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PYRAMID INSURANCE TRUST 401k Plan overview

Plan NamePYRAMID INSURANCE TRUST
Plan identification number 501

PYRAMID INSURANCE TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental

401k Sponsoring company profile

J R TOBACCO OF AMERICA INC has sponsored the creation of one or more 401k plans.

Company Name:J R TOBACCO OF AMERICA INC
Employer identification number (EIN):561706338
NAIC Classification:453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PYRAMID INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-05-01
5012014-05-01
5012013-05-01
5012012-05-01SALVATORE M. MARINO
5012011-05-01SALVATORE M. MARINO
5012010-05-01JOHN M. KRANKEL
5012009-05-01JOHN M. KRANKEL

Financial Data on PYRAMID INSURANCE TRUST

Measure Date Value
2016 : PYRAMID INSURANCE TRUST 2016 401k financial data
Total income from all sources (including contributions)2016-04-30$47,689
Total of all expenses incurred2016-04-30$233,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$188,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$47,672
Value of total assets at end of year2016-04-30$0
Value of total assets at beginning of year2016-04-30$185,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$45,157
Total interest from all sources2016-04-30$17
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-04-30$0
Administrative expenses professional fees incurred2016-04-30$45,157
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$5,000,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$20,022
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-04-30$140,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-185,874
Value of net assets at end of year (total assets less liabilities)2016-04-30$0
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$185,874
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$185,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$185,874
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$17
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$47,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30No
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$27,650
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-04-30No
Did the plan have assets held for investment2016-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30COHNREZNICK LLP
Accountancy firm EIN2016-04-30221478099
2015 : PYRAMID INSURANCE TRUST 2015 401k financial data
Total income from all sources (including contributions)2015-04-30$183,361
Total of all expenses incurred2015-04-30$183,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$167,025
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$183,342
Value of total assets at end of year2015-04-30$185,874
Value of total assets at beginning of year2015-04-30$186,038
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$16,500
Total interest from all sources2015-04-30$19
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Administrative expenses professional fees incurred2015-04-30$16,500
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$5,000,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$95,392
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-164
Value of net assets at end of year (total assets less liabilities)2015-04-30$185,874
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$186,038
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$185,874
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$186,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$186,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$19
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$167,025
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$87,950
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-04-30No
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30COHNREZNICK LLP
Accountancy firm EIN2015-04-30221478099
2014 : PYRAMID INSURANCE TRUST 2014 401k financial data
Total income from all sources (including contributions)2014-04-30$854,283
Total of all expenses incurred2014-04-30$851,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$816,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$854,264
Value of total assets at end of year2014-04-30$186,038
Value of total assets at beginning of year2014-04-30$183,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$34,698
Total interest from all sources2014-04-30$19
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$16,000
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$5,000,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$643,881
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$2,676
Value of net assets at end of year (total assets less liabilities)2014-04-30$186,038
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$183,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$186,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$183,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$183,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$19
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$816,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30No
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$210,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$377
Contract administrator fees2014-04-30$18,698
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-04-30No
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30COHNREZNICK, LLP
Accountancy firm EIN2014-04-30221478099
2013 : PYRAMID INSURANCE TRUST 2013 401k financial data
Total income from all sources (including contributions)2013-04-30$2,519,939
Total of all expenses incurred2013-04-30$2,506,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$2,458,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$2,519,919
Value of total assets at end of year2013-04-30$183,362
Value of total assets at beginning of year2013-04-30$170,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$48,561
Total interest from all sources2013-04-30$20
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$17,000
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$5,000,000
If this is an individual account plan, was there a blackout period2013-04-30No
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$1,004,536
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$13,086
Value of net assets at end of year (total assets less liabilities)2013-04-30$183,362
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$170,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$183,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$170,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$170,276
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$20
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$2,454,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$1,515,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$3,686
Contract administrator fees2013-04-30$31,561
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-04-30No
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30COHNREZNICK, LLP
Accountancy firm EIN2013-04-30221478099
2012 : PYRAMID INSURANCE TRUST 2012 401k financial data
Total income from all sources (including contributions)2012-04-30$2,426,669
Total of all expenses incurred2012-04-30$2,407,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$2,360,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$2,426,648
Value of total assets at end of year2012-04-30$170,276
Value of total assets at beginning of year2012-04-30$150,889
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$46,791
Total interest from all sources2012-04-30$21
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$17,188
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$5,000,000
If this is an individual account plan, was there a blackout period2012-04-30No
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$919,619
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$19,387
Value of net assets at end of year (total assets less liabilities)2012-04-30$170,276
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$150,889
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$170,276
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$150,889
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$150,889
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$21
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$2,357,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30No
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$1,507,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$3,447
Contract administrator fees2012-04-30$29,603
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-04-30No
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30COHNREZNICK LLP
Accountancy firm EIN2012-04-30221478099
2011 : PYRAMID INSURANCE TRUST 2011 401k financial data
Total income from all sources (including contributions)2011-04-30$2,282,218
Total of all expenses incurred2011-04-30$2,272,307
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$2,224,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$2,282,202
Value of total assets at end of year2011-04-30$150,889
Value of total assets at beginning of year2011-04-30$140,978
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$47,622
Total interest from all sources2011-04-30$16
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Administrative expenses professional fees incurred2011-04-30$17,365
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$1,000,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$876,164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$9,911
Value of net assets at end of year (total assets less liabilities)2011-04-30$150,889
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$140,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$150,889
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$140,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$140,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$16
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$2,198,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30No
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$1,406,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$25,809
Contract administrator fees2011-04-30$30,257
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-04-30No
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30J H COHN LLP
Accountancy firm EIN2011-04-30221478099

Form 5500 Responses for PYRAMID INSURANCE TRUST

2015: PYRAMID INSURANCE TRUST 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01This submission is the final filingYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: PYRAMID INSURANCE TRUST 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: PYRAMID INSURANCE TRUST 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: PYRAMID INSURANCE TRUST 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: PYRAMID INSURANCE TRUST 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: PYRAMID INSURANCE TRUST 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes
2009: PYRAMID INSURANCE TRUST 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01This submission is the final filingNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number2472
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30013754
Policy instance 2
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number055475100
Policy instance 1
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number2472
Policy instance 3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number2472
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3307004
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number055475100
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30013754
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000724E
Policy instance 2
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number2472
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number055475100
Policy instance 4
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3307004
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000724E
Policy instance 2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3307004
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000724E
Policy instance 2
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number2472
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number055475100
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000724E
Policy instance 2
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number2472
Policy instance 1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3307004
Policy instance 3

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