Relevant Records

Relevant Records. Means any document, record, or other information that: (i) the Plan Administrator relied upon in making a benefit determination for the Claimant's claim; (ii) was submitted, considered, or generated in the course of making the benefit determination for a claim, without regard to whether such document, record, or other information was relied upon in making the benefit determination; (iii) demonstrates compliance with the administrative... processes and safeguards required pursuant to Department of Labor Regulations in making the benefit determination for a claim; or (iv) constitutes a statement of policy or guidance with respect to the Plan concerning the denied treatment option or benefit for a Claimant's diagnosis, without regard to whether such advice or statement was relied upon in making the benefit determination. View More