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HomeMy WebLinkAboutC87-007A - remainder of Connecticut PolicyCONNECTICUT GENERAL LIFE INSURANCE COMPANY
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POLICYHOLDER: EAGLE COUNTY
AMENDMENT
POLICY NUMBER: 0488282-03
EFFECTIVE DATE OF THIS AMENDMENT: February 1, 1987
ISSUE DATE: March 27, 1987
As of the Effective Date of this Amendment, the Policy specified above is
amended by the provisions shown below.
The pages in List A are replaced in the policy by the pages in List B that are
attached to this Amendment.
List A List B
5C1 5C1 V-7
9C1 9C1 Spec.
7C2 7C2
7C4 7C4
The following pages attached to this Amendment are added to the policy:
7C1
7C3 V-6
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Elizabeth A. Robinson -Prince
. . . . . . . . . . . . . . . . . . .
Registrar enio Vice President
ACCEPTED BY:
COUNTY OF EAGLE, STATE OF COLORADO
Policyholder•Representative
GM5804
RICHprRD L.S S0�
Chairman, .ard Commissioners
Title
May 1, 1987
. . . . . . . . . . . . . . . .
Date
V-3
14
C-1:
C
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
ELIGIBILITY FOR EMPLOYEE INSURANCE
Each Employee in one of the Classes of Eligible Employees shown below will
become eligible for Employee Insurance on the day he completes the Waiting
Period, if any. An Employee who was previously insured and whose insurance
ceased must satisfy the Waiting Period to become insured again. If the
insurance on an Employee ceased because he was no longer employed in a Class of
Eligible Employees, he is not required to satisfy any Waiting Period if he
again becomes a member of a Class of Eligible Employees within one year after
his insurance ceased.
WAITING PERIOD
For each full time Management Employee and each Elected Official - None
For each part time Employee and each Other Employee - 30 days of Active
Service
AFFILIATED EMPLOYERS
None
CLASSES OF ELIGIBLE EMPLOYEES
Each Employee
rr,
GM5812 Page Added Effective February 1, 1987
GM5800 5C1 Section
5
V-7
CONNECTICUT GENERAL LIFE INiSURANCE COMPANY
r
EFFECTIVE DATE OF EMPLOYEE INSURANCE
Each Employee may elect to be insured for Employee Insurance only by signing a
payroll deduction form approved by the Policyholder and the Insurance Company.
The effective date of his insurance depends upon the date on which the Employee
elects the insurance.
(1) If he elects Employee Insurance on or before the date he becomes
eligible, his insurance will become effective on the date he, becomes
eligible.
(2) If he elects Employee Insurance within 30 days after he becomes
eligible, his insurance will become effective on the date of election.
(3) If he elects Employee Insurance more than 30 days after he becomes
eligible, his insurance will become effective on the date the
Insurance Company agrees in writing to insure him.
(4) If his Employee Insurance ceased because he cancelled his payroll
deduction, and he again elects to be insured, his insurance will
become effective on the date the Insurance Company agrees in writing
to insure him.
Under the circumstances described in items 3 and 4, the Insurance Company
may require the Employee to submit evidence of good health acceptable to
the Insurance Company at his own expense before it agrees to insure him.
If an Employee is not in Active Service on the date his insurance would
otherwise become effective, it will become effective on the date he returns to
Active Service.
The provisions set forth on this page will apply only to
each part time Employee.
GM5811
GM5812 Page Added Effective February 1, 1487
GM5800 7C1 Section
7
3
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
a
EFFECTIVE DATE OF DEPENDENT INSURANCE
Each Employee will become insured for Dependent Insurance on the date he
becomes eligible for it if he is insured for Employee Insurance on that date.
If he is not insured for Employee Insurance on that date, his Dependent
Insurance will become effective on the date he becomes insured for Employee
Insurance.
Any reference to an insured Dependent means a Dependent for whom the Employee
is insured.
The provisions set forth on this page will apply only to
each full time Employee.
GM5811
GM5812 Page Added Effective February 1, 1987
GM5800 7C4 Section V-1
7
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
DEFINITIONS
EMPLOYER. The term Employer means the Policyholder and all Affiliated
Employers shown in the "Eligibility for Insurance" section.
EMPLOYEE. The term Employee means a full time employee of the Employer, and
includes employees who are part time or temporary and who normally work between
30 and 39 hours a week for the Employer.
ACTIVE SERVICE. An Employee will be considered in Active Service with the
Employer on a day which is one of the Employer's scheduled work days if he is
performing in the usual way all of the regular duties of his work for the
Employer on a full time basis on that day, either at one of the Employer's
places of business or at some location to which the Employer's business
requires him to travel. An Employee will be deemed in Active Service on a day
which is not one of the Employer's scheduled work days only if he was in Active
Service on the preceding scheduled work day.
GM5812 Page Added Effective February 1, 1987
GM5800 9C1 Section Spec.
9
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
117
EFFECTIVE DATE OF DEPENDENT INSURANCE
Each Employee may elect to be insured for Dependent Insurance only by signing a
payroll deduction form approved by the Policyholder and the Insurance Company.
The effective date of insurance for each Dependent depends upon the date on
which the Employee elects Dependent Insurance.
(1) If the Employee elects Dependent Insurance on or before the date he
becomes eligible for it, the insurance for each Dependent will become
effective on the date the Employee becomes eligible for it.
(2) If the Employee elects Dependent Insurance within 30 days after he
becomes eligible for it, the insurance for each Dependent will become
effective on the date of election.
(3) If the Employee elects Dependent Insurance more than 30 days after he
becomes eligible for it, the insurance for each Dependent will become
effective on the date the Insurance Company agrees in writing to insure
the Dependent.
(4) If the Employee's Dependent Insurance ceased because he cancelled his
payroll deduction, and he again elects to be insured for it, the
insurance for each Dependent will become effective on the date the
Insurance Company agrees in writing to insure the Dependent.
Under the circumstances described in items 3 and 4, the Insurance Company
may require the Employee, at his own expense, to submit evidence of the
Dependent's good health before it agrees to insure the Dependent.
An Employee will be insured for Dependent Insurance only if he is insured for
Employee Insurance.
Any reference to an insured Dependent means a Dependent for whom the Employee
is insured.
The provisions set forth on this page will apply only to
each part time Employee.
GM5811
GM5812 Page Added Effective February 1, 1987
GM5800 7C3 Section V-1
7
t Ic p40 South Uvalda, Suite B
Aurora, Colorado 80012
�k:'
EXECUTIVES SERVICE, INC.
INSURANCE CONSULTANTS AND BROKERS
December 18, 1986
Mrs. Julie Reimer
Eagle County
P.O. Box 850
Eagle, CO 81631
RE: Connecticut General
Account No. 0488282
(303) 310-2444
WATS LINE 1-800-332-1168
Dear Julie:
As per our conversation yesterday, please find enclosed a copy of the
master contract as underwritten by Connecticut General for those group
benefits elected by Eagle County.
Also enclosed are copies of any amendment changes made during the life of
the contract.
Should you have any questions, please feel free to contact our office.
(Mrs.) J na Shalata
ssocie
JS/bl
Encl.
POLICYHOLDER: EAGLE COUNTY
POLICY NUMBER: 0488282-03
C87-7-35
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
AMENDMENT
EFFECTIVE DATE OF THIS AMENDMENT: May 1, 1986
As of the Effective Date of this Amendment, the Policy sp-'e"above is
amended by the provisions shown below.
The page in List A is replaced in the policy by the page in List B that is
attached to this Amendment.
List A
11CM1 V-10 Spec.
List B
11CM1 V-36 Spec.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Registrar Senior Vice President
ACCEPTED BY:
....................
Policyholder Repre entative
GM5804
Pie€ Qdpipip trat iye. Off } cgr, .
Title
Date
l� L
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
INSURING PROVISIONS
For Employees and Dependents
COMPREHENSIVE MEDICAL BENEFITS
If an Employee or a Dependent, while insured for these benefits, incurs Covered
Expenses, the Insurance Company will pay an amount determined as follows,
subject to the Maximum Benefit Provision and to the Mental Illness, Alcohol
Abuse and Special Care Facility Maximums:
100% of the Covered Expenses first incurred for that Employee or
Dependent due to an Injury during the 90 day period following the
date of the accident, but not more than $500;
100% of the Covered Expenses incurred for that Employee or Dependent due
to Injury (other than those described above) or Sickness, for:
charges made by a Free -Standing Surgical Facility or the Outpatient
Department of a Hospital for or in connection with outpatient
surgery;
charges made by a Physician for or in connection with outpatient
surgery;
charges for all outpatient diagnostic laboratory and X-ray
examinations, up to $500 for all Injuries received in any one
accident, and up to $500 in any calendar year for Sickness;
charges made by a Physician for consultation and charges for
laboratory and X-ray examinations in connection with obtaining a
second opinion prior to the performance of an Elective Surgical
- Procedure; and
with respect to all otTer'Covered Expenses,
50% of the Covered Expenses incurred for or in connection with mental
illness, alcohol or drug abuse while not Confined in a Hospital;
80% of the Covered Expenses incurred for or in connection with mental
illness, alcohol or drug abuse while Confined in a Hospital; and
80% of the remaining Covered Expenses incurred;
provided that the applicable Comprehensive Medical Deductible shown in The
Schedule will first be deducted from such other Covered Expenses incurred for
that person in each calendar year.
GM5812 page Added Effective May 1, 1986
GM5800 llCM1 Section V-36
11 Spec.
S
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
RIDER
POLICYHOLDER: EAGLE COUNTY
POLICY NUMBER: 0488282-03
EFFECTIVE DATE OF RIDER: April 1, 1985
ISSUE DATE OF RIDER: June 19, 1985
The Rider is subject to all terms of the policy except those specifically
changed by this Rider.
1. The following definitions apply to the policy and this Rider:
a. "Plan" means the plan established by the Policyholder for a certain Class
of Employees. ,
b. "Plan Benefits" means the Benefits in the Plan that are listed below for
each Class of Employees.
Rate Per Employee
For Employee For Dependent
Class of Employees Benefit Insurance Insurance
Each Employee Medical $46.10 $76.77
c. "Policy Month" means the period starting on a monthly Premium Due Date
and ending on the day before the next monthly Premium Due Date; except
that the first Policy Month starts on the Effective Date of this Rider
and the last Policy Month ends on the day the Rider terminates.
d. "Monthly Amount" for each Class of Employees for each Benefit means the
amount for any Policy Month that equals the number of Employees in that
class multiplied by its Rate per Employee for that Policy Month for that
Benefit.
e. "Policy Year" means the period starting on a policy Anniversary Date and
ending on the day before the next policy Anniversary Date; except that
the first Policy Year starts on the Effective Date of the Rider and the
last Policy Year ends on the day the Rider terminates.
f. "Maximum Monthly Payment" for each Policy Month means the sum, for that
Policy Month, of the Monthly Amount for each Class of Employees for each
Benefit listed in item 1. b.
GM5810
-1-
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
g. "Maximum Yearly Payment" for each Policy Year means the sum of the
Maximum Monthly Payments for each Policy Month in that Policy Year.
h. "Benefit Payment Account" means the bank account of the Policyholder
from which Plan Benefit payments for which he is liable are made.
2. The Policyholder is liable each Policy Month for payment of all Plan
Benefits up to the sum of:
a. the greater of:
(i) the Maximum Monthly Payment for that month, or
(ii) 95% of the Maximum Monthly Payment for the preceding Policy Month;
and
b. any excess of:
(i) the sum of the Maximum Monthly Payments for each preceding Policy
Month of the current Policy Year; over
(ii) the sum of the Plan Benefits paid by the Policyholder in such
Policy Months.
3. The Insurance Company, acting for the Policyholder will:
a. determine the amount of any Plan Benefits that an Employee may be
entitled to under item (2) above,
b. pay all Plan Benefits so determined; and
C. defend any action brought in connection with any claim for Plan Benefits
so determined and make such settlement as it deems appropriate.
4. The Insurance Company will perform its duties as agent for the Policyholder
with reasonable care and diligence and will be liable for any action not
taken in good faith.
The Policyholder will not sustain any loss with respect to the Rider because
of the dishonest, fraudulent or criminal acts of any employee of the
Insurance Company.
5. During any Policy Month the Insurance Company is obligated to pay all Plan
Benefits that exceed the Plan Benefits the Policyholder has to pay during
that Policy Month.
GM5810
-2-
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
6. The Insurance Company will determine the amount of any Plan Benefits which
an Employee may be entitled to under item (5) above. It will defend any
action brought in connection with any claim for Plan Benefits so determined
and make such settlement as it deems appropriate.
7. The Policyholder will carry out his obligation to pay Plan Benefits as
described in item (2) above by providing sufficient funds in the Benefit
Payment Account to pay from it all benefits payable by him under the Plan
in a timely manner.
8. An Employee making a claim for Plan Benefits shall submit such claim to the
Insurance Company, subject to the policy requirements relating to Notice of
Claim and Proofs of Loss.
9. When any claim for Plan Benefits has been approved, the Insurance Company
will determine if such claim or any part of it is an obligation of the
Policyholder or of the Insurance Company. Payment of such claim will be
made in accordance with this determination which, where made in good faith,
will be binding on the Insurance Company and the Policyholder.
10. If any payment is approved in relation to a contested claim, the Insurance
Company will determine, based on the date payment is actually made, if such
payment or any part of it is an obligation of the Policyholder or of the
Insurance Company. Benefit payments made in accordance with the terms of
any judgement or settlement will be deemed benefits paid to Employees under
the Plan for the month in which such judgement or settlement is satisfied.
11. The obligations of the Insurance Company and the Policyholder under the
Rider will be mutually exclusive and neither party will be liable for the
obligations of the other.
GM5810
-3-
V-3 (1)
�A d
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
12. The Monthly Premium Rate in the policy will not apply to any Class of
Employees and Benefits affected by the Rider. Instead, the following will
be used:
Rate Per Employee
For Employee For Dependent
Class of Employees Benefit Insurance Insurance
Each Employee Medical
$5.69 $9.42
13. In addition to the premium determined in accordance with item (12) above, a
Supplemental Premium will be due on each Monthly Premium Due Date. Payment
of such Supplemental Premium will be waived contemporaneously with a
subsequent Monthly Supplemental Premium becoming due. The Supplemental
Premium outstanding at termination of this rider will be payable on the
date of such termination.
The amount of the Supplemental Premium will be determined by use of a
formula agreed upon by the Insurance Company and the Policyholder. In no
event will the Supplemental Premium be greater than the amount which the
Insurance Company would have accrued in accordance with its normal
underwriting practices but for this Rider for both reserves and for premium
=' taxes and expenses associated with claim payments issued after the Rider
terminates.
GM5810 -3a- V-3 (2)
L� S
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
14. The Insurance Company has the right to change the Monthly Premium Rate,
the Supplemental Premium, the Monthly Amount, and the Maximum Monthly
Payment as of: (a) any policy Anniversary Date; (b) the date of any
change in the Plan; (c) except for the Supplemental Premium, the date the
Rider terminates; and (d) at such other times as are provided for in the
policy.
15. The Rider will automatically terminate on the earliest date below:
a. the date the Plan ends;
b. the close of the third consecutive business day during which the
Policyholder has failed to provide sufficient funds in the Benefit
Payment Account to pay Plan Benefits as they arise. (For the purposes
of this item, the close of business on any day will occur at any time
when deposits made to the Benefit Payment Account on that day will be
credited to it as of the next business day by the bank in which the
Benefit Payment Account is maintained.);
c. the date the policy terminates.
In any case the Rider may be terminated by: (a) the Policyholder, on any
Premium Due Date, if he gives written notice in advance of that date to
the Insurance Company; and (b) the Insurance Company, at any time, if it
gives the Policyholder 31 days' advance notice.
16. When the Rider terminates, the sum of (a), (b) and (c) below will be due
and payable without delay by the Policyholder to the Insurance Company;
a. all unpaid monthly premiums;
b. the Supplemental Premium; and
c. any excess of:
(i) the sum of the Maximum Monthly Payments for each of the Policy
Months in the last Policy Year, over
(ii) the sum of:
(a) all Plan Benefits the Policyholder has paid for such Policy
Year; and
(b) all Plan Benefits not yet paid at the time of such
termination which the Policyholder must pay under the terms
of this Rider for such Policy Year.
GM5810 -4- V-1
tC �
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
17. When the Rider terminates, the Policyholder will be responsible for the
payment of all Plan Benefits for which checks were issued on the Benefit
Payment Account before the Rider terminated, but not for payment of any
other Plan Benefits under the Rider after its termination.
G/i
Registrar••
Accepted B
.................... ............
Policyholder Representative
.. .September 18, 1985...•,,.,...•
Date
t�
GM5810
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
-5-
Senior Vice President
.Chairman, Board of County Commissioners
. , .
Title
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
RIDER
POLICYHOLDER: EAGLE COUNTY
POLICY NUMBER: 0488282-04
EFFECTIVE DATE OF RIDER: April 1, 1985
ISSUE DATE OF RIDER: June 19, 1985
The Rider is subject to all terms of the policy except those specifically
changed by this Rider.
1. The following definitions apply to the policy and this Rider:
a. "Plan" means the plan established by the Policyholder for a certain Class
of Employees.
b. "Plan Benefits" means the Benefits in the Plan that are listed below for
each Class of Employees.
f
�-` Rate Per Employee
For Employee For Dependent
Class of Employees Benefit Insurance Insurance
Each Employee Dental $8.65 $18.39
c. "Policy Month" means the period starting on a monthly Premium Due Date
and ending on the day before the next monthly Premium Due Date; except
that the first Policy Month starts on the Effective Date of this Rider
and the last Policy Month ends on the day the Rider terminates.
d. "Monthly Amount" for'each Class of Employees for each Benefit means the
amount for any Policy Month that equals the number of Employees in that
class multiplied by its Rate per Employee for that Policy Month for that
Benefit.
e. "Policy Year" means the period starting on a policy Anniversary Date and
ending on the day before the next policy Anniversary Date; except that
the first Policy Year starts on the Effective Date of the Rider and the
last Policy Year ends on the day the Rider terminates.
f. "Maximum Monthly Payment" for each Policy Month means the sum, for that
Policy Month, of the Monthly Amount for each Class of Employees for each
Benefit listed in item 1. b.
GM5810 -1-
C_
�y
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
g. "Maximum Yearly Payment" for each Policy Year means the sum of the
Maximum Monthly Payments for each Policy Month in that Policy Year.
h. "Benefit Payment Account" means the bank account of the Policyholder
from which Plan Benefit payments for which he is liable are made.
2. The Policyholder is liable each Policy Month for payment of all Plan
Benefits up to the sum of:
a. the greater of:
(i) the Maximum Monthly Payment for that month, or
(ii) 95% of the Maximum Monthly Payment for the preceding Policy Month;
and
b. any excess of:
(i) the sum of the Maximum Monthly Payments for each preceding Policy
Month of the current Policy Year; over
(ii) the sum of the Plan Benefits paid by the Policyholder in such
Policy Months.
3. The Insurance Company, acting for the Policyholder will:
a. determine the amount of any Plan Benefits that an Employee may be
entitled to under item (2) above,
b. pay all Plan Benefits so determined; and
c. defend any action brought in connection with any claim for Plan Benefits
so determined and make such settlement as it deems appropriate.
4. The Insurance Company will perform its duties as agent for the Policyholder
with reasonable care and diligence and will be liable for any action not
taken in good faith.
The Policyholder will not sustain any loss with respect to the Rider because
of the dishonest, fraudulent or criminal acts of any employee of the
Insurance Company.
5. During any Policy Month the Insurance Company is obligated to pay all Plan
Benefits that exceed the Plan Benefits the Policyholder has to pay during
that Policy Month.
GM5810
-2-
N
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
6. The Insurance Company will determine the amount of any Plan Benefits which
an Employee may be entitled to under item (5) above. It will defend any
action brought in connection with any claim for Plan Benefits so determined
and make such settlement as it deems appropriate.
7. The Policyholder will carry out his obligation to pay Plan Benefits as
described in item (2) above by providing sufficient funds in the Benefit
Payment Account to pay from it all benefits payable by him under the Plan
in a timely manner.
8. An Employee making a claim for Plan Benefits shall submit such claim to the
Insurance Company, subject to the policy requirements relating to Notice of
Claim and Proofs of Loss.
9. When any claim for Plan Benefits has been approved, the Insurance Company
will determine if such claim or any part of it is an obligation of the
Policyholder or of the Insurance Company. Payment of such claim will be
made in accordance with this determination which, where made in good faith,
will be binding on the Insurance Company and the Policyholder.
10. If any payment is approved in relation to a contested claim, the Insurance
Company will determine, based on the date payment is actually made, if such
payment or any part of it is an obligation of the Policyholder or of the
Insurance Company. Benefit payments made in accordance with the terms of
any judgement or settlement will be deemed benefits paid to Employees under
the Plan for the month in which such judgement or settlement is satisfied.
11. The obligations of the Insurance Company and the Policyholder under the
Rider will be mutually exclusive and neither party will be liable for the
obligations of the other.
CM5810
-3-
V-3 (1)
C
y
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
4.
12. The Monthly Premium Rate in the policy will not apply to any Class of
Employees and Benefits affected by the Rider. Instead, the following will
be used:
Rate Per Employee
For Employee For Dependent
Class of Employees Benefit Insurance Insurance
Each Employee Dental $1.14 $2.40
13. In addition to the premium determined in accordance with item (12) above, a
Supplemental Premium will be due on each Monthly Premium Due Date. Payment
of such Supplemental Premium will be waived contemporaneously with a
subsequent Monthly Supplemental Premium becoming due. The Supplemental
Premium outstanding at termination of this rider will be payable on the
date of such termination.
The amount of the Supplemental Premium will be determined by use of a
formula agreed upon by the Insurance Company and the Policyholder. In no
event will the Supplemental Premium be greater than the amount which the
Insurance Company would have accrued in accordance with its normal
underwriting practices but for this Rider for both reserves and for premium
taxes and expenses associated with claim payments issued after the Rider
terminates.
CM5810
-3a-
V-3 (2)
r CONNECTICUT GENERAL LIFE INSURANCE COMPANY
14. The Insurance Company has the right to change the Monthly Premium Rate,
the Supplemental Premium, the Monthly Amount, and the Maximum Monthly
Payment as of: (a) any policy Anniversary Date; (b) the date of any
change in the Plan; (c) except for the Supplemental Premium, the date the
Rider terminates; and (d) at such other times as are provided for in the
policy.
15. The Rider will automatically terminate on the earliest date below:
a. the date the Plan ends;
b. the close of the third consecutive business day during which the
Policyholder has failed to provide sufficient funds in the Benefit
Payment Account to pay Plan Benefits as they arise. (For the purposes
of this item, the close of business on any day will occur at any time
when deposits made to the Benefit Payment Account on that day will be
credited to it as of the next business day by the bank in which the
Benefit Payment Account is maintained.);
c. the date the policy terminates.
In any case the Rider may be terminated by: (a) the Policyholder, on any
Premium Due Date, if he gives written notice in advance of that date to
the Insurance Company; and (b) the Insurance Company, at any time, if it
gives the Policyholder 31 days' advance notice.
16. When the Rider terminates, the sum of (a), (b) and (c) below will be due
and payable without delay by the Policyholder to the Insurance Company;
a. all unpaid monthly premiums;
b. the Supplemental Premium; and
c. any excess of:
(i) the sum of the Maximum Monthly Payments for each of the Policy
Months in the last Policy Year, over
(ii) the sum of:
(a) all Plan Benefits the Policyholder has paid for such Policy
Year; and
(b) all Plan Benefits not yet paid at the time of such
termination which the Policyholder must pay under the terms
of this Rider for such Policy Year.
GM5810 -4- V-1
y
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
17. When the Rider terminates, the Policyholder will be responsible for the
payment of all Plan Benefits for which checks were issued on the Benefit
Payment Account before the Rider terminated, but not for payment of any
other Plan Benefits under the Rider after its termination.
Registrar
Accepted B :
Policyholder Representative
September 18, 1985
.
C. Date
GM5810
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
-5-
Senior Vice President
Chairman: Board of County Commissioners
• ••.•• ••.
Title
•f.
J..
CONNECTICUT GENERAL LIFE INSURANCE
COMPANY (called CG)
CERTIFICATE RIDER
Policyholder: EAGLE COUNTY
Effective Date: April 1, 1985
if you are in Active Service on that day; otherwise, on
the date you return to Active Service. if you are not
insured for the benefits described in your certificate
on that date, the effective date of this certificate
rider will be the date you become insured.
Policy No. or Nos. 0488282-01, 02, 03, 04
This certificate rider forms a part of the certificate issued to
you by CG describing the benefits provided under the poi-
icy(ies) specified above.
The section entitled "Waiting Period" on the EL2 page enti-
tled "Who is Eligible" in your certificate is changed to read
as follows:
A period of time as determined by your Employer.
Senior Vice President
GM6000 R 7 Ml
s
a?s
1'
trj
a
C.
N
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
AMENDMENT
POLICYHOLDER: EAGLE COUNTY
POLICY NUMBER: 0488282-01
EFFECTIVE DATE OF THIS AMENDMENT: April 1, 1985
ISSUE DATE: June 3, 1985
As of the Effective Date of this Amendment, the Policy specified above is
amended by the provisions shown below.
For each Management Employee and each Elected Official who became employed by
the Employer before the Effective Date of This Amendment but who were not
eligible for Employee Insurance before that date, the Waiting Period is deemed
to be completed on the Effective Date of This Amendment.
For each Management Employee and each Elected Official who become employed by
the Employer on or after the Effective Date of This Amendment, there is no
Waiting Period.
The Waiting Period for each Employee other than each Management Employee and
each Elected Official whose employment with the Employer starts on or after the
Effective Date of This Amendment is 90 days of Active Service with the
Employer.
r9istrar
ACCEPTED :
Policyholder Representative
GM5804
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
00
Senior Vice President
Chairman, Board of County Commissioners
. . . . . . . . . . . . . .
Title
geDtember 18t 1985.
Date
V-3
D
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
ELIGIBILITY FOR EMPLOYEE INSURANCE
Each Employee in one of the Classes of Eligible Employees shown below will
become eligible for Employee Insurance on the day he completes the Waiting
Period, if any. An Employee who was previously insured and whose insurance
ceased must satisfy the Waiting Period to become insured again. If the
insurance on an Employee ceased because he was no longer employed in a Class of
Eligible Employees, he is not required to satisfy any Waiting Period if he
again becomes a member of a Class of'Eligible Employees within one year. after
his insurance ceased.
WAITING PERIOD
Each Management Employee and each Elected Official - None
Each Other Employee - 90 days of Active Service
AFFILIATED EMPLOYERS '
None
CLASSES OF ELIGIBLE EMPLOYEES
Each Employee
GM5812 Page Added Effective April 1, 1985
GM5800 5C1 Section
5
V-7
C
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
AMENDMENT
POLICYHOLDER: EAGLE COUNTY
POLICY NUMBER: 0488282-03
EFFECTIVE DATE OF THIS AMENDMENT: January 1, 1984
As of the Effective Date of this Amendment, the Policy specified above is
amended by the provisions shown below.
The page in List A is replaced in the policy by the page in List B that is
attached to this Amendment.
List A
3CM1
11CM2 V-8 Spec.
List B
-3CM1
11CM2 V-8 Spec.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Registrar Senior Vice President
ACCEPTED BY:
/podlicythold Representative
CM5804
Title
�/
2
Date
_ V
� �Q 12 L� ��,U•
a
CONNECTICUT GENERAL LIFT INSURANCE COMPANY
THE SCHEDULE
COMPREHENSIVE MEDICAL BENEFITS
Maximum Benefit -
Alcohol Abuse Maximum (Out -of -Hospital) -
Mental Illness Maximum (Out -of -Hospital) -
Special Care Facility Maximum -
Covered Expense Daily Limit for:
Bed and Board -
Comprehensive Medical Deductible -
Unlimited
$ 500
$ 1,000
$ 1,000
The Hospital's most common daily rate
for a semi -private room
$ 200
CREDIT FOR COMPREHENSIVE MEDICAL DEDUCTIBLE. The Comprehensive Medical
Deductible for any person will be reduced to the extent that the Comprehensive
Medical Deductible for the prior calendar year was deducted from Covered
Expenses incurred for that person during October, November and December of such
prior year.
FAMILY DEDUCTIBLE. After Comprehensive Medical Deductibles totaling $600 have
been applied in a calendar year for either (a) an Employee and his Dependents
or (b) an Employee's Dependents, any Comprehensive Medical Deductible will be
waived for that family for the rest of that year. Such $600 will be reduced in
any calendar year to the extent that Comprehensive Medical Deductibles were
applied for that family during October, November and December of such prior
year.
CM5800 3CM1
0
CM5812 Page Added Effective January 1, 1984
Section
3
11
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
INSURING PROVISIONS
For Employees and Dependents
COMPREHENSIVE MEDICAL BENEFITS (Continued)
FULL PAYMENT AREA.
When an Employee or Dependent has incurred $700 of Covered Expenses in a
calendar year for which no payment is provided because of the Deductible and
the coinsurance factor, benefits for that person for Covered Expenses incurred
during the rest of that calendar year will be payable at the rate of 100%.
However, the rate of payment for benefits payable for or in connection with
mental illness, alcohol or drug abuse will riot change.
MAXIMUM BENEFIT PROVISION. The total amount of Comprehensive Medical Benefits
payable for all expenses incurred for an Employee or Dependent in his lifetime
will not exceed the Maximum Benefit shown in The Schedule.
MENTAL ILLNESS MAXIMUM. The total amount of Comprehensive Medical Benefits
payable for all expenses incurred for an Employee or Dependent in a calendar
year for or in connection with mental illness while he is not Confined in a
Hospital will not exceed the Mental Illness Maximum shown in The Schedule.
ALCOHOL AND DRUG ABUSE MAXIMUM. The total amount of Comprehensive Medical
Benefits payable for all expenses incurred for an Employee or a Dependent in a
calendar year for or 'in connection with alcohol and drug abuse while he is not
Confined in a Hospital will not exceed the Alcohol and Drug Abuse Maximum shown
in The Schedule.
SPECIAL CARE FACILITY MAXIMUM. The total amount of Comprehensive Medical
Benefits payable for all expenses incurred for an Employee or a Dependent in a
calendar year for charges made by a Special Care Facility will not exceed the
Special Care Facility Maximum shown in The Schedule.
GM5812 Page Added Effective January 1, 1984
GM5800 11CM2 Section V_8
11 Spec.
SCHEDULE OF BENEFITS 1
The following is the Schedule of Benefits applying to your Croup Insur-
ance Plan. It is important to note that an employee may be insured only
for the appropriate amounts indicated in the following schedule:
ACCIDENTAL DEATH AND
CLASSIFICATION LIFE INSURANCE DISMEMBERMENT INSURANCE
Each Employee $5,000 $5,000
Medical Care and Dental Care Expense Benefits— All employees and their eligible
dependents.
Life and Accidental Death & Dismemberment insurance reduce to 65% at age 65,
further reduce to 50% at age 70, and cancel at retirement.
The term basic earnings means the employee's rate of pay excluding overtime,
bonus or additional compensation based on a normal workweek.
Medical Care insurance may be continued'at retirement.
Revised Effective January 1, 1983
S1
t
(-CQN7MATION OF INSURANCE
When an employee's full-time service with the Company ceases for any reasons noted below. the
insurance may be continued as follows:
*Waiver of Premium — When an employee who is less than 60 years of age becomes
disabled and unable to work, a waiver of premium may be obtained. See the
Waiver of Premium page in this section. A waiver of premium is not available
to an employee age 60 or over who becomes disabled and unable to work. Continuation
of insurance for such an employee may only be done with Connecticut General's
approval and payment of the required premium. See the Waiver of Premium page in
this section.
X
Revised Effective January 1, 1983
C2
SICKNESS
LEAVE
PENSIONED
OR
TEMPORARY
OF
OR
INJURY
LAYOFF
ABSENCE
RETIRED
Life*
As long as
For up to
For up to
May not be
your Company
60 days
60 days
continued
wishes*
Medical Care
As long as
For up to
For up to
May be
Expense
your Company
60 days
60 days
continued
Benefits
wishes
Accidental
As long as
For up to
For up to
May not be
Death and
your Company
60 days
60 days
continued
Dismemberment
wishes
Dental
As long as
For up too
For up to
May not be
Expense
your Company
60 days
60 days
continued
Benefits
wishes
*Waiver of Premium — When an employee who is less than 60 years of age becomes
disabled and unable to work, a waiver of premium may be obtained. See the
Waiver of Premium page in this section. A waiver of premium is not available
to an employee age 60 or over who becomes disabled and unable to work. Continuation
of insurance for such an employee may only be done with Connecticut General's
approval and payment of the required premium. See the Waiver of Premium page in
this section.
X
Revised Effective January 1, 1983
C2
w
3.
CONNECTICUT it7qERAL LIFE INSU ANCE COMPANY
Hartford, Connecticut
EAGLE COUNTY
nubs
APPLICATION FOR GROUP INSURANCE
ress
P. 0. Box 850, Eagle, CO 81631
175 59 116
Have any of the classes of individuals eligible been covered under a group insurance policy or any other form of group
plan within the past five years? --- yeS.............. If so, please specify the benefits, the underwriting company or organization,
and the dates these benefits were terminated
Life, health and dental with Mutual of New York terminated December 31, 1982
7. GROUP INSURANCE APPLIED FOR (please check)
INDIVIDUAL DEPENDENT
R ❑ Life Insurance
Q ❑ Accidental Death and Dismemberment Insurance
❑ — Disability Income Insurance
❑ — Long Term Disability Income Insurance
❑ ❑ Hospital Expense Benefits
❑ ❑ Surgical Expense Benefits
❑ ❑ Doctor's Attendance Benefits
❑ ❑ X -Ray and Laboratory Expense Benefits
❑ ❑ Major Medical Expense Benefits
[� CR Comprehensive Medical Expense Benefits
C� Q Dental Expense Benefits
❑ ❑...............................................................................
8. EFFECTIVE DATE REQUESTED:......._................1ARVArY... s 19.63 ....................................................................................
Group Insurance at the Insurance Company's rates and under the terms and conditions of the policy or policies applied
for will take effect as of the Effective Date Requested provided that this Application is accepted at the Home Office of the
Insurance Company and provided that if certain individuals eligible are to contribute to the cost of any of the Group
Insurance, such Group Insurance will become effective on the date the required number have enrolled or on the Effective
Date Requested, whichever is the later date. If this Application is not accepted, no insurance will become effective and
any premium payment advanced by the Applicant will be refunded upon surrender of the Conditional Receipt.
9. THE APPLICANT DECLARES that he has read the statements and the answers to the above questions and that to the
best of his knowledge and belief they are complete and true. The Applicant understands and agrees that this Application
is offered as an inducement for the issuance of the insurance applied for, that it will form a part of any policy issued,
that no information given to, or acquired by, any representative of the Insurance Company will bind the Insurance
Company unless it appears in writing on this Application and that no waiver or modification will bind the Insurance
Company unless in writing and signed by an Executive Officer of the Insurance Company. The Applicant further under-
stands that no coverage will be provided for any individual unless the individual is eligible under the terms of the policy
or policies issued.
Dated-------•................_...on.__.--------------------------------------. �L
Name of ADDlicanL.........FAGLE
Witness:
Soliciting Agent
----------------------------------------
if other than Witness...__-__.._. .......... ............. ...........................
ZHEREBY
ment to be signed by ApplicirM�pon payment of the premium or any part thereof. DECLARE that 1 have paid to .................................................... ......_....Agent
Dollars for which I hold his receipt.
Date....... _....... ....... _.._...... -- ...... _... Applicant: ...........------------------...................-----..........-----_._....
GM19M
rT° 4030
Rev.
K.
Mailing A Harford, Connecticut 06152
Home Office. Blooy0eld, Connecticut
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
POLICYHOLDERS EAGLE COUNTY
ADDRESS: Eagle, Colorado
POLICY NUMBER: 0488282-01
EFFECTIVE DATES January 1, 1983
t
ANNIVERSARY DATEs January 1
GROUP TERM LIFE INSURANCE POLICY
This policy contains the terms under which the insurance Company sprees to Insure certain Employees
and pay benefits.
The Insurance Company and the Policyholder have agreed to all of the terms of this policy.
CONNECTICUT GW4EnAL LIFE INSURANCE COMPANY
COMMNTS
I. BENEFITS
SECTION
Conversion Privilege for Life Insurance 26
Insuring Provisions - Employees 11
Extension of Life Insurance During Total Disability 24
Payment of Benefits 20
The Schedule 3
II. PREMIUMS
Average Monthly Premium Rates 34
Calculation of Premiums 34
Changes in Premium Bates 34
Due Date 34
Grace Period 36
Misstatement of Age 38
Payment of Premiums 34
Tables for Calculating Premium Rates 28
III. OTHER PROVISIONS
Beneficiary, Designation and Change of 18
Cancellation of Policy 36
Certificate 38
Definitions 9
Effective Date of Insurance 7
Eligibility for Insurance 5
Incontestability 38
Termination of Insurances 21
This policy includes the following pages on date of issuer
1C1, 2LI1, XII, 5C1, 7C2, 9C1, 11LI1, 18C1, 20LI1, 21LI1 V-1, 24LI1, 24LI3,
26LI16 2BLI19 28LI20 34C1, 34LI1, 341,I2, 36C1 V-10 38LI1, 38LI2
GM5800 2LI1
Section
2
r�
� r
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
THE SCHEDULE
Each Employee age 70 or older
Amount of Life Insurance
$2,500
Each Employee age 65 or older
but under age 70 $3,250
Each Employee under age 65 $50000
INITIAL AMOUNT OF LIFE INSURANCE. The amount of Life Insurance on an Employee
on the day he becomes insured is based on his age on that day.
CHANGES IN AMOUNT OF LIFE INSURANCE. Any decrease in the amount of Life
Insurance on an Employee due to age will take place on his birthday.
CM5800 3LI1
Section
3
N
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
ELIGIBILITY FOR EMPLOYEE INSURANCE
Each Employee in one of the Classes of Eligible Employees shown below will
become eligible for Employee Insurance on the day he completes the Waiting
Period, if any. An Employee who was previously insured and whose insurance
ceased must satisfy the New Employee Group Waiting Period to become insured
again. If the insurance on an Employee ceased because he was no longer
employed in a Class of Eligible Employees, he is not required to satisfy any
Waiting Period if he again becomes a member of a Class of Eligible Employees
within one year after his insurance ceased.
INITIAL EMPLOYEE GROUP. The Initial Employee Group is made up of Employees:
(1) in the employ of an Employer on the Effective Date of the policy; or (2) in
the employ of an Employer on the date that Employer becomes an Affiliated
Employer.
NEW EMPLOYEE GROUP. The New Employee Group is made up of Employees not in the
Initial Employee Group...
WAITING PERIOD
Initial Employee Group: 30 days of Active Service
New Employee Group: 30 days of Active Service
AFFILIATED EMPLOYERS
None
CLASSES OF ELIGIBLE EMPLOYEES
Each Employee
GN5800 5C1 Section
5
c
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
EFFECTIVE DATE OF EMPLOYEE INSURANCE
Each Employee will become insured for Employee Insurance on the date he becomes
eligible for it. If an Employee is not in Active Service on the date his
Insurance would otherwise become effective, it will become effective on the
date he returns to Active Service.
GH5800 7C2 Section
7
i
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
DEFINITIONS
EMPLOYER. The term Employer means the Policyholder and all Affiliated
Employers shown in the "Eligibility for Insurance" section.
EMPLOYEE. The -term Employee means a full time employee of the Employer, but
does not include employees who are part time or temporary or who normally work
less than 30 hours a week for the Employer.
ACTIVE SERVICE. An Employee will be considered in Active Service with the
Employer on a day which is one of the Employer's scheduled work days if he is
performing in the usual way all of the regular duties of his work for the
Employer on a full time basis on that day, either at one of the Employer's
places of business or at some location to which the Employer's business
requires his to travel. An Employee will be deemed in Active Service on a day
which is not one of the Employer's scheduled work days only if he was in Active
Service on the preceding scheduled work days.
GM5800 9C1
Section
9
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
INSURING PROVISIONS ~
Cy For Employees
LIFE INSURANCE
The Insurance Company will pay the amount of Life Insurance in force on an
Employee when it receives due proof that the Employee died while insured for
this Life Insurance. The amount payable is determined from The Schedule and
the other terms of the policy.
1
Gi5800 111,I1 Section
11
i
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
BENEFICIARY DESIGNATION
For Employees
BENEFICIARY. Each Employee will designate a Beneficiary. This designation
will be filed with the Insurance Company or, if agreed to in advance by the
Insurance Company, with the Policyholder.
CHANGE OF BENEFICIARY. An Employee maychange his Beneficiary at any time.
The change must be made on a form satisfactory to the Insurance Company and
signed by the Employee. No change of Beneficiary will take effect until this
fore is received by the Insurance Company or by the Policyholder, if it has
been agreed that Beneficiary designations be filed with the Policyholder. When
this fors is received, the change will take effect as of the date on the form.
If the Employee dies before the fora is received, the Insurance Company will
not be liable for any payment that was made before receipt of the form.
CONSENT OF BENEFICIARY. Consent of the Beneficiary will not be required to
change the Beneficiary or to effect any other changes.
GM5800 18C1
Section
28
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PAYMENT OF BENEFITS
Benefits for loss of life of the Employee will be paid to his designated
Beneficiary.
Any amount of the Employee's loss of life benefit for which there is no
designated or surviving Beneficiary will be paid, at the option of the
Insurance Company, to any of the following living relatives of the Employees
spouse, mother, father, child or children; or to the executors or
administrators of the Employee's estate. The Insurance Company will also have
the right to make payment in such manner if it is not able, within what it
considers a reasonable period of time, to locate the Beneficiary.
If the Beneficiary is a minor or, in the opinion of the Insurance Company, is
not able to give valid receipt for any payment due him, such payment will be
made to his legal guardian. However, if no request for payment has been made
by his legal guardian, the Insurance Company may at its option, make payment to
the person or institution appearing to have assumed his custody and support.
Payment in this event will be made in monthly instalments of not more than $500
each.
Payment in the manner described above will release the Insurance Company from
all liability to the extent of any payment made.
OPTIONAL METHODS OF SETTLEMENT. At the Employee's written request, his amount
of Life Insurance will be paid in instalments after his death rather than in
one sum, based on the Insurance Company's instalment plans then available. If
the Employee does not make this request, the Beneficiary may do so, in writing,
after the Employee's death.
Instalment plans are not available if the amount of the Employee's Life
Insurance is less than $2500.
If a Beneficiary dies while receiving instalment payments, the remaining
Instalments, unless otherwise disposed of, will be commuted at the rate of 3%
compound interest per year. Payment will then be made in one sum to the
executors or administrators of the Beneficiary's estate.
CM5800 20LI1 Section
20
t t
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
TERMINATION OF INSURANCE
For Employees
The insurance on an Employee will cease on the earliest date below except as
otherwise provided in the "Extension of Life Insurance During Total Disability"
sections
(1) the date the Employee ceases to be in a Class of Eligible Employees or
ceases to qualify as an Employee;
(2) the last day for which the Employee has made any required contribution for
the insurance;
(3) the date the policy is cancelled;
(k) the date the Employee's Active Service ends, except as net forth below.
TEMPORARY LAYOFF OR LEAVE OF ABSENCE. If an Employee's Active Service
ends due to temporary layoff or leave of absence, the insurance will be
continued until the date the Policyholders (a) stops paying premium for
the Employee; or (b) otherwise cancels, the insurance. However, the
insurance will not be continued for more than 60 days past the date the
Employee's Active Service ends.
INJURY OR SICKNESS. If an Employee's Active Service ends due to an injury
or a sickness, the insurance will be continued while the Employee remains
totally and continuously disabled as a result of the injury y or sickness.
However, the insurance will not be continued past the earlier of: (a) one
year from the date the Employee's Active Service ends unless the
Policyholder obtains the Insurance Company's consent in writing to a
longer period; or (b) the date the Policyholder stops paying premium for.
the Employee or otherwise cancels the insurance. //
Any continuation of insurance must be based on a plan which
Individual selection.
GM5800 21LI1 Section V-1
21
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
EXTENSION OF LIFE INSURANCE DURING TOTAL DISABILITY
For Employees
If an insured Employee terminates Active Service before age 60 because of Total
Disability (as defined below) and if the Policyholder stops paying premium for
him, his Term Life Insurance will be extended while he remains continuously
Totally Disabled, but for no more than one year from the date his Active
Service ends. If the Employee dies while his insurance is being extended, no
death claim will be paid unless the Insurance Company receives, within one year
after the Employee's death, proof that the Employee's Total Disability was
continuous from the date his Active Service ended until he died.
If the Employee submits due proof to the Insurance Company that he became
Totally Disabled prior to his 60th birthday and has remained continuously
Totally Disabled for 9 months or more, his Term Life Insurance will be
extended, without further payment of premiums for him, for a period of one year
from the date that proof is received by the Insurance Company. Such proof must
be submitted no later than one year from the date his Active Service ends
because of Total Disability. After that, his insurance will be extended
without payment of premiums for him, for further periods of one year if;
(1) he remains continuously Totally Disabled; and
(2) he submits to the Insurance Company, during the three months before the
end of each such one year period, proof of the continuation of Total
Disability.
TOTAL DISABILITY OR TOTALLY DISABLED. An Employee will be considered Totally
Disabled when he is completely unable to engage in any occupation for wage or
profit because of injury or sickness.
If an Employee dies while his insurance is being extended, the amount payable
will be determined from The Schedule which was in effect on his last day of
Active Service, taking into account any age or retirement reductions shown in
that Schedule. Any retirement reductions will apply as of the Employee's
normal retirement date.
No death claim will be paid unless written notice of the Employee's death is
received by the Insurance Company within one year from the date of death.
GH5800 24LI1 Section
24
i
Cy
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
EXTENSION OF LIFE INSURANCE DURING TOTAL DISABILITY (Continued)
For Employees
At any time while the insurance is extended, the Insurance Company will have
the right to require proof of the continuing Total Disability and, at its own
expense, to have a physician of its choice examine the Employee.
If an Employee has been issued a Converted Life Policy, his insurance will not
be extended unless the Converted Life Policy to returned to the Insurance
Company without claim except for the return of any premium paid.
The insurance which is being extended on an Employee will automatically cease:
(a) when the Employee is no longer Totally Disabled, except that if he returns
to Active Service in a Class of Eligible Employees, his insurance will be
continued if the Policyholder pays premium for his; (b) if the Employee does
not submit to any physical examination required by the Insurance Company; (c)
If the Employee fails to give proof of continuous Total Disability; or (d) if
the insurance under the policy is not continued at retirement, on the
Employee's normal retirement date.
If the Employee's insurance under this section ceases he will be Entitled to
Convert under the terms of the "Conversion Privilege for Life Insurance"
section.
GM5800 24LI3 Section
24
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
\ CONVERSION PRIVILEGE FOR LIFE INSURANCE
For Employees
When an Employee's Life Insurance ceases, he may apply to the Insurance Company
for an individual life policy (called the Converted Life Policy). A Converted
Life Policy will be issued to an Employee who is Entitled to Convert if he
applies in writing and pays the first premium for the Converted Life Policy to
the Insurance Company within 31 days after the date his Life Insurance ceases.
Evidence of good health is not needed.
EMPLOYEES ENTITLED TO CONVERT. An Employee is Entitled to Convert bis Life
Insurance only if:
1. His insurance ceases because he is no longer in Active Service or no longer
eligible for Life Insurance.
2. His insurance ceases or is reduced because of retirement or age.
3. The policy is cancelled for the class of Employees to which he then belongs
and he has been insured under the policy for at least five years before it
is cancelled.
CONVERTED LIFE POLICY. The amount that an Employee may convert when he loses
all or a part of his Life Insurance will not be more than the amount of his
Life Insurance which terminates at that time. If all insurance under the
policy is cancelled on the class of Employees to which the Employee belongs,
the amount of insurance under the Converted Life Policy will not be more than
the smaller oft (a) the amount of the Employee's insurance which ceases less
any amount of group life insurance for which he becomes eligible within 31 days
after the Insurance ceases; or (b) $2,000.
The Converted Life Policy will be one of the Insurance Company's current
offerings based on its rules for Converted Life Policies. It will be issued at
the Employee's attained age for the premium that applies to the class of risk
to which he then belongs and will take affect on the 32nd day after the date
his Life Insurance ceases. Neither tern insurance nor disability benefits are
offered under the Converted Life Policy.
PAYMENT DURING THE 31—DAY CONVERSION PERIOD. If an Employee dies during the 31
days in which he may convert his Life Insurance, the Insurance Company will pay
to the Beneficiary designated under the group policy the amount of insurance
which the Employee could have converted. In this case, no payment will be made
under a Converted Life Policy.
GM5800 26LI1 Section
26
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
,
TABLES FOR CALCULATING
AVERAGE MONTHLY PREMIUM SATE
For
Employees
TABLE I
MONTHLY
PREMIUM RATES
Calendar
Premium
Calendar
Premium
Calendar
Premium
Calendar
Premium
Age
Per $1.000
Age
Per $1,000 Age
Per $1,000
Age
Per $1.000
15
.19
35
$ .32
55
1.65
75
$ 8.56
16
.20
36
.34
56
1.80
76
9.24
17
.21
37
.36
57
1.97
77
10.00
18
.22
38
.38
58
2.14
78
10.86
19
.23
39
.41
59
2.32
79
11.81
20
.23
40
.45
60
2.51
80
12.83
21
.24
41
.49
61
2.72
81
13.93
22
.24
42
.53
62
2.96
82
15.07
23
.25
43
.58
63
3.21
83
16.26
24
.25
44
.63
64
3.48
84
17.50
25
.25
45
.68
65
3.78
85
18.80
26
.25
46
.74
66
4.11
86
20.16
27
.26
47
.81
67
4.48
87
21.60
28
.26
48
.89
68
4.89
88
23.13
29
.26
49
.97
69
5.34
89
24.79
30
.27
50
1.06
70
5.81
90
26.62
31
.27
51
1.16
71
6.32
91
28.68
32
.28
52
1.26
72
6.84
92
31.03
33
.29
53
1.38
73.
7.38
93
33.75
34
.30
54
1.51
74
7.95
94
36.95
95
40.98
GM 5800 28LI1 Section
28
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
TABLES FOR CALCULATING AVERAGE MONTHLY PREMIUM RATE (Continued)
For Employees
TABLE II
FACTORS TO CONVERT FROM CALENDAR AGE TO INSURANCE AGE
Date as of which Average Monthly
Premium Rate is Calculated Factor
January
1
through
January
15
.965
January
16
through
February
14
.971
February
15
through
March
15
.977
March
16
through
April
15
.983
April
16
through
May
15
.988
May
16
through
June
15
.994
June
16
through
July
15
1.000
July
16
through
August
15
1.006
August
16
through
September
15
1.013
September
16
through
October
15
1.019
October
16
through
November
15
1.025
November
16
through
December
15
1.032
December
16
through
December
31
1.038
TABLE III
EXPENSE ADJUSTMENT FACTORS
Gross Monthly Cost Factor Gross Monthly Cost Factor
GM 5800 28LI2 Section
28
Less
than
$ 200
1.00
# 10700
but
less
than
$ 2,000
.82
# 200
but
lass
than
225
.99
20000
but
less
than
2,500
.81
225
but
less
than
250
.98
21500
but
less
than
30000
.80
250
but
less
than
300
.97
3,000
but
less
than
3,500
.79
300
but
less
than
350
.96
3,500
but
less
than
4,000
.78
350
but
less
than
400
.95
40000
but
less
than
5,000
.77
400
but
less
than
450
.94
50000
but
less
than
6,000
.76
450
but
less
than
500
.93
60000
but
less
than
7,500
.75
500
but
less
than
550
.92
7,500
but
less
than
9,500
.74
550
but
less
than
600
.91
99500
but
less
than
120000
.73
600
but
less
than
650
.90
12,000
but
less
than
159000
.72
650
but
less
than
700
.89
150000
but
lass
than
20,000
.71
700
but
less
than
800
.88
200000
but
lase
than
270000
.70
800
but
less
than
900
.87
278000
but
less
than
350000
.69
900
but
less
than
1,000
.86
35,000
but
less
than
45,000
.68
1,000
but
less
than
1,200
.85
45,000
but
less
than
600000
.67
1,200
but
less
than
1,400
.84
60,000
but
less
than
801000
.66
10400
but
less
than
1,700
.83
800000
and
over
.65
GM 5800 28LI2 Section
28
f
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PREMIUMS
PREMIUM PAYMENT. The first premium will be due on the Effective Date. After
that, premium will be due monthly unless the Policyholder and the Insurance
Company agree on some other method of premium payment. The Policyholder and,
the Insurance Company may agree to change the method of premium payment from
time to time. Premiums are payable at the Rome Office of the Insurance Company
or to an authorized agent of the Insurance Company.
PREMIUM DUE DATE. After the Effective Date, the Premium Due Date will be the
day of the month with the same number as the Anniversary Date or the last day
of a month In which there is no day with the same number as the Anniversary
Date. If the Policyholder and the Insurance Company agree that premiums will
be paid on a quarterly, semiannual or annual basis, the Premium Due Date will
be at the appropriate regular interval, quarterly, semiannually or annually.
MONTHLY STATEMENT DATE. If premiums are to be paid monthly, the Monthly
Statement Date will be the same as the Premium Due Date. If premiums are to be
paid on a quarterly, semiannual or annual basis, the Monthly Statement Date
will be the day in each month with the same number as the Premium Due Date.
MONTHLY PREMIUM STATEMENT. If premiums are due monthly, a Monthly Premium
Statement will be prepared as of the Premium Due Date. This Monthly Premium
Statement will show the premium due. If premiums are due quarterly,
semiannually or annually, a Monthly Premium Statement will be prepared as of
the Monthly Statement Date for the time from the Monthly Statement Date to the
next Premium Due Date. This Monthly Statement will reflect any pro rata
premium charges and credits due to changes in the number of insured persons and
changes in insurance amounts that took place in the preceding month.
SIMPLIFIED ACCOUNTING. To simplify the accounting process, premium adjustments
will be made on the Monthly Statement Date that is the same as or next follows
the date that (1), (2) or (3) below takes place.
(1) A person becomes insured.
(2) The amount of insurance on a person changes, but not due to a revision
of The Schedule.
(3) A person ceases to be insured.
GM5800 34C1 Section
34
r!
Ah
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PREMIUMS (Continued)
AVERAGE MONTHLY PREMIUM BATE. The first Average Monthly Premium Rate will be
calculated as of the Effective Date. The Insurance Company may recalculate the
Average Monthly Premium Rate as of any Premium Due Date. The method of
calculation will be as follows:
(1) Determine the Calendar Age of each insured Employee by subtracting his
year of birth from the year as of which the Average Monthly Premium Rate
Is being calculated.
(2) Multiply the amount of insurance in force for each insured male Employee
by the premium per #1,000 in Table I for that Employee's Calendar Age. Add
the results.
(3) Multiply the amount of insurance in force for each insured female Employee
by the premium per $1,000 in Table I for that Employee's Calendar Age.
Add the results and multiply the sum by 0.60.
(4) Multiply the total premium for male and female Employees by the
appropriate factor shown in Table II. Round the result to the nearer
cent.
(5) Add to the result the lesser of (a) $.20 for each $1,000 of insurance in
force under the policy or (b) $8.00.
(6) Multiply the resulting Gross Monthly Cost by the appropriate factor shown
In Table III. Round the result to the nearer cent.
(7) Divide the result by the total number of $1,000 units of insurance then in
force under the policy. Round the result to the nearer cent.
MAXIMUM EMPLOYEE CONTRIBUTION. The most that an Employee may contribute to the
cost of any insurance on his life under the policy is $.60 per month for each
$1,000 of insurance.
GH5800 34LI1
section
34
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PREMIUMS (Continued)
CALCULATION OF PREMIUMS. The monthly premium will be calculated by multiplying
the total number of $1000 units of insurance in force for Employees on the
Premium Due Date by the Average Monthly Premium Rate in effect on that date.
If premiums are to be paid other than monthly, the method of calculation is the
same. However, the rate for each class is first changed to quarterly
semiannual or annual rates by multiplying them by 2.9852, 5.9557 or 11.8221
respectively. All results are taken to the nearer cent. If the Policyholder
and the Insurance Company agree to a change in the method of premium payment or
to a change in the Anniversary Date, a pro rata adjustment will be made in the
premium due.
CHANGES IN PREMIUM RATES. The Tables of Monthly Premium Rates may be changed
by the Insurance Company from time to time with at least 31 days advance
written notice. No such change will be made until 12 months after the
Effective Date. An increase will not be made more often than once in a 12
month period. If an increase in premium rates takes place on a date that is
not a Premium Due Date, a pro rata premium will be due on the date of the
increase. The pro rata premium will apply for the increase from the date of
the increase to the next Premium Due Date. If. a decrease in premium rates
taken place on a date that is not a Premium Due Date, a pro rata credit will be
granted. The pro rata credit will apply for the decrease from the date of the
decrease to the next Premium Due Date.
As of any Anniversary Date after the policy has been in force for 12 months,
the Insurance Company may grant a credit in such amount as it may determine,
based on experience. The experience under this policy may be combined with the
experience under other group insurance policies issued by the Insurance Company
to the Policyholder.
CM5800 34LI2 Section
34
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CANCELLATION OF POLICY
The Policyholder may cancel the policy as of any Premium Due Date by giving
written notice to the Insurance Company before that date.
The Insurance Company may cancel the policy as of any Premium Due Date if the
number of insured Employees is less than 25 or less than 75% of those eligible.
If a premium is not paid when due, the policy will automatically be cancelled
as of the Premium Due Date, except as set forth below.
GRACE PERIOD. If, before a Premium Due Date, the Policyholder has not given
written notice to the Insurance Company that the policy is to be cancelled, a
Grace Period of 31 days will be granted for the payment of each premium after
the initial premium. The policy will stay in effect during that time. If any
premium is not paid by the end of the Grace Period, the policy will
automatically be cancelled at the end of the Grace Period; except that, if the
Policyholder has given written notice in advance of an earlier date of
cancellation, the policy will be cancelled as of the earlier date. The
Policyholder will be liable to the Insurance Company for any unpaid premium for
the time the policy was in force.
GN5800 36C1 section V-1
36
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
MISCELLANEOUS PROVISIONS
J
EXECUTION OF POLICY. The policy is executed at the Home Office of the
Insurance Company. The Post Office address of the Insurance Company is
Hartford. Connecticut.
CONSIDERATION. The policy is issued to the Policyholder in consideration of
the application and payment of premiums.
INSURANCE DATA. The Policyholder will give the Insurance Company all of the
data that it needs to calculate the premium and all other data that it nay
reasonably require. Failure of the Policyholder to give this data will not
void or continue an Employee's insurance. The Insurance Company has the right
to examine the Policyholder's records relative to these benefits at any
reasonable time while the policy In in effect. It also has this right until
all rights and obligations under the policy are finally determined.
ASSIGNMENT. An Employee may assign all of his rights in and to this Life
Insurance with the written approval of the Policyholder. An assignment will
transfer the interest of the Employee and any Beneficiary to the assignee. Any
such assignment will remain in force until , changed by the assignee. No
assignment will be in effect until a copy is filed with the Insurance Company.
However, the assignment may be filed with the Policyholder if the Insurance
Company agrees in advance. The Insurance Company is not responsible for the
validity or sufficiency of any assignment.
�J MALE PRONOUN. The male pronoun as used herein will be deemed to Include the
female.
GM5800 38LI1 Section
38
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
MISCELLANEOUS PROVISIONS (Continued)
MISSTATEMENT OF AGE. The misstatement of an Employee's age will not affect his
amount of insurance. Premiums will be adjusted so that the Policyholder will
pay the Insurance Company the premiums at the true age of the Employee.
INCONTESTABILITY. The Insurance Company will not contest the validity of the
policy after two years from the date of issue except for non-payment of
premiums. No statement made by an Employee as to his insurability will be used
to contest the validity of the insurance after it has been in force prior to
the contest for a period of two years during the Employee's life. No statement
made by an Employee will be used unless it is made in writing and signed by
him.
ENTIRE CONTRACT. The entire contract will be made up of the policy, the
application of the Policyholder, a copy of which is attached to the policy, and
the applications, if any, of the Employees.
POLICY CHANGES. Changes may be made in the policy only by amendment signed by
the Policyholder and by the Insurance Company acting through its President,
Vice President, Secretary or Assistant Secretary. No agent may change or waive
any terms of the policy.
STATEMENTS NOT WARRANTIES. All statements made by the Policyholder or by an
Insured Employee will, in the absence of fraud, be deemed representations and
_ not warranties. No statement made by the Policyholder or by the Employee to
obtain insurance will be used to avoid or reduce the insurance unless it is
made in writing, and is signed by the Policyholder or the Employee and a 'copy
Is sent to the policyholder, the Employee or his Beneficiary.
CERTIFICATES. The Insurance Company will issue to the Policyholder for
delivery to each insured Employee an individual certificate. The policyholder
will be responsible for distributing the certificates to its Employees. The
certificate will show the benefits provided under the policy. It will set
forth any changes in benefits due to age, to whom benefits will be paid and the
terms of the Conversion Privilege. Nothing in the certificate will change or
void the terms of the policy.
GH5800 30LI2 Section
38
r
Mailingrasa Hartford, Connecticut 06158
Home Office: Bloontfield, Connecticut
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
POLICYHOLDER: EAGLE COUNTY
ADDRESS: Eagle, Colorado
POLICY NUMBER: 0488282-02
EFFECTIVE DATE: January 1, 1983
ANUIVEBSARY DATE: January 1
GROUP ACCIDENTAL DEATH AND
DISMEMBERMENT INSURANCE POLICY
This policy contains the terms under which the Insurance Company agrees to insure certain Employees
and pay benefits.
The Insurance Company and the Policyholder have agreed to all of the terms of this policy.
CM5800 2DD1 Section
2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CONTENTS
SECTION
I.
BENEFITS
Insuring Provisions
11
Limitations
11
Payment of Benefits
20
The Schedule
3
II.
PREMIUMS
Calculation of Premiums
34
Changes in Premium Rates
34
Due Date
34
Grace Period
36
Payment of Premiums
34
Monthly Premium Rate
34
II.
OTHER PROVISIONS
Beneficiary, Designation and Change of
18
Cancellation of Policy
36
Certificate
40
Claims, Forms and Notice of Claim
40
Definitions
9
Effective Date of Insurance
7
Eligibility for Insurance
5
Termination of Insurance
21
This
policy includes the following pages on date of
issue:
1C1,
2DD1, 3DD1, 5C1, 7C2, 9C1, 11DD1, 11DD2, 18C1,
20DD1, 21DD1, 34C1,
34DD1, 36C1 V-1, 38C1, 40C1, 40C2
CM5800 2DD1 Section
2
C
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
THE SCHEDULE
Amount of Principal Sum
Each Employee age 70 or older $2,500
Each Employee age 65 or older
but under age 70 $3,250
Each Employee under age 65 $5,000
INITIAL AMOUNT OF PRINCIPAL BUM. The amount of Principal Sum on an Employee on
the day he becomes insured is based on his age on that day.
CHANGES IN AMOUNT OF PRINCIPAL SUM. Any decrease in the amount of Principal
Sum on an Employee due to age will take place on his birthday.
GM800 3DD1 Section
3
G
1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
ELIGIBILITY FOR EMPLOYEE INSURANCE
Each Employee in one of the Classes of Eligible Employees shown below will
become eligible for Employee Insurance on the day he completes the Waiting
Period, if any. An Employee who was previously insured and whose insurance
ceased must satisfy the New Employee Group Waiting Period to become insured
again. If the insurance on an Employee ceased because he was no longer
employed in a Class of Eligible Employees, he is not required to satisfy any
Waiting Period if he again becomes a member of a Class of Eligible Employees
within one year after his insurance ceased.
INITIAL EMPLOYEE GROUP. The Initial Employee Group is made up of Employees:
(1) in the employ of an Employer on the Effective Date of the policy; or (Z) in
the employ of an Employer on the date that Employer becomes an Affiliated
Employer.
NEW EMPLOYEE GROUP. The New Employee Group is made up of Employees not in the
Initial Employee Group.
WAITING PERIOD
Initial Employee Group:. 30 days of Active Service
New Employee Group:
AFFILIATED EMPLOYERS
None
CLASSES OF ELIGIBLE EMPLOYEES
Each Employee
GM5800 5C1
30 days of Active Service
Section
5
C
N
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
EFFECTIVE DATE OF EMPLOYEE INSURANCE
Each Employee will become insured for Employee Insurance on the date he becomes
eliSible for it. If an Employee is not in Active Service on the date his
insurance would otherwise become effective, it will become effective on the
date he returns to Active Service.
GM5800 7C2
section
7
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
DEFINITIONS
EM LOYER. The term Employer means the Policyholder and all Affiliated
Employers shown in the "Eligibility for Insurance" section.
EMLOYEE. The term Employee means a full time employee of the Employer, but
does not include employees who are part time or temporary or who normally work
less than 30 hours a week for the Employer.
ACTIVE SERVICE. An Employee will be considered in Active Service with the
Employer on a day which is one of the Employer's scheduled work days if he is
performing in the usual way all of the regular duties of his work for the
Employer on a full time basis on that day, either at one of the Employer's
places of business or at some location to which the Employer's business
requires him to travel. An Employee will be deemed in Active Service on a day
which is not one of the Employer's scheduled work days only if he was in Active
Service on the preceding scheduled work days.
GM5800 9C1
section
9
C
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
INSURING PROVISIONS
For Employees
ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS
The Insurance Company will pay the Benefit Amount shown below when it receives
due proof that:
(1) the Employee received an accidental bodily injury while insured for
this Accidental Death and Dismemberment Insurance; and
(2) as a direct result of that injury, independently of all other causes,
the Employee sustained any loss shown, in the table below; and
(3) the lose occurred within 90 days after the date of that injury.
BENEFIT AMOUNT, The Benefit Amount for each loss will be the amount of
Principal Sum determined for the Employee from The Schedule multiplied by the
percentage shown below for that loss. The maximum that will be paid for all
losses resulting from injuries received by an Employee in any one accident will
be the amount of Principal Sum for that Employee.
GH5800 11DD1
TABLE OF LOSSES AND BENEFITS
2 of the Employee's
Principal Sum
Loss of Life 100%
Loss of One Hand by Severance
at or above the Wrist 50%
Loss of One Foot by Severance
at or above the Ankle 50%
Entire and irrecoverable Loss of
Sight in One Eye 502
Loss of more than one of the
above in one Accident 100%
Section
11
N
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
INSURING PROVISIONS
for Employees
ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS (Continued)
LIMITATIONS. Benefits will not he paid for a loss which in any way results
from:
(1) suicide or injury intentionally self-inflicted, while sane or insane;
(2) disease or infection, except an infection resulting from an accidental cut
or wound;
(3) declared or undeclared war, or an act of war.
GM5800 11DD2 Section
11
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
BENEFICIARY DESIGNATION
For Employees
BENEFICIARY. Each Employee will designate a Beneficiary. This designation
will be filed with the Insurance Company or, if agreed to in advance by the
Insurance Company, with the Policyholder.
CHANGE OF BENEFICIARY. An Employee may change his Beneficiary at any time.
The change must be made on a form satisfactory to the Insurance Company and
signed by the Employee. No change of Beneficiary will take effect until this
form is received by the Insurance Company or by the Policyholder, if it has
been agreed that Beneficiary designations be filed with the Policyholder. When
this form is received, the change will take effect as of the date on the form.
If the Employee dies before the form is received, the Insurance Company will
not be liable for any payment that was made before receipt of the form.
CONSENT OF BENEFICIARY. Consent of the Beneficiary will not be required to
change the Beneficiary or to effect any other changes.
GM5800 18C1
Section
18
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PAYMENT OF BENEFITS
Benefits for loss of life of the Employee will be paid to his designated
Beneficiary. Dismemberment benefits will be paid to the Employee.
Any amount of the Employee's loss of life benefit for which there is no
designated or surviving Beneficiary will be paid, at the option of the
Insurance Company, to any of the following living relatives of the Employee:
spouse, mother, father, child or children; or to the executors or
administrators of the Employee's estate. The Insurance Company will also have
the right to make payment in such manner if it is not able, within what it
considers a reasonable period of time, to locate the Beneficiary.
If any person to whom benefits are payable is a minor or, in the opinion of the
Insurance Company, not able to give valid receipt for any payment due him, such
payment will be made to his legal guardian. However, if no request for payment
has been made by his legal guardian, the Insurance Company may at its option,
make payment to the person or institution appearing to have assumed his custody
and support. Payment of loss of life benefits in this event will be made in
monthly instalments of not more than $500 each.
If an Employee dies while dismemberment benefits remain unpaid, the Insurance
f Company may, at its option, make direct payment to any of the following living
relatives of the Employees spouse, mother, father, child or children,
brothers or sisters; or to the executors or administrators of the Employee's
estate.
kc
Payment in the manner described above will release the Insurance Company from
all liability to the extent of any payment made.
0!5800 20DD1 Section
20
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
TERMINATION OF INSURANCE
For Employees
The insurance on an Employee will cease on the earliest date below:
(1) the date the Employee ceases to be in a Class of Eligible Employees or
ceases to qualify as an Employee;
(2) the last day for which the Employee has made any required contribution for
the insurance;
(3) the date the policy is cancelled;
(4) the date the Employee's Active Service ends, except as set forth below.
TEMPORARY LAYOFF OR LEAVE OF ABSENCE. If an Employee's Active Service
ends due to temporary layoff or leave of absence, the insurance will be
continued until the date the Policyholder: (a) stops paying premium for
the Employee; or (b) otherwise cancels 'the insurance. However, the
insurance will not be continued for more than 60 days past the date the
Employee's Active Service ends.
INJURY OR SICKNESS. If an Employee's Active Service ends due to an injury
or a sickness, the insurance will be continued while the Employee remains
totally and continuously disabled as a result of the injury or sickness
until the date the Policyholder: (a) stops paying premium for the
Employee; or (b) otherwise cancels the insurance.
Any continuation of insurance must be based on a plan which precludes
individual selection.
GM5800 21DD1 Section
21
C.
1< L
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PREMIUMS
PREMIUM PAYMENT. The first premium will be due on the Effective Date. After
that, premium will be due monthly unless the Policyholder and the Insurance
Company agree on some other method of premium payment. The Policyholder and
the Insurance Company may agree to change the method of premium payment from
time to time. Premiums are payable at the Home Office of the Insurance Company
or to an authorised agent of the Insurance Company.
PREMIUM DUE DATE. After the Effective Date, the Premium Due Date will be the
day of the month with the same number as the Anniversary Date or the last day
of a month in which there is no day with the same number as the Anniversary
Date. If the Policyholder and the Insurance Company agree that premiums will
be paid on a quarterly, semiannual or annual basis, the Premium Due Date will
be at the appropriate regular interval, quarterly, semiannually or annually.
MONTHLY STATEMENT DATE. If premiums are to be paid monthly, the Monthly
Statement Date will be the same as the Premium Due Date. If premiums are to be
paid on a quarterly, semiannual or annual basis, 'the Monthly Statement Date
will be the day in each month with the same number as the Premium Due Date,
MONTHLY PREMIUM STATEMENT. If premiums are due monthly, a Monthly Premium
( Statement will be prepared as of the Premium Due Date. This Monthly Premium
y.. Statement will show the premium due. If premiums are due quarterly,
semiannually or annually, a Monthly Premium Statement will be prepared as of
the Monthly Statement Date for the time from the Monthly Statement Date to the
next Premium.Due Date. This Monthly Statement will reflect any pro rata
premium charges and credits due, to changes in the number of insured persons and
changes in insurance amounts that took place in the preceding month.
SIMPLIFIED ACCOUNTING. To simplify the accounting process, premium adjustments
will be made on the Monthly Statement Date that is the same as or next follows
the date that (1)0 (2) or (3) below takes place.
(1) A person becomes insured.
(2) The amount of insurance on a person changes, but not due to a revision
of The Schedule.
(3) A person ceases to be insured.
GM5800 34C1
Section
34
l� S
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PREMIUMS (Continued)
MONTHLY PREMIUM RATE. The monthly premium rate is as follows:
EMPLOYEE CLASS
Each Employee
RATE PER $1,000
FOR EMPLOYEE
INSURANCE
$ .06
CALCULATION OF PREMIUMS. The monthly premium will be the amount of Employee
Insurance in force on the Premium Due Date in each rate class for Employee
Insurance shown in the "Monthly Premium Bate" section multiplied by the premium
rate in effect on that date for that class.
If premiums are to be paid other than monthly, the method of calculation is the
same. However, the rate for each class is first changed to a quarterly,
semiannual or annual rate by multiplying it -by 2.9852, 5.9557 or 11.8227
respectively. All results are taken to the nearer cent. If the Policyholder
and the Insurance Company agree to a change in the method of premium payment or
to a change in the Anniversary Date, a pro rata adjustment will be made in the
( premium due.
CHANGES IN PREMIUM RATES. Any premium rate may be changed by the Insurance
Company from time to time with at least 31 days advance written notice. No
change in rates will be made until 12 months after the Effective Date. An
increase in rates will not be made more often than once in a 12 month period.
If an increase in rates takes place on a date that is not a Premium Due Date, a
pro rata premium will be due on the date of the increase. The pro rata premium
will apply for the increase from the date of the increase to the next Premium
Due Date. If a decrease in rates takes place on a date that is not a Premium
Due Date, a pro rata credit will be granted. The pro rata credit will apply
for the decrease from the date of the decrease to the next Premium Due Date,
IN_
CM5800 34DD1 Section
34
N
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CANCELLATION OF POLICY
The Policyholder may cancel the policy as of any Premium Due Date by giving
written notice to the Insurance Company before that date.
The Insurance Company may cancel the policy as of any Premium Due Date if the
number of insured Employees is less than 25 or less than 75% of those eligible.
If a premium is not paid when due, the policy will automatically be cancelled
as of the Premium Due Date, except as set forth below.
GRACE PERIOD. It, before a Premium Due Date, the Policyholder has not given
written notice to the Insurance Company that the policy is to be cancelled, a
Grace Period of 31 days will be granted for the payment of each premium after
the initial premium. The policy will stay in effect during that time. If any
premium is not paid by the end of the Grace Period, the policy will
automatically be cancelled at the end of the Grace Period; except that, if the
Policyholder has given written notice in advance of an earlier date of
cancellation, the policy will be cancelled as of the earlier date. The
Policyholder will be liable to the Insurance Company for any unpaid premium for
the time the policy was in force.
GM5800 36C1
section
36
V-1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
MISCELLANEOUS PROVISIONS
EXECUTION OF POLICY. The policy is executed at the Home Office of the
Insurance Company. The Post Office address of the Insurance Company is
Hartford, Connecticut.
CONSIDERATION. The policy is issued to the Policyholder in consideration of
the application and payment of premiums.
INSURANCE DATA. The Policyholder will give the Insurance Company all of the
data that it needs to calculate the premium and all other data that it may
reasonably require. Failure of the Policyholder to give this data will not
void or continue an Employee's insurance. The Insurance Company has the right
to examine the Policyholder's records relative to these benefits at any
reasonable time while the policy is in effect. It also has this right until
all rights and obligations under the policy are finally determined.
MALE PRONOUN. The male pronoun as used herein will be deemed to include the
female.
CM5800 38C1
Section
38
f �1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PROVISIONS
ENTIRE CONTRACT. The entire contract will be made up of the policy, the
application of the Policyholder, a copy of which is attached to the policy, and
the applications, if any, of the Employees.
POLICY CHANGES. Changes may be made in the policy only by amendment signed by
the Policyholder and by the Insurance Company acting through its President,
Vice President, Secretary, or Assistant Secretary. No agent may change or
waive any terms of the policy.
STATEMENTS NOT WARRANTIES. All statements made by the Policyholder or by an
insured Employee will, in the absence of fraud, be deemed representations and
not warranties. No statement made by the Policyholder or by the Employee to
obtain insurance will be used to avoid or reduce the insurance unless it is
made in writing and is signed by the Policyholder or the Employee and a copy is
sent to the Policyholder, the Employee or his Beneficiary.
NOTICE OF CLAIM. Written notice of claim must be given to the Insurance
Company within 30 days after the occurrence or start of the loss on which claim
is based.
If notice is not given in that time, the claim will not be invalidated or
reduced if it is shown that written notice was given as soon as was reasonably
possible.
CLAIM FORMS. When the Insurance Company receives the notice of claim, it will
give to the claimant, or to the Policyholder for the claimant, the claim forms
it uses for filing proof of loss. If the claimant does not get these claim
forms within 15 days after the Insurance Company receives notice of claim, he
will be considered to have wet the proof of lots requirements if he submits
written proof of loss within 90 days after the date of loss. This proof must
describe the occurrence, character and extent of the loss for which claim is
made.
PROOF OF LOSS. Written proof of loss must be given to the Insurance Company
within 90 days after the data of the loss for which claim is made. If written
proof of loss is not given in that time, the claim will not be invalidated nor
reduced if it is shown that written proof of loss was given as soon as was
reasonably possible.
PHYSICAL EXAMINATION. The Insurance Company, at its own expense, will have the
right to examine any person for whom claim is pending as often as it may
reasonably require.
GH5800 40C1 Section
40
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
PROVISIONS (Continued)
LEGAL ACTIONS. No action at law or in equity will be brought to recover on the
policy until at least 60 days after proof of loss has been filed with the
Insurance Company. No action will be brought at all unless brought within 3
years after the time within which proof of lose is required by the policy.
TIME LIMITATIONS. If any time limit set forth in the policy for giving notice
of claim or proof of loss, or for bringing any action at law or in equity is
less than that permitted by the law of the state in which the Employee, lives
when the policy is issued, than the time limit provided in the policy is
extended to agree with the minimum permitted by the law of that state.
PHYSICIAN/PATIENT RELATIONSHIP. The Employee will have the right to choose any
physician who is practicing legally. The Insurance Company will in no way
disturb the physician/patient relationship.
CERTIFICATES. The Insurance Company will issue to the Policyholder for
delivery to each insured Employee an individual certificate. The Policyholder
will be responsible for distributing the certificates to its Employees. The
certificate will show the benefits provided under the policy. It will set
forth any changes in benefits due to age and to whom benefits will be paid.
Nothing in the certificate will change or void the terms of the policy.
G
G145800 40C2 Section
40