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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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GENERAL PROVISIONS <br />(continued) <br />OIISSTATEMENTS OF FACTS. If relevant facts about any person were misstated: <br />1. a fair adjustment of the premium will be made; and <br />2. the true facts will decide if and in what amount insurance is valid under this Policy. <br />If an Insured Employee's age has been misstated; then any benefits shall be in the amount the paid premium would have purchased at <br />the correct age. <br />ACTS OF THE POLICYHOLDER. In administering this Policy, the Policyholder must: <br />1. treat Employees the same in like situations; and <br />2. allow the Company, without inquiry, to rely on its acts. <br />POLICYHOLDER'S AGENCY. For all purposes of this Policy, the Policyholder acts on its own behalf or as Agent of the Employee. <br />Under no circumstances will the Policyholder be deemed the Agent of the Company. <br />COMPANY'S DISCRETIONARY AUTHORITY. Except for those functions which this Policy specifically reserves to the <br />Policyholder or Employer, the Company has sole authority to manage this Policy, to administer claims, to interpret Policy provisions, <br />and to resolve questions arising under this Policy. The Company's authority includes (but is not limited to) the right to: <br />1. establish and enforce procedures for administering this Policy and claims under it; <br />2. determine Employees' eligibility for insurance and entitlement to benefits; <br />3. determine what information the Company reasonably requires to make such decisions; and <br />4. resolve all matters when a claim review is requested. <br />Any decision the Company makes in the exercise of its authority shall be conclusive and binding. <br />CERTIFICATES. The Employer will be furnished with individual Certificates for delivery to each Insured Employee. These <br />Certificates summarize the benefits provided by this Policy. If there is a conflict between this Policy and the Certificate, this Policy <br />will control. <br />WONFORMITY WITH STATE STATUTES. If, on its effective date, any provision of this Policy conflicts with any applicable law; <br />then the provision will be deemed to conform to the minimum requirements of the law. <br />CURRENCY. In administering this Policy, all Predisability Income will be expressed in U.S. dollars; and all premium and benefit <br />amounts must be paid in U.S. dollars. <br />WORKERS' COMPENSATION OR STATE DISABILITY INSURANCE. This Policy does not replace or provide benefits required <br />by Workers' Compensation laws or any state disability insurance plan laws. <br />ASSIGNMENT. The rights and benefits under this Policy may not be assigned. <br />• <br />GL3001 -LTD -7 98 <br />10 01/01/01 <br />
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