Receiving Your Benefits

If Your Claim Is Denied

Approval of an On-going Course of Treatment

If your appeal is in connection with a claim for an on-going course of treatment, the Plan Administrator will notify you of its decision on appeal as soon as possible, but not later than the date your treatment ends or is reduced.

Post-Service Claim

If your appeal is in connection with a claim for payment of medical services after they have been received, the Plan Administrator will notify you of its decision on appeal, adverse or not, but not later than 60 days after the Dental Plan received appeal.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.