NGM INSURANCE CO TRAVEL ACCIDENT PLAN

[ EIN: 02-0170490 | Plan No. 503 ]

Form 5500 records indicate that NGM INSURANCE CO TRAVEL ACCIDENT PLAN is a DFE/Master Trust plan sponsored by NGM INSURANCE COMPANY. The plan is classified as a Large Plan with 0 participants and assets totaling $0 for the 2013 plan year.

DFE/Master Trust 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: 503

Plan Year: 2013

Plan Size: Large Plan

Plan Entity Type: DFE/Master Trust

Plan Type: DFE/Master Trust

Participants: 0

Total Assets: $0

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