Laserfiche WebLink
<br />Attachment C <br /> <br />TEXAS MUNICIPAL LEAGUE GROUP BENEFITS RISK POOL <br /> <br />STOP LOSS/lifE AND AD&D COVERAGE <br /> <br />EMPLOYER: <br />EFFECTIVE DATE: <br /> <br />CITY OF PARIS <br />MAY 1, 1997 <br /> <br />PURSUIT TO SECTION 252.021 OF THE LOCAL GOVERNMENT CODE. THE TEXAS MUNICIPAL <br />LEAGUE GROUP BENEFITS RISK POOL WILL PROCURE THE COVERAGE INDICATED BELOW ON <br />BEHALF OF SAID EMPLOYER. <br /> <br />YES No <br />I i-- D STOP Loss COVERAGE <br /> <br />I '\- D LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE <br /> <br />I [::::IJ LONG TERM DISABILITY <br /> <br />I [i] SHORT TERM DISABILITY <br /> <br />AUTHORIZED OFFICIAL <br /> <br />Er1C s. C1~fford <br /> <br />TITLE Mayor <br /> <br />DATE July 14, 1997 <br /> <br />ASU/sg <br />stoploss.doc <br />