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R2009-100 ESTABLISHING RETIREMENT HEALTH SAVINGS PLAN
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R2009-100 ESTABLISHING RETIREMENT HEALTH SAVINGS PLAN
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Last modified
10/13/2015 11:58:55 AM
Creation date
10/13/2015 11:58:50 AM
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Resolution/Ordinance
Res Ord Num
R2009-100
Res Ord Title
ESTABLISHING RETIREMENT HEALTH SAVINGS PLAN - ICMA RETIREMENT CORPORATION VANTAGECARE
Department
City Manager
Approved Date
6/15/2009
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7.02 Requirement for Written Notice of Claim Denial <br /> Thc Plan Administrator shall provide,to ever�-claimant who is denied a claim for benefits,written noticc serting forth in a <br /> manner calculated to be understood bi�the claimant: <br /> a) The specific reason or reasons for the denial; <br /> b) Specific reference to pertinent Plan provisions on which the denia]is based; <br /> c) A description of any additional material of information necessary for the claimanc to perfect the claim and an explanation <br /> of why such material is necessary>,and <br /> d) An explanation of the Plan's claim review procedure. <br /> 7.03 Right to Request Hearing on Benefit Denial <br /> Within one-hundred eighry(180) days after the receipr by the claimant of written notification of the denial (in whole or in <br /> part) of his claim,the claimant or his duly authorized representative, upon written application to the Plan Administrator, in <br /> person or by certified mail,postage prepaid>may request a review of such denial,may review pertinent documents,and map <br /> submic issues and commencs in writing. <br /> 7.04 Disposition of Disputed Claims <br /> Upon its receipt of notice of a request for revie��,the Plan Administrator shall make a prompt decision on the review.The decision <br /> on revie«�shall be written in a manner calculated to be understood by the claimant and shall include specific reasons for the decision <br /> and specific references to the pertinent plan provisions on which the decision is based_The decision on review shall be made not later <br /> than sixty(60)days after the Plan Administrator's receipc of a request for a review>unless special circumstances require an extension <br /> of time for processing,in which case a decision shall be rendered not later than one hundred-twenty(120)days after receipt of a <br /> request for review.If an extension is necessary,the claimant shall be given written notice of the extension prior to the expiration of <br /> the initial sixty(60}day period.If notice of the decision on the review is not furnished in accordance with this Seaion,the claim <br /> shall be deemed denied and the claimant shall be permitted to exercise his right to legal remedy pursuant to Section 7.05. <br /> 7.05 Preservation oF Other Remedies <br /> After exhaustion of the claims procedures provided under this Plan,nothing shall prevent any person from pursuing any other <br /> legal or equitable remedy otherwise available. <br /> ARTICLE Vltl <br /> Amendment or Termination of Plan <br /> 8.01 Permanency <br /> While the Employer fully expects that this Plan�vill continue indefinirely,due to unforeseen, future business contingencies, <br /> permanenry of the Plan will be subject to che Employer's right to amend or terminate che Plan,as provided in Sections 8.02 <br /> and 8.03>below. <br /> � <br />
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