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PLAN DOCUMENT AND
SUMMARY PLAN DESCRIPTION
FOR

LOUISIANA ASSESSORS' ASSOCIATION EMPLOYEE BENEFIT PLAN

TABLE OF CONTENTS
Introduction
General Plan Information
Schedule Of Benefits
Schedule Of Medical Benefits (Table)
Schedule Of Prescription Drug Benefits
Eligibility, Funding, Effective Date and Termination Provisions
Eligibility
Funding
Enrollment
Termination of Coverage
Medical Benefits
Cost Management Services
Defined Terms
Plan Exclusions
Prescription Drug Benefits
Dental Benefits
How to Submit a Claim
Coordination of Benefits
Third Party Recovery Provision
Continuation Coverage Rights Under COBRA

 

LOUISIANA ASSESSORS' ASSOCIATION
P.O. BOX 14699  BATON ROUGE, LOUISIANA 70898
TELEPHONE:  225-928-8886/800-925-4446   FAX:  225-928-4677

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