| Plan Name | TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | TOWARD INDEPENDENCE,INC. |
| Employer identification number (EIN): | 310856399 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about TOWARD INDEPENDENCE,INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1975-03-31 |
| Company Identification Number: | 464938 |
| Legal Registered Office Address: |
1300 EAST NINTH STREET - CLEVELAND United States of America (USA) 44114 |
More information about TOWARD INDEPENDENCE,INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | JOSEPH HARMON | 2024-05-21 | ||
| 501 | 2022-07-01 | JOSEPH HARMON | 2023-07-18 | ||
| 501 | 2021-07-01 | JOSEPH HARMON | 2022-11-16 | ||
| 501 | 2020-07-01 | JOSEPH HARMON | 2021-11-15 | ||
| 501 | 2019-07-01 | JOSEPH HARMON | 2020-11-10 | ||
| 501 | 2018-07-01 | JOSEPH HARMON | 2020-01-14 | ||
| 501 | 2018-07-01 | JOSEPH HARMON | 2020-11-10 | ||
| 501 | 2017-07-01 | ||||
| 501 | 2016-07-01 | ||||
| 501 | 2016-02-26 | JOESPH HARMON | |||
| 501 | 2015-02-26 | ||||
| 501 | 2014-02-26 | MARK SCHLATER | |||
| 501 | 2013-02-26 | MARK SCHLATER | |||
| 501 | 2012-02-26 | STEPHANIE KELLUM | ROBERT L. ARCHER | 2013-05-24 | |
| 501 | 2011-02-26 | STEPHANIE KELLUM | ROBERT L. ARCHER | 2012-08-31 | |
| 501 | 2010-02-26 | STEPHANIE KELLUM | ROBERT L. ARCHER | 2011-06-17 | |
| 501 | 2009-02-26 | STEPHANIE KELLUM | ROBERT L. ARCHER | 2010-06-08 |
| 2023: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | 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 – General assets of the sponsor | Yes |
| 2022: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2022 form 5500 responses | ||
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2021 form 5500 responses | ||
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2020 form 5500 responses | ||
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2019 form 5500 responses | ||
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2018 form 5500 responses | ||
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Submission has been amended | Yes |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT 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: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT 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 |
| 2016-02-26 | Type of plan entity | Single employer plan |
| 2016-02-26 | Submission has been amended | No |
| 2016-02-26 | This submission is the final filing | No |
| 2016-02-26 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-02-26 | Plan is a collectively bargained plan | No |
| 2016-02-26 | Plan funding arrangement – Insurance | Yes |
| 2016-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2015: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2015 form 5500 responses | ||
| 2015-02-26 | Type of plan entity | Single employer plan |
| 2015-02-26 | Submission has been amended | No |
| 2015-02-26 | This submission is the final filing | No |
| 2015-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-02-26 | Plan is a collectively bargained plan | No |
| 2015-02-26 | Plan funding arrangement – Insurance | Yes |
| 2015-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2014: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2014 form 5500 responses | ||
| 2014-02-26 | Type of plan entity | Single employer plan |
| 2014-02-26 | Submission has been amended | No |
| 2014-02-26 | This submission is the final filing | No |
| 2014-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-02-26 | Plan is a collectively bargained plan | No |
| 2014-02-26 | Plan funding arrangement – Insurance | Yes |
| 2014-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2013: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2013 form 5500 responses | ||
| 2013-02-26 | Type of plan entity | Single employer plan |
| 2013-02-26 | Submission has been amended | No |
| 2013-02-26 | This submission is the final filing | No |
| 2013-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-02-26 | Plan is a collectively bargained plan | No |
| 2013-02-26 | Plan funding arrangement – Insurance | Yes |
| 2013-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2012: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2012 form 5500 responses | ||
| 2012-02-26 | Type of plan entity | Single employer plan |
| 2012-02-26 | Submission has been amended | No |
| 2012-02-26 | This submission is the final filing | No |
| 2012-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-02-26 | Plan is a collectively bargained plan | No |
| 2012-02-26 | Plan funding arrangement – Insurance | Yes |
| 2012-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2011: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2011 form 5500 responses | ||
| 2011-02-26 | Type of plan entity | Single employer plan |
| 2011-02-26 | Submission has been amended | No |
| 2011-02-26 | This submission is the final filing | No |
| 2011-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-02-26 | Plan is a collectively bargained plan | No |
| 2011-02-26 | Plan funding arrangement – Insurance | Yes |
| 2011-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2010: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2010 form 5500 responses | ||
| 2010-02-26 | Type of plan entity | Single employer plan |
| 2010-02-26 | Submission has been amended | No |
| 2010-02-26 | This submission is the final filing | No |
| 2010-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-02-26 | Plan is a collectively bargained plan | No |
| 2010-02-26 | Plan funding arrangement – Insurance | Yes |
| 2010-02-26 | Plan benefit arrangement – Insurance | Yes |
| 2009: TOWARD INDEPENDENCE,INC. PREMIUM EXPENSE FLEXIBLE SPENDING ACCOUNT PLAN 2009 form 5500 responses | ||
| 2009-02-26 | Type of plan entity | Single employer plan |
| 2009-02-26 | Submission has been amended | No |
| 2009-02-26 | This submission is the final filing | No |
| 2009-02-26 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-02-26 | Plan is a collectively bargained plan | No |
| 2009-02-26 | Plan funding arrangement – Insurance | Yes |
| 2009-02-26 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 575368 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 575368 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 95828 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 575368 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 575368 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10191659 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 905278 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 575368 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10191659 | ||||||||||||||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10233213 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | D2745, D6745 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10191659 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 00170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10191658 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 191658 | ||||||||||||||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||||||||||||||
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 00170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 191659 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | D2745 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 5461241 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 00170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | D2745 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 5461241 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | D2745 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 5461241 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 00170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 12700723 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 12700723 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 5461241 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | D2745 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 00170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||||||||||||||
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 572633 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 175562 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 572633 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 00170879 | ||||||||||||||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 12700723 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| SUPERIOR DENTAL CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96280 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | D2745 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||