Schedule A
An Executive may submit a written claim for benefits to the Administrator within 60 days after the termination of employment. The Administrator is the Remuneration Committee of the Board or its designee. Claims should be addressed and sent to the Board Remuneration Committee, marked for the attention of the Remuneration Committee chairman, and sent by post or courier to the registered office address of Adaptimmune Therapeutics plc.
If Executive’s claim is denied, in whole or in part, Executive will be furnished with written notice of the denial within 30 days after the Administrator’s receipt of Executive’s written claim. Written notice of the denial of Executive’s claim will contain the following information:
(i)the specific reason or reasons for the denial of Executive’s claim;
(ii)references to the specific Policy provisions on which the denial of Executive’s claim was based;
(iii)a description of any additional information or material required by the Administrator to reconsider Executive’s claim (to the extent applicable) and an explanation of why such material or information is necessary; and
(iv)a description of the Policy’s review procedures and time limits applicable to such procedures, including a statement of Executive’s right to bring a civil action under applicable law for example Section 502(a) of ERISA following a benefit claim denial on review.
(g)Appeal of Denied Claims. If Executive’s claim is denied and he or she wishes to submit a request for a review of the denied claim, Executive or his or her authorized representative must follow the procedures described below:
(i)Upon receipt of the denied claim, Executive (or his or her authorized representative) may file a request for review of the claim in writing with the Administrator. This request for review must be filed no later than 60 days after Executive has received written notification of the denial.
(ii)Executive has the right to submit in writing to the Administrator any comments, documents, records or other information relating to his or her claim for benefits.
(iii)Executive has the right to be provided with, upon request and free of charge, reasonable access to and copies of all pertinent documents, records and other information that is relevant to his or her claim for benefits.
(iv)The review of the denied claim will take into account all comments, documents, records and other information that Executive submitted relating to his or her claim, without regard to whether such information was submitted or considered in the initial denial of his or her claim.
(h)Administrator's Response to Appeal. The Administrator will provide Executive with written notice of its decision within 30 days after the Administrator’s receipt of Executive’s written claim for review. The Administrator’s decision on Executive’s claim for review will be communicated to Executive in writing and will clearly state: