For claims administration and appeals related to the PPO Plan (including prescription drug and behavioral health claims), the Diversified Dental PPO Plan, vision care benefits, and the disability benefit, refer to Claim Filing and Appeal Information in the Summary Plan Description. If you receive an Adverse Benefit Determination for one of these claims, you may appeal it to the Board of Trustees.
For claims administration and appeals under the Health Plan of Nevada HMO Plan, the Liberty Dental Plan DHMO-EPO, and the Ullico Life and Accident Insurance Plan, refer to the official documents of these insurance companies.
Please keep in mind that you must file appeals within certain time limits. See the documents referenced above for more information.