Common use of Description of Claim Administration Services Clause in Contracts

Description of Claim Administration Services. Without limiting the foregoing, the Administrator shall: (a) provide claimants under the Administered Contracts and their authorized representatives (collectively, “Claimants”) with Claim forms and provide reasonable explanatory guidance to Claimants in connection therewith; (b) establish, maintain and organize Claim files and maintain and organize other Claims-related records; (c) review all Claims and determine whether the Claimant is eligible for benefits and if so, the nature and extent of such benefits; (d) prepare and distribute to the appropriate recipients and Governmental Entities any reports relating to periods following the Closing Date as required by Applicable Law; (e) respond to all written or oral Claims-related communications that the Administrator reasonably believes to require a response; (f) maintain a complaint log with respect to the Administered Contracts in accordance with applicable requirements of Governmental Entities and provide a copy of such log, continuously updated through the last day of each month during the term of this Agreement, to the applicable Company on or before the twentieth (20th) Business Day of each month covering changes during the preceding month; and (g) respond to and manage any Claims-related matters pursuant to Article VIII.

Description of Claim Administration Services. Without limiting the foregoing, the Administrator shall: (ai) provide claimants under the Administered Lincoln VA Contracts and their authorized representatives (collectively, “Claimants”) with Claim forms and provide reasonable explanatory guidance to Claimants in connection therewith; (bii) establish, maintain and organize Claim files and maintain and organize other Claims-related records; (ciii) review all Claims and determine whether the Claimant is eligible for benefits and if so, the nature and extent of such benefits; (div) prepare and distribute to the appropriate recipients and Governmental Entities any reports relating to periods following or including the Closing Effective Date as required by Applicable Law; (ev) respond to all written or oral Claims-related communications that the Administrator reasonably believes to require a response; (fvi) maintain a complaint log with respect to the Administered Lincoln VA Contracts in accordance with applicable requirements of Governmental Entities and provide a copy of such log, continuously updated through the last day of each month calendar quarter during the term of this Agreement, to the applicable Company on or before the twentieth (20th20) Business Day of each month calendar quarter covering changes during the preceding monthcalendar quarter; and (gvii) respond to and manage any Claims-related matters pursuant to Article VIIIVI.