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| Plan Name | GROUP BENEFITS PLAN- OAK CREEK, WI |
| Plan identification number | 544 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PPG INDUSTRIES, INC. |
| Employer identification number (EIN): | 250730780 |
| NAIC Classification: | 325500 |
Additional information about PPG INDUSTRIES, INC.
| Jurisdiction of Incorporation: | Alaska Department Commerce, Community & Economic Development |
| Incorporation Date: | 1980-07-07 |
| Company Identification Number: | 22215D |
| Legal Registered Office Address: |
2711 CENTERVILLE ROAD SUITE 400 WILMINGTON United States of America (USA) 19808 |
More information about PPG INDUSTRIES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 544 | 2023-12-31 | DINA GLANCE | |||
| 544 | 2022-12-31 | ||||
| 544 | 2022-12-31 | KAREN P. RATHBURN | |||
| 544 | 2021-12-31 | ||||
| 544 | 2021-12-31 | KAREN P. RATHBURN | |||
| 544 | 2020-12-31 | ||||
| 544 | 2019-12-31 | ||||
| 544 | 2018-12-31 | ||||
| 544 | 2017-12-31 | ||||
| 544 | 2016-12-31 | ||||
| 544 | 2015-12-31 | KAREN P. RATHBURN | |||
| 544 | 2014-12-31 | KAREN P. RATHBURN | |||
| 544 | 2013-12-31 | KAREN P. RATHBURN | JOHANN F. KOLLING | 2015-10-14 | |
| 544 | 2012-12-31 | KAREN P. RATHBURN | JOHANN F. KOLLING | 2014-10-10 | |
| 544 | 2011-12-31 | KAREN P RATHBURN | JOHANN F KOLLING | 2013-10-10 | |
| 544 | 2010-12-31 | KAREN P. RATHBURN | JOHANN F. KOLLING | 2012-10-08 | |
| 544 | 2009-12-31 | KAREN P. RATHBURN | JOHANN F. KOLLING | 2011-09-12 | |
| 544 | 2008-12-31 |
| Measure | Date | Value |
|---|---|---|
| 2022: GROUP BENEFITS PLAN- OAK CREEK, WI 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-12-31 | 323 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-12-31 | 264 |
| Number of retired or separated participants receiving benefits | 2022-12-31 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2022-12-31 | 0 |
| Total of all active and inactive participants | 2022-12-31 | 265 |
| 2021: GROUP BENEFITS PLAN- OAK CREEK, WI 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-12-31 | 306 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-31 | 289 |
| Number of retired or separated participants receiving benefits | 2021-12-31 | 34 |
| Total of all active and inactive participants | 2021-12-31 | 323 |
| Total participants | 2021-12-31 | 323 |
| 2020: GROUP BENEFITS PLAN- OAK CREEK, WI 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-12-31 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-31 | 284 |
| Number of retired or separated participants receiving benefits | 2020-12-31 | 22 |
| Total of all active and inactive participants | 2020-12-31 | 306 |
| Total participants | 2020-12-31 | 306 |
| 2019: GROUP BENEFITS PLAN- OAK CREEK, WI 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-12-31 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-31 | 298 |
| Total of all active and inactive participants | 2019-12-31 | 298 |
| Total participants | 2019-12-31 | 298 |
| 2018: GROUP BENEFITS PLAN- OAK CREEK, WI 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-12-31 | 318 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-31 | 274 |
| Number of retired or separated participants receiving benefits | 2018-12-31 | 4 |
| Total of all active and inactive participants | 2018-12-31 | 278 |
| Total participants | 2018-12-31 | 278 |
| 2017: GROUP BENEFITS PLAN- OAK CREEK, WI 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-12-31 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-31 | 314 |
| Number of retired or separated participants receiving benefits | 2017-12-31 | 4 |
| Total of all active and inactive participants | 2017-12-31 | 318 |
| Total participants | 2017-12-31 | 318 |
| 2016: GROUP BENEFITS PLAN- OAK CREEK, WI 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-12-31 | 222 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-31 | 231 |
| Number of retired or separated participants receiving benefits | 2016-12-31 | 4 |
| Total of all active and inactive participants | 2016-12-31 | 235 |
| Total participants | 2016-12-31 | 235 |
| 2015: GROUP BENEFITS PLAN- OAK CREEK, WI 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-12-31 | 285 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-31 | 217 |
| Number of retired or separated participants receiving benefits | 2015-12-31 | 5 |
| Total of all active and inactive participants | 2015-12-31 | 222 |
| Total participants | 2015-12-31 | 0 |
| 2014: GROUP BENEFITS PLAN- OAK CREEK, WI 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-12-31 | 319 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-31 | 280 |
| Number of retired or separated participants receiving benefits | 2014-12-31 | 5 |
| Total of all active and inactive participants | 2014-12-31 | 285 |
| Total participants | 2014-12-31 | 0 |
| 2013: GROUP BENEFITS PLAN- OAK CREEK, WI 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-12-31 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-31 | 226 |
| Number of retired or separated participants receiving benefits | 2013-12-31 | 93 |
| Total of all active and inactive participants | 2013-12-31 | 319 |
| Total participants | 2013-12-31 | 0 |
| 2012: GROUP BENEFITS PLAN- OAK CREEK, WI 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-12-31 | 316 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-31 | 210 |
| Number of retired or separated participants receiving benefits | 2012-12-31 | 88 |
| Total of all active and inactive participants | 2012-12-31 | 298 |
| Total participants | 2012-12-31 | 0 |
| 2011: GROUP BENEFITS PLAN- OAK CREEK, WI 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-12-31 | 258 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-31 | 234 |
| Number of retired or separated participants receiving benefits | 2011-12-31 | 82 |
| Total of all active and inactive participants | 2011-12-31 | 316 |
| Total participants | 2011-12-31 | 316 |
| 2010: GROUP BENEFITS PLAN- OAK CREEK, WI 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-12-31 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-12-31 | 214 |
| Number of retired or separated participants receiving benefits | 2010-12-31 | 44 |
| Total of all active and inactive participants | 2010-12-31 | 258 |
| Total participants | 2010-12-31 | 258 |
| 2009: GROUP BENEFITS PLAN- OAK CREEK, WI 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-12-31 | 264 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-31 | 214 |
| Number of retired or separated participants receiving benefits | 2009-12-31 | 41 |
| Total of all active and inactive participants | 2009-12-31 | 255 |
| Total participants | 2009-12-31 | 255 |
| 2022: GROUP BENEFITS PLAN- OAK CREEK, WI 2022 form 5500 responses | ||
|---|---|---|
| 2022-12-31 | Type of plan entity | Single employer plan |
| 2022-12-31 | Submission has been amended | No |
| 2022-12-31 | This submission is the final filing | No |
| 2022-12-31 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-12-31 | Plan is a collectively bargained plan | Yes |
| 2022-12-31 | Plan funding arrangement – Insurance | Yes |
| 2022-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2022-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: GROUP BENEFITS PLAN- OAK CREEK, WI 2021 form 5500 responses | ||
| 2021-12-31 | Type of plan entity | Single employer plan |
| 2021-12-31 | Plan is a collectively bargained plan | Yes |
| 2021-12-31 | Plan funding arrangement – Insurance | Yes |
| 2021-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2021-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: GROUP BENEFITS PLAN- OAK CREEK, WI 2020 form 5500 responses | ||
| 2020-12-31 | Type of plan entity | Single employer plan |
| 2020-12-31 | Plan is a collectively bargained plan | Yes |
| 2020-12-31 | Plan funding arrangement – Insurance | Yes |
| 2020-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2020-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: GROUP BENEFITS PLAN- OAK CREEK, WI 2019 form 5500 responses | ||
| 2019-12-31 | Type of plan entity | Single employer plan |
| 2019-12-31 | Plan is a collectively bargained plan | Yes |
| 2019-12-31 | Plan funding arrangement – Insurance | Yes |
| 2019-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2019-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: GROUP BENEFITS PLAN- OAK CREEK, WI 2018 form 5500 responses | ||
| 2018-12-31 | Type of plan entity | Single employer plan |
| 2018-12-31 | Plan is a collectively bargained plan | Yes |
| 2018-12-31 | Plan funding arrangement – Insurance | Yes |
| 2018-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2018-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: GROUP BENEFITS PLAN- OAK CREEK, WI 2017 form 5500 responses | ||
| 2017-12-31 | Type of plan entity | Single employer plan |
| 2017-12-31 | Plan is a collectively bargained plan | Yes |
| 2017-12-31 | Plan funding arrangement – Insurance | Yes |
| 2017-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2017-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: GROUP BENEFITS PLAN- OAK CREEK, WI 2016 form 5500 responses | ||
| 2016-12-31 | Type of plan entity | Single employer plan |
| 2016-12-31 | Plan is a collectively bargained plan | Yes |
| 2016-12-31 | Plan funding arrangement – Insurance | Yes |
| 2016-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2016-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: GROUP BENEFITS PLAN- OAK CREEK, WI 2015 form 5500 responses | ||
| 2015-12-31 | Type of plan entity | Single employer plan |
| 2015-12-31 | Plan is a collectively bargained plan | Yes |
| 2015-12-31 | Plan funding arrangement – Insurance | Yes |
| 2015-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2015-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: GROUP BENEFITS PLAN- OAK CREEK, WI 2014 form 5500 responses | ||
| 2014-12-31 | Type of plan entity | Single employer plan |
| 2014-12-31 | Plan is a collectively bargained plan | Yes |
| 2014-12-31 | Plan funding arrangement – Insurance | Yes |
| 2014-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2014-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: GROUP BENEFITS PLAN- OAK CREEK, WI 2013 form 5500 responses | ||
| 2013-12-31 | Type of plan entity | Single employer plan |
| 2013-12-31 | Plan is a collectively bargained plan | Yes |
| 2013-12-31 | Plan funding arrangement – Insurance | Yes |
| 2013-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2013-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: GROUP BENEFITS PLAN- OAK CREEK, WI 2012 form 5500 responses | ||
| 2012-12-31 | Type of plan entity | Single employer plan |
| 2012-12-31 | Plan is a collectively bargained plan | Yes |
| 2012-12-31 | Plan funding arrangement – Insurance | Yes |
| 2012-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2012-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: GROUP BENEFITS PLAN- OAK CREEK, WI 2011 form 5500 responses | ||
| 2011-12-31 | Type of plan entity | Single employer plan |
| 2011-12-31 | Plan is a collectively bargained plan | Yes |
| 2011-12-31 | Plan funding arrangement – Insurance | Yes |
| 2011-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2011-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: GROUP BENEFITS PLAN- OAK CREEK, WI 2010 form 5500 responses | ||
| 2010-12-31 | Type of plan entity | Single employer plan |
| 2010-12-31 | Plan is a collectively bargained plan | Yes |
| 2010-12-31 | Plan funding arrangement – Insurance | Yes |
| 2010-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2010-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: GROUP BENEFITS PLAN- OAK CREEK, WI 2009 form 5500 responses | ||
| 2009-12-31 | Type of plan entity | Single employer plan |
| 2009-12-31 | This submission is the final filing | No |
| 2009-12-31 | Plan is a collectively bargained plan | Yes |
| 2009-12-31 | Plan funding arrangement – Insurance | Yes |
| 2009-12-31 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-12-31 | Plan benefit arrangement – Insurance | Yes |
| 2009-12-31 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2008: GROUP BENEFITS PLAN- OAK CREEK, WI 2008 form 5500 responses | ||
| 2008-12-31 | Type of plan entity | Single employer plan |
| 2008-12-31 | Submission has been amended | No |
| 2008-12-31 | This submission is the final filing | No |
| 2008-12-31 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-12-31 | Plan is a collectively bargained plan | No |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0236977 |
| Policy instance | 7 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 681077G |
| Policy instance | 1 |
| HARTFORD LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19682 ) | |
| Policy contract number | GTA-101506* |
| Policy instance | 2 |
| MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 ) | |
| Policy contract number | PPG0-001 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0214387 |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0242552 |
| Policy instance | 5 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | FLX980019 |
| Policy instance | 6 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | CH#800129 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | GTA101506 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 681077 |
| Policy instance | 3 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | VARIOUS |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 6036796 |
| Policy instance | 5 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0229100 |
| Policy instance | 6 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0214387 |
| Policy instance | 7 |
| MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 ) | |
| Policy contract number | N/A |
| Policy instance | 8 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378050 |
| Policy instance | 3 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | VARIOUS |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 6036796 |
| Policy instance | 5 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0229100 |
| Policy instance | 6 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 697331 |
| Policy instance | 8 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | ETB 200939 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | CH#800129 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 0214387 |
| Policy instance | 7 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | CH#800129 |
| Policy instance | 1 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 2 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | ETB 200939 |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378050 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 45087 |
| Policy instance | 5 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 6036796 |
| Policy instance | 6 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | CH#800129 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | 060303370 |
| Policy instance | 2 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 3 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | ETB 200939 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378050 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 45087 |
| Policy instance | 6 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 6036796 |
| Policy instance | 7 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | 060303370 |
| Policy instance | 2 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | 00-ADD-S06751 |
| Policy instance | 3 |
| CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 ) | |
| Policy contract number | ETB 200939 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378050 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 45087 |
| Policy instance | 6 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 6036796 |
| Policy instance | 7 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | CH#800129 |
| Policy instance | 1 |