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bullet image Flexible Spending Plan
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bullet image Disability Insurance
bullet image Administrative Information
bullet image What Happens When...?

 

Appealing a Claim

For dental, vision care, life insurance and AD&D, and long-term disability benefits, if your claim is denied in whole or part, you will be notified in writing. The notification will include the reasons for the denial and any additional information required if you want to appeal.

You are entitled to appeal a claim that is denied. To appeal a claim, write to the insurance company within 60 days of the date you receive the denial notice and state the reasons why you believe your claim should not have been denied. Include any additional documentation that supports your claim. You may also submit questions or comments you think are appropriate, and you may review relevant documents. Generally, you will receive a written decision on your appeal within 60 days of the date your insurance company receives your request. If special circumstances require a delay, you will be notified of the extension during the 60 days following the receipt of your request.

 

 
Administrative
Information
Continuation of Coverage (COBRA)
 
- COBRA Eligibility
- Continued Coverage for Dependents
- Multiple Qualifying Events
- How To Get Continued Coverage
- Cost of Continued Coverage
- Termination of Continued Coverage
Coordination of Benefits
Appealing a Claim
Plan Funding

Related Forms
Dependent Coordination of Benefits - Aetna
Dependent Coordination of Benefits - BCBS

Related Links
Statewide Benefits


 

    Important Legal Information:
Appoquinimink Benefits Online provides only an overview of your benefits from Appoquinimink School District and The State of Delaware. Appoquinimink School District and The State of Delaware reserve the right to amend or to terminate any benefit plan at any time, with or without notice. Review more important legal information about your benefits plans.

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