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| Company Name: | COMPANION LIFE INSURANCE COMPANY |
| Employer identification number (EIN): | 657052395 |
| National Association of Insurance Commissioner's ID: | 77828 |
| NAIC Classification: | 77828 |
| CONSTELLIS LLC | CONSTELLIS, LLC TRUST FUNDED EMPLOYEE WELFARE BENEFIT PLAN | 2017-01-01 |
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