ABILITIES FIRST INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ABILITIES FIRST, INC HEALTH RELATED
| Measure | Date | Value |
|---|
| 2023: ABILITIES FIRST, INC HEALTH RELATED 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-07-01 | 360 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-07-01 | 352 |
| Total of all active and inactive participants | 2023-07-01 | 352 |
| Total participants | 2023-07-01 | 352 |
| 2022: ABILITIES FIRST, INC HEALTH RELATED 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 396 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 360 |
| Total of all active and inactive participants | 2022-07-01 | 360 |
| Total participants | 2022-07-01 | 360 |
| 2021: ABILITIES FIRST, INC HEALTH RELATED 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 402 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 396 |
| Total of all active and inactive participants | 2021-07-01 | 396 |
| Total participants | 2021-07-01 | 396 |
| 2020: ABILITIES FIRST, INC HEALTH RELATED 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 303 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 391 |
| Total of all active and inactive participants | 2020-07-01 | 391 |
| Total participants | 2020-07-01 | 391 |
| 2019: ABILITIES FIRST, INC HEALTH RELATED 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 445 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 402 |
| Total of all active and inactive participants | 2019-07-01 | 402 |
| Total participants | 2019-07-01 | 402 |
| 2018: ABILITIES FIRST, INC HEALTH RELATED 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 470 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 445 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 2 |
| Total of all active and inactive participants | 2018-07-01 | 447 |
| Total participants | 2018-07-01 | 447 |
| 2017: ABILITIES FIRST, INC HEALTH RELATED 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 466 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 469 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 1 |
| Total of all active and inactive participants | 2017-07-01 | 470 |
| Total participants | 2017-07-01 | 470 |
| 2016: ABILITIES FIRST, INC HEALTH RELATED 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 468 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 466 |
| Total of all active and inactive participants | 2016-07-01 | 466 |
| Total participants | 2016-07-01 | 466 |
| 2015: ABILITIES FIRST, INC HEALTH RELATED 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 482 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 468 |
| Total of all active and inactive participants | 2015-07-01 | 468 |
| Total participants | 2015-07-01 | 468 |
| 2014: ABILITIES FIRST, INC HEALTH RELATED 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 478 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 476 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 6 |
| Total of all active and inactive participants | 2014-07-01 | 482 |
| Total participants | 2014-07-01 | 482 |
| 2013: ABILITIES FIRST, INC HEALTH RELATED 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 555 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 475 |
| Number of retired or separated participants receiving benefits | 2013-07-01 | 3 |
| Total of all active and inactive participants | 2013-07-01 | 478 |
| Total participants | 2013-07-01 | 478 |
| 2012: ABILITIES FIRST, INC HEALTH RELATED 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 484 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 548 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 7 |
| Total of all active and inactive participants | 2012-07-01 | 555 |
| Total participants | 2012-07-01 | 555 |
| 2011: ABILITIES FIRST, INC HEALTH RELATED 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 460 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 483 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 1 |
| Total of all active and inactive participants | 2011-07-01 | 484 |
| Total participants | 2011-07-01 | 484 |
| 2010: ABILITIES FIRST, INC HEALTH RELATED 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 590 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 459 |
| Number of retired or separated participants receiving benefits | 2010-07-01 | 1 |
| Total of all active and inactive participants | 2010-07-01 | 460 |
| Total participants | 2010-07-01 | 460 |
| 2009: ABILITIES FIRST, INC HEALTH RELATED 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 625 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 588 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 2 |
| Total of all active and inactive participants | 2009-07-01 | 590 |
| Total participants | 2009-07-01 | 590 |
| 2008: ABILITIES FIRST, INC HEALTH RELATED 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-07-01 | 687 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-07-01 | 624 |
| Number of retired or separated participants receiving benefits | 2008-07-01 | 1 |
| Total of all active and inactive participants | 2008-07-01 | 625 |
| Total participants | 2008-07-01 | 625 |
| 2007: ABILITIES FIRST, INC HEALTH RELATED 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-07-01 | 563 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-07-01 | 686 |
| Number of retired or separated participants receiving benefits | 2007-07-01 | 1 |
| Total of all active and inactive participants | 2007-07-01 | 687 |
| Total participants | 2007-07-01 | 687 |
| 2006: ABILITIES FIRST, INC HEALTH RELATED 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-07-01 | 549 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-07-01 | 562 |
| Number of retired or separated participants receiving benefits | 2006-07-01 | 1 |
| Total of all active and inactive participants | 2006-07-01 | 563 |
| Total participants | 2006-07-01 | 563 |
| 2023: ABILITIES FIRST, INC HEALTH RELATED 2023 form 5500 responses |
|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Submission has been amended | No |
| 2023-07-01 | This submission is the final filing | No |
| 2023-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-07-01 | Plan is a collectively bargained plan | Yes |
| 2023-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: ABILITIES FIRST, INC HEALTH RELATED 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Submission has been amended | No |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-07-01 | Plan is a collectively bargained plan | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ABILITIES FIRST, INC HEALTH RELATED 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Submission has been amended | No |
| 2021-07-01 | This submission is the final filing | No |
| 2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-07-01 | Plan is a collectively bargained plan | Yes |
| 2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ABILITIES FIRST, INC HEALTH RELATED 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Submission has been amended | No |
| 2020-07-01 | This submission is the final filing | No |
| 2020-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-07-01 | Plan is a collectively bargained plan | Yes |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ABILITIES FIRST, INC HEALTH RELATED 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Submission has been amended | No |
| 2019-07-01 | This submission is the final filing | No |
| 2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-07-01 | Plan is a collectively bargained plan | Yes |
| 2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: ABILITIES FIRST, INC HEALTH RELATED 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | First time form 5500 has been submitted | Yes |
| 2018-07-01 | Submission has been amended | No |
| 2018-07-01 | This submission is the final filing | No |
| 2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-07-01 | Plan is a collectively bargained plan | Yes |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ABILITIES FIRST, INC HEALTH RELATED 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-01 | Plan is a collectively bargained plan | Yes |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ABILITIES FIRST, INC HEALTH RELATED 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | Yes |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ABILITIES FIRST, INC HEALTH RELATED 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Submission has been amended | No |
| 2015-07-01 | This submission is the final filing | No |
| 2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-01 | Plan is a collectively bargained plan | Yes |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ABILITIES FIRST, INC HEALTH RELATED 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Submission has been amended | No |
| 2014-07-01 | This submission is the final filing | No |
| 2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-07-01 | Plan is a collectively bargained plan | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ABILITIES FIRST, INC HEALTH RELATED 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Submission has been amended | No |
| 2013-07-01 | This submission is the final filing | No |
| 2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-07-01 | Plan is a collectively bargained plan | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ABILITIES FIRST, INC HEALTH RELATED 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ABILITIES FIRST, INC HEALTH RELATED 2011 form 5500 responses |
|---|
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Submission has been amended | No |
| 2011-07-01 | This submission is the final filing | No |
| 2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-07-01 | Plan is a collectively bargained plan | Yes |
| 2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ABILITIES FIRST, INC HEALTH RELATED 2010 form 5500 responses |
|---|
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Submission has been amended | No |
| 2010-07-01 | This submission is the final filing | No |
| 2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-07-01 | Plan is a collectively bargained plan | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ABILITIES FIRST, INC HEALTH RELATED 2009 form 5500 responses |
|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Submission has been amended | No |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-07-01 | Plan is a collectively bargained plan | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: ABILITIES FIRST, INC HEALTH RELATED 2008 form 5500 responses |
|---|
| 2008-07-01 | Type of plan entity | Single employer plan |
| 2008-07-01 | Submission has been amended | No |
| 2008-07-01 | This submission is the final filing | No |
| 2008-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-07-01 | Plan is a collectively bargained plan | Yes |
| 2008-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: ABILITIES FIRST, INC HEALTH RELATED 2007 form 5500 responses |
|---|
| 2007-07-01 | Type of plan entity | Single employer plan |
| 2007-07-01 | Submission has been amended | No |
| 2007-07-01 | This submission is the final filing | No |
| 2007-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-07-01 | Plan is a collectively bargained plan | Yes |
| 2007-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: ABILITIES FIRST, INC HEALTH RELATED 2006 form 5500 responses |
|---|
| 2006-07-01 | Type of plan entity | Single employer plan |
| 2006-07-01 | Submission has been amended | No |
| 2006-07-01 | This submission is the final filing | No |
| 2006-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-07-01 | Plan is a collectively bargained plan | Yes |
| 2006-07-01 | Plan benefit arrangement – Insurance | Yes |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 721355 |
| Policy instance | 3 |
| Insurance contract or identification number | 721355 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | Total amount of commissions paid to insurance broker | USD $651 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $16,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 11603 |
| Policy instance | 2 |
| Insurance contract or identification number | 11603 | | Number of Individuals Covered | 389 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | Total amount of commissions paid to insurance broker | USD $2,696 | | Total amount of fees paid to insurance company | USD $352 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $96,041 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| Insurance contract or identification number | 214078 | | Number of Individuals Covered | 352 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | Total amount of commissions paid to insurance broker | USD $125,293 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,369,273 |
|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | |
| Policy instance | 3 |
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 11603 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 11603 |
| Policy instance | 2 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | |
| Policy instance | 3 |
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 11603 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1103058 |
| Policy instance | 2 |
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 11603 |
| Policy instance | 3 |
| UNITED CONCIERGE MEDICINE (National Association of Insurance Commissioners NAIC id number: 62139 ) |
| Policy contract number | |
| Policy instance | 4 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1103058000 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 2 |
| EMBLEM (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1076945 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G3445 |
| Policy instance | 2 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 77512G445 |
| Policy instance | 2 |
| MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 ) |
| Policy contract number | 214078 |
| Policy instance | 1 |
