Common Contracts
1 similar Application and Participation Agreement contracts
ContractApplication and Participation Agreement • January 9th, 2020
Employers participating in the Alabama First Responder Benefits Program shall complete this Application and Participation Agreement to purchase firefighter cancer coverage fully insured by The Hartford for Lump Sum Cancer Benefits and Long Term Disability benefits. Once approved by The Program’s Administrator, the Participating Firefighter Employer Entity will receive a one-page Schedule of Benefits identifying the purchased coverage, and a link to the Policy for the purchased coverage, so it may make these available to Eligible Firefighters.
