Fillable FOR CITY OF DALLAS - dallascityhall

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GROUP BASIC AND SUPPLEMENTAL LIFE CERTIFICATE OF COVERAGE FOR CITY OF DALLAS POLICY NUMBER: 301515 EFFECTIVE DATE: January 1, 2008 If there is a discrepancy between the provisions of the Employer's on-line or printed Certificates and the provisions of the Certificates furnished by the Company, the provisions of the Group Policy will prevail. TX UIC City of Dallas Retired Employees (3-08) IMPORTANT NOTICE To obtain...
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