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TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 401k Plan overview

Plan NameTAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN
Plan identification number 502

TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

TAKEDA PHARMACEUTICAL U.S.A., INC. has sponsored the creation of one or more 401k plans.

Company Name:TAKEDA PHARMACEUTICAL U.S.A., INC.
Employer identification number (EIN):134013710
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022024-01-01MATTHEW REGAN
5022023-01-01
5022023-01-01MATTHEW REGAN
5022022-01-01
5022022-01-01
5022022-01-01MATTHEW REGAN
5022021-01-01
5022021-01-01MATTHEW REGAN
5022020-01-01MATTHEW REGAN2021-10-11
5022019-01-01NANCY SHOSTACK2020-10-14
5022018-01-01NANCY SHOSTACK2019-07-30
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01NANCY SHOSTACK
5022013-01-01NANCY SHOSTACK LAURENE GIAGNORIO2014-07-18
5022012-01-01NANCY SHOSTACK RHEA DEVER2013-07-19
5022011-01-01NANCY SHOSTACK
5022010-01-01NANCY SHOSTACK
5022009-01-01NANCY SHOSTACK
5022009-01-01NANCY SHOSTACK

Plan Statistics for TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN

401k plan membership statisitcs for TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN

Measure Date Value
2023: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0123,058
Total number of active participants reported on line 7a of the Form 55002023-01-0123,846
Number of retired or separated participants receiving benefits2023-01-01761
Number of other retired or separated participants entitled to future benefits2023-01-015
Total of all active and inactive participants2023-01-0124,612
2022: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0120,468
Total number of active participants reported on line 7a of the Form 55002022-01-0121,556
Number of retired or separated participants receiving benefits2022-01-01654
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0122,210
2021: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0119,579
Total number of active participants reported on line 7a of the Form 55002021-01-0120,468
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0120,468
2020: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0118,110
Total number of active participants reported on line 7a of the Form 55002020-01-0119,579
Number of retired or separated participants receiving benefits2020-01-01540
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0120,119
2019: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,920
Total number of active participants reported on line 7a of the Form 55002019-01-014,453
Number of retired or separated participants receiving benefits2019-01-01412
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-014,865
2018: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-015,246
Total number of active participants reported on line 7a of the Form 55002018-01-014,920
Number of retired or separated participants receiving benefits2018-01-01129
Number of other retired or separated participants entitled to future benefits2018-01-01112
Total of all active and inactive participants2018-01-015,161
2017: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-015,205
Total number of active participants reported on line 7a of the Form 55002017-01-014,883
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-014,883
2016: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-015,311
Total number of active participants reported on line 7a of the Form 55002016-01-015,205
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-015,205
2015: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-015,219
Total number of active participants reported on line 7a of the Form 55002015-01-015,311
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-015,311
2014: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,791
Total number of active participants reported on line 7a of the Form 55002014-01-015,219
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-015,219
2013: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017,370
Total number of active participants reported on line 7a of the Form 55002013-01-013,791
Total of all active and inactive participants2013-01-013,791
2012: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-018,357
Total number of active participants reported on line 7a of the Form 55002012-01-017,370
Total of all active and inactive participants2012-01-017,370
2011: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-018,297
Total number of active participants reported on line 7a of the Form 55002011-01-018,357
Total of all active and inactive participants2011-01-018,357
Total participants2011-01-018,357
2010: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-018,889
Total number of active participants reported on line 7a of the Form 55002010-01-018,297
Total of all active and inactive participants2010-01-018,297
Total participants2010-01-018,297
2009: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014,988
Total number of active participants reported on line 7a of the Form 55002009-01-018,889
Total of all active and inactive participants2009-01-018,889
Total participants2009-01-018,889

Form 5500 Responses for TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN

2023: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE 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 funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE 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 funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE 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 funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE 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 funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE 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: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE 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: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2013: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: TAKEDA PHARMACEUTICALS U.S.A., INC. GROUP LIFE, DISABILITY AND AD&D INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3-84044413801
Policy instance 2
Insurance contract or identification numberSA3-84044413801
Number of Individuals Covered23650
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $498,264
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,995,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF3840-44413801
Policy instance 1
Insurance contract or identification numberGF3840-44413801
Number of Individuals Covered23002
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,000,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3-84044413801
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF3840-44413801
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF3840-44413801
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3-84044413801
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberPD3-84044413803
Policy instance 3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8635013
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3840-44413801
Policy instance 2
WORKPLACE SOLUTIONS, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00000
Policy instance 3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-84044413801
Policy instance 4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156895
Policy instance 5
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156894
Policy instance 6
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156896
Policy instance 7
PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68209 )
Policy contract number0000157849
Policy instance 8
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8635013
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3840-44413801
Policy instance 2
WORKPLACE SOLUTIONS, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00000
Policy instance 3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-84044413801
Policy instance 4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156895
Policy instance 5
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156894
Policy instance 6
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156896
Policy instance 7
PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68209 )
Policy contract number0000157849
Policy instance 8
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000161767
Policy instance 8
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGS3-840444138HI
Policy instance 9
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156894
Policy instance 10
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156896
Policy instance 11
PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68209 )
Policy contract number0000157849
Policy instance 12
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156895
Policy instance 7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000157031
Policy instance 6
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGS3-840444138NY
Policy instance 5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-84044413801
Policy instance 4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGS3-840444138NJ
Policy instance 3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3840-44413801
Policy instance 2
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8635011
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3 840 444138
Policy instance 4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number840-444138 NJ
Policy instance 3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3840-44413801
Policy instance 2
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8635011
Policy instance 1
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8695805
Policy instance 5
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156896
Policy instance 6
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156894
Policy instance 7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000157031
Policy instance 8
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number840-444138 NY
Policy instance 9
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8635011
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberPD3-840-444138
Policy instance 2
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number840-444138-01
Policy instance 3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number444138 NYNJHI
Policy instance 4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3 840 444138
Policy instance 5
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8695802
Policy instance 6
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156896
Policy instance 7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000156895
Policy instance 8
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000157031
Policy instance 9
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberPD3 84044138-01
Policy instance 10
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8635011
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number6669734-66046
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number6669734-66046
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number666973-466046
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number666973-466046
Policy instance 1

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