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FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 401k Plan overview

Plan NameFRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN
Plan identification number 530

FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

FRONTIER COMMUNICATIONS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:FRONTIER COMMUNICATIONS CORPORATION
Employer identification number (EIN):060619596
NAIC Classification:517000

Additional information about FRONTIER COMMUNICATIONS CORPORATION

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1980-04-30
Company Identification Number: 19871400017
Legal Registered Office Address: 17650 E 32nd Pl Ste 10A

Aurora
United States of America (USA)
80011

More information about FRONTIER COMMUNICATIONS CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5302020-01-01
5302019-01-01
5302018-01-01JO ANN FARRALL
5302017-01-01JO ANN FARRALL
5302016-01-01JO ANN FARRALL
5302015-01-01JO ANN FARRALL JO ANN FARRALL2016-10-14
5302014-01-01JO ANN FARRALL
5302014-01-01JO ANN FARRALL
5302013-01-01JO ANN FARRALL
5302012-01-01JO ANN FARRALL
5302011-01-01JO ANN FARRALL
5302010-01-01JOANN FARRALL
5302009-01-01JOANN FARRALL
5302009-01-01BRIAN CARLO

Financial Data on FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN

Measure Date Value
2014 : FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-5,144
Total unrealized appreciation/depreciation of assets2014-12-31$-5,144
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$33,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$30,991
Total income from all sources (including contributions)2014-12-31$9,243,721
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$11,844,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$11,029,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$9,190,676
Value of total assets at end of year2014-12-31$33,512
Value of total assets at beginning of year2014-12-31$2,631,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$814,912
Total interest from all sources2014-12-31$18,635
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$4,066,330
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$4,678,777
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$765,511
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$33,512
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$30,991
Administrative expenses (other) incurred2014-12-31$814,912
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-2,600,847
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,600,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,287,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$306,646
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$306,646
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$18,635
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$6,350,879
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$39,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$5,124,346
Employer contributions (assets) at end of year2014-12-31$33,512
Employer contributions (assets) at beginning of year2014-12-31$272,379
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31INSERO & COMPANY CPAS, P.C.
Accountancy firm EIN2014-12-31161016457
2013 : FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-261,507
Total unrealized appreciation/depreciation of assets2013-12-31$-261,507
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$30,991
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$9,021,928
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$11,822,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$11,058,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$9,114,863
Value of total assets at end of year2013-12-31$2,631,838
Value of total assets at beginning of year2013-12-31$5,400,919
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$763,263
Total interest from all sources2013-12-31$106,403
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$3,729,586
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$5,034,735
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$765,511
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$159,949
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$30,991
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Administrative expenses (other) incurred2013-12-31$763,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-2,800,072
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,600,847
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,400,919
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,287,302
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,980,263
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$306,646
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$19,319
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$19,319
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$106,403
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$6,024,002
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$62,169
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$5,385,277
Employer contributions (assets) at end of year2013-12-31$272,379
Employer contributions (assets) at beginning of year2013-12-31$241,388
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31INSERO & COMPANY CPAS, P.C.
Accountancy firm EIN2013-12-31161016457
2012 : FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$146,798
Total unrealized appreciation/depreciation of assets2012-12-31$146,798
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$65,450
Total income from all sources (including contributions)2012-12-31$12,240,113
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$12,289,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$11,574,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$11,742,311
Value of total assets at end of year2012-12-31$5,400,919
Value of total assets at beginning of year2012-12-31$5,515,650
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$714,873
Total interest from all sources2012-12-31$210,898
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,861,076
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$5,234,222
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$159,949
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$198,302
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$65,450
Administrative expenses (other) incurred2012-12-31$714,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-49,281
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,400,919
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,450,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$4,980,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$4,932,490
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$19,319
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$99,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$99,830
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$210,898
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$6,340,299
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$140,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$7,881,235
Employer contributions (assets) at end of year2012-12-31$241,388
Employer contributions (assets) at beginning of year2012-12-31$285,028
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31INSERO & COMPANY CPAS, P.C.
Accountancy firm EIN2012-12-31161016457
2011 : FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$43,345
Total unrealized appreciation/depreciation of assets2011-12-31$43,345
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$65,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$10,480,319
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$12,266,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$11,480,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$10,234,730
Value of total assets at end of year2011-12-31$5,515,650
Value of total assets at beginning of year2011-12-31$7,236,605
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$786,152
Total interest from all sources2011-12-31$229,379
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,850,376
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$4,869,861
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$198,302
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$482,226
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$65,450
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$786,152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,786,405
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,450,200
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$7,236,605
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$4,932,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$6,136,905
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$99,830
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$22,640
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$22,640
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$229,379
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$6,610,711
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-27,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$6,384,354
Employer contributions (assets) at end of year2011-12-31$285,028
Employer contributions (assets) at beginning of year2011-12-31$594,834
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31INSERO & COMPANY CPAS, P.C.
Accountancy firm EIN2011-12-31161016457
2010 : FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$418,826
Total unrealized appreciation/depreciation of assets2010-12-31$418,826
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$11,535,672
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$12,645,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$12,064,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$10,922,822
Value of total assets at end of year2010-12-31$7,236,605
Value of total assets at beginning of year2010-12-31$8,346,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$580,794
Total interest from all sources2010-12-31$229,179
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$3,901,614
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$459,979
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$5,685,672
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$482,226
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$22,246
Administrative expenses (other) incurred2010-12-31$580,794
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-1,109,875
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,236,605
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$8,346,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$6,136,905
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$7,999,061
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$22,640
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$28,841
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$28,841
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$229,179
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$6,379,081
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$-35,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$6,561,229
Employer contributions (assets) at end of year2010-12-31$594,834
Employer contributions (assets) at beginning of year2010-12-31$296,332
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31INSERO & COMPANY CPAS, P.C.
Accountancy firm EIN2010-12-31161016457
2009 : FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2009 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2009-12-31$509,959
Total unrealized appreciation/depreciation of assets2009-12-31$509,959
Total transfer of assets to this plan2009-12-31$8,136,636
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2009-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2009-12-31$0
Total income from all sources (including contributions)2009-12-31$14,123,981
Total loss/gain on sale of assets2009-12-31$0
Total of all expenses incurred2009-12-31$13,914,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2009-12-31$12,918,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2009-12-31$13,071,934
Value of total assets at end of year2009-12-31$8,346,480
Value of total assets at beginning of year2009-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2009-12-31$996,129
Total interest from all sources2009-12-31$460,262
Total dividends received (eg from common stock, registered investment company shares)2009-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2009-12-31No
Was this plan covered by a fidelity bond2009-12-31Yes
Value of fidelity bond cover2009-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2009-12-31No
Contributions received from participants2009-12-31$3,985,249
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2009-12-31$6,603,025
Value of other receiveables (less allowance for doubtful accounts) at end of year2009-12-31$22,246
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2009-12-31$0
Administrative expenses (other) incurred2009-12-31$996,129
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2009-12-31No
Value of net income/loss2009-12-31$209,844
Value of net assets at end of year (total assets less liabilities)2009-12-31$8,346,480
Value of net assets at beginning of year (total assets less liabilities)2009-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2009-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2009-12-31No
Were any leases to which the plan was party in default or uncollectible2009-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2009-12-31$7,999,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2009-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2009-12-31$28,841
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2009-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2009-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2009-12-31$460,262
Expenses. Payments to insurance carriers foe the provision of benefits2009-12-31$6,314,983
Net investment gain/loss from registered investment companies (e.g. mutual funds)2009-12-31$81,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2009-12-31Yes
Was there a failure to transmit to the plan any participant contributions2009-12-31No
Has the plan failed to provide any benefit when due under the plan2009-12-31No
Contributions received in cash from employer2009-12-31$9,086,685
Employer contributions (assets) at end of year2009-12-31$296,332
Employer contributions (assets) at beginning of year2009-12-31$0
Did the plan have assets held for investment2009-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2009-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2009-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2009-12-31Yes
Opinion of an independent qualified public accountant for this plan2009-12-31Disclaimer
Accountancy firm name2009-12-31INSERO & COMPANY CPAS, P.C.
Accountancy firm EIN2009-12-31161016457

Form 5500 Responses for FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN

2020: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: FRONTIER COMMUNICATIONS RETIREE MEDICAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3408*, 3409*
Policy instance 9
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE466328
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number500664
Policy instance 4
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653*
Policy instance 5
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number4197*, 5314*
Policy instance 6
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385*
Policy instance 7
SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70057
Policy instance 8
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE466328
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number500664
Policy instance 4
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653*
Policy instance 5
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number4197*, 5314*
Policy instance 6
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385*
Policy instance 7
SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70057
Policy instance 8
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3408*, 3409*
Policy instance 9
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE466328
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number500664
Policy instance 4
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653*
Policy instance 5
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number4197*, 5314*
Policy instance 6
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385
Policy instance 7
SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70057
Policy instance 8
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3408*, 3409*
Policy instance 9
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE466328
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653*
Policy instance 5
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number500664
Policy instance 4
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number4197*
Policy instance 6
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385*
Policy instance 7
SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70057
Policy instance 8
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3409*
Policy instance 9
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract numberD3408
Policy instance 9
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3408
Policy instance 8
SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70057
Policy instance 7
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385
Policy instance 6
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34151
Policy instance 5
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00500664
Policy instance 4
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00062653
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE412636
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE412640
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385
Policy instance 5
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00500664
Policy instance 6
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653
Policy instance 7
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34151
Policy instance 8
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 4
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34151
Policy instance 9
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00500280
Policy instance 7
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00500280
Policy instance 6
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428230
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE428227
Policy instance 3
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE412640
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE412636
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE412640
Policy instance 2
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE412636
Policy instance 1
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE428227
Policy instance 3
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE428230
Policy instance 4
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00500664
Policy instance 7
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653
Policy instance 8
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number16684
Policy instance 1
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE412640
Policy instance 8
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE428227
Policy instance 7
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number214385
Policy instance 5
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44910-1 RETIREE
Policy instance 4
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract numberDD56
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00062653
Policy instance 2
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE412636
Policy instance 9
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44910
Policy instance 10
AETNA HEALTH, INC (National Association of Insurance Commissioners NAIC id number: 95935 )
Policy contract numberAE428230
Policy instance 6
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number62653
Policy instance 2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number16684
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44910
Policy instance 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44910-01
Policy instance 2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number16684
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract numberDD56
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44910-1
Policy instance 1

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