State Tracking # or Interstate Compact Tracking Number. Company Name Form # Approved Ind/Group Type
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1 Name Form # Approved nd/group Type State Tracking # or nterstate Compact Tracking Number Bankers Life and Casualty /7/2009 MSC Bankers Life and Casualty /7/2009 MSC Bankers Life and Casualty /7/2009 MSC Bankers Life and Casualty /7/2009 MSC Bankers Life and Casualty /7/2009 MSC Bankers Life and Casualty /7/2009 MSC Bankers Life and Casualty NE 5/7/2009 APP Bankers Life and Casualty 303A 5/7/2009 RD Bankers Life and Casualty 304R 5/7/2009 RD Bankers Life and Casualty 304X 5/7/2009 RD Bankers Life and Casualty 308A 5/7/2009 RD Bankers Life and Casualty 309A 5/7/2009 RD Bankers Life and Casualty 310A 5/7/2009 RD Bankers Life and Casualty 310L 5/7/2009 RD Bankers Life and Casualty 311A 5/7/2009 RD Bankers Life and Casualty 312A 5/7/2009 RD Bankers Life and Casualty 313A 5/7/2009 RD Bankers Life and Casualty 314A 5/7/2009 RD Bankers Life and Casualty 315A 5/7/2009 RD Bankers Life and Casualty 321L 5/7/2009 RD Bankers Life and Casualty GR N500 9/29/2006 POL Bankers Life and Casualty GR N620 5/7/2009 POL Bankers Life and Casualty GR N640 5/7/2009 POL Bankers Life and Casualty GR N650 5/7/2009 POL Genworth Life nsurance NE 05/15/12 6/27/2012 APP Genworth Life nsurance /09/12 6/27/2012 APP Genworth Life nsurance NE 05/15/12 6/27/2012 APP Genworth Life nsurance /24/12 6/27/2012 MSC Genworth Life nsurance /01/13 6/27/2012 MSC Genworth Life nsurance 8000 END FPO 6/27/2012 END Genworth Life nsurance 8000 END GPO 6/27/2012 END Genworth Life nsurance 8000 END C 6/27/2012 END Page 1 of 12
2 Genworth Life nsurance 8000 END NF 6/27/2012 END Genworth Life nsurance 8000 END WHC 6/27/2012 END Genworth Life nsurance 8000 NE 6/27/2012 POL Genworth Life nsurance 8000 RDR CB 6/27/2012 RD Genworth Life nsurance 8000 RDR ESURV 6/27/2012 RD Genworth Life nsurance 8000 RDR GRP 6/27/2012 RD Genworth Life nsurance 8000 RDR LP10 6/27/2012 RD Genworth Life nsurance 8000 RDR LP65 6/27/2012 RD Genworth Life nsurance 8000 RDR NFO 6/27/2012 RD Genworth Life nsurance 8000 RDR RB 6/27/2012 RD Genworth Life nsurance 8000 RDR RP10 6/27/2012 RD Genworth Life nsurance 8000 RDR SB 6/27/2012 RD Genworth Life nsurance 8000 RDR SB 6/27/2012 RD Genworth Life nsurance 8000 RDR SURV10 6/27/2012 RD Genworth Life nsurance 8000 RDR TB 6/27/2012 RD Genworth Life nsurance 8000 OL 6/27/2012 MSC Genworth Life nsurance 8001 END FPO 6/27/2012 END Genworth Life nsurance 8001 END GPO 6/27/2012 END Genworth Life nsurance 8001 END C 6/27/2012 END Genworth Life nsurance 8001 END NF 6/27/2012 END Genworth Life nsurance 8001 END WHC 6/27/2012 END Genworth Life nsurance 8001 NE 6/27/2012 POL Genworth Life nsurance 8001 RDR CB 6/27/2012 RD Genworth Life nsurance 8001 RDR ESURV 6/27/2012 RD Genworth Life nsurance 8001 RDR GRP 6/27/2012 RD Genworth Life nsurance 8001 RDR LP10 6/27/2012 RD Genworth Life nsurance 8001 RDR LP65 6/27/2012 RD Genworth Life nsurance 8001 RDR NFO 6/27/2012 RD Genworth Life nsurance 8001 RDR RB 6/27/2012 RD Genworth Life nsurance 8001 RDR RP10 6/27/2012 RD Genworth Life nsurance 8001 RDR SB 6/27/2012 RD Genworth Life nsurance 8001 RDR SB 6/27/2012 RD Genworth Life nsurance 8001 RDR SURV10 6/27/2012 RD Genworth Life nsurance 8001 RDR TB 6/27/2012 RD Genworth Life nsurance 8001 OL 6/27/2012 MSC Page 2 of 12
3 Genworth Life nsurance CCC R1 4/3/2014 i POL GEFA Genworth Life nsurance CCC13 800R1 4/3/2014 i POL GEFA John Hancock Life nsurance (U.S.A.) LTC NPRT NE 10/07 12/13/2007 MSC John Hancock Life nsurance (U.S.A.) LTC OC PRT NE 10/07 12/13/2007 MSC John Hancock Life nsurance (U.S.A.) LTC PRT NE 10/07 12/13/2007 MSC John Hancock Life nsurance (U.S.A.) CORPAPP09 2 3/30/2009 APP John Hancock Life nsurance (U.S.A.) CORP CP/GO 2/09 3/30/2009 END John Hancock Life nsurance (U.S.A.) LTCAPP09 2 3/30/2009 APP John Hancock Life nsurance (U.S.A.) LTC EEP 2/09 3/30/2009 END John Hancock Life nsurance (U.S.A.) OCLTC /09 3/30/2009 MSC John Hancock Life nsurance (U.S.A.) CC10 LTC 11 POL C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 BLD/GO 7/16/2012 END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CP/GO END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CP75GO END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 5COMP END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 3COMP END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 SHC END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 WEP END C (nterstate Compact Tracking #) Page 3 of 12
4 John Hancock Life nsurance (U.S.A.) CC10 SURV END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 ACB END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 NF 7/12 6/11/2012 END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CNF END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 DAB END C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 LTCAPP12 APP C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC11 MGS11 8/15/2011 APP C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CRED APP11 APP C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) LTC 7269R 1/10 APP C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 RE11 APP C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CR11 APP C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 OCLTC11 7/12 6/11/2012 MSC C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 LTC 1064 MSC C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 PWK MSC C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 PWKDM MSC C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 SUT MSC C (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 R MSC C (nterstate Compact Tracking #) Page 4 of 12
5 John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) CC CC DM CC10 MED11 CC14 LTC 15 CC14 LTC 15 John Hancock Life nsurance (U.S.A.) CC14 5COMP 1/15 John Hancock Life nsurance (U.S.A.) CC14 3COMP 1/15 1/26/2015 1/26/2015 1/26/2015 1/26/2015 i MSC C (nterstate Compact Tracking #) MSC C (nterstate Compact Tracking #) MSC C (nterstate Compact Tracking #) POL POL END END LifeSecure nsurance LS 0002 NE 07/07 8/12/2008 POL LifeSecure nsurance LS 0127 NE 03/08 8/12/2008 MSC LifeSecure nsurance LS 0202 NE 07/07 8/12/2008 APP LifeSecure nsurance LS 0202A NE 07/07 8/12/2008 APP LifeSecure nsurance LS 0203 ST 07/07 8/12/2008 APP LifeSecure nsurance LS 0204A NE 08/09 6/24/2009 APP LifeSecure nsurance LS 0205 NE 08/09 6/24/2009 APP LifeSecure nsurance LS 0051 ST 08/09 6/24/2009 MSC LifeSecure nsurance LS 0204 NE 09/09 1/22/2010 APP Massachusetts Mutual Life nsurance MM500 P 3 NE 7/19/2012 POL Massachusetts Mutual Life nsurance MM501 P 3 NE 7/19/2012 POL Massachusetts Mutual Life nsurance MMD PRT NE 3/25/2008 MSC MedAmerica nsurance /9/2010 MSC MedAmerica nsurance 200A 11/10/2003 MSC MedAmerica nsurance 200B 11/10/2003 MSC MedAmerica nsurance /10/2003 MSC MedAmerica nsurance 200S 11/10/2003 MSC MedAmerica nsurance /10/2003 APP Page 5 of 12
6 MedAmerica nsurance 202 REV 1/13/2011 MSC MedAmerica nsurance FC 151 NE 1/13/2011 MSC MedAmerica nsurance FC NE 1/13/2011 APP MedAmerica nsurance FC NE 1/13/2011 APP MedAmerica nsurance FC 200 1/13/2011 MSC MedAmerica nsurance FC 200S 1/13/2011 MSC MedAmerica nsurance FC 238 NE 1/13/2011 MSC MedAmerica nsurance FC 336 NE 1/13/2011 POL MedAmerica nsurance FC 337 NE 1/13/2011 POL MedAmerica nsurance FC 345 NE 1/13/2011 APP MedAmerica nsurance FC CASHR NE 1/13/2011 RD MedAmerica nsurance FC CBR NE 1/13/2011 RD MedAmerica nsurance FC CMP2X NE 1/13/2011 RD MedAmerica nsurance FC CMP NE 1/13/2011 RD MedAmerica nsurance FC DBR NE 1/13/2011 RD MedAmerica nsurance FC EBR NE 1/13/2011 RD MedAmerica nsurance FC EPR NE 1/13/2011 RD MedAmerica nsurance FC GPOR NE 1/13/2011 RD MedAmerica nsurance FC GROPR NE 1/13/2011 RD MedAmerica nsurance FC MBR NE 1/13/2011 RD MedAmerica nsurance FC ROBR NE 1/13/2011 RD MedAmerica nsurance FC ROPR NE 1/13/2011 RD MedAmerica nsurance FC SBPR NE 1/13/2011 RD MedAmerica nsurance FC SEBR NE 1/13/2011 RD MedAmerica nsurance FC SMP2X NE 1/13/2011 RD MedAmerica nsurance FC SMP NE 1/13/2011 RD MedAmerica nsurance FC SVR NE 1/13/2011 RD MedAmerica nsurance FC SWR NE 1/13/2011 RD MedAmerica nsurance CC /20/2015 POL MEAM MedAmerica nsurance CC14LP 336 3/20/2015 POL MEAM MedAmerica nsurance S /6/2007 MSC MedAmerica nsurance S /6/2007 MSC MedAmerica nsurance S2 150A 3/6/2007 MSC MedAmerica nsurance S2 151 NE /9/2010 MSC MedAmerica nsurance S NE 3/6/2007 APP Page 6 of 12
7 MedAmerica nsurance S NE 3/6/2007 APP MedAmerica nsurance S2 345R NE 6/2/2009 APP MedAmerica nsurance S2 346A NE 6/2/2009 APP MedAmerica nsurance S2 346B NE 6/2/2009 APP MedAmerica nsurance S2 CMP2X 3/6/2007 RD MedAmerica nsurance S2 CMP NE 3/6/2007 RD MedAmerica nsurance S2 COMMR NE 3/6/2007 RD MedAmerica nsurance S2 FACR NE 3/6/2007 RD MedAmerica nsurance S2 FROPR NE 3/6/2007 RD MedAmerica nsurance S2 ROBR NE 3/6/2007 RD MedAmerica nsurance S2 ROPR NE 3/6/2007 RD MedAmerica nsurance S2 SBR NE 3/6/2007 RD MedAmerica nsurance S2 SBPR NE 3/6/2007 RD MedAmerica nsurance S2 SCR NE 3/6/2007 RD MedAmerica nsurance S2 SVR NE 3/6/2007 RD MedAmerica nsurance S2 SWR NE 3/6/2007 RD MedAmerica nsurance SPL2 336 NE 3/6/2007 POL MedAmerica nsurance SPL 238 NE 3/6/2007 MSC Mutual of Omaha nsurance FORM 0MC3M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MC4M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MC5M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MC7M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MC8M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MC9M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MF0M 1/12/2009 RD Mutual of Omaha nsurance FORM 0MG1M 1/12/2009 RD Mutual of Omaha nsurance CC13 LTC13 8/22/2013 POL Mutual of Omaha nsurance CC13 LTC13 AG 8/22/2013 POL Mutual of Omaha nsurance LTC09M[ AG, 5ML, 10ML] NE 1/12/2009 POL Mutual of Omaha nsurance LTC09M[ AG, 5ML, 10ML] NE 1/12/2009 POL New York Life nsurance ALTC 5037 (0306) 8/10/2006 /G RD New York Life nsurance ALTC 5038 (0306) 8/10/2006 /G RD New York Life nsurance ALTC 5039 (0306) 8/10/2006 /G END New York Life nsurance ALTC 5042 (0707) 9/7/2007 /G END New York Life nsurance ALTC 5050(NE)(0704) 4/14/2005 /G END Page 7 of 12
8 New York Life nsurance ALTC 5060 (0305) 8/4/2005 /G RD New York Life nsurance ALTC 5090 (NE) (0707) 12/12/2007 MSC New York Life nsurance ALTC 5185 (1001) 2/27/2002 /G APP New York Life nsurance ALTC 5901 (0305) 2/9/2006 APP New York Life nsurance ALTC 5901 MLP (0305) 8/4/2005 G APP New York Life nsurance ALTC 5902 (0707) 9/7/2007 /G APP New York Life nsurance LTC 5000 (NE)(1001) 2/27/2002 /G POL New York Life nsurance LTC 5012 (0908) 10/7/2008 /G APP New York Life nsurance LTC 5015 APPC (0305) 8/4/2005 APP New York Life nsurance LTC 5015 COC (0305) 8/4/2005 APP New York Life nsurance LTC 5015 MLP APPC (0305) 8/4/2005 APP New York Life nsurance LTC 5101 (0306) 8/10/2006 APP New York Life nsurance LTC 5101 MLP LF (0306) 8/10/2006 APP New York Life nsurance LTC 5101 MLP SF (0306) 8/10/2006 APP New York Life nsurance LTC 5101 PC (0305) 8/4/2005 APP New York Life nsurance LTC 5101 PC MLP (0305) 8/4/2005 APP New York Life nsurance LTC 5102 (0305) 8/4/2005 APP New York Life nsurance LTC 5102 MLP (0305) 8/4/2005 APP New York Life nsurance LTC 5201 (0306) 8/10/2006 MSC New York Life nsurance LTC 5201 MLP (0306) 8/10/2006 MSC New York Life nsurance LTC 5230 MLP (0305) 8/4/2005 APP New York Life nsurance NH 5000 (NE)(1001) 2/27/2002 POL New York Life nsurance LTC 910 (0304) 4/28/2004 APP New York Life nsurance LTCHPAAAUTH (0403) 8/4/2005 APP New York Life nsurance ALTC 5010 (0712) 8/8/2012 MSC New York Life nsurance LTCHPAAAUTH (07/12) 8/8/2012 MSC New York Life nsurance LTC 5015 MLP COC (0305) 8/4/2005 APP Northwestern Long Term Care nsurance TT.LTC.(1010) 3/29/2010 POL State Farm Mutual Automobile nsurance /22/2011 MSC State Farm Mutual Automobile nsurance NE 8/22/2011 APP State Farm Mutual Automobile nsurance 99717NE 8/22/2011 RD Page 8 of 12
9 State Farm Mutual Automobile nsurance CC /7/2011 MSC State Farm Mutual Automobile nsurance CC /7/2011 MSC State Farm Mutual Automobile nsurance CC /7/2011 MSC State Farm Mutual Automobile nsurance CC /7/2011 MSC State Farm Mutual Automobile nsurance CC /7/2011 MSC State Farm Mutual Automobile nsurance CC /7/2011 APP State Farm Mutual Automobile nsurance CC C3C 11/3/2015 i POL State Farm Mutual Automobile nsurance CC CC 7/7/2011 POL State Farm Mutual Automobile nsurance CC C 7/7/2011 POL State Farm Mutual Automobile nsurance CC SC 7/7/2011 POL State Farm Mutual Automobile nsurance CC C 7/7/2011 APP State Farm Mutual Automobile nsurance CC C 7/7/2011 RD Thrivent Financial for Lutherans CC13 H HX LTC 11/26/2013 POL Thrivent Financial for Lutherans CC13 HR HT CAB3 11/13/2013 RD Thrivent Financial for Lutherans CC13 HR HT CAB5 11/13/2013 RD Thrivent Financial for Lutherans CC13 HR HF FB 8/3/2012 RD Thrivent Financial for Lutherans CC15 HR HO CAB1 10/28/2015 RD Thrivent Financial for Lutherans CC15 HR HW CAB2 10/28/2015 RD Transamerica Life nsurance CC10 TLC 3 4/1/2011 POL Transamerica Life nsurance CC10 TLC 3 OC 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 ABCAPP 4/1/2011 APP Transamerica Life nsurance CC10 TLC 3 ACB E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 CAPP 4/1/2011 APP Page 9 of 12
10 Transamerica Life nsurance CC10 TLC 3 CBLC R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 CC A J 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 CC A S 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 CCF 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 CN E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 CNLP E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 CR 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 DB E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 DF 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 DFSP 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 END 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 END S 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 EPT A J 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 EPT A R 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 EPT A S 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 EPT CS 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 FCB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 FRB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 FSB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 FSRB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 FSW R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 FTB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 GPO E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 HPAA A /1/2011 MSC Transamerica Life nsurance CC10 TLC 3 JABCAPP 4/1/2011 APP Transamerica Life nsurance CC10 TLC 3 JCAPP 4/1/2011 APP Transamerica Life nsurance CC10 TLC 3 JWP R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 MB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 MB FCRA /1/2011 MSC Transamerica Life nsurance CC10 TLC 3 NF R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 PR DF 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 PRLP DF 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 PWS 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 PWSP 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 REP 4/1/2011 MSC Page 10 of 12
11 Transamerica Life nsurance CC10 TLC 3 RL E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 ROP E 4/1/2011 END Transamerica Life nsurance CC10 TLC 3 ROP R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 SBLC R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 SC R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 SGH 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 SRBLC R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 SRF 4/1/2011 MSC Transamerica Life nsurance CC10 TLC 3 SWP R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 TBLC R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 WCB R 4/1/2011 RD Transamerica Life nsurance CC10 TLC 3 WHC R 4/1/2011 RD Transamerica Life nsurance CC12 TLC 3 HPPA A /7/2012 MSC Transamerica Life nsurance CC13 TLC 4 6/20/2013 POL United of Omaha Life nsurance 0NB2U 10/24/2011 RD United of Omaha Life nsurance 0NB3U 10/24/2011 RD United of Omaha Life nsurance 0NB4U 10/24/2011 RD United of Omaha Life nsurance 0NB5U 10/24/2011 RD United of Omaha Life nsurance 0NB6U 10/24/2011 RD United of Omaha Life nsurance 0NB7U 10/24/2011 RD United of Omaha Life nsurance 0NB8U 10/24/2011 RD United of Omaha Life nsurance 0NB9U 10/24/2011 RD United of Omaha Life nsurance LTC09U[ AG, 5ML, 10ML] NE 1/12/2009 POL United of Omaha Life nsurance LTC09U[ AG, 5ML, 10ML] NE 1/12/2009 POL Page 11 of 12
12 United of Omaha Life nsurance U7860 1/12/2009 MSC United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of A 31(SELECT)6 10 1/10/2012 APP CCL3000 TQ SELECT(NE) 1/10/2012 POL CCL3000 TQ(NE) 1/10/2012 POL CCLOC 3000 TQ SELECT(NE) 1/10/2012 MSC CCLOC 3000 TQ(NE) 1/10/2012 MSC CCLR3 NF 1/10/2012 RD CCLR NF 3C 1/10/2012 RD CCLR NF 3S 1/10/2012 RD CCLR NF 5C 1/10/2012 RD CCLR NF 5S 1/10/2012 RD LTCP/CN(NE) 1/10/2012 MSC Page 12 of 12
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OTHER ACCIDENT ONLY BUSINESS... 22 ALL OTHER A&H BUSINESS... 23 TOTAL OTHER INDIVIDUAL CERT... 24
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