401k Plan data: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN plan

UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 401k Plan overview

Plan Name	UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN
Plan identification number	501

UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN Benefits

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

401k Sponsoring company profile

UFP TECHNOLOGIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: UFP TECHNOLOGIES, INC.

Employer identification number (EIN): 042314970

NAIC Classification: 326100

Additional information about UFP TECHNOLOGIES, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2002-09-25

Company Identification Number: 0800127035

Legal Registered Office Address: 100 HALE ST

NEWBURYPORT
United States of America (USA)
01950

More information about UFP TECHNOLOGIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-08-01 LAURA DUFFY 2023-10-17
501 2021-08-01 JUNE SPENCER 2022-10-17
501 2020-08-01 NANCY SPIGNESE 2022-02-14
501 2019-08-01 NANCY SPIGNESE 2021-02-05
501 2018-08-01 NANCY SPIGNESE 2020-02-07
501 2017-08-01
501 2016-08-01
501 2015-08-01 NANCY SPIGNESE
501 2014-08-01 NANCY SPIANESE
501 2013-08-01 NANCY SPIGNESE
501 2012-08-01 NANCY SPIGNESE
501 2011-08-01 NANCY SPIGNESE
501 2010-08-01 NANCY SPIGNESE
501 2009-08-01 RON LATAILLE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-08-01	LAURA DUFFY	2023-10-17
501	2021-08-01	JUNE SPENCER	2022-10-17
501	2020-08-01	NANCY SPIGNESE	2022-02-14
501	2019-08-01	NANCY SPIGNESE	2021-02-05
501	2018-08-01	NANCY SPIGNESE	2020-02-07
501	2017-08-01
501	2016-08-01
501	2015-08-01	NANCY SPIGNESE
501	2014-08-01	NANCY SPIANESE
501	2013-08-01	NANCY SPIGNESE
501	2012-08-01	NANCY SPIGNESE
501	2011-08-01	NANCY SPIGNESE
501	2010-08-01	NANCY SPIGNESE
501	2009-08-01	RON LATAILLE

Plan Statistics for UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN

401k plan membership statisitcs for UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN

Measure Date Value
2022: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-08-01 821
Total number of active participants reported on line 7a of the Form 5500 2022-08-01 907
Number of retired or separated participants receiving benefits 2022-08-01 3
Number of other retired or separated participants entitled to future benefits 2022-08-01 15
Total of all active and inactive participants 2022-08-01 925
Number of employers contributing to the scheme 2022-08-01 0
2021: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-08-01 929
Total number of active participants reported on line 7a of the Form 5500 2021-08-01 925
Number of retired or separated participants receiving benefits 2021-08-01 0
Number of other retired or separated participants entitled to future benefits 2021-08-01 0
Total of all active and inactive participants 2021-08-01 925
Number of employers contributing to the scheme 2021-08-01 0
2020: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-08-01 896
Total number of active participants reported on line 7a of the Form 5500 2020-08-01 925
Number of retired or separated participants receiving benefits 2020-08-01 4
Number of other retired or separated participants entitled to future benefits 2020-08-01 256
Total of all active and inactive participants 2020-08-01 1,185
Number of employers contributing to the scheme 2020-08-01 0
2019: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-08-01 755
Total number of active participants reported on line 7a of the Form 5500 2019-08-01 892
Number of retired or separated participants receiving benefits 2019-08-01 4
Number of other retired or separated participants entitled to future benefits 2019-08-01 0
Total of all active and inactive participants 2019-08-01 896
Number of employers contributing to the scheme 2019-08-01 0
2018: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-08-01 747
Total number of active participants reported on line 7a of the Form 5500 2018-08-01 754
Number of retired or separated participants receiving benefits 2018-08-01 1
Number of other retired or separated participants entitled to future benefits 2018-08-01 0
Total of all active and inactive participants 2018-08-01 755
Number of employers contributing to the scheme 2018-08-01 0
2017: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 741
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 737
Number of retired or separated participants receiving benefits 2017-08-01 6
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 743
Number of employers contributing to the scheme 2017-08-01 0
2016: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 674
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 737
Number of retired or separated participants receiving benefits 2016-08-01 4
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 741
2015: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 683
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 672
Number of retired or separated participants receiving benefits 2015-08-01 2
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 674
2014: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 640
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 658
Number of retired or separated participants receiving benefits 2014-08-01 0
Number of other retired or separated participants entitled to future benefits 2014-08-01 25
Total of all active and inactive participants 2014-08-01 683
2013: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 655
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 640
Number of retired or separated participants receiving benefits 2013-08-01 2
Number of other retired or separated participants entitled to future benefits 2013-08-01 42
Total of all active and inactive participants 2013-08-01 684
2012: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 604
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 652
Number of retired or separated participants receiving benefits 2012-08-01 3
Number of other retired or separated participants entitled to future benefits 2012-08-01 0
Total of all active and inactive participants 2012-08-01 655
2011: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 565
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 604
Number of retired or separated participants receiving benefits 2011-08-01 7
Number of other retired or separated participants entitled to future benefits 2011-08-01 23
Total of all active and inactive participants 2011-08-01 634
2010: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-08-01 554
Total number of active participants reported on line 7a of the Form 5500 2010-08-01 565
Number of retired or separated participants receiving benefits 2010-08-01 0
Number of other retired or separated participants entitled to future benefits 2010-08-01 0
Total of all active and inactive participants 2010-08-01 565
2009: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 546
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 554
Number of retired or separated participants receiving benefits 2009-08-01 17
Number of other retired or separated participants entitled to future benefits 2009-08-01 18
Total of all active and inactive participants 2009-08-01 589

Measure	Date	Value
2022: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-08-01	821
Total number of active participants reported on line 7a of the Form 5500	2022-08-01	907
Number of retired or separated participants receiving benefits	2022-08-01	3
Number of other retired or separated participants entitled to future benefits	2022-08-01	15
Total of all active and inactive participants	2022-08-01	925
Number of employers contributing to the scheme	2022-08-01	0
2021: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-08-01	929
Total number of active participants reported on line 7a of the Form 5500	2021-08-01	925
Number of retired or separated participants receiving benefits	2021-08-01	0
Number of other retired or separated participants entitled to future benefits	2021-08-01	0
Total of all active and inactive participants	2021-08-01	925
Number of employers contributing to the scheme	2021-08-01	0
2020: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-08-01	896
Total number of active participants reported on line 7a of the Form 5500	2020-08-01	925
Number of retired or separated participants receiving benefits	2020-08-01	4
Number of other retired or separated participants entitled to future benefits	2020-08-01	256
Total of all active and inactive participants	2020-08-01	1,185
Number of employers contributing to the scheme	2020-08-01	0
2019: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-08-01	755
Total number of active participants reported on line 7a of the Form 5500	2019-08-01	892
Number of retired or separated participants receiving benefits	2019-08-01	4
Number of other retired or separated participants entitled to future benefits	2019-08-01	0
Total of all active and inactive participants	2019-08-01	896
Number of employers contributing to the scheme	2019-08-01	0
2018: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-08-01	747
Total number of active participants reported on line 7a of the Form 5500	2018-08-01	754
Number of retired or separated participants receiving benefits	2018-08-01	1
Number of other retired or separated participants entitled to future benefits	2018-08-01	0
Total of all active and inactive participants	2018-08-01	755
Number of employers contributing to the scheme	2018-08-01	0
2017: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	741
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	737
Number of retired or separated participants receiving benefits	2017-08-01	6
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	743
Number of employers contributing to the scheme	2017-08-01	0
2016: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	674
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	737
Number of retired or separated participants receiving benefits	2016-08-01	4
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	741
2015: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	683
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	672
Number of retired or separated participants receiving benefits	2015-08-01	2
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	674
2014: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	640
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	658
Number of retired or separated participants receiving benefits	2014-08-01	0
Number of other retired or separated participants entitled to future benefits	2014-08-01	25
Total of all active and inactive participants	2014-08-01	683
2013: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	655
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	640
Number of retired or separated participants receiving benefits	2013-08-01	2
Number of other retired or separated participants entitled to future benefits	2013-08-01	42
Total of all active and inactive participants	2013-08-01	684
2012: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	604
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	652
Number of retired or separated participants receiving benefits	2012-08-01	3
Number of other retired or separated participants entitled to future benefits	2012-08-01	0
Total of all active and inactive participants	2012-08-01	655
2011: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	565
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	604
Number of retired or separated participants receiving benefits	2011-08-01	7
Number of other retired or separated participants entitled to future benefits	2011-08-01	23
Total of all active and inactive participants	2011-08-01	634
2010: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-08-01	554
Total number of active participants reported on line 7a of the Form 5500	2010-08-01	565
Number of retired or separated participants receiving benefits	2010-08-01	0
Number of other retired or separated participants entitled to future benefits	2010-08-01	0
Total of all active and inactive participants	2010-08-01	565
2009: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	546
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	554
Number of retired or separated participants receiving benefits	2009-08-01	17
Number of other retired or separated participants entitled to future benefits	2009-08-01	18
Total of all active and inactive participants	2009-08-01	589

Form 5500 Responses for UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN

2022: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2022 form 5500 responses
2022-08-01	Type of plan entity	Single employer plan
2022-08-01	Plan funding arrangement – Insurance	Yes
2022-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-08-01	Plan benefit arrangement – Insurance	Yes
2022-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2021 form 5500 responses
2021-08-01	Type of plan entity	Single employer plan
2021-08-01	Plan funding arrangement – Insurance	Yes
2021-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-08-01	Plan benefit arrangement – Insurance	Yes
2021-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2020 form 5500 responses
2020-08-01	Type of plan entity	Single employer plan
2020-08-01	Plan funding arrangement – Insurance	Yes
2020-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-08-01	Plan benefit arrangement – Insurance	Yes
2020-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Single employer plan
2019-08-01	Plan funding arrangement – Insurance	Yes
2019-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-08-01	Plan benefit arrangement – Insurance	Yes
2019-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2018 form 5500 responses
2018-08-01	Type of plan entity	Single employer plan
2018-08-01	Plan funding arrangement – Insurance	Yes
2018-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-08-01	Plan benefit arrangement – Insurance	Yes
2018-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2010 form 5500 responses
2010-08-01	Type of plan entity	Single employer plan
2010-08-01	Submission has been amended	Yes
2010-08-01	This submission is the final filing	No
2010-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-08-01	Plan is a collectively bargained plan	No
2010-08-01	Plan funding arrangement – Insurance	Yes
2010-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-08-01	Plan benefit arrangement – Insurance	Yes
2010-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: UFP TECHNOLOGIES, INC. GROUP INSURANCE PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961548
Policy instance	7
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	98345651001
Policy instance	1
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	70271
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	756546
Policy instance	3
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number	68469000
Policy instance	4
TUFTS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60117 )
Policy contract number	44886000
Policy instance	5
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	793522 001
Policy instance	6
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	98345651001
Policy instance	1
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number	70271
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	756546
Policy instance	3
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number	68469000
Policy instance	4
TUFTS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60117 )
Policy contract number	44886000
Policy instance	5
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	793522 001
Policy instance	6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961548
Policy instance	7
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number	68469000
Policy instance	6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961548
Policy instance	5
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	793522 001
Policy instance	4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	756546
Policy instance	3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number	70271
Policy instance	2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	98345651001
Policy instance	1
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	98345651001
Policy instance	1
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number	70271
Policy instance	2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	179854
Policy instance	3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	756546
Policy instance	4
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number	68469000
Policy instance	5
TUFTS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60117 )
Policy contract number	44886000
Policy instance	6
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	10218881001
Policy instance	7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961548
Policy instance	8
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	98345651001
Policy instance	1
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number	70271
Policy instance	2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	179854
Policy instance	3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	756546
Policy instance	4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961548
Policy instance	5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	LK961218
Policy instance	5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	756546
Policy instance	4
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	179854
Policy instance	3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number	70271
Policy instance	2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	98345651001
Policy instance	1

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Company Name:	UFP TECHNOLOGIES, INC.
Employer identification number (EIN):	042314970
NAIC Classification:	326100

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2002-09-25
Company Identification Number:	0800127035
Legal Registered Office Address:	100 HALE ST NEWBURYPORT United States of America (USA) 01950