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Certificate of Insurance National Guardian Life Insurance Company Two East Gilman Street ● P.O. Box 1191 Madison, WI[removed]Vision Care Insurance for
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Document Date: 2012-11-06 13:32:32

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City

Madison / /

Company

NGLIC-National Guardian Life Insurance Company / National Guardian Life Insurance Company / Superior Vision Services Inc. / /

Currency

USD / /

IndustryTerm

Review services / vision care services / retail charges / retail value / optical devices / /

MedicalTreatment

osteopathy / /

Organization

Eligible Class / /

Person

Mathew Dew / Coverage A Dependent / Mark Solverud / Any Ophthalmologist / Rose Tint / /

/

Position

physician / General / President / Secretary / claims administrator for the Group Policy / Executive / Optometrist / /

ProvinceOrState

Kansas / Wisconsin / /

SocialTag