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Fillmore Family Vision

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Fillmore Family Vision Reviews (3)

Stewart CMiller & Co., Increceived a notification of a customer complaint against our company from the Revdex.com dated 4/13/This letter is a response to the customer complaint, Case ID [redacted] .There is a signed Administrative Contract between the Health and Welfare Plan and Stewart CMiller & Co., IncIn performing our services as Administrative Managers of the Health and Welfare Plan, the Administrator shall:1) Provide and maintain an adequate and properly trained staff to perform the services and answer the inquiries of Employees and the Fund with respect to Administrator's obligations and procedures as outlined by the Plan Document of the PlanThe Administrator has no authority to waive or change the Plan of benefits or provision without an agreement/amendment, in writing from the Fund.2) Maintain claims processing on a current basis with no more than a 14-day turn-around-timeThe 14-day turn-around-time will be maintained provided that all of the information is available to properly adjudicate each claim.Timeline of Case ID [redacted] :1/30/2017-Stewart CMiller & Co., Increceived short term disability paperwork regarding gunshot wound to the abdomen which happened on 1/22/2017.2/02/2017-Stewart CMiller & Co., Incmailed and faxed a letter requesting accident information, a copy of the police report and questioned third party liability.2/03/2017-Stewart CMiller & Co., Increceived a copy of the incident report completed by the County Sheriff Department along with a completed injury/accident information form and completed subrogation reimbursement form.The incident report summary: On the morning of Sunday, January 22, a male reported to that he just shot someone who came to his shopUpon the arrival of Detectives, the crime scene had been established and securedCrime scene technicians were ordered and interviews were conductedAt the time of this report eh victim is unable to be interviewed and the investigation is ongoing2/06/2017-Stewart CMiller & Co., Increceived a phone call from a detectiveThe detective said the shooting incident was still under investigation with the sheriff's department before going to the prosecutor's office.2/16/2017-Stewart CMiller & Co., Inccalled the prosecutor's office checking to see if any charges, if any, were going to be filedThe case was under review, no decision yet2/16/2017- Stewart CMiller & Co., Incspoke to the Revdex.com CustomerThe following plan limitations were explained to himThe Health & Welfare Plan excludes medical benefits payable for any expense which is incurred as a result of willful participation in or a a result of the commission of a criminal act (except for death benefit)The Health & Welfare Plan excludes a short term disability benefits payable for injuries sustained while participating in or as a consequence of having participated in a riot or the commission of a crime.2/24/2017-Stewart CMiller & Co., Incmailed a letter to the Revdex.com Customer notifying him that the claim was still pending information from the prosecutor's officeThe letter included a copy of the Plan's limitations/exclusions from the Plan Document2/27/2017-Stewart CMiller & Co.,Inccalled the prosecutor's officeThe case was still under review, no decision yet.3/08/2017- Stewart CMiller & Co., Inccalled the prosecutor's officeThe case was still under review, no decision yet.3/21/2017- Stewart CMiller & Co., Incwas told by the prosecutor's office that they could not give out information to the public without a subpoenaIt was noted that the Revdex.com Customer hired an attorney.3/22/2017-The Revdex.com Customer called Stewart CMiller & Co., IncHe was going to have his attorney get the information needed so his disability and medical claims could be paid.4/06/2017- Stewart CMiller & Co., Increceived a copy of a letter written by the Revdex.com Customer addressed to the Board membersIn the letter, the Revdex.com Customer states he received an email from the prosecutorThe email stated no charges will be filed against him.4/07/2017-Stewart CMiller & Co., Increceived a copy of a letter written to the Revdex.com Customer's attorney from the prosecutorThe letter was dated 4/07/and stated no charges will be filed by this office concerning the shooting that happened in, Indiana which involved the Revdex.com customer and another male on 1/22/2017.4/07/2017- Stewart CMiller & Co., Incfaxed the prosecutor's letter to the Fund's attorney for reviewSince the plan limitation/exclusion does not specifically state the Revdex.com Customer has to be convicted of a crime, but rather involved in a commission of a criminal act4/13/2017- Per email to Stewart CMiller & Co., Incfrom the Fund's attorney, a request for public records was sent to the sheriff to see if the Revdex.com Customer did something illegal, like trespass or assaultThe sheriff has days to respond.4/17/-Stewart CMiller & Co., Increceived a letter from the Revdex.com detailing the complaint, case ID [redacted] "failure to provide services".This case is on the agenda for the Board of Trustees of the Health and Welfare Plan to discuss at the next scheduled meeting, 4/19/The Board of Trustees will decide if the Plan limitations/exclusions apply to this case.Best Regards, Stewart CMiller & Co., Inc

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Regards,
*** ***

Stewart CMiller & Co., Increceived a notification of a customer complaint against our company from the Revdex.com dated 4/13/This letter is a response to the customer complaint, Case ID ***.There is a signed Administrative Contract between the Health and Welfare Plan
and Stewart CMiller & Co., IncIn performing our services as Administrative Managers of the Health and Welfare Plan, the Administrator shall:1) Provide and maintain an adequate and properly trained staff to perform the services and answer the inquiries of Employees and the Fund with respect to Administrator's obligations and procedures as outlined by the Plan Document of the PlanThe Administrator has no authority to waive or change the Plan of benefits or provision without an agreement/amendment, in writing from the Fund.2) Maintain claims processing on a current basis with no more than a 14-day turn-around-timeThe 14-day turn-around-time will be maintained provided that all of the information is available to properly adjudicate each claim.Timeline of Case ID ***:1/30/2017-Stewart CMiller & Co., Increceived short term disability paperwork regarding gunshot wound to the abdomen which happened on 1/22/2017.2/02/2017-Stewart CMiller & Co., Incmailed and faxed a letter requesting accident information, a copy of the police report and questioned third party liability.2/03/2017-Stewart CMiller & Co., Increceived a copy of the incident report completed by the County Sheriff Department along with a completed injury/accident information form and completed subrogation reimbursement form.The incident report summary: On the morning of Sunday, January 22, a male reported to that he just shot someone who came to his shopUpon the arrival of Detectives, the crime scene had been established and securedCrime scene technicians were ordered and interviews were conductedAt the time of this report eh victim is unable to be interviewed and the investigation is ongoing. 2/06/2017-Stewart CMiller & Co., Increceived a phone call from a detectiveThe detective said the shooting incident was still under investigation with the sheriff's department before going to the prosecutor's office.2/16/2017-Stewart CMiller & Co., Inccalled the prosecutor's office checking to see if any charges, if any, were going to be filedThe case was under review, no decision yet. 2/16/2017- Stewart CMiller & Co., Incspoke to the Revdex.com CustomerThe following plan limitations were explained to himThe Health & Welfare Plan excludes medical benefits payable for any expense which is incurred as a result of willful participation in or a a result of the commission of a criminal act (except for death benefit)The Health & Welfare Plan excludes a short term disability benefits payable for injuries sustained while participating in or as a consequence of having participated in a riot or the commission of a crime.2/24/2017-Stewart CMiller & Co., Incmailed a letter to the Revdex.com Customer notifying him that the claim was still pending information from the prosecutor's officeThe letter included a copy of the Plan's limitations/exclusions from the Plan Document. 2/27/2017-Stewart CMiller & Co.,Inccalled the prosecutor's officeThe case was still under review, no decision yet.3/08/2017- Stewart CMiller & Co., Inccalled the prosecutor's officeThe case was still under review, no decision yet.3/21/2017- Stewart CMiller & Co., Incwas told by the prosecutor's office that they could not give out information to the public without a subpoenaIt was noted that the Revdex.com Customer hired an attorney.3/22/2017-The Revdex.com Customer called Stewart CMiller & Co., IncHe was going to have his attorney get the information needed so his disability and medical claims could be paid.4/06/2017- Stewart CMiller & Co., Increceived a copy of a letter written by the Revdex.com Customer addressed to the Board membersIn the letter, the Revdex.com Customer states he received an email from the prosecutorThe email stated no charges will be filed against him.4/07/2017-Stewart CMiller & Co., Increceived a copy of a letter written to the Revdex.com Customer's attorney from the prosecutorThe letter was dated 4/07/and stated no charges will be filed by this office concerning the shooting that happened in, Indiana which involved the Revdex.com customer and another male on 1/22/2017.4/07/2017- Stewart CMiller & Co., Incfaxed the prosecutor's letter to the Fund's attorney for reviewSince the plan limitation/exclusion does not specifically state the Revdex.com Customer has to be convicted of a crime, but rather involved in a commission of a criminal act. 4/13/2017- Per email to Stewart CMiller & Co., Incfrom the Fund's attorney, a request for public records was sent to the sheriff to see if the Revdex.com Customer did something illegal, like trespass or assaultThe sheriff has days to respond.4/17/-Stewart CMiller & Co., Increceived a letter from the Revdex.com detailing the complaint, case ID *** "failure to provide services".This case is on the agenda for the Board of Trustees of the Health and Welfare Plan to discuss at the next scheduled meeting, 4/19/The Board of Trustees will decide if the Plan limitations/exclusions apply to this case.Best Regards, Stewart CMiller & Co., Inc

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Address: 210 S 100 W, Fillmore, Utah, United States, 84631-2512

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