401k Plan data: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN plan

INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN
Plan identification number	501

INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS 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) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

INNOVATIVE TECHNOLOGIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: INNOVATIVE TECHNOLOGIES, INC.

Employer identification number (EIN): 541599476

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 ELIZABETH CARROLL
501 2011-01-01 ELIZABETH CARROLL
501 2010-01-01 SUE BRACHT
501 2009-01-01 SUSAN BRACHT
501 2009-01-01 SUSAN BRACHT
501 2009-01-01 SUSAN BRACHT
501 2008-01-01 ELIZABETH CARROLL
501 2007-01-01 ELIZABETH CARROLL
501 2006-01-01 ELIZABETH CARROLL
501 2005-01-01 ELIZABETH CARROLL
501 2004-01-01 ELIZABETH CARROLL
501 2003-01-01 ELIZABETH CARROLL

Plan id#	Filing Submission Date	Name of Administrator
501	2012-01-01	ELIZABETH CARROLL
501	2011-01-01	ELIZABETH CARROLL
501	2010-01-01	SUE BRACHT
501	2009-01-01	SUSAN BRACHT
501	2009-01-01	SUSAN BRACHT
501	2009-01-01	SUSAN BRACHT
501	2008-01-01	ELIZABETH CARROLL
501	2007-01-01	ELIZABETH CARROLL
501	2006-01-01	ELIZABETH CARROLL
501	2005-01-01	ELIZABETH CARROLL
501	2004-01-01	ELIZABETH CARROLL
501	2003-01-01	ELIZABETH CARROLL

Plan Statistics for INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN

401k plan membership statisitcs for INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN

Measure Date Value
2012: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 93
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 96
2011: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 128
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 132
2010: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 130
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 133
2009: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 115
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 117
2008: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 132
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 132
2007: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 129
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 129
2006: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 137
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 137
2005: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 142
Number of retired or separated participants receiving benefits 2005-01-01 0
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 142
2004: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 129
Number of retired or separated participants receiving benefits 2004-01-01 0
Number of other retired or separated participants entitled to future benefits 2004-01-01 0
Total of all active and inactive participants 2004-01-01 129
2003: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2003 401k membership
Total participants, beginning-of-year 2003-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2003-01-01 136
Number of retired or separated participants receiving benefits 2003-01-01 0
Number of other retired or separated participants entitled to future benefits 2003-01-01 0
Total of all active and inactive participants 2003-01-01 136

Measure	Date	Value
2012: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	93
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	96
2011: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	128
Number of retired or separated participants receiving benefits	2011-01-01	4
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	132
2010: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	130
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	133
2009: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	115
Number of retired or separated participants receiving benefits	2009-01-01	2
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	117
2008: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	132
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	132
2007: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	129
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	129
2006: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	137
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	137
2005: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	142
Number of retired or separated participants receiving benefits	2005-01-01	0
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	142
2004: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	129
Number of retired or separated participants receiving benefits	2004-01-01	0
Number of other retired or separated participants entitled to future benefits	2004-01-01	0
Total of all active and inactive participants	2004-01-01	129
2003: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2003 401k membership
Total participants, beginning-of-year	2003-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2003-01-01	136
Number of retired or separated participants receiving benefits	2003-01-01	0
Number of other retired or separated participants entitled to future benefits	2003-01-01	0
Total of all active and inactive participants	2003-01-01	136

Form 5500 Responses for INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN

2012: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 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 benefit arrangement – Insurance	Yes
2011: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 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 benefit arrangement – Insurance	Yes
2010: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 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 benefit arrangement – Insurance	Yes
2008: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	No
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2004: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	Submission has been amended	No
2004-01-01	This submission is the final filing	No
2004-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-01-01	Plan is a collectively bargained plan	No
2004-01-01	Plan funding arrangement – Insurance	Yes
2004-01-01	Plan benefit arrangement – Insurance	Yes
2003: INNOVATIVE TECHNOLOGIES, INC. WRAP WELFARE BENEFITS PLAN 2003 form 5500 responses
2003-01-01	Type of plan entity	Single employer plan
2003-01-01	First time form 5500 has been submitted	Yes
2003-01-01	Submission has been amended	No
2003-01-01	This submission is the final filing	No
2003-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-01-01	Plan is a collectively bargained plan	No
2003-01-01	Plan funding arrangement – Insurance	Yes
2003-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	0224304301
Policy instance	7
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	492084
Policy instance	6
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	0224305201
Policy instance	5
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number	US382736
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	2
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	0224304301
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number	US382736
Policy instance	4
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	0224305201
Policy instance	5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	492084
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-4301
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95094 )
Policy contract number	US382736
Policy instance	4
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-6301
Policy instance	5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	492084
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	3
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-1001
Policy instance	4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	492084
Policy instance	5
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-6301
Policy instance	7
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	US382736
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	2
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-6301
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	26440
Policy instance	6
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	02-2430100
Policy instance	4
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number	OB257400
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-1001
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	2
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number	OB257400
Policy instance	5
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	26440
Policy instance	6
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number	OB257400
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	G 156921
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 138531
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 112436
Policy instance	3
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	02-2430100
Policy instance	4
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	26440
Policy instance	6
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	567406
Policy instance	1
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number	OB257400
Policy instance	3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	26440
Policy instance	4
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-1001
Policy instance	2
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number	OB257400
Policy instance	3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	567406
Policy instance	1
DENTAQUEST (National Association of Insurance Commissioners NAIC id number: 95713 )
Policy contract number	022430-1001
Policy instance	2
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	26440
Policy instance	4

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Company Name:	INNOVATIVE TECHNOLOGIES, INC.
Employer identification number (EIN):	541599476
NAIC Classification:	541600