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<br />DRAFT 6-6-01 <br />TML INTERGOVERNMENTAL EMPLOYEE BENEFITS POOL <br /> <br />STOP LOSS/LIFE AND AD&D COVERAGE <br /> <br />EMPLOYER: CITY OF SAN MARCOS <br />EFFECTIVE DATE: <br /> <br />PURSUANT TO SECTION 252.021 OF THE LOCAL GOVERNMENT CODE. THE TML <br />EMPLOYEE BENEFITS POOL WILL PROCURE THE COVERAGE INDICATED BELOW ON <br />BEHALF OF SAID EMPLOYER. <br /> <br />YES No <br />I I I STOP Loss COVERAGE <br /> <br /> <br />I I I LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE <br /> <br /> <br />I I I LONG TERM DISABILITY <br /> <br />I I I SHORT TERM DISABILITY <br /> <br />NEWSPAPER OF RECORD: <br /> <br />AUTHORIZED OFFICIAL: <br /> <br />TITLE: <br /> <br />DATE: <br />