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Link with Kansas City Life Group Benefits

Thank you for your interest in linking with Kansas City Life Group Benefits. Please read the instructions before getting started:

  1. Fill out the "Link with Kansas City Life Group Benefits" e-mail form.
  2. You will be contacted by a representative to finalize details.
  3. We'll work with you to coordinate implementation of the link(s) and logo, if desired.

Link with Kansas City Life Group Benefits

Please complete the following form to request the establishment of a Link/Logo License Agreement with Kansas City Life Group Benefits.

Your relationship to Kansas City Life Insurance Company:

Legal Contact Information
Legal Company or
Agent Name
Street Address
City
State
Zip Code
e-mail Address
Phone Number
Fax Number

Contact for Request
(if different than legal contact)
Legal Company or
Agent Name
e-mail Address
Phone
Fax

Who is your main contact at Kansas City Life?
(This could be a Kansas City Life Sales Representative, customer service representative, etc. If you don't currently have a relationship with us, please type "other.")

Type of link relationship being requested:


Purpose of this proposed link/description of your relationship with Kansas City Life.