NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FORNational Insurance Services • June 11th, 2021
Town of East Montpelier (the “Employer”) hereby requests application for participation in National Insurance Services of Wisconsin Insurance Trust (the “Trust”) for group short-term disability insurance benefits under a master group policy underwritten by Madison National Life Insurance Company, Inc. (the “Insurer”). The “Group Policy” means only the provisions of the master group policy that apply to the Employer, based upon the coverage requested under this Joinder Agreement.
NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FORNational Insurance Services • November 9th, 2017
City of Holland (the “Employer”) hereby requests application for participation in National Insurance Services of Wisconsin Insurance Trust (the “Trust”) for group long-term disability insurance benefits under a master group policy underwritten by Madison National Life Insurance Company, Inc. (the
NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FORNational Insurance Services • December 14th, 2023
The below named Employer hereby requests application for participation in group term life insurance benefits under the Group Policy issued to the below named Group Policyholder (hereafter referred to as “Policyholder”, and underwritten by Madison National Life Insurance Company, Inc. (hereafter referred to as “Insurer”). The term Group Policy means only the provisions of the Group Policy that apply to the Employer, based upon the coverage requested under this Joinder Agreement.
NATIONAL INSURANCE SERVICES OF WISCONSIN INSURANCE TRUST JOINDER AGREEMENT FORNational Insurance Services • June 8th, 2021
The below named Employer hereby requests application for participation in group term life insurance benefits under the Group Policy issued to the below named Group Policyholder (hereafter referred to as “Policyholder”, and underwritten by Madison National Life Insurance Company, Inc. (hereafter referred to as “Insurer”). The term Group Policy means only the provisions of the Group Policy that apply to the Employer, based upon the coverage requested under this Joinder Agreement.
