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Forrest T. Jones & Company*
Group Insurance Administrator
2600 Grand Blvd. Suite 900
Kansas City, MO 64108

1-800-291-8480

* In Arizona, certain life and health plans are administered by Forrest T. Jones Consulting Company

Arkansas Insurance License #100107380 California Insurance License #0592939
Minnesota Insurance License #4896 Oklahoma Insurance License #100103424
Texas Insurance License #13916

Hospital Indemnity Form Series includes GBD-2800, GBD-2900, or state equivalent.

The Hartford Insurance Group, Inc., (NYSE: HIG) operates through its subsidiaries, including underwriting company Hartford Life and Accident Insurance Company, under the brand name,
The Hartford®, and is headquartered at One Hartford Plaza, Hartford, CT 06155. For additional details, please read The Hartford’s legal notice at www.TheHartford.com.

FTJ-7447O (07/26)