Reso 98-110 - Laserfiche WebLink

Home Browse Search

3. Which meets all other conditions for benefits. Proof Of Loss includes any other information we may reasonably require in support of a claim. Proof Of Loss must be in writing and must be provided at the expense of the claimant. No benefits will be provided until we receive Proof Of Loss. D. Investigation Of Claim We may have you l"Y~m;ned at our expense at reasonable intervals. Any such €'Y~min~tion will be conducted by specialists of our choice. We may have an autopsy performed at our expense, except where prohibited by law. E. Time Of Payment We will pay benefits within 60 days after Proof Of Loss is satisfied. F. Notice Of Decision On Claim The claimant will receive a written decision on a claim within a reasonable time after we receive the claim. If the ,.l~imant does not receive our decision within 90 days after we receive the claim, the cl~imant will have an immediate right to request a review as if the claim had been denied. If we deny any part of the claim, the claimant will receive a written notice of denial cont~;ning: 1. The reasons for our decision; 2. Reference to the parts of the Group Policy on which our decision is based; 3. A description of any additional information needed to support the claim; and 4. Information concerning the claimant's right to a review of our decision. G. Review Procedure If all or part of a claim is denied, the claimant must request a review in writing within 60 days after receiving notice of the denial. The cll'lim~nt may send us written comments or other items to support the claim, and may review any non privileged information that relates to the request for review. We will review the claim promptly after we receive the request. We will send notice of our decision within 60 days after we receive the request, or within 120 days if special circumstances require an extension. We will state the reasons for our decision and refer to the relevant parts of the Group Policy. U.CLOl ASSIGNMENT The rights and benefits under the Group Policy caDIlot be assigned. U.AS.Ol BENEFIT PAYMENT AND BENEFICIARY PROVISIONS A Payment Of Benefits Benefits payable because of your death will be paid to the Beneficiary you name. See B through E of this section. The benefits below will be paid to you if you are living. 1. AD&D Insurance dismemberment benefits. Printed 4196 Revised 4196 -15- SAMPLE U,AD&D, DU, Sup. U