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| Plan Name | ADVANCE INSURANCE COMPANY OF KANSAS |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CITY OF LIBERAL |
| Employer identification number (EIN): | 486009365 |
| NAIC Classification: | 921000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | MADALEN DAY | |||
| 501 | 2016-01-01 | MADALEN DAY |
| ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 ) | |
| Policy contract number | 00096142 |
| Policy instance | 1 |
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