EMPLOYEE GROUP LIFE, MEDICAL AND MAJOR MEDICAL PLANS

[ EIN: 02-0170490 | Plan No. 501 ]

EMPLOYEE GROUP LIFE, MEDICAL AND MAJOR MEDICAL PLANS, sponsored by NGM INSURANCE COMPANY, appears in Form 5500 filings as a Health & Welfare plan. The plan reported 1129 participants and total assets of $0 during the 2013 reporting period.

Health & Welfare plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: NGM INSURANCE COMPANY

Location: P.O. BOX 16000, JACKSONVILLE, FL 32245

EIN: 020170490

Plan Number: 501

Plan Year: 2013

Plan Size: Large Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 1129

Total Assets: $0

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