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| Company Name: | THE GUARDIAN LIFE INSURANCE CO OF AMERICA |
| Employer identification number (EIN): | 135723390 |
| National Association of Insurance Commissioner's ID: | 64246 |
| NAIC Classification: | 64246 |
| STAVOLA MANGEMENT CO., INC. | STAVOLA, INC. GROUP HEALTH INSURANCE PLAN | 2014-08-01 |