If your claim is for a Weekly Accident and Sickness Disability Benefit due to disability, the Plan will make a decision on your claim and notify you of the decision within 45 days of receiving your claim. If the Plan requires an extension of time due to matters beyond the control of the Plan, the Plan will notify you of the reason for the delay and when the decision will be made. This notification will occur before the expiration of the 45-day period. A decision will be made within 30 days of the time the Plan notifies you of the delay.
If the Plan needs additional information from you to make its decision, you will be notified as to what information must be submitted. You will have at least 45 days to submit the additional information. Once the Plan receives the information from you, you will be notified of the Plan’s decision on the claim within 30 days.