0000912057-97-010364 Sample Contracts

CERTIFICATE OF REINSURANCE FOR THE AGREEMENT OF REINSURANCE between the WORKERS' COMPENSATION REINSURANCE ASSOCIATION and AMERICAN COMPENSATION INSURANCE COMPANY January 1, 1997 - December 31, 1997 Retention Limit: $1,080,000 This certifies that the...
RTW Inc /Mn/ • March 27th, 1997 • Fire, marine & casualty insurance

This certifies that the entity named above is a Member of the Workers' Compensation Reinsurance Association (Association) as of the date indicated below, and that the Association reinsures the Member's liability for benefits pursuant to Minn. Stat. Ch. 176 in excess of the Member's retention limit for the period indicated above. This certificate shall not be valid for any portion of the indicated period during which the entity is not a Member of the Association.

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