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METROPOLITAN LIFE INSURANCE COM PANT . -------------------->U/ 21, '.us
revrltsou C>roup Policy N'o--Si-"b& ... - .. bearing (laic of..Pp??"3r...lo..}35(und insuring ihe Employees of
__________________________ l^t^^^WTTANj INTC...........................__________________________
__
- icliy amended as follows:
I. Z.'factiv, Xovenbor JO, 19J6, by addin; to (aid Croup Poller, tlx followlngi
VCSl'.7;v,J.
gr Central Asbestos tri *:h^r '-1
All tuple?*** ofio are actlTeiy at vorie on Deenber 1, 1956 and Zxployees
esplayed subsequent to that data (ball be excluded Ires eligibility for
Insurance hereusaer and the Insurxnce hereujuar, If any, aa all such E>
plsyeea (hail be eviteaatleail.T discontinued oa Keveabcr 13, 1936. Sank
Qaploree who la not actively at vert on Deeeuber 1, 1950 (ball bo ex
cluded froa ell sib 111ty for insurance hereundor aad hli Insurance here
under, If any, aHell be autoaatlcally discontinued ea toe earlier eft
(a) tie thirtieth day follovin; the date of fcla return to active verb,
provided be la actively at vers os tha next succeeding day; If aet tbea
actively at work, sn the day lcaedlately preceding tie date of bia sub-
aequent return to active wads, or (b) tie day laadiataly preeadla: tie
effective date of bid laaureaee bereuader subsequent to Ceeasber 1, 1936.*
n. Sffaetlva Oeeeiber 1, 1956, by substituting for the aeeaad paragraph of Section 2 on Page 2 of aald Croup Policy, the followings
(B) >Bolle.-.>>le to taoloreca of Ccnc-al Aabeatta and-Pubber tinna.. Each Eaploree vho h*s eospl(ted threa eentba of eontlsewu tarvlce prior to feeonbar 1, 19J6 la eligible for insurance hereunder oa Deeesber 1, 1996,
Each Esployee vno baa aet eonpistsd three semis of eestlsuouj service prior to December l, 195a aad aaeh taplrree t.iplcr-od subsequent to that date aball be eligible for inauranee beraunder oa tha day Ixncilitaly following the date of eaapletlen of three aestae of eontlauaue aerrlcs.
(C) applicable I; t1* pe-n 1^1 "*7*1--**^ Explore* ate has eetpleted threa nontbs of eesttiaaoua service prior to Eeoaaher 1, 1956 ll alltitii for lneunaee hereunder on Deeesber 1, 1956. Eeeb tapla*** who baa aet expiated three months of cantliasauc service prior to Saeoaber 1, 195a ash each Zaplopeo employed aubaequant to that date shall be eligible far laeuranee bereuader ea tha day laedlately relieving tie data f ooaplatlaa af three booths of
Meet---- aemee.*
IS. Effective Boc--hor 1, 1956 as te fisplayeta of Ooaorel lrbestea sad Rubber PIvialoe actively at verb ea that date aad such Aqslfree* eaplved eubeeqaent te that data, effective ea the effective date sf hie leeuirnno wader Mid Creep Policy cubooquoot to Pteovher 1, 1956, aad effective Bactahor 1, 1956 as te all ether Zepiareas, by rubatltatlnj far tSe eehadala af aaaarto af Uamaaa la the Cahadala af Xaauraace aad Zaplsyaaa' Nedaa CeatrlbuUaaa la taitla 6 ea Pete 2a af aald Creep Policy, the felleeiiici
a
B577-0
- 2-
^CleSc.
Esplcyecj of a class or us.lt specified in Schedule A hereof, except such Inployeei et lieeaeh, Wisconsin
Ihsployeei et neeaat, wieeoaela
ibployve* ea*loyed et Heahela, Pennsylvania vith weekly earnlnc* (as detenlned by the Bsployer) of: jO.OO or more leee .than $50.00
^Vleyoes ef General Aehettet ud Rubber Olvlslcn
All other hploytti
ure Insurance
4,000.00 3,000.00
8,000.00 a,000.00 2,000.00 2,000.00
Accident end Health Insurance
(Weekly 3g.-.rflt)
26.00 28,00
55.00 31.00
30.00 SB.00*
Zt 1 uaderetood end agreed that the foresolns aaendaent aball sot herme effective ualeac at least 755 of the total ausber of bployaes elidible far Insurance under said Group Policy oa Deeeaber 1, 1956 shall have aade vrltten request therefor la accordance with the Schedule as set forth above oa or prior to that date.
bDk
i2i_
ar Jpwene*
Occident
and K*}th Inruranct fv***k>v
toplo/*9 of Sentrol iibcsteq and Rubber Division
11,000.00
{20.00
111 other tofloyees
2,000.00
2e.oo
'lie seeider.t sr.d Heclth Insurance 1* provided hereunder for eny Esployees expleyed in New Jersey.
Any Saplnye* employed la Kew lork Jtete idle doe* net Bake written
requeet for Lire Insurseco hereunder sneil be Insured hereunder for Incident end Hselth Insurance only.
The aaeunt of Life Insurance ea to any torlayes of (1) Kcahetten Aibbsr Division, (:1 '.'tbosh Slvlalon, or (111) general Asbestos and Rubber Division retired on or subsequent to (1/ Jetooer 15, 1951, but prior to t.h Cate specified In the next fallowing sentence, (11) Septeaoer 22, 1951, or (111) Jtnu-ry 1, 1951, respectively, snail be 2,000.00. Tor the Manhattan ifciSsr Division, the oasur.t of life Incu.-tnee as to (1) Salaried Bsployeei, ether t.isn Dsplryets an th null Office Payroll, end Sapleysrs sub.'eet *o the larrsinlng sgr-ier.t betws*r. Kanh'ttaa Rubber Workers Inde pendent .-.inn, Inc., (11) toployats uno ere aeabers of Kenhattsn lodge 1679,
Internatlond Anotiition of Machinists, and (111) Mein Office Payroll to pi oyees r-tlred ea or subsequent to (1) Ccteber 26, 195}, (U) savaubar 25, 1951, or (111) Jenu ry 1, 1954, respectively, shell be }01 at the saount far which such itrlope* vsr Insured h-reur.d*' or the day Immediately preceding the date of his retire-ant. Tbs caount of Life In.urmce ns to ony other retired 9eplcyan shell be tne eaount of Life Insurance In force nr. his account hereunder oa the day laaedictely preceding tne date of Us rstlreaent.
ho retired aseloyee end no torloyee of a class or unit spoeiflsd In Schedule A hereof shell be required to contribute to the Cost of the life Insurence. The amount which say ether Ssployee asy contribute to the cost at the life Insurance ehell not exceed 10.60 par Booth(JO.11 per week la the ceee of eny toployee tdse contributes weekly) per 2,000 of life Insurance ted the oaeunt whleh any toployee aey contribute to the coat at the Accident end Health Insurance shall not oxeeed ths prealua charged for th- raount of his Accident end Hsilth Insurance, subject to such further limitation other wise provided for toployeea eaployed In the state cf liev lark.
tech Zoployee whoso Ufa Insurenee h-runder le reduesd because of his retirement, shell hsee the coat privilege, on tho data of wch rsductlcn
with respaet to tho excess of,
(a) the UMt of life Insurance far which aooh Sspleyee waa laaured
haratader an the day lancrtlstcJy prior to tho data of auefc reduction, ever
(b) the saoust of Ufa Insurenee far which ccch topley^e mar he Insured hereimder an end after tho data of ouch raiuctiac
a la applicable open tcrnlnotice of aqUiyust., aa aat forth lh Seal lea 9 herecf.'
ketropqutui izn irsufucm ca-^jcrf
Graip Policy No- crrT-C bearm* date of "tv ?9. l<)/0 Insuring tha Ccployass of
end
' ^>TyT35-,,-Tf!;T~i :. VC. (Herein called ue Employer)
1* hereby aaended ai foilout:
Crsup Hosplul Snenae laiurtac*
Effeetlr* 7c C.S.T.6301 mid G.iF.ijrT7
er la 1*56
, by adding to Su It ncrrv ! 'Tcc,..?'.\ Tzrzs
rrri^TT-rrrT Tii:? follcy , tbt follow lm Section:
Section I.- PRIVILEGE OT CBTAIEIKG AS IJOXVI3UAL POLXCT IKSURANCE. -- In tha evaat of tba caseation of tba .`.octlttl acoensa Inturtuca
a? tr, fci-lowe of v-e t'c.-ihLttr Pub^r S-.r-.t.--.
' baeauaa of rs<:ira-:yit
tka Eaployec any ontein froa the Insurance Conpany, without furtuhla* evidence of insurability, as individual policy of Pet :ltr.I avrenee Tneurtnca JT Hefjitel Er-*rne ind Surricrl njarc.t`.m Inurr.-ce
subject bo the foliwin* condition* and provisions:
(1) Writtao application for cueb individual policy aad tba paywnt of tba flrat prealua tiarafor aurt b aadt to tba Insurance Company at its Sow Office or oaa of its lead Offices vltbla thirty-oca days after such ca statist of insurance.
(2) Such Individual policy shall be affective __a_tht_d2_--___
unaadlttalv
folloviaj tba data of such cessation
of insurance
(3) Such individual policy shall be renevable at the option of tha Insurance Coepaay.
(1) Sucb individual policy sball be upoa ore of tha fans then halos issued by tba Insurance Company to Ssployees vboae lnaurmnce hereunder has ceased as specified above aad vbo apply for aueb Individual policy pursuant to tae provisions of this Section, vblch for* sball apeelfy tha nature aad extent of the eoverate afforded, the person or persons covered, the initial praam payable, aad all tanas sad conditions pertalnias thereto.*
The fore*oin* aaaadwnt is to ba attached to aad sada part of said Group
Policy, and is subject to tba acreewnts and covenants tbarein caatainad.
{&- fete Sated at llA-vi Cut
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&
this T**"
day of
1199 S{CZ
v.TvaTew:wAtLY^gaL, ((playerJ
Sated at
(spaci anoi pop tss or Kt9umzxM un noauic* coffin may
A'
this
,
day 9tU;u.\j/
TarmsuM un mamrt coffin,
19
Pora C.8586 * July l?5b ^
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METROPOLITAN LIFE INSURANCE COMPANY
Group Poliej N'o____ !2ZZ^L__.______ bearinp dare JUTW8T0S . IWMCTAK. IRC.
icrebj- amended aa follow,: ,
___ and inturinj the Employeea of
Effective March 1, 1956 aa to Zaploveea at Kanbtla, P*nnf7lnmia eetivelv at vork on tut data aad auch lapaoyeea aaplevad eubsequent to tut data, effective on tie date of hie retiro to active- verb as to tv such Esployea not actively at work aa March 1, 1956, aad effective March 1, 1956 aa te all ether Espleyeee, bj substltutlnf fer the Schedule of laransea aad Employee*1 Maat-nm Coatribatloaa, aa aaetded, la Section 6 ea Pace 2a ef said Group Feller, the felloclap:
'SM!
taplepeea ef a claaa er unit apaeifled la Schedule i hereof, except aueb k^leyees at leeach. ViacocaIn
Life lasurtaee
11,000.09
leeldental aad lealth Insurance {Veeklr Benefit)*
12S.03
taployee* at leeaah, Viieoaala
3.000. 09
2S.09
ftpleyeae at Kaabela, Penr.a7lve.ala vlth veofely strain;* {as daterained by the Employer) eft
150.00 er aere Lose than 150.00
3.000. 00 3.000. 09
35.00 31.50
Implayee* of General labesto* aad Jhibber Wvlalon
611 otheT Bsployeee
2.000. 00 2,000.99
20.00 28.09
Re leeident aad Health Insurance la provided herradar for av Baployaes employed la lew Jersey.
lay Smplcree aplcyad la lav Tork Stata tdw does aet aake vrlttaa request for Lift lasttranoa horauader asall be laaured beretadsr for Saddest aad lealth Zaaaraaaa only.
the meat of Life laanreaee aa to ear taployee af (1) Nanhsttaa
ktbber Division, (11) Vabash Slvlslea, er (m) General ssbeste* aad lubber Mvlolea retired ea er snbsequsat to (1) October 15, 1931, but prior te the date epeelfled la the aaut fallevla* eeataaea, (11) laptuahar 22, 1952, er (111) Jaaiary 2, 1953, reepaetlvely, shall ha 11,000.90. Fer the
Nuhattaa lubber Blviaiea, the aaeuat. ef Ufa Xaaureaee aa ta (1) lalarlad fcplsyeea, other thaa Xapiaveas the Mala Offlao Farrell, aad taplsyee* subject te the Sarpalalac icreaaomt betason Kaahattaa tobbar Verkars lad* peadaat Calami, laa., (11) tulVMl t*a are aeabere af Kaahattaa Ladfa 1179,
lataraatleaal lasortstl-- af Machlaista, aad (ill) Mala Office Paysmll fee. plgsas ratlrad aa ar sabaupiamt ta (1) OatObar 21, 1955, (11) Iwbu 25,
1955, er (111) Jciary 1 1991, respectively, aball ha 90S af the aaauut
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METRO' LITAN LIFE INSURANCE CO .\.\T
Group Policy No------. _______ ___ .ur.-'.'c:* follows:
___ _______ burin; date of...iiL'._TV.ry4!!___ and insuring the Employees >
r.::..
-------------- is hereby amende
Effective Jzasxry 1, 1?19 zs to iaplspees es?lrr=C ia
Jersey:
1. ly scslnt: to the cold Group ?oli" a: a pert thereof iupplnenitry ~-ro=nt ieia G.c. 2
2. by cencellin- all ii: prorliion* la tit tali Croup
Policy ayIIreal.' to j.eeiGeat and
larurtaee
end bp au'jf.iitutlnr for the bohemia ef isploiTe
Contributions, tne falloutn^:
M-.'trr Aaount
tie 2nC.op*e llay
Salaried irplep.-ea
SC. 5 2
--'.i.' 4.11'U l-h-JCllA-NCc C"lP.U.Nl
Group Policy So. u fotiom:
-EAlh:
--. bearing dace -Uil-..-..--. . ,
_____ *nd insuring the Employ* -- . ----- ..i hereby imo
I. Effective Jasuery 26, 1946 to Ivr.leyxtj'of Tn: haybeeter Divirios of the Eopleyer ana'U^leye** of Uio Brieveport fcj./.i Cecpcn; , Ine., ty oudinj, to aid Croup Policy, the follorio.,;
"ill Lcployt*J vho art actively it ror!i on Juvciry 27, 194f ltm Icployees esplo/td tuboo.utBt to toot cuts thsll bt emi'.eed frax til,1tility for iasurtxet aertusoer ar.d too izrur/jiet Aerxuacxr, if icy, on all tuen topleyees cooil bo outouoticolly oixeoutiaued on January 26, 1941. Ar- izplayot ton 1: not actively ot veri: on J&auiry 27, 19a: "*' bo exelu.ed iron eligibility for lnxun.net nereunoor tea lilt inferinct hereunder, if my, ArU bo outoaoUcally diaeostlauod on tho oorllor ofi (a) tho talrtleth cay folloclni the dot* of oil rtturo to active sera, prat-lcxs no lx actively at sork os tnt aaxt rueexealAi cay; if act taaa aetlniy at taro, co too day iskedi/.tely preeediaj tao data of Ulr tubxt^utAi rtturc to aetlvo work, or (b) the day lesxdiately preceding tic tffoetirt date of ail inxurcnee tacar Croup Policy ho. 12S12-C, to bo isxuod to too baploycr ritn uatt of it cur January 17, 1946."
II. Effactive February I, 1946 ax to Gcployoti of tao Jaabattu Bubbor 21vidor., by addlac to (aid Croup Policy, tut follorin.i
"ill Beployctr tho oro actively a: oork as February a, 1948 and taployoot tsployed cub(OE,ut:t te tax*, date mail bo cxcl-cec fron aliylMlity for iaturunet hereunder ana tea inciTicet ncreisuier, if any, on all cucb Eaploytei tAall bo autasatieally cl: eontinuid on Februiry i, 194b. Any Csployee one la not aetlvxly at <tar2 ca February I, 1946 mall be excluded froa oliflbility for inauraact hereuaoar and aia insurance btrrmtier, if any, mall bo autoartlcilly discontinued oa too earlier of: (a) tie turtleth day foliorlnj the dato of Aia return to active tori, previaad at la acutely at oork as too aaxt cueeeodin; cay; if not toon actively at verb, ea tea cry iasealitely pre ceding the data of Aia xebro^uoat rtturc to active Ctrl, or (b) the day lececlatoly preceding the effective date cf Ail isiurixee liitr talc Policy tuboo*scat to February i, 1946."
III. Effective Fefa-uary 2, 194tl at to aplo7eet of Tao iianhatte'i rubber Slrirlen, by subetltstlnf for Sorties 1, aa aaeaaec, ea Pt,,a 2 ot aaici Croup Policy, the folleelnfci
Sectiaa 2. ELXCIQUTT OF ULOXISI--il1 iapioyeex tae save ecaplrted three aoatha of eontlnuou* eerrice ea February 2, 19_a lull be eligible for Insurance herevader ea February 2, 1941. Ssployeea ucn neve net eoeplatou three aonthx of continuous service ea February 2, Ivon ana icpleyeea espleyed aubeeqsaat to that date ahall be eligible tor lnxurasct sereisder ea the day isaedletely folleeiafc the date of caopletlea of taree aoetia of caatlaneua "trvice."
TV. Effective
(1) February 2, 1946 ea to Eaplayeee of The ;,!a-.aattaa Rubber 1vision actively at sort ea that date and euch bplo^ees employed xcbeabsent to that date, and effective ea the effective dot* of Ua lassranee tutor said ireup Policy subse quent te February 2, 1946 as to any sueh Eapleyea sot activaljr at Milt m February 2, 1946,
/ //
(41) JuJmry 27, 19.5 as to s;>lo; ni of
faytsstos ilrtjion of the
Eaployer and Eaployees of tas Brie.apart inui CoBscny, Ir.e. srilvaly .t .orr sa
taat data and (uen Employes* ejplpyeti au:.o^uont to i_-..t cats, tar. sffeetiev on ttu>
day naat follauLn^ tna data of oil axelunan frou slu^i cu-l'.; in accordance rtt.o
Ptr-l X abonra, at to any tueb caploysc sot actively at cord en * tautry 27, 19to, ana
(ill) February 2, 194b at to any other Ehploytt,
4. 7 eubetitutini for Saetlos 1, at aaanaoc, on Fa.o 2 of laid Croup Polle;1 the follocln^i
Section 1. EEFIiilTI j.< OF THE t.Oaf 'UILOiH'-tne rare *ia lo; aa' as naad la till: Folio-/ aaar.c t full-tiaa ear.loyn; saractl; tuploytu uu. eo_peniatod for icrrlces ty Ins tannattan r.ubL.r tirnio:, tna .nllec iutii itbectoc Division, or lit Cenuxl Atbeoto: eae Rubber Uriel;:: of tta i-plojn-.*
B. By eubatitetlnt for tbs fcaadula of Insurance tad aaployetf1 ->*-t Contributions, at atandad, is Saetlon 6 on Pa* 2a of sale Crcup Policy, tna follorir,t:
LIfa Insurr.net
Accident
and Health In.urtaee (?sakiy
Uarlnia Anoisrt Obieh the Inployee L'ey
Explorest of Toe laahattan Rubber Cirision;
Salarlsd Icflcyeee > Hourly Enolsyeat
ill other Ecployasa
El,000.05
1,0?.'.0? 1,000.00
lo Insurance {!?.:? 1C-.2C
JttJ* ta.^iwaonthl a24 costly 0.t4 aaakly
C. fy tubnltutla^ t.ia cords *or daeraeta*, 'u'.i of econta In tha laployee's eeeupatleanl class* and day* for tna typs Tit:tz. STutclj *, at taendat, appaarini in tha third Una, sixth to ninth linos, sat twelfth Lina, rsspoetircly, in
said Saetlon 6.
0. By substituting *, tad* for tie lypacritts: eerdihi, at standso, after tha cord disability* in ltas (1) of uw first ptrayrapn ef subdivision (t) of boctlsa ' on Baja ) of said Croup Policy.
. By aubetitstlof for tha third paragraph, as antshed, af autilvision ( of aialc! Soetias 7, tna follocin,!
Tot disability eautod by any on# precnaney ar resultiat childbirth or eo^lications, not aora than air aoeJes' Uaaflta thill ba paid; provided,
bearear, that nr payn at azy klad ahtll ba nala fat nu disability If tbs pracnaaey Misted ae tha affactiTa data af tv Inpisyee'i Acclriant tad Health Znturaeea hareunaor anlaas as U aa bplaysa of Tha ifTittaa Bubbar tlvlflan
such offaetlTa data is prlsr to ana 5, 194*.*
.
/ A
II -3It lx undrrtoo<i and sorted uitt tut forewarn,. cuncitnt taall sat boean* rr#ctir uidttx ct laart 7} ei tie touJ nu, .ter oi iitlo^to* si Tn haItan Father liriilot allilUt far iRsoruxo asusr tail Creip roller or ighru77 Z, 1940 xJwll hare a*d irltton roquart lor inxurtree 1= aceorc/ncc sitr. tha fartfelnc achcaulc on or prior to trot data.
C'^-v 66
S577-C
-2-
for which rich Baployoa vu lnaured hereunder on th* day 1maiHit*t.r preeedlnd the data of Ml retireaeat. The mount of Life laauranea n to asr other retired bpleyee *hall ba too mount of llf* laauranea la fore* an hA aeeeuat
haraundar os tha day Imallately preeedlnc tha data of hi* retireaeat.
Re retired Eiploree and bo Taplor#* of a elaoa or nit rpecifitd la
Schedule A haraof thall.be required to contribute to tha eeat of tha lift Inturaaea. Tha mount wmsu'av etbar taployeo aar eontrlbuta to tha coat of tha Llfa Ineuranee ahall aot rxtaad 10.63 par math (JO.U par week la tha eaaa of
aar laploroa who eontrlbuta* weekly) par 11,000 of Llf* laauranea and the mount which aar bployee aar eontrlbuta to tha eoat of tha Accident tad Baalth Inauraaea ahall eet azeoad tha praalua eharftd for tha amount of hi* Aeeldaat tad laalth laauranea, aubJoet to tuch further limitation etberwlte proaldad far
pdoro* aaplorod In tb* State of Haw Tor*.
Zaeh bplora* who** Llfa laauranea haraundar 1* raduead baoauaa of hi*
rwtirraaat, ahall hara tha aana prlrllaea, an tha data of aueh raduetlon with iwspoet to tha oxeat* of,
(a) tha amount of Life laauranea for vbieh aueh employe# Ml insured haraundar on tna day imediately prior to tha data of aueh re duction, over
(b) tho eaount of Llfa laauranea far vhieh aueh t^loyee nay ba laaurad haraundar as aad after tha data af aueh reduction
tf It applleabl* upon termination of euploynaat, a* *rt forth la Section 9 haraof. __ ______________________________________________________________________
rn 7
7-77 - /
` METliOl'OUTAN LI Hi IfVSL'ttA.NCt COMI'ANY
Cniup Policy So-------- S5Z7-v.--------------lictrinj; time nf--Hay .29. .2940------ lml in-uring ihc Employee' of
illoui:
mi-3Lma.M-- S-H*--A-t.U..T..f....... UC*---------r
... .
____ --in licrcliy' amcitdeU
Effective Hay 1, 1954 as to Baployses at Kanhein, Penasylvania actively at work os April 30, 1954 ane uen *nploycts saployao *ub-e;uent to teat oat*, efieetive 03 uie data of his return to aetiva wore as to a37 such fspao/aa ost actively at vow oa April 30, 1954 ant effective May 1, 1954 as to all otaar inpeoyeas,
A, By aubstitutlBa for *oata of change in the teployee1* oceupatisnal class*
appoorlnj 16 tie sixth throuy> ninth lines in Section o oa Pa*a 2a of sola Group Policy, the fallowing;
February 1st, Kay 1st, August 1st anti November 1st of each year,
based upou the Enployee's earnings in sac:, preeauiap cejanc.Tr quarter as to &pioyees at hanneia, Pennsylvania, ana in to ease of any other Csployee oa the date of cnaaje la tae ^plo/e' occupational elnaa*
B. By substituting for tAs Schedule of Insurance sad bployees' Hiximm Con tributions, as aannasi, in sain Section 6, tae feliovimi
"Class
Baployee* asploye. at Handtin, Pennsylvania with weedy aamnp, (ee ceteralneo by the fisployer) oft {50.00 or sore............... lets than 53.00.......................................
Life Insurance
Accident ana Hsslth Insurance
--LVlMte-feHSa.^
635.M 31.50
Esplcyeee of e class er unit specified in Scneoule a aereof........... .
28.00
bpleyees of Central Asbestos and Itabber Uvliiaa..................
20.00
All ether Enplcyee*........................
28.00
*0 Accident sad Health Insurance is provioeo hereunder far say Dpleyee em ployed In dew Jersey.
hat tbplsyas er ayed in lew lark State who eoes not cake written requeat fer life Insurance nereunaer shell be insured acreinner for Atcldaat aaa Health
Insurance only.
Tbe aaount of Ufa Insurance ts to aqr InpIcTee of (1) MndatUs Ibitber Otrlaiaa, (U) Vsbase livielea er (ill) General a.eaatoa sen Robber liviuloo
retired on nr eubse^uant to (i) October 15, 1951, (U) Eeptenber 22, 1952, er (tu) January 2, 1933, respectively, snail be 1,030. Tae twt ef Lila Insurance ee te ear etaer reUrea tafXattm euli be tne inveit ef life Iswaut in scree ee kis occount him--tt Im ay tor>iaUiy presoaind toe uate of ala rv-
ao.j e
rw a
5577-*
-2
Ho rotirtd Zaplo/oc ua ao taploytc of clast or unit tpoeifit-d in Sehsauis A Atrtof 'in*ll bt requirtu to eontrieuto to t-. coot of the Life Znsuranea. Too aaoont w--iei. m/ other toploytt at/ eor.irisut* to tnt eoirt of to* Lift In-urtnca tntU net txetts 0.e0 ptr non-". (CO.L. pr wteu ia the cost of tb/ IsfXoft* vua contribute* vttal/) (,cr J,,0a) of Lift Insurance too tat taouat -uieh u; teplo/tt **/ eoatrlcutt to -`.I ec.t of U:t Aesittat ao dealto Insurance m*_U not txett. tot prtaiax esar*tt for the taount of hi* Acel-tat too deal to Iaurtae*, lubjict to tuen furtier liaitaticn ototrwltt protista for Eapio/tut aspie/tu ia tnt SUtt of Lav Toro.
Saeh ZBplo/at whoaa Lift Insurance hcrtunntr is rasuett because of hi* rttimscat, aatil have tat on prirllt^t, on tat -at* of auea rtauetioo, with rttptct to tot exea-s of,
(a) tht aasuat of Lift laruruot for which tuen Sapioytt v*a injured
htrtiatdtr on tot ia/ linediittl/ prior to tot uatt of tush re duction, over
(bj tht aaouat of Lift Insurance for which tuen Ssplg/oi smj bt laaurod hsrouantr oa au after the oatt of tuen roouetioa
a* it applicable upon ttnLiaUoa of tapio/atat, aa aat forth In Stetioo 9
baraof.
... -
>
The foregoing tmtnJnwnr it to he attached to and made part of laid Croup Pudc/.-aad at aubjeet to the a*n otau and csrcaanci rhtrem caniaaiad.
i ----------------------- ----------n______^ay ,r..Mrrctaa_
caract pus*- mwef ugnopourax ur injuuncc aonraxTokmtc
lifted at-.JkK.XMk,.
z~My of___JSaptambor..
19. J.
ttciMrauTax un iNHauhn: compam
ft
METKOrOUTA.N UI'l- INSURANCE COMI'A.VV
Croup Policy .Vo____ _________________inannf iLiu nL.iley_29j
___WWS3TPS,,-.JM2ums.JXC IHm fiM IM Mvm t* I
cilowi:
'
Iffeetlve,
it'd insuring the Eiujtlmci-. o uherctiv anx.-mk'?
(i) * to Salarivd Eaploytes of KtnhstUn hibbar Dlvizion other than =pioyei on the Mein Offiee Payroll, end v.i to <U fisployevs t Nevnah, vi*;oniin, on Jenuvry 5, 1954 J to sueh lialoyees setlvcly at verb on that dele rjta rath StpXtyert esployed subsequent to that dnta, use effective on the d-.te
or hid return to active word as to any euch fcployes not actively at word on January 5, 1954,
(11) at to tepl^-eea cubjaet to the Bercalda* Afrecer.t between Henhattin Robber
Civilian rnd Manhattan Ribber Workers Independent Union, Tnc, on February U, 1954 to aueh Srpieyeei actively at vor< oa tint dtte and such Raployiei aaployed eubaequent to that data, and effactlve on the date of hia
return to active work aa to any aueh fcploytv not actively at work on February 11, 1954,
{ill) aa to Biplcryeej vho treasbera of Manhattan lidpe 1679, International
Association of Machinists, on April 1, 1954 at to aueh faployee* actively at work on that date and aueh teployece deployed aubseruent to thr.t date, and effactlve on tht date of hid return to active work aa to any aueh Srployee not actively tt work on April 1, 1954, and
(lv) January 5, 1954 aa to all other IRployeea,
A. By adding to aald Croup Pelley aa a part thartof the attached Schedule A.
B. By adding lsvdlatoly prior to Section J on Fage 2 of (aid Croup Policy , the follovtngi
Applicable to Eteelrreet of the -.-rlf end cl--s specified In Schedule A
hereof. Notwithstanding sqrtslng In Section 3 hereof te the contrary, the Life Inaurance hereunder on aigr Itoplcyee who v*s not Insured hereuader on the data applicable te hit unit or el*ia aa specified la Schedule A hereof (hall baccre effective no the later ef (a) the dete applicable to his unit or rlsis as spaeifled la Schedule A hereof and (b) the data of his eligibility Itr aueh insurance hero-
wider, provided bo is actively at work aa sueh Istor date and If net than actively et work, oa the data of hi* return to active work.*
C. By adding lraodiItaly prior to Section 3 of Croup Hospital bpaaae Insurance , Supplaseetery Agreement Fern C.B.F.6331, Croup Surgical Operation Insurance Supplementary Agrecoeot Fore G.S.F.6303 aad SupplaonUry Hospital Benefits for Physicians* Attendance Suppl*asntar7 Agreausat Form S.(39LJ>PA B., attached to said Creep P0U9 aa parte
thereof, the following1
Aonlleablv to frreloroo* of the units end classes sreclfled la Schedule A hereof.- Notwithstanding earthing la Section 3 hereof to the esatnrys
( ' (a) She lasuraaes herounder an his m ecuwait of SspUyoo who was not
to Insured harinnder on the data applicable te his unit or class aa apedfled
la Schedule A, attached to aald Bcuup Pallor w P^rt thereof, shall beeene effective aa the later af (a) the data applicable te his colt or nlaoo aa pacified la aald SrhoAili A end ( the data of his eligibility far nach
Insunace tierousiar provided ha la actively at work aa neh later data aad If net than actively at wacfc, m She data af hls return to aatlvo work, aad
ZlTSf
11BMM m. *
ti
l <~l 7
SJ77-C
-2-
(b) Th* insurance harsunder on account of hi* D*ranl*cts of my Ssple-.-oo vho v not 10 insured on tha data applier.bl* to hi* unit or class is insclfiii In llf Schedule A shall baecn* vffaetiv* on th* latest of (1) the data anpliesbl* to his unit or eltss as specified in said Schedule A, (11) t.-.s data of'his
alljiblllt/ for such lasuraneo haps-.-nior or (111) th* affjeiiv* date of to* in surance herrandtr an his own account.*
D. By substituting far th* Schedule of Xnsuraoc* and toclovaas1 Haxisrs Contribution*, as aaandsd, in Section 6 on fife 2a of said Croup Poiiey, the faUovlag:
Class
toplcyees of a class or unit specified In Schedule A hereof
toployses of General Asbestos and Aibbar Division
All other toployses
Ufa Insurance
fjox.oo
2000.00 2000.00
Accident and Health Insurance
(Vs!l* Benefit)*
$26.00
20.00 26.00
"He Accident end Health Insurance is presided hereunder for 19 topieya* anployad in Hav Jersey.
Any toployee esployed in Hav Tar* State who doaa not uti vrittan request
for lift Insuranea htreundar shall 0* insured hereunder for Accident sad Health Insuranea only.
The aaouet of Life Insurance es to any toployee of (1) Manhattan ftabber Divisioa, (ii) Vahasa Civilian or (ill) Censral Asbestos cad Ihtbbtr Eirtsion retired an sr subsequent to (1) October IS, 1931, (11) September 22, 19*2, or (ill) January 2, 1933, respectively, shell be (1000. The a*.oust of Life Insurance as to 17 other retired toployee shall be tne anount of life Insunae* in force ee his aesouat htrender so the day ISMdictely preceding th* deta of his rstlrsaeat.
Ho retired toployee sad no toployee of a class sr tatlt specified la Schedule 1
hereof shall be required to contribute to th* cost of the life Insuranea. The anount vhleh lay othor toployee nay contribute to th* eost of th* Ilf* Insurance shall sot exceed $0.60 per aoath (03.If par wee *, la the etse of aiy bplcyee who eootrlbutae weekly) per $1030 of Ufa Insurance and the mount which aqr toployee eay contribute to tha eost of the Accident and Health Insuranea shall aot exceed th* proxies charged far th* anount of his Accident cad Health Zasureaeo, subject to such further Ualtatloa etacM.se provided fer toplsyees suplayed la the State of Hav Tort.
faeh toployee whoa* Ufa lasurtaes btrmdtr Is redaoed because of his r*tires*at, have th* ease privilege, oa th* date ef such rsductlae, with respect to the
excess of,
(*) tha aaaont ef Ufa Insures** for which nob toplsy** wua Insured torsender tbsdv irssimtely prior t* th* data of noh reduetlau.
(b) th* aaount ef Ufa Issurusaa tor which such topleyee ny to Insured tomndsr ee aad after the data af nth redustln
as is spplleebl* apse tanlaetlsa af aspl^ucat, as ssl farlh la Section 9 hereof.*
6MBBMR BO.-
Mrn 'OUT.W Lil-K lNSURANUi < MPA.W
Croup 3`oIjcj No.. Xl /allow*:
S577-C ...... iuibest:
bedring d.te of .May 19, 1910 M.;sKAr:;j, ikc.
snd insuring he tmpln>c cl it here!))' amended
I. Effective February 1, 1951 deleting Parts II, III and IV of the enend-
nt oa Fan 5955-5 dated at Passaie, 11. 7. an the 11th sty of Stpteaber 1951 jnu ,t Maw lark, K. I. as tne second day of Oetsber 1951.
II. Effective February 1, 1951 as to tha Aeeider.t mi Health Inauranee viva
t to Eaployees aaployad in Saw lor- Stan, if suCitt-
for Section 2, at
eneodod, on Paso 2 of said Croup Policy, tha fallowing:
Saetioo 2. ZUIISILITT Of OIPWIE3.- All Isployaas who have eoaplated three sonthc of eantliaiauj service an February 1, 1951 tra sliglil* for Anxjrtnce hertusitr on February 1, 1951. Ssployaa* vie Hava not ceapleted three aonths of eectlauou* eervlee on February 1, 1951 and Isployees em ployed rabsepuent to Uat data (hall ba eligible for isduri.-.ee barausdtr
oa tha day inaadiataly follawlod tne data of eaapletiep of torso noothj of continuous tar>lea.
for ths purposes of detomlnin; affaetiTC dates si tha Accident and Health Insurance la accordance with Saetioo 3 hereof,
(1} each Bsployee arp-lryei in Ftv Tort State vh; la i! jltla far Aeeldant and Health Insurance hereunder oa litruxry 1, 3951 shall be deahad to Le actively at vjrk on February 1, 1951 unless bo la abaact froa wort; on February 1, 1951 tasters cf a disability
cosssneing prior to February 1, 1951, and
(2) all tepleyees ec.-l'ye 1c Few Tort State sh: 11 Is Peered to bare aado written rtiyueit for Aeeldent and Health Itrntss hereunder prior to the date cf their eligibility tiertfir.*
III. Effective Jcnutry 72, 1951 as to Employees ef the Cecarsl Asbestos ririrler.
who are actively at work en that date and such Incl cysts ec.pl mi subsequent tc that datr,
tffoetivo as tho dstr ef hit return U aetivo vers as to ad.;* Idplrye not aetirtly at warl
oo February l, 1951, and affective February 1, 1951 as to all slier Ssplsyeet, by sub
stituting for the Sehesuls ef Insurance ana Inpi "-sot'
us Icctrlivticsb, as anendsd,
In Section 6 or. Pigs 2a of said Croup Policy, the following:
Slut
Ufa
Accident and Health Insurance P'eeklr Benefit]
Kasim Amount Vhieh the
a--iy
sataxtM*. $4larl*d
Ssiatm
fintaf**
Espleyees of the MeRattan Eubber 11vision: Hourly laplcyets st Xeensh, tisccsiin
ill iaplsyess skploycd In How Jerk Ststo
ill other Zkplsyees
11003.OC
1000.0C. 1003.00
$10.00
23.00 Ho Insuraneo
SS.2A weekly
0.13 weekly* $0.26 oosl-neethlT* 0.13 weekly 0.26 ssnl rrcthly
Bsployses of the United
States isbastes Civilian:
fiepldyad in Hrw Jerk itst i 1000.30
Zspleyed tleewbere
loco.00
teploysss of tho Conor*! io1000.09
33.00 21.03
20.00
0.33 weekly* 0.13 weekly 0.16 weekly 0.36 weekly 0.15 weekly 0.3$ weekly
*
iny feplsyee plnysd Is host Tort State *e dees net sake written reruest for Lift Insurance homsdor shell bo insured heroissuer for iacldant and Health Insurance only.
flue ecntrlbwti* fbr UtUnt and Health Insuraneo ef ore-half of IS of none! earnings to o wdM of S.3t weekly or 12.65 ftsl-cnthly .
0 MIPOIbtOd
r
-s-
IV. Effective February 1,- 1931, b7 eubstltatin.: far t-.e fourth paragraph of Section 7, as taoadod, on Pa{e J of said Group Poll:/, the foilowinji
|
For disability csuced by airy oao ?re;nanc7 or rvruliin; childbirth or eaaplications, oot boro thus tlx wooas' benefits shall bo paid; provided, however, that so paynent of aqr bind shall bo aade for nti dilability if tho prejneney existed on Um effective date of the Stalcyte'i Accident and health Insurance hereunder union. In the ease of an Ltplcyee rapleyoi In Mow tork State, sueh effective date Is prior ta harsh 5, 1951."
V. Effective September Ik, 1951, by deletlac Fart II of the aacadaent dated
at Paaaale on the eovesth day of Bovenber 1951 and at hew Iora, S. I. 00 the fourteenth day of Vovaabcr 1931.
* 91. Effective September ll, 1931, by addin; the foilavia; claasiflcitloD, aaousts of insurance, and Employee's Haxtxun Contribution ta the Schedule of Insurance and E&ployec's Karl tun Costrlhutioaa, as snanded, is said Sect!an 6, the follovinji
I
'Class
life Insurance
leeldest and health Inruraaee
fVoohlr Benefits)
haxlSB laouat Vhleh The Eaployee Mor Contribute
Hrirl- jral-rreei Salaried ittlov*
|
Employee* of the Vabash
Division
11000.93
$28.30
$0.13 weekly $3.15 weakly
ted at *V_ICirk,.Jt.X*.-------- iMi ..iMBl't-Ji ll'ili
Mr
...19.5^
metwoutax un bowunce oompavt.
1
fn i
<rcr<r
MH'!!' ''OLiTAN UI'K INSt'KANCi: I MPANV
Group I'olie) No. *577-C
..bearing date of Mt.7 19, 1943
............................. ................nmssrcs-Mw/x/.rrAS, ihc. follotra:
end insuring the Km |u; CO o it hereby ameitdcc
I. SffeetiT* Septeaber Li, 1951, by extending the seining of the word *toployee* to include certain taployees of the We Oath CiYijlon of the Bcployer and by tub-
ititutiac for Section 1, aa eaeaded, on Page 2 of said Croup Policy, the foLls-jlnjt
Section 1. D3THITTQN OF IHK WOPJ 'DiPUrS'Tie wort 'laploye:' at ueed in tni Policy aecna a full-tine entloyee directly en closed end eoapenected for serrtees by the Manhattan Rubber ClTitian, - the united States iibeitoa drtsion, the Senertl iataatsi and rubber ClTitle, or the Vabash CiTiaien of tha Deployer.*
II. IffeetiTe Septeaber IX, 1951, by aubititutisg for tha Sehadult of Inauranee and Hkployees' Hajdaun Contributions, as aaeaded, in Stellar. 6 on Page 2a of acid Oroup Policy, the followings
'ltU
Life laeuraee
Saployeea of the Manhattan Rubber 01rielon; Dbplbyeee employed In Hew lork
Stotts Salaried bployees..........................$1000.09 Hourly Ifeployeea.............................. 1000.00
Sourly Dsployeaa at Haanah, Vlaconain.............................................. 1000.09
All other Deployes* of tha
Manhattan Rubber ClTllions Salaried Saployeea.......................... 1000.03 Hourly Bvloyoea.............................. 1000.00
ieeident and Health Inaunnee
Weekly Eenefit)
$26.09 22.33 10.09
Ho Xnaurusce Ho laaunas*
HaTimm Mount Vhich th* taployee
Mar Contrlbst.^
$0.36 eeal-*cnthly 0.13 weakly* 0.24 weekly
0.26 aeat-aenthly 0.13 weekly
bployeea of tha Bolted Statao Aabeataa SlAiia..,,........................ 1000.00
a.
0.16 weekly
Dployoas of the tmnl Albertos and Rubber Urtalan........................
1000.09
Zhployees of the Vabaah Dirtsine.. 1000.00
x.os
2S.00
0.15 weakly 0.13 weakly
Plssa eontrlbutlas far Aaaldaat and Health Zasunaa* of J of IS of aaraal aarolnga to a autn of $0.39 waakly r $9.6$ aanthly.
HoMs Motwlthatending anythtag in Sactlnn J haraaf M tha etrary, a* bploye* cplayag la tha SUM of Iw Teak (hall ba recplrod to aaka esittan roqpaat in ardor th ha laaorad haraundar for Accldaat and Health Zhanna**."
ph y -2-
It ie understood and agreed that: 1. Sotwithstandind anythin la add Group Policy to the ecntriry, all Employee] of
the V* bach Diriiiorr vfta hare eoapleted three santha of esr.tmucus semes oa Septeabar 11, 1951 shall be ali^lbls for insurance under itiu Group Policy on Septaber li, 2. The forefolnf inendaent ihall not bcoae sffaetlra uniats at least 751 of the total aunber of Zbployees at too Wabash OiTiaion eligible for ir.rirtnca under said Group Policy on Sept eater 11, 1951 snail hare xtie written rtrjest therefor in eccerdenee with the echcdule as set forth ataore on or prior to September 11, loti.
cd at " * * b- tmawrt>day w_J2SS*5-----------------------------------
Pm f
gezz
KETROrOUTAB LITE IIEUJW3CX C0f5-^T
Acts of
ff*ell J.'-nuhj" ii. iqi. Croup Policy Mo. aad lacunas t& Employees of
bearIn*
p-limTua -
i.;;.
(Herela called too Eepleysr)
is hereby aasodtd by restitutio* tar "so ladlrldual policy of life lasuraaee oaly," m the tsatb sod eleventh lines of rebssetloa 1 of Section 9, tstitl4"?BIYTl3 or
amiiinc ab narasuu, pouer or un osuvucr-, of ssid cm? Policy, to* raimio*:
*ao Individual policy at UPe lasunace oaly, vitboat Disability or
Xktod at < iiir 'itiiit AA. (uitaass)
tUl.
mil
Ur cfjiaisato_____ wjl
HKtsiJCSOa -
C.C.________
(tsploycr)
-2
Ast't Trss.
(smcx axuv rt* cbx or murouta an
Datod at lav Isit. 13,
ccenuff 0B7)
.dap af October
19 51
eaouor,
j' y
prrr
METK' 'OUTAN L.11-T. INSUllA.N'Cli C Mr.V.VV
Group Policy No.. u JoiJoH j:
5T7--C
..bearing dale of Mny 29, 1CAJ
........ JUTBTSTOb-m'H/.TTlN, INC. UlMuiHwiaHm
ar.d insuring the !,mpii; n. m is hcreb) amcnU.'U
I. Effective June 30, 1950,
A. By deleting from laid Croup Policy the aaendnest appearing on Fora 5955-0 dated at Paeeaie, *ev Jersey on June 6, 1953 tad at Nau tors, M. T. oa August IS, 1950.
>. By adding to Mid Croup Peliey, tbo fellevisgi
All proaaat and new iapinyec* taployvd la Nev TdriC Stata ahull ha aseluded fro* aligibillty lor Aecldant ana Haelth Inauraac* btreuctr and tha leeldaat tod Kiaitn laauraaca daroundar, if any, on all aueh Eaployees ahall ba uitc aatleally dlseostlmsd os Just 30, 1950.*
IX. Effective Tebrutry 1, 1951, by trtmdlsg tha setting of tho void 'laployee* to laeluda eortaln espioyees of Tha Kaahattas luhbar Blrieloa employed la tha Stata of Nov Tort.
Ill. Effective January 22, 1951 aa to Employee! of tha Soaaral Aabottoa Division who arr actively at work on that data and rush Employees orw ployed cubsequat to that date, effective oa the date of hla return to active wort ee to asy aueh laployoe act actively et work os January 12, 1051, effeetlve February 1, 1951 aa to porloda of ilaabillty eoaacscixg oa cr after that data la tho eaae of an I*ployee aapioyed Is the State of Rev lora, asi efftetlva January 22, 1951 aa to eay other Beployee, by substituting ter taa acbeduis of Insurance end ZSployvea' Hartaan contribution*, ea aaanded, Is Section 6 on Pago 2a of Mid Croup Policy, tha following:
Qeee
Ufa Inaurence
Espioyees of tha Kaahattas Rubber lirlalon aa|i1iijari la
the State of Haw Sstfei Salaried Bsployeet............ Hourly Espioyees...........
hourly Esployeoa at Seesab, Via. All other bployeee ef tho
Manhattan Rubber Oivtaiaai
Saltriad Espioyees......... Hourly Espioyees....................
(2000.CO 1000,00 1000.00
1000.00 1000.00
Employees ef the Halted Statea Aaheatoa Divialaa............. 1000.00
Espioyees of the Gaservl Aabertaa aad feibber Blrlelea........... 1000.00
eplas eestrlhrtlea fhr it f aorssl aarelrgo te a
Accident end Health Iaaurtsee (Vaeldr benefit)
Herd ere AaeuBt Vhleb the Esployee Kay
Contribute
(2S.0O 2d.00 10.00
00.26 eaal snnthly *
0.13 weekly 0.2a weekly
He Jsaurenee He Iseurtaoo
0.26 smJ soothly 0U3 weekly
21.00
0.16 weekly
SO.C3
005 weekly
ead Health Xaeanace ef 1/2 af 11 ef JO.JO voerjy er {3.65 bail sentHIy
l t
+m*m 6
{
. phV
-2-
Motvithataading anything la Section J hereof to the contrary, SO laployee esployed la the State of Nov fork ita.ll be Retired to she written requeat In order to bo Insured horouaoer fer lecldoat end Health Isfurxaee.'
IT. Effect!** February 1, 1951> by eubatitutirg for the fourth para graph'of Section 7, ea caeaded, ea Pap 3 of aald Croup holley, the following:
For diaahility ecuaed by any one pregnancy er reaulting childbirth or coaplleatlosa, sot eon than tlx veexi' beaeflta aha7.1 be paid; prorlded, hoverer, that no payaest of any tiro hall be aede far auch olaablllty If tha pR|naaey exlatad SB the effeetlTe date of the fiiployee'a leeldeat aad Tietcto Inxuraaee hareundar uhleaa, la tha ceaa of an Zhpuoye# of to* Kanhatua Rubber Cirlaloo anployed la Sew lard State, rueh effectir* date la prior to March 5, 1951.*
It la saderttoed aad agreed that aocwlthstandiag tajthisg la aald Croup holley to tho contrary, eeeh lapicyea aaployed Is tha State of Sew lord who hna eoapleted three aoaths of eoatlousua aervlca oa February 1, 1951 eball be