GALLIANO MARINE SERVICE, LLC DBA EDISON CHOUEST · PDF file1039897 01/01/2016 GROUP POLICY...

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  • 1039897

    01/01/2016

    GROUP POLICY FOR:

    GALLIANO MARINE SERVICE, LLC DBA EDISON CHOUEST OFFSHORE ALL MEMBERS Group Long Term Disability Insurance Print Date: 02/26/2016

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  • Mailing Address: Des Moines, Iowa USA 50392-0001 (515) 247-5111

    EDISON CHOUEST OFFSHORE 16201 E MAIN ST CUT OFF LA 70345 RE: POLICY NUMBER 1039897 Enclosed is your updated policy for your amended change or renewal to your group insurance benefits issued by Principal Financial Group. Please note the group policy is amended on the effective date of the enclosed amendment title page. Please refer to the cover of your policy(s) and booklets for class/coverage information before adding to or replacing your materials. If booklets are affected by your recent change, they will be shipped under separate cover. Please distribute one copy of the booklet-certificate to each insured person. If you have questions, please contact your broker or sales representative. If you would like to learn more about our eService package, please contact us at 1-800-986-EDGE or visit www.principal.com. Our eService package allows you to administer your insurance policy day or night, whenever it is convenient for you. With the click of a mouse, you can report employee changes, handle billing, view benefit booklets, and so much more! Thank you for choosing Principal Life Insurance Company for your insurance needs. Enclosure(s)

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  • GC 800-2

    CHANGE NO. --6-- AMENDMENT TO BE ATTACHED TOAND MADE A PART OF

    PRINCIPAL LIFE INSURANCE COMPANY GROUP POLICY NO. GLT 1039897 ISSUED TO

    GALLIANO MARINE SERVICE, LLC DBA EDISON CHOUEST OFFSHORE

    It is agreed that the above Group Policy be amended effective as of January 1, 2016, by striking all pages and replacing such pages with the following updated Group Policy. The effect of this change is to completely replace the documentation of the contract between the above-named Policyholder and The Principal. Therefore, as of the effective date of this change, all prior versions of that documentation are null and void. This change is not intended to renew the contract between the Policyholder and The Principal in any way which affects the time limits of the coverages or limitations as stated in the original documentation. The provisions and conditions set forth on any attached page are part of this Amendment the same as if set forth above. This Amendment will become effective as a Written agreement between The Principal and the Policyholder on the first premium due date following the effective date shown above for which premium due under this Group Policy is received by The Principal. Executed by The Principal as of February 26, 2016.

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  • GC 804 (GM-MOER) LTD

    DEFINITION OF MONTHLY EARNINGS AMENDMENT TO BE ATTACHED TO AND MADE A PART OF

    PRINCIPAL LIFE INSURANCE COMPANY GROUP POLICY NO. GLT 1039897 ISSUED TO

    GALLIANO MARINE SERVICE, LLC DBA EDISON CHOUEST OFFSHORE

    The above Group Long Term Disability Policy is hereby amended, effective as of July 10, 2015 as follows: Insurance under the above Group Long Term Disability Policy to which this Amendment is attached is amended with respect to and to the extent provided below. Policy Form GC 3004-3, PART I, Definitions is revised by replacing the definition of Monthly Earnings for all classes except Executives and Members with a direct ownership interest with the following definitions: Monthly Earnings For Members with no ownership interest in the business entity of the Policyholder or a Participating Unit: For Hourly Office Personnel of Galliano Marine Service, LLC, Sealand Mechanical, LLC, International Marine Systems, LLC, C-Innovation, LLC (other than ROV Operators), Marine Technologies, LLC, FMC Technologies Offshore, Fairweather, LLC (other than Physician Assistants), Fairweather Science, LLC, or Expert Travel of America, Inc.: On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by the Members hourly rate of pay multiplied by the number of hours the Member works in a regular work week, not to exceed 40 hours per week. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings reduction under a qualified Section 125 Cafeteria Plan or Health Savings Account. For Hourly Office Members of Good Job, Inc., Tampa Ship, LLC, La Ship, LLC, Gulf Ship, LLC, Cajun Iron Workers, Inc., American Custom Yachts, Inc. or American Recovery, LLC:

  • GC 804 (GM-MOER) LTD

    On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by the Members hourly rate of pay multiplied by the number of hours the Member works in a regular work week, not to exceed 40 hours per week. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings reduction under a qualified Section 125 Cafeteria Plan or Health Savings Account. For Day Rate Boat Personnel of Galliano Marine Service, LLC: On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by multiplying the Members day rate times 182, and dividing by 12. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings reduction under a qualified Section 125 Cafeteria Plan or Health Savings Account. For Hourly Yard Members of Good Job, Inc.: On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by the Members hourly rate of pay multiplied by the number of hours the Member works in a regular work week, not to exceed 48 hours per week. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings reduction under a qualified Section 125 Cafeteria Plan or Health Savings Account. For Hourly Yard Members of La Ship, LLC, Gulf Ship, LLC or American Custom Yachts, Inc.: On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by the Members hourly rate of pay multiplied by the number of hours the Member works in a regular work week, not to exceed 40 hours per week. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan

  • GC 804 (GM-MOER) LTD

    such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings reduction under a qualified Section 125 Cafeteria Plan or Health Savings Account. For Hourly Yard Members of Tampa Ship, LLC: On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by the Members hourly rate of pay multiplied by the number of hours the Member works in a regular work week, not to exceed 43 hours per week. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings reduction under a qualified Section 125 Cafeteria Plan or Health Savings Account. For Hourly Yard Members of Cajun Iron Workers, Inc. or American Recovery, LLC: On any date, a Member's basic monthly (or monthly equivalent) wage then in force, as established by the Policyholder or a Participating Unit. Basic wage is determined by the Members hourly rate of pay multiplied by the number of hours the Member works in a regular work week, not to exceed 60 hours per week. Basic wage does not include commissions, bonuses, stock options, tips, differential pay, housing and/or car allowance, or overtime pay. Basic wage does include any deferred earnings under a qualified deferred compensation plan such as contributions to Internal Revenue Code Section 401(k), 403(b), or 457 deferred compensation arrangements and any amount of voluntary earnings redu