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| Plan Name | COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | COMMUNITY HOSPITALS AND WELLNESS CENTERS |
| Employer identification number (EIN): | 341048666 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about COMMUNITY HOSPITALS AND WELLNESS CENTERS
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1969-05-16 |
| Company Identification Number: | 384200 |
| Legal Registered Office Address: |
433 WEST HIGH ST - BRYAN United States of America (USA) 43506 |
More information about COMMUNITY HOSPITALS AND WELLNESS CENTERS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-07-01 | CHRISTA POMEROY | |||
| 501 | 2022-07-01 | ||||
| 501 | 2022-07-01 | CHRISTA POMEROY | |||
| 501 | 2021-07-01 | ||||
| 501 | 2021-07-01 | CHRISTA POMEROY | |||
| 501 | 2020-07-01 | ||||
| 501 | 2019-07-01 | ||||
| 501 | 2018-07-01 | ||||
| 501 | 2017-07-01 | ANGELIA FOSTER | |||
| 501 | 2016-07-01 | CHAD D. TINKEL | |||
| 501 | 2015-07-01 | CHAD D. TINKEL | |||
| 501 | 2014-07-01 | CHAD D. TINKEL | |||
| 501 | 2013-07-01 | CHAD D. TINKEL | |||
| 501 | 2012-07-01 | CHAD D. TINKEL | |||
| 501 | 2011-07-01 | CHAD D. TINKEL | |||
| 501 | 2009-07-01 | CHAD D. TINKEL |
| Measure | Date | Value |
|---|---|---|
| 2022: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-07-01 | 632 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 623 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
| Total of all active and inactive participants | 2022-07-01 | 623 |
| 2021: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-07-01 | 659 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 632 |
| Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
| Total of all active and inactive participants | 2021-07-01 | 632 |
| 2020: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-07-01 | 597 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 659 |
| Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
| Total of all active and inactive participants | 2020-07-01 | 659 |
| 2019: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-07-01 | 621 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 597 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
| Total of all active and inactive participants | 2019-07-01 | 597 |
| 2018: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-07-01 | 647 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 621 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 0 |
| Total of all active and inactive participants | 2018-07-01 | 621 |
| 2017: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-07-01 | 612 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 647 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 647 |
| 2016: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-07-01 | 542 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 612 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 612 |
| 2015: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-07-01 | 586 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 542 |
| Number of retired or separated participants receiving benefits | 2015-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 0 |
| Total of all active and inactive participants | 2015-07-01 | 542 |
| 2014: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-07-01 | 614 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 586 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 586 |
| 2013: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-07-01 | 649 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 614 |
| Total of all active and inactive participants | 2013-07-01 | 614 |
| 2012: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 632 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 649 |
| Total of all active and inactive participants | 2012-07-01 | 649 |
| 2011: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 630 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 632 |
| Total of all active and inactive participants | 2011-07-01 | 632 |
| 2009: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 696 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 657 |
| Total of all active and inactive participants | 2009-07-01 | 657 |
| 2022: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2022 form 5500 responses | ||
|---|---|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2021 form 5500 responses | ||
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2020 form 5500 responses | ||
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2019 form 5500 responses | ||
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2018 form 5500 responses | ||
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2017 form 5500 responses | ||
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2016 form 5500 responses | ||
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2015 form 5500 responses | ||
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2014 form 5500 responses | ||
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2013 form 5500 responses | ||
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: COMMUNITY HOSPITALS AND WELLNESS CENTERS EMPLOYEE BENEFIT TRUST 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 ) | |
| Policy contract number | 1700000115 |
| Policy instance | 6 |
| COMBINED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | HOSPITAL INDEMN |
| Policy instance | 5 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 4 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 3 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |
| Policy contract number | G 00614990 |
| Policy instance | 2 |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) | |
| Policy contract number | HCL35678 |
| Policy instance | 1 |
| CORESOURCE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | HCL35678 |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |
| Policy contract number | G 00614990 |
| Policy instance | 2 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 3 |
| COMBINED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | HOSPITAL INDEMN |
| Policy instance | 5 |
| ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 ) | |
| Policy contract number | 1700000115 |
| Policy instance | 6 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 4 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |
| Policy contract number | G 00614990 |
| Policy instance | 2 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | NO4954191001 |
| Policy instance | 1 |
| ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 ) | |
| Policy contract number | 1700000115 |
| Policy instance | 8 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 3 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 4 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | CRITICAL ILLNES |
| Policy instance | 5 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | HOSPITAL INDEMN |
| Policy instance | 6 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) | |
| Policy contract number | 0419900000 |
| Policy instance | 7 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) | |
| Policy contract number | 0419900000 |
| Policy instance | 7 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | HOSPITAL INDEMN |
| Policy instance | 6 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | CRITICAL ILLNES |
| Policy instance | 5 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 4 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 3 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |
| Policy contract number | G 00614990 |
| Policy instance | 2 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | NO4954191001 |
| Policy instance | 1 |
| ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 ) | |
| Policy contract number | 1700000115 |
| Policy instance | 8 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) | |
| Policy contract number | 0419900000 |
| Policy instance | 7 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | NO4954191001 |
| Policy instance | 1 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 3 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |
| Policy contract number | G 00614990 |
| Policy instance | 2 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 4 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | CRITICAL ILLNES |
| Policy instance | 5 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | HOSPITAL INDEMN |
| Policy instance | 6 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | NO4954191001 |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |
| Policy contract number | G 00614990 |
| Policy instance | 2 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 3 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |
| Policy contract number | 80658 |
| Policy instance | 4 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | CPW0000NT |
| Policy instance | 5 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | NO4954191001 |
| Policy instance | 1 |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |
| Policy contract number | AL00004433 |
| Policy instance | 2 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | NO4954191001 |
| Policy instance | 1 |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |
| Policy contract number | AL00004433 |
| Policy instance | 2 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |
| Policy contract number | UNI-201131 |
| Policy instance | 1 |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |
| Policy contract number | AL00004433 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 677363G |
| Policy instance | 2 |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |
| Policy contract number | AL00004433 |
| Policy instance | 3 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |
| Policy contract number | UNI-201131 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 677363G |
| Policy instance | 2 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |
| Policy contract number | UNI-201131 |
| Policy instance | 1 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |
| Policy contract number | UNI-201131 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 677363G |
| Policy instance | 2 |
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