CM-2015-959 - 10/16/2015October 16, 2015
Matt Larsen
Regional Services Specialist
Customer Experience
Lincoln Financial Group
8801 Indian Hills Drive
Omaha, NE 68114
Re: Notice of Policy Termination by the City of Round Rock, Texas to
The Lincoln National Life Insurance Company (Policy No. 000010167420) —
Employee Benefits
Mr. Larsen:
This correspondence shall serve as written notice that the City of Round Rock, Texas (the
"City" and "Policyholder") hereby terminates as of December 31, 2015:
1) The Policy Agreement for Policy No. 000010167420 (the "Policy") with The
Lincoln National Life Insurance Company (the "Company") for employer paid
Group Long Term Disability Benefits; and
2) The following employee paid benefits: Voluntary Life Benefits; Critical Illness
Benefits; and Accident Coverage Benefits.
Policy No. 0000 10 167420 for Group Long -Term Disability Benefits became effective on
January 1, 2013 with annual Policy Anniversaries commencing January 1, 2016. The Policy
states on page nineteen (19) that "[t]he Policyholder may terminate this Policy at any time by
giving the Company advance written notice." Pursuant to the Policy's, this termination is being
effected via "advance written notice" to the Company.
In addition, The City is terminating on behalf of its employees, pursuant to this written
notice Voluntary Life, Critical Illness, and Accident Coverage Benefits.
Thank you for your attention to this matter. Please do not hesitate to contact me with any
questions.
Si�j/j�e/rJely,
i/ l""__'� v` ///
Laurie Hadley
City Manager
CITY OF ROUND ROCK 221 East Main Street, Round Rack, Texas 78664
[P] 512.218.5401 - [F] 512.218.7097 • roundroMexas.gov
Mayor
Councilmembers
City Manager
Alan McGraw
Craig Morgan
Laurie Hadley
Frank Leffingwell
ROUf�i® ROCK TEXAS
Mayor Pro -Tem
Will Peckham
Writ 8aese
City Attorney
AOMW6 TION DEPARTMENT T
George White
I<ris Whitfield
Stephan L. Sheets
October 16, 2015
Matt Larsen
Regional Services Specialist
Customer Experience
Lincoln Financial Group
8801 Indian Hills Drive
Omaha, NE 68114
Re: Notice of Policy Termination by the City of Round Rock, Texas to
The Lincoln National Life Insurance Company (Policy No. 000010167420) —
Employee Benefits
Mr. Larsen:
This correspondence shall serve as written notice that the City of Round Rock, Texas (the
"City" and "Policyholder") hereby terminates as of December 31, 2015:
1) The Policy Agreement for Policy No. 000010167420 (the "Policy") with The
Lincoln National Life Insurance Company (the "Company") for employer paid
Group Long Term Disability Benefits; and
2) The following employee paid benefits: Voluntary Life Benefits; Critical Illness
Benefits; and Accident Coverage Benefits.
Policy No. 0000 10 167420 for Group Long -Term Disability Benefits became effective on
January 1, 2013 with annual Policy Anniversaries commencing January 1, 2016. The Policy
states on page nineteen (19) that "[t]he Policyholder may terminate this Policy at any time by
giving the Company advance written notice." Pursuant to the Policy's, this termination is being
effected via "advance written notice" to the Company.
In addition, The City is terminating on behalf of its employees, pursuant to this written
notice Voluntary Life, Critical Illness, and Accident Coverage Benefits.
Thank you for your attention to this matter. Please do not hesitate to contact me with any
questions.
Si�j/j�e/rJely,
i/ l""__'� v` ///
Laurie Hadley
City Manager
CITY OF ROUND ROCK 221 East Main Street, Round Rack, Texas 78664
[P] 512.218.5401 - [F] 512.218.7097 • roundroMexas.gov
�hn-Zv�s�ls�!
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
Department .Name: HR
Project Mgr/Resource: Valerie Francois
FICouncil Action:
U ORDINANCE
Agenda Wording
acity Manager Approval
Termination Letter for Group Long Term Disability Insurance
Project Name: Policy
ContractorNendor: The Lincoln National Life Insurance Company
O RESOLUTION
UMA woraing
Consider executing a termination letter for the City's Group Long -Term Disability Insurance Policy Agreement with The Lincoln
National Life Insurance Company.
Attorney Approval
[Z (Attorney
Date
Notes/Comments
Print letter on City letterhead before signature and delivery to The Lincoln National Life Insurance Company.
0:lwdox\SCCInts10124\15001MISC100344316.XLS Updated 613108