Joinder Agreement for Long-Term Disability Insurance Sample Contracts

NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FOR
Joinder Agreement for Long-Term Disability Insurance • June 8th, 2021

Town of East Montpelier (the “Employer”) hereby requests application for participation in National Insurance Services of Wisconsin Insurance Trust (the “Trust”) for group long-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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NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FOR
Joinder Agreement for Long-Term Disability Insurance • November 9th, 2017

City of Holland (the “Employer”) hereby requests application for participation in National Insurance Services of Wisconsin Insurance Trust (the “Trust”) for group long-term disability insurance benefits under a master group policy underwritten by Madison National Life Insurance Company, Inc. (the

AMENDMENT #6 TO NATIONAL INSURANCE SERVICES TRUST
Joinder Agreement for Long-Term Disability Insurance • June 21st, 2018
AMENDMENT #5 TO NATIONAL INSURANCE SERVICES TRUST
Joinder Agreement for Long-Term Disability Insurance • October 13th, 2017

as specified below. Provisions under this Amendment are subject to all the terms and conditions, limitations and exclusions of the entire contract, unless otherwise stated herein.

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