Common use of Description of Claim Administration Services Clause in Contracts

Description of Claim Administration Services. Without limiting the foregoing, the Administrator shall: (i) provide claimants under the LBL Contracts and Vermont Captive Contracts and their authorized representatives (collectively, “Claimants”) with Claim forms and provide reasonable explanatory guidance to Claimants in connection therewith; (ii) establish, maintain and organize Claim files and maintain and organize other Claims-related records; (iii) review all Claims and determine whether the Claimant is eligible for benefits and if so, the nature and extent of such benefits; (iv) prepare and distribute to the appropriate recipients and Governmental Entities any Claims reports as required by Applicable Law; (v) respond to all written or oral Claims-related communications that the Administrator reasonably believes to require a response; (vi) maintain a complaint log with respect to the LBL Contracts and Vermont Captive Contracts in accordance with applicable requirements of Governmental Entities, and at the Company’s request, provide a copy of such log; and (vii) respond to and manage any Claims-related matters pursuant to Article VII.

Description of Claim Administration Services. Without limiting the foregoing, the Administrator shall: (i) provide claimants under the LBL Contracts and Vermont Captive Contracts and their authorized representatives (collectively, “"Claimants”") with Claim forms and provide reasonable explanatory guidance to Claimants in connection therewith; (ii) establish, maintain and organize Claim files and maintain and organize other Claims-related records; (iii) review all Claims and determine whether the Claimant is eligible for benefits and if so, the nature and extent of such benefits; (iv) prepare and distribute to the appropriate recipients and Governmental Entities any Claims reports as required by Applicable Law; (v) respond to all written or oral Claims-related communications that the Administrator reasonably believes to require a response; (vi) maintain a complaint log with respect to the LBL Contracts and Vermont Captive Contracts in accordance with applicable requirements of Governmental Entities, and at the Company’s 's request, provide a copy of such log; and (vii) respond to and manage any Claims-related matters pursuant to Article VII.