Claims Appeal Committee definition

Claims Appeal Committee means a committee appointed by the Bank to review and process appeals of benefit claim denials under Article 6.
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Claims Appeal Committee means a committee appointed by the plan administrator, which shall consist of at least three members and shall have only such duties as are expressly provided under the terms of the Plan. The plan administrator shall carry out all other administrative responsibilities. Members of the Claims Appeal Committee who are employees may participate in the benefits under the Plan (provided they meet all applicable requirements). No member of the Claims Appeal Committee shall receive any compensation for his services as such.
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Claims Appeal Committee means a committee appointed by the Administrator, which shall consist of at least three members and shall have only such duties as are expressly provided under the terms of this Plan. The Administrator shall carry out all other administrative responsibilities. No member of the Claims Appeal Committee shall receive any compensation for his services as such.A document, record, or other information shall be considered “relevant” to a claimant’s claim if such document, record, or other information (i) was relied upon in making the benefit determination, (ii) was submitted, considered, or generated in the course of making the benefit determination, without regard to whether such document, record, or other information was relied upon in making the benefit determination, or (iii) demonstrates compliance with the administrative processes and safeguards required pursuant to paragraph (h) above in making the benefit determination.A “claim for disability benefits” means a disability claim for the purposes of the requirements of United States Department of Labor Regulation Section 2560.503-1.
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Examples of Claims Appeal Committee in a sentence

  • Within 60 days after receipt of the notice of denial described above, the claimant may request a review of such denial by filing a notice of appeal in writing with the Benefit Claims Appeal Committee (the “Benefits Appeal Committee”).

  • Within 60 days after the Claimant’s receipt of the written decision denying the claim in whole or in part, the Claimant may request a review of such determination by filing a notice of appeal in writing with the Benefit Claims Appeal Committee (the “Benefits Appeal Committee”).

  • The Claims Appeal Committee will provide a prompt written decision on review.

  • The Trustees may delegate this authority to a Claims Appeal Committee, which will conduct quarterly meetings.

  • If your claim is based on Disability, the Claims Appeal Committee will not give deference to the initial denial of your claim and the review will not be conducted by any person who initially denied the claim (or a subordinate of such person).

  • The Claims Appeal Committee shall write the notification in a manner calculated to be understood by the claimant.

  • The notice of extension must set forth the special circumstances and the date by which the Claims Appeal Committee expects to render its decision.

  • If the local office determines that an individual has voluntarily quit or failed to accept suitable employment without good cause, that individual shall be ineligible to participate in SNAP and shall be treated as a disqualified member.

  • Appeals from an MRC decision go to the Claims Appeal Committee (CAC).

  • The Claims Appeal Committee shall notify the claimant in writing of its decision on review.

Related to Claims Appeal Committee

  • Appeal Committee means the appeal committee established by the Council in terms of section 12(3)(a);

  • Appeals Committee means a Committee or Tribunal duly appointed by by-law to conduct hearings under this by-law;

  • Review Committee or “Committee” means a committee established pursuant to rule Chapter 67-60, F.A.C.

  • Appeal Board means the State Charter School Appeal

  • Grievance Committee means the Grievance Committee of the Bar.

  • Peer review committee means one or more persons acting in a peer review capacity who also serve as an officer, director, trustee, agent, or member of any of the following:

  • Appeals Board means the commissioners and deputy commissioners of the Workers’ Compensation Appeals Board acting en banc, in panels, or individually.

  • Claims Administrator means the firm proposed by Class Counsel and appointed by the Courts to administer the Settlement Amount in accordance with the provisions of this Settlement Agreement and the Distribution Protocol, and any employees of such firm.

  • Appeal Panel means a panel comprised of a chair and two individuals appointed by the Board to consider appeals under Chapter 7.

  • Joint Remediation Committee has the meaning set forth in Section II.A.2.

  • independent review committee means the independent review committee of the investment fund established under National Instrument 81-107 Independent Review Committee for Investment Funds;

  • Appeals Panel means a panel appointed by the Chief Compliance Officer pursuant to Rule 620.

  • Benefits Committee means the Employee Benefits Committee of Textron.

  • Administrative Committee means the committee in charge of Plan administration, as described in Article VII.

  • Search Committee means the Search Committee set up by the Senate under section 15 (2);

  • Plan Committee means a committee of two or more directors appointed by the Board to administer the Plan.

  • Architectural Review Committee or “ARC” shall mean the architectural review committee established by the Organization to review plans submitted to the Organization for architectural review.

  • Investigation Committee means the Investigation Committee appointed by the Board under Regulation 5 of these Regulations;

  • Hearing Committee means the committee appointed pursuant to this Plan to hear a request for an evidentiary hearing that has been properly filed and pursued by a practitioner.

  • Appeals Tribunal or “AT” means the Body responsible for hearing and determining appeals set out in section 9;

  • Supervisory Committee means the Comisión Fiscalizadora of the Company.

  • Plan Administrator means the plan administrator described in Article 8.

  • Selection Committee means a committee of individual(s) who evaluate and rank proposals; conduct negotiations; and makes a contract award recommendation to the District and its respective Committees.

  • Statutory Committee means any official committee of unsecured creditors in any of the Chapter 11 Cases pursuant to Section 1102 of the Bankruptcy Code.

  • Advisory Committee means the Employer's Advisory Committee as from time to time constituted.

  • Policy Committee means the body created by this Agreement to approve the budget for the Consortium, to develop cooperative approaches regarding countywide GIS and the concerns of each party, and to perform such other functions as are set forth in this Agreement.