Page 42 - AAACU Health & Welfare SPD rev 09012013

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
ACCIDENTAL DEATH SUN LIFE FINANCIAL 231710-001 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
See Plan/SPD See Plan/SPD See Plan/SPD
EMPLOYEE CATHOLIC HUMAN and Certificates and Certificates and Certificates
ASSISTANCE SERVICES of Insurance and of Insurance and of Insurance
PROGRAM other benefit other benefit and other
materials
benefit
materials
INSURER/CLAIMS provided by provided by materials
09/01/2013 ADMINISTRATOR Insurer. Insurer. provided by
Insurer.

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