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Metlife Dental Claim Appeals  
MetLife Dental Claim Appeal Process Summary
First-Level Appeal 180 Days

May appeal by requesting a review of claim by MetLife. A written request must be received by MetLife within 180 days of the date that the notice of denied claim is received. Your request for an appeal should be mailed to MetLife:

P. O. Box 14589
Lexington, KY 40512

30 Days If MetLife denies your appeal, a notice will be provided within 30 days from the date that the request for review of the claim was received by MetLife.

Second-Level Appeal 90 Days

May appeal first-level appeal denial by MetLife by submitting a formal appeal to the plan administrator within 90 days of the receipt of the denial notice from MetLife. Your request for an appeal should be mailed to:

Texas Instruments Dental Plan
Plan Administrator
ATTN: Formal Appeals
P. O. Box 650311, M.S. 3905
Dallas, TX 75265

30 Days

A final decision on the appeal will be rendered within 30 days from the date the plan administrator receives the formal appeal.

Suggested Documentation   As part of your appeal, you may submit written comments, documents, records and other information relating to your claim for benefits.

For detailed information regarding claim denials and appeals, please refer to this year’s Health and Insurance Benefits Guide, also known as the summary plan description (SPD), under Benefits Guides in the left navigation column of this page.




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