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Home > Pension Plan > Denial of Benefits
APPEAL OF DENIAL OF BENEFITS
If you believe you have been improperly denied benefits, you are entitled
to a full and fair review of your claim.
If your claim is denied, you will be given a written explanation that will
provide:
- the specific reason or reasons for the denial, including a reference to the specific Plan provisions on which the denial is based;
- a description of any additional material or information required for you to show you are entitled to benefits;
- an explanation of the procedure to be followed if you do not agree with the denial;
- notice of your right to bring a civil action under ERISA following an adverse determination on review; and
- in the case of a disability pension claim, notice if the Plan relied on an internal rule, guideline, protocol or other similar criteria and notice of your right to receive a copy of such document free of charge upon request.
File an Appeal
If you do not agree with the claim denial decision, you may file an appeal
with the Board of Trustees. You must file your appeal within 180 days after
you receive the denial of your initial claim. To file an appeal, send a written
statement that indicates you are appealing the denial and that includes your
reasons for appealing the decision and any supporting documents not
previously furnished. Send your appeal to:
Board of Trustees
United Food and Commercial Workers
Unions and Employers Midwest Pension Fund
1300 Higgins Road, Suite 300
Park Ridge, IL 60068-5713
You will receive a written decision concerning your appeal after it is
reviewed by the Trustees. The Trustees meet quarterly to review the appeals
the Plan receives following their last meeting (except that any appeal filed
within the 30-day period preceding a meeting will be decided at the next
following quarterly meeting). The appeal decision can be delayed until the
third quarterly meeting following receipt of an appeal if special
circumstances require a delay; the Plan will contact you if your appeal will
be delayed. The Plan will notify you of the Trustees' decision within 5 days
after they make their decision. The written decision will include:
- the specific reason or reasons for the decision, including a reference to the specific Plan provision(s) on which the decision is based;
- notice of your right to access and copy information relevant to your claim;
- notice of your right to bring a civil action in federal court; and
- in the case of a disability claim, notice if the Plan relied on an internal rule, guideline, protocol or other similar criteria and notice of your right to a copy of such document free of charge upon request.
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