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5.3. ERMUSR 02-09-2010
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5.3. ERMUSR 02-09-2010
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2/5/2010 4:08:14 PM
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2/5/2010 4:08:12 PM
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City Government
type
ERMUSR
date
2/9/2010
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Claim <br />Participant <br />the <br />claim for <br />the Participant <br />the Claims Administrator may require <br />The Claims Administrator <br />rely information <br />Participant's <br />described <br />the Claims Administrator <br />shall <br />notify within thirty (30) days a claim for benefits that <br />If <br />shall <br />the specific reasons for the denial; <br />a description of any additional material necessary <br />to the claim and an explanation of why <br />Deleted: Notice of <br />Deleted:. In <br />Deleted: event a <br />Deleted: has a <br />Deleted: any benefits under this Plan, <br />Deleted: shall Flle a claim wdh the Claims <br />Administrator on forms provided for such <br />purpose. Upon request, the Claims <br />Administrator shall provide the Participant or <br />Participant's designated representative with any <br />and all necessary forms. Prior to making any <br />payment of benefits under this Plan, <br />Deleted: the Participant to provide such <br />information to complete such appropriate <br />documents or forms as necessary for the proper <br />administration of this Plan. <br />Deleted: may <br />Deleted: upon all such <br />Deleted: furnished to it, including <br />Deleted: mailing address. ¶ <br /><ti>Claims Review Procedure.¶ <br />(a) Third Party Benefits. The claims <br />requirements and appeal procedures regarding <br />beneftr available from third parties shall be <br />handled in accordance with the governing <br />documents for those benefits.¶ <br />(b) Other Benefits. For benefits other than <br />those <br />Deleted: in (a), <br />Deleted: the claimant <br />Deleted: after <br />Deleted: is filed, [he claim will either have <br />been paid or [he Claims Administrator will notify <br />you <br />Deleted: it has been denied. <br />Deleted: [he Claims Administrator denies the <br />claim, the individual <br />Deleted: be provided with the following <br />Information in writing: (1) <br />Deleted: and (2) <br />Deleted: or information <br />Deleted: complete <br />Deleted: , <br />Cd 2009 Hitesman & Associates, P.A. 15 Elk River Municipal Utilities <br />Flexible benefits Plan (NO. 8.0.0.0) <br />
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