Common use of Initiation – Written Request Clause in Contracts

Initiation – Written Request. To initiate the review, the claimant, within sixty (60) days (one hundred eighty (180) days with respect to a denial of a claim for benefits due to the Executive’s Disability) after receiving the Plan Administrator’s notice of denial, must file with the Plan Administrator or, if applicable, Appeals Fiduciary a written request for review. For purposes of this Article 6, the term “Appeals Fiduciary” means an individual or group of individuals appointed to review appeals of claims for benefits payable due to the Executive’s Disability. With respect to any denial of a claim for benefits due to Disability, in deciding an appeal of any denial based in whole or in part on a medical judgment (including determinations with regard to whether a particular treatment, drug, or other item is experimental, investigational, or not medically necessary or appropriate), the Appeals Fiduciary shall: