LODI ASSOCIATION OF REALTORS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM
| Measure | Date | Value |
|---|
| 2023 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2023 401k financial data |
|---|
| Total income from all sources | 2023-11-30 | $31,464 |
| Expenses. Total of all expenses incurred | 2023-11-30 | $30,329 |
| Benefits paid (including direct rollovers) | 2023-11-30 | $29,486 |
| Total plan assets at end of year | 2023-11-30 | $10,045 |
| Total plan assets at beginning of year | 2023-11-30 | $8,910 |
| Total contributions received or receivable from participants | 2023-11-30 | $31,464 |
| Net income (gross income less expenses) | 2023-11-30 | $1,135 |
| Net plan assets at end of year (total assets less liabilities) | 2023-11-30 | $10,045 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-11-30 | $8,910 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-11-30 | $843 |
| 2022 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2022-12-31 | $-70 |
| Total income from all sources | 2022-12-31 | $72,858 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $73,598 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $71,921 |
| Total plan assets at end of year | 2022-12-31 | $8,910 |
| Total plan assets at beginning of year | 2022-12-31 | $9,650 |
| Total contributions received or receivable from participants | 2022-12-31 | $72,858 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $289 |
| Net income (gross income less expenses) | 2022-12-31 | $-740 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $8,980 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $9,720 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $1,388 |
| 2021 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2021-12-31 | $-70 |
| Total income from all sources | 2021-12-31 | $72,388 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $78,074 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $76,744 |
| Total plan assets at end of year | 2021-12-31 | $9,650 |
| Total plan assets at beginning of year | 2021-12-31 | $15,336 |
| Total contributions received or receivable from participants | 2021-12-31 | $72,413 |
| Other income received | 2021-12-31 | $-25 |
| Net income (gross income less expenses) | 2021-12-31 | $-5,686 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $9,720 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $15,406 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $1,330 |
| 2020 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2020-12-31 | $-70 |
| Total income from all sources | 2020-12-31 | $87,490 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $82,758 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $81,253 |
| Total plan assets at end of year | 2020-12-31 | $15,336 |
| Total plan assets at beginning of year | 2020-12-31 | $10,604 |
| Total contributions received or receivable from participants | 2020-12-31 | $87,515 |
| Other income received | 2020-12-31 | $-25 |
| Net income (gross income less expenses) | 2020-12-31 | $4,732 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $15,406 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $10,674 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $1,505 |
| 2019 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2019-12-31 | $-70 |
| Total income from all sources | 2019-12-31 | $111,094 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $111,239 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $109,276 |
| Total plan assets at end of year | 2019-12-31 | $10,604 |
| Total plan assets at beginning of year | 2019-12-31 | $10,749 |
| Total contributions received or receivable from participants | 2019-12-31 | $111,123 |
| Other income received | 2019-12-31 | $-29 |
| Net income (gross income less expenses) | 2019-12-31 | $-145 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $10,674 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $10,819 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $1,963 |
| 2018 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2018-12-31 | $715 |
| Total income from all sources | 2018-12-31 | $118,983 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $122,870 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $120,215 |
| Total plan assets at end of year | 2018-12-31 | $10,749 |
| Total plan assets at beginning of year | 2018-12-31 | $15,421 |
| Total contributions received or receivable from participants | 2018-12-31 | $119,033 |
| Other income received | 2018-12-31 | $-50 |
| Net income (gross income less expenses) | 2018-12-31 | $-3,887 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $10,819 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $14,706 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $2,655 |
| 2017 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-12-31 | $714 |
| Total plan liabilities at beginning of year | 2017-12-31 | $-70 |
| Total income from all sources | 2017-12-31 | $114,276 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $111,372 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $108,362 |
| Total plan assets at end of year | 2017-12-31 | $15,421 |
| Total plan assets at beginning of year | 2017-12-31 | $11,733 |
| Total contributions received or receivable from participants | 2017-12-31 | $114,326 |
| Other income received | 2017-12-31 | $-50 |
| Net income (gross income less expenses) | 2017-12-31 | $2,904 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $14,707 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $11,803 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $3,010 |
| 2016 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2016-12-31 | $-70 |
| Total income from all sources | 2016-12-31 | $100,009 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $110,819 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $107,568 |
| Total plan assets at end of year | 2016-12-31 | $11,733 |
| Total plan assets at beginning of year | 2016-12-31 | $22,543 |
| Total contributions received or receivable from participants | 2016-12-31 | $100,334 |
| Other income received | 2016-12-31 | $-325 |
| Net income (gross income less expenses) | 2016-12-31 | $-10,810 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $11,803 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $22,613 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $3,251 |
| 2015 : LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $-70 |
| Total plan liabilities at beginning of year | 2015-12-31 | $-70 |
| Total income from all sources | 2015-12-31 | $100,351 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $93,696 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $90,649 |
| Total plan assets at end of year | 2015-12-31 | $22,543 |
| Total plan assets at beginning of year | 2015-12-31 | $15,888 |
| Total contributions received or receivable from participants | 2015-12-31 | $100,501 |
| Other income received | 2015-12-31 | $-150 |
| Net income (gross income less expenses) | 2015-12-31 | $6,655 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $22,613 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $15,958 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $3,047 |
| 2023: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Mulitple employer plan |
| 2023-01-01 | Submission has been amended | No |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Mulitple employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Mulitple employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Mulitple employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Multi-employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Submission has been amended | Yes |
| 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 |
| 2018: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Multi-employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Multi-employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 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: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Multi-employer plan |
| 2016-01-01 | First time form 5500 has been submitted | Yes |
| 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: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Multi-employer plan |
| 2015-01-01 | First time form 5500 has been submitted | Yes |
| 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: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Multi-employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 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: LODI ASSOCIATION OF REALTORS MEMBER BENEFITS PROGRAM 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Mulitple employer plan |
| 2013-01-01 | First time form 5500 has been submitted | Yes |
| 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 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 3 |
| Insurance contract or identification number | 604977 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2022-12-01 | | Insurance policy end date | 2023-11-30 | | Total amount of commissions paid to insurance broker | USD $921 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $31,043 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 2 |
| Insurance contract or identification number | 07314 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $62 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $620 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 10915007 |
| Policy instance | 1 |
| Insurance contract or identification number | 10915007 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-11-30 | | Total amount of commissions paid to insurance broker | USD $16 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $162 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 1 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 05890 |
| Policy instance | 2 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 38350 |
| Policy instance | 3 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 4 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 5 |
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 10915 |
| Policy instance | 6 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 1 |
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 10915 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 4 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 05890 |
| Policy instance | 5 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 6 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 38350 |
| Policy instance | 2 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 3 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 05890 |
| Policy instance | 5 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 1 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 05890 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 1 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 05890 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 1 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 05890 |
| Policy instance | 4 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 1 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 2 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 233-007 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 604977 |
| Policy instance | 2 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 3 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 648274 ET AL |
| Policy instance | 1 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 2 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 3 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 233-007 |
| Policy instance | 4 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 233-007 |
| Policy instance | 4 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266 |
| Policy instance | 3 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 07314 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 637696 ET AL |
| Policy instance | 1 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 233-007 |
| Policy instance | 3 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76266/07314 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 637696 ET AL |
| Policy instance | 1 |