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Jefferson Pilot Life Ins.#1
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RFP No. 01-10-01 Employee Dental, Life, Insurance
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Jefferson Pilot Life Ins.#1
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Last modified
6/18/2012 10:02:26 PM
Creation date
12/28/2010 3:46:06 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Employee Insurance
Bid No. (xx-xx-xx)
01-10-01
Project Type (Bid, RFP, RFQ)
RFP
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TERMINATION OF <br />DEPENDENT DENTAL COVERAGE <br />ORMINATION. Dental coverage on a Dependent will cease on the date he or she ceases to be an eligible Dependent, as defined in <br />this Policy. <br />Dependent Dental Coverage will cease for all of the Covered Employee's Dependents: <br />(1) when the Covered Employee's Dental Coverage terminates; <br />(2) when Dependent Dental Coverage is discontinued under this Policy; <br />(3) when the Covered Employee ceases to be in a class of employees eligible for Dependent Dental Coverage; <br />(4) when the Covered Employee requests that the Dependent Dental Coverage be terminated; or <br />(5) on the last day of the premium paying period for which the Covered Employee has made any required <br />contribution toward the cost of the Dependent Dental Coverage. <br />SURVIVING DEPENDENTS. If Employee Dental Coverage terminates due to the Covered Employee's death, Dependent Dental <br />Coverage may be continued: <br />(1) for three Coverage Months; or any longer period, if required by state or federal law; <br />(2) provided the Group Policyholder submits the premium on behalf of the surviving Dependents; and this Policy <br />remains in force. <br />REINSTATEMENT OF DEPENDENT COVERAGE. If a Dependent's Dental Coverage ends due to the Employee's termination <br />of full -time employment, approved leave of absence, or military leave; then the Company will reinstate Dependent coverage and <br />waive any Eligibility Waiting Period, new Benefit Waiting Period, or new Late Entrant Limitation; provided the Employee: <br />(1) returns from termination of employment or an approved leave of absence to qualifying full -time employment <br />within six months; or <br />(2) returns to qualifying full -time employment following a military leave of up to five years, as provided under the <br />Reinstatement of Employee Coverage section. <br />The Covered Employee must enroll eligible Dependents within 31 days after resuming Active Work; and sign a payroll deduction <br />Wer or Section 125 Plan election, if required. <br />EXTENDED DENTAL BENEFITS. Extended Dental Benefits will be paid if, on the date this Policy terminates, the Covered <br />Employee's Dependent requires dental services due to an injury which occurred or a sickness which was diagnosed before his or her <br />coverage ended. In that event, benefits will be continued as if his or her coverage remained in force; provided: <br />(1) the attending Dentist or Physician must recommend the course of treatment or dental procedures to the Covered <br />Employee's Dependent in writing, and start treatment while Policy coverage is in effect; <br />(2) the services must be other than routine exams, prophylaxis, x -rays, sealants or orthodontic services; <br />(3) the Covered Expenses are incurred within 90 days after Policy termination; and <br />(4) policy termination must not occur due to the Covered Employee's failure to pay premiums or request to cancel <br />coverage. <br />C <br />GL -9 -TD 98 FL <br />15 09/01/01 <br />
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