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| Plan Name | THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | THE AEROSPACE CORPORATION |
| Employer identification number (EIN): | 952102389 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2020-01-01 | ||||
| 511 | 2019-01-01 | ||||
| 511 | 2018-01-01 | DAVID A ROBERTS | |||
| 511 | 2017-01-01 | DAVID A ROBERTS | |||
| 511 | 2016-01-01 | HEATHER R LAYCHAK | |||
| 511 | 2015-01-01 | CHARLOTTE M. LAZAR-MORRISON | ELLEN BEATTY | 2016-07-01 | |
| 511 | 2014-01-01 | CHARLOTTE M. LAZAR-MORRISON | ELLEN BEATTY | 2015-06-29 | |
| 511 | 2013-01-01 | CHARLOTTE M. LAZAR-MORRISON | ELLEN BEATTY | 2014-07-09 | |
| 511 | 2012-01-01 | CHARLOTTE M. LAZAR-MORRISON | ELLEN BEATTY | 2013-07-10 | |
| 511 | 2011-01-01 | CHARLOTTE M LAZAR-MORRISON | ELLEN BEATTY | 2012-07-20 | |
| 511 | 2010-01-01 | CHARLOTTE M LAZAR-MORRISON | DALE E WALLIS | 2011-07-28 | |
| 511 | 2009-01-01 | CHARLOTTE M LAZAR-MORRISON | DALE E WALLIS | 2010-06-30 |
| Measure | Date | Value |
|---|---|---|
| 2020: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 1,136 |
| 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 |
| 2019: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 1,237 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 1,113 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 19 |
| Total of all active and inactive participants | 2019-01-01 | 1,136 |
| 2018: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 1,214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 1,231 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 6 |
| Total of all active and inactive participants | 2018-01-01 | 1,237 |
| Total participants | 2018-01-01 | 1,237 |
| 2017: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 1,175 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,208 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 6 |
| Total of all active and inactive participants | 2017-01-01 | 1,214 |
| Total participants | 2017-01-01 | 1,214 |
| 2016: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 1,182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 1,172 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 3 |
| Total of all active and inactive participants | 2016-01-01 | 1,175 |
| Total participants | 2016-01-01 | 1,175 |
| 2015: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 1,419 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 1,177 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 5 |
| Total of all active and inactive participants | 2015-01-01 | 1,182 |
| Total participants | 2015-01-01 | 0 |
| 2014: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 1,425 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,412 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 7 |
| Total of all active and inactive participants | 2014-01-01 | 1,419 |
| Total participants | 2014-01-01 | 0 |
| 2013: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 1,446 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,416 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 9 |
| Total of all active and inactive participants | 2013-01-01 | 1,425 |
| Total participants | 2013-01-01 | 0 |
| 2012: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 1,611 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,430 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 16 |
| Total of all active and inactive participants | 2012-01-01 | 1,446 |
| Total participants | 2012-01-01 | 0 |
| 2011: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 1,603 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,605 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 6 |
| Total of all active and inactive participants | 2011-01-01 | 1,611 |
| Total participants | 2011-01-01 | 1,611 |
| 2010: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 1,604 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 1,598 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 5 |
| Total of all active and inactive participants | 2010-01-01 | 1,603 |
| Total participants | 2010-01-01 | 1,603 |
| 2009: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 1,632 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,598 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 6 |
| Total of all active and inactive participants | 2009-01-01 | 1,604 |
| Total participants | 2009-01-01 | 1,604 |
| 2020: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | Yes |
| 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 | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 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 | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan is a collectively bargained plan | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan is a collectively bargained plan | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan is a collectively bargained plan | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan is a collectively bargained plan | Yes |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan is a collectively bargained plan | Yes |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan is a collectively bargained plan | Yes |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan is a collectively bargained plan | Yes |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan is a collectively bargained plan | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan is a collectively bargained plan | Yes |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan is a collectively bargained plan | Yes |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 2 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 174218 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 2 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 174218 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 3 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 174218 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 2 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 174218 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 2 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 174151 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 4 |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |
| Policy contract number | L00025 |
| Policy instance | 9 |
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 ) | |
| Policy contract number | 174151 |
| Policy instance | 8 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 730752 |
| Policy instance | 7 |
| LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 ) | |
| Policy contract number | 20002500 |
| Policy instance | 6 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 5 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 3 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 174151 |
| Policy instance | 2 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 0849862HNO |
| Policy instance | 1 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 0849862HNO |
| Policy instance | 1 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 59M21 (C11259) |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 5 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 730752 |
| Policy instance | 7 |
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 ) | |
| Policy contract number | 59M21 (C11259) |
| Policy instance | 8 |
| LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 ) | |
| Policy contract number | 20002500 |
| Policy instance | 6 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 730752 |
| Policy instance | 2 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | US061756 |
| Policy instance | 8 |
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 ) | |
| Policy contract number | 0000 |
| Policy instance | 1 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 59M21 (C11259) |
| Policy instance | 7 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 6 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 5 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100232 |
| Policy instance | 4 |
| LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 ) | |
| Policy contract number | 20002500 |
| Policy instance | 3 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 061756 |
| Policy instance | 8 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 59M21 (C11259) |
| Policy instance | 7 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 6 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 5 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100-232-00 |
| Policy instance | 4 |
| LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 ) | |
| Policy contract number | 623 |
| Policy instance | 3 |
| MAMSI /MD-IPA (National Association of Insurance Commissioners NAIC id number: 60231 ) | |
| Policy contract number | 6920 |
| Policy instance | 2 |
| UNITEDHEALTHCARE OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95434 ) | |
| Policy contract number | 0447-01 |
| Policy instance | 1 |
| UNITEDHEALTHCARE OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95434 ) | |
| Policy contract number | 0447-01 |
| Policy instance | 1 |
| LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 ) | |
| Policy contract number | 623 |
| Policy instance | 3 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 100-232-00 |
| Policy instance | 4 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 7698 |
| Policy instance | 5 |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |
| Policy contract number | 3283 |
| Policy instance | 6 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 59M21 (C11259) |
| Policy instance | 7 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 061756 |
| Policy instance | 8 |
| MAMSI /MD-IPA (National Association of Insurance Commissioners NAIC id number: 60231 ) | |
| Policy contract number | 6920 |
| Policy instance | 2 |
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