Common Contracts

2 similar Insurance Coverage Agreement contracts

Contract
Insurance Coverage Agreement • May 11th, 2017

The council/consistory /board of directors of , a Christian Reformed Church in North America or Reformed Church in America church, institution or agency, located in , , hereby agrees to enroll all current and future full-time staff members according to the Terms of Participation in the group Medical and Basic Life insurance offered by Reformed Benefits Association. We understand other benefit offerings are optional. We have read and understand the attached Terms of Participation and agree to abide by the criteria as outlined. We have listed the names of all paid staff members in the section below (add additional names on a separate page if necessary):

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Contract
Insurance Coverage Agreement • September 30th, 2015

The council/consistory /board of directors of , a Christian Reformed Church in North America or Reformed Church in America church, institution or agency, located in , , hereby agrees to enroll all current and future full-time staff members according to the Terms of Participation in the group Medical and Basic Life insurance offered by Reformed Benefits Association. We understand other benefit offerings are optional. We have read and understand the attached Terms of Participation and agree to abide by the criteria as outlined. We have listed the names of all paid staff members in the section below (add additional names on a separate page if necessary):

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