ELECTION AND ARBITRATION AGREEMENT
I, the undersigned employee by signing this Election and Arbitration (hereinafter “Agreement”) agree to participate in the Computer Repair, L.L.C. Employee Injury Benefit Plan (hereinafter the “Plan”) and consent with my employer (hereinafter “the company”) to the following:
ENROLLMENT IN THE PLAN: I understand that Computer Repair L.L.C, as solely permitted by Texas Law, does not offer workers’ compensation insurance for its Texas employees, as a nonsubscriber under the Texas Workers Compensation Act (hereinafter the “Act”), the company is not required to provide any benefits whatsoever for on-the-job injuries. Computer Repair L.L.C. has voluntarily created the Plan under Federal law, to impart certain benefits for on- the- job injuries and that the Plan is not workers compensation insurance. …show more content…
I am also eligible for any disability, death, burial and dismemberment benefits described in the Plan. I comprehend that in the event that I repudiate this agreement, I will not be eligible for the Plan Benefits.
I understand and agree with the Plans benefits by consenting that these are not workers compensation benefits, nonetheless these are provided to me regardless which party was at fault if it was the employee or cause by negligence by one of the company
I, the undersigned employee by signing this Election and Arbitration (hereinafter “Agreement”) agree to participate in the Computer Repair, L.L.C. Employee Injury Benefit Plan (hereinafter the “Plan”) and consent with my employer (hereinafter “the company”) to the following:
ENROLLMENT IN THE PLAN: I understand that Computer Repair L.L.C, as solely permitted by Texas Law, does not offer workers’ compensation insurance for its Texas employees, as a nonsubscriber under the Texas Workers Compensation Act (hereinafter the “Act”), the company is not required to provide any benefits whatsoever for on-the-job injuries. Computer Repair L.L.C. has voluntarily created the Plan under Federal law, to impart certain benefits for on- the- job injuries and that the Plan is not workers compensation insurance. …show more content…
I am also eligible for any disability, death, burial and dismemberment benefits described in the Plan. I comprehend that in the event that I repudiate this agreement, I will not be eligible for the Plan Benefits.
I understand and agree with the Plans benefits by consenting that these are not workers compensation benefits, nonetheless these are provided to me regardless which party was at fault if it was the employee or cause by negligence by one of the company