Health care benefits, claims procedures.
Ann Arbor City Code § 1:733
in effect1:733. - Health care benefits, claims procedures.
A claim for benefits under the Plan must be submitted in writing to the Plan Administrator and/or insurance carrier in accordance with procedures established by the Plan Administrator or the Plan and/or insurance carrier as communicated in writing to Retirees, Spouses and/or Dependents. The Plan Administrator and/or insurance carrier shall provide adequate notice to any participant or qualified beneficiary whose claims for benefits under this Plan have been denied, setting forth the specific reasons for such denial, written in a manner calculated to be understood by the party. The Plan Administrator and/or respective insurance carrier has responsibility for the resolution of disputes involving payment of benefits under the portion of the Plan assigned to the Plan Administrator or insurance agreement with the insurance carrier. The Plan Administrator and/or insurance carrier shall afford a reasonable opportunity to any participant or qualified beneficiary whose claim for benefits has been denied for a full and fair review of the decision denying the claim.
(Ord. No. 41-98, § 1, 10-19-98)
Source: City of Ann Arbor, Michigan, Code (Municode Library, library.municode.com)URL: https://library.municode.com/mi/ann_arbor/codes/code_of_ordinances?nodeId=TITIAD_CH21REHECABEPLTR_PTBHECABEPL_1_733HECABECLPRFetched: 11/8/2026