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5. Trust Policy 410 - Claims and Appeals Procedure REVISED
Handle: Document-88877
Owner: Newcomb, Kellee (User-147, 02075:EVERETT)DS
Friday, June 9, 2017 03:13:31 PM PDT
Friday, June 9, 2017 03:13:31 PM PDT
Modified By:
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  • 410.1P
Page 1 of 43COMPLIANCE AND RISK MANAGEMENTClaims and Appeals ProcedureAny 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.
  • If a Claimant submits a claim
and the claim is denied in full or in part, the Claimant will be notifie...
Allowed
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5. Trust Policy 410 - Claims and Appeals Procedure REVISED.pdf
No
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26607
No
Appears In: 20170614 Meeting
Preferred Version: 5. Trust Policy 410 - Claims and Appeals Procedure REVISED