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PLAN DOCUMENT AND
SUMMARY PLAN DESCRIPTION

FOR

INSURANCE COMMITTEE OF THE ASSESSORS'
INSURANCE RUND DBA LOUISIANA ASSESSORS'
ASSOCIATION

EMPLOYEE BENEFIT PLAN

TABLE OF CONTENTS
Introduction
Highlights of the Group Employee Benefit Plan
Schedule of Medical Benefits
Schedule of Medical Benefits (Table)
Schedule of Prescription Drug Benefits
Schedule of Dental Benefits
Definitions
Persons Covered and Effective Dates
Preferred Provider Organization
Deductibles and Out-of-Pocket Expenses
Medical Benefits
Utilization Management
Prescription Drug Benefits
Dental Benefits
General Exclusions and Limitations
When You Have a Claim
Claims Payment and Appeals
Coordination with Other Plans
Termination of Coverage
Continuation of Benefits

 

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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