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INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 401k Plan overview

Plan NameINDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE
Plan identification number 502

INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

INDUSTRIAL HARD CHROME, LTD. has sponsored the creation of one or more 401k plans.

Company Name:INDUSTRIAL HARD CHROME, LTD.
Employer identification number (EIN):363392489
NAIC Classification:332810

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022024-03-01AUSTIN PETERSON
5022023-03-01
5022023-03-01AUSTIN PETERSON
5022022-03-01
5022022-03-01AUSTIN PETERSON
5022021-03-01
5022021-03-01AUSTIN PETERSON
5022020-03-01
5022019-03-01
5022017-03-01AUSTIN PETERSON
5022016-03-01AUSTIN PETERSON
5022015-03-01AUSTIN PETERSON
5022014-03-01AUSTIN PETERSON
5022013-03-01RICHARD A PETERSON
5022012-03-01RICHARD A PETERSON
5022011-03-01RICHARD A PETERSON
5022010-03-01RICHARD A PETERSON
5022009-03-01RICHARD A PETERSON

Plan Statistics for INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE

401k plan membership statisitcs for INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE

Measure Date Value
2023: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2023 401k membership
Total participants, beginning-of-year2023-03-01110
Total number of active participants reported on line 7a of the Form 55002023-03-01104
Total of all active and inactive participants2023-03-01104
2022: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2022 401k membership
Total participants, beginning-of-year2022-03-01112
Total number of active participants reported on line 7a of the Form 55002022-03-01110
Total of all active and inactive participants2022-03-01110
2021: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2021 401k membership
Total participants, beginning-of-year2021-03-01110
Total number of active participants reported on line 7a of the Form 55002021-03-01112
Total of all active and inactive participants2021-03-01112
2020: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2020 401k membership
Total participants, beginning-of-year2020-03-01120
Total number of active participants reported on line 7a of the Form 55002020-03-01110
Total of all active and inactive participants2020-03-01110
Total participants2020-03-01110
2019: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2019 401k membership
Total participants, beginning-of-year2019-03-01132
Total number of active participants reported on line 7a of the Form 55002019-03-01120
Total of all active and inactive participants2019-03-01120
Total participants2019-03-01120
2017: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-03-01121
Total number of active participants reported on line 7a of the Form 55002017-03-01134
Total of all active and inactive participants2017-03-01134
Total participants2017-03-01134
2016: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-03-01106
Total number of active participants reported on line 7a of the Form 55002016-03-01121
Total of all active and inactive participants2016-03-01121
Total participants2016-03-01121
2015: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-03-01104
Total number of active participants reported on line 7a of the Form 55002015-03-01106
Total of all active and inactive participants2015-03-01106
Total participants2015-03-010
2014: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-03-0197
Total number of active participants reported on line 7a of the Form 55002014-03-01104
Total of all active and inactive participants2014-03-01104
Total participants2014-03-010
2013: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-03-0196
Total number of active participants reported on line 7a of the Form 55002013-03-0197
Total of all active and inactive participants2013-03-0197
Total participants2013-03-010
2012: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-03-0193
Total number of active participants reported on line 7a of the Form 55002012-03-0196
Total of all active and inactive participants2012-03-0196
Total participants2012-03-010
2011: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-03-0181
Total number of active participants reported on line 7a of the Form 55002011-03-0193
Total of all active and inactive participants2011-03-0193
Total participants2011-03-0193
2010: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2010 401k membership
Total participants, beginning-of-year2010-03-0175
Total number of active participants reported on line 7a of the Form 55002010-03-0181
Total of all active and inactive participants2010-03-0181
Total participants2010-03-0181
2009: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-03-0194
Total number of active participants reported on line 7a of the Form 55002009-03-0175
Total of all active and inactive participants2009-03-0175
Total participants2009-03-0175

Form 5500 Responses for INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE

2023: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan funding arrangement – General assets of the sponsorYes
2023-03-01Plan benefit arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – General assets of the sponsorYes
2022: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan funding arrangement – General assets of the sponsorYes
2022-03-01Plan benefit arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – General assets of the sponsorYes
2021: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan funding arrangement – General assets of the sponsorYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – General assets of the sponsorYes
2020: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan funding arrangement – General assets of the sponsorYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – General assets of the sponsorYes
2019: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan funding arrangement – General assets of the sponsorYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – General assets of the sponsorYes
2017: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan funding arrangement – General assets of the sponsorYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – General assets of the sponsorYes
2016: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – General assets of the sponsorYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – General assets of the sponsorYes
2015: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2010: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan funding arrangement – General assets of the sponsorYes
2010-03-01Plan benefit arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: INDUSTRIAL HARD CHROME, LTD. LIFE AND AD&D INSURANCE 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number403007303
Policy instance 6
Insurance contract or identification number403007303
Number of Individuals Covered54
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $478
Total amount of fees paid to insurance companyUSD $185
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251892
Policy instance 5
Insurance contract or identification number10251892
Number of Individuals Covered104
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $547
Total amount of fees paid to insurance companyUSD $241
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10252040
Policy instance 4
Insurance contract or identification number10252040
Number of Individuals Covered23
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $790
Total amount of fees paid to insurance companyUSD $451
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $7,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number25051
Policy instance 3
Insurance contract or identification number25051
Number of Individuals Covered52
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $6,057
Total amount of fees paid to insurance companyUSD $2,367
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251893
Policy instance 2
Insurance contract or identification number10251893
Number of Individuals Covered34
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $1,530
Total amount of fees paid to insurance companyUSD $837
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $14,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251891
Policy instance 1
Insurance contract or identification number10251891
Number of Individuals Covered34
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $2,012
Total amount of fees paid to insurance companyUSD $785
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,413
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251891
Policy instance 1
Insurance contract or identification number10251891
Number of Individuals Covered38
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $1,720
Total amount of fees paid to insurance companyUSD $116
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251893
Policy instance 2
Insurance contract or identification number10251893
Number of Individuals Covered37
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $1,656
Total amount of fees paid to insurance companyUSD $116
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $15,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number25051
Policy instance 3
Insurance contract or identification number25051
Number of Individuals Covered58
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $6,427
Total amount of fees paid to insurance companyUSD $116
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10252040
Policy instance 4
Insurance contract or identification number10252040
Number of Individuals Covered23
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $701
Total amount of fees paid to insurance companyUSD $116
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $7,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251892
Policy instance 5
Insurance contract or identification number10251892
Number of Individuals Covered110
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $618
Total amount of fees paid to insurance companyUSD $116
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251891
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251893
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number25051
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10252040
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251892
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251892
Policy instance 6
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10252040
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number403007303
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number25051
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251893
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251891
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251892
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251893
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10251891
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AKWX
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AKWX
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AKWX
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AKWX
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AKWX
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06362
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00455882
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 136668
Policy instance 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06362
Policy instance 2

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