55B - RESO AND AGMT - RETIREE HEALTH SAVINGS PLAN

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7,02 Requirement for Written Notice of Claim Denial h, I'Lin :\dminkt ator shall provide, to every claimant who is denied a claim for benefits, written notice setting forth in a nt.uux•r calculated to be understood by the claimant: II<<,prcific reason or reasons for the denial; ul spc, ih, reference to pertinent Plan provisions on which the denial is based; A desc ription of any additional material of information necessary for the claimant to perfect the claim and an explanation of k? h such material is necessary, and k ?n explanation of the Plan's claim review procedure. 7.03 Right to Request Hearing on Benefit Denial it hin one hundred eighty (180) days after the receipt by the claimant of written notification of the denial (in whole or in l"ar;) of his claim, the claimant or his duly authorized representative, upon written application to the Plan Administrator, in pcp,on or by certified mail, postage prepaid, may request a review of such denial, may review pertinent documents, and may uhmit issues and comments in writing. 7.04 Disposition of Disputed Claims Ton its receipt of notice of a request for review, the Plan Administrator shall make a prompt decision on the review. The decision )n review shall be written in a manner calculated to be understood by the claimant and shall include specific reasons for the decision +nd specific references to the pertinent plan provisions on which the decision is based. The decision on review shall be made not later • han sixty (60) days after the Plan Administrator's receipt of a request for a review, unless special circumstances require an extension ,I rime lire processing, in which case a decision shall be rendered not later than one hundred-twenty (120) days after receipt of a equtst fur review. If an extension is necessary, the claimant shall be given written notice of the extension prior to the expiration of I rc inir ill sixt} (60) day period. If notice of the decision on the review is not furnished in accordance with this Section, the claim ha Il ht deerned denied and the claimant shall be permitted to exercise his right to legal remedy pursuant to Section 7.05. 7.05 Preservation of Other Remedies Meer exhaustion of the claims procedures provided under this Plan, nothing shall prevent any person from pursuing any other cf,J of equitable remedy otherwise available. ARTICLE VIII Amendment or Termination of Plan 8.01 Permanency ,hLI, the l.nrployer filly expects that this Plan will continue indefinitely, due to unforeseen, future business contingencies, I+rr 111.1 nen ? of the Plan will be subject to the Employer's right to amend or terminate the Plan, as provided in Sections 8.02 110 8 n.,. - F { <a 55B-19