Page 42 - HarborLight CU 2014-15 SPD
P. 42
EFIT PROGRAM/ NAME OF INSURER/ POLICY OR BENEFITS ELIGIBILITY CLAIMS
EFFECTIVE DATE CLAIMS CONTRACT PROVIDED PROCEDURE
OF COVERAGE NUMBER(S) & BENEFITS
ADMINISTRATOR 021-1365-2
SHORT-TERM SUN LIFE FINANCIAL 021-1365-2 See Plan/SPD See Plan/SPD See Plan/SPD
and Certificates and Certificates and Certificates
DISABILITY BENEFITS of Insurance and of Insurance and
of Insurance
INSURER/CLAIMS other benefit other benefit and other
ADMINISTRATOR materials materials
benefit materials
provided by provided by provided by
Insurer. Insurer. Insurer.
09/01/2014
LONG-TERM SUN LIFE FINANCIAL See Plan/SPD See Plan/SPD See Plan/SPD
and Certificates and Certificates and Certificates
DISABILITY BENEFITS of Insurance and of Insurance and
of Insurance
INSURER/CLAIMS other benefit other benefit and other
ADMINISTRATOR materials materials
benefit materials
provided by provided by provided by
Insurer. Insurer. Insurer.
09/01/2014
EMPLOYEE PATTY WOOD See Plan/SPD See Plan/SPD See Plan/SPD
ASSISTANCE and Certificates and Certificates and Certificates
INSURER/CLAIMS of Insurance and of Insurance and
PROGRAM ADMINISTRATOR of Insurance
other benefit other benefit and other
materials materials
benefit materials
provided by provided by provided by
Insurer. Insurer. Insurer.
09/01/2014
37
EFFECTIVE DATE CLAIMS CONTRACT PROVIDED PROCEDURE
OF COVERAGE NUMBER(S) & BENEFITS
ADMINISTRATOR 021-1365-2
SHORT-TERM SUN LIFE FINANCIAL 021-1365-2 See Plan/SPD See Plan/SPD See Plan/SPD
and Certificates and Certificates and Certificates
DISABILITY BENEFITS of Insurance and of Insurance and
of Insurance
INSURER/CLAIMS other benefit other benefit and other
ADMINISTRATOR materials materials
benefit materials
provided by provided by provided by
Insurer. Insurer. Insurer.
09/01/2014
LONG-TERM SUN LIFE FINANCIAL See Plan/SPD See Plan/SPD See Plan/SPD
and Certificates and Certificates and Certificates
DISABILITY BENEFITS of Insurance and of Insurance and
of Insurance
INSURER/CLAIMS other benefit other benefit and other
ADMINISTRATOR materials materials
benefit materials
provided by provided by provided by
Insurer. Insurer. Insurer.
09/01/2014
EMPLOYEE PATTY WOOD See Plan/SPD See Plan/SPD See Plan/SPD
ASSISTANCE and Certificates and Certificates and Certificates
INSURER/CLAIMS of Insurance and of Insurance and
PROGRAM ADMINISTRATOR of Insurance
other benefit other benefit and other
materials materials
benefit materials
provided by provided by provided by
Insurer. Insurer. Insurer.
09/01/2014
37
