SUPERCON INCORPORATED has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST
| Measure | Date | Value |
|---|
| 2023 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2023 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2023-09-30 | $175,147 |
| Total income from all sources | 2023-09-30 | $1,419,557 |
| Expenses. Total of all expenses incurred | 2023-09-30 | $1,174,763 |
| Benefits paid (including direct rollovers) | 2023-09-30 | $1,174,266 |
| Total plan assets at end of year | 2023-09-30 | $1,169,230 |
| Total plan assets at beginning of year | 2023-09-30 | $1,099,583 |
| Total contributions received or receivable from participants | 2023-09-30 | $89,343 |
| Expenses. Other expenses not covered elsewhere | 2023-09-30 | $125 |
| Net income (gross income less expenses) | 2023-09-30 | $244,794 |
| Net plan assets at end of year (total assets less liabilities) | 2023-09-30 | $1,169,230 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-09-30 | $924,436 |
| Total contributions received or receivable from employer(s) | 2023-09-30 | $1,330,214 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-09-30 | $372 |
| 2022 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-09-30 | $175,147 |
| Total income from all sources | 2022-09-30 | $1,350,180 |
| Expenses. Total of all expenses incurred | 2022-09-30 | $1,324,381 |
| Benefits paid (including direct rollovers) | 2022-09-30 | $1,323,806 |
| Total plan assets at end of year | 2022-09-30 | $1,099,583 |
| Total plan assets at beginning of year | 2022-09-30 | $898,637 |
| Total contributions received or receivable from participants | 2022-09-30 | $106,590 |
| Expenses. Other expenses not covered elsewhere | 2022-09-30 | $125 |
| Net income (gross income less expenses) | 2022-09-30 | $25,799 |
| Net plan assets at end of year (total assets less liabilities) | 2022-09-30 | $924,436 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-09-30 | $898,637 |
| Total contributions received or receivable from employer(s) | 2022-09-30 | $1,243,590 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-09-30 | $450 |
| 2021 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2021 401k financial data |
|---|
| Total income from all sources | 2021-09-30 | $595,141 |
| Expenses. Total of all expenses incurred | 2021-09-30 | $1,006,907 |
| Benefits paid (including direct rollovers) | 2021-09-30 | $1,006,332 |
| Total plan assets at end of year | 2021-09-30 | $898,637 |
| Total plan assets at beginning of year | 2021-09-30 | $1,310,403 |
| Total contributions received or receivable from participants | 2021-09-30 | $108,271 |
| Expenses. Other expenses not covered elsewhere | 2021-09-30 | $125 |
| Net income (gross income less expenses) | 2021-09-30 | $-411,766 |
| Net plan assets at end of year (total assets less liabilities) | 2021-09-30 | $898,637 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-09-30 | $1,310,403 |
| Total contributions received or receivable from employer(s) | 2021-09-30 | $486,870 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-09-30 | $450 |
| 2020 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2020 401k financial data |
|---|
| Total income from all sources | 2020-09-30 | $1,897,207 |
| Expenses. Total of all expenses incurred | 2020-09-30 | $1,417,927 |
| Benefits paid (including direct rollovers) | 2020-09-30 | $1,417,802 |
| Total plan assets at end of year | 2020-09-30 | $1,310,403 |
| Total plan assets at beginning of year | 2020-09-30 | $831,123 |
| Total contributions received or receivable from participants | 2020-09-30 | $107,400 |
| Expenses. Other expenses not covered elsewhere | 2020-09-30 | $125 |
| Other income received | 2020-09-30 | $4,018 |
| Net income (gross income less expenses) | 2020-09-30 | $479,280 |
| Net plan assets at end of year (total assets less liabilities) | 2020-09-30 | $1,310,403 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-09-30 | $831,123 |
| Total contributions received or receivable from employer(s) | 2020-09-30 | $1,785,789 |
| 2019 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2019 401k financial data |
|---|
| Total income from all sources | 2019-09-30 | $915,354 |
| Expenses. Total of all expenses incurred | 2019-09-30 | $928,341 |
| Benefits paid (including direct rollovers) | 2019-09-30 | $928,135 |
| Total plan assets at end of year | 2019-09-30 | $831,123 |
| Total plan assets at beginning of year | 2019-09-30 | $844,110 |
| Total contributions received or receivable from participants | 2019-09-30 | $97,093 |
| Expenses. Other expenses not covered elsewhere | 2019-09-30 | $206 |
| Other income received | 2019-09-30 | $7,246 |
| Net income (gross income less expenses) | 2019-09-30 | $-12,987 |
| Net plan assets at end of year (total assets less liabilities) | 2019-09-30 | $831,123 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-09-30 | $844,110 |
| Total contributions received or receivable from employer(s) | 2019-09-30 | $811,015 |
| 2017 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2017 401k financial data |
|---|
| Total income from all sources | 2017-09-30 | $917,570 |
| Expenses. Total of all expenses incurred | 2017-09-30 | $931,077 |
| Benefits paid (including direct rollovers) | 2017-09-30 | $931,007 |
| Total plan assets at end of year | 2017-09-30 | $811,562 |
| Total plan assets at beginning of year | 2017-09-30 | $825,069 |
| Total contributions received or receivable from participants | 2017-09-30 | $119,514 |
| Net income (gross income less expenses) | 2017-09-30 | $-13,507 |
| Net plan assets at end of year (total assets less liabilities) | 2017-09-30 | $811,562 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-09-30 | $825,069 |
| Total contributions received or receivable from employer(s) | 2017-09-30 | $798,056 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-09-30 | $70 |
| 2016 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2016 401k financial data |
|---|
| Total income from all sources | 2016-09-30 | $947,518 |
| Expenses. Total of all expenses incurred | 2016-09-30 | $921,900 |
| Benefits paid (including direct rollovers) | 2016-09-30 | $921,715 |
| Total plan assets at end of year | 2016-09-30 | $825,069 |
| Total plan assets at beginning of year | 2016-09-30 | $799,451 |
| Total contributions received or receivable from participants | 2016-09-30 | $96,646 |
| Other income received | 2016-09-30 | $1,551 |
| Net income (gross income less expenses) | 2016-09-30 | $25,618 |
| Net plan assets at end of year (total assets less liabilities) | 2016-09-30 | $825,069 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-09-30 | $799,451 |
| Total contributions received or receivable from employer(s) | 2016-09-30 | $849,321 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-09-30 | $185 |
| 2015 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2015 401k financial data |
|---|
| Total income from all sources | 2015-09-30 | $935,098 |
| Expenses. Total of all expenses incurred | 2015-09-30 | $884,202 |
| Benefits paid (including direct rollovers) | 2015-09-30 | $883,963 |
| Total plan assets at end of year | 2015-09-30 | $799,451 |
| Total plan assets at beginning of year | 2015-09-30 | $748,555 |
| Total contributions received or receivable from participants | 2015-09-30 | $84,523 |
| Other income received | 2015-09-30 | $1,524 |
| Net income (gross income less expenses) | 2015-09-30 | $50,896 |
| Net plan assets at end of year (total assets less liabilities) | 2015-09-30 | $799,451 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-09-30 | $748,555 |
| Total contributions received or receivable from employer(s) | 2015-09-30 | $849,051 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-09-30 | $239 |
| 2014 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2014 401k financial data |
|---|
| Total income from all sources | 2014-09-30 | $836,838 |
| Expenses. Total of all expenses incurred | 2014-09-30 | $808,799 |
| Benefits paid (including direct rollovers) | 2014-09-30 | $808,580 |
| Total plan assets at end of year | 2014-09-30 | $748,555 |
| Total plan assets at beginning of year | 2014-09-30 | $720,516 |
| Total contributions received or receivable from participants | 2014-09-30 | $60,041 |
| Other income received | 2014-09-30 | $1,661 |
| Net income (gross income less expenses) | 2014-09-30 | $28,039 |
| Net plan assets at end of year (total assets less liabilities) | 2014-09-30 | $748,555 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-09-30 | $720,516 |
| Total contributions received or receivable from employer(s) | 2014-09-30 | $775,136 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-09-30 | $219 |
| 2013 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2013 401k financial data |
|---|
| Total income from all sources | 2013-09-30 | $733,996 |
| Expenses. Total of all expenses incurred | 2013-09-30 | $790,810 |
| Benefits paid (including direct rollovers) | 2013-09-30 | $790,623 |
| Total plan assets at end of year | 2013-09-30 | $720,516 |
| Total plan assets at beginning of year | 2013-09-30 | $777,330 |
| Total contributions received or receivable from participants | 2013-09-30 | $70,177 |
| Other income received | 2013-09-30 | $2,109 |
| Net income (gross income less expenses) | 2013-09-30 | $-56,814 |
| Net plan assets at end of year (total assets less liabilities) | 2013-09-30 | $720,516 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-09-30 | $777,330 |
| Total contributions received or receivable from employer(s) | 2013-09-30 | $661,710 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-09-30 | $187 |
| 2012 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2012 401k financial data |
|---|
| Total income from all sources | 2012-09-30 | $880,019 |
| Expenses. Total of all expenses incurred | 2012-09-30 | $844,370 |
| Benefits paid (including direct rollovers) | 2012-09-30 | $844,180 |
| Total plan assets at end of year | 2012-09-30 | $777,330 |
| Total plan assets at beginning of year | 2012-09-30 | $741,681 |
| Total contributions received or receivable from participants | 2012-09-30 | $66,916 |
| Other income received | 2012-09-30 | $2,173 |
| Net income (gross income less expenses) | 2012-09-30 | $35,649 |
| Net plan assets at end of year (total assets less liabilities) | 2012-09-30 | $777,330 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-09-30 | $741,681 |
| Total contributions received or receivable from employer(s) | 2012-09-30 | $810,930 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-09-30 | $190 |
| 2011 : SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2011 401k financial data |
|---|
| Total income from all sources | 2011-09-30 | $881,594 |
| Expenses. Total of all expenses incurred | 2011-09-30 | $799,213 |
| Benefits paid (including direct rollovers) | 2011-09-30 | $799,029 |
| Total plan assets at end of year | 2011-09-30 | $741,681 |
| Total plan assets at beginning of year | 2011-09-30 | $659,300 |
| Total contributions received or receivable from participants | 2011-09-30 | $57,334 |
| Other income received | 2011-09-30 | $1,888 |
| Net income (gross income less expenses) | 2011-09-30 | $82,381 |
| Net plan assets at end of year (total assets less liabilities) | 2011-09-30 | $741,681 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-09-30 | $659,300 |
| Total contributions received or receivable from employer(s) | 2011-09-30 | $822,372 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-09-30 | $184 |
| 2022: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2022 form 5500 responses |
|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan funding arrangement – Trust | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement - Trust | Yes |
| 2021: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2021 form 5500 responses |
|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan funding arrangement – Trust | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement - Trust | Yes |
| 2020: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan funding arrangement – Trust | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement - Trust | Yes |
| 2019: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan funding arrangement – Trust | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement - Trust | Yes |
| 2018: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan funding arrangement – Trust | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement - Trust | Yes |
| 2017: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan funding arrangement – Trust | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement - Trust | Yes |
| 2016: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan funding arrangement – Trust | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement - Trust | Yes |
| 2015: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan funding arrangement – Trust | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement - Trust | Yes |
| 2014: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan funding arrangement – Trust | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement - Trust | Yes |
| 2013: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan funding arrangement – Trust | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement - Trust | Yes |
| 2012: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan funding arrangement – Trust | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement - Trust | Yes |
| 2011: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan funding arrangement – Trust | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement - Trust | Yes |
| 2010: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2010 form 5500 responses |
|---|
| 2010-10-01 | Type of plan entity | Single employer plan |
| 2010-10-01 | Plan funding arrangement – Insurance | Yes |
| 2010-10-01 | Plan funding arrangement – Trust | Yes |
| 2010-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-10-01 | Plan benefit arrangement - Trust | Yes |
| 2009: SUPERCON, INC. VOLUNTARY EMPLOYEE BENEFIT TRUST 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan funding arrangement – Trust | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement - Trust | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| ALL SAVERS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 82406 ) |
| Policy contract number | 1472553 |
| Policy instance | 5 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUPM0569F |
| Policy instance | 6 |
| TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 ) |
| Policy contract number | 11328000 |
| Policy instance | 7 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 40154021 |
| Policy instance | 8 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 ) |
| Policy contract number | 11328000 |
| Policy instance | 7 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUPM0569F |
| Policy instance | 6 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUPM0569F |
| Policy instance | 6 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 6 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0569F |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-0569F |
| Policy instance | 3 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 6 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG0569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG-569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-569F |
| Policy instance | 3 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 6 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG-569F |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 6 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG-569F |
| Policy instance | 4 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-569F |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG-569F |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8061307 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG-569F |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-569F |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG-569F |
| Policy instance | 4 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00470565 |
| Policy instance | 7 |
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 6 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 8010993 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG-569F |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD-569F |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG-569F |
| Policy instance | 4 |
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 6 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00470565 |
| Policy instance | 7 |
| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) |
| Policy contract number | C002241638C01 |
| Policy instance | 5 |
