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OOIDA Headquarters: 1 NW OOIDA Dr., Grain Valley, MO 64029
(816) 229-5791
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VISION PLAN
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Plan Sponsor: OOIDA Group Policy Number: 376839-2
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I hereby request coverage under the OOIDA Vision Care Plan issued by Ameritas Life Insurance Corp. through Owner-Operator Independent Drivers Association, which is a 12-month commitment. By checking the box, you are agreeing to the terms of this coverage:
YOU MUST SELECT THE CHECKBOXES BELOW AND SIGN:
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I UNDERSTAND AND AGREE
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