Laserfiche WebLink
© JEFFERSON PILOT Jefferson Pilot Financial Insurance Company <br />r FINANCIAL 8801 Indian Hills Drive, Omaha NE 68114 -4066 <br />(402) 361 -7300 A Stock Company <br />• <br />Group Policyholder <br />Florida - Dental PPO Specimen <br />In consideration of the Group Policyholder's application for this Policy and payment of all premiums when due, <br />Jefferson Pilot Financial Insurance Company agrees to make the payments provided in this Policy to the <br />persons entitled to them. <br />The fast premium for this Policy is due on its effective date. Subsequent premiums are due on October 1, 2001, and <br />on the same day of each month after that. Policy anniversaries will be each September lst; unless shown otherwise <br />on the Premium Rate Schedule inside. <br />The provisions and conditions set forth on the following pages are a part of this Policy, as fully as if recited over the <br />signatures below. <br />Jefferson Pilot Financial Insurance Company has executed this Policy at its Home Office in Omaha, Nebraska. <br />• <br />Chief Executive Officer Secretary <br />THIS POLICY CONTAINS A DEDUCTIBLE. <br />is <br />GROUP DENTAL INSURANCE POLICY <br />No.XXXXXXXXXXXXX <br />GL11 -1 -FP FL 97 <br />09/01/01 <br />