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| Company Name: | MUTUAL OF OMAHA INSURANCE COMPANY |
| Employer identification number (EIN): | 570246511 |
| National Association of Insurance Commissioner's ID: | 71412 |
| NAIC Classification: | 71412 |
| OILTANKING NORTH AMERICA LLC | ADVARIO NORTH AMERICA, LLC HEALTH AND WELFARE PLAN | 2015-01-01 |