Attachment 5 - Technical Exhibit OCC Life Claims-Supplement-R.xlsx

XLSX spreadsheet 81 KB Posted

Attached to
OCC Group Life Insurance (OGLI) Services (RFP)
Solicitation number
2031JW26R00001
Issued by

About this file

Attachment 5 is a Technical Exhibit detailing OCC Group Life Insurance claims data spanning from October 2019 to January 2024. The spreadsheet contains comprehensive claim information for life insurance policies, including claim numbers, coverage codes, individual demographics, dates of incurrence, and claim amounts. The records encompass various life insurance types such as Basic Life, Optional Life, and Dependent Life, with claim amounts ranging from small interest payments to substantial death benefits up to $711,000. The data covers claims for both male and female employees and dependents, with birthdates ranging from the 1920s to the 1980s.

The document is directly related to the OCC Group Life Insurance Services RFP (Solicitation Number 2031JW26R00001), which seeks a contractor to underwrite and administer a group life insurance program for active and retired employees of the Office of the Comptroller of the Currency (OCC) and the Office of Financial Research (OFR). The solicitation is for a 5-year firm-fixed-price contract, with one base year and four option years, ultimately concluding on December 31, 2030. The most recent amendment (A00003) revised Attachment 5 and adjusted the proposal response deadline to 12:00 PM ET on November 3, 2025.

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Other files

File Type Posted
SF 30_2031JW26R00001 A00003_Revised Attachment 5.pdf PDF
SF 30_2031JW26R00001 A00002_Revised Attachment 3.pdf PDF
Attachment 3 - Technical Exhibit Retiree Census Data-Supplement-R.xlsx XLSX spreadsheet
Attachment 3 - Technical Exhibit Retiree Census Data-Supplement.xlsx XLSX spreadsheet
Attachment 13 - QandA Worksheet-GOVT.xlsx XLSX spreadsheet
Attachment 1B - OGLI Design Plan_Schedule of Benefits.pdf PDF
SF 30_2031JW26R00001 A00001_Q-A Worksheet and Attachments.pdf PDF
Attachment 5 - Technical Exhibit OCC Life Claims-Supplement.xlsx XLSX spreadsheet
Attachment 1C - OCC-OFR GLI Memorandum of Understanding.pdf PDF
Attachment 6 - Technical Exhibit OFR Census-Supplement.xlsx XLSX spreadsheet
Attachment 2 -Technical Exhibit Active Employee Census Data-Supplement.xlsx XLSX spreadsheet
Attachment 6 - Technical Exhibit OFR Census.xlsx XLSX spreadsheet
Attachment 13 - QandA Worksheet.xlsx XLSX spreadsheet
Attachment 4 - Technical Exhibt Affidavit of Domestic Partnership.pdf PDF
Attachment 1 - Price Proposal Template.xlsx XLSX spreadsheet
Attachment 3 - Technical Exhibit Retiree Census Data.xlsx XLSX spreadsheet
Attachment 9 - Security Compliance Requirements Questionnaire.docx DOCX document
SF 33_2031JW26R00001_RFP OGLI_FAR 15.pdf PDF
Attachment 8 - Past Performance Questionnaire.docx DOCX document
Attachment 5 - Technical Exhibit OCC Life Claims.xlsx XLSX spreadsheet
Attachment 7 - Technical Capability Questionnire.pdf PDF
Attachment 2 -Technical Exhibit Active Employee Census Data.xlsx XLSX spreadsheet
Attachment 1A - OGLI Pricing Structure Template.docx DOCX document
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Attachment 5 - Technical Exhibit OCC Life Claims-Supplement
Claim NumberCov CdCov NameGenderDate of BirthDate IncurredClaim AmountCoverage Type
219120034609011Basic LifeM04/08/195210/27/201942,500.00LIFE
220010040969019Basic Life InterestF02/04/195111/21/2019230.14LIFE interest
220010040969019Basic Life InterestF02/04/195111/21/2019655.89LIFE interest
220010040969011Basic LifeF02/04/195111/21/201984,000.00LIFE
220010053709011Basic LifeM11/20/195712/30/2019162,000.00LIFE
220010053759011Basic LifeM11/22/195212/21/2019194,000.00LIFE
220010153309019Basic Life InterestM10/12/194012/26/20192,256.65LIFE interest
220010153309011Basic LifeM10/12/194012/26/2019208,000.00LIFE
220010153399510Dependent Life FamilyF07/26/197601/21/202012,500.00DPLIFE
220010153529011Basic LifeM04/01/194401/14/202055,250.00LIFE
220020072709011Basic LifeM01/15/193902/05/202020,000.00LIFE
220020144069011Basic LifeM08/17/194601/07/202011,250.00LIFE
220040033469111Optional LifeM10/01/195903/06/2020100,000.00OPLife
220040033469011Basic LifeM10/01/195903/06/2020150,000.00LIFE
220040067979011Basic LifeM07/11/195203/04/202041,250.00LIFE
220040068009011Basic LifeM09/29/194104/07/2020300,000.00LIFE
220040068049011Basic LifeM01/11/195403/13/202026,500.00LIFE
220040068059011Basic LifeF01/05/194702/13/202021,000.00LIFE
220040068149011Basic LifeM10/04/192802/21/202012,750.00LIFE
220040092029011Basic LifeF12/22/194404/07/202018,500.00LIFE
220040164729011Basic LifeM03/23/193009/28/201917,000.00LIFE
220050035929111Optional LifeM07/24/195804/08/2020500,000.00OPLife
220050035929011Basic LifeM07/24/195804/08/2020269,000.00LIFE
220050089099011Basic LifeF04/18/193104/21/202012,250.00LIFE
220050111079011Basic LifeM02/23/195204/23/202039,500.00LIFE
220050155519011Basic LifeM11/29/195904/27/2020138,000.00LIFE
220060019639011Basic LifeM03/05/193603/09/201955,000.00LIFE
220060128689011Basic LifeM02/22/192606/04/202017,250.00LIFE
220070029089011Basic LifeM04/07/193906/24/202020,000.00LIFE
220070045989011Basic LifeM06/14/193206/12/2020300,000.00LIFE
220070114909011Basic LifeM08/21/194604/24/202047,250.00LIFE
220090026329019Basic Life InterestF04/30/193305/07/202044.30LIFE interest
220090026329011Basic LifeF04/30/193305/07/202022,000.00LIFE
220090091269011Basic LifeM01/03/193108/25/202049,250.00LIFE
220090091829111Optional LifeM08/08/195409/06/2020500,000.00OPLife
220090091829011Basic LifeM08/08/195409/06/2020231,000.00LIFE
220090131429510Dependent Life SpouseM10/27/197208/29/202097,000.00DPLIFE
220100049649510Dependent Life SpouseF10/11/196609/10/2020116,000.00DPLIFE
220100146279011Basic LifeM05/26/193610/13/2020154,000.00LIFE
220100146299011Basic LifeM09/30/194710/23/2020277,000.00LIFE
220110004669510Dependent Life FamilyF05/28/196910/23/202015,000.00DPLIFE
220110009319011Basic LifeM08/17/192305/06/202029,000.00LIFE
220110037759019Basic Life InterestF08/07/192910/24/202010.68LIFE interest
220110037759011Basic LifeF08/07/192910/24/202010,250.00LIFE
220110130699510Dependent Life FamilyM09/07/197310/04/202012,500.00DPLIFE
220120136259011Basic LifeM11/28/195112/03/202059,000.00LIFE
220120137199011Basic LifeM06/26/193812/07/202041,750.00LIFE
221010091359111Optional LifeF11/29/195512/31/2020250,000.00OPLife
221010091359011Basic LifeF11/29/195512/31/2020168,000.00LIFE
221010091469011Basic LifeM02/14/194606/20/202075,000.00LIFE
221010091479011Basic LifeM05/26/193512/23/202013,500.00LIFE
221010096179119Optional Life w/interestM11/16/195701/06/2021306.85OPLife interest
221010096179111Optional LifeM11/16/195701/06/2021350,000.00OPLife
221010096179011Basic LifeM11/16/195701/06/2021230,000.00LIFE
221010096179019Basic Life InterestM11/16/195701/06/2021201.64LIFE interest
221020020749011Basic LifeM05/09/194311/18/2020139,000.00LIFE
221020075649011Basic LifeM09/11/194801/17/202121,000.00LIFE
221020096319011Basic LifeM12/14/194101/17/202160,750.00LIFE
221020097439011Basic LifeM12/22/194201/10/202122,250.00LIFE
221030077629011Basic LifeM09/23/193202/11/202120,000.00LIFE
221030177399011Basic LifeF09/18/194702/20/202116,750.00LIFE
221040036129510Dependent Life SpouseM10/24/196703/05/2021122,000.00DPLIFE
221040105779011Basic LifeM01/10/194802/10/202146,500.00LIFE
221060032919011Basic LifeM07/10/193607/27/202020,000.00LIFE
221060033429011Basic LifeM12/29/195305/14/202122,000.00LIFE
221060033429019Basic Life InterestM12/29/195305/14/2021220.60LIFE interest
221060087049111Optional LifeM05/08/196204/26/202125,000.00OPLife
221060087049011Basic LifeM05/08/196204/26/2021156,000.00LIFE
221070007019011Basic LifeM06/11/193404/30/20219,250.00LIFE
221080039009111Optional LifeF11/12/196407/28/2021500,000.00OPLife
221080039009011Basic LifeF11/12/196407/28/2021150,000.00LIFE
221080080919111Optional LifeM12/27/195908/04/2021162,500.00OPLife
221080080919111Optional LifeM12/27/195908/04/202187,500.00OPLife
221080080919011Basic LifeM12/27/195908/04/2021155,000.00LIFE
221080085309011Basic LifeF11/01/196107/28/202150,000.00LIFE
221080085599011Basic LifeM12/30/193407/12/20214,812.50LIFE
221080139889011Basic LifeM05/22/193508/09/202165,000.00LIFE
221090057739510Dependent Life SpouseF11/03/193709/02/2021300,000.00DPLIFE
221100072119011Basic LifeF12/22/193909/21/20214,625.00LIFE
221110043789011Basic LifeM12/10/193610/31/202131,250.00LIFE
221110043789019Basic Life InterestM12/10/193610/31/202110.27LIFE interest
221110107149011Basic LifeM04/22/193210/05/2021127,000.00LIFE
221110146709011Basic LifeM06/18/193611/12/202154,750.00LIFE
221120027099011Basic LifeM06/08/193811/10/202157,250.00LIFE
221120096939510Dependent Life SpouseF10/17/196011/10/2021181,000.00DPLIFE
221120096939510Dependent Life FamilyF10/17/196011/10/202125,000.00DPLIFE
221120106749011Basic LifeF11/01/193912/02/202110,500.00LIFE
221120114179111Optional LifeF11/03/195411/26/2021300,000.00OPLife
221120114179011Basic LifeF11/03/195411/26/2021162,000.00LIFE
222010057249510Dependent Life SpouseM11/16/195912/03/2021199,000.00DPLIFE
222010057419510Dependent Life SpouseF04/09/196511/25/202186,000.00DPLIFE
222010162789011Basic LifeM09/22/195812/22/2021300,000.00LIFE
222010162909011Basic LifeM11/15/194212/25/202132,250.00LIFE
222020070219011Basic LifeM06/26/193301/03/202275,000.00LIFE
222020071349011Basic LifeF10/10/193101/19/20228,125.00LIFE
222020106769510Dependent Life SpouseM09/14/196801/20/2022121,000.00DPLIFE
222020106769510Dependent Life FamilyM09/14/196801/20/202225,000.00DPLIFE
222020106779011Basic LifeM12/13/194401/20/202275,000.00LIFE
222020147149011Basic LifeF01/26/194202/07/202213,000.00LIFE
222020176579011Basic LifeM01/25/194205/08/202175,000.00LIFE
222030128039011Basic LifeM12/05/195202/02/202237,250.00LIFE
222030163729011Basic LifeM01/20/193608/31/202124,750.00LIFE
222040097049011Basic LifeM01/11/194004/11/202224,000.00LIFE
222040162659011Basic LifeM01/23/193604/16/202226,500.00LIFE
222050083819510Dependent Life SpouseM09/24/196603/08/2022267,000.00DPLIFE
222050097209011Basic LifeU02/12/194603/25/202237,750.00LIFE
222050117109011Basic LifeM02/22/194205/13/202233,750.00LIFE
222050141019011Basic LifeM02/06/195804/16/202250,000.00LIFE
222060018409011Basic LifeM07/05/194705/06/202247,500.00LIFE
222060044389011Basic LifeM12/13/193605/05/202245,750.00LIFE
222060101559011Basic LifeM06/24/193505/31/202235,500.00LIFE
222060139009011Basic LifeM08/30/193504/24/2022108,000.00LIFE
222070134139011Basic LifeF02/08/193506/29/202212,250.00LIFE
222070134579011Basic LifeM10/28/194106/07/202221,750.00LIFE
222080077319011Basic LifeM02/24/194202/01/202212,375.00LIFE
222080077319011Basic LifeM02/24/194202/01/202212,375.00LIFE
222080111489011Basic LifeM07/21/195905/28/202250,000.00LIFE
222090115499011Basic LifeF12/03/195709/04/202250,000.00LIFE
222090115499019Basic Life InterestF12/03/195709/04/2022394.52LIFE interest
222090135819011Basic LifeU12/08/194112/04/202134,750.00LIFE
222100034969011Basic LifeM12/01/194708/20/202242,250.00LIFE
222100076119011Basic LifeM05/29/194609/08/202258,250.00LIFE
222110018179011Basic LifeU10/27/193910/25/20224,333.33LIFE
222110018179019Basic Life InterestU10/27/193910/25/202216.95LIFE interest
222110018179011Basic LifeF10/27/193910/25/20228,666.67LIFE
222110018179019Basic Life InterestF10/27/193910/25/202225.02LIFE interest
222120077809510Dependent Life SpouseF03/11/197511/25/2022111,000.00DPLIFE
222120077809510Dependent Life FamilyF03/11/197511/25/202225,000.00DPLIFE
222120077869111Optional LifeU10/15/198211/18/2022500,000.00OPLife
222120077869011Basic LifeU10/15/198211/18/2022152,000.00LIFE
222120093509011Basic LifeM10/20/193812/07/202225,000.00LIFE
222120093509019Basic Life InterestM10/20/193812/07/202216.10LIFE interest
223010055339011Basic LifeU05/12/193312/17/202240,000.00LIFE
223010064309510Dependent Life FamilyM03/26/196612/21/20225,000.00DPLIFE
223010064309519Dependent Life InterestM03/26/196612/21/202226.80DPLIFE interest
223010101609011Basic LifeU07/16/195812/25/202272,000.00LIFE
223010141009011Basic LifeU06/22/194001/06/202354,000.00LIFE
223020003899111Optional LifeU11/04/195812/29/2022150,000.00OPLife
223020003899011Basic LifeU11/04/195812/29/202287,000.00LIFE
223020010859011Basic LifeU03/08/194201/10/202319,500.00LIFE
223020011079011Basic LifeU12/24/193401/18/20239,000.00LIFE
223020011619011Basic LifeU10/17/195101/27/2023107,000.00LIFE
223020029699011Basic LifeU03/09/193501/29/202339,750.00LIFE
223020041639011Basic LifeU04/09/195005/14/202220,250.00LIFE
223020089049011Basic LifeF12/17/194812/23/202212,750.00LIFE
223020128489011Basic LifeU01/04/195207/24/202248,000.00LIFE
223030012989011Basic LifeU02/09/193810/10/202257,500.00LIFE
223030039299011Basic LifeU08/07/195002/28/202341,000.00LIFE
223030144099011Basic LifeU05/10/194501/15/202320,250.00LIFE
223040079549011Basic LifeU07/25/194603/08/2023271,000.00LIFE
223040110589011Basic LifeU11/08/196304/11/2023189,000.00LIFE
223050032299011Basic LifeM12/17/195208/10/202236,500.00LIFE
223050088299011Basic LifeU10/09/195210/22/202287,250.00LIFE
223050128909011Basic LifeM04/05/192904/23/202328,750.00LIFE
223060014279011Basic LifeU06/26/195212/09/202229,250.00LIFE
223060014279019Basic Life InterestU06/26/195212/09/20221,904.05LIFE interest
223070000209011Basic LifeM09/28/193701/12/202231,000.00LIFE
223070034519011Basic LifeF08/31/198004/11/2023164,000.00LIFE
223070034729519Dependent Life InterestM04/27/197306/30/202357.65DPLIFE interest
223070034729510Dependent Life FamilyM04/27/197306/30/202312,500.00DPLIFE
223070113469011Basic LifeU10/25/193907/11/20239,333.33LIFE
223070113469011Basic LifeU10/25/193907/11/20234,666.67LIFE
223070141979510Dependent Life SpouseM10/01/195407/17/2023181,000.00DPLIFE
223070142299011Basic LifeU04/17/194101/08/202358,500.00LIFE
223080090379011Basic LifeU08/05/195006/18/202150,000.00LIFE
223080098619011Basic LifeU10/10/193908/06/202324,500.00LIFE
223090104239011Basic LifeU05/02/194108/22/202324,250.00LIFE
223090125239011Basic LifeF09/21/194009/15/202315,750.00LIFE
223090136949011Basic LifeU04/11/195207/31/202332,000.00LIFE
223090137049011Basic LifeF08/08/194309/22/20236,000.00LIFE
223100005669011Basic LifeM06/22/194110/01/2023153,000.00LIFE
223100067249510Dependent Life SpouseM05/12/194510/06/2023273,000.00DPLIFE
223100067569510Dependent Life SpouseM10/15/198310/01/2023183,000.00DPLIFE
223100067569510Dependent Life FamilyM10/15/198310/01/202325,000.00DPLIFE
223100096309011Basic LifeU01/06/194810/11/2023152,000.00LIFE
223100133579011Basic LifeU11/18/193510/19/202376,500.00LIFE
223100133579019Basic Life InterestU11/18/193510/19/2023295.39LIFE interest
223100133709011Basic LifeU09/16/195310/21/202331,000.00LIFE
223100146489011Basic LifeU07/25/194310/15/202321,250.00LIFE
223100149169011Basic LifeU09/18/194109/26/202321,750.00LIFE
223110057689011Basic LifeU02/15/194411/05/202361,250.00LIFE
223110114369011Basic LifeU11/08/194610/24/202322,000.00LIFE
223120005419011Basic LifeF08/05/193211/23/20233,250.00LIFE
223120075699011Basic LifeF08/01/194111/30/202324,937.50LIFE
223120147759011Basic LifeM10/07/193912/14/2023489,000.00LIFE
224010030459011Basic LifeU05/15/194111/26/202316,250.00LIFE
224010088159011Basic LifeU07/12/195312/23/202347,750.00LIFE
224010136169011Basic LifeM07/28/195501/19/2024290,000.00LIFE
224010137889011Basic LifeU06/10/194412/26/202364,250.00LIFE
224010151849011Basic LifeU04/18/194301/13/202416,000.00LIFE
224020161569510Dependent Life SpouseF08/07/196412/31/2023204,000.00DPLIFE
224030082869011Basic LifeF06/20/194701/10/202475,000.00LIFE
224030119629011Basic LifeM08/04/194502/03/202427,750.00LIFE
224040001559011Basic LifeM04/05/192701/27/202215,250.00LIFE
224040049959011Basic LifeM07/16/194003/08/2024711,000.00LIFE
224040066679011Basic LifeM03/08/194804/03/202447,750.00LIFE
224050088509011Basic LifeM06/29/195005/02/202439,500.00LIFE
224050145499011Basic LifeF11/03/193703/20/2024300,000.00LIFE
224050154159011Basic LifeM11/22/193705/19/202415,000.00LIFE
224050154439011Basic LifeM06/09/194305/07/2024300,000.00LIFE
224060001839011Basic LifeM03/04/194204/23/2024117,000.00LIFE
224060002069019Basic Life InterestM09/03/193505/21/2024199.93LIFE interest
224060002069011Basic LifeM09/03/193505/21/202438,225.00LIFE
224060002069019Basic Life InterestM09/03/193505/21/202438.27LIFE interest
224060042179011Basic LifeM03/17/194101/03/202433,250.00LIFE
224060096039111Optional LifeF09/19/196506/05/2024200,000.00OPLife
224060096037710AD&DF09/19/196506/05/2024101,000.00AD&D
224060096039011Basic LifeF09/19/196506/05/2024101,000.00LIFE
224060113649011Basic LifeF09/02/195706/15/202421,250.00LIFE
224070001499011Basic LifeM04/12/194503/30/202472,500.00LIFE
224070001499019Basic Life InterestM04/12/194503/30/20241,394.38LIFE interest
224070100159111Optional LifeF12/04/199606/17/202425,000.00OPLife
224070100159011Basic LifeF12/04/199606/17/202491,000.00LIFE
224070100159011Basic LifeF12/04/199606/17/202489,000.00LIFE
224070125259510Dependent Life SpouseF10/07/194507/17/2024118,500.00DPLIFE
224080128159011Basic LifeF03/16/196101/20/202495,000.00LIFE
224080149399011Basic LifeM06/13/194008/02/2024179,000.00LIFE
224080151599510Dependent Life SpouseM11/22/194608/10/2024142,000.00DPLIFE
224090060489011Basic LifeM07/09/193908/04/202450,500.00LIFE
224090085279011Basic LifeF12/03/192909/06/202472,000.00LIFE
224100059749011Basic LifeF01/02/193010/08/202411,750.00LIFE
224110013599111Optional LifeM05/13/196510/22/2024275,000.00OPLife
224110013599011Basic LifeM05/13/196510/22/2024246,000.00LIFE
224110024869011Basic LifeM04/26/194810/20/202426,000.00LIFE
224110024869019Basic Life InterestM04/26/194810/20/202489.97LIFE interest
224110027769011Basic LifeF12/13/192610/14/202412,250.00LIFE
224110027829011Basic LifeM04/26/193809/26/202475,000.00LIFE
224110126979011Basic LifeM06/09/194711/10/202449,250.00LIFE
224120065249011Basic LifeF05/15/193211/10/202415,250.00LIFE
225010010829510Dependent Life SpouseF11/03/196612/24/2024174,000.00DPLIFE
225010010829510Dependent Life FamilyF11/03/196612/24/202425,000.00DPLIFE
225010051929510Dependent Life SpouseF05/15/193201/04/202547,000.00DPLIFE
225010143119011Basic LifeM03/10/194201/14/2025150,000.00LIFE
225020013239510Dependent Life SpouseF07/24/196001/13/2025212,000.00DPLIFE
225020035579011Basic LifeM08/20/195901/16/202531,750.00LIFE
225020117089019Basic Life InterestF06/28/192702/16/202523.67LIFE interest
225020117089011Basic LifeF06/28/192702/16/202516,000.00LIFE
225020117149510Dependent Life SpouseF12/03/194601/12/2025118,000.00DPLIFE
225020136099011Basic LifeM06/22/196202/17/2025212,000.00LIFE
225020140679011Basic LifeM09/28/194702/07/2025262,000.00LIFE
225030068469011Basic LifeM05/29/193402/20/202523,250.00LIFE
225030068469019Basic Life InterestM05/29/193402/20/202515.92LIFE interest
225030096949011Basic LifeF08/11/195311/20/202437,250.00LIFE
225030103319011Basic LifeM09/14/193503/07/202575,000.00LIFE
225030110289011Basic LifeF11/17/196503/05/2025202,000.00LIFE
225030128959011Basic LifeF06/17/194803/18/2025174,000.00LIFE
225040021819011Basic LifeM06/09/193903/18/202582,000.00LIFE
225040029909011Basic LifeF08/16/194902/02/202514,750.00LIFE
225040038029011Basic LifeM10/20/196103/26/2025119,000.00LIFE
225040038029019Basic Life InterestM10/20/196103/26/2025105.96LIFE interest
225050039619011Basic LifeM06/24/194003/18/202528,250.00LIFE
225050073829011Basic LifeM12/23/195804/12/202554,000.00LIFE
225050076429011Basic LifeM06/24/196704/10/2025189,000.00LIFE
225060017839011Basic LifeF07/29/192705/20/202512,000.00LIFE
225060033779011Basic LifeM02/16/194405/31/2025214,000.00LIFE
225060077879510Dependent Life SpouseM11/04/2024116,000.00DPLIFE
225060093879011Basic LifeM03/06/194305/29/2025145,000.00LIFE
225060099439019Basic Life InterestM01/19/193506/08/202558.56LIFE interest
225060099439011Basic LifeM01/19/193506/08/202519,000.00LIFE
225060099439011Basic LifeM01/19/193506/08/20259,500.00LIFE
225060119249011Basic LifeM10/17/193206/08/202529,250.00LIFE
225060119249019Basic Life InterestM10/17/193206/08/2025160.28LIFE interest
225070070139011Basic LifeM12/09/196907/03/2025115,000.00LIFE
225070070559510Dependent Life SpouseF07/05/195806/27/2025138,000.00DPLIFE
225080089609011Basic LifeM07/18/194007/15/202517,250.00LIFE
225080107419011Basic LifeF04/09/196506/14/202550,000.00LIFE
225090081199011Basic LifeM06/18/195507/15/202543,250.00LIFE

CC Key

Coverage Code Key
9011Basic Life
9111Optiona Life
9510Dependnet Life
9019Interest

File details come from the government source that posted it. Updated .