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| Plan Name | DELI MANAGMENT INC HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | DELI MANAGEMENT INC |
| Employer identification number (EIN): | 760075660 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
Additional information about DELI MANAGEMENT INC
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | 1999-10-18 |
| Company Identification Number: | 1148503 |
| Legal Registered Office Address: |
350 Pine St Suite 1775 Beaumont United States of America (USA) 77702-1904 |
More information about DELI MANAGEMENT INC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-05-01 | BRIAN HEBERT | 2023-11-16 | ||
| 501 | 2021-05-01 | BRIAN HEBERT | 2022-11-16 | ||
| 501 | 2020-05-01 | BRIAN HEBERT | 2022-01-07 | ||
| 501 | 2019-05-01 | BRIAN HEBERT | 2020-11-12 | ||
| 501 | 2018-05-01 | WILLA WHITE | 2020-02-10 | ||
| 501 | 2017-05-01 | ||||
| 501 | 2016-05-01 | CHAD LEMOINE | |||
| 501 | 2015-05-01 | ||||
| 501 | 2015-05-01 | CHAD LEMOINE | |||
| 501 | 2014-05-01 | TROY CORMIER | |||
| 501 | 2013-05-01 | ||||
| 501 | 2012-05-01 | JENNIFER BERTRAND | 2024-01-03 | ||
| 501 | 2011-05-01 | JENNIFER BERTRAND | 2024-01-03 |
| Measure | Date | Value |
|---|---|---|
| 2022: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-05-01 | 700 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 781 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 37 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 818 |
| Number of employers contributing to the scheme | 2022-05-01 | 0 |
| 2021: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-05-01 | 637 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 664 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 36 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 700 |
| Number of employers contributing to the scheme | 2021-05-01 | 0 |
| 2020: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-05-01 | 1,092 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 637 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 642 |
| Number of employers contributing to the scheme | 2020-05-01 | 0 |
| 2019: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-05-01 | 1,366 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 1,092 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 1,099 |
| Number of employers contributing to the scheme | 2019-05-01 | 0 |
| 2018: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-05-01 | 1,366 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 1,366 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 1,366 |
| Number of employers contributing to the scheme | 2018-05-01 | 0 |
| 2017: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-05-01 | 1,459 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 1,366 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 1,372 |
| 2016: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-05-01 | 1,337 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 1,337 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 1,343 |
| 2015: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-05-01 | 2,186 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 2,186 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 2,186 |
| 2014: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-05-01 | 1,644 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 2,098 |
| Total of all active and inactive participants | 2014-05-01 | 2,098 |
| 2013: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-05-01 | 1,644 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 1,644 |
| Total of all active and inactive participants | 2013-05-01 | 1,644 |
| 2012: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-05-01 | 1,555 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 1,555 |
| Number of retired or separated participants receiving benefits | 2012-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-05-01 | 0 |
| Total of all active and inactive participants | 2012-05-01 | 1,555 |
| Number of employers contributing to the scheme | 2012-05-01 | 0 |
| 2011: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-05-01 | 1,555 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 1,555 |
| Number of retired or separated participants receiving benefits | 2011-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-05-01 | 0 |
| Total of all active and inactive participants | 2011-05-01 | 1,555 |
| Number of employers contributing to the scheme | 2011-05-01 | 0 |
| 2022: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2020 form 5500 responses | ||
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2019 form 5500 responses | ||
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2018 form 5500 responses | ||
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2017 form 5500 responses | ||
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Submission has been amended | No |
| 2017-05-01 | This submission is the final filing | No |
| 2017-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-05-01 | Plan is a collectively bargained plan | No |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2016 form 5500 responses | ||
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Submission has been amended | No |
| 2016-05-01 | This submission is the final filing | No |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-05-01 | Plan is a collectively bargained plan | No |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2015 form 5500 responses | ||
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Submission has been amended | No |
| 2015-05-01 | This submission is the final filing | No |
| 2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-05-01 | Plan is a collectively bargained plan | No |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2014 form 5500 responses | ||
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Submission has been amended | No |
| 2014-05-01 | This submission is the final filing | No |
| 2014-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-05-01 | Plan is a collectively bargained plan | No |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2013 form 5500 responses | ||
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Submission has been amended | No |
| 2013-05-01 | This submission is the final filing | No |
| 2013-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-05-01 | Plan is a collectively bargained plan | No |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2012 form 5500 responses | ||
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: DELI MANAGMENT INC HEALTH & WELFARE PLAN 2011 form 5500 responses | ||
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX0961226 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | 233549 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| INTERFACE EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10056131001 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10056131001 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| INTERFACE EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | 233549 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| INTERFACE EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10056131001 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| INTERFACE EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10056131001 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10056131001 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| INTERFACE EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| CIGNA DENTAL HEALTH OF OHIO, INC. (National Association of Insurance Commissioners NAIC id number: 47805 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 11 | ||||||||||||||||||||
| CIGNA DENTAL HEALTH OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95037 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 12 | ||||||||||||||||||||
| CIGNA DENTAL HEALTH OF VIRGINIA, INC. (National Association of Insurance Commissioners NAIC id number: 52617 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 13 | ||||||||||||||||||||
| INTERFACE EAP, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95179 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 10 | ||||||||||||||||||||
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 48119 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 9 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10056131001 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 069478 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | MULTIPLE | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 47013 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 7 | ||||||||||||||||||||
| CIGNA DENTAL HEALTH OF KENTUCKY, INC. (National Association of Insurance Commissioners NAIC id number: 52108 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 8 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | OK 961321 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | LK 960985 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 069478 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| INTERFACE EAP, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | C613 | ||||||||||||||||||||
| Policy instance | 6 | ||||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 069478 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | DK 961321 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | LK 960985 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | LK 960985 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 69478 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX 961226 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 3327706 | ||||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | OK 961321 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | FLX961226 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||
| Policy contract number | DK 961321 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 69478 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||