Common Contracts

2 similar Joinder Agreement for Short-Term Disability Insurance contracts

NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FOR
Joinder Agreement for Short-Term Disability Insurance • June 11th, 2021

Town of East Montpelier (the “Employer”) hereby requests application for participation in National Insurance Services of Wisconsin Insurance Trust (the “Trust”) for group short-term disability insurance benefits under a master group policy underwritten by Madison National Life Insurance Company, Inc. (the “Insurer”). The “Group Policy” means only the provisions of the master group policy that apply to the Employer, based upon the coverage requested under this Joinder Agreement.

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SCHOOLS INSURANCE FUND OF WISCONSIN JOINDER AGREEMENT FOR
Joinder Agreement for Short-Term Disability Insurance • March 2nd, 2020

Pima County Community College District (the “Employer”) hereby requests application for participation in Schools Insurance Fund of Wisconsin (the “Trust”) for group short-term disability insurance benefits under a master group policy underwritten by Madison National Life Insurance Company, Inc. (the “Insurer”). The “Group Policy” means only the provisions of the master group policy that apply to the Employer, based upon the coverage requested under this Joinder Agreement.

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