Document 1g9MkQNekzxgyq2nem92bzBjE
__
j ' * / r-' ' 7 m
METRC'OUTAN LIFE INSURANCE Cr UPANY
Group Policy No-- u /olio**;
-BAU-
bearing dare ZliZ.
192-------- and injuring the Employ,
... --
hereby amc
I< Effective Januery 26, 2944 a? to fanloyees of 2n: haybeeter Bivlclct
f ^ Employer ana 'Li-loyr** of Uie Briuieport ki>:o ^-yy, las., t}
^
Mid Group Tolley, tJM follorln,.:
All Ecployaes aha are actively at ceri an JtkUiTy 27, 194 car: ployeee axployad subsequent to toot cute entll ta exclucsd fras eligibility
far laiurute* hereunder ud tba iwurf-nee hereuncer, if tsy, an all tuen em
ployees cnaU U autouetieslly cii eeoutieuad on JabUiry 26, 1942. Ary fcplayaa aaa Is not aetlvaly at uor>: on January 27, 19a: iasll ba arelujed from aliclblllty for insurance nereunoer ana U2s isriruct nareuadrr, if r.ty,
ball ba outcast!call? discastlauad on tha aarller of: (a; tba thirtieth cay felioelnt tba data of ala return to active tore, provides aa la actively at work on tna next rueeseclni aay; If not tnea actively at tars, eo toe Oy loruedlttely preceding tna act* of Sis subteeuenv return to aetlre rork, or (b) tlie <iay lcxadlately preeeaiaa sac effective cate of ais iaeurcaee tscer Croup Tolley ho. 12512*4, to ba issued to too employer elto uate of issue January 27, 1941.'
IX. ZffoeUre 7etruer?' 1, 194S as to bpleyees of Tna Uanhattca flutter Girltier., by addin; to said Croup Toilcy, tua follodn.:
1X1 Bsployeas the ere actively si fork on fatruer; e, 1?4B and toployaas osployad subsequent to tnat Oats enall ta excluded free eliiifility for tneurunee beraiacer and tea leevrutea ncraisuier, if aay, on ail suet Eaployeee stall to autecstleally rlieoctinuaO an fefcruiry 2, 194k. Apy sployaa aim la not actively at sort cs February 2, 1944 (sail ta axeluctd froat all(lbility for insurance hereunoar sad tic iniurtte: Serexiuar, if asp, mail ba autoanticolly discontinued on tua earlier of: (/ tie toirtiath day follocln;
tba data of bis return to aetirs nrs, provided no 1* art!\tly et sera on tba next neeaadiai day; if not toon actively at ivrk, ca tsi cs7 msdiitely yro-
eadlni tba dsta of hit subsequent return to active rsrt, or (b) tna day ixcecl-
ataly preedlnk tba affaetiva data cf bit iaauranca under tnis Tolley subsequent to February 2, 194.a
111. Iffactiva fatruar7 2, 1944 as to Zaployaa* of Tba iiaabatte', fatter 1rision, by substituting far Section 2, an anandae, aa Tt.e 2 of said Group Policy, tba falleriA^i
Scotian 2. g.TCTT'TITTT 07 iPlOTES--All iaployaes no aava collated thraa aontbs of aootinaoue service on fabrucr7 2, 19-4 skill ba eligible for lbauranea baraOlder as fafcrutry 2, IMS. faployaos uss aiva not couplereu tbrvc
aontbs of coatiausua sarriea ca February a, 19- aac isployeos aaployed subse
quent to that data aball ha eligible far insurance sarassdar on tba day medi
ately folloeiaq tha data of noapletloa af tnrao aoatka of wntlanooa -vwiao.*
n. Zffaetlvo
(1) February 2, IMS aa to Saplaytas of fho Jaahattas fatter Clvtalan actlvaly at oorfe aa that data and auoh Ioplo,aaa a^loyac subsequent ta that data,
and affaotlva aa tba affaetiva daty af hi* Iruotaao tudor said Crate Talley autvaeoaat to February 2, IMS aa to aay aath laplayaa aat artivaly at uark aa Fahruary 2,
IMS,
a
rh-y
w //
(11) January 27, 19;,S an to j;>io;eee of
.'aybertoi ilrtnion of tha
Inployer aad Eoployeei of tac Brxc.eoort true Cocpnn;, ir.c. kntivtly .t .or* on
tnat beta enc euen Cp^leyetf ejplyi'tu u`'.M-uent to t u'.t, uu". effec`.ip-.' on the
day no*t follooio^ t..e dot* of nil exclusion frou cio.ict.i*.;' it neea.-aence nta
Pin I tbovt, 11 to say fueh inployee ast actively a*, cor* es January 27, 19ia, uo
(ill) february 2, 194b u to any other Laplo;e,
1. Sf tutrtitutiOi for Soetioa 1, ti uund, on Pi, 2 of eni<i Croup Polls;, the folloein_:
'Section 1, 01PltI7X3.1 OP THE r.Or-D *ELPUTi121-T nt rorc 'Ex lo;ee' cs
uied in thin Poliey nine < full-tia* eepleyee oireevl; enpioyau u.c eo^pcnnoted for eerrleei ly Tne iiniutttii EubUr iivxsioc, tee .tl'.tl States i:h*-to: Didtion, or the Gcnercl A*teuton enc Rubber Livicicr of t,.e 4_^lojri'.*
B. By substituting for the Schedule of Instruct txu ^ployeee' IcxluiC Contributions, if axandeti, is Section 6 on Pt,e i of Hie Grcup Policy, toe foliodr.,.:
'Clara
Life Ineurrr.ee
leddent
ua Health Ih.untee (7iH,-
le-efit:
derlng Anount Chieh the
Eaployce ley Cortrlbatc
tepleyeei of Tne iinhittcc Rubber Liriiion:
Selxrlad Ccrloyetf Hourly' leployee* 411 other Eeployets
11,002.03 1,032.03 1,030.00
o Ir.euracee ,`13.:: 1C'.PC
A 34 a*.,i.*onthl; 0.24 reedy 0.*4 mil]
C. >y eubetitutiay Vie rerd `or deereeie*, 'tits of eenact in the Ee> ployet'i oeeupetior.nl eliti* tad "day" for toe typewritten rrutoli *z*, ex xtcndoc, xppeirlhf in the toirc line, sixth to ainta lines, eao tuelfvi line, rexpectireiy, io
seid Seetloa 6.
B. By evbrtitctia. , end* for the typecritter scrdls*, u eiended, after the cord * disability* in itw (i) of the flrct ptra^apn ef tutoieirior, (t) of Section 7 os Pejt j of Mid Croup Policy.
&, >7 subetitstiaj for tha third pireirepi, n assaded, of sutdiTitian (B) of said Beetles 7, tee foiled**:
for dilability cowed by aay one precneney or resulting ahlldbirth
or owpllwtlaaa, act aero than air oeefca' benefits dill bo paid; prodded, boeettr, that m peyawt of axy bias ahi.11 bo aide for rasa disability if tha propiano existed as the effective date of ta ibylytt1! Accident ttd Healtn. . Xneumcee Oereuooer wleaa ae to aa Wpisy** of The ii-nattaa Bahbor deities each effaotiee date la prior te larch 5, 194*.'
f 4
i - 2. -3-
It If ondaratood tail eyraad teat taa forotoln,. eiandr.er.t fiull nt
baeooa affaetiTt uU.au et lent 7J.I of tie totU nu.tar of ii-Io>eii 01 Tne
batten Rubber liricioc all*iUa for Irjuru-et unucr als Creu; roiicj on ftbru-
er? 1?H fhell have and* orittan repeat for insurar.ea Is teeord.-nee oltfi the
foracalni tcncuU-e on or prior to tret data. --.... -
-
l