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ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 401k Plan overview

Plan NameENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM
Plan identification number 511

ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

ENSIGN-BICKFORD INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ENSIGN-BICKFORD INDUSTRIES, INC.
Employer identification number (EIN):060876668
NAIC Classification:325200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112023-01-01ANDY PLINER2024-06-30
5112022-01-01ANDREW PLINER2023-06-01
5112021-01-01ANDY PLINER2022-06-22
5112020-01-01ANDREW PLINER2021-06-28
5112019-01-01ANDY PLINER2020-07-27
5112018-01-01
5112017-01-01
5112016-01-01
5112015-01-01
5112014-01-01
5112013-01-01
5112012-01-01MIKE BUTLER
5112011-01-01DENISE GRANT
5112010-01-01DENISE GRANT
5112009-01-01DENISE GRANT
5112009-01-01DENISE GRANT
5112009-01-01DENISE GRANT

Plan Statistics for ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM

401k plan membership statisitcs for ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM

Measure Date Value
2023: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2023 401k membership
Total participants, beginning-of-year2023-01-011,214
Total number of active participants reported on line 7a of the Form 55002023-01-011,245
Number of retired or separated participants receiving benefits2023-01-0119
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-011,264
Number of employers contributing to the scheme2023-01-010
2022: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2022 401k membership
Total participants, beginning-of-year2022-01-011,495
Total number of active participants reported on line 7a of the Form 55002022-01-011,192
Number of retired or separated participants receiving benefits2022-01-0122
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,214
Number of employers contributing to the scheme2022-01-010
2021: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2021 401k membership
Total participants, beginning-of-year2021-01-011,266
Total number of active participants reported on line 7a of the Form 55002021-01-011,482
Number of retired or separated participants receiving benefits2021-01-0113
Number of other retired or separated participants entitled to future benefits2021-01-0113
Total of all active and inactive participants2021-01-011,508
Number of employers contributing to the scheme2021-01-010
2020: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2020 401k membership
Total participants, beginning-of-year2020-01-011,094
Total number of active participants reported on line 7a of the Form 55002020-01-011,258
Number of retired or separated participants receiving benefits2020-01-018
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,266
Number of employers contributing to the scheme2020-01-010
2019: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2019 401k membership
Total participants, beginning-of-year2019-01-01878
Total number of active participants reported on line 7a of the Form 55002019-01-011,024
Number of retired or separated participants receiving benefits2019-01-0167
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,091
Number of employers contributing to the scheme2019-01-010
2018: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2018 401k membership
Total participants, beginning-of-year2018-01-01722
Total number of active participants reported on line 7a of the Form 55002018-01-01843
Number of retired or separated participants receiving benefits2018-01-0135
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01878
Number of employers contributing to the scheme2018-01-010
2017: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2017 401k membership
Total participants, beginning-of-year2017-01-01693
Total number of active participants reported on line 7a of the Form 55002017-01-01660
Number of retired or separated participants receiving benefits2017-01-0162
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01722
2016: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2016 401k membership
Total participants, beginning-of-year2016-01-01814
Total number of active participants reported on line 7a of the Form 55002016-01-01623
Number of retired or separated participants receiving benefits2016-01-0170
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01693
2015: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2015 401k membership
Total participants, beginning-of-year2015-01-01829
Total number of active participants reported on line 7a of the Form 55002015-01-01733
Number of retired or separated participants receiving benefits2015-01-0181
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01814
2014: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2014 401k membership
Total participants, beginning-of-year2014-01-01910
Total number of active participants reported on line 7a of the Form 55002014-01-01737
Number of retired or separated participants receiving benefits2014-01-0192
Total of all active and inactive participants2014-01-01829
2013: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2013 401k membership
Total participants, beginning-of-year2013-01-01848
Total number of active participants reported on line 7a of the Form 55002013-01-01716
Number of retired or separated participants receiving benefits2013-01-01194
Total of all active and inactive participants2013-01-01910
2012: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2012 401k membership
Total participants, beginning-of-year2012-01-01849
Total number of active participants reported on line 7a of the Form 55002012-01-01750
Number of retired or separated participants receiving benefits2012-01-0198
Total of all active and inactive participants2012-01-01848
2011: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2011 401k membership
Total participants, beginning-of-year2011-01-011,182
Total number of active participants reported on line 7a of the Form 55002011-01-01953
Number of retired or separated participants receiving benefits2011-01-01323
Total of all active and inactive participants2011-01-011,276
2010: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2010 401k membership
Total participants, beginning-of-year2010-01-01948
Total number of active participants reported on line 7a of the Form 55002010-01-01852
Number of retired or separated participants receiving benefits2010-01-01330
Total of all active and inactive participants2010-01-011,182
2009: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2009 401k membership
Total participants, beginning-of-year2009-01-01943
Total number of active participants reported on line 7a of the Form 55002009-01-01622
Number of retired or separated participants receiving benefits2009-01-01326
Total of all active and inactive participants2009-01-01948

Form 5500 Responses for ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM

2023: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ENSIGN-BICKFORD INDUSTRIES, INC. GROUP BENEFIT PROGRAM 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730510
Policy instance 2
Insurance contract or identification number730510
Number of Individuals Covered2319
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $12,653
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,422
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 number917796
Policy instance 1
Insurance contract or identification number917796
Number of Individuals Covered1261
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $72,429
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $964,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730510
Policy instance 2
Insurance contract or identification number730510
Number of Individuals Covered1037
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,095
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 1
Insurance contract or identification number402345G
Number of Individuals Covered1506
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $33,694
Total amount of fees paid to insurance companyUSD $36,294
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,388,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730510
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730510
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730510
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730510
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30010937
Policy instance 5
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 1
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04677
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0730510
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30010937
Policy instance 5
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0730510
Policy instance 4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number4677
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 1
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number4677
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30010937
Policy instance 5
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0730510
Policy instance 4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402345G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number4677
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number033311G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30010937
Policy instance 5
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0730510
Policy instance 4
HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
Policy contract number00127803
Policy instance 2
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number77909
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30010937
Policy instance 8
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number77909
Policy instance 7
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0730510
Policy instance 6
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number4677
Policy instance 4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number033311G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30010937
Policy instance 7
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number033311G
Policy instance 2
HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
Policy contract number00127803
Policy instance 3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number806666
Policy instance 4
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number0090
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0729424
Policy instance 10
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number352527
Policy instance 9
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD006100
Policy instance 8
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number22092
Policy instance 5
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000500044
Policy instance 6

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