CBL STATE SAVINGS BANK has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST
| Measure | Date | Value |
|---|
| 2022 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $174,434 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $174,434 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $162,071 |
| Total contributions received or receivable from participants | 2022-12-31 | $43,474 |
| Net income (gross income less expenses) | 2022-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $130,960 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $12,363 |
| 2021 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $133,696 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $133,696 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $124,254 |
| Total contributions received or receivable from participants | 2021-12-31 | $41,032 |
| Net income (gross income less expenses) | 2021-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $92,664 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $9,442 |
| 2020 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $137,754 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $137,754 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $128,241 |
| Total contributions received or receivable from participants | 2020-12-31 | $46,944 |
| Net income (gross income less expenses) | 2020-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $90,810 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $9,513 |
| 2019 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $170,556 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $170,556 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $162,940 |
| Total contributions received or receivable from participants | 2019-12-31 | $39,300 |
| Net income (gross income less expenses) | 2019-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $131,256 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $7,616 |
| 2018 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $183,561 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $183,561 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $139,101 |
| Total contributions received or receivable from participants | 2018-12-31 | $73,424 |
| Net income (gross income less expenses) | 2018-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $110,137 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $44,460 |
| 2017 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $162,834 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $162,834 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $155,317 |
| Total contributions received or receivable from participants | 2017-12-31 | $36,814 |
| Net income (gross income less expenses) | 2017-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $126,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $7,517 |
| 2016 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $147,482 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $147,482 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $132,057 |
| Total contributions received or receivable from participants | 2016-12-31 | $2,079 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $8,861 |
| Net income (gross income less expenses) | 2016-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $145,403 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $6,564 |
| 2015 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $144,604 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $144,604 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $89,818 |
| Total contributions received or receivable from participants | 2015-12-31 | $13,188 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $46,837 |
| Net income (gross income less expenses) | 2015-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $131,416 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $7,949 |
| 2014 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $128,732 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $128,732 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $100,749 |
| Total contributions received or receivable from participants | 2014-12-31 | $13,328 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $19,710 |
| Net income (gross income less expenses) | 2014-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $115,404 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $8,273 |
| 2013 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-12-31 | $0 |
| Total plan liabilities at beginning of year | 2013-12-31 | $0 |
| Total income from all sources | 2013-12-31 | $113,783 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $110,343 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $103,995 |
| Total plan assets at end of year | 2013-12-31 | $0 |
| Total plan assets at beginning of year | 2013-12-31 | $0 |
| Total contributions received or receivable from participants | 2013-12-31 | $22,630 |
| Expenses. Other expenses not covered elsewhere | 2013-12-31 | $3,440 |
| Net income (gross income less expenses) | 2013-12-31 | $3,440 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $91,153 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $6,348 |
| 2012 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-12-31 | $0 |
| Total plan liabilities at beginning of year | 2012-12-31 | $0 |
| Total income from all sources | 2012-12-31 | $108,756 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $111,567 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $105,520 |
| Total plan assets at end of year | 2012-12-31 | $0 |
| Total plan assets at beginning of year | 2012-12-31 | $0 |
| Total contributions received or receivable from participants | 2012-12-31 | $21,611 |
| Net income (gross income less expenses) | 2012-12-31 | $-2,811 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $87,145 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $6,047 |
| 2011 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $121,388 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $70,617 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $64,042 |
| Total contributions received or receivable from participants | 2011-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $0 |
| Other income received | 2011-12-31 | $0 |
| Net income (gross income less expenses) | 2011-12-31 | $50,771 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $121,388 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $6,575 |
| 2010 : SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $141,242 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $69,323 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $64,662 |
| Total contributions received or receivable from participants | 2010-12-31 | $0 |
| Other income received | 2010-12-31 | $0 |
| Net income (gross income less expenses) | 2010-12-31 | $71,919 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $141,242 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $4,661 |
| 2022: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 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 benefit arrangement – Insurance | Yes |
| 2015: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 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 benefit arrangement – Insurance | Yes |
| 2014: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 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 benefit arrangement – Insurance | Yes |
| 2010: SOUTH CAROLINA BANKERS EMPLOYEE BENEFIT TRUST 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | Yes |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 71-85417-12 |
| Policy instance | 4 |
| Insurance contract or identification number | 71-85417-12 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 22010061 |
| Policy instance | 3 |
| Insurance contract or identification number | 22010061 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $139 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,054 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 2 |
| Insurance contract or identification number | 68181-4 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,155 | | Total amount of fees paid to insurance company | USD $506 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $16,856 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 1 |
| Insurance contract or identification number | 61691000 | | Number of Individuals Covered | 53 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $846 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 1 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 2 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 71-85417-12 |
| Policy instance | 4 |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 1 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 2 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 71-85417-12 |
| Policy instance | 4 |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 1 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 2 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 71-85417-12 |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-85418-12 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-85417 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-85419-12 |
| Policy instance | 3 |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 4 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 5 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141 |
| Policy instance | 6 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) |
| Policy contract number | E4043923 |
| Policy instance | 7 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141 |
| Policy instance | 6 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 5 |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-85418 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-85417 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-51236 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-51236 |
| Policy instance | 1 |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 2 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141 0016 |
| Policy instance | 4 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-51236 |
| Policy instance | 1 |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 61691000 |
| Policy instance | 2 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30016141-0016 |
| Policy instance | 3 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 68181-4 |
| Policy instance | 4 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS05469906 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03 51236 |
| Policy instance | 1 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30 016141 0016 |
| Policy instance | 2 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30 016141 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03 51236 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS054699906 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-51236-97 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TSO5469906 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-51236-97 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS05469906 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 03-55075-50 |
| Policy instance | 2 |
