· | Applicable restrictions, limitations, and exclusions; |
· | The procedure for filing a claim for benefits; |
· | The procedure for requesting an adjudication of disputes or appeals arising from beneficiaries regarding the payment or denial of any claim for benefits; and |
· | A schedule of any direct monetary contributions toward the program financing required by the employee. |
Legal Reference: | WAC 82- |
Proposed: December 2010 |