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| Plan Name | HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | HATTIESBURG CLINIC PA |
| Employer identification number (EIN): | 640507572 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-01-01 | ALEXANDER H. AGNEW | 2021-10-08 | ||
| 501 | 2019-01-01 | ||||
| 501 | 2017-01-01 | ALEX AGNEW | ALEX AGNEW | 2018-07-16 | |
| 501 | 2016-01-01 | ALEX AGNEW | ALEX AGNEW | 2017-09-17 | |
| 501 | 2015-01-01 | ALEX AGNEW | ALEX AGNEW | 2016-07-11 | |
| 501 | 2014-01-01 | ALEX AGNEW | ALEX AGNEW | 2015-07-29 | |
| 501 | 2013-01-01 | ALEX AGNEW | ALEX AGNEW | 2014-08-09 | |
| 501 | 2012-01-01 | ALEX AGNEW | ALEX AGNEW | 2013-10-07 | |
| 501 | 2011-01-01 | ALEX AGNEW | |||
| 501 | 2010-01-01 | ALEX AGNEW | |||
| 501 | 2009-01-01 | ALEX AGNEW |
| Measure | Date | Value |
|---|---|---|
| 2020: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 3,866 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 0 |
| Number of employers contributing to the scheme | 2020-01-01 | 0 |
| 2019: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 3,756 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 3,856 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 10 |
| Total of all active and inactive participants | 2019-01-01 | 3,866 |
| Total participants | 2019-01-01 | 3,866 |
| 2017: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 2,137 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 2,249 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 14 |
| Total of all active and inactive participants | 2017-01-01 | 2,263 |
| Total participants | 2017-01-01 | 2,263 |
| 2016: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 2,082 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 2,120 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 17 |
| Total of all active and inactive participants | 2016-01-01 | 2,137 |
| Total participants | 2016-01-01 | 2,137 |
| 2015: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 2,026 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 2,065 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 17 |
| Total of all active and inactive participants | 2015-01-01 | 2,082 |
| Total participants | 2015-01-01 | 2,082 |
| 2014: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 2,026 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 2,006 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 20 |
| Total of all active and inactive participants | 2014-01-01 | 2,026 |
| Total participants | 2014-01-01 | 2,026 |
| 2013: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 2,062 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 2,005 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 21 |
| Total of all active and inactive participants | 2013-01-01 | 2,026 |
| Total participants | 2013-01-01 | 2,026 |
| 2012: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 1,993 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2,039 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 23 |
| Total of all active and inactive participants | 2012-01-01 | 2,062 |
| Total participants | 2012-01-01 | 2,062 |
| 2011: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 1,938 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,971 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 22 |
| Total of all active and inactive participants | 2011-01-01 | 1,993 |
| Total participants | 2011-01-01 | 1,993 |
| 2010: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 1,889 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 1,910 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 28 |
| Total of all active and inactive participants | 2010-01-01 | 1,938 |
| Total participants | 2010-01-01 | 1,938 |
| 2009: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 1,840 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,859 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 30 |
| Total of all active and inactive participants | 2009-01-01 | 1,889 |
| Total participants | 2009-01-01 | 1,889 |
| 2020: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 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: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 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: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 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: HATTIESBURG CLINIC PA GROUP DISABILITY, LIFE INSURANCE, LONG TERM CARE & AD&D 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 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418 0001 |
| Policy instance | 1 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 755587 |
| Policy instance | 2 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418-001 |
| Policy instance | 3 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 755587-LIFE |
| Policy instance | 2 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 755587-LTD |
| Policy instance | 1 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 1 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 149384 |
| Policy instance | 2 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | LTD 122680 |
| Policy instance | 3 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | VAR 205418 |
| Policy instance | 4 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091172 |
| Policy instance | 6 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418-0001 |
| Policy instance | 5 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091173 |
| Policy instance | 7 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | LTD 122680 |
| Policy instance | 1 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 149384 |
| Policy instance | 2 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | VAR 205418 |
| Policy instance | 3 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091172 |
| Policy instance | 4 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091173 |
| Policy instance | 5 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 7 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418-0001 |
| Policy instance | 6 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091173 |
| Policy instance | 7 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091172 |
| Policy instance | 6 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 149384 |
| Policy instance | 1 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | VAR 205418 |
| Policy instance | 2 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | LTD 122680 |
| Policy instance | 3 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 4 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418-0001 |
| Policy instance | 5 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418-0001 |
| Policy instance | 6 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 7 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091173-02 |
| Policy instance | 5 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091172-020 |
| Policy instance | 4 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 149384 |
| Policy instance | 3 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | LTD 122680 |
| Policy instance | 2 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | VAR 205418 |
| Policy instance | 1 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 7 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418-0001 |
| Policy instance | 6 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | LTD 122680 |
| Policy instance | 1 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 149384 |
| Policy instance | 2 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | VAR 205418 |
| Policy instance | 3 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091172 |
| Policy instance | 4 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091173 |
| Policy instance | 5 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091172-01 |
| Policy instance | 6 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU-5091173-01 |
| Policy instance | 7 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378006GLT |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378005GLT |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 343693GLT |
| Policy instance | 3 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 4 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418 |
| Policy instance | 5 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |
| Policy contract number | GL 143013 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 343693G |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378005G |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 378006G |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 536418 |
| Policy instance | 5 |
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