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ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 401k Plan overview

Plan NameILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES
Plan identification number 503

ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

CANADIAN NATIONAL RAILWAY COMPANY has sponsored the creation of one or more 401k plans.

Company Name:CANADIAN NATIONAL RAILWAY COMPANY
Employer identification number (EIN):362728842
NAIC Classification:482110
NAIC Description: Rail Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-01-01PATRICIA BAILLIE-DAVID
5032013-01-01PATRICIA BAILLIE-DAVID
5032012-01-01PATRICIA BAILLIE-DAVID PATRICIA BAILLIE-DAVID2013-10-14
5032011-01-01ARDYTH CUTLER
5032009-01-01ARDYTH CUTLER

Plan Statistics for ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES

401k plan membership statisitcs for ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES

Measure Date Value
2014: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-016,920
Total number of active participants reported on line 7a of the Form 55002014-01-017,289
Total of all active and inactive participants2014-01-017,289
Total participants2014-01-017,289
2013: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-016,916
Total number of active participants reported on line 7a of the Form 55002013-01-016,920
Total of all active and inactive participants2013-01-016,920
Total participants2013-01-016,920
2012: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-016,880
Total number of active participants reported on line 7a of the Form 55002012-01-016,916
Total of all active and inactive participants2012-01-016,916
Total participants2012-01-016,916
2011: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-013,686
Total number of active participants reported on line 7a of the Form 55002011-01-013,828
Total of all active and inactive participants2011-01-013,828
Total participants2011-01-013,828
2009: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-014,240
Total number of active participants reported on line 7a of the Form 55002009-01-011,645
Number of retired or separated participants receiving benefits2009-01-011,758
Total of all active and inactive participants2009-01-013,403
Total participants2009-01-013,403

Financial Data on ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES

Measure Date Value
2014 : ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$18,767,179
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$19,725,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$18,759,707
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$18,767,179
Value of total assets at end of year2014-12-31$0
Value of total assets at beginning of year2014-12-31$958,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$966,239
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$966,239
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$50,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,266,954
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$958,767
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-958,767
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$958,767
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,772,536
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$16,500,225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$15,987,171
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KPMG LLP
Accountancy firm EIN2014-12-31013556207
2013 : ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$19,393,424
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$21,115,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$20,146,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$19,393,277
Value of total assets at end of year2013-12-31$958,767
Value of total assets at beginning of year2013-12-31$2,680,666
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$968,844
Total interest from all sources2013-12-31$147
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$50,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,306,493
Total non interest bearing cash at end of year2013-12-31$958,767
Total non interest bearing cash at beginning of year2013-12-31$2,680,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,721,899
Value of net assets at end of year (total assets less liabilities)2013-12-31$958,767
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,680,666
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$147
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,692,927
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$17,086,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$17,453,552
Contract administrator fees2013-12-31$968,844
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KPMG LLP
Accountancy firm EIN2013-12-31013556207
2012 : ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$24,630,991
Total of all expenses incurred2012-12-31$24,752,194
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$23,591,198
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$24,628,547
Value of total assets at end of year2012-12-31$2,680,666
Value of total assets at beginning of year2012-12-31$2,801,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,160,996
Total interest from all sources2012-12-31$2,444
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$50,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,887,615
Total non interest bearing cash at end of year2012-12-31$2,680,666
Total non interest bearing cash at beginning of year2012-12-31$2,801,869
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-121,203
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,680,666
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,801,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,444
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,651,458
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$21,740,932
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$20,939,740
Contract administrator fees2012-12-31$1,160,996
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KPMG LLP
Accountancy firm EIN2012-12-31013556207
2011 : ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$26,291,654
Total of all expenses incurred2011-12-31$24,922,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$23,690,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$26,290,066
Value of total assets at end of year2011-12-31$2,801,869
Value of total assets at beginning of year2011-12-31$1,432,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,231,722
Total interest from all sources2011-12-31$1,588
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$50,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,794,654
Total non interest bearing cash at end of year2011-12-31$2,801,869
Total non interest bearing cash at beginning of year2011-12-31$1,432,620
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,369,249
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,801,869
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,432,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1,588
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,501,629
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$23,495,412
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$21,189,054
Contract administrator fees2011-12-31$1,231,722
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KPMG LLP
Accountancy firm EIN2011-12-31013556207
2010 : ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$40,586,497
Total of all expenses incurred2010-12-31$40,163,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$37,569,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$40,585,106
Value of total assets at end of year2010-12-31$1,432,620
Value of total assets at beginning of year2010-12-31$1,009,618
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,593,695
Total interest from all sources2010-12-31$1,391
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$50,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$9,135,397
Total non interest bearing cash at end of year2010-12-31$1,432,620
Total non interest bearing cash at beginning of year2010-12-31$1,009,618
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$423,002
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,432,620
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,009,618
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$1,391
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,757,510
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$31,449,709
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$34,812,290
Contract administrator fees2010-12-31$2,593,695
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31KPMG LLP
Accountancy firm EIN2010-12-31135565207

Form 5500 Responses for ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES

2014: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: ILLINOIS CENTRAL RAILROAD FUNDED WELFARE PLAN FOR ACTIVE EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number17307
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number95545-G
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number95545-G
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number17307
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number17307
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number95545-G
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number95545-G
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number17307
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number95545-G
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number17307
Policy instance 2

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