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                                                                              Colonial Life & Accident
                                                                              Insurance Company
                                                                              1200 Colonial Life Boulevard
                                                                              Columbia, SC 29210
                                                                              803.798.7000
                                                                              ColonialLife.com
               Non-FICA:
               Medicare Portion Only:
               Enrolling in multiple locations:
               Enrolling in multiple states:
               Includes NY:                            No
               Bill by Location:
               Separate Bill by Location:
               Sections on Bill:
               Enrollment Type:                        Harmony
               Plugin Vendor Details:
               Self Accounting:
               Product Hosted Vendor Code:
               Product Hosted Details:

               General Comments
               Group product for disability may be offered. Employer paid to be determined next week.














































               Colonial Life products are underwritten by Colonial Life & Accident Insurance Company, for which Colonial Life is the
               marketing brand.
                                                                                    AIF-Summary-2
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