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| Plan Name | DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE |
| Plan identification number | 515 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DICKINSON COLLEGE |
| Employer identification number (EIN): | 231365954 |
| NAIC Classification: | 611000 |
Additional information about DICKINSON COLLEGE
| Jurisdiction of Incorporation: | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE |
| Incorporation Date: | |
| Company Identification Number: | 94928 |
More information about DICKINSON COLLEGE
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 515 | 2023-07-01 | DEBRA F HARGROVE | |||
| 515 | 2022-07-01 | ||||
| 515 | 2022-07-01 | DEBRA F HARGROVE | |||
| 515 | 2021-07-01 | ||||
| 515 | 2021-07-01 | DEBRA HARGROVE | |||
| 515 | 2020-07-01 | ||||
| 515 | 2019-07-01 | ||||
| 515 | 2018-07-01 | ||||
| 515 | 2018-07-01 | ||||
| 515 | 2017-07-01 | DEBRA F. HARGROVE | BRONTE D. BURLEIGH-JONES | 2019-03-25 | |
| 515 | 2016-07-01 | DEBRA HARGROVE | BRONTE JONES | 2018-01-03 | |
| 515 | 2015-07-01 | DEBRA HARGROVE | BRONTE JONES | 2017-01-04 | |
| 515 | 2014-07-01 | DEBRA F. HARGROVE | BRONTE D. BURLEIGH-JONES | 2016-01-12 | |
| 515 | 2013-07-01 | STEVEN J. RICCIO | BRONTE D. JONES | 2015-01-08 | |
| 515 | 2012-07-01 | STEVEN J. RICCIO | BRONTE D. JONES | 2014-01-08 | |
| 515 | 2011-07-01 | JOHN A WEIS | THOMAS A.K. QUEENAN | 2013-01-22 | |
| 515 | 2010-07-01 | JOHN A WEIS | SEAN M WITTE | 2011-12-13 | |
| 515 | 2009-07-01 | JOHN A. WEIS | DAVID S. WALKER | 2010-11-11 | |
| 515 | 2009-07-01 | JOHN A. WEIS | DAVID S. WALKER | 2010-11-11 |
| Measure | Date | Value |
|---|---|---|
| 2022: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-07-01 | 769 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 759 |
| Total of all active and inactive participants | 2022-07-01 | 759 |
| 2021: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-07-01 | 833 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 769 |
| Total of all active and inactive participants | 2021-07-01 | 769 |
| 2020: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-07-01 | 834 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 833 |
| Total of all active and inactive participants | 2020-07-01 | 833 |
| 2019: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-07-01 | 892 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 832 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
| Total of all active and inactive participants | 2019-07-01 | 834 |
| 2018: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-07-01 | 872 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 882 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 10 |
| Total of all active and inactive participants | 2018-07-01 | 892 |
| 2017: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-07-01 | 870 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 862 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 10 |
| Total of all active and inactive participants | 2017-07-01 | 872 |
| 2016: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-07-01 | 866 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 860 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 10 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 870 |
| 2015: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-07-01 | 5,223 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 834 |
| Number of retired or separated participants receiving benefits | 2015-07-01 | 32 |
| Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 0 |
| Total of all active and inactive participants | 2015-07-01 | 866 |
| 2014: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-07-01 | 5,165 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 5,212 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 11 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 5,223 |
| 2013: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-07-01 | 5,245 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 5,159 |
| Number of retired or separated participants receiving benefits | 2013-07-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2013-07-01 | 0 |
| Total of all active and inactive participants | 2013-07-01 | 5,165 |
| 2012: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 4,285 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 5,159 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 86 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
| Total of all active and inactive participants | 2012-07-01 | 5,245 |
| 2011: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 4,138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 4,194 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 91 |
| Total of all active and inactive participants | 2011-07-01 | 4,285 |
| 2010: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-07-01 | 3,778 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 4,035 |
| Number of retired or separated participants receiving benefits | 2010-07-01 | 103 |
| Total of all active and inactive participants | 2010-07-01 | 4,138 |
| 2009: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 3,717 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 3,746 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 32 |
| Total of all active and inactive participants | 2009-07-01 | 3,778 |
| 2022: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 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 – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 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 – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 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 – General assets of the sponsor | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2019 form 5500 responses | ||
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – Insurance | 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 – General assets of the sponsor | Yes |
| 2018: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2018 form 5500 responses | ||
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Submission has been amended | Yes |
| 2018-07-01 | Plan funding arrangement – Insurance | 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 – General assets of the sponsor | Yes |
| 2017: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2017 form 5500 responses | ||
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2016 form 5500 responses | ||
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | No |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2015 form 5500 responses | ||
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Submission has been amended | No |
| 2015-07-01 | This submission is the final filing | No |
| 2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-01 | Plan is a collectively bargained plan | No |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2014 form 5500 responses | ||
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2013 form 5500 responses | ||
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2010 form 5500 responses | ||
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: DICKINSON COLLEGE CONSOLIDATED HEALTH AND WELFARE 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Submission has been amended | Yes |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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| Policy contract number | 258730 |
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| Policy contract number | 647 |
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| Policy contract number | LTD 130026 |
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| Policy contract number | 000017991 |
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| Policy contract number | ADDS06060 |
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| Policy contract number | VAR 208101 |
| Policy instance | 7 |
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| Policy contract number | VAR208102 |
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| Policy contract number | ADDS06060 |
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| Policy contract number | 258730 |
| Policy instance | 5 |
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| Policy contract number | 647 |
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| Policy contract number | GLM N0415843A |
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| Policy contract number | 51992 |
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| Policy contract number | 647 |
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| Policy contract number | GLM N0415843A |
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| Policy contract number | ADDS06060 |
| Policy instance | 8 |
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| Policy contract number | 0000017991 |
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| Policy contract number | ETB200199 |
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| Policy contract number | 258730 |
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| Policy contract number | ETB200199 |
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| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | FLX964796 |
| Policy instance | 4 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | LK 963355 |
| Policy instance | 5 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | OK 966407 |
| Policy instance | 6 |
| UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 ) | |
| Policy contract number | 258730 |
| Policy instance | 7 |
| VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) | |
| Policy contract number | 647 |
| Policy instance | 8 |
| ARCH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11150 ) | |
| Policy contract number | STA010025600 |
| Policy instance | 9 |
| HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 ) | |
| Policy contract number | 1011030000 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ADDS06060 |
| Policy instance | 3 |
| UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 ) | |
| Policy contract number | 258730 |
| Policy instance | 7 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | GLM N04849061 |
| Policy instance | 9 |
| VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) | |
| Policy contract number | 647 |
| Policy instance | 8 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | DK 966407 |
| Policy instance | 6 |
| HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 ) | |
| Policy contract number | 1011030000 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | LK 963355 |
| Policy instance | 5 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | FLX964796 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ADDS06060 |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB200199 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB200199 |
| Policy instance | 2 |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | GLM N04849061 |
| Policy instance | 8 |
| VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) | |
| Policy contract number | 647 |
| Policy instance | 7 |
| UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 ) | |
| Policy contract number | 258730 |
| Policy instance | 6 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 136378 |
| Policy instance | 5 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 136378 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ADDS06060 |
| Policy instance | 3 |
| HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 ) | |
| Policy contract number | 1011030000 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB200199 |
| Policy instance | 2 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 136378 |
| Policy instance | 4 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ADDS06060 |
| Policy instance | 3 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 136378 |
| Policy instance | 5 |
| UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 ) | |
| Policy contract number | 258730 |
| Policy instance | 6 |
| VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) | |
| Policy contract number | 647 |
| Policy instance | 7 |
| HEALTHAMERICA OF PENNSYLVANIA, INC (National Association of Insurance Commissioners NAIC id number: 95060 ) | |
| Policy contract number | 1011030000 |
| Policy instance | 1 |
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