Laserfiche WebLink
<br />.,. t. <br /> <br />IJ1 <br /> <br />JEFFERSON PILOT <br />FINANCIAL <br /> <br />Jefferson Pilot Financial Insurance Company <br />8801 Indian Hills Drive, Omaha NE 68114-4066 <br />(402) 361-7300 A Stock Company <br /> <br />In Consideration of the application for this Policy made by <br /> <br />Florida - L TO Specimen <br />(herein called the Policyholder) <br /> <br />and the payment of all premiums when due, Jefferson Pilot Financial Insurance Company agrees to make <br />the payments provided in this Policy to the person or persons entitled to them. <br /> <br />Policy No. <br /> <br />xxxxxxxxxxxx <br /> <br />Policy Effective Date: January 1, 2001 <br /> <br />Monthly Premium: ,XX of Total Covered Payroll per Month <br /> <br />The above rate is guaranteed until January 1, 2002, unless any of the Policy's terms are changed. <br /> <br />Policy Anniversaries will be annually beginning on: January 1,2002 <br /> <br />The first premium is due on the Policy's Effective Date, and subsequent premiums are due on February 1, <br />2001, and on the same day of each month thereafter. <br /> <br />The Policy is delivered in the state of Florida and subject to the laws of that jurisdiction. <br /> <br />Jefferson Pilot Financial Insurance Company has executed this Policy at its Home Office in Omaha, <br />Nebraska this 18th day of May, 2001, <br /> <br />~~ ~~ <br /> <br />Chief Executive Officer <br /> <br />Secretary <br /> <br />GROUP LONG TERM DISABILITY INSURANCE POLICY <br /> <br />GL3001-L TD-1 <br /> <br />Policy Face Page <br />01/01/01 <br />