MG WP-ERS 20 CERT 2 Wills, ERS Plan Attorney means an attorney who has contracted with Metropolitan or the Administrator to provide Covered Legal Services. Spouse means Your lawful Spouse or Qualified Domestic Partner or Civil Union Partner. Qualified Domestic Partner or Civil Union Partner means a person who qualifies for coverage (a) as a domestic partner or civil union partner under another employee benefit provided by the Policyholder or (b) as required by applicable law We, Us and Our means MetLife Legal Plans, Inc. You and Your means an Eligible Employee. How the Group Legal Services Plan Works To use the Group Legal Services Plan for Will Preparation, You can call MetLife Legal Plans. You should be prepared to identify Yourself as a participant in the Will Preparation Service Plan. To use the Group Legal Services Plan for Estate Resolution Services, the executor or administrator of Your or Your deceased Spouse’s estate should call MetLife Legal Plans and be prepared to identify themselves as the executor or administrator of the deceased’s estate. In either situation when calling MetLife Legal Plans, the Client Service Representative who answers the call will: make an initial determination of whether and to what extent the matter is covered; give a case number (a new case number will be needed for each new matter); give the telephone number(s) and location of the nearest Plan Attorney(s); and answer questions about the Plan. A Plan Attorney or a non-Plan Attorney may be used. If a Plan Attorney is used, the Plan Attorney will provide the Covered Legal Services described above. If a non-Plan Attorney is used, the plan member, executor or administrator of the estate must notify MetLife Legal Plans. MetLife Legal Plans will send a claim form and informational material including a Non-Plan Attorney Fee Schedule. After the matter is finished, the claim form must be completed and returned to MetLife Legal Plans with the attorney’s final bill. Within 60 days of MetLife Legal Plans' receipt of the completed claim form and final bill, MetLife Legal Plans will pay the claimant an amount equal to the lesser of the amount the claimant paid for the attorney’s services and the amount stated in the Non-Plan Attorney Fee Schedule. The plan member, administrator or executor will be responsible for making payment to the non-Plan Attorney for any expenses or costs and/or fees incurred in excess of the amount paid by MetLife Legal Plans. If a claim is denied in whole or in part, MetLife Legal Plans may be asked to provide a written statement with the reason(s) for the denial and with information as to the steps that need to be taken to appeal the denial.
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