Page 1 of 3COMPLIANCE AND RISK MANAGEMENTClaims and AppealsAny Trust participant or covered dependent or beneficiary claiming a benefit or questioning aninterpretation, ruling or provision under any Trust benefit option (“claimant”) shall follow theprocedure specified in the applicable document listed in Appendix I of the Trust agreement; ifthe document does not include claims procedures or they include procedures that do not satisfythe minimum requirements of Section 2719 of the PHSA (defined below), then the procedures inSection 2719 of the PHSA shall apply.
Insurance Benefits
For each insured benefit provided by the Trust, the Insurer (defined below) will have the sole...
Allowed
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