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2005-040
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2005-040
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Last modified
7/7/2016 10:57:11 AM
Creation date
9/30/2015 7:45:12 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/01/2005
Control Number
2005-040
Agenda Item Number
7.S.
Entity Name
SAFECO Life Insurance Company
Subject
Excell Loss Insurance Policy Participation Agreement
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
3876
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INDIVIDUAL EXCESS LOSS <br /> This benefit applies only if indicated on the Schedule . <br /> INDIVIDUAL EXCESS LOSS BENEFIT <br /> Upon acceptance of proof of loss , SAFECO will reimburse the Participating Employer for payments <br /> SAFECO considers are Covered Expenses that the Participating Employer makes that exceed the <br /> Individual Deductible shown on the Schedule for Paid Claims that are : <br /> a . incurred while the Employee Benefit Plan is in force ; <br /> b , paid for Covered Units or Covered Family Units according to the terms of the Employee Benefit <br /> Plan ; and <br /> c. incurred during the Policy Period or during the Run-in Period shown on the Schedule and paid <br /> during the Policy Period or during the Run-out Period shown on the Schedule . <br /> Payments for Covered Expenses that are eligible for more than one Policy Period will apply toward the <br /> Policy Period in which the Covered Expenses were actually incurred . <br /> Reimbursements will be subject to the Run-in Limit and Run-out Limit shown on the Schedule . <br /> The benefit reimbursed by SAFECO will be at the Reimbursement Percentage shown on the Schedule <br /> and will not exceed the Individual Lifetime Reimbursement Maximum shown on the Schedule . <br /> i . <br /> LGC 8804 11 /01 <br />
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