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PROPOSED EMPLOYEE BENEFITS LIABILITY COVERAGE <br /> Insurer: <br /> Preferred Governmental Insurance Trust <br /> Not Rated by A.M.Best <br /> Coverage Form: <br /> Occurrence <br /> Limits of Liability: <br /> $ 5,000,000 Per Person <br /> N/A Aggregate <br /> Deductible: <br /> N/A <br /> In the event that your Employee Benefits Liability coverage was previously written on a <br /> Claims Made form, you should explore the possibility of purchasing an "extended <br /> reporting period"from your prior carrier. <br /> Employee Benefits Liability: <br /> To pay on your behalf all sums which you shall become legally obligated to <br /> pay on account of any claim made against you by an employee, former <br /> employee, or the beneficiaries or legal representatives thereof and caused by <br /> any negligent act, error or omission of yours, or any person for whose acts you <br /> are legally liable in the administration of your Employee Benefits Program. <br /> 20 <br /> • <br />