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J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 401k Plan overview

Plan NameJ & J SACK FOODS CORP. HEALTH & WELFARE PLAN
Plan identification number 501

J & J SACK FOODS CORP. HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

J & J SNACK FOODS CORP. has sponsored the creation of one or more 401k plans.

Company Name:J & J SNACK FOODS CORP.
Employer identification number (EIN):221935537
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J & J SACK FOODS CORP. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-10-01PATRICK MCKEE
5012022-10-01
5012022-10-01PATRICK MCKEE
5012021-10-01PATRICK MCKEE2023-07-14 PATRICK MCKEE2023-07-14
5012021-10-01PATRICK MCKEE2023-09-13
5012020-10-01ALLISON BUTLER2022-07-15
5012019-10-01SEAN TROMBLY2021-07-14
5012016-10-01SEAN TROMBLY
5012015-10-01SEAN TROMBLY
5012014-10-01SEAN TROMBLY
5012013-10-01SEAN TROMBLY
5012012-10-01SEAN TROMBLY SEAN TROMBLY2014-05-22
5012011-10-01SEAN TROMBLY
5012010-10-01RAY GARCIA SEAN TROMBLY2012-10-02
5012009-10-01RAY GARCIA SEAN TROMBLY2011-06-24
5012008-10-01SEAN TROMBLY RAY GARCIA2010-06-24

Plan Statistics for J & J SACK FOODS CORP. HEALTH & WELFARE PLAN

401k plan membership statisitcs for J & J SACK FOODS CORP. HEALTH & WELFARE PLAN

Measure Date Value
2022: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-014,018
Total number of active participants reported on line 7a of the Form 55002022-10-014,150
Number of retired or separated participants receiving benefits2022-10-0115
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-014,165
2021: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-013,075
Total number of active participants reported on line 7a of the Form 55002021-10-013,588
Number of retired or separated participants receiving benefits2021-10-0124
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-013,612
2020: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-012,847
Total number of active participants reported on line 7a of the Form 55002020-10-013,032
Number of retired or separated participants receiving benefits2020-10-0143
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-013,075
2019: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-012,412
Total number of active participants reported on line 7a of the Form 55002019-10-012,829
Number of retired or separated participants receiving benefits2019-10-0118
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-012,847
2016: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-012,094
Total number of active participants reported on line 7a of the Form 55002016-10-012,157
Number of retired or separated participants receiving benefits2016-10-016
Total of all active and inactive participants2016-10-012,163
Total participants2016-10-012,163
2015: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-011,934
Total number of active participants reported on line 7a of the Form 55002015-10-012,088
Number of retired or separated participants receiving benefits2015-10-016
Total of all active and inactive participants2015-10-012,094
Total participants2015-10-012,094
2014: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-011,970
Total number of active participants reported on line 7a of the Form 55002014-10-011,926
Number of retired or separated participants receiving benefits2014-10-018
Total of all active and inactive participants2014-10-011,934
Total participants2014-10-011,934
2013: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-011,781
Total number of active participants reported on line 7a of the Form 55002013-10-011,961
Number of retired or separated participants receiving benefits2013-10-019
Total of all active and inactive participants2013-10-011,970
Total participants2013-10-011,970
2012: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-011,759
Total number of active participants reported on line 7a of the Form 55002012-10-011,769
Number of retired or separated participants receiving benefits2012-10-0112
Total of all active and inactive participants2012-10-011,781
Total participants2012-10-011,781
2011: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-011,601
Total number of active participants reported on line 7a of the Form 55002011-10-011,739
Number of retired or separated participants receiving benefits2011-10-0120
Total of all active and inactive participants2011-10-011,759
Total participants2011-10-011,759
2010: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-011,469
Total number of active participants reported on line 7a of the Form 55002010-10-011,584
Number of retired or separated participants receiving benefits2010-10-0117
Total of all active and inactive participants2010-10-011,601
Total participants2010-10-011,601
2009: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-011,284
Total number of active participants reported on line 7a of the Form 55002009-10-011,440
Number of retired or separated participants receiving benefits2009-10-0129
Total of all active and inactive participants2009-10-011,469
Total participants2009-10-011,469
2008: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year2008-10-011,276
Total number of active participants reported on line 7a of the Form 55002008-10-011,264
Number of retired or separated participants receiving benefits2008-10-0120
Total of all active and inactive participants2008-10-011,284
Total participants2008-10-011,284

Form 5500 Responses for J & J SACK FOODS CORP. HEALTH & WELFARE PLAN

2022: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planYes
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2021: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01First time form 5500 has been submittedYes
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedYes
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – General assets of the sponsorYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedYes
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: J & J SACK FOODS CORP. HEALTH & WELFARE PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo
2008-10-01Plan funding arrangement – InsuranceYes
2008-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number901-14-02046
Policy instance 9
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10009658
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744592
Policy instance 2
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number2581
Policy instance 3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number49815
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number6141
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019511
Policy instance 6
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number70684
Policy instance 7
KEMPER BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number237528
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number6141
Policy instance 7
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3211252
Policy instance 6
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number49815
Policy instance 5
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number2581-1
Policy instance 4
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1084905
Policy instance 3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744592
Policy instance 2
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10009658
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019511
Policy instance 8
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00471250
Policy instance 9
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number901-14-02046
Policy instance 16
SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 )
Policy contract number14735
Policy instance 15
KEMPER BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number237528
Policy instance 14
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number505945
Policy instance 13
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number70684
Policy instance 12
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPE2442
Policy instance 11
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0715448
Policy instance 10
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number588328
Policy instance 18
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586286
Policy instance 19
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number505945
Policy instance 20
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number203773
Policy instance 21
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number292839
Policy instance 22
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number49815
Policy instance 8
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number70684
Policy instance 17
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPE2442
Policy instance 16
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0715448
Policy instance 15
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number292839
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number203773
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586286
Policy instance 3
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10009658
Policy instance 4
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744592
Policy instance 5
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1084905
Policy instance 6
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number2581-1
Policy instance 7
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3211252
Policy instance 9
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number6141
Policy instance 10
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586287
Policy instance 11
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019511
Policy instance 12
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00471250
Policy instance 13
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586287
Policy instance 14
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number2581-1
Policy instance 8
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1084905
Policy instance 7
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744592
Policy instance 6
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10009658
Policy instance 5
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744592
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586286
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number203773
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number49815
Policy instance 9
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3211252
Policy instance 10
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number6141
Policy instance 11
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586287
Policy instance 12
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019511
Policy instance 13
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00471250
Policy instance 14
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number586287
Policy instance 15
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0715448
Policy instance 16
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPE2442
Policy instance 17
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number292839
Policy instance 1

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