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| Plan Name | EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | EQT CORPORATION |
| Employer identification number (EIN): | 250464690 |
| NAIC Classification: | 211130 |
| NAIC Description: | Natural Gas Extraction |
Additional information about EQT CORPORATION
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2015-03-11 |
| Company Identification Number: | 0802173271 |
| Legal Registered Office Address: |
PO BOX 6135 PITTSBURGH United States of America (USA) 15212 |
More information about EQT CORPORATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2018-01-01 | MARY C. KREJSA | |||
| 509 | 2017-01-01 | DAVID J. SMITH | |||
| 509 | 2016-01-01 | DAVID J. SMITH | |||
| 509 | 2015-01-01 | DAVID J. SMITH | |||
| 509 | 2014-01-01 | DAVID J. SMITH | |||
| 509 | 2013-01-01 | DAVID J. SMITH | |||
| 509 | 2012-01-01 | DAVID J. SMITH | |||
| 509 | 2011-01-01 | DAVID J. SMITH | |||
| 509 | 2009-01-01 | DAVID J. SMITH |
| Measure | Date | Value |
|---|---|---|
| 2018: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
| 2017: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| 2016: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| 2015: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| 2014: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 0 |
| 2013: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 0 |
| 2012: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 0 |
| 2011: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 0 |
| 2009: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2018 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2018 401k financial data | ||
| Transfers to/from the plan | 2018-11-12 | $-2,606,111 |
| Total income from all sources | 2018-11-12 | $1,234,669 |
| Expenses. Total of all expenses incurred | 2018-11-12 | $649,969 |
| Benefits paid (including direct rollovers) | 2018-11-12 | $586,069 |
| Total plan assets at end of year | 2018-11-12 | $0 |
| Total plan assets at beginning of year | 2018-11-12 | $2,021,411 |
| Value of fidelity bond covering the plan | 2018-11-12 | $2,500,000 |
| Other income received | 2018-11-12 | $34,669 |
| Net income (gross income less expenses) | 2018-11-12 | $584,700 |
| Net plan assets at end of year (total assets less liabilities) | 2018-11-12 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-11-12 | $2,021,411 |
| Total contributions received or receivable from employer(s) | 2018-11-12 | $1,200,000 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-11-12 | $63,900 |
| 2017 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2017 401k financial data | ||
| Total income from all sources | 2017-12-31 | $1,215,200 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $798,420 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $748,420 |
| Total plan assets at end of year | 2017-12-31 | $2,021,411 |
| Total plan assets at beginning of year | 2017-12-31 | $1,604,631 |
| Value of fidelity bond covering the plan | 2017-12-31 | $1,500,000 |
| Other income received | 2017-12-31 | $15,200 |
| Net income (gross income less expenses) | 2017-12-31 | $416,780 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $2,021,411 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $1,604,631 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $1,200,000 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $50,000 |
| 2016 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2016 401k financial data | ||
| Total income from all sources | 2016-12-31 | $1,203,508 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $704,041 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $693,025 |
| Total plan assets at end of year | 2016-12-31 | $1,604,631 |
| Total plan assets at beginning of year | 2016-12-31 | $1,105,164 |
| Value of fidelity bond covering the plan | 2016-12-31 | $1,500,000 |
| Other income received | 2016-12-31 | $3,508 |
| Net income (gross income less expenses) | 2016-12-31 | $499,467 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $1,604,631 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $1,105,164 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $1,200,000 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $11,016 |
| 2015 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2015 401k financial data | ||
| Total income from all sources | 2015-12-31 | $1,200,136 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $845,050 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $833,876 |
| Total plan assets at end of year | 2015-12-31 | $1,105,164 |
| Total plan assets at beginning of year | 2015-12-31 | $750,078 |
| Value of fidelity bond covering the plan | 2015-12-31 | $2,000,000 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $11,174 |
| Other income received | 2015-12-31 | $136 |
| Net income (gross income less expenses) | 2015-12-31 | $355,086 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $1,105,164 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $750,078 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $1,200,000 |
| 2014 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2014 401k financial data | ||
| Total income from all sources | 2014-12-31 | $1,200,063 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $864,648 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $852,406 |
| Total plan assets at end of year | 2014-12-31 | $750,078 |
| Total plan assets at beginning of year | 2014-12-31 | $414,663 |
| Value of fidelity bond covering the plan | 2014-12-31 | $2,000,000 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $12,242 |
| Other income received | 2014-12-31 | $63 |
| Net income (gross income less expenses) | 2014-12-31 | $335,415 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $750,078 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $414,663 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $1,200,000 |
| 2013 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2013 401k financial data | ||
| Total income from all sources | 2013-12-31 | $1,300,035 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $960,783 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $949,250 |
| Total plan assets at end of year | 2013-12-31 | $414,663 |
| Total plan assets at beginning of year | 2013-12-31 | $75,411 |
| Value of fidelity bond covering the plan | 2013-12-31 | $2,000,000 |
| Expenses. Other expenses not covered elsewhere | 2013-12-31 | $11,533 |
| Other income received | 2013-12-31 | $35 |
| Net income (gross income less expenses) | 2013-12-31 | $339,252 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $414,663 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $75,411 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $1,300,000 |
| 2012 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2012 401k financial data | ||
| Total income from all sources | 2012-12-31 | $1,100,357 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $1,057,449 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $1,054,516 |
| Total plan assets at end of year | 2012-12-31 | $75,411 |
| Total plan assets at beginning of year | 2012-12-31 | $32,503 |
| Value of fidelity bond covering the plan | 2012-12-31 | $3,000,000 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $2,933 |
| Other income received | 2012-12-31 | $357 |
| Net income (gross income less expenses) | 2012-12-31 | $42,908 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $75,411 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $32,503 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $1,100,000 |
| 2011 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $1,200,019 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $1,180,683 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $1,180,683 |
| Total plan assets at end of year | 2011-12-31 | $32,503 |
| Total plan assets at beginning of year | 2011-12-31 | $13,167 |
| Value of fidelity bond covering the plan | 2011-12-31 | $3,000,000 |
| Other income received | 2011-12-31 | $19 |
| Net income (gross income less expenses) | 2011-12-31 | $19,336 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $32,503 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $13,167 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $1,200,000 |
| 2010 : EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $1,200,931 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $1,200,019 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $1,200,000 |
| Total plan assets at end of year | 2010-12-31 | $13,167 |
| Total plan assets at beginning of year | 2010-12-31 | $12,255 |
| Value of fidelity bond covering the plan | 2010-12-31 | $3,000,000 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $19 |
| Other income received | 2010-12-31 | $931 |
| Net income (gross income less expenses) | 2010-12-31 | $912 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $13,167 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $12,255 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $1,200,000 |
| 2018: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: EQT CORPORATION COMPREHENSIVE WELFARE PLAN FOR FUNDED BENEFITS 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 97597881001 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 97597881001 |
| Policy instance | 5 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 9759788 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 9759788 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 9759788 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 9759788 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 9792540 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 1162136 |
| Policy instance | 3 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 4 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |
| Policy contract number | 9759788 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 6 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |
| Policy contract number | 014575 |
| Policy instance | 2 |
| MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 ) | |
| Policy contract number | EQRE0001 |
| Policy instance | 7 |
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) | |
| Policy contract number | GTP 9101001 |
| Policy instance | 8 |
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) | |
| Policy contract number | 2221 |
| Policy instance | 1 |