Common use of Administration and Claims Procedure Clause in Contracts

Administration and Claims Procedure. The Administrator of this plan shall be a committee consisting of members of the Board, as determined by the Board. Except to the extent the time or form of payment of any benefit under this Agreement is affected, the Administrator shall have full discretion and authority to interpret and construe each and all provisions of the Agreement, determine the eligibility of any person for benefits hereunder, make factual determinations, correct defects, supply omissions, and reconcile inconsistencies hereunder, and the interpretation of the Administrator shall be binding on all interested parties. The committee may delegate to others some or all of its authority and responsibility as Administrator, and may employ and rely on such legal counsel, actuaries, accountants, and agents as it may deem advisable to assist in the administration of the Agreement. The Administrator will advise each Executive and beneficiary of any benefit to which he or she is entitled under the Agreement. If any person believes that the Administrator has failed to advise him or her of any benefit to which he or she is entitled or to pay him or her any benefit then due under the Agreement, he or she may file a written claim with the Administrator. The Administrator shall review the written claim and if the claim is denied, in whole or in part, shall provide in writing within sixty days of receipt of such claim the specific reasons for such denial, reference to the provisions of this Agreement upon which the denial is based and notice of any additional material or information necessary to perfect the claim. Such written notice shall indicate the steps to be taken by claimants if an appeal of the claim denial is desired. A claim shall be deemed denied if the Administrator fails to take any action within the aforesaid sixty-day period. If claimants desire to appeal, they must file such appeal with the Administrator in writing within sixty days of the claim denial. In connection with an appeal, claimants may review this Agreement or any documents relating thereto and submit any written issues and comments they may feel appropriate. In its sole discretion, the Administrator shall then review the appeal and provide a written decision within sixty days of receipt of such appeal. This decision shall state the specific reasons for the decision and shall include reference to specific provisions of this Agreement upon which the decision is based.

Administration and Claims Procedure. The Administrator of this plan shall be a committee consisting of members of the BoardBHC’s Board of Directors, as determined by the such Board. Except to the extent the time or form of payment of any benefit under this Agreement is affected, the The Administrator shall have full discretion and authority to interpret and construe each and all provisions of the Agreement, determine the eligibility of any person for benefits hereunder, make factual determinations, correct defects, supply omissions, and reconcile inconsistencies hereunder, and the interpretation of the Administrator shall be binding on all interested parties. The committee may delegate to others some or all of its authority and responsibility as Administrator, and may employ and rely on such legal counsel, actuaries, accountants, and agents as it may deem advisable to assist in the administration of the Agreement. The Administrator will advise each Executive and beneficiary of any benefit to which he or she is entitled under the Agreement. If any person believes that the Administrator has failed to advise him or her of any benefit to which he or she is entitled or to pay him or her any benefit then due under the Agreement, he or she may file a written claim with the Administrator. The Administrator shall review the written claim and if the claim is denied, in whole or in part, shall provide in writing within sixty days of receipt of such claim the specific reasons for such denial, reference to the provisions of this Agreement upon which the denial is based and notice of any additional material or information necessary to perfect the claim. Such written notice shall indicate the steps to be taken by claimants if an appeal of the claim denial is desired. A claim shall be deemed denied if the Administrator fails to take any action within the aforesaid sixty-day period. If claimants desire to appeal, they must file such appeal with the Administrator in writing within sixty days of the claim denial. In connection with an appeal, claimants may review this Agreement or any documents relating thereto and submit any written issues and comments they may feel appropriate. In its sole discretion, the Administrator shall then review the appeal and provide a written decision within sixty days of receipt of such appeal. This decision shall state the specific reasons for the decision and shall include reference to specific provisions of this Agreement upon which the decision is based.

Administration and Claims Procedure. All interpretations, determinations, questions, and disputes regarding this Plan and claims by Participants hereunder (“Claims”), including but not limited to, Claims concerning interpretation, administration, benefit amounts, eligibility, and definitions, will be initially and tentatively decided and approved by the Plan Administrator. The “Plan Administrator” is a Committee appointed by the Board of Directors of Exult and shall constitute the Named Fiduciary of the Plan. The Committee shall include the Vice President Human Resources/Chief People Officer. The decision of the Plan Administrator shall be final and binding on all employees and dependents. The Plan Administrator may be contacted at Exult, Inc., 0 Xxxx Xxxxx, Xxxxx 0000, Xxxxxx, XX 00000, Attn:Vice President Human Resources/Chief People Officer, telephone 000.000.0000. An employee who believes that he or she has not received a Benefit under this Plan to which the employee believes the employee is entitled, may submit a written Claim for such Benefit to the Plan Administrator. A Claim must be presented to the Plan Administrator within ninety (90) days after the employee knew or should have known of this plan the facts that gave rise to the Claim. Failure to present a Claim in a timely manner shall be a committee consisting of members waiver of the Board, as determined by the BoardClaim. Except The Plan Administrator will respond in writing to the extent the time or form of payment of any benefit a Claim for benefits under this Agreement is affected, the Administrator shall have full discretion and authority to interpret and construe each and all provisions of the Agreement, determine the eligibility of any person for benefits hereunder, make factual determinations, correct defects, supply omissions, and reconcile inconsistencies hereunder, and the interpretation of the Administrator shall be binding on all interested parties. The committee may delegate to others some or all of its authority and responsibility as Administrator, and may employ and rely on such legal counsel, actuaries, accountants, and agents as it may deem advisable to assist in the administration of the Agreement. The Administrator will advise each Executive and beneficiary of any benefit to which he or she is entitled under the Agreement. If any person believes that the Administrator has failed to advise him or her of any benefit to which he or she is entitled or to pay him or her any benefit then due under the Agreement, he or she may file a written claim with the Administrator. The Administrator shall review the written claim and if the claim is denied, in whole or in part, shall provide in writing Plan within sixty ninety (90) days of receipt of such claim the Claim, unless the Plan Administrator needs additional information, or special circumstances require an extension of time for processing the Claim, in which case the ninety (90) day period may be extended by the Plan Administrator to a period of up to one hundred eighty (180) calendar days from the receipt of the Claim. If the Claim is denied, the Plan Administrator shall notify the employee with a written explanation of the denial which shall state (i) the specific reasons for such denialreason(s) that the Claim was denied, reference (ii) the exact references to the Plan provisions that dealt with the Claim, and (iii) an explanation of this Agreement upon which the Plan procedure to have a denied Claim reviewed Within sixty (60) calendar days after an employee receives a denial of the Claim, the employee may appeal the Claim denial to the Plan Administrator. The employee or the employee’s authorized representative may make a written request for a review of the denial is based and notice to review applicable documents, and must submit comments and issues in writing. The Plan Administrator will decide an appeal within sixty (60) calendar days after receiving the request for review, unless special circumstances require an extension of time for processing, in which case the sixty (60) day period may be extended by the Plan Administrator to a period of up to one hundred twenty (120) calendar days from the receipt of the request for review. The Plan Administrator shall notify the employee in writing of any additional material or information necessary to perfect such extension. The Plan Administrator’s decision on the claim. Such written notice shall indicate the steps to be taken by claimants if an appeal of the claim denial is desired. A claim review shall be deemed denied if the Administrator fails to take any action within the aforesaid sixty-day period. If claimants desire to appeal, they must file such appeal with the Administrator in writing within sixty days of the claim denial. In connection with an appeal, claimants may review this Agreement or any documents relating thereto and submit any written issues and comments they may feel appropriate. In its sole discretion, the Administrator shall then review the appeal and provide a written decision within sixty days of receipt of such appeal. This decision shall state the include specific reasons for the decision and shall include reference references to specific provisions of this Agreement the Plan provision(s) upon which it was based. None of the decision is basedprocess or time requirements set forth herein affect in any way the time limits set forth in any Severance Agreement. A Triggering Event shall be deemed to satisfy all requirements under this Plan for submission or notification of a Claim, without further action by the affected Participant.