17 CLAIMS AND APPEALS Claims All claims for benefits under the Plan and any assignment of benefits to a provider shall be made, processed and paid , in accordance with Department of Labor Regulations § 2560.503 - 1 and other applicable law, and the terms and conditions of the applicable Benefit P rogram (referenced in the tables above) and the related provisions of the Summary Plan Description for each Benefit P rogram. The Claims Administrator shall be the claims fiduciary unless this function is delegated to another perso n or entity under this Section . No Estoppel of Plan No person is entitled to any benefit under the Plan except and to the extent expressly provided under the terms an d conditions of the applicable Benefit P rogram . The fact that payments have been made from the Plan in connection with any claim for benefits does not (a) establish the validity of the claim; (b) provide any right to have such benefits continue for any period of time; or (c) prevent the Plan from recovering the benefits paid to the extent that the Claims Administrator determines that there was no right to payment of the benefits under the Plan . Thus, if a benefit is paid and it is thereafter determined that such benefit should not have been paid (whether or not attributable to an error by the Participant or any other person), then the Claims Administrator may take such action as it deems necessary or appropriate to remedy such situation, including without limitation, by deducting the amount of any prior overpayment theretofore made to or on behalf of such Participant from any succeeding payments to or on behalf of such Participant under the Plan or from any amounts due or owing to such Participant by the Employer or under any other plan, program , or arrangement benefiting the Employees or former Employees of the Employer , or otherwise recovering such overpayment from whomever has benefited from it. If the Claims Administrator determines that an underpayment of benefits has been made, then the Claims Administrator shall take such action as it deems necessary or appropriate to remedy such situation. Claims Procedures The sp ecific guidelines for filing a c laim or a request for a review of a denied claim shall be set out in the Subsidiary Contracts for each Welfare Benefit P rogram. Such procedures shall comply with the general provisions of this Section and shall be designed to ensure the independence and impartiality of the persons involv ed in making decisions on such claims. A c laimant must follow all internal claims and appeal procedures and, where applicable, all external review procedures before a c laimant can file a lawsuit to contest the decision. For d isability claims made on or after April 1, 2018, i f a plan participant has been denied a benefit based on an adverse determination of disability and the new procedures established by (DOL Regulation §2560.503 - 1) are not strictly followed, then the claimant will be deemed to have exhausted administrative remedies and may seek action in court. Definitions For purposes of this S ection , the following terms shall have the meanings set forth below: