LIFE INSURANCE Statement of Coverage Employee Benevolent Fund issued by ReliaStar Life Insurance Company, a member of the Voya family of companies Contract Holder: SAMBA Member: Ty E Narada Agency: TSA Group Policy Number: 67740-0GAT SAMBA ID Number: 831459643 Coverage Amount: $17,500 Policy Period: 9/1/2014 - 8/31/2015 Annual Premium: $39.00 Thank you for your re-enrollment to the SAMBA Employee Benevolent Fund (EBF). This is your new Statement of Coverage for your records. All plan provisions, including any exclusions, limitations and restrictions are summarized in the Certificate and the Summary Plan Description. These are available on the SAMBA website at www.sambaplans.com. |
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