CHROMA ACRYLICS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2024 : CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2024 401k financial data |
|---|
| Total plan liabilities at end of year | 2024-06-30 | $24,724 |
| Total plan liabilities at beginning of year | 2024-06-30 | $47,476 |
| Total income from all sources | 2024-06-30 | $362,423 |
| Expenses. Total of all expenses incurred | 2024-06-30 | $370,282 |
| Benefits paid (including direct rollovers) | 2024-06-30 | $184,174 |
| Total plan assets at end of year | 2024-06-30 | $22,103 |
| Total plan assets at beginning of year | 2024-06-30 | $52,714 |
| Value of fidelity bond covering the plan | 2024-06-30 | $17,000 |
| Total contributions received or receivable from participants | 2024-06-30 | $25,149 |
| Expenses. Other expenses not covered elsewhere | 2024-06-30 | $171,168 |
| Contributions received from other sources (not participants or employers) | 2024-06-30 | $0 |
| Other income received | 2024-06-30 | $754 |
| Net income (gross income less expenses) | 2024-06-30 | $-7,859 |
| Net plan assets at end of year (total assets less liabilities) | 2024-06-30 | $-2,621 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-06-30 | $5,238 |
| Total contributions received or receivable from employer(s) | 2024-06-30 | $336,520 |
| Value of corrective distributions | 2024-06-30 | $12,786 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2024-06-30 | $2,154 |
| 2023 : CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2023 401k financial data |
|---|
| Total plan liabilities at end of year | 2023-06-30 | $47,476 |
| Total plan liabilities at beginning of year | 2023-06-30 | $60,163 |
| Total income from all sources | 2023-06-30 | $331,120 |
| Expenses. Total of all expenses incurred | 2023-06-30 | $320,073 |
| Benefits paid (including direct rollovers) | 2023-06-30 | $156,526 |
| Total plan assets at end of year | 2023-06-30 | $52,714 |
| Total plan assets at beginning of year | 2023-06-30 | $54,354 |
| Value of fidelity bond covering the plan | 2023-06-30 | $17,000 |
| Total contributions received or receivable from participants | 2023-06-30 | $30,091 |
| Expenses. Other expenses not covered elsewhere | 2023-06-30 | $149,298 |
| Contributions received from other sources (not participants or employers) | 2023-06-30 | $1,845 |
| Other income received | 2023-06-30 | $328 |
| Net income (gross income less expenses) | 2023-06-30 | $11,047 |
| Net plan assets at end of year (total assets less liabilities) | 2023-06-30 | $5,238 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-06-30 | $-5,809 |
| Total contributions received or receivable from employer(s) | 2023-06-30 | $298,856 |
| Value of corrective distributions | 2023-06-30 | $12,348 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-06-30 | $1,901 |
| 2022 : CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-06-30 | $60,163 |
| Total plan liabilities at beginning of year | 2022-06-30 | $28,655 |
| Total income from all sources | 2022-06-30 | $343,575 |
| Expenses. Total of all expenses incurred | 2022-06-30 | $409,565 |
| Benefits paid (including direct rollovers) | 2022-06-30 | $183,940 |
| Total plan assets at end of year | 2022-06-30 | $54,354 |
| Total plan assets at beginning of year | 2022-06-30 | $88,836 |
| Value of fidelity bond covering the plan | 2022-06-30 | $17,000 |
| Total contributions received or receivable from participants | 2022-06-30 | $26,364 |
| Expenses. Other expenses not covered elsewhere | 2022-06-30 | $158,122 |
| Contributions received from other sources (not participants or employers) | 2022-06-30 | $17,267 |
| Other income received | 2022-06-30 | $121 |
| Net income (gross income less expenses) | 2022-06-30 | $-65,990 |
| Net plan assets at end of year (total assets less liabilities) | 2022-06-30 | $-5,809 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-06-30 | $60,181 |
| Total contributions received or receivable from employer(s) | 2022-06-30 | $299,823 |
| Value of corrective distributions | 2022-06-30 | $63,725 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-06-30 | $3,778 |
| 2021 : CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-06-30 | $28,655 |
| Total plan liabilities at beginning of year | 2021-06-30 | $12,955 |
| Total income from all sources | 2021-06-30 | $351,765 |
| Expenses. Total of all expenses incurred | 2021-06-30 | $438,194 |
| Benefits paid (including direct rollovers) | 2021-06-30 | $179,497 |
| Total plan assets at end of year | 2021-06-30 | $88,836 |
| Total plan assets at beginning of year | 2021-06-30 | $159,565 |
| Value of fidelity bond covering the plan | 2021-06-30 | $17,000 |
| Total contributions received or receivable from participants | 2021-06-30 | $34,433 |
| Expenses. Other expenses not covered elsewhere | 2021-06-30 | $154,342 |
| Contributions received from other sources (not participants or employers) | 2021-06-30 | $23,293 |
| Other income received | 2021-06-30 | $306 |
| Net income (gross income less expenses) | 2021-06-30 | $-86,429 |
| Net plan assets at end of year (total assets less liabilities) | 2021-06-30 | $60,181 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-06-30 | $146,610 |
| Total contributions received or receivable from employer(s) | 2021-06-30 | $293,733 |
| Value of corrective distributions | 2021-06-30 | $94,932 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-06-30 | $9,423 |
| 2020 : CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-06-30 | $12,955 |
| Total plan liabilities at beginning of year | 2020-06-30 | $11,238 |
| Total income from all sources | 2020-06-30 | $344,481 |
| Expenses. Total of all expenses incurred | 2020-06-30 | $234,827 |
| Benefits paid (including direct rollovers) | 2020-06-30 | $87,771 |
| Total plan assets at end of year | 2020-06-30 | $159,565 |
| Total plan assets at beginning of year | 2020-06-30 | $48,194 |
| Value of fidelity bond covering the plan | 2020-06-30 | $17,000 |
| Total contributions received or receivable from participants | 2020-06-30 | $71,837 |
| Expenses. Other expenses not covered elsewhere | 2020-06-30 | $134,773 |
| Contributions received from other sources (not participants or employers) | 2020-06-30 | $8,150 |
| Other income received | 2020-06-30 | $379 |
| Net income (gross income less expenses) | 2020-06-30 | $109,654 |
| Net plan assets at end of year (total assets less liabilities) | 2020-06-30 | $146,610 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-06-30 | $36,956 |
| Total contributions received or receivable from employer(s) | 2020-06-30 | $264,115 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-06-30 | $12,283 |
| 2019 : CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-06-30 | $11,238 |
| Total plan liabilities at beginning of year | 2019-06-30 | $0 |
| Total income from all sources | 2019-06-30 | $298,669 |
| Expenses. Total of all expenses incurred | 2019-06-30 | $261,714 |
| Benefits paid (including direct rollovers) | 2019-06-30 | $134,125 |
| Total plan assets at end of year | 2019-06-30 | $48,193 |
| Total plan assets at beginning of year | 2019-06-30 | $0 |
| Value of fidelity bond covering the plan | 2019-06-30 | $17,000 |
| Total contributions received or receivable from participants | 2019-06-30 | $41,524 |
| Expenses. Other expenses not covered elsewhere | 2019-06-30 | $114,915 |
| Other income received | 2019-06-30 | $58 |
| Net income (gross income less expenses) | 2019-06-30 | $36,955 |
| Net plan assets at end of year (total assets less liabilities) | 2019-06-30 | $36,955 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-06-30 | $0 |
| Total contributions received or receivable from employer(s) | 2019-06-30 | $257,087 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-06-30 | $12,674 |
| 2023: CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2023 form 5500 responses |
|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Submission has been amended | No |
| 2023-07-01 | This submission is the final filing | No |
| 2023-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-07-01 | Plan is a collectively bargained plan | No |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan funding arrangement – Trust | Yes |
| 2023-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement - Trust | Yes |
| 2023-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Submission has been amended | No |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-07-01 | Plan is a collectively bargained plan | No |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – Trust | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement - Trust | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Submission has been amended | No |
| 2021-07-01 | This submission is the final filing | No |
| 2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-07-01 | Plan is a collectively bargained plan | No |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan funding arrangement – Trust | Yes |
| 2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement - Trust | Yes |
| 2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Submission has been amended | No |
| 2020-07-01 | This submission is the final filing | No |
| 2020-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-07-01 | Plan is a collectively bargained plan | No |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan funding arrangement – Trust | Yes |
| 2020-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement - Trust | Yes |
| 2020-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Submission has been amended | No |
| 2019-07-01 | This submission is the final filing | No |
| 2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-07-01 | Plan is a collectively bargained plan | No |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan funding arrangement – Trust | Yes |
| 2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement - Trust | Yes |
| 2019-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: CHROMA ACRYLICS, INC. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | First time form 5500 has been submitted | Yes |
| 2018-07-01 | Submission has been amended | No |
| 2018-07-01 | This submission is the final filing | No |
| 2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-07-01 | Plan is a collectively bargained plan | No |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – Trust | Yes |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement - Trust | Yes |
| 2018-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 408556-A |
| Policy instance | 5 |
| Insurance contract or identification number | 408556-A | | Number of Individuals Covered | 24 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $152,386 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 7496 |
| Policy instance | 4 |
| Insurance contract or identification number | 7496 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | Total amount of commissions paid to insurance broker | USD $1,351 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $13,512 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 081477 |
| Policy instance | 3 |
| Insurance contract or identification number | 081477 | | Number of Individuals Covered | 44 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | Total amount of commissions paid to insurance broker | USD $160 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,447 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | 00621301 |
| Policy instance | 2 |
| Insurance contract or identification number | 00621301 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2023-06-01 | | Insurance policy end date | 2024-05-31 | | Total amount of commissions paid to insurance broker | USD $2,970 | | Total amount of fees paid to insurance company | USD $702 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 Carrier | USD $17,022 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 31000024 |
| Policy instance | 1 |
| Insurance contract or identification number | 31000024 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2023-07-01 | | Insurance policy end date | 2024-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $595 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 31000024 |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | 00621301 |
| Policy instance | 2 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 081477 |
| Policy instance | 3 |
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 7496 |
| Policy instance | 4 |
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 7496 |
| Policy instance | 5 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5957622 |
| Policy instance | 4 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 081477 |
| Policy instance | 3 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | 00621301 |
| Policy instance | 2 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 31000024 |
| Policy instance | 1 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 081477 |
| Policy instance | 6 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5957622 |
| Policy instance | 5 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 4 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 3 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 2 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 31000024 |
| Policy instance | 1 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 2 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 3 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5957622 |
| Policy instance | 5 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 081477 |
| Policy instance | 6 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 31000024 |
| Policy instance | 1 |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 3 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5957622 |
| Policy instance | 5 |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-437156 |
| Policy instance | 6 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 081477 |
| Policy instance | 7 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 110253 |
| Policy instance | 2 |
