401k Plan data: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN plan

INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 401k Plan overview

Plan Name	INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN
Plan identification number	511

INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Other welfare benefit cover

401k Sponsoring company profile

INDEPENDENT FURNITURE SUPPLY CO., INC. has sponsored the creation of one or more 401k plans.

Company Name: INDEPENDENT FURNITURE SUPPLY CO., INC.

Employer identification number (EIN): 640944541

NAIC Classification: 337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2022-01-01
511 2022-01-01 JAN LITTLEJOHN
511 2021-01-01
511 2021-01-01 JAN LITTLEJOHN
511 2020-01-01
511 2019-01-01
511 2017-01-01 JAN LITTLEJOHN
511 2015-01-01 JAN LITTLEJOHN
511 2014-01-01 JAN LITTLEJOHN
511 2013-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-10-08
511 2012-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2011-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2010-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2009-01-02 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2008-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2007-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2006-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2005-01-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12
511 2003-08-01 JAN LITTLEJOHN JAN LITTLEJOHN 2014-11-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
511	2022-01-01
511	2022-01-01	JAN LITTLEJOHN
511	2021-01-01
511	2021-01-01	JAN LITTLEJOHN
511	2020-01-01
511	2019-01-01
511	2017-01-01	JAN LITTLEJOHN
511	2015-01-01	JAN LITTLEJOHN
511	2014-01-01	JAN LITTLEJOHN
511	2013-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-10-08
511	2012-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2011-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2010-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2009-01-02	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2008-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2007-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2006-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2005-01-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12
511	2003-08-01	JAN LITTLEJOHN	JAN LITTLEJOHN	2014-11-12

Plan Statistics for INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN

401k plan membership statisitcs for INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN

Measure Date Value
2022: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 346
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 288
Total of all active and inactive participants 2022-01-01 288
Total participants 2022-01-01 288
2021: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 311
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 346
Total of all active and inactive participants 2021-01-01 346
Total participants 2021-01-01 346
2020: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 311
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 311
Total of all active and inactive participants 2020-01-01 311
Total participants 2020-01-01 311
2019: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 347
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 205
Total of all active and inactive participants 2019-01-01 205
Total participants 2019-01-01 205
2017: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 384
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 388
Total of all active and inactive participants 2017-01-01 388
Total participants 2017-01-01 388
2015: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 439
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 427
Total of all active and inactive participants 2015-01-01 427
Total participants 2015-01-01 0
2014: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 422
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 439
Total of all active and inactive participants 2014-01-01 439
Total participants 2014-01-01 0
2013: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 396
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 422
Total of all active and inactive participants 2013-01-01 422
2012: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 225
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 239
Total of all active and inactive participants 2012-01-01 239
2011: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 202
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 225
Total of all active and inactive participants 2011-01-01 225
2010: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 202
Total of all active and inactive participants 2010-01-01 202
2009: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-02 233
Total number of active participants reported on line 7a of the Form 5500 2009-01-02 154
Total of all active and inactive participants 2009-01-02 154
2008: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 270
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 233
Total of all active and inactive participants 2008-01-01 233
2007: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 232
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 270
Total of all active and inactive participants 2007-01-01 270
2006: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 232
Total of all active and inactive participants 2006-01-01 232
2005: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 230
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 213
Total of all active and inactive participants 2005-01-01 213
2003: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year 2003-08-01 222
Total number of active participants reported on line 7a of the Form 5500 2003-08-01 200
Total of all active and inactive participants 2003-08-01 200

Measure	Date	Value
2022: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	346
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	288
Total of all active and inactive participants	2022-01-01	288
Total participants	2022-01-01	288
2021: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	311
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	346
Total of all active and inactive participants	2021-01-01	346
Total participants	2021-01-01	346
2020: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	311
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	311
Total of all active and inactive participants	2020-01-01	311
Total participants	2020-01-01	311
2019: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	347
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	205
Total of all active and inactive participants	2019-01-01	205
Total participants	2019-01-01	205
2017: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	384
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	388
Total of all active and inactive participants	2017-01-01	388
Total participants	2017-01-01	388
2015: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	439
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	427
Total of all active and inactive participants	2015-01-01	427
Total participants	2015-01-01	0
2014: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	422
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	439
Total of all active and inactive participants	2014-01-01	439
Total participants	2014-01-01	0
2013: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	396
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	422
Total of all active and inactive participants	2013-01-01	422
2012: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	225
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	239
Total of all active and inactive participants	2012-01-01	239
2011: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	202
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	225
Total of all active and inactive participants	2011-01-01	225
2010: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	202
Total of all active and inactive participants	2010-01-01	202
2009: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-02	233
Total number of active participants reported on line 7a of the Form 5500	2009-01-02	154
Total of all active and inactive participants	2009-01-02	154
2008: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	270
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	233
Total of all active and inactive participants	2008-01-01	233
2007: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	270
Total of all active and inactive participants	2007-01-01	270
2006: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	232
Total of all active and inactive participants	2006-01-01	232
2005: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	230
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	213
Total of all active and inactive participants	2005-01-01	213
2003: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year	2003-08-01	222
Total number of active participants reported on line 7a of the Form 5500	2003-08-01	200
Total of all active and inactive participants	2003-08-01	200

Form 5500 Responses for INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN

2022: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 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: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 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: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 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
2017: INDEPENDENT FURNITURE SUPPLY CO. INC. 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 benefit arrangement – Insurance	Yes
2015: INDEPENDENT FURNITURE SUPPLY CO. INC. 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 benefit arrangement – Insurance	Yes
2014: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 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: INDEPENDENT FURNITURE SUPPLY CO. INC. 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 benefit arrangement – Insurance	Yes
2012: INDEPENDENT FURNITURE SUPPLY CO. INC. 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 benefit arrangement – Insurance	Yes
2011: INDEPENDENT FURNITURE SUPPLY CO. INC. 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 benefit arrangement – Insurance	Yes
2010: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2009 form 5500 responses
2009-01-02	Type of plan entity	Single employer plan
2009-01-02	Submission has been amended	No
2009-01-02	This submission is the final filing	No
2009-01-02	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-02	Plan is a collectively bargained plan	No
2009-01-02	Plan funding arrangement – Insurance	Yes
2009-01-02	Plan benefit arrangement – Insurance	Yes
2008: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	No
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2003: INDEPENDENT FURNITURE SUPPLY CO. INC. WELFARE PLAN 2003 form 5500 responses
2003-08-01	Type of plan entity	Single employer plan
2003-08-01	Submission has been amended	No
2003-08-01	This submission is the final filing	No
2003-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-08-01	Plan is a collectively bargained plan	No
2003-08-01	Plan funding arrangement – Insurance	Yes
2003-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	417003415005
Policy instance	2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	2
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	048008
Policy instance	3
AMFIRST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60250 )
Policy contract number	22507
Policy instance	4
STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 54618 )
Policy contract number	417002415005
Policy instance	5
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	417003415005
Policy instance	6
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	2
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	048008
Policy instance	3
AMFIRST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60250 )
Policy contract number	22507
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	2
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number	GLIUME001683
Policy instance	3
AMERICAN FIDELITY ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance	4
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	048008
Policy instance	5
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	02402 &02403
Policy instance	2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	3
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	02402 &02403
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	3
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	02402 &02403
Policy instance	2
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	02402 & 02403
Policy instance	2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	470322111
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	3
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	02402 AND 02403
Policy instance	2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	2
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	2402 AND 2403
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	1
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	0046598
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	5
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	2402 AND 2403
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	2
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	0046598
Policy instance	1
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number	0046598
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000602E
Policy instance	3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	10201
Policy instance	2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	533626
Policy instance	1

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Company Name:	INDEPENDENT FURNITURE SUPPLY CO., INC.
Employer identification number (EIN):	640944541
NAIC Classification:	337000