401k Plan data: PULSE ELECTRONICS GROUP HEALTH PLAN plan

PULSE ELECTRONICS GROUP HEALTH PLAN 401k Plan overview

Plan Name	PULSE ELECTRONICS GROUP HEALTH PLAN
Plan identification number	516

PULSE ELECTRONICS GROUP HEALTH PLAN Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Health (other than dental or vision)
Life insurance
Dental
Vision
Temporary disability (accident and sickness)
Prepaid legal
Long-term disability cover
Death benefits (include travel accident but not life insurance)
Other welfare benefit cover
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PULSE ELECTRONICS, INC. has sponsored the creation of one or more 401k plans.

Company Name: PULSE ELECTRONICS, INC.

Employer identification number (EIN): 232808999

NAIC Classification: 334410

Additional information about PULSE ELECTRONICS, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1996-03-05

Company Identification Number: 935194

Legal Registered Office Address: 6320 CENTURY CITY STE 3
-
REYNOLDSBURG
United States of America (USA)
43068

More information about PULSE ELECTRONICS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PULSE ELECTRONICS GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
516 2018-07-01 MACY DANG 2020-01-16
516 2017-07-01
516 2016-07-01
516 2015-07-01 PATRICIA DOWNES
516 2015-07-01
516 2014-07-01 PATRICIA DOWNES
516 2013-07-01 PATRICIA DOWNES
516 2012-07-01 JANIS EOFF KATHRYN KIECKER 2014-01-29
516 2011-07-01 KATHRYN KIECKER JANIS EOFF 2013-04-09
516 2010-07-01 KATE KIECKER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
516	2018-07-01	MACY DANG	2020-01-16
516	2017-07-01
516	2016-07-01
516	2015-07-01	PATRICIA DOWNES
516	2015-07-01
516	2014-07-01	PATRICIA DOWNES
516	2013-07-01	PATRICIA DOWNES
516	2012-07-01	JANIS EOFF		KATHRYN KIECKER	2014-01-29
516	2011-07-01	KATHRYN KIECKER		JANIS EOFF	2013-04-09
516	2010-07-01	KATE KIECKER

Plan Statistics for PULSE ELECTRONICS GROUP HEALTH PLAN

401k plan membership statisitcs for PULSE ELECTRONICS GROUP HEALTH PLAN

Measure Date Value
2018: PULSE ELECTRONICS GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 105
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 90
Number of retired or separated participants receiving benefits 2018-07-01 5
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 95
Number of employers contributing to the scheme 2018-07-01 0
2017: PULSE ELECTRONICS GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 134
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 105
Number of retired or separated participants receiving benefits 2017-07-01 5
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 110
Number of employers contributing to the scheme 2017-07-01 0
2016: PULSE ELECTRONICS GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 146
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 72
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 72
2015: PULSE ELECTRONICS GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 154
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 146
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 146
2014: PULSE ELECTRONICS GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 201
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 146
Number of retired or separated participants receiving benefits 2014-07-01 8
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 154
2013: PULSE ELECTRONICS GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 211
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 196
Number of retired or separated participants receiving benefits 2013-07-01 5
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 201
2012: PULSE ELECTRONICS GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 233
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 206
Number of retired or separated participants receiving benefits 2012-07-01 5
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 211
2011: PULSE ELECTRONICS GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 273
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 219
Number of retired or separated participants receiving benefits 2011-07-01 14
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 233
2010: PULSE ELECTRONICS GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 269
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 257
Number of retired or separated participants receiving benefits 2010-07-01 16
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 273

Measure	Date	Value
2018: PULSE ELECTRONICS GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	105
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	90
Number of retired or separated participants receiving benefits	2018-07-01	5
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	95
Number of employers contributing to the scheme	2018-07-01	0
2017: PULSE ELECTRONICS GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	134
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	105
Number of retired or separated participants receiving benefits	2017-07-01	5
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	110
Number of employers contributing to the scheme	2017-07-01	0
2016: PULSE ELECTRONICS GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	146
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	72
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	72
2015: PULSE ELECTRONICS GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	154
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	146
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	146
2014: PULSE ELECTRONICS GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	201
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	146
Number of retired or separated participants receiving benefits	2014-07-01	8
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	154
2013: PULSE ELECTRONICS GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	211
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	196
Number of retired or separated participants receiving benefits	2013-07-01	5
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	201
2012: PULSE ELECTRONICS GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	233
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	206
Number of retired or separated participants receiving benefits	2012-07-01	5
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	211
2011: PULSE ELECTRONICS GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	273
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	219
Number of retired or separated participants receiving benefits	2011-07-01	14
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	233
2010: PULSE ELECTRONICS GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	269
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	257
Number of retired or separated participants receiving benefits	2010-07-01	16
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	273

Form 5500 Responses for PULSE ELECTRONICS GROUP HEALTH PLAN

2018: PULSE ELECTRONICS GROUP HEALTH PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: PULSE ELECTRONICS GROUP HEALTH PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: PULSE ELECTRONICS GROUP HEALTH PLAN 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	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: PULSE ELECTRONICS GROUP HEALTH PLAN 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	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: PULSE ELECTRONICS GROUP HEALTH PLAN 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	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PULSE ELECTRONICS GROUP HEALTH PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	Yes
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	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PULSE ELECTRONICS GROUP HEALTH PLAN 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	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PULSE ELECTRONICS GROUP HEALTH PLAN 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	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: PULSE ELECTRONICS GROUP HEALTH PLAN 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	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	2
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	3
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SGM606558
Policy instance	5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SGM606558
Policy instance	6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	5
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	2
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	728620
Policy instance	4
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	5
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	728620
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	138395
Policy instance	2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	232808999
Policy instance	3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	4
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	7
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number	277302
Policy instance	5
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	728620
Policy instance	8
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	7
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0138395
Policy instance	6
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	277302
Policy instance	4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	3
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	728620
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0138395
Policy instance	2
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	277302
Policy instance	5
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	6
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	7
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number	277302
Policy instance	8
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	2
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number	277302
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	8
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	7
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	277302
Policy instance	6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	5
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	728620
Policy instance	4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0138395
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	277302
Policy instance	2
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	277302
Policy instance	6
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	7
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number	277302
Policy instance	4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0138395
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0AJEY
Policy instance	4
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AJEY
Policy instance	8
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	100866
Policy instance	1
ACI SPECIALTY BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	14
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3327930
Policy instance	13
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	12183767
Policy instance	12
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0729661
Policy instance	11
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0138395
Policy instance	5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AJEY
Policy instance	9
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	11945
Policy instance	7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GUPR0AJEY
Policy instance	2
ACI SPECIALTY BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	10
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12183767
Policy instance	6
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0729661
Policy instance	7
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	150619
Policy instance	5
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	14454
Policy instance	3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	104659
Policy instance	2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3327930
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0137810
Policy instance	4

Potentially related plans

PULSE ELECTRONICS GROUP HEALTH PLAN [EIN = 231292472]

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Company Name:	PULSE ELECTRONICS, INC.
Employer identification number (EIN):	232808999
NAIC Classification:	334410

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1996-03-05
Company Identification Number:	935194
Legal Registered Office Address:	6320 CENTURY CITY STE 3 - REYNOLDSBURG United States of America (USA) 43068