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IBEW Local 11-LA NECA Retiree Health Plan Summary Plan Description (SPD) Retiree Eligibility IssuesMost eligibility issues are resolved quickly with a call or a letter to the Administrative Office. The Administrative Office is there to assist you and provide you with exact information on your participation in the Retiree Health Plan. If you have a claim denied because you do not meet the eligibility requirements of the plan you have the right to appeal this denial. Your appeal should be in writing, and be sent to the Administrative Office. You should state in your appeal why you believe you meet the eligibility requirements (refer to "Eligibility Requirements" of this Summary Plan Description), and provide any factual information you believe is important in having your appeal reviewed. Your appeal will be considered within the appropriate time parameters described in the sections above entitled "Pre-Service Claims" and "Post Service Claims". |
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