qa rary G te] tober | Memorandum For: Chief, Insurence Branch/BSD/CP This is to advise you that Jeremy K. Benadum has been employed under an Agency perscnal services contract effective 25 September 1967. The Contract authorizes participation in Civil Service Retirement, SEGLI- and Federal Health Insurance, Subject's contract’ is the administrative responsibility or DDP/WH . : Chief Contract Personnel Division Group 1 SECRET Excluded from automatic towne : grading amt declasadfication
14-00000 a in a MEKBORANDUM FOR: Inguranco Branch Nu ha - FROM : C/¥H/CONTRACTS “. SCBJECT : Applications for Hvalth Insurance The Employeo Payroll numbers for tho attached: are ag follows: fot o> on ae ae 20 a an mt oo oo oe 33174890 JEREMY K, BEMATUM mw nmmncenae 058895 aon mn me i] S249 Re the sbove AMUT~H262 dated 18 Sept. 1967, which trangoitted the attached applicationa, atater: "All of the above Personne] have requested that their Dependents, ae liated under their current contract omployes type Health Insurance, be covered under the now Health Insurance for which they are applying." Wm. Renehan \ ODP/BH/Contracts/W#SRerehan: yt (9 October 1987) i O 1 - Addressee ‘ 2 )+ BHYContracts
14-00000 Rel -ite 6-T PA, JEARSZ 2. BREA DOM teeter ea A REE MN ete EP RL EEE PEE uss Dear str, BREA DIN : , 3 . = EESP-mTTNQ OO Oca Ree ee ETE ID IMIR ECOG IOP NPT . . . The United States Government, ag represented by the Con tenn ting: Orficer of this organization,. hereby contracts with yuu, a8 A @catyaog Career: id Agant muagloges und:r the terms and conditiona set forth below; . ‘ 1, Hov Benefits. By virtua of your employment relationship : under this agreement you are: : . : : a (e} Covered under the Clyil Service Rebirewes? Act da conformance with rulea and reguistions spolic appointed eaployses of this organization, roa tas . ‘baste compensation pala you hereunder thera anail be deducted tha appropriate rate percentage (presently , i 6-1/2%) for deposit aad eventual cretiting to tne Civil ot Service Hetirement Yund, Soctal Sacurlty deducticna required by virtue of your cover activities will nor be ‘ relaburased you by thia organizations, (b) Covered under thu Federal Quployses Group Lifts Iusuranes Act in conformance vith rules and rogwuationg applicable to appointed employees of thie organization unlese you szecute a yvrittcn vwatver af auch coverage, Tha Government is precantly authorized to bear a por- tion of the prenius-cost; you will bear the reacaloder, (c) Eligible for coverage under the Federal Employes Health enefite Act in conformance vith rules and regulations applicable to appolntal eaploynes of tnis Organization, The dovarnmment is presently autnorizad to bear a portion of the premiusa cost, you wlll bear the rewalmier, Because of your aligiotiity unter tuis Act (whether o7 not you choose tc earoli), your coverage umder the contract enployece healt® progrnaa soal) cease, thirty-one (j1) days after the effective date of tata agresment, 2, Your previous contract with tha United States Government, efrsctive wy meres eaAe ia herein terminated by @utual a | content of tne parties Unerate. “By 3. All provivions cf sald previous ceatract not is cosflicet with thie agreement are iusorporsted by reference toto antl sace 4 part of this agreessn:, 8-B-C-Hie BF?