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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 CONTRACT PROVISIONS (continued ) - <br /> RECORDS <br /> The Participating Employer must: <br /> a . keep appropriate records regarding administration of the Employee Benefit Plan ; <br /> b . allow SAFECO to review and copy, during normal business hours , all records affecting SAFECO's <br /> liability ; and <br /> c . ensure that SAFECO receives monthly status reports and other data as requested under the <br /> Claims Provisions of this Policy. <br /> CLERICAL ERROR <br /> Clerical error, whether by the Participating Employer or SAFECO , will not invalidate coverage validly in <br /> force or affect coverage validly terminated . Clerical errors should be reported and corrected . SAFECO will <br /> make appropriate adjustments in the premiums due for claims eligible for reimbursement under this <br /> Policy. Refunds and credits are limited to the 12 month period prior to the request for adjustment. <br /> LEGAL ACTION <br /> No legal action may be brought to recover on this Policy within 60 days after written proof of loss has been <br /> furnished . No legal action may be brought after 3 years from the time written proof of loss is required to be <br /> furnished . <br /> AMENDMENTS TO THIS POLICY <br /> This Policy or the Participating Employer's coverage under this Policy may be amended at any time by <br /> mutual consent between the parties , Such modification must be by written agreement signed by <br /> SAFECO's President, Vice President or Secretary. Only these Officers have the authority to modify <br /> coverage under this Policy, waive any of SAFECO's rights or requirements , or make any promise with <br /> respect to benefits under this Policy. <br /> TAXES <br /> If premium taxes should be assessed against the Participating Employer, with respect to claims paid <br /> under the Participating Employer's Employee Benefit Plan , the Participating Employer shall hold SAFECO <br /> harmless from any tax liability, <br /> If premium taxes should be assessed against SAFECO with respect to Employee Benefit Plan benefits <br /> paid , the Participating Employer must reimburse SAFECO the amount of the premium tax liability, interest, <br /> penalty, and costs incurred by SAFECO as a result of the tax assessment , <br /> LGC 8819 03/02 2 <br />
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