non-Appropriation This Agreement is subject to the budget and fiscal provisions of the City’s Charter. Charges will accrue only after prior written authorization certified by the Controller, and the amount of City’s obligation hereunder shall not at any time exceed the amount certified for the purpose and period stated in such advance authorization. This Agreement will terminate without penalty, liability or expense of any kind to City at the end of any fiscal year if funds are not appropriated for the next succeeding fiscal year. If funds are appropriated for a portion of the fiscal year, this Agreement will terminate, without penalty, liability or expense of any kind at the end of the term for which funds are appropriated. City has no obligation to make appropriations for this Agreement in lieu of appropriations for new or other agreements. City budget decisions are subject to the discretion of the Mayor and the Board of Supervisors. Contractor’s assumption of risk of possible non-appropriation is part of the consideration for this Agreement. THIS SECTION CONTROLS AGAINST ANY AND ALL OTHER PROVISIONS OF THIS AGREEMENT.

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