Appeals
If you are not satisfied with the results of Ceridian's review, you may formally appeal the decision in writing to the Plan Administrator.
You have 90 days from the date on which you receive a determination from Ceridian to write to the Benefits Department and indicate that you are appealing Ceridian's decision. You should include all relevant information in your appeal. To expedite processing, you should also include a HIPAA AUTHORIZATION FOR USE AND/OR DISCLOSURE OF PROTECTED HEALTH INFORMATION form. You can request a copy by calling the PG&E Benefits Service Center at 866-271-8144 (open weekdays from 7:30 a.m. to 5 p.m. Pacific time).
Send your appeal to:
Pacific Gas and Electric Company
Benefits Department
Appeals
1850 Gateway Blvd., 7th Floor
Concord, CA 94520
The Benefits Department will review your appeal and will make a decision within 60 days of the date on which the appeal is received (non-receipt of the HIPAA Authorization may delay your appeal). There may be special circumstances where an extension of up to 90 days may be required. You will be notified if the Benefits Department determines that an extension is necessary.
If the Benefits Department denies your claim, you will receive a written response that will include:
  • the reason(s) for the denial;
  • a reference to the Plan provision(s) that apply to the denial; and
  • an explanation of additional appeals procedures.
You may then have your appeal reviewed by the Employee Benefit Appeals Committee (EBAC). You must submit a new appeal in writing stating the reason(s) for your appeal and enclosing all relevant documentation and information that support your appeal. Unless there are special circumstances where an extension of up to an additional 90 days may be required, you shall receive EBAC's decision within 90 days of EBAC's receipt of the appeal.
Send your appeal to:
Pacific Gas and Electric Company
Benefits Department
EBAC Appeals
1850 Gateway Blvd., 7th Floor
Concord, CA 94520
If EBAC denies your appeal, you will receive a written response which will include:
  • the specific reason(s) for the denial of the claim;
  • a reference to the specific Plan provision(s) on which the denial is based;
  • a statement that you are entitled to receive, upon request and free of charge, reasonable access to, and copies of, all documents, records and other information relevant to your claim for benefits;
  • an explanation of any voluntary appeal procedures offered by the Plan and your right to obtain information about such procedures; and
  • a statement of your right to bring a civil action under section 502(a) of ERISA.