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Plan Description
Colonial Life & Accident > Group Legal Plan
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Note: This page contains a brief summary of coverage. It does not
state all provisions and limitations of the plan. The terms and provisions of
each plan, as outlined in the plan document, will determine coverage and
eligibility.
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Broker Name:
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BrokerXYZ
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Policy Number:
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34512435
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Original Plan Effective Date:
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12/11/2002
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Rate Guarantee Expiration Date:
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12/11/2002
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Plan Anniversary Date:
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12/11/2202
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Billing Cut-off Day of the Month:
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1
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Retroactive Termination Limit:
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30
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Divisions:
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All Divisions
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Locations:
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California
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Employee Classes:
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Full Time
Manager
Officer
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Validation Method:
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Automatic
Manual
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Waiting Period Information
Eligible employees are eligible as of the 1st of the month following the employee's hire date.
Termination of Coverage Information
When a plan participant is terminated from the company, the plan coverage ends on the last day of the month following the employee's termination date.
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Employee Cost
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Company Cost
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Total
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Employee
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$6.82
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$77.16
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$83.98
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Family
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$154.15
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$230.21
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$384.36
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Carrier Name
http://www.bluesss.com
Member Services
John Carpet
600 Lafayette East
Detroit, MI 48226
(313) 225-5890
Fax (313) 225-3453
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