This form is a Complaint For Declaratory Judgment To Determine ERISA Coverage. Adapt to your specific circumstances. Don't reinvent the wheel, save time and money.
Erisa Complaint Sample With Replacement In Fairfax
Category:
State:
Multi-State
County:
Fairfax
Control #:
US-000273
Format:
Word;
Rich Text
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FAQ
ERISA governs the claim only if ERISA covers the plan involved in the claim. ERISA applies to most employee benefit plans, including employee health and retirement plans. ERISA does not cover certain plans, such as government plans and church plans.
Fairfax County Consumer Affairs receives complaints occurring in Fairfax County and seeks to resolve them by means of voluntary mediation or arbitration. If you have a question or need advice about a consumer issue, contact Consumer Affairs at 703-222-8435, TTY 711, to speak to a consumer specialist.
You may complete a complaint form online or download one of our complaint forms. For further assistance call our Consumer Protection Hotline at 1-800-552-9963 if calling from Virginia, or (804) 786-2042 if calling from the Richmond area or from outside Virginia.
The Employee Benefits Security Administration is an agency within the Department of Labor that administers and enforces the provisions of Title I of the Employee Retirement Income Security Act (ERISA). ERISA established fiduciary and other standards for employee benefit plans sponsored by private-sector employers.
Complaints can be filed with the Virginia Occupational Safety and Health program, part of the Virginia Department of Labor and Industry, in two ways: By filling out a form at
Filing an ERISA Claim: Step-by-Step Guide Step 1: Review Your Plan. The first step in filing an ERISA claim is to review your disability insurance policy thoroughly. Step 2: Gather Evidence. Step 3: File Your Claim. Step 4: Wait for a Decision. Step 5: Appeal if Necessary.
Common ERISA violations include denying benefits improperly, breaching fiduciary duties, and interfering with employee rights under the plan.
If you have a question or need advice about a consumer issue, contact Consumer Affairs at 703-222-8435, TTY 711 to speak to a consumer specialist. Our business hours are a.m. to p.m. Monday through Friday.
Description: The Consumer Affairs Branch mediates and investigates consumer complaints against businesses, tenant-landlord disputes, and cable issues if the transaction occurred in Fairfax County.