Fillable Group Life Certificate - Boulder Valley School District, 15318647892.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: Boulder Valley School District 647892-A July 1, 2010 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 coverage is changed by...
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