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| Plan Name | GROUP LIFE INSURANCE AND ADD INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ROBERT'S HAWAII, INC. |
| Employer identification number (EIN): | 990185478 |
| NAIC Classification: | 485990 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2019-01-01 | ||||
| 503 | 2018-04-01 | ||||
| 503 | 2017-04-01 | ROY PFUND | |||
| 503 | 2016-04-01 | ROY PFUND | |||
| 503 | 2015-04-01 | ROY PFUND | ROY PFUND | 2016-10-31 | |
| 503 | 2014-04-01 | SHARI KOMO | |||
| 503 | 2012-04-01 | SHARI KOMO | |||
| 503 | 2011-04-01 | ROY PFUND | |||
| 503 | 2010-04-01 | ROY PFUND | |||
| 503 | 2009-04-01 | ROY PFUND |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0BHS3 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 0409041 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 409041 |
| Policy instance | 1 |
| PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) | |
| Policy contract number | 70519 |
| Policy instance | 1 |
| PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) | |
| Policy contract number | 70519 |
| Policy instance | 1 |
| PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) | |
| Policy contract number | 70519 |
| Policy instance | 1 |
| PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) | |
| Policy contract number | 70519 |
| Policy instance | 1 |
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