Document xjxnVZ9VrQ9653Noj5eBq5p76

awm HWIMI.U >**- Tho Seaerable iBehasd *., Kmrt Superintendent of Xaaurmaeo How York Stoto Zneuraace Popart--at 32k Stoto Stroot Albany, How Tork 12210 Metropolitan Li Re Uoo of Oro<9 Aqi--at font 0*9373 - (Doportoiat Cootrol #670*0230) For the Rayboetoo - Manhattan* Incorporated Door Mr* Stovort Metropolitan waived, on April 18, 1967# opproml of your Popartout for the uae of Group Apreweat For* 0*9373 eubjoet to oartala eoaditioeo 0*004 wtdLek woro tho subaiooioe of coploto iota concerning each oaoo which any ho written a* that for* both vithla aad without How York Stoto and tho filial with tho OepartMOt of a aoaoraaAu* Juetlfylag tho rato to bo ohargad la oach eaaa. Alao tho Cartlflcye For* far uoo la oach ouch eaao *uot ha filod far approval prior to ita uoo* I Vo will underwrite# effective August 1# 1970# a* arrongMont rnntulatoff hy Orotv Agraimt For* 0*9372 far Rayboetoo - Maahattoa# Incorporated# whaoo load Offieoo are la BrUfaport, Cooooetieut. thla lottor portalaa to tho Moiieal Cara laaur* aaeo presently iafareo with Motropolitaa a* all plnym la tho felted Stotoo. Clolaa will bo preooaood aad paid hy Motropolitaa by *aaaa of drafta dx*wa a* Roybeetoe - Maahattoa, Tha Medical Cara eoweragee eoaalat of haala hoopltal aad surgical benefits with auporl^naod Major Medical iaouraaoa* Medical Care Ineiiianne haa booa laforco with Motropolitaa for *ony years aad thea la expartoaoo rated at the proeoat tiae. loployoaa ooatrSbato a portle* of the ooat. Tho attached aiantindn* ehowo tho mtoa to ho laolulad 1* Agriwiat For* 0*9372* A separate letter will ho east to yea --aowing the Certificate For* to bo coed. Aceoclate Actuary Aagua* il, 1870 T"---Of Thl# iwiiriiM stow* 1m aaauato to bo laaludod la two pararapte of >kt--n font 0.9372 ilw attanhal to Mrtropolltaa'i Ore-- Ineuraaco niie; with Bayboot-- teahattan, Ineoiporatod. tto --oust* to to ebova ud.tt* approprlato paracrapba referred to aro oo folio--: 1. In Peragaoh 5. Llano 10 to it - Tho --oust ebowa boro will bo 120.69* Prior to tbo affaetl-- data of nj.ru--nt Pen 0.9372 Rayboatoa * Nnabatt--, Incorporated la payla to . Motropolltaa for tbo ------a affected by that Ige--t Fora a aoathly pro-- of 122.99 per teploy--. Uadcr tbo propoood tnuj--at tbo A^loyor will -- paid fr-- bla food* -- o--roflato earnest of 19 to 909 of tbo p--lia payable prior to tbo affaetl-- data of Igi--at Fora 0.9372. Tho toatb aad olovoafeb Us--, aai tbo tblrt--ath aad fourteenth 11a--, la peregapd (9) will --at -- foil--a: "$20.69 tla-- tbo a--bor of tejilnjoee roportod by tbo taployor to bo --wore* by tbo Ore-- Policy far date--lain* proal--a far that polloy aootb." 2. Paraar--b 11. 11a-- 6 ant 9 - | 2 8 Tbo aoatbly pr--i-- to bo ate-- bora will bo $2.30 par Ibploy-- nported by tbo l--Inyor to bo 00--d by tba (tee-- Polloy for dotoralalag pr--1--a. Tbla repr--f 300 of tbo pr--1-- payable by tba Wtelnjar prior to tba e$K--tlva data of Am--110-- 0.9372. 11, 1*0 f %