School Board of Polk County BOP BB LG FC 07-01-11.doc

Bartow, FL 33830 (863) 519-3858. Federal Tax ID Number: 596000807. Plan Effective Date: October 1, 2003. Plan Renewal Date: January 1, Annually. Named Fiduciary: The School Board of Polk County. Agent for Services of Legal Process: The School Board of Polk County. Plan Third Party Administrator: Blue Cross and Blue Shield of Florida, Inc. ................
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