401k Plan data: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN plan

NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 401k Plan overview

Plan Name	NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN
Plan identification number	501

NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

NELSON IRRIGATION CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: NELSON IRRIGATION CORPORATION

Employer identification number (EIN): 370963413

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-10-01 ROBERT HAFEN
501 2022-10-01
501 2022-10-01 ROBERT HAFEN
501 2021-10-01
501 2021-10-01 ROBERT HAFEN
501 2020-10-01
501 2019-10-01
501 2019-10-01
501 2018-10-01
501 2017-10-01 ROBERT HAFEN ROBERT HAFEN 2019-03-19
501 2016-10-01 ROBERT HAFEN ROBERT HAFEN 2018-03-13
501 2015-10-01 ROBERT HAFEN ROBERT HAFEN 2017-03-15
501 2014-10-01 ROBERT HAFEN ROBERT HAFEN 2016-03-11
501 2013-10-01 ROBERT HAFEN ROBERT HAFEN 2015-03-19
501 2012-10-01 ROBERT HAFEN
501 2011-10-01 ROBERT HAFEN
501 2010-10-01 ROBERT HAFEN
501 2009-10-01 ROBERT HAFEN 2011-04-19
501 2009-10-01 ROBERT HAFEN
501 2009-10-01 ROBERT HAFEN 2011-04-25
501 2008-10-01 ROBERT HAFEN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2023-10-01	ROBERT HAFEN
501	2022-10-01
501	2022-10-01	ROBERT HAFEN
501	2021-10-01
501	2021-10-01	ROBERT HAFEN
501	2020-10-01
501	2019-10-01
501	2019-10-01
501	2018-10-01
501	2017-10-01	ROBERT HAFEN	ROBERT HAFEN	2019-03-19
501	2016-10-01	ROBERT HAFEN	ROBERT HAFEN	2018-03-13
501	2015-10-01	ROBERT HAFEN	ROBERT HAFEN	2017-03-15
501	2014-10-01	ROBERT HAFEN	ROBERT HAFEN	2016-03-11
501	2013-10-01	ROBERT HAFEN	ROBERT HAFEN	2015-03-19
501	2012-10-01	ROBERT HAFEN
501	2011-10-01	ROBERT HAFEN
501	2010-10-01	ROBERT HAFEN
501	2009-10-01		ROBERT HAFEN	2011-04-19
501	2009-10-01	ROBERT HAFEN
501	2009-10-01		ROBERT HAFEN	2011-04-25
501	2008-10-01	ROBERT HAFEN

Plan Statistics for NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN

401k plan membership statisitcs for NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN

Measure Date Value
2022: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 202
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 204
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 204
Total participants 2022-10-01 204
2021: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 198
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 196
Number of retired or separated participants receiving benefits 2021-10-01 6
Total of all active and inactive participants 2021-10-01 202
Total participants 2021-10-01 202
2020: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 198
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 192
Number of retired or separated participants receiving benefits 2020-10-01 6
Total of all active and inactive participants 2020-10-01 198
Total participants 2020-10-01 198
2019: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 192
Number of retired or separated participants receiving benefits 2019-10-01 6
Total of all active and inactive participants 2019-10-01 6
Total participants 2019-10-01 6
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 192
2018: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 186
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 186
Number of retired or separated participants receiving benefits 2018-10-01 6
Total of all active and inactive participants 2018-10-01 192
Total participants 2018-10-01 192
2017: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 186
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 180
Number of retired or separated participants receiving benefits 2017-10-01 8
Total of all active and inactive participants 2017-10-01 188
Total participants 2017-10-01 188
2016: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 193
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 181
Number of retired or separated participants receiving benefits 2016-10-01 5
Total of all active and inactive participants 2016-10-01 186
Total participants 2016-10-01 186
2015: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 193
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 188
Number of retired or separated participants receiving benefits 2015-10-01 5
Total of all active and inactive participants 2015-10-01 193
Total participants 2015-10-01 193
2014: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 184
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 189
Number of retired or separated participants receiving benefits 2014-10-01 4
Total of all active and inactive participants 2014-10-01 193
Total participants 2014-10-01 193
2013: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 180
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 179
Number of retired or separated participants receiving benefits 2013-10-01 5
Total of all active and inactive participants 2013-10-01 184
Total participants 2013-10-01 184
2012: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 164
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 175
Number of retired or separated participants receiving benefits 2012-10-01 5
Total of all active and inactive participants 2012-10-01 180
Total participants 2012-10-01 180
2011: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 159
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 159
Number of retired or separated participants receiving benefits 2011-10-01 5
Total of all active and inactive participants 2011-10-01 164
Total participants 2011-10-01 164
2010: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 155
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 155
Number of retired or separated participants receiving benefits 2010-10-01 4
Total of all active and inactive participants 2010-10-01 159
Total participants 2010-10-01 159
2009: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 154
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 151
Number of retired or separated participants receiving benefits 2009-10-01 4
Total of all active and inactive participants 2009-10-01 155
Total participants 2009-10-01 155
2008: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-10-01 170
Total number of active participants reported on line 7a of the Form 5500 2008-10-01 150
Number of retired or separated participants receiving benefits 2008-10-01 4
Total of all active and inactive participants 2008-10-01 154
Total participants 2008-10-01 154

Measure	Date	Value
2022: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	202
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	204
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	204
Total participants	2022-10-01	204
2021: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	198
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	196
Number of retired or separated participants receiving benefits	2021-10-01	6
Total of all active and inactive participants	2021-10-01	202
Total participants	2021-10-01	202
2020: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	198
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	192
Number of retired or separated participants receiving benefits	2020-10-01	6
Total of all active and inactive participants	2020-10-01	198
Total participants	2020-10-01	198
2019: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	192
Number of retired or separated participants receiving benefits	2019-10-01	6
Total of all active and inactive participants	2019-10-01	6
Total participants	2019-10-01	6
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	192
2018: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	186
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	186
Number of retired or separated participants receiving benefits	2018-10-01	6
Total of all active and inactive participants	2018-10-01	192
Total participants	2018-10-01	192
2017: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	186
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	180
Number of retired or separated participants receiving benefits	2017-10-01	8
Total of all active and inactive participants	2017-10-01	188
Total participants	2017-10-01	188
2016: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	193
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	181
Number of retired or separated participants receiving benefits	2016-10-01	5
Total of all active and inactive participants	2016-10-01	186
Total participants	2016-10-01	186
2015: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	193
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	188
Number of retired or separated participants receiving benefits	2015-10-01	5
Total of all active and inactive participants	2015-10-01	193
Total participants	2015-10-01	193
2014: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	184
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	189
Number of retired or separated participants receiving benefits	2014-10-01	4
Total of all active and inactive participants	2014-10-01	193
Total participants	2014-10-01	193
2013: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	180
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	179
Number of retired or separated participants receiving benefits	2013-10-01	5
Total of all active and inactive participants	2013-10-01	184
Total participants	2013-10-01	184
2012: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	164
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	175
Number of retired or separated participants receiving benefits	2012-10-01	5
Total of all active and inactive participants	2012-10-01	180
Total participants	2012-10-01	180
2011: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	159
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	159
Number of retired or separated participants receiving benefits	2011-10-01	5
Total of all active and inactive participants	2011-10-01	164
Total participants	2011-10-01	164
2010: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	155
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	155
Number of retired or separated participants receiving benefits	2010-10-01	4
Total of all active and inactive participants	2010-10-01	159
Total participants	2010-10-01	159
2009: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	154
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	151
Number of retired or separated participants receiving benefits	2009-10-01	4
Total of all active and inactive participants	2009-10-01	155
Total participants	2009-10-01	155
2008: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-10-01	170
Total number of active participants reported on line 7a of the Form 5500	2008-10-01	150
Number of retired or separated participants receiving benefits	2008-10-01	4
Total of all active and inactive participants	2008-10-01	154
Total participants	2008-10-01	154

Form 5500 Responses for NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN

2022: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: NELSON IRRIGATION CORPORATION 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)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
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 benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: NELSON IRRIGATION CORPORATION GROUP MEDICAL PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2008-10-01	Plan funding arrangement – Insurance	Yes
2008-10-01	Plan benefit arrangement – Insurance	Yes
2008-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037238
Policy instance	2
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	00740
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037238
Policy instance	2
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	00740
Policy instance	1
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	00740
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037238
Policy instance	1
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	00740
Policy instance	3
LIFEWISE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94188 )
Policy contract number	WA-537238
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037238
Policy instance	1
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	00740
Policy instance	3
LIFEWISE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94188 )
Policy contract number	WA-537238
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037238
Policy instance	1
LIFEWISE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94188 )
Policy contract number	WA-537238
Policy instance	3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	00740
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037238
Policy instance	1

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Company Name:	NELSON IRRIGATION CORPORATION
Employer identification number (EIN):	370963413
NAIC Classification:	332900