LAGOS, INC. has sponsored the creation of one or more 401k plans.
Additional information about LAGOS, INC.
Submission information for form 5500 for 401k plan LAGOS, INC. GROUP MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2024 : LAGOS, INC. GROUP MEDICAL PLAN 2024 401k financial data |
|---|
| Total plan liabilities at end of year | 2024-01-01 | $170,362 |
| Total plan liabilities at beginning of year | 2024-01-01 | $275,884 |
| Total income from all sources | 2024-01-01 | $1,769,957 |
| Expenses. Total of all expenses incurred | 2024-01-01 | $1,539,659 |
| Benefits paid (including direct rollovers) | 2024-01-01 | $1,063,434 |
| Total plan assets at end of year | 2024-01-01 | $134,588 |
| Total plan assets at beginning of year | 2024-01-01 | $9,812 |
| Value of fidelity bond covering the plan | 2024-01-01 | $500,000 |
| Total contributions received or receivable from participants | 2024-01-01 | $195,600 |
| Expenses. Other expenses not covered elsewhere | 2024-01-01 | $463,683 |
| Contributions received from other sources (not participants or employers) | 2024-01-01 | $37,899 |
| Other income received | 2024-01-01 | $2,934 |
| Net income (gross income less expenses) | 2024-01-01 | $230,298 |
| Net plan assets at end of year (total assets less liabilities) | 2024-01-01 | $-35,774 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-01-01 | $-266,072 |
| Total contributions received or receivable from employer(s) | 2024-01-01 | $1,533,524 |
| Value of corrective distributions | 2024-01-01 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2024-01-01 | $12,542 |
| 2023 : LAGOS, INC. GROUP MEDICAL PLAN 2023 401k financial data |
|---|
| Total plan liabilities at end of year | 2023-12-31 | $275,884 |
| Total plan liabilities at beginning of year | 2023-12-31 | $78,194 |
| Total income from all sources | 2023-12-31 | $1,427,604 |
| Expenses. Total of all expenses incurred | 2023-12-31 | $1,664,146 |
| Benefits paid (including direct rollovers) | 2023-12-31 | $1,201,469 |
| Total plan assets at end of year | 2023-12-31 | $9,812 |
| Total plan assets at beginning of year | 2023-12-31 | $48,664 |
| Value of fidelity bond covering the plan | 2023-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2023-12-31 | $123,415 |
| Expenses. Other expenses not covered elsewhere | 2023-12-31 | $431,690 |
| Contributions received from other sources (not participants or employers) | 2023-12-31 | $9,492 |
| Other income received | 2023-12-31 | $1,092 |
| Net income (gross income less expenses) | 2023-12-31 | $-236,542 |
| Net plan assets at end of year (total assets less liabilities) | 2023-12-31 | $-266,072 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-12-31 | $-29,530 |
| Total contributions received or receivable from employer(s) | 2023-12-31 | $1,293,605 |
| Value of corrective distributions | 2023-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-12-31 | $30,987 |
| 2022 : LAGOS, INC. GROUP MEDICAL PLAN 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-12-31 | $78,194 |
| Total plan liabilities at beginning of year | 2022-12-31 | $122,895 |
| Total income from all sources | 2022-12-31 | $1,153,499 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $1,151,471 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $769,673 |
| Total plan assets at end of year | 2022-12-31 | $48,664 |
| Total plan assets at beginning of year | 2022-12-31 | $91,337 |
| Value of fidelity bond covering the plan | 2022-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $165,686 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $350,250 |
| Contributions received from other sources (not participants or employers) | 2022-12-31 | $869,853 |
| Other income received | 2022-12-31 | $238 |
| Net income (gross income less expenses) | 2022-12-31 | $2,028 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $-29,530 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $-31,558 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $117,722 |
| Value of corrective distributions | 2022-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $31,548 |
| 2021 : LAGOS, INC. GROUP MEDICAL PLAN 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-12-31 | $122,895 |
| Total plan liabilities at beginning of year | 2021-12-31 | $66,131 |
| Total income from all sources | 2021-12-31 | $823,362 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $848,378 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $561,526 |
| Total plan assets at end of year | 2021-12-31 | $91,337 |
| Total plan assets at beginning of year | 2021-12-31 | $59,589 |
| Value of fidelity bond covering the plan | 2021-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $148,630 |
| Expenses. Other expenses not covered elsewhere | 2021-12-31 | $260,293 |
| Contributions received from other sources (not participants or employers) | 2021-12-31 | $14,182 |
| Other income received | 2021-12-31 | $157 |
| Net income (gross income less expenses) | 2021-12-31 | $-25,016 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $-31,558 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $-6,542 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $660,393 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $26,559 |
| 2020 : LAGOS, INC. GROUP MEDICAL PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $66,131 |
| Total plan liabilities at beginning of year | 2020-12-31 | $68,968 |
| Total income from all sources | 2020-12-31 | $167,051 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $167,833 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $111,933 |
| Total plan assets at end of year | 2020-12-31 | $59,589 |
| Total plan assets at beginning of year | 2020-12-31 | $63,208 |
| Value of fidelity bond covering the plan | 2020-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $36,230 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $49,332 |
| Contributions received from other sources (not participants or employers) | 2020-12-31 | $3,458 |
| Other income received | 2020-12-31 | $52 |
| Net income (gross income less expenses) | 2020-12-31 | $-782 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $-6,542 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $-5,760 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $127,311 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $6,568 |
| Total plan liabilities at end of year | 2020-09-30 | $68,968 |
| Total plan liabilities at beginning of year | 2020-09-30 | $0 |
| Total income from all sources | 2020-09-30 | $1,045,912 |
| Expenses. Total of all expenses incurred | 2020-09-30 | $1,051,672 |
| Benefits paid (including direct rollovers) | 2020-09-30 | $693,787 |
| Total plan assets at end of year | 2020-09-30 | $63,208 |
| Total plan assets at beginning of year | 2020-09-30 | $0 |
| Value of fidelity bond covering the plan | 2020-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2020-09-30 | $166,280 |
| Expenses. Other expenses not covered elsewhere | 2020-09-30 | $312,185 |
| Contributions received from other sources (not participants or employers) | 2020-09-30 | $8,869 |
| Other income received | 2020-09-30 | $200 |
| Net income (gross income less expenses) | 2020-09-30 | $-5,760 |
| Net plan assets at end of year (total assets less liabilities) | 2020-09-30 | $-5,760 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2020-09-30 | $870,563 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-09-30 | $45,700 |
| 2023: LAGOS, INC. GROUP MEDICAL PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | No |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – Trust | 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 - Trust | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: LAGOS, INC. GROUP MEDICAL PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | 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 - Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: LAGOS, INC. GROUP MEDICAL PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: LAGOS, INC. GROUP MEDICAL PLAN 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Submission has been amended | No |
| 2020-10-01 | This submission is the final filing | No |
| 2020-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-10-01 | Plan is a collectively bargained plan | No |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan funding arrangement – Trust | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement - Trust | Yes |
| 2019: LAGOS, INC. GROUP MEDICAL PLAN 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | First time form 5500 has been submitted | Yes |
| 2019-10-01 | Submission has been amended | No |
| 2019-10-01 | This submission is the final filing | No |
| 2019-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-10-01 | Plan is a collectively bargained plan | No |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan funding arrangement – Trust | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement - Trust | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5940301 |
| Policy instance | 3 |
| Insurance contract or identification number | 5940301 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $11,244 | | Total amount of fees paid to insurance company | USD $1,786 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 $124,300 | | 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 number | 07Y4595 |
| Policy instance | 2 |
| Insurance contract or identification number | 07Y4595 | | Number of Individuals Covered | 68 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $571 | | Total amount of fees paid to insurance company | USD $0 | | 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 $5,706 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-203154 |
| Policy instance | 1 |
| Insurance contract or identification number | UNI-203154 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | 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 | 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 $365,273 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 203154 |
| Policy instance | 4 |
| Insurance contract or identification number | 203154 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | 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 | 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 $291,964 | | 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 | 5940301 |
| Policy instance | 3 |
| Insurance contract or identification number | 5940301 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $10,168 | | Total amount of fees paid to insurance company | USD $1,715 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 $112,035 | | 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 number | 07Y4595 |
| Policy instance | 2 |
| Insurance contract or identification number | 07Y4595 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $513 | | Total amount of fees paid to insurance company | USD $0 | | 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 $4,727 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 30500469 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500469 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | 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 | 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 $-175 | | 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 | 5940301 |
| Policy instance | 3 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 07Y4595 |
| Policy instance | 2 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 30500469 |
| Policy instance | 1 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 30500469 |
| Policy instance | 1 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 30500469 |
| Policy instance | 1 |
