Finance Committee

Prepare. Protect. Prevail

THE =
HARTFORD
Business Insurance
Employee Benefits
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Prepare, Protect. Prevail

THE
HARTFORD

Business Insurance
Employee Benefits
Auto

Home

Doing business with The Hartford is about much more than price. We deliver on our promises
every day through product features and responsive service targeted to you and your employees’
unique needs.

MyTomorrow*: Heip Them Protect What They Earn

Thai's especially true wnen the ey re enrolling for
m up io © Seeoe uy omer TOW vit ae

Prepare. Protect. Prevail!

Prepare. Protect. Prevail:

THE sos
HARTFORD

Business Insurance
Employee Benefits
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March 10, 2016

Larry Budreau

City of Nashua, New Hampshire
229 Main Street

Nashua, NH 03061-2019

Re: July 1, 2017 Renewal Information for Your Group Benefits with The Hartford
Dear Larry Budreau:

Prepare. Protect. Prevail?” (

THE molec
HARTFORD

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Employee Benefits
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March 10, 2016

Tom De Lacey

Workplace Benefit Solutions/HUB International New England
1667 Elm Street, Suite 3

Manchester, NH 03101

Re: July 1, 2017 Group Benefits Renewal Information for City of Nashua, New Hampshire
Dear Tom:

POLICY PROVISIONS
(Continued)

POLICY PROVISIONS

Entire Contract

The contract between the parties consists of:

e the policy;

© the application of the Policyholder, a copy of which is attached to and made a part of the policy when issued; and
e the applications, if any, of each insured person.

PREMIUMS
(Continued)

Premium Payments
Premium payments are due and payable in full to a place designated by Hartford Life or, with respect to the initial
premium payment, premium payments may be made to an authorized agent of Hartford Life.

Payment of premiums for a period before it is due will not guarantee the insurance for that period.

Experience Rating

If the policy is experience rated, any credit amount due the Policyholder will be allowed him on the Policy
Anniversary Date and, at the Policyholder's request, will be:

PREMIUMS
(Continued)

Change in Monthly Premium Rates
Initial Monthly Premium rates are guaranteed as follows:

Basic Life Insurance until 36 months
Supplemental Life Insurance until 36 months
Accidental Death, Dismemberment, and Loss of Sight Insurance until 36 months

Subject to the Rate Guarantee period shown above, Hartford Life has the right to change premium rates on any
premium due date if:

e written notice is delivered to the Policyholder's last address on record; and

PREMIUMS

Initial Monthly Premium Rates

The initial monthly premium rates to be charged for employee Coverage and/or child/spouse coverage, if applicable,

will be:

Basic Life Insurance $.113 for each $1,000 of Group Life Insurance

Supplemental Life Insurance

$ for each $1,000 of Supplemental Life Insurance
the monthly premium rate shall be determined in
accordance with the Insured Person’s Age as follows: