Notice/NIS(SIF) 0320 NOTICE This notice describes identities of and relationships among the Insurer, Administrator, and Policyowner of this insurance. Insurer: Madison National Life Insurance Company, Inc. (MNL) is the insurance underwriter of this insurance. Third Party Administrator: AP / National Insurance Services (NIS) is the administrator for this group insurance. NIS provides administrative services for insurance issued to group, including, but not limited to, underwriting, premium billing, premium collection, client services, and policy and certificate issuance. There is no ownership affiliation between MNL and NIS. Policyowner: The Policyowner of your policy/certificate of insurance is the Schools Insurance Fund Trust. Employer: Your Employer participates in the group insurance under the group policy issued to the Trust. NIS is the Administrator of the Schools Insurance Fund.
Life Certificate - Bus Drivers Page 25 