401k Plan data: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN plan

WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 401k Plan overview

Plan Name	WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN
Plan identification number	501

WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

WEST WICHITA FAMILY PHYSICIANS, PA has sponsored the creation of one or more 401k plans.

Company Name: WEST WICHITA FAMILY PHYSICIANS, PA

Employer identification number (EIN): 742848808

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-07-01 LORI WARD
501 2022-07-01
501 2022-07-01 D. SCOTT KARDATZKE
501 2021-07-01
501 2021-07-01 D. SCOTT KARDATZKE
501 2020-07-01
501 2019-07-01
501 2017-07-01 D. SCOTT KARDATZKE D. SCOTT KARDATZKE 2019-01-25
501 2016-07-01 D. SCOTT KARDATZKE WILLIAM C. LOEWEN 2018-03-22
501 2015-07-01 WILLIAM C. LOEWEN WILLIAM C. LOEWEN
501 2015-07-01 WILLIAM C. LOEWEN WILLIAM C. LOEWEN 2017-01-13
501 2014-07-01 WILLIAM C. LOEWEN WILLIAM C. LOEWEN 2016-05-05
501 2014-07-01 WILLIAM C. LOEWEN WILLIAM C. LOEWEN
501 2013-07-01 WILLIAM C. LOEWEN
501 2012-07-01 WILLIAM C. LOEWEN
501 2011-07-01 WILLIAM C. LOEWEN
501 2010-01-01 WILLIAM C. LOEWEN
501 2009-01-01 WILLIAM C. LOEWEN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2023-07-01	LORI WARD
501	2022-07-01
501	2022-07-01	D. SCOTT KARDATZKE
501	2021-07-01
501	2021-07-01	D. SCOTT KARDATZKE
501	2020-07-01
501	2019-07-01
501	2017-07-01	D. SCOTT KARDATZKE	D. SCOTT KARDATZKE	2019-01-25
501	2016-07-01	D. SCOTT KARDATZKE	WILLIAM C. LOEWEN	2018-03-22
501	2015-07-01	WILLIAM C. LOEWEN	WILLIAM C. LOEWEN
501	2015-07-01	WILLIAM C. LOEWEN	WILLIAM C. LOEWEN	2017-01-13
501	2014-07-01	WILLIAM C. LOEWEN	WILLIAM C. LOEWEN	2016-05-05
501	2014-07-01	WILLIAM C. LOEWEN	WILLIAM C. LOEWEN
501	2013-07-01	WILLIAM C. LOEWEN
501	2012-07-01	WILLIAM C. LOEWEN
501	2011-07-01	WILLIAM C. LOEWEN
501	2010-01-01	WILLIAM C. LOEWEN
501	2009-01-01	WILLIAM C. LOEWEN

Plan Statistics for WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN

401k plan membership statisitcs for WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN

Measure Date Value
2022: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 195
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 207
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 207
2021: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 199
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 195
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 195
2020: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 234
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 199
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 199
2019: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 229
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 234
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 234
2017: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 233
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 226
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 226
2016: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 234
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 233
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 233
2015: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 232
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 234
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 234
2014: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 229
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 232
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 232
2013: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 218
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 229
Total of all active and inactive participants 2013-07-01 229
2012: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 210
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 218
Total of all active and inactive participants 2012-07-01 218
2011: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 208
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 210
Total of all active and inactive participants 2011-07-01 210
2010: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 208
Total of all active and inactive participants 2010-01-01 208
2009: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 204
Total of all active and inactive participants 2009-01-01 204

Measure	Date	Value
2022: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	195
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	207
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	207
2021: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	199
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	195
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	195
2020: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	234
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	199
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	199
2019: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	229
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	234
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	234
2017: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	233
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	226
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	226
2016: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	234
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	233
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	233
2015: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	232
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	234
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	234
2014: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	229
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	232
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	232
2013: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	218
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	229
Total of all active and inactive participants	2013-07-01	229
2012: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	210
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	218
Total of all active and inactive participants	2012-07-01	218
2011: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	208
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	210
Total of all active and inactive participants	2011-07-01	210
2010: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	208
Total of all active and inactive participants	2010-01-01	208
2009: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	204
Total of all active and inactive participants	2009-01-01	204

Form 5500 Responses for WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN

2022: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2021: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2017: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	Yes
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	Yes
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: WEST WICHITA FAMILY PHYSICIANS, PA CAFETERIA PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	LTZ17
Policy instance	5
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPS 327123
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAI 825736
Policy instance	4
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	8843265
Policy instance	10
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VCI 800686
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 156182
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 207057
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 127749
Policy instance	9
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPS 327123
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAI 825736
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	LTZ17
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VCI 800686
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 156182
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 207057
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 127749
Policy instance	9
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	8843265
Policy instance	10
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAI 825736
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPS 327123
Policy instance	3
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	2
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	LTZ17
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VCI 800686
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 156182
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 127749
Policy instance	9
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	8843265
Policy instance	10
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 207057
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAI 825736
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPS 327123
Policy instance	3
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	2
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	LTZ17
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VCI 800686
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 156182
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 207057
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 127749
Policy instance	9
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	8843265
Policy instance	10
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VCI 800686
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 156182
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 207057
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 127749
Policy instance	9
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	10
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAI 825736
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPS 327123
Policy instance	3
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09613
Policy instance	2
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	4
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3403070000
Policy instance	2
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	6
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064100128
Policy instance	5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064100128
Policy instance	5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	4
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	6
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	3
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3403070000
Policy instance	2
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	6
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064100128
Policy instance	5
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	3
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number	3403070000
Policy instance	2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	4
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	2
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	6
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064100128
Policy instance	5
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00002
Policy instance	6
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	3
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	2
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	64100128
Policy instance	5
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	7
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	8
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	1
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	4
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	23402-000-00001
Policy instance	2
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number	09252
Policy instance	3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	6
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number	2340200000002
Policy instance	12
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	72452
Policy instance	11
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	630953
Policy instance	7
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	64100128
Policy instance	9
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	64100128
Policy instance	10

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Company Name:	WEST WICHITA FAMILY PHYSICIANS, PA
Employer identification number (EIN):	742848808
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)