017 – Exhibit A Continued

Description

EXHIBIT A – Continuation ADDITIONAL PLAN INFORMATION Certificate of Coverages (Please contact the City Secretary's office to obtain this Exhibit) (956) 565-3114 ex. 138 or 161 or by email to: jcastillo@cityofmercedes.com Accident 01/01/2024 Texas Product: Your Policy is Effective : Your State of Issue is: CITY OF MERCEDES 400 S OHIO AVE MERCEDES TX 78570-3120 TDDATFAFDDADAFFDDAFATFAFTDAFDAAAFAFAFFTAAFDDFFTFFDTAFAFFTTAAFATDF CTR0015283525 1.800.433.3036 www.aflacgroupinsurance.com MPMAIL Thank you for choosing Continental American Insurance Company Your Group Policy Number is: *L000219302201528352550001500802* V March 14, 2024 CITY OF MERCEDES 400 S OHIO AVE MERCEDES TX 78570-3120 Re: Your CITY OF MERCEDES Group Accident Coverage Policy No.: CTR0015283525 Welcome to the Aflac family! Thank you so much for adding Aflac coverage in your employee benefits offering. We take commitments to our accounts very seriously and promise to be there when you and your employees need us. Enclosed, you’ll find: A Master Policy packet for the Aflac group plan you’ve chosen to make available to your employees. Each packet includes: • A master policy, which indicates your group coverage effective date and other coverage details, • A copy of your master application, and • A copy of your employees’ coverage certificate. (We’ll let employees know they can request copies of their certificates from you, so please be sure to make the coverage documents available. Of course, employees are also welcome to call us directly to request copies of their certificates.) If you have any questions about your group plan or your employees’ coverage, please reach out to your account manager, or give us a call at 1.866.319.8089 Monday through Friday, from 9 a.m. to 7 p.m. Eastern time. Again, welcome to the Aflac family! MPCOVLET_A Continental American Insurance Company • Columbia, South Carolina • 1.800.433.3036 toll-free Continental American Insurance Company (CAIC), a proud member of the Aflac family of insurers, is a wholly-owned subsidiary of Aflac Incorporated and underwrites group coverage. CAIC is not licensed to solicit business in New York, Guam, Puerto Rico, or the Virgin Islands. For groups sitused in New York, group coverage is underwritten by American Family Life Assurance Company of New York (22 Corporate Woods Boulevard, Suite 2, Albany, New York 12211), and customer service is administered by CAIC.