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Appealing
a Denial of Benefits
At
the end of each plan description contained on this site, there
is a section that explains how to apply for benefits. If you
or your beneficiary apply for benefits and either part or
all of the request is denied, you have the right to appeal
that decision. The following procedure applies:
- If
a claim for benefits is either wholly or partially denied,
you will be notified in writing. The notice will state the
reasons why the claim was denied.
- After
receiving the notice, you or your beneficiaries have 60
days to request, in writing, a review of your claim. You
are entitled to review all documents pertaining to your
claim and may also submit comments pertaining to your claim.
- Those
receiving your request have 60 days to set up a hearing
that you and your representative, if you wish, may attend.
- You
will be informed about the final decision regarding your
claim as soon as possible, but in no case later than 120
days after your request for review is received.
Appeals
may be submitted to:
Committee
on Employee Benefits
c/o
Plan Administrator
Office
of Human Resources
25
Buick Street
Boston,
MA 02215
Appeals
may be submitted to the following carriers or investment entities:
|
Plan
|
Carrier
or Investment Entity
|
| The
Retirement
Plan and Supplemental
Retirement and Savings Plan |
Fidelity
Investments Tax-Exempt Services Company (Fidelity)
82 Devonshire Street
Boston, MA 02109
1-800-343-0860
Teachers
Insurance and Annuity Association (TIAA)
730 Third Avenue
New York, NY 10017
1-800-842-2733
College
Retirement Equities Fund (CREF)
730 Third Avenue
New York, NY 10017
1-800-842-2733
|
|
The
Health Plan
|
Blue
Cross Blue Shield
Appeals and Grievances
Landmark Center
401 Park Drive
Boston, MA 02215
1-800-814-4371
Harvard
Pilgrim Health Care
1600 Crown Colony Drive
Quincy, MA 02269
1-888-333-4742
Tufts Health Plan
Appeals and Grievances Department
705 Mount Auburn Street
P.O. Box 9193
Watertown, MA 02471-9193
1-800-211-9702
|
|
The
Dental Plan
|
Boston
University
Dental Health Plan
80 E. Concord Street
Boston, MA 02118
617-638-5223
|
|
The
Group Basic
Life Insurance Plan and the Group
Supplemental life Insurance Plan
|
Aetna
Life Insurance Company
151 Farmington Avenue
Hartford, CT 06156
1-800-523-5065
|
|
The
Travel Accident
and Personal
and Family Accident Insurance Plans
|
CNA
Insurance
1250 Hancock Street
Quincy, MA 02269-1905
617-984-6825
|
|
The
Long-Term Disability
Plan
|
Liberty
Mutual
P.O. Box 1525
Dover, NH 03821
1-800-210-0268, ext. 58535
|
|