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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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EXCESS LOSS SCHEDULE OF BENEFITS <br /> Applies to Policy Period : from 10-01 -2003 to 10-01 -2004 <br /> 7 . Minimum Aggregate Attachment Point <br /> 95 % of the first Monthly Aggregate Attachment Point X 12 <br /> 8 , Monthly Aggregate Attachment Factors <br /> Covered Units <br /> Composite $665 .46 <br /> 9 . Aggregate Excess Loss Terminal Provision applicable? ❑Yes 0 No <br /> 10 . Aggregate Excess Loss premium $ 1 . 80 <br /> Paid : per employee per month <br /> E . Medical Conversion Privilege ❑Yes 0 No <br /> F . Endorsements Included <br /> ❑ Individual Excess Loss Advance Funding Endorsement <br /> ❑ Excess Loss Alternate Reimbursement Endorsement <br /> G . Additional Information <br /> N /A <br /> H . Associated Companies <br /> Name Effective Date Termination Date <br /> N/A <br /> LGC 8802 03/02 3 of 3 <br />
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