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Group Insurance Form
"Need a Group Insurance Form for our tech company with 500 employees, covering both health and life insurance, with international coverage for staff working in EU countries, to be effective from March 1, 2025."
1. Parties: Details of the insurer and the group policyholder
2. Background: Context of the insurance arrangement and group structure
3. Definitions: Key terms used throughout the policy
4. Coverage Details: Scope of insurance coverage and insured events
5. Premium Payment Terms: Premium calculation, payment schedule and methods
6. Claims Procedure: Process for making and handling claims
1. Profit Share Arrangements: Terms for profit sharing, applicable for larger groups with profit-sharing agreements
2. International Coverage: Terms for international coverage when group includes international members
3. Broker Arrangements: Terms relating to broker involvement when insurance is arranged through a broker
1. Schedule 1 - Premium Calculations: Detailed premium calculation methodology
2. Schedule 2 - Eligibility Criteria: Criteria for group members to be eligible for coverage
3. Schedule 3 - Benefits Table: Detailed breakdown of benefits and coverage limits
4. Appendix A - Claims Forms: Standard forms for submitting claims
5. Appendix B - Policy Administration: Administrative procedures and requirements
Authors
Active at Work
Beneficiary
Benefit
Claim
Commencement Date
Coverage Period
Effective Date
Eligible Member
Eligible Person
Employee
Employer
Excluded Person
Exclusions
Group
Group Member
Group Policyholder
Insured Event
Insured Person
Insurer
Medical Practitioner
Member
Policy
Policy Anniversary Date
Policy Period
Policy Year
Pre-existing Condition
Premium
Premium Due Date
Rate
Renewal Date
Schedule
Sum Insured
Termination Date
Territory
Waiting Period
Premium Payment
Eligibility Requirements
Enrollment Procedures
Claims Procedures
Exclusions and Limitations
Termination of Coverage
Renewal Terms
Cancellation Rights
Administration Requirements
Confidentiality
Data Protection
Record Keeping
Dispute Resolution
Governing Law
Force Majeure
Notices
Amendments
Assignment
Entire Agreement
Third Party Rights
Severability
Fraud Prevention
Premium Adjustments
Information Requirements
Group Member Changes
Territorial Limits
Currency
Reporting Requirements
Profit Share
Broker Arrangements
International Coverage
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