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| Company Name: | CIGNA LIFE INSURANCE COMPANY OF NEW YORK |
| Employer identification number (EIN): | 132556569 |
| National Association of Insurance Commissioner's ID: | 64548 |
| NAIC Classification: | 64548 |
| INTERNAP HOLDINGS LLC | THE INTERNAP GROUP HEALTH PLAN | 2015-01-01 |
| MITSUBISHI HEAVY INDUSTRIES AMERICA, INC. | EMPLOYEE LIFE & DISABILITY PLAN | 2015-01-01 |
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