Eligibility Claims
If there is a question as to whether you or your dependents are eligible for coverage under any benefit option provided by the plans, that question will be decided by the
claims administrator. If the eligibility question is not accompanied by a claim for benefits, the decision of the plan administrator will be final and will not be subject to review. However, if the eligibility question is being decided in connection with a claim for benefits, you may
appeal the decision of the plan administrator.