BLUE CROSS & BLUE SHIELD OF MINNESOTA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2024-01-01 | JULIE LOOSBROCK | | | |
| 501 | 2023-01-01 | | | | |
| 501 | 2023-01-01 | JULIE LOOSBROCK | | | |
| 501 | 2022-01-01 | | | | |
| 501 | 2022-01-01 | JULIE LOOSBROCK | | | |
| 501 | 2021-01-01 | | | | |
| 501 | 2021-01-01 | DAVID COX, VP HR OPERATIONS | | | |
| 501 | 2020-01-01 | | | | |
| 501 | 2019-01-01 | | | | |
| 501 | 2017-01-01 | RUTH HAFOKA, SR VP CHIEF HR OFFICER | | | |
| 501 | 2016-01-01 | RUTH HAFOKA | | | |
| 501 | 2015-01-01 | DIANE POZDOLSKI, VP COMP. BEN. HRIS | | | |
| 501 | 2014-01-01 | DIANE POZDOLSKI, VP COMP. BEN. HRIS | | | |
| 501 | 2013-01-01 | DIANE POZDOLSKI, VP COMP. BEN. HRIS | | | |
| 501 | 2012-01-01 | DIANE POZDOLSKI, VP COMP., BEN. & H | | | |
| 501 | 2011-01-01 | DIANE POZDOLSKI, VP COMP., BEN. & H | | | |
| 501 | 2009-01-01 | COLLEEN CONNORS, VP HUMAN RESOURCES | | | |
| 501 | 2009-01-01 | COLLEEN CONNORS, VP HUMAN RESOURCES | | | |
| 501 | 2008-11-01 | | | | |
401k plan membership statisitcs for BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2023: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 4,306 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 3,102 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 1,201 |
| Total of all active and inactive participants | 2023-01-01 | 4,303 |
| Total participants | 2023-01-01 | 4,303 |
| 2022: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 4,629 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 3,099 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 1,207 |
| Total of all active and inactive participants | 2022-01-01 | 4,306 |
| Total participants | 2022-01-01 | 4,306 |
| 2021: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 4,874 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 3,330 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 1,299 |
| Total of all active and inactive participants | 2021-01-01 | 4,629 |
| Total participants | 2021-01-01 | 4,629 |
| 2020: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 3,850 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 3,512 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 1,362 |
| Total of all active and inactive participants | 2020-01-01 | 4,874 |
| Total participants | 2020-01-01 | 4,874 |
| 2019: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 4,062 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 3,600 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 250 |
| Total of all active and inactive participants | 2019-01-01 | 3,850 |
| Total participants | 2019-01-01 | 3,850 |
| 2017: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 4,121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 3,823 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 275 |
| Total of all active and inactive participants | 2017-01-01 | 4,098 |
| Total participants | 2017-01-01 | 4,098 |
| 2016: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 3,894 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 3,898 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 223 |
| Total of all active and inactive participants | 2016-01-01 | 4,121 |
| Total participants | 2016-01-01 | 4,121 |
| 2015: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 3,692 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 3,719 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 175 |
| Total of all active and inactive participants | 2015-01-01 | 3,894 |
| Total participants | 2015-01-01 | 3,894 |
| 2014: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 3,814 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 3,477 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 215 |
| Total of all active and inactive participants | 2014-01-01 | 3,692 |
| Total participants | 2014-01-01 | 3,692 |
| 2013: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 3,950 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 3,536 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 278 |
| Total of all active and inactive participants | 2013-01-01 | 3,814 |
| Total participants | 2013-01-01 | 3,814 |
| 2012: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 3,919 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 3,660 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 290 |
| Total of all active and inactive participants | 2012-01-01 | 3,950 |
| Total participants | 2012-01-01 | 3,950 |
| 2011: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 3,916 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 3,582 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 337 |
| Total of all active and inactive participants | 2011-01-01 | 3,919 |
| Total participants | 2011-01-01 | 3,919 |
| 2009: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 4,585 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 3,679 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 495 |
| Total of all active and inactive participants | 2009-01-01 | 4,174 |
| Total participants | 2009-01-01 | 4,174 |
| 2023: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2008: BLUE CROSS AND BLUE SHIELD OF MINNESOTA WELFARE BENEFIT PLAN 2008 form 5500 responses |
|---|
| 2008-11-01 | Type of plan entity | Single employer plan |
| 2008-11-01 | Submission has been amended | No |
| 2008-11-01 | This submission is the final filing | No |
| 2008-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-11-01 | Plan is a collectively bargained plan | No |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0166155 |
| Policy instance | 3 |
| Insurance contract or identification number | 0166155 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $13,796 | | Total amount of fees paid to insurance company | USD $76 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FLEX ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 2 |
| Insurance contract or identification number | 417688 | | Number of Individuals Covered | 2991 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $120,052 | | Total amount of fees paid to insurance company | USD $43,445 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FLEX ADD | | Welfare Benefit Premiums Paid to Carrier | USD $2,173,938 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 99077337 |
| Policy instance | 1 |
| Insurance contract or identification number | 99077337 | | Number of Individuals Covered | 3102 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-04-01 | | Other welfare benefits provided | ACCIDENTAL DEATH | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 99077337 |
| Policy instance | 1 |
| Insurance contract or identification number | 99077337 | | Number of Individuals Covered | 3099 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-04-01 | | Other welfare benefits provided | ACCIDENTAL DEATH | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 2 |
| Insurance contract or identification number | 417688 | | Number of Individuals Covered | 3052 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $112,770 | | Total amount of fees paid to insurance company | USD $45,108 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FLEX ADD | | Welfare Benefit Premiums Paid to Carrier | USD $2,255,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0166155 |
| Policy instance | 3 |
| Insurance contract or identification number | 0166155 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $10,843 | | Total amount of fees paid to insurance company | USD $1,814 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | FLEX ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0166155 |
| Policy instance | 3 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 2 |
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 99077337 |
| Policy instance | 1 |
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 99077337 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 2 |
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 99077337 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 2 |
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 99077337 |
| Policy instance | 2 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | ABL961424 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 417688 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557-GLT |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557-0GL |
| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | ABL961424 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557-0GL |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557-GLT |
| Policy instance | 3 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | ABL961424 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | ABL961424 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 093872 |
| Policy instance | 5 |
| SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 ) |
| Policy contract number | G1007129 1001 |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557-0GL |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557-GLT |
| Policy instance | 3 |
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | GP560 |
| Policy instance | 2 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 06277 |
| Policy instance | 1 |
| SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 ) |
| Policy contract number | G1007129 T001 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557G |
| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | ABL961424 |
| Policy instance | 1 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 101317201 |
| Policy instance | 3 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | ABL961424 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 677557G |
| Policy instance | 2 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 3172-01 |
| Policy instance | 3 |
