Common use of Review of Denied Claim Clause in Contracts

Review of Denied Claim. If a claim for benefits has been denied by the Bank, then within ninety (90) days after receipt of the ruling (or two hundred ten (210) days of the claim if the claim has not been acted upon within one hundred twenty (120) days of the claim), the Director or Beneficiary making the claim or the Director's or Beneficiary's authorized representative may file a written request for review on a form furnished by the Bank, giving the Director or Beneficiary thirty (30) days notice thereof, and notifying said claimant that said claimant may submit a written statement and documents, or appear personally at such or both, to give whatever facts or evidence the claimant feels bears upon the claim, review pertinent documents and records and submit issues and comments in writing. The Bank shall make a full and fair review of the record, including the written and oral information submitted by the claimant. Within thirty (30) days, the Bank shall render a decision and if the claim is again denied, the Bank shall set forth the specific reasons for such denial written in a manner calculated to be understood by the Director or Beneficiary. Such ruling shall contain the same information required by the Claim For Benefits paragraph, above.

Appears in 10 contracts

Samples: Bank Director Retirement Agreement (Community Valley Bancorp), Bank Director Retirement Agreement (Community Valley Bancorp), Bank Director Retirement Agreement (Community Valley Bancorp)

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Review of Denied Claim. If a claim for benefits has been denied by the Bank, then within ninety (90) days after receipt of the ruling (or two hundred ten (210) days of the claim if the claim has not been acted upon within one hundred twenty (120) days of the claim), the Director Employee or Beneficiary making the claim or the DirectorEmployee's or Beneficiary's authorized representative may file a written request for review on a form furnished by the Bank, giving the Director Employee or Beneficiary thirty (30) days notice thereof, and notifying said claimant that said claimant may submit a written statement and documents, or appear personally at such or both, to give whatever facts or evidence the claimant feels bears upon the claim, review pertinent documents and records and submit issues and comments in writing. The Bank shall make a full and fair review of the record, including the written and oral information submitted by the claimant. Within thirty (30) days, the Bank shall render a decision and if the claim is again denied, the Bank shall set forth the specific reasons for such denial written in a manner calculated to be understood by the Director Employee or Beneficiary. Such ruling shall contain the same information required by the Claim For Benefits paragraph, above.

Appears in 2 contracts

Samples: Continuation Agreement (Community Valley Bancorp), Continuation Agreement (Community Valley Bancorp)

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Review of Denied Claim. If a claim for benefits has been denied by the Bank, then within ninety (90) days after receipt of the ruling (or two hundred ten (210) days of the claim if the claim has not been acted upon within one hundred twenty (120) days of the claim), the Director Employee or Beneficiary making the claim or the Director's Employee’s or Beneficiary's ’s authorized representative may file a written request for review on a form furnished by the Bank, giving the Director Employee or Beneficiary thirty (30) days notice thereof, and notifying said claimant that said claimant may submit a written statement and documents, or appear personally at such or both, to give whatever facts or evidence the claimant feels bears upon the claim, review pertinent documents and records and submit issues and comments in writing. The Bank shall make a full and fair review of the record, including the written and oral information submitted by the claimant. Within thirty (30) days, the Bank shall render a decision and and, if the claim is again denied, the Bank shall set forth the specific reasons for such denial written in a manner calculated to be understood by the Director Employee or Beneficiary. Such ruling shall contain the same information required by the Claim For Benefits paragraph, above.

Appears in 1 contract

Samples: Salary Continuation Agreement (Community Valley Bancorp)

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