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Res 1999-141
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Res 1999-141
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Last modified
9/5/2006 11:13:33 AM
Creation date
9/5/2006 11:13:02 AM
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Template:
City Clerk
City Clerk - Document
Resolutions
City Clerk - Type
Approving
Number
1999-141
Date
7/26/1999
Volume Book
137
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<br />3. Plan Administrator Information <br /> <br />The name, address and business telephone number of your Plan's Administrator are: <br /> <br />City of San Marcos <br />630 East Hopkins Street <br />San Marcos, Texas 78666 <br />(512) 393-8060 <br /> <br />The Administrator keeps the records for the Plan and is responsible for the administration <br />of the Plan. The Administrator will also answer any questions you may have about our Plan. You <br />may contact the Administrator for any further information about the Plan. <br /> <br />4. Service of Legal Process <br /> <br />The name and address of the Plan's agent for service oflegal process are: <br /> <br />City of San Marcos <br />630 East Hopkins Street <br />San Marcos, Texas 78666 <br /> <br />5. Type of Administration <br /> <br />The type of Administration is Employer Administration. <br /> <br />IX <br />ADDITIONAL PLAN INFORMATION <br /> <br />1. Claims Process <br /> <br />You should submit reimbursement claims during the Plan Year, but in no event later than <br />61 days after the end of a Plan Year. Any claims submitted after that time will not be considered. <br />Claims for benefits that are insured or self-funded will be reviewed in accordance with <br />procedures contained in the policies. All other general claims or requests should be directed to <br />the Administrator of our Plan. If a non-insured claim under the Plan is denied in whole or in part, <br />you or your beneficiary will receive written notification. The notification will include the reasons <br />for the denial, with reference to the specific provisions of the Plan on which the denial was <br />based, a description of any additional information needed to process the claim and an explanation <br />of the claims review procedure. Ifwe fail to respond within 90 days, your claim is treated as <br />denied. Within 60 days after denial, you or your beneficiary may submit a written request for <br />reconsideration of the application to the Administrator. <br /> <br />Any such request should be accompanied by documents or records in support of your <br />appeal. You or your beneficiary may review pertinent documents and submit issues and <br /> <br />11 <br />
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