Fillable Life Certificate - SASS, 14192641419.pdf

Description
STANDARD INSURANCE COMPANY A Stock Life Insurance Company 900 SW Fifth Avenue Portland, Oregon 97204-1282 (503) 321-7000 CERTIFICATE GROUP LIFE INSURANCE Policyholder: Policy Number: Effective Date: School Administrators Special Services Benefit Trust 641419-A May 1, 2001 A Group Policy has been issued to the Policyholder. We certify that you will be insured as provided by the terms of the Group Policy. If your...
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