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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 <br />ELIGIBLE CLASSES. The classes of Employees eligible for insurance are shown in the Schedule of Benefits. The <br />loompany has the right to review and terminate any or all classes eligible under this Policy, if any class ceases to be <br />overed by this Policy. <br />ELIGIBILITY DATE. An Employee becomes eligible for coverage provided by this Policy on the later of: <br />1. the Policy's effective date; or <br />2. the date the Employee satisfies the Waiting Period. <br />Prior service in an Eligible Class will apply toward the Waiting Period, when: <br />1. a former Employee is rehired within one year after his or her employment ends; or <br />2. an Employee returns from a Family or Medical Leave within the leave period required by federal or state <br />law (whichever is greater). <br />EFFECTIVE DATES <br />EFFECTIVE DATE. Except as stated in the Delayed Effective Date provision, coverage for an Employee becomes <br />effective at 12:01 a.m. on the latest of: <br />1. the first day of the Insurance Month coinciding with or next following the date the Employee becomes <br />eligible for coverage; <br />2. the date the Employee makes written application for coverage; and signs: <br />(a) a payroll deduction order, if the Employees pay any part of the Policy premiums; or <br />(b) an order to pay premiums from the Employee's Flexible Benefits Plan account, if <br />premiums are paid through such an account; or <br />3. the date the Company approves the Employee's evidence of insurability, if required. <br />Evidence of insurability satisfactory to the Company must be submitted (at the Employee's expense) if: <br />• 1. written application for coverage (or an increased amount of coverage) is made more than 31 days after <br />the Employee becomes eligible for such coverage; <br />2. coverage is elected after the Employee has requested: <br />(a) to terminate the insurance; <br />(b) to stop payroll deductions for the insurance; or <br />(c) to stop premium payments through a Flexible Benefits Plan account; <br />3. coverage is elected after the Employee has caused insurance to lapse by failing to pay the required <br />premium when due; or <br />4. optional, supplemental, voluntary or Buy -Up Benefit coverage is elected in excess of any guaranteed <br />issue amounts shown in the Schedule of Benefits. <br />DELAYED EFFECTIVE DATE. An Employee's Effective Date of any initial, increased or additional coverage will be <br />delayed; if such Employee is not Actively -at -Work on the date that coverage would otherwise be effective. Coverage will <br />take effect on the Employee's second consecutive day of Active Work. <br />r1 <br />L_J <br />GL3001 -LTD -9 94 <br />13 01/01/01 <br />
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