Claims Fiduciary definition

Claims Fiduciary means the entity to which the Plan Sponsor has allocated certain fiduciary responsibility.
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Claims Fiduciary means the person or entity that serves as the named claims fiduciary with respect to reviewing and making final decisions regarding claims under a Welfare Program. The “Claims Fiduciary” shall be the Plan Administrator unless otherwise set forth in Appendix D to this SPD.
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Claims Fiduciary means the person or entity that serves as the named claims fiduciary with respect to reviewing and making final decisions regarding Claims under the HRA. The Plan Administrator will be the “Claims Fiduciary” for the HRA.
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Examples of Claims Fiduciary in a sentence

  • Claim forms and instructions for filing claims may be obtained from the Plan Administrator.Guardian is the Claims Fiduciary with discretionary authority to determine eligibility for benefits and to construe the terms of the plan with respect to claims.

  • The Claims Fiduciary shall have the sole and exclusive discretion and power to grant and/or deny any and all claims for benefits, and construe any and all issues relating to eligibility for benefits.

  • Final decision on the appeal – by the Claims Fiduciary (not the same individual who made the initial claims denial, nor a subordinate of that person).

  • All findings, decisions, and/or determinations of any type made by the Claims Fiduciary shall not be disturbed unless the Claims Fiduciary has acted in an arbitrary and/or capricious manner.

  • If you have not yet taken a world language, it is now time to begin one.

  • Notwithstanding anything in the Plan to the contrary, the Claims Fiduciary shall have total and complete discretion to fulfill its fiduciary responsibilities as it sees fit on a uniform and consistent basis and as it believes a prudent person acting in a like capacity and familiar with such matters would do.

  • Submit your issues and comments to the Claims Fiduciary in writing.

  • If you are not satisfied or do not agree with the reasons for the denial of the claim, you may appeal the decision to the Claims Fiduciary shown in the Appeal Procedure section below.Appeal Procedure In addition to any appeal or grievance rights you may have under state law (not otherwise preempted by ERISA), if you are not satisfied or do not agree with the reasons for the denial of the claim, you may appeal the decision to the Claims Fiduciary named below.

  • All decisions of the Claims Fiduciary shall be final and binding on all parties.

  • Whenever a decision on a claim is involved, the Claims Fiduciary is given broad discretionary powers, and the Claims Fiduciary shall exercise said powers in a uniform and nondiscriminatory manner in accordance with the Plan’s terms.


More Definitions of Claims Fiduciary

Claims Fiduciary means the person or entity that serves as the named claims fiduciary with respect to reviewing and making final decisions regarding claims under a Welfare Program. The Plan Administrator will be the “Claims Fiduciary” except as otherwise designated in Appendix C.
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Claims Fiduciary means the Insurance Company.
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Related to Claims Fiduciary

  • Named Fiduciary means the Fiduciary or Fiduciaries named herein or in the Adoption Agreement who jointly or severally have the authority to control and manage the operation and administration of the Plan.

  • Plan Fiduciary As defined in Section 5.3(o).

  • 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.

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

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

  • Independent Fiduciary means an independent fiduciary who will serve as a fiduciary to the Plan in accordance with Article 3 that has no relationship or interest in any of the Settling Parties and is mutually agreed to by the Settling Parties.

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

  • Claims Administration means the processing of claims made under the Shared Policies, including the reporting of claims to the insurance carriers, management and defense of claims and providing for appropriate releases upon settlement of claims.

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

  • Benefits Committee means the Employee Benefits Committee of Textron.

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

  • Grievance Committee means the Grievance Committee of the Bar.

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • Claims Agent means Kurtzman Carson Consultants LLC.

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

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

  • Claims Officer means the individual or individuals appointed by the Monitor pursuant to the Amended Claims Procedure Order;

  • Retirement Committee means a committee consisting of the Company’s Vice President of Human Resources, the Director of HR Operations and the Compensation & Benefits Manager.

  • Claims Process means the process pursuant to the BIA by which the Trustee will determine the Proven Claims against the Company.

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

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

  • Review Panel means the panel, if any, appointed pursuant toRule 710 to review a completed Investigation Report and to determine whether a reasonable basis exists for finding a violation of the Rules and authorizing the issuance of a notice of charge pursuant to Rule 706.

  • Claimant means a person who believes that he or she is being denied a benefit to which he or she is entitled hereunder.

  • Claim for Benefits means a request for a Plan benefit or benefits made by a Member in accordance with the Plan’s Appeals Procedures, including any Pre-Service Claims (requests for Prior Authorization) and Post-Service Claims (requests for benefit payment).

  • Administrative Claims Bar Date means the deadline for Filing requests for payment of Administrative Claims, which: (a) with respect to Administrative Claims other than Professional Fee Claims, shall be 30 days after the Effective Date; and (b) with respect to Professional Fee Claims, shall be 45 days after the Effective Date.

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