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• Specify Open Enroilment Period: <br /> Such person's Coverage Date, Family Coverage Date, and/or dependent's Coverage Date will be a <br /> date mutually agreed to bythe Claim Administrator and the Employer. Such date shall be subsequent <br /> to the Open Enrollment Period. <br /> 12. Extension of Coverage due to Temporary Layoff, Leave of Absence or Disability shall be a period of <br /> 0 days. <br /> However,benefits sha//be extended for the duration of an Eligible Person's/eave in accordance wiih the Family and Medica/Leave <br /> Aci of i993,as amended. <br /> IN WITNESS WHEREOF,the Employer hereby duly executes this Adoption Agreement and the Plan this <br /> day of , 2001. <br /> For: <br /> By: <br /> P ' a <br /> By: <br /> ign e <br /> Title: <br /> AITEST <br /> � <br /> . G�Lf.�� <br /> / �� , p <br /> Title: ��—�- <br />