Benefits under the Everett School Employee Benefit Trust (“Trust”) will be paid only if the Trustees of the Trust (“Trustees”) or their delegate decides, in their discretion, that participants and their dependents are entitled to them. Any person claiming a benefit, requesting an interpretation or ruling under a benefit plan offered through or by the Trust or requesting information under a benefit plan offered through or by the Trust shall follow the claims procedure established by the Trustees. The claims procedure shall conform with the requirements of applicable Washington law.
The Trustees will also establish procedures for claims audits, in compliance with Washington law.
Cross References:
Trust Procedure 410P Claims Procedure
Trust document Section 4.16
Legal Reference:
WAC 82-6065-050120 Standards for claims management—Claims administration
ApprovedAdopted: January 1, 2004 Proposed: December 2010