401k Plan data: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN plan

MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN
Plan identification number	501

MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MEAD JOHNSON & COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: MEAD JOHNSON & COMPANY, LLC

Employer identification number (EIN): 351140848

NAIC Classification: 311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01 CHARLES MCKANE
501 2018-01-01 MAUREEN REYES 2021-11-23
501 2017-01-01 CHARLES MCKANE
501 2016-01-01 JIL SCHERMERHORN KARL SCHIPPERT 2017-10-13
501 2015-01-01 IAN.ORMESHER LEE WISE 2016-09-15
501 2014-01-01 IAN.ORMESHER SANTINO CARINGELLA 2015-10-14
501 2013-01-01 IAN ORMESHER SANTINO CARINGELLA 2014-10-13
501 2012-01-01 TIM GRIFFIN KEVIN WILSON 2013-10-14
501 2011-01-01 STEVE A. WILCOX C.KEVIN WILSON 2012-10-11
501 2010-01-01 TIMOTHY K. GRIFFIN C.KEVIN WILSON 2011-10-17
501 2009-02-09 TIMOTHY K. GRIFFIN C.KEVIN WILSON 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-01-01	CHARLES MCKANE
501	2018-01-01	MAUREEN REYES	2021-11-23
501	2017-01-01	CHARLES MCKANE
501	2016-01-01	JIL SCHERMERHORN		KARL SCHIPPERT	2017-10-13
501	2015-01-01	IAN.ORMESHER		LEE WISE	2016-09-15
501	2014-01-01	IAN.ORMESHER		SANTINO CARINGELLA	2015-10-14
501	2013-01-01	IAN ORMESHER		SANTINO CARINGELLA	2014-10-13
501	2012-01-01	TIM GRIFFIN		KEVIN WILSON	2013-10-14
501	2011-01-01	STEVE A. WILCOX		C.KEVIN WILSON	2012-10-11
501	2010-01-01	TIMOTHY K. GRIFFIN		C.KEVIN WILSON	2011-10-17
501	2009-02-09	TIMOTHY K. GRIFFIN		C.KEVIN WILSON	2010-10-14

Plan Statistics for MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN

401k plan membership statisitcs for MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN

Measure Date Value
2018: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2,596
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,588
Number of retired or separated participants receiving benefits 2018-01-01 209
Number of other retired or separated participants entitled to future benefits 2018-01-01 698
Total of all active and inactive participants 2018-01-01 2,495
2017: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,578
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,709
Number of retired or separated participants receiving benefits 2017-01-01 204
Number of other retired or separated participants entitled to future benefits 2017-01-01 683
Total of all active and inactive participants 2017-01-01 2,596
2016: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,568
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,856
Number of retired or separated participants receiving benefits 2016-01-01 84
Number of other retired or separated participants entitled to future benefits 2016-01-01 638
Total of all active and inactive participants 2016-01-01 2,578
2015: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,407
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,913
Number of retired or separated participants receiving benefits 2015-01-01 59
Number of other retired or separated participants entitled to future benefits 2015-01-01 596
Total of all active and inactive participants 2015-01-01 2,568
2014: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,396
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,877
Number of retired or separated participants receiving benefits 2014-01-01 41
Number of other retired or separated participants entitled to future benefits 2014-01-01 489
Total of all active and inactive participants 2014-01-01 2,407
2013: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,207
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,954
Number of retired or separated participants receiving benefits 2013-01-01 351
Number of other retired or separated participants entitled to future benefits 2013-01-01 91
Total of all active and inactive participants 2013-01-01 2,396
2012: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,069
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,000
Number of retired or separated participants receiving benefits 2012-01-01 175
Number of other retired or separated participants entitled to future benefits 2012-01-01 32
Total of all active and inactive participants 2012-01-01 2,207
2011: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,954
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,866
Number of retired or separated participants receiving benefits 2011-01-01 140
Number of other retired or separated participants entitled to future benefits 2011-01-01 63
Total of all active and inactive participants 2011-01-01 2,069
2010: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,029
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,790
Number of retired or separated participants receiving benefits 2010-01-01 106
Number of other retired or separated participants entitled to future benefits 2010-01-01 58
Total of all active and inactive participants 2010-01-01 1,954
2009: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-02-09 1,874
Total number of active participants reported on line 7a of the Form 5500 2009-02-09 1,874
Number of retired or separated participants receiving benefits 2009-02-09 87
Number of other retired or separated participants entitled to future benefits 2009-02-09 68
Total of all active and inactive participants 2009-02-09 2,029

Measure	Date	Value
2018: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2,596
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,588
Number of retired or separated participants receiving benefits	2018-01-01	209
Number of other retired or separated participants entitled to future benefits	2018-01-01	698
Total of all active and inactive participants	2018-01-01	2,495
2017: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,578
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,709
Number of retired or separated participants receiving benefits	2017-01-01	204
Number of other retired or separated participants entitled to future benefits	2017-01-01	683
Total of all active and inactive participants	2017-01-01	2,596
2016: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,568
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,856
Number of retired or separated participants receiving benefits	2016-01-01	84
Number of other retired or separated participants entitled to future benefits	2016-01-01	638
Total of all active and inactive participants	2016-01-01	2,578
2015: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,407
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,913
Number of retired or separated participants receiving benefits	2015-01-01	59
Number of other retired or separated participants entitled to future benefits	2015-01-01	596
Total of all active and inactive participants	2015-01-01	2,568
2014: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,396
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,877
Number of retired or separated participants receiving benefits	2014-01-01	41
Number of other retired or separated participants entitled to future benefits	2014-01-01	489
Total of all active and inactive participants	2014-01-01	2,407
2013: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,207
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,954
Number of retired or separated participants receiving benefits	2013-01-01	351
Number of other retired or separated participants entitled to future benefits	2013-01-01	91
Total of all active and inactive participants	2013-01-01	2,396
2012: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,069
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,000
Number of retired or separated participants receiving benefits	2012-01-01	175
Number of other retired or separated participants entitled to future benefits	2012-01-01	32
Total of all active and inactive participants	2012-01-01	2,207
2011: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,954
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,866
Number of retired or separated participants receiving benefits	2011-01-01	140
Number of other retired or separated participants entitled to future benefits	2011-01-01	63
Total of all active and inactive participants	2011-01-01	2,069
2010: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,029
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,790
Number of retired or separated participants receiving benefits	2010-01-01	106
Number of other retired or separated participants entitled to future benefits	2010-01-01	58
Total of all active and inactive participants	2010-01-01	1,954
2009: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-09	1,874
Total number of active participants reported on line 7a of the Form 5500	2009-02-09	1,874
Number of retired or separated participants receiving benefits	2009-02-09	87
Number of other retired or separated participants entitled to future benefits	2009-02-09	68
Total of all active and inactive participants	2009-02-09	2,029

Form 5500 Responses for MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN

2018: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MEAD JOHNSON & COMPANY WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-02-09	Type of plan entity	Single employer plan
2009-02-09	First time form 5500 has been submitted	Yes
2009-02-09	This submission is the final filing	No
2009-02-09	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-02-09	Plan funding arrangement – Insurance	Yes
2009-02-09	Plan funding arrangement – General assets of the sponsor	Yes
2009-02-09	Plan benefit arrangement – Insurance	Yes
2009-02-09	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	168492
Policy instance	6
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	11449
Policy instance	7
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0158303
Policy instance	1
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	2
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514 S001
Policy instance	3
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	SP0004074
Policy instance	4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30060140
Policy instance	5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0158303
Policy instance	1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	04144A
Policy instance	2
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514 S001
Policy instance	4
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	SP0004074
Policy instance	5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	04144A
Policy instance	7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30060140
Policy instance	6
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	168492
Policy instance	8
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	11449
Policy instance	9
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0158303
Policy instance	1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	04144A
Policy instance	2
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514 S001
Policy instance	4
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	SP0004074
Policy instance	5
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	863975G
Policy instance	6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	04144A
Policy instance	8
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479761-SL
Policy instance	7
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	863975G
Policy instance	7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	04144A
Policy instance	10
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479761-SL
Policy instance	9
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479461
Policy instance	8
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number	14877 1
Policy instance	6
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	SP0004074
Policy instance	5
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514 S001
Policy instance	4
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	04144A
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	48706
Policy instance	1
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number	14877 1
Policy instance	6
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	48706
Policy instance	1
CIGNA HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	04144A
Policy instance	2
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	3
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	SP0004074
Policy instance	5
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514 S001
Policy instance	4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	863975G
Policy instance	7
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	04144A
Policy instance	11
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	04144A
Policy instance	10
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479761-SL
Policy instance	9
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479461
Policy instance	8
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	SP0004074
Policy instance	9
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	863975G
Policy instance	2
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number	14877 1
Policy instance	10
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514 S001
Policy instance	8
WELBORN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12540 )
Policy contract number	W3116
Policy instance	7
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	6
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479761-SL
Policy instance	4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479461
Policy instance	3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	48706
Policy instance	1
CONNETICUT GENERAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	04144A
Policy instance	5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0140117
Policy instance	6
WELBORN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12540 )
Policy contract number	W3116
Policy instance	4
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number	14877 1
Policy instance	9
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	48706
Policy instance	1
CONNETICUT GENERAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	04144A
Policy instance	2
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514
Policy instance	5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	479461
Policy instance	11
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	863975G
Policy instance	10
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	200351
Policy instance	7
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	115381
Policy instance	8
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	48706
Policy instance	1
CONNETICUT GENERAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	04144A
Policy instance	2
AETNA GLOBAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	299658
Policy instance	3
WELBORN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12540 )
Policy contract number	W3116
Policy instance	4
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number	780514
Policy instance	5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0140117
Policy instance	6
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	200351
Policy instance	7
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number	1-15381
Policy instance	8
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number	14877 1
Policy instance	9

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Company Name:	MEAD JOHNSON & COMPANY, LLC
Employer identification number (EIN):	351140848
NAIC Classification:	311500
NAIC Description:	Dairy Product Manufacturing