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Life Insurance Medical Information

Location:
Powder Springs, GA, 30127
Salary:
19.55
Posted:
March 27, 2024

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Resume:

The Lincoln National Life Insurance Company

Disability and Life Claims

PO Box 2578

Omaha, NE 68103-2578

Phone No.: 800-***-****

Secure Fax No.: 603-***-****

March 1, 2024

Johnny B. Branch

3925 BRIANNA DR

POWDER SPRINGS, GA 30127

RE: Short Term Disability (STD) Benefits

McLane Co Inc

Claim #: 15198463

Dear Johnny:

The Lincoln National Life Insurance Company is responsible for managing claims for Short Term Disability (STD) benefits under McLane Co Inc's Group Disability Plan. We are writing in reference to your claim for STD benefits under the Plan. We have completed a thorough review of the information submitted and have approved your claim for benefits.

The Plan states that to be eligible for benefits you must meet the definition of disability as defined in the STD Plan:

"Disability" or "Disabled" means:

b. i. if the Covered Person is eligible for the 12 Month Own Occupation benefit,

"Disability"

or "Disabled" means that during the Elimination Period and the next 12 months of Disability the Covered Person, as a result of Injury or Sickness, is unable to perform the Material and Substantial Duties of his Own Occupation; and ii. thereafter, the Covered Person is unable to perform, with reasonable continuity, the Material and Substantial Duties of Any Occupation. 2. With respect to Covered Persons employed as pilots, co-pilots and crewmembers of an aircraft:

"Disability" or "Disabled" means as a result of Injury or Sickness the Covered Person is unable to perform the Material and Substantial Duties of Any Occupation. Based on the medical and vocational information contained in our claim file, we have determined that you are unable to perform the duties of your job. We have determined that your date of disability is January 4, 2024 and your benefits begin on 1 of 2

January 11, 2024. Benefit payment will be sent under separate cover by your employer. We have approved your claim through March 31, 2024. If your condition requires an extension beyond this date, you must submit additional medical information from your treatment providers to substantiate continued disability. This information must include office treatment notes, test results, prescription histories, specific restrictions/limitations and treatment plans from all treating physicians. A note from your physician without any supporting documentation may not be sufficient to approve further benefits.

If your benefit is overpaid McLane Co Inc has the right to recover the amount overpaid in full. To avoid an overpayment, please notify our office immediately if you begin receiving other income for this same time period as outlined in your STD Plan. If you have any questions regarding this matter, please contact me. Sincerely,

Christopher Brooks

Disability Claims Case Mgr

Phone No.: 800-***-**** Ext. 41446

Secure Fax No.: 603-***-****

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