PARTICIPANT EMPLOYERS
An employer may be included as a Participant Employer if the Policyholder and Hartford Life so agree. Hartford Life
will keep a list of accepted Participant Employers and the effective dates of coverage for each.
The Policyholder may act for or on behalf of all Participant Employers in all matters of the policy. The following will
be binding on all Participant Employers:
e all agreements between Hartford Life and the Policyholder;
e all notices from Hartford Life to the Policyholder; and
e all notices from the Policyholder to Hartford Life.
An employee of a Participant Employer will be deemed to be an employee of the Policyholder for insurance purposes.
Coverage for a Participant Employer wil! terminate on the first to occur of:
« the date his premium is due, but not paid; or
e the date on which the Policyholder wants the employer to be removed from the policy. Such date must be stated
in written notice to Hartford Life, and must be after the date of the notice.
GR-11383-HLA(@) PI-2.00
