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25C - AGMT GROUP INSURANCE
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25C - AGMT GROUP INSURANCE
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Last modified
2/1/2018 7:02:12 PM
Creation date
2/1/2018 7:10:52 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Personnel Services
Item #
25C
Date
2/6/2018
Destruction Year
2023
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GENERAL PROVISIONS (continued) <br />Evidence of Coverage. SafeGuard will issue an evidence of coverage to the Organization for delivery to <br />each Covered Person, as appropriate. The evidence of coverage will describe the Covered Person's <br />benefits and rights under this contract. "Evidence of coverage" includes any of SafeGuard's schedules of <br />benefits, notices or other attachments to the evidence of coverage. <br />Participating Providers. The Directory of Participating Providers contains a complete listing of Selected <br />General Dental Offices. Selected General Dental Offices may also be located by accessing <br />www.metlfe.com/mybenefiits to view Selected General Dental Offices by zip code. <br />SafeGuard will maintain a contractual relationship with dental facilities at appropriate locations to provide <br />services to Covered Persons. The Organization recognizes that the establishment maintenance and <br />location of all dental facilities are within the sole discretion of SafeGuard; and SafeGuard shall make the <br />sole determination of the location and establishment of a contractual relationship with all such dental <br />facilities. SafeGuard agrees to promptly notify Covered Persons and the Organization in writing of the <br />termination, breach of contract by, inability to perform of, or closure of any participating dental facility and <br />to transfer Covered Persons to existing or alternate dental facilities. <br />Assignment. The rights and benefits under this contract are not assignable prior to a claim for benefits, <br />except as required by law or as permitted by SafeGuard. <br />Data Needed. The Organization will provide SafeGuard with all the data needed to compute the <br />Prepayment Fee and cant' out the terms of this contract. SafeGuard may examine such data at any <br />reasonable time. If SafeGuard or the Organization make a clerical error in keeping the data, the <br />Prepayment Fee and/or benefits will be adjusted according to the correct data. An error will not end <br />benefits validly In effect, nor will it continue benefits validly ended. <br />Misstatement of Age. If a Covered Person's age is misstated, the correct age will be used to determine <br />if benefits are in effect and, as appropriate, adjust the Prepayment Fee and/or benefits. <br />Non -Dividend Paying. This contract does not pay dividends. <br />Conformity with Law. If the terms and provisions of this contract do not conform to any applicable law, <br />this contract shall be interpreted to so conform. <br />GPN P10-DHMO <br />25C-10 <br />Page 8 <br />
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