§ 5.19.130. Claims Procedures.  


Latest version.
  • A.

    Initial Claim. Any Participant or Beneficiary who believes that he or she is entitled to receive a benefit under the Plan but has not received one may file an application for benefits with the Administrative Committee.

    B.

    Appeal. If an application for benefits is denied, the Participant or Beneficiary will be advised of his or her right to appeal the denial to the Administrative Committee. The Participant or Beneficiary may appeal the denial of his or her application by filing with the Administrative Committee a written request for review of such claim stating the specific facts supporting his or her claim and specifying the remedy sought. The appeal shall be reviewed by Agents of the Administrative Committee. If the Agents determine that the claim is valid, benefits shall be distributed as soon as administratively feasible in accordance with Section 5.19.100. If, however, such Agents recommend denial of the claim, such appeal shall be reviewed by the Administrative Committee at its next open meeting. The determination of the Administrative Committee as to the denial of a claim on appeal shall be final and binding to the extent permitted by law.

(Ord. 2004-0001 § 2 (part), 2004.)