 |
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| Plan Name | ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ATLANTA DENTAL SUPPLY COMPANY |
| Employer identification number (EIN): | 581402148 |
| NAIC Classification: | 423400 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-11-01 | MIKE MILLER | |||
| 501 | 2022-11-01 | ||||
| 501 | 2022-11-01 | MIKE MILLER | |||
| 501 | 2021-11-01 | MIKE MILLER | 2023-08-07 | ||
| 501 | 2019-11-01 | MIKE MILLER | 2023-08-07 | ||
| 501 | 2018-01-01 | MIKE MILLER | 2019-09-06 | ||
| 501 | 2017-01-01 | ||||
| 501 | 2016-01-01 | ||||
| 501 | 2015-01-01 | ||||
| 501 | 2014-01-01 | JOSH DEWEESE | |||
| 501 | 2013-01-01 | KELLY COPELAND | |||
| 501 | 2012-01-01 | KELLY KARIC | |||
| 501 | 2011-01-01 | KELLY KARIC | |||
| 501 | 2009-01-01 | KELLY KARIC | |||
| 501 | 2009-01-01 | KELLY KARIC |
| 2022: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-11-01 | Type of plan entity | Single employer plan |
| 2022-11-01 | Submission has been amended | No |
| 2022-11-01 | This submission is the final filing | No |
| 2022-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-11-01 | Plan is a collectively bargained plan | No |
| 2022-11-01 | Plan funding arrangement – Insurance | Yes |
| 2022-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
| 2021-11-01 | Type of plan entity | Single employer plan |
| 2021-11-01 | Plan funding arrangement – Insurance | Yes |
| 2021-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2019 form 5500 responses | ||
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 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 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 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 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE 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: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 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 |
| 2009: ATLANTA DENTAL SUPPLY HEALTH & WELFARE PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||
| Policy contract number | 941-25-S2002 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 00630829 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 00630829 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||
| Policy contract number | 941-25-S2002 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||
| Policy contract number | GB0524 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| |||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| |||||||||||||||||||||
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||
| Policy contract number | 941-25-S2002 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| |||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149601 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149602 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 400001000 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 9835000 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149600 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 00616864 | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 9835000 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 400001000 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149601 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 1D022881 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 00616864 | ||||||||||||||||||||
| Policy instance | 8 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149600 | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149602 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149600 | ||||||||||||||||||||
| Policy instance | 8 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 9835000 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 400001000 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149601 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 1D022881 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149602 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95378 ) | |||||||||||||||||||||
| Policy contract number | T51M | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 1D022881 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149602 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149600000 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 9835000 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | 3256591 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95378 ) | |||||||||||||||||||||
| Policy contract number | T51M | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000400001000 | ||||||||||||||||||||
| Policy instance | 8 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149601000 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 ) | |||||||||||||||||||||
| Policy contract number | 0026880-01 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95378 ) | |||||||||||||||||||||
| Policy contract number | T51M | ||||||||||||||||||||
| Policy instance | 9 | ||||||||||||||||||||
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |||||||||||||||||||||
| Policy contract number | GA828093 | ||||||||||||||||||||
| Policy instance | 8 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | 3256591 | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 9835000 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149601000 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149600000 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 1D022881 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10149602 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256591 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 ) | |||||||||||||||||||||
| Policy contract number | 036170000001 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 9835000 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149602 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149601 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 00001D022881 | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 000010149600 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||
| Policy contract number | 1050756000 | ||||||||||||||||||||
| Policy instance | 8 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E3256 | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||
| Policy contract number | GLUG0A15B | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||
| Policy contract number | G000AI5B | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||
| Policy contract number | 010035859 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||
| Policy contract number | 1050756000 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||
| Policy contract number | G000A15B | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||
| Policy contract number | G000A15B | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 ) | |||||||||||||||||||||
| Policy contract number | 5173 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||
| Policy contract number | 473985 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) | |||||||||||||||||||||
| Policy contract number | 30005834 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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