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BENEFIT PROGRAM/ NAME OF INSURER/ POLICY OR CLAIMS
BENEFITS
EFFECTIVE DATE CLAIMS CONTRACT PROVIDED ELIGIBILITY PROCEDURE
OF COVERAGE ADMINISTRATOR NUMBER(S) & BENEFITS
See Plan/SPD See Plan/SPD See Plan/SPD
GROUP TERM LIFE SUN LIFE FINANCIAL 231961 and Certificates and Certificates and Certificates
INSURANCE of Insurance and of Insurance and of Insurance
BENEFITS other benefit other benefit and other
INSURER/CLAIMS materials materials benefit
ADMINISTRATOR provided by provided by materials
09/01/2013 Insurer. Insurer. provided by
Insurer.
See Plan/SPD See Plan/SPD See Plan/SPD
ACCIDENTAL DEATH SUN LIFE FINANCIAL 231961 and Certificates and Certificates and Certificates
AND of Insurance and of Insurance and of Insurance
DISMEMBERMENT INSURER/CLAIMS other benefit other benefit and other
INSURANCE ADMINISTRATOR materials materials benefit
COVERAGE provided by provided by materials
Insurer. Insurer. provided by
Insurer.
09/01/2013
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