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The purpose of the review procedure, set forth herein is to provide a procedure by which a <br /> Participant, under the Plan, may have reasonable opportunity to appeal a denial of a claim to the <br /> Benefit Administrator or its designee for a full and fair review. To accomplish that purpose, the <br /> Participant, or his duly authorized representative may: <br /> a. request review upon written application to the named fiduciary; <br /> b. review pertinent Plan documents; and <br /> c. submit issues and comments in writing. <br /> A Participant or his duly authorized representative shall request a review by filing a written <br /> application for review with the Benefit Administrator or its designee at any time within sixty(60) <br /> days after receipt of written notice of the denial of his claim. <br /> Decision on review of a denied claim shall be made in the following manner: <br /> a. The decision on review shall be made by the Benefit Administrator or its designee, which <br /> may, in its discretion, hold a hearing on the denied claim; the Benefit Administrator or its <br /> designee shall make its decision not later than sixty (60) days after the Benefits <br /> Administrator or its designee receives the request for review, unless special circumstances <br /> require extension of time for processing, in which case a decision shall be rendered as soon <br /> as possible, but not later than one hundred twenty (120) days after receipt of the request <br /> for review. If an extension of time for review is required, written notice of the extension <br /> shall be furnished to the Participant prior to the commencement of the extension. <br /> b. The decision on review shall be in writing and shall include specific reasons for the <br /> decision, written in a manner calculated to be understood by the Participant, and specific <br /> references to the pertinent Plan provisions on which the decision is based. <br /> c. In the event that the decision on review is not furnished within the time period set forth <br /> above, the claim shall be deemed denied on review. <br /> If a dispute arises with respect to any matter under this Plan, the Benefit Administrator or its <br /> designee may refrain from taking any other or further action in connection with the matter involved <br /> in the controversy until the dispute has been resolved. <br /> Repayment of Excess Reimbursements <br /> If it is determined that a Participant has received reimbursements (including via debit card) in <br /> excess of the amount of eligible expenses, the Benefit Administrator or its designee shall give the <br /> Participant written notice of any excess amount, and the Participant shall repay the amount of such <br /> excess to the Employer within sixty(60) days of such notice. <br /> 6 <br />