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PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA 401k Plan overview

Plan NamePENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA
Plan identification number 002

PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='112669753' AND PlanID='002'

401k Sponsoring company profile

NASSAU SUFFOLK SERVICES FOR THE AUTISTIC INC. has sponsored the creation of one or more 401k plans.

Company Name:NASSAU SUFFOLK SERVICES FOR THE AUTISTIC INC.
Employer identification number (EIN):112669753
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01NICOLE WEIDENBAUM2024-07-16 KATHLEEN MANNION2024-07-16
0022022-01-01NICOLE WEIDENBAUM2023-07-31 KATHLEEN MANNION2023-07-31
0022021-01-01KATHLEEN MANNION2022-09-01 NICOLE WEIDENBAUM2022-09-01
0022020-01-01KATHLEEN MANNION2021-10-14 NICOLE WEIDENBAUM2021-10-14
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01
0022013-01-01
0022012-01-01NICOLE WEIDENBAUM2013-10-14
0022011-01-01NICOLE WEIDENBAUM2012-10-15
0022010-01-01NICOLE WEIDENBAUM2011-06-07

Financial Data on PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA

Measure Date Value
2023 : PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA 2023 401k financial data
Total income from all sources (including contributions)2023-12-31$1,233,979
Total of all expenses incurred2023-12-31$195,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$149,734
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$539,087
Value of total assets at end of year2023-12-31$5,571,543
Value of total assets at beginning of year2023-12-31$4,533,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$46,091
Total interest from all sources2023-12-31$4,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$276,345
Participant contributions at end of year2023-12-31$74,927
Participant contributions at beginning of year2023-12-31$92,541
Other income not declared elsewhere2023-12-31$242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,038,154
Value of net assets at end of year (total assets less liabilities)2023-12-31$5,571,543
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$4,533,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$5,167,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$4,154,310
Value of interest in pooled separate accounts at end of year2023-12-31$43,051
Value of interest in pooled separate accounts at beginning of year2023-12-31$49,840
Interest on participant loans2023-12-31$4,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$690,558
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$262,742
Employer contributions (assets) at end of year2023-12-31$286,213
Employer contributions (assets) at beginning of year2023-12-31$236,698
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$149,734
Contract administrator fees2023-12-31$46,091
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Disclaimer
Accountancy firm name2023-12-31FORVIS MAZARS, LLP
Accountancy firm EIN2023-12-31440160260
Total income from all sources (including contributions)2023-01-01$1,233,979
Total of all expenses incurred2023-01-01$195,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$149,734
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$539,087
Value of total assets at end of year2023-01-01$5,571,543
Value of total assets at beginning of year2023-01-01$4,533,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$46,091
Total interest from all sources2023-01-01$4,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$276,345
Participant contributions at end of year2023-01-01$74,927
Participant contributions at beginning of year2023-01-01$92,541
Other income not declared elsewhere2023-01-01$242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$1,038,154
Value of net assets at end of year (total assets less liabilities)2023-01-01$5,571,543
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$4,533,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$5,167,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$4,154,310
Value of interest in pooled separate accounts at end of year2023-01-01$43,051
Value of interest in pooled separate accounts at beginning of year2023-01-01$49,840
Interest on participant loans2023-01-01$4,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$690,558
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$262,742
Employer contributions (assets) at end of year2023-01-01$286,213
Employer contributions (assets) at beginning of year2023-01-01$236,698
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$149,734
Contract administrator fees2023-01-01$46,091
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-013
Accountancy firm name2023-01-01FORVIS MAZARS, LLP
Accountancy firm EIN2023-01-01440160260
2022 : PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-245,069
Total of all expenses incurred2022-12-31$342,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$291,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$491,623
Value of total assets at end of year2022-12-31$4,533,389
Value of total assets at beginning of year2022-12-31$5,120,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$50,932
Total interest from all sources2022-12-31$103,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$289,404
Participant contributions at end of year2022-12-31$92,541
Participant contributions at beginning of year2022-12-31$5,632
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$4,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-587,079
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,533,389
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,120,468
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,154,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,849,850
Value of interest in pooled separate accounts at end of year2022-12-31$49,840
Value of interest in pooled separate accounts at beginning of year2022-12-31$46,068
Interest on participant loans2022-12-31$3,186
Interest earned on other investments2022-12-31$100,709
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-840,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$197,546
Employer contributions (assets) at end of year2022-12-31$236,698
Employer contributions (assets) at beginning of year2022-12-31$218,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$291,078
Contract administrator fees2022-12-31$50,932
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
Total income from all sources (including contributions)2022-01-01$-245,069
Total of all expenses incurred2022-01-01$342,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$291,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$491,623
Value of total assets at end of year2022-01-01$4,533,389
Value of total assets at beginning of year2022-01-01$5,120,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$50,932
Total interest from all sources2022-01-01$103,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$289,404
Participant contributions at end of year2022-01-01$92,541
Participant contributions at beginning of year2022-01-01$5,632
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$4,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-587,079
Value of net assets at end of year (total assets less liabilities)2022-01-01$4,533,389
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$5,120,468
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$4,154,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$4,849,850
Value of interest in pooled separate accounts at end of year2022-01-01$49,840
Value of interest in pooled separate accounts at beginning of year2022-01-01$46,068
Interest on participant loans2022-01-01$3,186
Interest earned on other investments2022-01-01$100,709
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-840,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$197,546
Employer contributions (assets) at end of year2022-01-01$236,698
Employer contributions (assets) at beginning of year2022-01-01$218,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$291,078
Contract administrator fees2022-01-01$50,932
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-013
Accountancy firm name2022-01-01FORVIS, LLP
Accountancy firm EIN2022-01-01440160260
2021 : PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,029,224
Total of all expenses incurred2021-12-31$196,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$143,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$419,641
Value of total assets at end of year2021-12-31$5,120,468
Value of total assets at beginning of year2021-12-31$4,287,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$53,327
Total interest from all sources2021-12-31$200,694
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$197,774
Participant contributions at end of year2021-12-31$5,632
Participant contributions at beginning of year2021-12-31$24,757
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,948
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$832,627
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,120,468
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,287,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,849,850
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,971,658
Value of interest in pooled separate accounts at end of year2021-12-31$46,068
Value of interest in pooled separate accounts at beginning of year2021-12-31$39,149
Interest on participant loans2021-12-31$1,007
Interest earned on other investments2021-12-31$199,687
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$408,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$218,919
Employer contributions (assets) at end of year2021-12-31$218,918
Employer contributions (assets) at beginning of year2021-12-31$252,277
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$143,270
Contract administrator fees2021-12-31$53,327
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : PENSION PLAN OF NSSA FOR EMPLOYEES OF NSSA 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$973,043
Total of all expenses incurred2020-12-31$455,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$412,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$446,130
Value of total assets at end of year2020-12-31$4,287,841
Value of total assets at beginning of year2020-12-31$3,770,664
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$43,258
Total interest from all sources2020-12-31$77,190
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$193,853
Participant contributions at end of year2020-12-31$24,757
Participant contributions at beginning of year2020-12-31$14,584
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$517,177
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,287,841
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,770,664
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,971,658
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,538,579
Value of interest in pooled separate accounts at end of year2020-12-31$39,149
Value of interest in pooled separate accounts at beginning of year2020-12-31$39,481
Interest on participant loans2020-12-31$1,509
Interest earned on other investments2020-12-31$75,681
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$449,723
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$252,277
Employer contributions (assets) at end of year2020-12-31$252,277
Employer contributions (assets) at beginning of year2020-12-31$178,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$412,608
Contract administrator fees2020-12-31$43,258
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BKD LLP
Accountancy firm EIN2020-12-31440160260

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number315744
Policy instance 1
Insurance contract or identification number315744
Number of Individuals Covered24
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number590224-01
Policy instance 2
Insurance contract or identification number590224-01
Number of Individuals Covered41
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $261
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number590224-01
Policy instance 1
Insurance contract or identification number590224-01
Number of Individuals Covered3
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $99
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number315744
Policy instance 2
Insurance contract or identification number315744
Number of Individuals Covered25
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number590224-01
Policy instance 1
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number315744
Policy instance 2
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number315744
Policy instance 1
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number590224-01
Policy instance 2

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