Appeals

If a provider disagrees with how a claim was processed, provider may appeal the claim referring to the steps listed below:

• Benefits Review Appeal – Within 180 days after receiving denial, Provider may request a full and fair review by writing to the Benefits Review Committee.
• Administration Appeal – Within 60 days of denial by Benefits Review, Provider has the right to request an Administrative Review. Upon written request, including receipt of any pertinent additional information or comments, the Administrative Review Committee will commence an investigation.
• Executive Appeal – If denied by Administration, Provider may within 60 days, file a written petition the URS Executive Director. Include the facts, the remedy you want, and the basis in law or equity that warrants it.
• Hearing Officer Appeal – If denied by the Executive Director, Provider has 30 days from denial, to send in a written petition with the hearing officer, in accordance with the procedure set forth in Utah Code Ann. §49-11-613. Provider will file using a form provided by URS. For more information download a brochure How to Petition the Retirement Board.
• Court of Appeals – If you disagree with the hearing officer’s decision, Provider may petition the Board for reconsideration or appeal directly to the Utah Court of Appeals within 30 days.

Direct your initial written requests to: