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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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GENERAL EXCLUSIONS AND LIMITATIONS <br /> LIMITATIONS ON ELIGIBILITY FOR REIMBURSEMENT UNDER THIS POLICY <br /> SAFECO will not reimburse the Participating Employer for Covered Expenses incurred by Covered Units <br /> or Covered Family Units that qualify as Potential Large Claims , unless disclosed and accepted by <br /> SAFECO . <br /> In the event of nondisclosure by the Participating Employer, SAFECO reserves the right to : <br /> a . change or modify the premium rates , Monthly Aggregate Attachment Factors , or Individual <br /> Deductible amount(s ) ; or <br /> b . adjust the terms of the Aggregate and Individual Excess Loss benefit . <br /> EXCLUSIONS <br /> SAFECO will not reimburse any loss or expense caused by, or resulting from , any of the following : <br /> a . expenses for occupational accidents or illnesses or expenses that the Employee Benefit Plan <br /> covers that are covered or eligible for coverage by Worker's Compensation , including any <br /> payments made by Worker's Compensation carriers as exceptions or payments with no liability <br /> concerning Worker's Compensation coverage ; <br /> b , the cost of the administration of claims , payments , or other service (s ) provided by the Claims <br /> Administrator for consulting fees ; or <br /> c . payments for treatment or services which are considered experimental or investigational as <br /> defined by the Employee Benefit Plan . <br /> LGC 8813 03/02 <br />
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