If you are dissatisfied with the step three decision, USA will assist you in filing a fourth step appeal , with the Trustees' representative within 10 working days of the step three decision. There is no meeting at the fourth step. If you are dissatisfied with the fourth step decision, you will have to ask USA to file an Arbitration on your behalf within 15 working days of receipt of the step four decision. USA has the exclusive right to file arbitrations, and is not required to file for any request. The USA Executive Board alone has the exclusive right to decide, and will exercise reasonable and prudent judgement, weighing the merits of each case carefully.
Arbitrations often cost several thousands of dollars per case.