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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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ELIGIBILITY AND EFFECTIVE DATES FOR PERSONAL INSURANCE <br />ELIGIBILITY. A Person becomes eligible for the coverage provided by this Policy on the later of: <br />(1) the Policy's date of issue; or <br />(2) the date the Waiting Period is completed. <br />WAITING PERIOD. (See Schedule of Insurance). <br />EFFECTIVE DATE. Personal Insurance becomes effective on the latest of: <br />(1) the first day of the Insurance Month coinciding with or next following the date the Person becomes <br />eligible for the coverage; <br />(2) the date the Person resumes Active Work, if not Actively at Work on the day he or she becomes <br />eligible; <br />(3) the date the Person makes written application for Personal Insurance; and signs: <br />(a) a payroll deduction order, if Insured Persons pay any part of the Policy premium; or <br />(b) an order to pay premiums from the Person's Section 125 Plan account, if Employer <br />contributions are made through a Section 125 Plan; or <br />(4) the date the Company approves the Person's coverage, if evidence of insurability is required. <br />EVIDENCE OF INSURABILITY. Evidence of insurability satisfactory to the Company must be submitted when: <br />(1) a Person makes written application for Personal Insurance more than 31 days after becoming eligible <br />for the coverage; or <br />(2) a Person makes written application for Personal Insurance after he or she has requested: <br />(a) to cancel Personal Insurance; <br />(b) to stop payroll deductions for the coverage; or <br />(c) to stop premium payments from the Section 125 Plan account. <br />EXCEPTION. If an Insured Person's coverage terminates due to an approved leave of absence or military leave, the <br />�ompany will waive any Waiting Period or evidence of insurability requirement upon his or her return; provided: <br />(1) the Person returns within six months after the leave begins; <br />(2) the Person applies or is enrolled within 31 days after resuming Active Work; and <br />(3) the reinstated amount of insurance does not exceed the amount which terminated. <br />• <br />GL 1101 -5 93 (FMLA) <br />6 05/01/01 <br />
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