SEPTEMBER 2009 CARRIER FILE · SEPTEMBER 2009 MICHIGAN DEPARTMENT OF COMMUNITY HEALTH CARRIER ID LISTING OI Carrier ID Carrier Name Street City State Zip Code 89 40428615 21ST CENTURY

SEPTEMBER 2009 MICHIGAN DEPARTMENT OF COMMUNITY HEALTHCARRIER ID LISTING

OI Carrier ID Carrier Name Street City State Zip Code89 40428615 21ST CENTURY PO BOX 5037 CHERRYHILL NJ 08034- 89 40439175 3 P ADMINISTRATORS PO BOX 247 ONALASKA WI 54650- 88 40429555 32 DENTAL PO BX 9201 AUSTIN TX 78766- 87 40429005 4D PHARMACY MANAGEMENT PO BOX 721098 BERKLEY MI 48072- 89 40413325 4-MOST HEALTH NETWORK PO BOX 7597 CHARLESTON WV 25356- 89 40439895 A&I BENEFIT PLAN ADMINISTRATORS 1220 SW MORRISON STE 300 PORTLAND OR 97205-222238 40230005 AAG BENEFIT PLAN ADMINISTRATORS INC PO BOX 619099 DALLAS TX 75261-974184 00969015 AARP PO BOX 740819 ATLANTA GA 30374-081902 00403005 AARP PO BOX 740819 ATLANTA GA 30374-081986 40427565 ABATEMENT WORKERS NATIONAL PO BOX 1349 TROY MI 48099-134967 40338010 ABATEMENT WORKERS NATIONAL PO BOX 1349 TROY MI 48099-134938 25930005 ACCELERATION LIFE PO BOX 7187 DUBLIN OH 43017- 89 40406030 ACCESS MEDPLUS PO BOX 22358 NASHVILLE TN 37202- 38 40413265 ACCLAIM MEDICAL SERVICES 808 VARSITY DR TUPELO MS 38801- 89 40423395 ACCOUNTABLE HEALTH PLANS OF AMERICA INC 600 SIX FLAGS DR ARLINGTON TX 76011- 38 40426185 ACEC 3501 FRONTAGE RD TAMPA FL 33607- 88 16065010 ACENTRA BENEFIT SERVICES PO BOX 869041 PLANO TX 75086-904138 30810005 ACLIC PO BOX 796 DEERFIELD IL 60015-529089 40377005 ACMG INC 2570 TECHNICAL DRIVE MIAMISBURG OH 45342- 88 40425255 ACTIVA 2905 LUCERNE DR GRAND RAPIDS MI 49546- 42 29215010 ACTIVA BENEFIT 2905 LUCERNE DR GRAND RAPIDS MI 49546- 38 40441805 ACTURIAL & EMPLOYEE BENEFIT SERVICES 3481 CENTRAL PKWY.,SUITE 100 CINCINNATI OH 45223- 38 30073005 ACTURIAL AND EMPLOYEE BENEFITS 310 TERRACE CINCINNATI OH 45220- 38 20863005 ADJUSTCO 330 E KILBOURN AVENUE MILWAUKEE WI 53202- 38 26473005 ADMINISTRATION & CREATIVE SERV 4250 GRAND HAVEN RD MUSKEGON MI 49441- 38 40424245 ADMINISTRATIVE CONCEPTS 997 OLD EAGLE SCHOOL RD STE215 WAYNE PA 19087- 89 30748005 ADMINISTRATIVE ENTERPRISES INC 5810 W BEVERLY LN GLENDALE AZ 85306-180038 23785005 ADMINISTRATIVE SERVICE CONSULT 215 STANFORD PARKWAY FINDLAY OH 45839- 38 23785010 ADMINISTRATIVE SERVICES CONSULTANTS 3301 E ROYALTON ROAD CLEVELAND OH 44147- 38 30789010 ADMINISTRATIVE SERVICES INC PO BOX 839000 MIAMI FL 33283-900038 40342005 ADMINISTRATIVE SERVICES ONLY PO BOX 419325 KANSAS CITY MO 64141-632538 30963005 ADMINISTRATOR & CONSULT. LTD PO BOX 4925 LANCASTER PA 17604- 88 40424545 ADN DENTAL NETWORK PO BOX 610 SOUTHFIELD MI 48037-061038 21735010 ADVANCED BENEFIT SOLUTIONS PO BOX 30570 PHOENIX AZ 85046-057089 30032005 ADVANTAGE HEALTHPLAN HMO 9490 PRIORITY WAY WEST DRIVE INDIANAPOLIS IN 46240-147086 40429955 ADVANTICA EYECARE 3290 PINE ORCHARD LN STE D ELLICOTT CITY MD 21042-227289 40440075 ADVENTIST RISK MANAGEMENT PO BOX 1926 GRAPEVINE TX 76099- 38 14463010 ADVENTIST RISK MANAGEMENT INC PO BOX 8007 RIVERSIDE CA 92515- 38 40424145 ADVENTIST RISK MANAGEMENT INC PO BOX 4759 SILVER SPRING MD 20914- 38 14463005 ADVENTIST RISK MGT INC. PO BOX 4088 SILVER SPRING MD 20914- 38 40071005 AE STALEY MANUFACTURING CO 2200 EAST ELDORADO DECATUR IL 62525- 89 40424425 AETNA GLOBAL BENEFITS PO BOX 30258 TAMPA FL 33630- 89 00566005 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 79998-110786 40424905 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 79998-110788 00056190 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON KY 40512-409401 00566010 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 79998-110787 00566065 AETNA US HEALTHCARE RX MANAGEMENT PO BOX 14024 LEXINGTON KY 40512-402438 30762010 AFL CIO TRUST FUND PO BOX 1449 NEW YORK NY 10116-144988 00969010 AFLAC 1932 WYNNTON ROAD COLUMBUS GA 31999-725484 00969005 AFLAC - WORLDWIDE HEADQUARTERS 1932 WYNNTON ROAD COLUMBUS GA 31999-7251

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OI Carrier ID Carrier Name Street City State Zip Code38 30723005 AG TRUCKING PO BOX 453 GOSHEN IN 46526- 38 40429575 AGA/AUTOMATED GROUP ADMINISTRATORS INC 7605 WESTFIELD DR FORT WAYNE IN 46825-338189 40319005 AHC PPO NETWORK PO BOX 981 BROOKFIELD WI 53008-098138 00619005 AID ASSN FOR LUTHERANS 4321 N BALLARD ROAD APPLETON WI 54919-000188 40425405 AIG DENTAL PO BOX 1581 NEPTUNE NJ 07754-158189 40439015 AIG WORLDWIDE ASSISTANCE 6040 N BAILEY AVE STE 200 AMHERST NY 14226- 38 40425515 ALICARE PO BOX 1449 NEW YORK NY 10116- 89 40426495 ALL STATE 1776 AMERICAN HERITAGE LIFE DR JACKSONVILLE FL 32224- 89 28438005 ALLEGIANCE BENEFIT PLAN MANAGEMENT PO BOX 3018 MISSOULA MT 59806-301838 30990005 ALLIANCE PO BOX 02459 DETROIT MI 48202- 38 40439255 ALLIANCE BEHAVIORAL CARE PO BOX 19947 CINCINNATI OH 45219-094738 40191040 ALLIANCE HEALTH & LIFE INSURANCE PO BOX 02459 DETROIT MI 48202- 89 40191045 ALLIANCE HEALTH & LIFE INSURANCE PO BOX 02459 DETROIT MI 48202- 38 40423415 ALLIANCE HEALTH BENEFIT PLAN PO BOX 1245 DES PLAINES IL 60017- 89 40439285 ALLIANCE PARTNERS PO BOX 69319 HARRISBURG PA 17106- 89 40429755 ALLIANT HEALTH PLANS PO BOX 3708 CORPUS CHRISTI TX 78463- 38 40139005 ALLIED BENEFIT SYSTEMS 208 LASALLE STREET CHICAGO IL 60604- 89 00726010 ALLIED BENEFIT SYSTEMS 208 LASALLE STREET CHICAGO IL 60604- 89 40426655 ALLIED NATIONAL PO BOX 419233 KANSAS CITY MO 64141- 89 40423525 ALLNATION INSURANCE CO 1511 N WEST SHORE BLVD STE 820 TAMPA FL 33607-456338 40423885 ALLSTATE BENEFITS CENTER PO BOX 0637 CAROL STREAM IL 60132-063789 40439115 ALLSTATE WORKPLACE DIVISION PO BOX 853916 RICHARDSON TX 75085- 38 26366005 ALPHA DATA SYSTEMS PO BOX 791428 DALLAS TX 75379- 38 40423155 ALTERNATIVE BENEFIT SYSTEMS PO BOX 6367 WYOMISSING PA 19610- 89 40169005 ALTERNATIVE HEALTH PO BOX 23705 LOUISVILLE KY 40223- 38 30845005 ALTERNATIVE RISK MANAGEMENT 171 WEST WING ARLINGTON HGTS IL 60005- 89 16486010 ALTPROS 2607 S 159TH PLAZA OMAHA NE 68130- 89 40439505 ALWAYSCARE PO BOX 80139 BATON ROUGE LA 70896- 88 40429395 ALWAYSCARE BENEFITS PO BOX 80139 BATON ROUGE LA 70898-013986 40429385 ALWAYSCARE BENEFITS PO BOX 80139 BATON ROUGE LA 70898-013938 40158005 AMA INSURANCE AGENCY INC 200 N LASALLE STREET CHICAGO IL 60601- 67 16913005 AMALGAMATED LIFE INS CO PO BOX 1435 NEW YORK NY 10116-143538 00468005 AMER GEN LIFE & ACCIDENT IN CO P O BOX 1500 NASHVILLE TN 37202- 86 40429215 AMERA PLAN 22500 METROPOLITAN PKWY CLINTON TWP MI 48035- 88 40429225 AMERA PLAN 22500 METROPOLITAN PKWY CLINTON TWP MI 48035- 89 16510010 AMERA PLAN INC 3001 WEST BIG BEAVER ROAD TROY MI 48084- 36 16510005 AMERA PLAN INC 3001 WEST BIG BEAVER ROAD TROY MI 48084- 38 40425695 AMERIBEN SOLUTIONS PO BOX 7186 BOISE ID 83707- 38 15101005 AMERICAN ADMINISTRATIVE GROUP PO BOX 93670 LUBBOCK TX 79493- 89 15101010 AMERICAN ADMINISTRATIVE GROUP PO BOX 93670 LUBBOCK TX 79493- 38 40060005 AMERICAN ADMINISTRATORS PO BOX 93670 LUBBOCK TX 79493- 38 16515000 AMERICAN ADMINISTRATORS GROUP PO BOX 93670 LUBBOCK TX 79493- 38 40260005 AMERICAN ASSOCIATION FOR PO BOX 100877 FORT WORTH TX 76185- 04 18598005 AMERICAN BANKERS INS CO PO BOX 2650 WACO TX 76702-265004 00824005 AMERICAN BANKERS INS CO FL 600 BRICKELL AVE MIAMI FL 33131- 38 16691005 AMERICAN BAPTIST CHURCHES 475 RIVERSIDE DR RM 1700 NEW YORK NY 10115- 38 40439635 AMERICAN BEHAVIORAL HEALTH 550 MONTGOMERY HWY STE 300 BIRMINGHAM AL 35216-184138 13528010 AMERICAN BENEFIT ADMINISTRATIVE SERVICES 1733 PARK STREET SUITE 300 NAPERVILLE IL 60563- 38 13528005 AMERICAN BENEFIT CORP PO BOX 2648 HUNTINGTON WV 25726-264838 40378005 AMERICAN BENEFIT PLANS PO BOX 82060 ROCHESTER MI 48308-

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OI Carrier ID Carrier Name Street City State Zip Code89 30884010 AMERICAN BENEFITS MANAGEMENT 8310 PORT JACKSON AVE NW NORTH CANTON OH 44720-546338 40428725 AMERICAN BENEFITS MANAGEMENT 8310 PORT JACKSON N CANTON OH 44720- 38 12057005 AMERICAN CHAMBERS LIFE PO BOX 3048 NAPERVILLE IL 60566- 38 40340005 AMERICAN COMMERCIAL LINE INC PO BOX 610 JEFFERSONVILLE IN 47130- 88 40427425 AMERICAN COMMUNITY DENTAL 39201 SEVEN MILE RD LIVONIA MI 48152-109489 00207010 AMERICAN COMMUNITY MUTUAL 39201 SEVEN MILE ROAD LIVONIA MI 48152- 03 00207005 AMERICAN COMMUNITY MUTUAL 39201 SEVEN MILE ROAD LIVONIA MI 48152- 38 17741005 AMERICAN CONSULTING ENGINEERS PO BOX 9007 ST LOUIS MO 63101-900788 40315010 AMERICAN DENTAL GROUP OF MI 8609 W GRAND RIVER AVENUE BRIGHTON MI 48116- 88 40245005 AMERICAN EXECUTIVE ASSOCIATION PO BOX141700 GRAND RAPIDS MI 49514-170038 00940005 AMERICAN FAMILY LIFE ASSURANCE 1932 WYNNTON RD COLUMBUS GA 31999-000138 00978005 AMERICAN FAMILY MUT INS CO 6000 AMERICAN PARKWAY MADISON WI 53783- 38 20765005 AMERICAN FIDELITY ASSURANCE BOX 25523 OKLAHOMA CITY OK 73125- 38 40013005 AMERICAN FOREIGN SERVICE 1716 N STREET NW WASHINGTON DC 20036- 38 01035005 AMERICAN GENERAL LIFE & ACCID P.O. BOX 305800 NASHVILLE TN 37230-580087 40440255 AMERICAN HEALTH CARE 2217 PLAZA DR STE 100 ROCKLIN CA 95765- 38 40050010 AMERICAN HEALTH GROUP PO BOX 1500 MAUMEE OH 43537- 38 01106005 AMERICAN HERITAGE LIFE INS 1776 AMERICAN HERITAGE JACKSONVILLE FL 32224-668884 01124010 AMERICAN INCOME LIFE PO BOX 2608 WACO TX 76797- 38 01124005 AMERICAN INCOME LIFE INS PO BOX 2608 WACO TX 76797- 38 40391005 AMERICAN INSURANCE ADMINISTRATORS PO BOX 2348 COLUMBUS OH 43216-234838 27543005 AMERICAN INSURANCE CO OF TX PO BOX 2645 WACO TX 76702- 38 21646010 AMERICAN INTERNATIONAL COMPANY PO BOX 25050 WILMINGTON DE 19899- 67 11265005 AMERICAN MARITIME OFFICERS PO BOX 35 DANIA FL 33004-003538 27759005 AMERICAN MEDICAL & LIFE 35 BROADWAY CS 546 HICKSVILLE NY 11802- 88 40424955 AMERICAN MEDICAL SECURITY PO BOX 19032 GREEN BAY WI 54307- 89 28550010 AMERICAN MEDICAL SECURITY PO BOX 19032 GREEN BAY WI 54307- 14 28550005 AMERICAN MEDICAL SECURITY TX EXT 11510 PO BOX 19032 GREEN BAY WI 54307-903238 01296005 AMERICAN NATIONAL INSURANCE CO PO BOX 1520 GALVESTON TX 77550- 89 01296010 AMERICAN NATIONAL INSURANCE CO PO BOX 1520 GALVESTON TX 77553-152038 40413885 AMERICAN PIONEER LIFE INS CO 1001 HEATHROW PARK LN #5001 LAKE MARY FL 32746-762541 00261005 AMERICAN POSTAL WORKERS UNION HEALTH PLAN PO BOX 1358 GLEN BURNIE MD 21060-135838 40424195 AMERICAN PROGRESSIVE LIFE & HLTH INS CO OF NY PO BOX 399127 Cambridge MA 02139- 89 40427525 AMERICAN PUBLIC LIFE PO BOX 925 JACKSON MS 39205-092538 01358005 AMERICAN REPUBLIC INS CO PO BOX 10 DES MOINES IA 50301- 38 40428335 AMERICAN SENTINEL/AEGIS PO BOX 61140 HARRISBURG PA 17106- 38 30306005 AMERICAN SERVICE LIFE INS PO BOX 982017 N RICHLAND HILLS TX 76182- 38 40115005 AMERICAN SOCIETY OF CIVIL ENGINEERS PO BOX 5108 DES MOINES IA 50306- 89 40397005 AMERICAN SPECIAL RISKS 509 S LENOLA RD BLDG 2 MOORESTOWN NJ 08057- 89 40427975 AMERICAN STERLING PO BOX 26103 OVERLAND PARK KS 66225-610338 17723005 AMERICAN TRUST ADMINISTRATORS PO BOX 87 SHAWNEE MISSION KS 66201- 89 17723010 AMERICAN TRUST ADMINISTRATORS PO BOX 87 SHAWNEE MISSION KS 66201- 38 40439665 AMERICAN WORKER PLAN (AWP) PO BOX 20765 INDIANAPOLIS IN 46220- 38 40411845 AMERICAS CHOICE HEALTHPLANS PO BOX 922043 HOUSTON TX 77292-204389 40427005 AMERICAS TPA PO BOX 398220 MINNEAPOLIS MN 55439-822038 40411305 AMERICORPS VISTA PO BOX 3430 CARMEL IN 46082-343038 40423515 AMERIGROUP PO BOX 61659 VIRGINIA BEACH VA 23466-165989 40424165 AMERIHEALTH ADMINISTRATORS 720 BLAIRMILL RD HORSHAM PA 19044- 38 30504010 AMERIHEALTH ADMINISTRATORS 720 BLAIRMILL ROAD HORSHAM PA 19044- 87 19067010 AMERISCRIPT PO BOX 67138 CUYAHOGA FALLS OH 44221-

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OI Carrier ID Carrier Name Street City State Zip Code38 20433005 AMERISURE CO MEDICAL CLAIMS P O BOX 9202 FARMINGTON HILL MI 48333-920288 01741005 AMERITAS LIFE INSURANCE CORP PO BOX 82520 LINC0LN NE 68501-252086 40429425 AMERITAS LIFE INSURANCE CORP PO BOX 82520 LINCOLN NE 68501-252038 40344005 ANCHOR BENEFIT CONSULTING INC PO BOX 945260 MAITLAND FL 32794-526038 22939005 ANDREWS UNIVERSITY NORTH U S 31 BERRIEN SPRINGS MI 49104- 38 22939010 ANGEL HEALTH CARE INC 2701 TROY CENTER DRIVE TROY MI 48084- 38 22465005 ANNUITY COMPANIES XX XXX XXX XXXX MI 48933- 89 40428795 ANTARES PO BOX 477911 BROADVIEW OH 44147-791105 12208005 ANTHEM ACORDIA BC BS OF IN PO BOX 37010 LOUISVILLE KY 40233- 05 13368005 ANTHEM BC BS PO BOX 27401 RICHMOND VA 23279- 38 12271005 ANTHEM BC BS 1351 WM HOWARD TAFT RD CINCINNATI OH 45206- 89 18604005 ANTHEM BC BS PO BOX 27401 RICHMOND VA 23279- 89 40428585 ANTHEM BC BS 1351 WM HOWARD TAFT RD CINCINNATI OH 45206- 89 40439595 ANTHEM BC BS OF CA PO BOX 60007 LOS ANGELES CA 90060-000705 13027005 ANTHEM BC BS OF CT PO BOX 533 NORTH HAVEN CT 06473-053389 13027015 ANTHEM BC BS OF CT 370 BASSETT RD NORTH HAVEN CT 06473-420189 13081010 ANTHEM BC BS OF IN ITS INDY PO BOX 37010 LOUISVILLE KY 40233- 05 13081005 ANTHEM BC BS OF KY PO BOX 37180 LOUISVILLE KY 40233-718089 13081025 ANTHEM BC BS OF KY PO BOX 37180 LOUISVILLE KY 40233-718087 40426015 CATALYST RX PO BOX 1069 ROCKVILLE MD 20849- 87 30766010 CATALYST RX 4020 WAKE FOREST ROAD RALIEGH NC 27609- 87 40413835 CATALYST RX 9525 HILLWOOD DRIVE LAS VEGAS NV 89134- 38 23560005 CATHOLIC GOLDEN AGE PO BOX 249 OLYPHANT PA 18447- 89 40428445 CATHOLIC HEALTHCARE WEST (CHW) 185 BERRY ST STE 300 SAN FRANCISCO CA 94107- 38 13546005 CATHOLIC KNIGHTS OF OH THE 16010 DETROIT AVENUE LAKEWOOD OH 44107- 38 40412815 CATSKILL AREA SCHOOL EMPLOYEE BENEFIT PLAN PO BOX 220 STANFORD NY 12167- 38 40425225 CBCA ADMINISTRATORS 10 CHATHAM CENTER SOUTH SAVANNAH GA 31405- 38 40424185 CBCA ADMINISTRATORS INC PO BOX 1557 MINNEAPOLIS MN 55440-155726 11499005 CBCA ADMINISTRATORS INC PO BOX 9498 MINNEAPOLIS MN 55440-949826 26455010 CBCA ADMINISTRATORS INC PO BOX 2061 LITTLE ROCK AR 72203- 89 26455015 CBCA ADMINISTRATORS INC PO BOX 9498 MINNEAPOLIS MN 55440-949887 40427755 CBCA RX 675 FOXON RD EAST HAVEN CT 06513- 87 40440105 CBCA RX PO BOX 1339 MINNEAPOLIS MN 55440-133989 29469010 CCN 5501 LBJ FREEWAY DALLAS TX 75240- 89 40425865 CDS GROUP HEALTH 1625 E PRATER WAY SPARKS NV 89434- 38 29469015 CEBA #3-500 AUSTIN TX 78730-508887 40427785 BUIST ELECTRIC INC 8650 BYRON CENTER AVE SW BYRON CENTER MI 49315-920138 30710005 BURGETT & LIFE PO DRAWER V VAN BUREN AZ 72956- 38 40424635 BUSINESS ADMINISTRATION CONSULT PO BOX 107 REYNOLDSBURG OH 43068- 89 40439945 BUSINESS ADMINISTRATORS CONSULTANTS PO BOX 107 REYNOLDSBURG OH 43068-010789 18776005 CA IRONWORKERS 131 N ELMOLINO AVE #330 PASADENA CA 91101-187789 10535015 CAM ADMINISTRATIVE SERVICES PO BOX 5131 SOUTHFIELD MI 48086-513138 10535010 CAM ADMINISTRATIVE SERVICES PO BOX 5131 SOUTHFIELD MI 48086-513138 40423265 CANNON COCHRAN MANAGEMENT SERVICES INC PO BOX 1430 DANVILLE IL 61834-143089 13312005 CAPITAL BC 2500 ELMERTON AVE HARRISBURG PA 17110- 05 13288005 CAPITAL BC & PA BS 1221 W HAMILTON ST ALLENTOWN PA 18102-437089 13009005 ANTHEM BC CALIFORNIA 2155 OXNARD ST WOODLAND HI CA 91367- 38 40425685 ANTHEM BC CALIFORNIA 2155 OXNARD ST WOODLAND HI CA 91367- 89 40439475 ANTHEM BCBS IN PO BOX 6199 INDIANAPOLIS IN 46206- 89 40425435 ANTHEM BCBS OF COLORADO PO BOX 17849 DENVER CO 80217-

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OI Carrier ID Carrier Name Street City State Zip Code05 13125010 ANTHEM BCBS OF MO PO BOX 14882 ST LOUIS MO 63178-488289 13125015 ANTHEM BCBS OF MO PO BOX 14882 ST LOUIS MO 63178-488238 13027010 ANTHEM BENEFIT ADMINISTRATORS PO BOX 32550 LOUISVILLE KY 40232- 38 40425005 ANTHEM BENEFIT ADMINISTRATORS PO BOX 32550 LOUISVILLE KY 40232- 89 40427415 ANTHEM BLUE CHOICE 2 GANNETT DR SOUTH PORTLAND ME 04106- 05 12333005 ANTHEM COMMUNITY MUTUAL BC BS PO BOX 37180 LOUISVILLE KY 40233-718089 12333010 ANTHEM COMMUNITY MUTUAL BCBS PO BOX 37180 LOUISVILLE KY 40233-718038 40139010 ANTHEM HEALTH & LIFE PO BOX 15244 NEWARK NJ 07192-524405 04734015 ANTHEM HEALTH & LIFE PO BOX 88260 ATLANTA GA 30356-826038 40059005 ANTHEM HEALTH ACORDIA BENEFITS 1188 FRANKLIN ST #102 SAN FRANCISCO CA 94109-680089 04734020 ANTHEM HEALTH HOME LIFE INS CO PO BOX 6881 PISCATAWAY NJ 08855- 38 04734005 ANTHEM HEALTH HOME LIFE INS CO P O BOX 1370 PISCATAWAY NJ 08855-132689 18749010 ANTHEM OF WISCONSIN (CMSI) PO BOX 10888 GREEN BAY WI 54307-088886 40439695 ANTHEM VISION 555 MIDDLE CREEK PKWY COLORADO SPRINGS CO 80921-379038 40387010 AON SELECT INC PO BOX 2409 FLORENCE SC 29503- 38 40387005 AON-SELECT INC PO BOX 81520 ROCHESTER MI 48308-152067 16172005 APAC HEALTH & WELFARE TRUST PO BOX 548 UPLAND IN 46989- 38 40429725 APS HEALTHCARE PO BOX 1246 ROCKVILLE MD 20849- 38 10491005 AR BEST CORP 1000 SOUTH 21ST ST FORT SMITH AR 72901- 38 40186005 ARANON CORPORATION 285 W 74TH PLACE HIALEAH FL 33014- 38 30994005 ARATEX SERVICES INC PO BOX 7891 BURBANK CA 91510- 89 40439495 ARCADIA RESOURCES 26777 CENTRAL PARK STE 200 SOUTHFIELD MI 48076- 38 40140005 ARCH MINERAL CORPORATION PO BOX 59345 MINNEAPOLIS MN 55459-034587 40440155 ARGUS (PRIORITY HEALTH RX) PO BOX 232 1231 E BELTLINE NE GRAND RAPIDS MI 49501-023287 40084005 ARGUS (RX PRIME/CIGNA RX SERVICES) P O BOX 3598 SCRANTON PA 18505-059887 40429735 ARGUS HEALTH SYSTEMS PO BOX 419019 KANSAS CITY MO 64141- 89 05446010 ARISE HEALTH PLAN PO BOX 11625 GREEN BAY WI 54307-162589 40425825 ARIZONA FOUNDATION PO BOX 62735 PHOENIX AZ 85082- 89 40439465 ARIZONA PIPE TRADES H&W TRUST FUND PO BOX 21240 DENVER CO 80212- 88 40439125 ARLINGTON METALS 11355 FRANKLIN AVE FRANKLIN PARK IL 60131- 88 40439295 ARLINGTON METALS 11355 FRANKLIN AVE FRANKLIN PARK IL 60131- 89 40428785 ARM 171 W WING ST #210 ARLINGTON HTS IL 60005- 38 18014005 ARMSTRONG WORLD INDUSTRIES INC PO BOX 3001 LANCASTER PA 17604- 89 18014010 ARNETT HEALTH PLANS PO BOX 6108 LAFAYETTE IN 47903-010888 40427065 ARROWHEAD INDUSTRIAL SERVICES PO BOX 1000 GRAHAM NC 27253-100067 22661005 ASBESTOS WORKERS LOCAL 47 6525 CENTURION DRIVE LANSING MI 48917-927589 40427635 ASCENSION HEALTH 800 S WASHINGTON AVE SAGINAW MI 48601- 38 23266010 ASO NORTH AMERICA PO BOX 8311 FORT WAYNE IN 46898-831138 23551005 ASO NORTH AMERICAN GREAT LAKES 1718 INDIAN WOOD CIR STE E MAUMEE OH 43537-409066 18589005 ASR PO BOX 6392 GRAND RAPIDS MI 49516-639289 18589010 ASR PO BOX 6392 GRAND RAPIDS MI 49516-639288 40426825 ASR-DENTAL PO BOX 6392 GRAND RAPIDS MI 49516-639286 40426815 ASR-VISION PO BOX 6392 GRAND RAPIDS MI 49516-639238 30941005 ASSOCIATED AMINISTRATORS INC PO BOX 5096 PORTLAND OR 97208-509638 40428695 ASSOCIATED EMPLOYERS PO BOX 1301 BILLINGS MT 59103- 38 30541005 ASSOCIATED THIRD PARTY ADMINISTRATION PO BOX 61320 LAS VEGAS NV 89160-132089 40413565 ASSOCIATES FOR HEALTH CARE INC PO BOX 981 BROOKFIELD WI 53008-098138 40428485 ASSOCIATION & SOCIETY INS PO BOX 2168 ROCKVILLE MD 20847- 67 28750005 ASSOCIATION PLAN ADMINISTRATOR 2858 W. MARKET AKRON OH 44313- 89 40439935 ASSOCIATION PLAN ADMINISTRATORS PO BOX 66601 ALBANY NY 12206-6601

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OI Carrier ID Carrier Name Street City State Zip Code88 40426545 ASSURANT EMPLOYEE BENEFITS PO BOX 624 MILAUKEE WI 53201-062438 40426415 ASSURANT EMPLOYEE BENEFITS PO BOX 807009 KANSAS CITY MO 64184- 89 40426645 ASSURANT EMPLOYEE BENEFITS 501 WEST MICHIGAN MILWAUKEE WI 53201- 88 40423125 ASSURANT HEALTH PO BOX 2940 CLINTON IA 52733-294089 40325010 ASSURANT HEALTH PO BOX 624 MILWAUKEE WI 53201-062469 06407010 ASSURANT HEALTH PO BOX 624 MILWAUKEE WI 53201-062489 40428995 ASSURANT HEALTH - UNION SECURITY INS CO PO BOX 981602 EL PASO TX 79998- 38 40300010 ASSURECARE PO BOX 1570 EAST LANSING MI 48826-138689 40300015 ASSURECARE PO BOX 1386 EAST LANSING MI 48826-138638 40305005 ASSURECARE OF IL 340 QUADRANGLE DRIVE BOLINGBROOK IL 60440-344889 40429035 ASSURECARE OF OHIO PO BOX 1729 STOW OH 44224- 38 03942005 ASSURITY LIFE INSURANCE COMPANY PO BOX 888407 GRAND RAPIDS MI 49588-840738 40428805 ASURIS NORTHWEST HEALTH PO BOX 30271 SALT LAKE CITY UT 84130-027138 01607005 ATLANTA LIFE INS CO 100 AUBURN AVENUE NE ATLANTA GA 30301- 38 40427835 ATLANTA PLUMBERS & STEAMFITTERS LOCAL 72 3835 PRESIDENTIAL PKWY STE 123 ATLANTA GA 30340- 88 40426195 ATLANTIC DENTAL 2100 POLICE DA LEON STE 950 CORAL GABLES FL 33134- 89 24272010 ATLAS ADMINISTRATORS INC PO BOX 801234 DALLAS TX 75380-123489 40412105 ATRIUM HEALTH PLAN PO BOX 64338 ST PAUL MN 55154-033838 40061005 ATWOOD AUTOMOTIVE INC 5701 W DICKMAN ROAD BATTLE CREEK MI 49015- 38 25313005 AULTCARE 2600 SIXTH STREET CANTON OH 44706-091089 40413935 AULTCARE PPA PLAN PO BOX 6910 CANTON OH 44706-091088 40428885 AURORA DENTAL 3305 W FOREST HOME AVE MILWAUKEE WI 53215- 38 40428955 AURORA DIRECT NETWORK 3305 W FOREST HOME AVE MILWAUKEE WI 53215- 38 01661005 AUTO OWNERS LIFE INSURANCE PO BOX 30660 LANSING MI 48903- 89 24737015 AUTOMATED BENEFIT SERVICES PO BOX 47130 OAK PARK MI 48237- 89 24737010 AUTOMATED BENEFIT SERVICES PO BOX 37506 OAK PARK MI 48237-050438 40413485 AUTOMATED BENEFIT SERVICES PO BOX 37705 OAK PARK MI 48237-770538 24737005 AUTOMATED BENEFIT SERVICES P O BOX 37506 OAK PARK MI 48237-050467 40246005 AUTOMOBILE MECHANICS LOCAL 701 133 S ASHLAND AVENUE CHICAGO IL 60607- 38 40426365 AUXIANT PO BOX 75008 CEDAR RAPIDS IA 52407- 88 40426505 AUXIANT PO BOX 90991 MILWAUKEE WI 53209- 38 21969005 AV MED HEALTH PLAN 9400 S DADELAND BLVD MIAMI FL 33156- 38 40429445 AVALON INSURANCE PO BOX 1083 DUBLIN OH 43017- 38 01699005 AVEMCO INSURANCE CO 411 AVIATION WAY FREDERICK MD 21701-475689 40429055 AVERA HEALTH PLAN 3900 W AVERA DR SIOUX FALLS SD 57108- 86 30915005 AVESIS VISION SERVICES 4201 N 24TH ST, STE 300 PHOENIX AZ 85060- 87 40423275 AVIA PARTNERS 20427 N 27TH AVE PHOENIX AZ 85027-324138 24728005 AVMA GROUP HEALTH & LIFE INSURANCE TRUST PO BOX 909720 CHICAGO IL 60690-972038 25663005 AZ PUBLIC SERVICE PO BOX 53970 PHOENIX AZ 85072-397038 17160005 BABB INC 850 RIDGE AVE PITTSBURG PA 15212- 38 30091005 BAC LOCAL 32 INSURANCE FUND PO BOX 1218 TROY MI 48099-121886 40439395 BAC LOCAL 74 415 E PLAZA DR WESTMONT IL 60559- 38 22859005 BAKER INTERNATIONAL PO BOX 2274 LOS ANGELES CA 90051- 38 10517005 BAKERY & CONFEC FUND 10401 CONNECTICUT AVE KENSINGTON MD 20895- 38 40316005 BALDOR MOTORS & DRIVES PO BOX 2400 FORT SMITH AR 72902-240038 40015005 BALL CORPORATION 345 S HIGH STREET MUNCIE IN 47305-232604 26295005 BANKERS COMMERCIAL LIFE 5720 L B J FREEWAY DALLAS TX 75240-969938 21092005 BANKERS FIDELITY LIFE INS CO PO BOX 105652 ATLANTA GA 30348- 04 00430005 BANKERS LIFE & CASUALTY PO BOX 66927 CHICAGO IL 60666-092783 40413675 BANKERS LIFE AND CASUALTY CO PO BOX 66994 CHICAGO IL 60666-0994

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OI Carrier ID Carrier Name Street City State Zip Code84 21181010 BANKERS LIFE AND CASUALTY CO 222 MERCHANDISE MART PLAZA CHICAGO IL 60654-200138 40426395 BANNER HEALTH AND DENTAL PLAN PO BOX 16423 MESA AZ 85211- 38 40428675 BASHAS BENEFIT TRUST 2258 NORTH 44TH ST STE 260 PHOENIX AZ 86008- 38 30916005 BASSETT FURNITURE INDUSTRIES PO BOX 626 BASSETT VA 24055-062689 00038005 BC BS FEDERAL EMPLOYEE PROGRAM 600 LAFAYETTE DETROIT MI 48226- 88 40423955 BC BS IL DENTAL PROGRAM PO BOX 23059 BELLEVILLE IL 62223- 05 12950005 BC BS OF AL 450 RIVERCHASE PKWY EAST BIRMINGHAM AL 35298- 89 12950010 BC BS OF AL 450 RIVERCHASE PARKWAY EAST BIRMINGHAM AL 35298- 89 12988010 BC BS OF AR PO BOX 2181 LITTLE ROCK AR 72203-218105 12988005 BC BS OF AR PO BOX 2181 LITTLE ROCK AR 72203- 05 12979005 BC BS OF AZ PO BOX 13466 PHOENIX AZ 85002- 89 40423825 BC BS OF AZ PO BOX 13466 PHOENIX AZ 85002- 38 12997020 BC BS OF CA PO BOX 3190 RANCHO CORDOVA CA 95741- 05 12997005 BC BS OF CA PO BOX 9043 OXNARD CA 93031- 89 12997010 BC BS OF CA PO BOX 9043 OXNARD CA 93031- 05 13018005 BC BS OF CO 700 BROADWAY DENVER CO 80273- 05 13036005 BC BS OF DE PO BOX 1991 WILMINGTON DE 19899- 89 40424035 BC BS OF DE PO BOX 8830 WILMINGTON DE 19899-883089 13054015 BC BS OF FL PO BOX 45034 JACKSONVILLE FL 32232-503405 13054005 BC BS OF FL INC PO BOX 1798 JACKSONVILLE FL 32231-001405 30736005 BC BS OF GA PO BOX 4445 ATLANTA GA 30302-444505 14202005 BC BS OF GA PO BOX 9907 COLUMBUS GA 31908-990789 14202010 BC BS OF GA PO BOX 9907 COLUMBUS GA 31908- 89 13063010 BC BS OF IA PO BOX 7020 SIOUX CITY IA 51102- 05 13063005 BC BS OF IA 636 GRAND AVE DES MOINES IA 50309-256589 30750005 BC BS OF IL PO BOX 805107 CHICAGO IL 60680- 05 30749005 BC BS OF IL PO BOX 1220 CHICAGO IL 60690- 05 12306010 BC BS OF IL MEMBERS 1ST 300 EAST RANDOLPH CHICAGO IL 60601- 89 40424535 BC BS OF KANSAS CITY PO BOX 419169 KANSAS CITY MO 64141- 05 13125005 BC BS OF KANSAS CITY PO BOX 419169 KANSAS CITY MO 64141-616905 13072005 BC BS OF KS PO BOX 239 TOPEKA KS 66629- 89 13072010 BC BS OF KS 1133 SW TOPEKA TOPEKA KS 66629- 89 40425995 BC BS OF LA PO BOX 98029 BATON ROUGE LA 70898-902905 13090005 BC BS OF LA PO BOX 98029 BATON ROUGE LA 70898-902905 13116005 BC BS OF MA PO BOX 986020 BOSTON MA 02298- 89 13116010 BC BS OF MA PO BOX 986020 BOSTON MA 02298- 89 13457015 BC BS OF MD PO BOX 1726 CUMBERLAND MD 21501-172589 40423585 BC BS OF MD PO BOX 944 OWINGS MILLS MD 21117- 05 13457010 BC BS OF MD PO BOX 1694 CUMBERLAND MD 21501-169405 13457005 BC BS OF MD PO BOX 811 OWINGS MILLS MD 21117- 05 13107005 BC BS OF ME 2 GANNETT DRIVE SOUTH PORTLAND ME 04106-691105 18883005 BC BS OF MEMPHIS PO BOX 98 MEMPHIS TN 38103-239889 12217010 BC BS OF MN PO BOX 64338 ST PAUL MN 55164-056005 12217005 BC BS OF MN PO BOX 64338 ST PAUL MN 55164-056005 13466005 BC BS OF MS PO BOX 1043 JACKSON MS 39215-104389 40425215 BC BS OF MS PO BOX 1043 JACKSON MS 39215- 89 13134005 BC BS OF MT PO BOX 5004 GREAT FALLS MT 59604-500489 40423775 BC BS OF NC PO BOX 35 DURHAM NC 27702-229105 13232005 BC BS OF NC PO BOX 35 DURHAM NC 27702-229105 13751005 BC BS OF ND 4510 13TH AVE SW FARGO ND 58121-

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OI Carrier ID Carrier Name Street City State Zip Code89 13143010 BC BS OF NE PO BOX 3248 OMAHA NE 68180- 05 13143005 BC BS OF NE PO BOX 3248 OMAHA NE 68180-000105 13152005 BC BS OF NH 3000 GOFFS FALLS RD MANCHESTER NH 03111-000188 13161010 BC BS OF NJ PO BOX 1938 NEWARK NJ 07101-193889 40425275 BC BS OF NJ PO BOX 1609 NEWARK NJ 07105- 05 13161005 BC BS OF NJ PO BOX 1609 NEWARK NJ 07105- 89 14857005 BC BS OF NM PO BOX 27630 ALBUQUERQUE NM 87125-763089 40424125 BC BS OF NORTH EASTERN NY PO BOX 80 BUFFALO NY 14240- 38 40440225 BC BS OF NORTH EASTERN NY PO BOX 80 BUFFALO NY 14240- 05 40424885 BC BS OF NV 5250 S VIRGINIA ST RENO NV 89502- 89 13241010 BC BS OF OK PO BOX 3283 TULSA OK 74102-328305 13241005 BC BS OF OK PO BOX 3283 TULSA OK 74102- 05 13303010 BC BS OF PA DEPARTMENT 778974 HARRISBURG PA 17177-897489 13303020 BC BS OF PA DEPARTMENT 778974 HARRISBURG PA 17177-897489 13742005 BC BS OF PA PO BOX 890016 CAMP HILL PA 17089-001605 19405005 BC BS OF RI 444 WESTMINSTER MALL PROVIDENCE RI 02903- 89 19405010 BC BS OF RI 444 WESTMINSTER MALL PROVIDENCE RI 02903- 89 13321010 BC BS OF SC I-20 AT ALPINE ROAD COLUMBIA SC 29219- 05 13321005 BC BS OF SC I-20 AT ALPINE ROAD COLUMBIA SC 29219- 89 17302005 BC BS OF SD 1601 W MADISON ST SIOUX FALLS SD 57104- 05 13330005 BC BS OF TN 801 PINE ST CHATTANOOGA TN 37402-255589 13330010 BC BS OF TN PO BOX 180150 CHATTANOOGA TN 37401-715089 13359010 BC BS OF TX PO BOX 660044 DALLAS TX 75266-004405 13359005 BC BS OF TX PO BOX 660044 DALLAS TX 75266- 05 14982005 BC BS OF UT PO BOX 30270 SALT LAKE CITY UT 84125- 89 40426995 BC BS OF VT PO BOX 186 MONTPELIER VT 05601- 89 40425535 BC BS OF WESTERN NY 1901 MAIN ST BUFFALO NY 14240-008005 13214005 BC BS OF WESTERN NY 1901 MAIN ST BUFFALO NY 14240-008089 13214010 BC BS OF WESTERN NY 1901 MAIN STREET BUFFALO NY 14240-010989 12342010 BC BS OF WI PO BOX 34210 LOUISVILLE KY 40232-421005 12342005 BC BS OF WI 401 W MICHIGAN ST MILWAUKEE WI 53201- 05 13386005 BC BS OF WV PO BOX 1353 CHARLESTON WV 25325- 05 13395005 BC BS OF WY PO BOX 2266 CHEYENNE WY 82003- 05 15540005 BC BS UNITED OF WI PO BOX 2025 MILWAUKEE WI 53201-202589 15540010 BC BS UNITED OF WI PO BOX 2141 MILWAUKEE WI 53201-214105 13377015 BC OF IDAHO PO BOX 7408 BOISE ID 83707- 89 13377010 BC OF IDAHO PPO PO BOX 7408 BOISE ID 83707- 38 40440355 BC OF NORTHEAST PENNSYLVANIA PO BOX 890179 CAMP HILL PA 17089-017905 13297005 BC OF NORTHEASTERN PA 19 NORTH MAIN STREET WILKES-BARRE PA 18711- 05 00029005 BCBSM 600 LAFAYETTE,PO BOX 2500 DETROIT MI 48226- 86 14679010 BCBSM 600 LAFAYETTE DETROIT MI 48226- 88 14679005 BCBSM 600 LAFAYETTE DETROIT MI 48226- 89 00029010 BCBSM PO BOX 2500,600 LAFAYETTE DETROIT MI 48226- 88 40425385 BCI ADMINISTRATORS PO BOX 250878 WEST BLOOMFIELD MI 48325-087886 40427235 BCI ADMINISTRATORS PO BOX 250878 WEST BLOOMFIELD MI 48325-087838 40401010 BCI ADMINISTRATORS PO BOX 250878 WEST BLOOMFIELD MI 48325-087889 28214005 BCN 611 CASCADE W PARKWAY SE GRAND RAPIDS MI 49546-214386 28214015 BCN 611 CASCADE W PARKWAY SE GRAND RAPIDS MI 49546-214388 28214010 BCN 611 CASCADE W PARKWAY SE GRAND RAPIDS MI 49546-214387 00029020 BCN PHARMACY PO BOX 2500,600 LAFAYETTE DETROIT MI 48226-

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OI Carrier ID Carrier Name Street City State Zip Code38 30966005 BECKWITH HIGHTOWER INS SER INC 1617 ST MARKS PLAZA STOCKTON CA 95207- 89 19666010 BEECH STREET PPO NETWORK PO BOX 17719 IRVINE CA 92713-771938 40425185 BEHAVIORAL HEALTH CARE SERVICES 512 TOWNSHIP LINE RD BLUE BELL PA 19422- 38 40393010 BENCHMARK HEALTH PO BOX 4158 ROCKFORD IL 61110-065838 29770005 BENEFIT ADMINISTRATIVE SYSTEMS 17475 JOVANNA DR #1B HOMEWOOD IL 60430- 89 29770010 BENEFIT ADMINISTRATIVE SYSTEMS 17475 JOVANNA DR #1B HOMEWOOD IL 60430- 38 40402050 BENEFIT ADMINISTRATIVE SYSTEMS 6 EXECUTIVE DRIVE FAIRVIEW HTS IL 62208- 38 24871005 BENEFIT ADMINISTRATORS PO BOX 5769 LAFAYETTE IN 47903-576938 40247005 BENEFIT ADMINISTRATORS PO BOX 10585 KNOXVILLE TN 37939- 38 27561005 BOA EMPLOYEE BENEFIT PO BOX 20945 COLUMBUS OH 43220- 38 30800005 BOARD OF PENSIONS PRESBYTERIAN PO BOX 13896 PHILADELPHIA PA 19101- 38 40062005 BOEHRINGER MANNHEIM PO BOX 1017 INDIANAPOLIS IN 46206-101789 10544010 BOILERMAKERS NATIONAL H & W FUND 754 MINNESOTA AVENUE KANSAS CITY KS 66101-276667 10544005 BOILERMAKERS NATIONAL H&W FUND 754 MINNESOTA AVENUE KANSAS CITY KS 66101-276638 26947010 BOLLINGER INSURANCE INC PO BOX 727 SHORT HILLS NJ 07078- 38 40349005 BOON CHAPMAN BENEFIT ADMINISTR PO BOX 9201 AUSTIN TX 78766- 87 30763005 BORGESS HUMAN RESOURCES 1521 GULL ROAD KALAMAZOO MI 49048- 88 40428395 BOSTON MUTUAL PO BOX 868 LATHAM NY 12110- 38 01957005 BOSTON MUTUAL LIFE 120 ROYALL STREET CANTON MA 02021- 38 40439275 BOULDER ADMINISTRATION SERVICES PO BOX 1046 BOULDER MT 59632-104638 40425885 BOYD CARE PO BOX 70 CLAYTON AL 36016- 38 40376005 BRADFORD WHITE CORPORATION 200 LAFAYETTE STREET MIDDLEVILLE MI 49333- 38 40424475 BRIDGE BENEFITS 1720 INDIANWOOD CIR STE C MAUMEE OH 43537- 38 40141005 BRIDGESTONE AMERICAS HOLDING, INC PO BOX 247 SHELDON IA 51201- 38 19559050 BRITISH COLUMBIA MINISTRY OF HEALTH PO BOX 9050 VICTORIA BC V8W9E2 CAN 00000- 38 40428465 BRMS BENEFIT & RISK MANAGEMENT SERVICES PO BOX 2650 RANCHO CORDOVA CA 95741- 88 40356035 BROKERS NATIONAL LIFE ASSURANC PO BOX 1028 HOUSTON TX 77251-102838 30970005 BROWER GROUP SERVICES INC 3065 N 124TH STREET BROOKFIELD WI 53005- 38 16904005 BROWN & WILLIAMSON HLTH CR PLN PO BOX 35090 LOUISVILLE KY 40232- 38 10562005 BROWN GROUP INS 8400 MARYLAND AVE ST LOUIS MO 63166-002905 27525005 BS OF CA PO BOX 272530 CHICO CA 95927- 89 12997015 BS OF CA PO BOX 272560 CHICO CA 95927-256005 21664005 BS OF PR GPO BOX G 3628 SAN JUAN PR 00936- 38 40425165 BSI NORTHERN AMERICAN PO BOX 853921 RICHARDSON TX 75085-392138 40172005 BUCKEYE EMPLOYEE BENEFIT SERVS PO BOX 18245 COLUMBUS OH 43218- 38 05025005 BENEFIT ADMINISTRATORS OF AMER PO BOX 9120 DES MOINES IA 50306- 89 30712010 BENEFIT CONCEPT PO BOX C5009 WARMINSTER PA 18974- 38 30712005 BENEFIT CONCEPT PO BOX C5009 WARMINSTER PA 18974-058038 40308005 BENEFIT CONCEPTS INC PO BOX 60608 KING OF PRUSSIA PA 19406- 38 27768010 BENEFIT COORDINATORS CORPORATION 111 RYAN COURT SUITE 300 PITTSBURGH PA 15205-132438 30859015 BENEFIT MANAGEMENT ADMINISTRATION INC PO BOX 17 CALEDONIA MI 49316- 89 40440495 BENEFIT MANAGEMENT INC PO BOX 3001 JOPLIN MO 64803-300189 30859020 BENEFIT MANAGEMENT SERVICES PO BOX 1178 MATTHEWS NC 28106- 89 40440585 BENEFIT MANAGEMENT SERVICES PO BOX 98044 BATON ROUGE LA 70898-904489 40428405 BENEFIT MANUFACTURING INC 2015 16TH ST GREAT BEND KS 67530- 89 40413135 BENEFIT PLAN ADMIN OF WI 11270 W PARK PLACE STE 950 MILWAUKEE WI 53224- 38 23640005 BENEFIT PLAN ADMINISTRATION WI 11270 W PARK PL #950 MILWAUKEE WI 53224-362338 40048010 BENEFIT PLAN ADMINISTRATORS 101 S JEFFERSON STREET ROANOKE VA 24011-174638 40048015 BENEFIT PLAN ADMINISTRATORS PO BOX 2339 FARGO ND 58108- 38 40261005 BENEFIT PLAN ALTERNATIVES INC 7135 SYLVANIA AVE., BLDG 2C SYLVANIA OH 43560-

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OI Carrier ID Carrier Name Street City State Zip Code89 40423855 BENEFIT PLANNERS PO BOX 690450 SAN ANTONIO TX 78269-045038 26606005 BENEFIT PLANNERS PO BOX 690450 SAN ANTONIO TX 78269-045038 30720005 BENEFIT RESOURCES INC 2320 BRIGHTON-HENRIETTA TOWNLI ROCHESTER NY 14623-278289 21978005 BENEFIT SERVICES PO BOX 4241 AKRON OH 44321- 06 30079005 BENEFIT SERVICES INC PO BOX 4138 AKRON OH 44321-013811 27102005 BENEFIT SOURCE PO BOX 240 MONROE MI 48161-024038 20611005 BENEFIT SOURCE PO BOX 240 MONROE MI 48161-024089 20611010 BENEFIT SOURCE PO BOX 240 MONROE MI 48161-024038 30933020 BENEFIT SOURCE PO BOX 240 MONROE MI 48161-024089 30933005 BENEFIT SOURCE PO BOX 240 MONROE MI 48161-024089 27102010 BENEFIT SOURCE PO BOX 240 MONROE MI 48161-024038 40426565 BENEFIT SUPPORT INC PO BOX 2977 GAINSVILLE GA 30503- 38 25752005 BENEFIT SYSTEMS PO BOX 80447 INDIANAPOLIS IN 46280- 89 25752010 BENEFIT SYSTEMS PO BOX 80447 INDIANAPOLIS IN 46280-044789 40439235 BENEFIT SYSTEMS AND SERVICES 760 PASQUINELLI DR STE 320 WESTMONT IL 60559- 38 40426155 BENEFITS IN A CARD 1776 AMERICAN HERITAGE DR JACKSONVILLE FL 32224- 38 30967005 BENE-FLEX INC 4801 W PETERSON AVENUE CHICAGO IL 60646- 87 40321005 BENESCRIPT SERVICES INC PO BOX 921229 NORCROSS GA 30010-122989 40308010 BENESIGHT PO BOX 395 PUEBLO CO 81003- 34 00065170 BENESIGHT 600 COLONIAL CENTER PKWY LAKE MARY FL 32746-476434 15531005 BENESIGHT PO BOX 121212 MARIETTA GA 30067-009234 00065123 BENESIGHT PO BOX 350 PUEBLO CO 81002- 34 00065104 BENESIGHT PO BOX 380 PUEBLO CO 81002- 34 00065130 BENESIGHT PO BOX 7046 ROCKFORD IL 61125-704689 00065135 BENESIGHT PO BOX 7046 ROCKFORD IL 61125-704689 40413705 BENESIGHT PO BOX 310 PUEBLO CO 81002- 34 40308015 BENESIGHT PO BOX 320 PUEBLO CO 81003- 67 40338005 BENESYS 700 TOWER DRIVE TROY MI 48098-280887 40426035 BENRX PO BOX 419019 DEPT 248 KANSAS CITY MO 64141- 89 40427385 BERKSHIRE HEALTH PARTNERS 50 COMMERCE DR WYOMISSING PA 19610- 89 40428595 BEST LIFE AND HEALTH INS CO PO BOX 19721 IRVINE CA 92623- 38 20620005 BEST LIFE ASSURANCE CO OF CA PO BOX 7650 NEWPORT BEACH CA 92660- 88 40429595 BEST LIFE DENTAL PLANS PO BOX 19721 IRVINE CA 92623-972167 26938010 BEVERAGE INDUSTRY LOCAL 733 300 S ASHLAND AVENUE CHICAGO IL 60607- 89 40440605 BLUE ADVANTAGE ADMINISTRATORS PO BOX 1460 LITTLE ROCK AR 72203- 38 30882005 BLUE ADVANTAGE ADMINISTRATORS PO BOX 1460 LITTLE ROCK AR 72203-146089 40440315 BLUE BELL BENEFITS TRUST PO BOX 605 BRENHAM TX 77834-060589 40429615 BLUE CHOICE HEALTH PLAN PO BOX 6170 COLUMBIA SC 29260- 89 30969005 BLUE CHOICE NETWORK PO BOX 2500,600 LAFAYETTE DETROIT MI 48231-250089 40428745 BLUE GRASS FAMILY HEALTH PO BOX 22738 LEXINGTON KY 40522- 38 40276005 BMG ADMIN 10497 TOWN & COUNTRY WAY HOUSTON TX 77024- 38 24165005 BMS ADMINISTRATIVE SERVICES 2720 S RIVER RD STE232 DES PLAINES IL 60018-411138 30886005 CAPITAL CARE 550 12TH ST SW #12 WASHINGTON DC 20065-000189 40439415 CAPITAL HEALTH PLAN PO BOX 15349 TALLAHASSEE FL 32317-534938 02168005 CAPITOL ADMINISTRATORS PO BOX 346 ALPHARETTA GA 30009- 89 40425285 CAPITOL ADMINISTRATORS PO BOX 346 ALPHARETTA GA 30009- 38 30574005 CAPITOL AMERICAN LIFE PO BOX 94953 CLEVELAND OH 44101-495389 13045010 CARE FIRST BC BS PO BOX 812 OWINGS MILLS MD 21117-081205 13045005 CARE FIRST BC BS PO BOX 812 OWINGS MILLS MD 21117-081289 40429305 CARE FIRST BLUE CROSS BLUE SHIELD PO BOX 14115 LEXINGTON KY 40512-

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OI Carrier ID Carrier Name Street City State Zip Code87 40427125 CARE FIRST PHARMACY MANAGEMENT 10455 MILL RUN CIRCLE OWINGS MILLS MD 21117- 89 40425155 CARELINK PO BOX 7373 LONDON KY 40742-737387 30547005 CAREMARK PO BOX 52188 Phoenix AZ 85072-218887 40099010 CAREMARK (PHARMACARE) PO BOX 52188 PHOENIX AZ 85072-218887 13967005 CAREMARK/ADVANCE PCS PO BOX 52197 PHOENIX AZ 85072-219787 11541010 CAREMARK/NALC PO BOX 686005 SAN ANTONIO TX 78268-600538 40426485 CARITEN DEPT 888113 KNOXVILLE TN 37995- 89 30547100 CARITEN HEALTHCARE PO BOX 22987 KNOXVILLE TN 37933- 38 40439305 CAROLINA BEHAVIORAL HEALTH ALLIANCE PO BOX 571137 WINSTON-SALEM NC 27517- 38 40425545 CAROLINA BENEFITS ADMINISTRATORS PO BOX 3257 SPARTANBURG SC 29302- 38 40425465 CAROLINA CARE PLAN 201 EXECUTIVE CENTER DR COLUMBIA SC 29210- 67 28241005 CARPENTERS H & W TRUST FUND CA PO BOX 3010 CONCORD CA 94522- 89 40428215 CARPENTERS HEALTH & WELFARE FUND/CARE MANAGEM PO BOX 42031 HAZELWOOD MO 63042- 67 30526005 CARPENTERS LOCAL UNION 704 3101 ALLIED DR JACKSON MI 49201- 89 40439325 CARPENTERS TRUST OF WESTERN WASHINGTON PO BOX 1929 SEATTLE WA 98111- 67 16083005 CARPENTERS WELFARE OF TX PO BOX 26166 HOUSTON TX 77207- 89 99999999 CARRIER IDENTIFIED BY PHARMACY TEST STREET TEST CITY WI 99999-999988 40427245 CARRINGTON DENTAL PO BOX 2568 FRISCO TX 75034- 38 28761005 CASCADE DIE CASTING GROUP 3040 CHARLEVOIX DR SE GRAND RAPIDS MI 49546- 89 40320010 CASI INC PO BOX 8244 SOUTH BEND IN 46660- 38 40320005 CASI INC PO BOX 8244 SOUTH BEND IN 46660- 38 02328005 CELINA MUTUAL INS INSURANCE SQUARE CELINA OH 45822- 89 40413235 CELTIC INSURANCE CO PO BOX 33839 INDIANAPOLIS IN 46203- 38 19290010 CELTIC INSURANCE CO PO BOX 33839 INDIANAPOLIS IN 46203-083938 16065015 CENTRA HEALTHCARE ADM SERVICES PO BOX 8000 DUNCAN OK 73534-800038 12226005 CENTRAL BENEFITS MUTUAL INS CO 4079 EXECUTIVE PARKWAY WESTERVILLE OH 43081- 38 40423215 CENTRAL BENEFTIS PO BOX 619053 DALLAS TX 75261- 38 40440185 CENTRAL LABORERS PENSION WELFARE & ANNUITY PO BOX 1267 JACKSONVILLE IL 62651-126789 15676010 CENTRAL RESERVE LIFE OF NORTH 17800 ROYALTON ROAD STRONGSVILLE OH 44136-519738 15676005 CENTRAL RESERVE LIFE OF NORTH 17800 ROYALTON RD. STRONGSVILLE OH 44136-519747 30917005 CENTRAL STATES PO BOX 5116 DES PLAINES IL 60017-511638 40423115 CENTRAL STATES HEALTH & LIFE CO OF OMAHA PO BOX 34952 OMAHA NE 68134-983289 16118005 CENTRAL STATES JOINT BOARD 1950 W ERIE ST CHICAGO IL 60622- 47 10580005 CENTRAL STATES SE SW TEAMSTERS PO BOX 5103 DES PLAINES IL 60017-510389 10580010 CENTRAL STATES SE SW TEAMSTERS PO BOX 5116 DES PLAINES IL 60017-511689 40440575 CENTRAL TEXAS HEALTH & BENEFIT PLAN PO BOX 250089 PLANO TX 75025-008938 40427885 CENTURY HEALTH CARE PO BOX 2256 GRAPEVINE TX 76099- 89 40429965 CENTURY HEALTHCARE PO BOX 2256 GRAPEVINE TX 76099-225638 40429885 CERNER PO BOX 165750 KANSAS CITY MO 64116-575038 10606005 CERT LIFE INS CO PO BOX 66933 CHICAGO IL 60666- 38 28250005 CHANDLER & ASSOCIATES 35 RIVER ST CHAGRIN FALLS OH 44022- 89 02426005 CHEC PO BOX 538508 GRAND PRAIRE TX 75053- 38 40395005 CHEROKEE INSURANCE CO PO BOX 159 WARREN MI 48090- 38 40423765 CHESAPEAKE LIFE INS CO PO BOX 809067 DALLAS TX 75380-906738 22652005 CHESTERFIELD RESOURCES INC PO BOX 1884 AKRON OH 44309- 07 00181050 CT GENERAL LIFE PO BOX 3077 BOURBONNAIS IL 60914- 07 00181075 CT GENERAL LIFE PO BOX 15408 WILMINGTON DE 19850-540807 00181090 CT GENERAL LIFE PO BOX 4007 VISALIA CA 93278- 89 00181130 CT GENERAL LIFE PO BOX 800 UNIONVILLE CT 06085- 89 00181115 CT GENERAL LIFE PO BOX 8014 PLAINVILLE CT 06062-

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OI Carrier ID Carrier Name Street City State Zip Code89 00172045 CT GENERAL LIFE PO BOX 10370 DES MOINES IA 50306- 83 00181110 CT GENERAL LIFE PO BOX 2305 SOUTHFIELD MI 48037- 89 00181135 CT GENERAL LIFE PO BOX 15408 WILMINGTON DE 19850-540807 00181060 CT GENERAL LIFE PO BOX 16782 COLUMBUS OH 43216- 07 30107005 CT GENERAL LIFE PO BOX 4010 FARMINGTON CT 06034-401089 00181125 CT GENERAL LIFE PO BOX 5019 VISALIA CA 93278-501988 00181035 CT GENERAL LIFE PO BOX 9013 SHERMAN TX 75091- 07 23533005 CT GENERAL LIFE PO BOX 64143 ST PAUL MN 55164-014307 00172025 CT GENERAL LIFE 2 VANTAGE WAY NASHVILLE TN 37228-150489 00181010 CT GENERAL LIFE PO BOX 29000 ATLANTA GA 30359- 88 00181030 CT GENERAL LIFE PO BOX 183 SOUTHFIELD MI 48075- 89 00181015 CT GENERAL LIFE PO BOX 2546 SHERMAN TX 75091-254607 30307005 CT GENERAL LIFE 12225 GREENVILLE AVENUE DALLAS TX 75243- 07 30590005 CT GENERAL LIFE JFK AIRPORT STATION JAMAICA NY 11430- 89 00181140 CT GENERAL LIFE PO BOX 5046 SOUTHFIELD MI 48086- 07 00172005 CT GENERAL LIFE PO BOX 5200 SCRANTON PA 18505-520038 40425365 CONCERT HEALTH PLAN 2605 W 22ND ST STE 25 OAKBROOK IL 60523- 89 10704005 CONCORDIA HEALTH PLAN PO BOX 229013 ST LOUIS MO 63122- 89 40393020 CONNECTCARE ALLIANCE 4009 ORCHARD DRIVE MIDLAND MI 48640- 89 40393005 CONNECTICARE 30 BATTERSON PARK ROAD FARMINGTON CT 06032- 89 40424585 CONNECTICUT GENERAL-STAR HRG PO BOX 54150 PHOENIX AZ 85078-415038 02613005 CONSECO DIRECT LIFE INSURANCE CO 399 MARKET STREET PHILADELPHIA PA 19181-125038 02613020 CONSECO HEALTH INSURANCE PO BOX 2024 CARMEL IN 46802-000038 02613010 CONSECO MEDICAL INSURANCE CO PO BOX 2034 CARMEL IN 46082-203438 00065118 CONSECO SENIOR HEALTH INS CO PO BOX 10319 DES MOINES IA 50306-031983 40428425 CONSECO SENIOR HEALTH INS CO PO BOX 2002 CARMEL IN 46082-200238 02613015 CONSOCIATE GROUP PO BOX 1068 DECATUR IL 62525-106838 40410005 CONSOLIDATED BENEFIT RESOURCE PO BOX 581630 TULSA OK 74158- 38 40346005 CONSOLIDATED BENEFITS INC 820 PARISH ST PITTSBURG PA 15220-340538 13804005 CONSOLIDATED FREIGHTWAYS PO BOX 171841 MEMPHIS TN 38187-184138 24183005 CONSOLIDATED GROUP INC PO BOX 2062 NASHUA NH 20306-130088 10698005 CONSOLIDATED GROUP INC PO BOX 9191 FRAMINGHAM MA 01701-919189 40413995 CONSOLIDATED HEALTH PLANS PO BOX 1998 SPRINGFIELD MA 01101-199838 40428625 CONSTITUTION LIFE PO BOX 399127 CAMBRIDGE MA 02139- 89 40440005 CONSUMER LIFE PO BOX 94875 CLEVELAND OH 44101-487538 40428685 CONTACT BEHAVIORAL HEALTH PO BOX 60968 PHOENIX AZ 85002- 83 02892005 CONTINENTAL CASUALTY PO BOX 946760 MAITLAND FL 32794-676088 40425235 CONTINENTAL GENERAL CENTRAL RESERVE LIFE PO BOX 5004 SCHENECTADY NY 12301- 38 40428155 CONTINENTAL GENERAL INS PO BOX 247007 OMAHA NE 68124- 89 40440215 CONTINENTAL GENERAL INS PO BOX 247007 OMAHA NE 68124- 38 27283005 CONTINENTAL GENERAL INS CO PO BOX 26580 AUSTIN TX 78755-058038 22877005 CONTINENTAL LIFE INSURANCE CO PO BOX 1188 BRENTWOOD TN 37027-118838 40091005 CONTRACT FREIGHTERS INC PO BOX 2547 JOPLIN MO 64803- 38 40277005 COOK GROUP HEALTH PLAN PO BOX 489 BLOOMINGTON IN 47402- 86 13662010 CO-OP OPTICAL 2424 E 8 MILE ROAD DETROIT MI 48234- 89 40412025 COOPERATIVE HEALTH NETWORK 5555 AIRPORT HIGHWAY TOLEDO OH 43615- 38 30529005 COORDINATED BENEFIT PLANS PO BOX 31107 TAMPA FL 33631-310789 40440595 CORE ADMINISTRATIVE SERVICES PO BOX 90 MACON GA 31202-009089 40428945 CORE BENEFITS INC PO BOX 5182 FORT WAYNE IN 46895-518289 20406005 CORESOURCE 5200 77 CENTER DR STE 400 CHARLOTTE NC 28217-0718

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OI Carrier ID Carrier Name Street City State Zip Code38 07191005 CORESOURCE 146 INDUSTRIAL PARK JACKSON MN 56143-951176 40428085 CORESOURCE PO BOX 279 SHELDON IA 51201- 76 27948005 CORESOURCE 18401 MAPLE CREEK DR STE 300 TINLEY PARK IL 60477-295689 40119025 CORESOURCE PO BOX 83301 LANCASTER PA 17608-330176 40119040 CORESOURCE PO BOX 2920 CLINTON IA 52733- 76 28102005 CORESOURCE PO BOX 279 SHELDON IA 51201-027976 29104005 CORESOURCE 6100 FAIRVIEW STE 1000 CHARLOTTE NC 28210- 88 40424755 CORESOURCE 4940 CAMPBELL BLVD BALTIMORE MD 21236- 89 40119030 CORESOURCE 4940 CAMPBELL BLVD SUITE 200 BALTIMORE MD 21236- 76 40119005 CORESOURCE PO BOX 2920 CLINTON IA 52733- 76 30406005 CORESOURCE 5200 77 CENTER DR STE 400 CHARLOTTE NC 28217-071876 40423255 CORESOURCE PO BOX 8215 LITTLE ROCK AR 72221- 89 40429565 CORESOURCE PO BOX 2920 CLINTON IA 52733-292038 07191010 CORESOURCE PO BOX 1195 MINNEAPOLIS MN 55440-119589 40119035 CORESOURCE 5200 77 CENTER DR STE 400 CHARLOTTE NC 28217-071889 28102010 CORESOURCE PO BOX 279 SHELDON IA 51201-027989 07191020 CORESOURCE 7830 E BROADWAY TUCSON AZ 85710-399189 24094005 CHESTERFIELD RESOURCES INC PO BOX 1884 AKRON OH 44309- 67 30900005 CHICAGO CARPENTERS H & W 12 EAST ERIE STREET CHICAGO IL 60611- 38 30836005 CHICAGO GRAPHIC ARTS PO BOX 11137 CHICAGO IL 60611-013767 28066010 CHICAGO PLASTERING HEALTH & WELFARE TRUST 6547 N AVONDALE - SUITE 202 CHICAGO IL 60631- 89 40426575 CHICAGO PNEUMATIC TOOL CO HEALTHCARE PLAN 1800 OVERVIEW DR ROCKHILL SC 29730- 89 40311005 CHICKERING PO BOX 45708 BOSTON MA 02215-001489 40301005 CHOICE CARE PO BOX 3188 CINCINNATI OH 45201- 38 40263010 CHOICECARE CORP PO BOX 19013 GREEN BAY WI 54307- 38 21996005 CHRISTIAN BROTHERS EMPLOYEE TR 100 DELASALLE DRIVE ROMEOVILLE IL 60441- 38 30505005 CHRISTIAN FIDELITY 2001 BATES DR. WARAHACHIE TX 75165- 38 18346005 CHRISTIAN HOSPITALIZATION AID PO BOX 336 MONTEZUMA KS 67867- 89 27407010 CHRISTIAN MISSIONARY ALLIANCE PO BOX 35690 COLORADO SPRINGS CO 80935- 38 23177005 CHUBB LIFE AMERICA PO BOX 268849 OKLAHOMA CITY OK 73126-884938 28594005 CHURCH OF THE BRETHREN MED PLA 1451 DUNDEE ELGIN IL 60120- 89 40413125 CIGNA PO BOX 28087 RALEIGH NC 27611-808788 40425175 CIGNA PO BOX 188037 CHATTANOOGA TN 37422- 89 40423845 CIGNA PO BOX 7000 ROCKAWAY NJ 07866- 30 23239005 CIGNA BEHAVORIAL HEALTH CARE PO BOX 46270 EDEN PRARIE MN 55344-627088 40425975 CIGNA DENTAL PO BOX 188037 CHATTANOOGA TN 37422- 88 00172050 CIGNA DENTAL HEALTH PO BOX 189060 PLANTATION FL 33318-906088 00172060 CIGNA DENTAL HMO PO BOX 2125 GLENDALE CA 91209- 88 00181065 CIGNA DENTAL PPO PO BOX 5072 VISALIA CA 93278- 30 40424155 CIGNA HEALTHCARE PO BOX 182352 COLUMBUS OH 43218- 30 00092010 CIGNA HEALTHCARE PO BOX 5200 SCRANTON PA 18505- 89 00181145 CIGNA HEALTHCARE PO BOX 5019 VISALIA CA 93278- 38 40413875 CIGNA HEALTHCARE PO BOX 42018 PHOENIX AZ 85080-201889 40425525 CIGNA HEALTHCARE 2223 WASHINGTON ST STE 200 NEWTON MA 02162- 84 22723005 CIGNA HEALTHCARE PO BOX 10367 DES MOINES IA 50306-036730 25082005 CIGNA HEALTHCARE PO BOX 5019 VISALIA CA 93278- 89 00092050 CIGNA HEALTHCARE PO BOX 5200 SCRANTON PA 18505-520089 40427285 CIGNA INTERNATIONAL PO BOX 15050 WILMINGTON DE 19850- 38 40426875 CIGNA INTERNATIONAL PO BOX 15050 WILMINGTON DE 19850-505086 40429285 CIGNA VISION CARE PO BOX 8056 TWINSBURG OH 44087-

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OI Carrier ID Carrier Name Street City State Zip Code38 02524005 CINCINNATI LIFE INSURANCE CO PO BOX 145496 CINCINNATI OH 45250-549689 40440535 CINERGY HEALTH 1844 N NOB HILL RD STE 623 PLANTATION FL 33322- 88 40428605 CITIZENS SECURITY LIFE INS PO BOX 436149 LOUISVILLE KY 40253- 75 18749005 CLAIM MANAGEMENT SERVICES INC PO BOX 10888 GREEN BAY WI 54307- 86 40425455 CLARITY VISION PO BOX 890500 CAMP HILL PA 17089-050089 40439965 CM ADMINISTRATORS PO BOX 87269 FAYETTEVILLE NC 28304-726908 02892015 CNA PO BOX 44242 JACKSONVILLE FL 32231-424208 02892010 CNA PO BOX 55270 PHOENIX AZ 85078-527089 00341030 CNA MANAGED CARE PO BOX 305059 NASHVILLE TN 37230-505908 00341015 CNA OF IL 333 S WABASH AVE CHICAGO IL 60685- 83 00341035 CNA OF TN PO BOX 305005 NASHVILLE TN 37230-500583 40429175 CNA/CONTINENTAL CASUALTY PO BOX 64912 ST. PAUL MN 55164- 38 30542005 CNIC HEALTH SOLUTIONS PO BOX 3559 ENGLEWOOD CO 80155-355989 40429255 CNIC HEALTH SOLUTIONS PO BOX 3559 ENGLEWOOD CO 80155- 67 16735005 CO LABORERS H&W FUND 7000 N BROADWAY, BLDG 3 DENVER CO 80221-290789 30824005 COFINITY (PPOM) PO BOX 2720 FARMINGTON HILL MI 48333- 86 00163030 COLE MANAGED VISION PO BOX 8504 MASON OH 45040-711186 18079010 COLE VISION PO BOX 8504 MASON OH 45040- 38 40439655 COLLEGE HEALTH IPA 17100 PIONEER BLVD STE 420 CERRITOS CA 90701- 89 40440715 COLORADO CONTRACTORS TRUST PO BOX 21240 DENVER CO 80221-024038 29998005 COLUMBIA UNIVERSAL LIFE INS PO BOX 19085 GREENVILLE SC 29602- 84 02640005 COMBINED INSURANCE COMPANY 5050 BROADWAY CHICAGO IL 60640- 38 40423655 COMBINED PRIORITY ONE PO BOX 638 BELLINGHAM WA 98227- 38 40411405 COMMERCE BENEFIT GROUP PO BOX 900 ELYRIA OH 44036- 89 21314010 COMMERCE BENEFITS GROUP INC PO BOX 900 ELYRIA OH 44036- 38 02702005 COMMERCIAL TRAVELERS MUT INS 70 GENESEE UTICA NY 13502- 89 40439605 COMMUNITY CARE PO BOX 3248 TULSA OK 74101-324886 40439315 COMMUNITY EYECARE 2359 PERIMETER POINTE PRKWY CHARLOTTE NC 28208- 89 40117010 COMMUNITY HEALTH ALLIANCE NETWORK PO BOX 1293 SOUTH BEND IN 46634- 89 40117005 COMMUNITY HEALTH PARTNERS P O BOX 9084 FARMINGTON HILLS MI 48333- 88 40426605 COMP BENEFITS PO BOX 769649 ROSWELL GA 30076- 38 30887005 COMPANION LIFE PO BOX 100102 COLUMBIA SC 29202- 88 40425445 COMPANION LIFE PO BOX 100102 COLUMBIA SC 29202- 88 40425585 COMPBENEFITS PO BOX 14093 LEXINGTON KY 40512-409389 27274010 COMPCARE NORTHWEST PO BOX 87 STEVENS POINT WI 54481-008788 28605010 COMPDENT PO BOX 769569 ROSWELL GA 30076-822388 30591005 COMPDENT PO BOX 4677 CHICAGO IL 60680- 38 19601005 COMPLETE CARE CONTROL SIMPLEX PLAZA GARDNER MA 01441- 38 40192005 COMPREHENSIVE BENEFITS ADMIN PO BOX 2365 S BURLINGTON VT 05407- 38 40426915 COMPREHENSIVE CARE SERVICES PO BOX 64668 ST PAUL MN 55165- 89 40192010 COMPREHENSIVE CARE SERVICES PO BOX 64668 ST PAUL MN 55164- 38 40439515 COMPSYCH PO BOX 8379 CHICAGO IL 60680-837989 40440085 COMPUSYS PO BOX 30101 SALT LAKE CITY UT 84130-010138 22302005 CONAGRA INC ONE CENTRAL PARK PLAZA OMAHA NE 18102- 07 00172030 CT GENERAL LIFE PO BOX 34335 CHARLOTTE NC 28234-433507 00181045 CT GENERAL LIFE PO BOX 8014 PLAINVILLE CT 06062- 89 00181020 CT GENERAL LIFE PO BOX 4010 FARMINGTON CT 06034- 89 00181100 CT GENERAL LIFE PO BOX 5200 SCRANTON PA 18505-520089 00181085 CT GENERAL LIFE PO BOX 978 BRISTOL TN 06011- 07 00181080 CT GENERAL LIFE PO BOX 29000 ATLANTA GA 30359-

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OI Carrier ID Carrier Name Street City State Zip Code07 00181025 CT GENERAL LIFE PO BOX 5132 SOUTHFIELD MI 48086- 07 00181005 CT GENERAL LIFE PO BOX 5046 SOUTHFIELD MI 48086- 38 20344010 CT GENERAL/STAR HRG PO BOX 55270 PHOENIX AZ 85078-527038 40347010 CT NATIONAL LIFE PO BOX 3071 EVANSTON IL 60204- 89 40347015 CT NATIONAL LIFE PO BOX 1250 ROCKFORD IL 61105-125038 40347005 CT NATIONAL LIFE PO BOX 1250 ROCKFORD IL 61105-120538 40427605 CTI ADMINISTRATORS 100 COURT AVE STE 306 DES MOINES IA 50309- 64 40064005 CUB UFCW THE 1800 PHOENIX BLVD ATLANTA GA 30349- 38 03002005 CUMIS INS SOCIETY PO BOX 1084 MADISON WI 53701- 38 20658005 CUMMINS GREAT LAKES EMP BENEF 1901 N STEPHENSON AVENUE IRON MOUNTAIN MI 49801- 38 03011005 CUNA MUTUAL INS SOC PO BOX 391 MADISON WI 53701- 89 40424285 CURANET PO BOX 30319 LANSING MI 48909-763238 40424265 CUSTOM BENEFIT ADMINISTRATORS PO BOX 1385 LACROSSE WI 54602- 38 40354005 CUSTOM DESIGN BENEFIT PLAN 4373 HARRISON AVENUE CINCINNATI OH 45211-332189 40439065 CWI BENEFITS PO BOX 6125 GREENVILLE SC 29606-612538 40413665 CYPRESS BENEFIT ADMINISTRATORS PO BOX 7020 APPLETON WI 54912- 88 40425785 D CARE DENTAL 300 NW 82ND ST PLANTATION FL 33324- 38 40332005 DAKOTA TRUCK UNDERWRITERS PO BOX 89310 SIOUX FALLS SD 57109-100838 40425105 DAKOTACARE 1323 S MINNESOTA AVE SIOUX FALLS SD 57105- 38 40413845 DAN R WAGNON & ASSOC 5045 N 12TH ST STE 100 PHOENIX AZ 85014-330238 03067005 DANISH BRO IN AMER PO BOX 31748 OMAHA NE 68131- 38 18613005 DART CONTAINER CORP PO BOX 318 MASON MI 48854-031886 40425485 DAVIS VISION PO BOX 1525 LATHAM NY 12110- 89 40241005 DAYMED HMP INC PO BOX 1236 DAYTON OH 45402- 38 19307005 DBL SERVICES INC 314 N BROADWAY ST LOUIS MO 63102- 38 40440145 DC 37 HEALTH & SECURITY PLAN BENEFITS 125 BARCLAY ST NEW YORK NY 10007-217989 40304005 DCA PHS AND AFFILIATES PO BOX 1489 STOW OH 44224-048988 40425755 DCARE DENTAL PO BOX 1348 MINNEAPOLIS MN 55440- 38 30776005 DEALERS ASSOCIATION PLAN 5526 PLYMOUTH SORRENTO APOPKA FL 32712-511789 30776010 DEAN HEALTH PLAN PO BOX 56099 MADISON WI 53705- 89 40428415 DEFINITY HEALTH PO BOX 740810 ATLANTA GA 30374-081038 40413275 DEFINITY HEALTH PO BOX 9525 AMHERST NY 14226- 89 40426205 DEFINITY HEALTH 1600 UTICA AVE S STE 900 ST LOUISE PARK MN 55416- 38 26778005 DELFIELD COMPANY 980 S ISABELLA ROAD MT PLEASANT MI 48858- 88 40122005 DELTA CARE HMO PLAN OF MI PO BOX 79001 DETROIT MI 48279-171988 03085065 DELTA DENTAL OF NM 2500 LOUISIANA BOULEVARD ALBURQUERQUE NM 87110- 88 03085060 DELTA DENTAL OF RI PO BOX 1517 PROVIDENCE RI 02901-151788 40425745 DELTA DENTAL OF TX PO BOX 151240 IRVING TX 75015- 88 30764005 DELTA DENTAL PLAN OF AR PO BOX 15965 NORTH LITTLE ROCK AR 72231-596588 03085015 DELTA DENTAL PLAN OF AZ PO BOX 43000 PHOENIX AZ 85080-300088 29926005 DELTA DENTAL PLAN OF CA PO BOX 997330 SAN FRANCISCO CA 95899-733088 03085030 DELTA DENTAL PLAN OF CO PO BOX 173803 DENVER CO 80217-380388 03085020 DELTA DENTAL PLAN OF GA PO BOX 1809 ALPHARETTA GA 30023-180988 03085050 DELTA DENTAL PLAN OF HI 700 BISHOP ST SUITE 700 HONOLULU HI 96813- 88 30943005 DELTA DENTAL PLAN OF IA 2401 S E TONES DRIVE ANKENY IA 50021- 88 40426695 DELTA DENTAL PLAN OF ID PO BOX 2870 BOISE ID 83701- 88 03085035 DELTA DENTAL PLAN OF IL PO BOX 5402 LISLE IL 60532- 88 30814005 DELTA DENTAL PLAN OF IN NORTH DRIVE #191 INDIANAPOLIS IN 46250-432788 40413625 DELTA DENTAL PLAN OF KENTUCKY PO BOX 242810 LOUISVILLE KY 40224-281088 40426405 DELTA DENTAL PLAN OF KS PO BOX 49198 WICHITA KS 67201-

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OI Carrier ID Carrier Name Street City State Zip Code88 03085040 DELTA DENTAL PLAN OF MA PO BOX 9695 BOSTON MA 02114- 88 03085010 DELTA DENTAL PLAN OF MI PO BOX 9085 FARMINGTON HILLS MI 48333-908538 40125005 ELI LILLY & COMPANY EMPLOYEE LILLY CORPORATE CENTER INDIANAPOLIS IN 46285- 89 40423905 ELKHART MEDICAL ORGANIZATION PO BOX 3120 ELKHART IN 46515-312089 40413925 EMERALD HEALTH ALLIANCE PO BOX 10399 EUGENE OR 97440-239989 24610005 EMERALD HEALTH NETWORK INC PO BOX 94808 CLEVELAND OH 44101-480887 40427225 EMPIRE 85 CRYSTAL RUN RD MIDDLETOWN NY 10904-3 05 30038005 EMPIRE BC BS OF NY 11 W 42ND NEW YORK NY 10036- 89 30038010 EMPIRE BC BS OF NY PO BOX 5012 MIDDLETOWN NY 10940-901205 30078005 EMPIRE BC BS OF NY PO BOX 5012 MIDDLETOWN NY 10940-901205 13205005 EMPIRE BC BS OF NY PO BOX 11800 ALBANY NY 12211-080038 40423745 EMPLOYEE BENEFIT CLAIMS OF WI PO BOX 884 APPLETON WI 54912- 55 19245005 EMPLOYEE BENEFIT CONCEPTS INC PO BOX 2365 FARMINGTON HILL MI 48333-236538 29937005 EMPLOYEE BENEFIT CONSULTANTS PO BOX 928 FINLEY OH 45839- 38 40426025 EMPLOYEE BENEFIT CONSULTANTS PO BOX 530603 BIRMINGHAM AL 35253- 88 40413165 EMPLOYEE BENEFIT CONSULTANTS 9275 N 49TH STREET MILWAUKEE WI 53223- 55 30039005 EMPLOYEE BENEFIT MANAGEMENT 4789 RINGS DUBLIN OH 43017- 38 40424995 EMPLOYEE BENEFIT MANAGEMENT PO BOX 21367 BILLINGS MT 59104-136738 23990005 EMPLOYEE BENEFIT MANAGEMENT CORP 4789 RINGS ROAD DUBLIN OH 43017-095989 30039010 EMPLOYEE BENEFIT MANAGEMENT CORP 4789 RINGS RD DUBLIN OH 43017- 89 40423665 EMPLOYEE BENEFIT MANAGEMENT SERVICES PO BOX 4000 DRAPER UT 84020- 38 40424175 EMPLOYEE BENEFIT MANAGEMENT SERVICES PO BOX 4000 DRAPER UT 84020- 89 40174015 EMPLOYEE BENEFIT SERVICES OF LA 5960 W PARKER RD STE 278 #161 PLANO TX 75093- 89 30839015 EMPLOYEE BENEFIT STRATEGIES 229 E MICHIGAN STE 235 KALAMAZOO MI 49007-640289 24764010 EMPLOYEE BENEFITS PO BOX 347 GRAND BLANC MI 48439- 88 40425375 EMPLOYEE BENEFITS CONCEPTS INC PO BOX 2365 FARMINGTON HILLS MI 48333-236555 24764005 EMPLOYEE BENEFITS INC PO BOX 438 GRAND BLANC MI 48439- 87 40191010 EMPLOYEE HEALTH INS MANAGEMENT (EHIM) 26711 NORTHWESTERN HWY STE 400 SOUTHFIELD MI 48034- 38 40439985 GREENTREE ADMINISTRATORS SPINDLETOP MHMR PO BOX 7306 BEAUMONT TX 77726-730638 23284005 GROUP ADMINISTRATORS INC 450 E REMINGTON RDPRESSW SCHAUMBURG IL 60173- 38 23284010 GROUP ADMINISTRATORS LTD 450 REMINGTON RD SCHAUMBURG IL 60173-454088 40427645 GROUP ADMINISTRATORS LTD 450 REMINGTON RD SCHAUMBERG IL 60173-454038 40050015 GROUP AND PENSION ADMINISTRATORS PO BOX 749075 DALLAS TX 75374- 20 40145005 GROUP BENEFIT 540 GLEN AVE MOORESTOWN NJ 08057-174638 22625010 GROUP BENEFIT ADMINISTRATORS 527 S ROSE STREET KALAMAZOO MI 49007- 20 40234005 GROUP BENEFIT PROGRAM PO BOX 44036 BATON ROUGE LA 70804- 76 40119010 CORESOURCE 4940 CAMPBELL BLVD BALTIMORE MD 21236- 76 40119015 CORESOURCE PO BOX 83301 LANCASTER PA 17609-330276 40425195 CORESOURCE INC PO BOX 2920 CLINTON IA 52733- 89 30734005 CORESTAR PO BOX 1195 MINNEAPOLIS MN 55440-002089 40398005 CORNERSTONE BENEFITS ADMINISTRATORS INC PO BOX 1007 ELKHART IN 46515- 38 40398010 CORNERSTONE BENEFITS ADMINISTRATORS INC PO BOX 1007 ELKHART IN 46515- 38 40428755 CORP HEALTH 1300 SUMMIT AVE STE 811 FT WORTH TX 76102- 38 40424825 CORPORATE BENEFIT SERVICES PO BOX 27267 MINNEAPOLIS MN 55427-026769 06407020 CORPORATE BENEFIT SERVICES OF AMERICA PO BOX 27267 MINNEAPOLIS MN 55427-026789 06407040 CORPORATE BENEFIT SERVICES OF AMERICA PO BOX 27267 MINNEAPOLIS MN 55427-026789 26769010 CORPORATE BENEFIT SERVICES OF AMERICA PO BOX 27267 MINNEAPOLIS MN 55427-026789 40429655 CORPORATE BENEFIT STRATEGIES 5001 PLAINFIELD AVE STE A GRAND RAPIDS MI 49525- 38 20934005 CORPORATE DIVERSIFIED SERVICES PO BOX 2835 OMAHA NE 68103-283589 40440015 CORPORATE SYSTEMS ADMINISTRATION PO BOX 4985 JOHNSON CITY TN 37602-4985

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OI Carrier ID Carrier Name Street City State Zip Code38 02936005 COUNTRYWIDE INS CO 1150 SO OLIVE ST LOS ANGELES CA 90015- 38 40392005 COVENANT ADMINISTRATORS INC PO BOX 105738 ATLANTA GA 30348-573888 40429585 COVENTRY PO BOX 7709 LONDON KY 40742- 38 40413295 COVENTRY PO BOX 7709 LONDON KY 40742- 89 40429045 COVENTRY GA 1100 CRCLE75 PRKWY STE 1400 ATLANTA GA 30339- 89 40426935 COVENTRY HEALTH CARE-FIRST HEALTH PO BOX 8400 LONDON KY 40742- 38 40425115 COX HEALTH PLAN 1443 N ROBBERSON AVE STE 700 SPRINGFIELD MO 65802- 38 40161005 CREATION WINDOWS OF IN PO BOX 1046 ELKHART IN 46515- 88 03085055 DELTA DENTAL PLAN OF MN PO BOX 59238 MINNEAPOLIS MN 55459-023888 40124005 DELTA DENTAL PLAN OF MO PO BOX 8690 ST LOUIS MO 63126-069088 03085025 DELTA DENTAL PLAN OF NC 333 SIX FORKS ROAD RALEIGH NC 27609- 88 14973005 DELTA DENTAL PLAN OF NE PO BOX 245 MINNEAPOLIS MN 55440-024588 40123005 DELTA DENTAL PLAN OF NJ PO BOX 222 PARSIPPANY NJ 07054- 88 26580005 DELTA DENTAL PLAN OF OH PO BOX 29979 COLUMBUS OH 43229-097988 20273005 DELTA DENTAL PLAN OF OK PO BOX 54709 OKLAHOMA CITY OK 73154- 88 03085045 DELTA DENTAL PLAN OF PA & W VIRGNIA ONE DELTA DRIVE MECHANICSBURG PA 17055-699988 40426715 DELTA DENTAL PLAN OF RI PO BOX 1517 PROVIDENCE RI 02901- 88 40426785 DELTA DENTAL PLAN OF SD PO BOX 1157 PIERRE SD 57501- 88 30530005 DELTA DENTAL PLAN OF TN 240 VENTURE CIRCLE NASHVILLE TN 37228- 88 30944015 DELTA DENTAL PLAN OF VA 4818 STARKEY RD SW ROANOKE VA 24014- 88 25799005 DELTA DENTAL PLAN OF WI PO BOX 828 STEVENS POINT WI 54481- 88 40427985 DELTA DENTAL PLAN OF WYOMING PO BOX 29 CHEYENNE WY 82203-002989 40439045 DELTA HEALTH SYSTEMS PO BOX 80 STOCKTON CA 95201-308088 30944005 DELTA USA 23 OLD DEPOT ROAD NEW CUMBERLAND PA 17070- 88 30944020 DELTA USA PO BOX 5402 LISLE IL 60532- 88 30944025 DELTA USA PO BOX 59238 MINNEAPOLIS MN 55459- 88 30944010 DELTA USA PO BOX 9085 FARMINGTON HILL MI 48333-908588 03085070 DELTA USA/WA DENTAL PO BOX 75983 SEATTLE WA 98125- 86 40427915 DELTA VISION PO BOX 9059 FARMINGTON MI 48333-905988 40266005 DENCAP DENTAL PLANS 45 E MILWAUKEE AVENUE DETROIT MI 48202-323188 40429745 DENEX DENTAL PO BOX 10949 ROCKVILLE MD 20849- 88 40426455 DENTABLUE DENTACARE OF WI 12695 W NATIONAL AVE NEW BERLIN WI 53151- 88 30606005 DENTAL BENEFIT PROVIDERS PO BOX 30567 SALT LAKE CITY UT 84130- 88 29093005 DENTAL CARE NETWORK 27000 WEST 11 MILE SOUTHFIELD MI 48037- 88 40425875 DENTAL CARE PLUS/CUSTOM DESIGN BENEFITS PO BOX 58339 CINCINNATI OH 45258- 88 30606010 DENTAL CLAIMS ADMINISTRATIVE SERVICES INC PO BOX 256 MINNEAPOLIS MN 55440-025688 40092005 DENTAL GROUP OF AMERICA 500 PERRY RD GRAND BLANC MI 48439- 88 40388005 DENTAL HEALTH GROUP 3531 JUNCTION DETROIT MI 48210- 88 40388010 DENTAL NETWORK OF AMERICA PO BOX 5005 OAKBROOK TERRACE IL 60181- 88 40429515 DENTAL PAY PLUS 100 CORPORATE PARK STE 342 AMHERST NY 14226- 88 23927010 DENTAL SELECT 65 E WADSWORTH PARK ROAD DRAPER UT 84020- 88 40426425 DENTAL SERVICES PO BOX 9201 OXNARD CA 93031- 88 40425795 DENTAQUEST 4061 POWDER MILL RD STE 325 CALVERTON MD 20705- 38 15738005 DESERT HEALTHCARE 10 SOUTH MAIN STREET SALT LAKE CITY UT 84145- 38 40192015 DESTINY HEALTH PO BOX 9219 OAK BROOK IL 60523- 88 40429905 DETROIT BAKERS H&W LOCAL 326 105010 ALLEN RD STE 204 ALLEN PARK MI 48101- 67 11505005 DETROIT MILLMENS LOC 1045 H&W PO BOX 1157 TROY MI 48099-115767 13706005 DETROIT VICINITY TROWEL TRADES PO BOX 99490 TROY MI 48099-949089 40423575 DGA PRODUCER HEALTH PLANS PO BOX 48127 LOS ANGELS CA 90048- 88 40440555 DINA DENTAL PO BOX 40017 BATON ROUGE LA 70835-0017

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OI Carrier ID Carrier Name Street City State Zip Code38 40429765 DIRECT ASSIGNMENTS PO BOX 9077 CLEARWATER FL 33758-907789 40412015 DIRECT CARE AMERICA 5555 AIRPORT HIGHWAY TOLEDO OH 43615- 89 40439385 DISTRICT 9 INTL ASSOC OF MACHINISTS & AERO 12365 ST CHARLES ROCK RD BRIDGETON MO 63044- 88 40425915 DIVERSIFIED DENTAL SERVICES 7312 W CHEYENNE LAS VEGAS NV 89129- 38 30607005 DIVERSIFIED GROUP ADMIN INC PO BOX 330 CANONSBURG PA 15317- 38 24192005 DIVERSIFIED GROUP ADMINISTRATION PO BOX 419 MARLBOROUGH CT 06447- 38 30862005 DIXIE NATIONAL LIFE PO BOX 22587 JACKSON MS 39225-258738 40121005 DMBA PO BOX 45530 SALT LAKE CITY UT 84145- 38 11499010 DMC CARE PO BOX 44290 DETROIT MI 48244- 89 30506005 DMC CARE PO BOX 44290 DETROIT MI 48244- 88 40439855 DOMINION DENTAL PO BOX 1920 BOWIE MD 20717-192038 30092005 DONLEY HORAN & ASSOC 6330 E. 75TH STE. 106 INDIANAPOLIS IN 46250- 38 40426555 DRS SERVICES 28104 ORCHARD LAKE RD STE 140 FARMINGTON HILLS MI 48334- 87 40162005 DRUG CARD INCORPORATED 55 SHUMAN BLVD NAPERVILLE IL 60563- 89 40429065 DUNN & ASSOCIATES PO BOX 2369 COLUMBUS IN 47202- 38 40411205 E B A & M CORPORATION PO BOX 5079 WESTLAKE VILLAGE CA 91359-507989 40439805 EAGLE ADMINISTRATORS PO BOX 308 ASHLAND WI 54806- 88 40428435 EAGLE VILLAGE INC 4507 170TH AVE HERSEY MI 49639-878589 40425925 EASTERN BENEFITS SYSTEM INC 200 FREEWAY DRIVE E EAST ORANGE NJ 07018- 38 40428635 EASTERN LIFE & HEALTH INS CO PO BOX 83149 LANCASTER PA 17608-314938 40022005 EB EDDY PAPER INC PO BOX 5003 PORT HURON MI 48061-500387 40174005 EB RX INC 2045 MIDWAY DRIVE TWINSBURG OH 44087- 38 40174010 EB SERVICES INC PO BOX 1929 FORT MILL SC 29716- 89 40426125 EBMS PO BOX 21367 BILLINGS MT 59104- 38 40439575 EBS SOLUTIONS PO BOX 4863 SYRACUSE NY 13221- 88 40157015 ECIT DENTAL PLANS PO BOX 19884 INDIANAPOLIS IN 46219- 38 40423605 EDUCATORS MUTUAL INSURANCE ASSOC OF UTAH 852 EAST ARROWHEAD LANE MURRAY UT 84107-529838 03174005 EDUCATORS MUTUAL LIFE PO BOX 83888 LANCASTER PA 17604- 38 28314005 EDWARD B MORRIS ASSOC INC PO BOX 50440 INDIANAPOLIS IN 46250-044087 40424815 EHIM 26711 NORTHWESTERN HWY STE 400 SOUTHFIELD MI 48034- 38 03183005 ELECTRIC INS CO 715 LYNNWAY LYNN MA 01905- 67 18533005 ELECTRICAL INSURANCE TRUSTEES 228 N LASALLE ST CHICAGO IL 60601- 38 40427705 ELECTRICAL WELFARE TRUST FUND 4601 PRESIDENTS DR STE 300 LANHAM MD 20706- 67 21047005 ELECTRICAL WORKERS H & W FUND 3135 S STATE STREET ANN ARBOR MI 48104- 89 40439425 ELECTRICAL WRKRS BEN TRUST FUND IBEW LOCAL 41 1828 N MERIDIAN ST STE 103 INDIANAPOLIS IN 46202-145289 14730005 ELECTRONIC DATA SYSTEMS CORP 5400 LEGACY DRIVE, H3-1C-05 PLANO TX 75024- 89 40423315 EMPLOYEE HEALTH INSURANCE MANAGEMENT 24700 W TWELVE MILE RD STE 101 SOUTHFIELD MI 48034- 55 30816005 EMPLOYEE PLANS 1101 CHESTNUT HILLS PKWY FORT WAYNE IN 46814-893487 40429975 EMPLOYER HEALTH OPTIONS PO BOX 360 BELTON TX 76513- 89 40370005 EMPLOYER PLAN SERVICES INC 2180 NORTH LOOP WEST HOUSTON TX 77018- 38 40423595 EMPLOYER PLAN SERVICES INC 2180 NORTH LOOP WEST HOUSTON TX 77018- 38 25449005 EMPLOYER SPONSORED PLANS 1120 CHESTER AVENUE CLEVELAND OH 44114- 88 40427145 EMPLOYERS DENTAL SERVICES PO BOX 36600 TUCSON AZ 85740-660038 03254005 EMPLOYERS FIRE INS ONE BEACON ST BOSTON MA 02108- 55 24521005 EMPLOYERS HEALTH INSURANCE PO BOX 14610 LEXINGTON KY 40512-461038 40413855 EMPLOYERS MUTUAL INC PO BOX 40846 JACKSONVILLE FL 32203-084638 26956005 EMRO PROPANE PO BOX 1500 SPRINGFIELD OH 45501-150089 40411005 ENCORE PO BOX 50487 INDIANAPOLIS IN 46250- 89 40426635 ENTERPRISE GROUP PLANNING 5910 HARPER RD CLEVELAND OH 44139- 38 30866005 ENTRUST INC PO BOX 441588 HOUSTON TX 77244-1588

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OI Carrier ID Carrier Name Street City State Zip Code87 40427375 ENVISION RX OPTIONS 2181 E AURORA RD STE 201 TWINSBURG OH 44087- 38 28794005 EPIC LIFE INSURANCE PO BOX 8924 MADISON WI 53708- 38 30792005 EPOCH GROUP 10795 WATSON RD ST LOUIS MO 63127- 38 30792010 EPOCH GROUP PO BOX 12170 OVERLAND PARK KS 66282-217089 30792015 EPOCH GROUP PO BOX 12170 OVERLAND PARK KS 66282-217007 15460005 EQUITABLE LIFE PO BOX 2460 SALT LAKE CITY UT 84110- 38 40423195 EQUITABLE PLAN SERVICES PO BOX 720460 OKLAHOMA CITY OK 73172- 89 40427275 EQUITABLE PLAN SERVICES INC PO BOX 720460 OKLAHOMA CITY OK 73172-046038 40406005 ERISA 12325 HYMEADOW AUSTIN TX 78750- 89 01886035 ERN ADMINISTRATORS 6000 WESTERN PLACE FORT WORTH TX 76107- 38 01886030 ERN ADMINISTRATORS PO BOX 9137 FORT WORTH TX 76417-213788 40439555 ESSEX PO BOX 8510 ST LOUIS MO 63126- 89 21806010 ETHIX SOUTHWEST 9901 1H 10 WEST SAN ANTONIO TX 78230-221338 40406020 E-V BENEFITS MANAGEMENT INC PO BOX 29916 COLUMBUS OH 43229- 38 27741005 EVANGELICAL LUTHERN CHUR IN AM PO BOX 59093 MINNEAPOLIS MN 55459-009389 40429695 EVEREST HEALTH PLAN ADMINISTRATORS PO BOX 19002 PROVO UT 84605-900289 40427895 EVERGREEN PO BOX 380276 BIRMINGHAM AL 35238- 89 40402010 EVOLUTIONS HEALTHCARE SYSTEMS NETWORK PO BOX 5001 NEW PORT RICHEY FL 14656- 05 13170005 EXCELLUS BCBSNY PO BOX 4809 SYRACUSE NY 13221-480989 13170010 EXCELLUS BCBSNY PO BOX 4809 SYRACUSE NY 13221-480987 30592020 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 55439-087387 30592005 EXPRESS SCRIPTS - TRICARE ONLY PO BOX 66518 ST LOUIS MO 63166-651838 40409005 EXTENDED HEALTH SERVICES PO BOX 1699 WINDSOR ONT N9A7G686 40426745 EYE BENEFITS PO BOX 14106 SCOTTSDALE AZ 85267- 86 40401015 EYECARE PLAN OF AMERICA PO BOX 8504 MASON OH 45040- 86 40401020 EYEMED VISION CARE PO BOX 8504 MASON OH 45040- 89 24002005 FALLON COMMUNITY HEALTH PLAN PO BOX 15121 WORCESTER MA 01615- 89 16056010 FAMILY HEALTH PLAN OF IN 3510 PARK PLACE WEST MISHAWAKA IN 46545- 89 16056005 FAMILY HEALTH PLAN OF OH PO BOX 4708 TOLEDO OH 43624-145389 40429075 FAMILY SECURITY COUNCIL PO BOX 725549 ATLANTA GA 31139- 38 30920005 FANSTEEL INC NUMBER ONE TANTALUM PLAC N CHICAGO IL 60064- 38 40427205 FARA HEALTHCARE MGT 1625 W. CAUSEWAY APPROACH MANDEVILLE LA 70471- 88 40427715 GENWORTH DENTAL PO BOX 677 GREENFIELD MA 01302- 38 40440335 GENWORTH FINANCIAL PO BOX 40007 LYNCHBURG VA 24506-993938 40428005 GENWORTH LIFE & ANNUITY PO BOX 10824 CLEARWATER FL 33757-882438 04162005 GERBER LIFE INS CO 445 STATE ST FREMONT MI 49412- 38 10929005 GERBER LIFE INSURANCE 204 W MAIN STREET FREMONT MI 49412- 38 40424665 GHI PO BOX 2832 NEW YORK NY 10116- 38 13223005 GHI ALBANY MSP UNIT PO BOX 15030 ALBANY NY 12212- 38 40317005 GILSBAR INC PO BOX 998 COVINGTON LA 70434- 89 40424295 GILSBAR INC PO BOX 2947 COVINGTON LA 70434- 38 40144005 GLOBAL BENEFITS INC 1030 15TH STREET NW WASHINGTON DC 20005- 89 40144010 GLOBAL EXCHANGE PO BOX 823067 SOUTH FLORIDA FL 33082-306738 40076005 GLOBE BUSINESS FURNITURE 1919 INDUSTRIAL DRIVE BIG RAPIDS MI 49307- 38 04233005 GLOBE LIFE AND ACCIDENT GLOBE LIFE CENTER OKLAHOMA CITY OK 73184- 38 17750010 INDEPENDENT LIFE & HEALTH PO BOX 3161 ROCKFORD IL 61108- 89 40426765 INDIANA CARPENTERS WELFARE & PENSION PO BOX 421729 INDIANAPOLIS IN 46242-172989 40424255 INDIANA HEALTH NETWORK PO BOX 20570 INDIANAPOLIS IN 46220- 89 40425335 INDIANA LABORERS PENSION FUND PO BOX 20490 INDIANAPOLIS IN 46220- 38 40429675 INDIANA UNIVERSITY PSYCIATRIC 1111 W 10TH ST RM 221 INDIANAPOLIS IN 46202-

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OI Carrier ID Carrier Name Street City State Zip Code89 17993010 INFO TRUST PO BOX 7955 LAKE FOREST IL 60045- 89 40440725 INFORMED LLC PO BOX 6752 ANNAPOLIS MD 21401-075287 40297005 INFORMEDRX 2441 WARRENSVILLE STE 610 LISLE IL 60532- 38 40406015 INGLES MARKETS INCORPORATED PO BOX 15174 ASHEVILLE NC 28813-017438 40027005 INLAND STEEL FLAT PRODUCTS CO 3210 WATLING STREET EAST CHICAGO IN 46312- 87 40426615 INNOVIANT PO BOX 8082 WAUSAU WI 54403- 88 40440645 INSULATORS LOCAL 45 FRINGE BENEFIT FUNDS PO BOX 1348 TROY MI 48099-134838 40250005 INSURANCE ADMINISTRATION CTR PO BOX 3257 TAMPA FL 33601- 38 40335005 INSURANCE ADMINISTRATIVE SERVICES PO BOX 96 MINNEAPOLIS MN 55440-000038 40250010 INSURANCE ADMINISTRATOR OF AMERICA 521 FELLOWSHIP ROAD MOUNT LAUREL NJ 08054- 89 40425985 INSURANCE ADMINISTRATORS OF AMERICA PO BOX 5082 MT LAUREL NJ 08054- 89 40428455 INSURERS ADMINISTRATIVE CORP PO BOX 828 PARK RIDGE IL 60068-082838 28461005 INSURERS ADMINISTRATIVE CORP PO BOX 39119 PHOENIX AZ 85069-911938 30894005 INSUREX BENEFITS ADMIN INC PO BOX 41779 MEMPHIS TN 38174-177938 40439995 INTEGRATED BEHAVIORAL HEALTH PO BOX 30018 LAGUNA NIGUEL CA 92607-001889 40412905 INTEGRATED BENEFIT ADMINISTRATORS 2211 GREEN WAY LOUISVILLE KY 40220- 38 40356025 INTEGRATED BENEFIT SYSTEMS INC 1200 CHAMBERS RD STE 206 COLUMBUS OH 43212- 87 40351005 INTEQ 5445 LA SIERRA DRIVE DALLAS TX 75231- 38 40179005 INTERACTIVE MEDICAL SYSTEMS PO BOX 19108 RALEIGH NC 27619- 38 18130005 INTER-COUNTY HOSP PLAN INC 720 BLAIR MILL HORSHAM PA 19044- 38 17017005 INTERNATIONAL ASSOC OF MACH 700 TOWER DRIVE TROY MI 48098- 38 40243005 INTERNATIONAL BENEFIT SERVICES PO BOX 1326 FORT WORTH TX 76101- 38 40413115 INTERNATIONAL MEDICAL GROUP IMG PO BOX 88500 INDIANAPOLIS IN 46208-050089 40440195 INTERNATIONAL UNION OPERATING ENGINEERS 112 PO BOX 30555 SALT LAKE CITY UT 84130-055588 40440175 INTERNATIONAL UNION OPERATING ENGINEERS 112 13515 BARRETT PKWY DR STE 265 BALLWIN MO 63021-587038 21833005 INTERNATL UNDERWRITER BROKERS 243 CHURCH STREET WEST VIENNA VA 22180- 89 40411105 INTERPLAN 2575 GRAND CANAL BLVD STE 200 STOCKTON CA 95207- 89 40440285 INTERPLAN HEALTH GROUP PO BOX 6743 LUBBOCK TX 79493-674338 40223100 INTERSTATE ADMINISTRATIVE SERVICES PO BOX 1670 DANVILLE IL 61834- 38 11102005 INTERSTATE LIFE 3750 DEERFIELD RD RIVERWOOD IL 60015-354138 40428535 FBA (FOUNDATION BENEFIT ADMINISTRATORS) 630 BRIDGEPOINT PKWY BLDG 3 AUSTIN TX 78730- 89 40425905 FC BENEFITS PO BOX 3039 BIRMINGHAM MI 48012- 27 03586005 FEDERATED INSURANCE PO BOX 50487 INDIANAPOLIS IN 46250- 88 40426095 FEDERATED MUTUAL INS CO PO BOX 328 OWATONNA MN 55060- 89 03595015 FEDERATED MUTUAL INSURANCE CO PO BOX 328 OWATONNA MN 55060- 89 03595010 FEDERATED MUTUAL INSURANCE CO PO BOX 50487 INDIANAPOLIS IN 46250- 27 03595005 FEDERATED MUTUAL INSURANCE CO PO BOX 328 OWATONNA MN 55060- 38 40413255 FEDEX FREIGHT EAST INC PO BOX 5007 HARRISON AR 72602-500787 40294005 FFI RX MANAGED CARE INC 8536 CROW DRIVE SUITE 105 MACEDONIA OH 44056- 89 40024005 FHP INC 698 E WETMORE ROAD TUCSON AZ 85705- 86 40427135 FIDELITY SECURITY LIFE INS CO 3130 BROADWAY KANSAS CITY MO 64141- 38 40423435 FINANCIAL DESIGNS PO BOX 8023 NOVI MI 48376- 38 25609005 FINANCIAL GUARDIAN P.O. BOX 6500 TROY MI 48008-650087 40439545 FINGER LAKES RX (FLRX) PO BOX 22998 ROCHESTER NY 14692- 88 40425305 FIRST ADMINISTRATORS PO BOX 9900 SIOUX CITY IA 51102- 89 40413785 FIRST ADMINISTRATORS PO BOX 5091 SIOUX FALLS SD 57117- 89 40427475 FIRST AGENCY 5071 W H AVE KALAMAZOO MI 49009- 38 16127025 FIRST ALLMERICA FINANCIAL LIFE PO BOX 1667 ROCKVILLE MD 20849- 38 40267005 FIRST BENEFITS OF THE MIDWEST PO BOX 4310 AKRON OH 44321- 89 40428265 FIRST CARE 12940 N HWY 183 AUSTIN TX 78750-

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OI Carrier ID Carrier Name Street City State Zip Code89 40245015 FIRST CHOICE HEALTH NETWORK PO BOX 2289 SEATTLE WA 98111- 88 40191015 FIRST COMMONWEALTH PO BOX 2459 SPOKANE WA 99210- 38 15353005 FIRST CONTINENTAL LIFE & ACC PO BOX 27008 SALT LAKE CITY UT 84127- 89 40424485 FIRST HEALT/CRL PO BOX 247002 OMAHA NE 68124- 39 21163215 FIRST HEALTH ALLIANCE PO BOX 44365 MADISON WI 53744-436589 40429475 FIRST HEALTH LIFE AND HEALTH PO BOX 24146 SEATTLE WA 98124- 89 21163155 FIRST HEALTH NETWORK 750 RIVERPOINT DRIVE WEST SACRAMENTO CA 95605- 87 21163005 FIRST HEALTH RX PO BOX 85042 RICHMOND VA 23261-504239 21163200 FIRST HEALTH/COVENTRY HEALTH CARE PO BOX 8400 LONDON KY 40742- 88 40425265 FIRST HEALTH-COVENTRY HEALTH CARE PO BOX 8400 LONDON KY 40742- 38 26375005 FIRST NATIONAL LIFE INS CO 7 CLAYTON STREET MONTGOMERY AL 36104-408989 40440545 FIRST PLAN OF MINNESOTA PO BOX 64267 ST PAUL MN 55164-026786 40440485 FIRST REHABILITATION LIFE INS CO OF AMERICA 600 NORTHERN BLVD GREAT NECK NY 11021-520287 40427995 FIRST RX 3200 HIGHLAND AVE DOWNERS GROVE IL 60515- 38 06766005 FIRST SECURITY LIFE & HEALTH 30775 BARRINGTON AVENUE MADISON HEIGHTS MI 48071-183389 40439775 FIRST SERVICE ADMINISTRATORS 3035 LAKELAND HILLS LAKELAND FL 33805-222588 40426885 FITZGERALD COMPANY 310 EUCLID MT CLEMENS MI 48043- 86 40426895 FITZGERALD COMPANY 310 EUCLID MT CLEMENS MI 48043- 38 40408005 FL HEALTH ALLIANCE 701 PLYMOUTH AVENUE DELAND FL 32720- 38 40217005 FLEET RESERVE ASSOCIATION P.O. BOX 10340R DESMOINES IA 50306-034088 40426215 FLORIDA COMBINED LIFE PO BOX 100135 COLUMBIA SC 29202- 89 40427925 FLORIDA HEALTH CARE PO BOX 9910 DAYTONA BEACH FL 32120- 87 40427765 FLRX PO BOX 22999 ROCHESTER NY 14692- 89 40319015 FMH BENEFIT SERVICES INC PO BOX 25946 OVERLAND PARK KS 66225- 38 40074005 FOCUS HOPE 1355 OAKMAN BOULEVARD DETROIT MI 48238- 89 40413615 FORMOST/BCE EMERGIS PO BOX 200248 ARLINGTON TX 76006- 38 40075005 FOUNDATION HEALTH PO BOX 255700 SACRAMENTO CA 95865- 38 40426325 FOUNDATION ONE BENEFITS ADMINISTRATORS 6300 BRIDGE POINT PARKWAY AUSTIN TX 78730- 89 40439095 FOX EVERETT PO BOX 6012 RIDGELAND MS 39158- 89 40440735 FOX VALLEY LABORERS 2400 BIG TIMBER RD #206 B ELGIN IL 60124- 38 40066005 FRANK HELLER ASSOCIATES 8228 MAYFIELD ROAD CHESTERFIELD OH 44026- 38 40404005 FREEDOM LIFE 110 W 7TH STREET FORT WORTH TX 76102- 89 40413915 FRONT PATH 12875 ECKEL JUNCTION RD STE B PERRYSBURG OH 43551- 87 40428655 FUTURE SCRIPTS PO BOX 419019 DEPT 0382 KANSAS MO 64141- 38 24782105 GA PORTS AUTHORITY PO BOX 2406 SAVANNAH GA 31402- 38 27390005 GAINEY INSURANCE SERVICES 6000 CLAY AVE SW GRAND RAPIDS MI 49548-578586 40428475 GALLAGHER BENEFIT ADMINISTRATORS 777 108TH AVE NE STE 200 BELLEVUE WA 98004- 38 15101015 GALLAGHER BENEFIT ADMINISTRATORS INC PO BOX 34297 SAN ANTONIO TX 78265- 38 40178005 GALLAGHER WOODSMALL PO BOX 419397 KANSAS CITY MO 64141- 89 04046005 GARDEN STATE LIFE IN PO BOX 4808 TRENON NJ 08650- 38 40309005 GATES HEALTH CARE MANAGEMENT 5151 PFEIFFER ROAD CINCINNATI OH 45242-485488 40356050 GE FINANCIAL ASSURANCE PO BOX 1477 GREENFIELD MA 01302- 86 40425955 GE FINANCIAL ASSURANCE PO BOX 1477 GREENFIELD MA 01302- 38 07692010 GE FINANCIAL SERVICES PO BOX 100252 COLUMBIA SC 29202-325289 40424735 GE FINANCIAL SERVICES PO BOX 100252 COLUMBIA SC 29202-325283 40356020 GE LIFE & ANNUITY ASSURANCE CO PO BOX 8021 SAN RAFAEL CA 94912-802138 40356045 GE LIFE & ANNUITY ASSURANCE CO PO BOX 10821 CLEARWATER FL 33757-882138 40425735 GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVE DANVILLE PA 17822- 38 19960005 GENELCO 1600 S BRENTWOOD BLVD ST LOUIS MO 63144- 89 40425145 GENERAC POWER SYSTEMS INC PO BOX 1611 WAUKESHA WI 53187-9987

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OI Carrier ID Carrier Name Street City State Zip Code87 40424915 GENERAL PRESCRIPTION 685 BLOOMFIELD AVE VERONA NJ 07044- 87 40249005 GENERAL PRESCRIPTION PROGRAMS INC 305 MADDISON AVE STE 1166B NEW YORK NY 10165- 38 40210005 GMP EMPLOYERS RETIREES TRUST 5245 BIG PINE WAY FORT MYERS FL 33907-599889 40428195 GMS (GROUP MANAGEMENT SERVICES) PO BOX 24708 OMAHA NE 68124- 88 27633005 GOLDEN DENTAL 29377 HOOVER RD WARREN MI 48093- 89 40440125 GOLDEN RULE 712 11TH ST LAWRENCEVILLE IL 62439- 25 12398005 GOLDEN RULE INSURANCE 712 ELEVENTH AVENUE LAWRENCEVILLE IL 62439- 38 04251005 GOLDEN STATE MUTUAL LIFE INS PO BOX 2332 LOS ANGELES CA 90051- 87 40225010 GOLDNET PO BOX 64338 ST PAUL MN 55164- 38 40423485 GOOD SAMARITAN PO BOX 90 NEW PALESTINE IN 46163- 38 10947005 GOODYEAR MEDICAL BENEFITS DEPT PO BOX 52040 PHOENIX AZ 85072-204089 40424355 GOSHEN PREFFERED NETWORK 200 HIGH PARK AVE GOSHEN IN 46526- 41 13760005 GOVERNMENT EMPLOYEES HOSP ASSO PO BOX 4665 INDEPENDENCE MO 64051-466589 13760010 GOVERNMENT EMPLOYEES HOSP ASSOC PO BOX 4665 INDEPENDENCE MO 64051-466589 18631005 GRAND VALLEY HEALTH 829 FOREST HILL AVE. GRAND RAPIDS MI 49546- 67 40337005 GRAPHIC COMMUNICATIONS NATIONA 5 GATEWAY CTR, SUITE 620 PITTSBURGH PA 15222- 83 11449010 GREAT REPUBLIC LIFE INSURANCE 226 SECOND AVENUE WEST SEATTLE WA 98119-422138 16548005 GREAT SOUTHERN LIFE INS CO PO BOX 219040 DALLAS TX 75221-904013 00379005 GREAT WEST HEALTHCARE 1000 GREAT WEST DRIVE KENNETT MO 63857-374989 00379015 GREAT WEST HEALTHCARE 1000 GREAT WEST DRIVE KENNETT MO 63857-374988 04064015 GREAT WEST LIFE & ANNUITY INSURANCE CO 1000 GREAT WEST DRIVE KENNET MO 63857-374920 17901005 GROUP BENEFIT SERVICES INC PO BOX 1386 EAST LANSING MI 48823- 20 40196005 GROUP BENEFITS UNLIMITED 1000 PLAZA DRIVE SCHAUMBURG IL 60173- 89 40196010 GROUP BENEFITS UNLIMITED 999 PLAZA DRIVE SCHAUMBURG IL 60173- 89 40429825 GROUP HEALTH ALLIANCE PO BOX 90802 LUBBOCK TX 79408-880258 23275005 GROUP HEALTH MANAGERS INC 26205 FIVE MILE RD REDFORD MI 48239- 38 40427935 GROUP HEALTH OPTIONS PO BOX 34585 SEATTLE WA 98124- 89 40429845 GROUP HEALTH PLAN PO BOX 7374 LONDON KY 40742- 89 40439905 GROUP HEALTH PLAN PO BOX 7121 LONDON KY 40742- 88 40423245 GROUP INSURANCE ADMINISTRATION 3350 PEACHTREE RD NE STE 1040 ATLANTA GA 30326-104088 40429945 GROUP INSURANCE CONSULTANTS PO BOX 72 TAYLOR MI 48180-007238 12772015 GROUP INSURANCE SERVICE CENTER PO BOX 9120 MARSHFIELD MA 02050- 88 40429925 GROUP LINK PO BOX 20593 INDIANAPOLIS IN 46220-059370 10992005 GROUP MARKETING SERVICE PO BOX 19040 KALAMAZOO MI 49019- 89 10992010 GROUP MARKETING SERVICES PO BOX 19040 KALAMAZOO MI 49019-004038 40331005 GROUP RESOURCES INC PO BOX 100043 DULUTH GA 30096-934338 11004005 GUARANTEE RESERVE LIFE INS CO 530 RIVER OAKS WEST CALUMET CITY IL 60409-540738 04467005 GUARANTEE TRUST LIFE 1275 MILWAUKEE AVE GLEN VIEW IL 60025- 79 04485005 GUARDIAN PO BOX 8007 APPLETON WI 54913-800779 30844005 GUARDIAN PO BOX 2457 SPOKANE WA 99210-245789 30841010 GUARDIAN PO BOX 8024 APPLETON WI 54913-802488 30843005 GUARDIAN DENTAL GUARD PREFERRED PO B0X 2459 SPOKANE WA 99210-246786 40439925 GUARDIAN VISION PO BOX 2459 SPOKANE WA 99210- 38 07834005 GUIDE ONE LIFE INS CO 1111 ASHWORTH RD WEST DES MOINES IA 50265- 38 30812005 GULF SOUTH ADMINISTRATORS 3616 S I-10 SERVICE ROAD METAIRIE LA 70011-857089 40440625 GUNDERSON LUTHERAN HEALTH PLAN 1836 SOUTH AVE LACROSSE WI 54601-542988 40356030 HAGUE EQUIPMENT COMPANY 410 E DRESDEN STREET KALKASKA MI 49646- 89 16485010 HCAP PO BOX 6189 SAGINAW MI 48608- 89 40440115 HCH ADMINISTRATION PO BOX 1986 PEORIA IL 61656-198638 30569005 HCH ADMINISTRATION PO BOX 1986 PEORIA IL 61656-1986

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OI Carrier ID Carrier Name Street City State Zip Code89 30569010 HCI TOUCH POINT NETWORK PO BOX 6269 FORT SMITH AR 72906-626989 40216005 HCN PPO NETWORK PO BOX 0978 BROOKFIELD WI 53008-097838 40424045 HEALTH & WELFARE BENEFIT SYSTEMS PO BOX 21109 ROANOKE VA 24018- 89 40440065 HEALTH ADVANTAGE PO BOX 8069 LITTLE ROCK AR 72203-806989 13733005 HEALTH ALLIANCE PLAN 2850 W GRAND BLVD DETROIT MI 48202- 89 40413715 HEALTH ALLIANCE PLAN OF ILLINOIS 102 E MAIN ST URBANA IL 61801- 89 13733010 HEALTH ALLIANCE PLAN PPO NETWORK 2850 W GRAND BOULEVARD DETROIT MI 48202- 89 20498005 HEALTH AMERICA 1375 E 9TH ST STE 1400 CLEVELAND OH 44114- 38 40413985 HEALTH AMERICA/HEALTH ASSURANCE PO BOX 7089 LONDON KY 40742-708986 30200005 HEALTH APPLICATIONS NETWORK PO BOX 1570 EAST LANSING MI 48826- 89 40429625 HEALTH ASSURANCE PO BOX 7129 LONDON KY 40742- 89 40427105 HEALTH ASSURANCE 120 E KENSINGER DR CRANBURY TW PA 16066- 38 40191025 HEALTH CARE & RETIREMENT CORP ONE SEAGATE TOLEDO OH 43604-261638 30819005 HEALTH CARE ADMINISTRATORS PO BOX 1309 MUSKOGEE OK 74402- 89 40439685 HEALTH CARE PAYERS COALITION PO BOX 5810 TROY MI 48007- 88 40439105 HEALTH CARE PAYERS COALITION 701 ADAMS ST STE 850 TOLEDO OH 43604- 89 30201005 HEALTH CARE SAVINGS 4530 PARK RD STE 110 CHARLOTTE NC 28209- 89 40439055 HEALTH CARE SOLUTIONS PO BOX 1309 MUSKOGEE OK 74402-130989 40191035 HEALTH CHOICE (HAP) PO BOX 02399 DETROIT MI 48202- 38 40407010 HEALTH CHOICE AZ 1600 W BROADWAY - SUITE 260 TEMPE AZ 85282- 38 40191030 HEALTH CHOICE(HAP) PO BOX 02399 DETROIT MI 48202- 38 28838005 HEALTH CLAIM SERVICES INC PO BOX 9615 DEERFIELD BCH FL 33442-961538 14383005 HEALTH CLAIMS ADMINISTRATION 1400 RENAISSANCE DR PARK RIDGE IL 60668- 38 40413775 HEALTH COST SOLUTIONS PO BOX 1439 HENDERSONVILLE TN 37077- 89 40424345 HEALTH COST SOLUTIONS PO BOX 1409 HENDERSONVILLE TN 37077- 88 40425325 HEALTH DESIGN PLUS PO BOX 5085 FINDLAY OH 45839-508938 24405050 HEALTH DESIGN PLUS PO BOX 2584 HUDSON OH 44236-258489 40399005 HEALTH EOS/WPPN MULTIPLAN PO BOX 6090 DEPERE WI 54115- 89 40440705 HEALTH FIRST PO BOX 130217 TYLER TX 75713-021789 40429855 HEALTH FIRST PO BOX 565001 ROCKLEDGE FL 32956- 89 40426535 HEALTH LINK 808 VARSITY DR TUPELO MN 38801- 38 04556010 HARBOR BENEFIT SERVICES PO BOX 2775 ELKHART IN 46515-277589 40428065 HARMONY HEALTHCARE 1701 W CHARLESTON STE 300 LAS VEGAS NV 89102- 17 28749015 HARRINGTON BENEFIT SERVICES PO BOX 765 PUEBLO CO 81002-076589 40341005 HARRIS METHODIST HEALTH PLAN PO BOX 90100 ARLINGTON TX 76004-310038 04574005 HARTFORD PO BOX 2910 HARTFORD CT 06104-291089 40424515 HARVARD PILGRIM PO BOX 699183 QUINCY MA 02269-918389 40440325 HAWAII MEDICAL ASSURANCE ASSOC PO BOX 32580 HONOLULU HI 96803-258089 40423405 HEALTH MANAGEMENT & ASSOCIATES PO BOX 379018 LAS VEGAS NV 89137- 38 40426475 HEALTH MARKET PO BOX 69510 HARRISBURG PA 17106- 89 40426315 HEALTH NET PO BOX 14702 LEXINGTON KY 40512- 89 40427075 HEALTH PARTNERS PO BOX 3490 JACKSON TN 38303- 89 40198005 HEALTH PLAN OF NV PO BOX 15645 LAS VEGAS NV 89114-564589 40424335 HEALTH PLAN OF UPPER OHIO VALLEY 52160 NATIONAL RD EAST ST CLAIRSVILLE OH 43950- 89 40427085 HEALTH PLANS INC PO BOX 5199 WESTBOROUGH MA 01581-519938 16421010 HEALTH RESOURCES INC PO BOX 15660 EVANSVILLE IN 47716-066038 40423295 HEALTH SELECT OF TEXAS PO BOX 6109 ABILENE TX 79608- 89 40425835 HEALTH SPAN 225 PICTORIA DRIVE STE 320 CINCINNATI OH 45246- 38 40322010 HEALTH STRATEGIES INC 2 PERIMETER PARK SOUTH BIRMINGHAM AL 35243- 38 40424865 HEALTH WORLDWIDE PO BOX 39 MINNEAPOLIS MN 55440-0039

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OI Carrier ID Carrier Name Street City State Zip Code38 40368005 HEALTHCOMP ADMINISTRATORS PO BOX 45018 FRESNO CA 93718-501889 40199050 HEALTHGUARD 280 GRANITE RUN DRIVE LANCASTER PA 17601-681038 40424015 HEALTHNET PO BOX 14700 LEXINGTON KY 40512- 38 40424385 HEALTHPARTNERS CLAIMS PO BOX 1172 MINNEAPOLIS MN 55440-128938 29647010 HEALTHPLAN SERVICES PO BOX 30367 TAMPA FL 33630-336788 40429785 HEALTHPLEX 333 LEARLE OVINGTON STE 300 UNION DALE NY 11553- 89 16753005 HEALTHPLUS OF MI PO BOX 1700 FLINT MI 48501- 38 30732005 HEALTHPLUS OF MI PO BOX 1700 FLINT MI 48501- 38 04681010 HEALTHSCOPE PO BOX 619055 DALLAS TX 75261-905589 40413445 HEALTHSCOPE BENEFITS PO BOX 8071 LITTLE ROCK AR 72203- 89 40423545 HEALTHSCOPE BENEFITS PO BOX 619055 DALLAS TX 75261-905538 40427815 HEALTHSCOPE BENEFITS PO BOX 619055 DALLAS TX 75261- 89 40032005 HEALTHSCOPE BENEFITS PO BOX 619055 DALLAS TX 75261- 89 04019920 HEALTHSMART PO BOX 53010 LUBBOCK TX 79453- 89 00092040 HEALTHSOURCE NH PO BOX 2041 CONCORD NH 03302-204189 40426945 HEALTHSPRING PO BOX 20000 NASHVILLE TN 37202- 87 40427255 HEALTHTRANS 8300 E MAPLEWOOD AVE VILLAGE CO 80111-480488 40426345 HEARTLAND DENTAL PLAN PO BOX 3111 MILWAUKEE WI 53201- 38 30847005 HEHR GLASS 200 S 1ST STREET CHESANING MI 48616- 89 40429835 HERITAGE CONSULTANTS PO BOX 1730 AUBURNDALE FL 33823-173086 40220005 HERITAGE VISION PLANS 18984 LIVERNOIS DETROIT MI 48221- 89 40429775 HEWITT COLEMAN & ASSOC PO BOX 6708 GREENVILLE SC 29606- 89 17143000 HFN PO BOX 3428 OAK BROOK IL 60523- 38 40412305 HFN EPO PO BOX 3428 OAKBROOK IL 60522- 89 15003005 HIGHAM WHITRIDGE INC 850 RIDGE AVENUE PITTSBURGH PA 15212-610205 13303005 HIGHMARK BC BS PO BOX 1210 PITTSBURGH PA 15230- 89 13303015 HIGHMARK BCBS PO BOX 1210 PITTSBURGH PA 15230-335588 40426665 HIGHMARK BCBS PO BOX 1210 PITTSBURGH PA 15230-335589 40429435 HIGHMARK BLUE CROSS BLUE SHIELD PO BOX 3355 PITTSBURGH PA 15230-335589 40413745 HIGHMARK BLUE SHIELD PO BOX 890173 CAMP HILL PA 17089-017338 40063005 HIGHMARK LIFE & CASUALTY PO BOX 3355 PITTSBURGH PA 15230-335538 15569010 HIGNAM-WHITRIDGE INC 850 RIDGE AVENUE PITTSBURGH PA 15212-600389 40439365 HILLCO LTD PO BOX 400 KINSTON NC 28502- 38 13303025 HM BENEFITS ADMINISTRATORS PO BOX 535078 PITTSBURGH PA 15253-507889 40428825 HMA (HEALTHCARE MANAGEMENT ADMINISTRATORS) PO BOX 85008 BELLEVUE WA 98015- 89 40439205 HMA DIRECT (HEALTH ADMINISTRATORS) PO BOX 425 FALLS MA 02464- 89 12306005 HMO ILLINOIS PO BOX A-3694 CHICAGO IL 60690- 05 16815005 HMSA BC BS OF HI 818 KEEAUMOKU STREET HONOLULU HI 96808-086089 16815010 HMSA BC BS OF HI PO BOX 860 HONOLULU HI 96808- 89 40428175 HOMELAND HEALTH CARE PPO PO BOX 853925 RICHARDSON TX 75085- 89 40429915 HOMETOWN HEALTH PO BOX 1217 PARK RIDGE IL 60068- 38 04761005 HORACE MANN INS CO HORACE MANN PLAZA SPRINGFIELD IL 62715-000138 40429535 HORIZON BCBS OF NEW JERSEY PO BOX 247 DEPT V NEWARK NJ 07101-024738 40428245 HORIZON BEHAVIORAL SERVICES 1500 WATERSRIDGE DR LEWISVILLE TX 75057- 89 40413765 HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY PO BOX 1219 NEWARK NJ 07101-121938 40439875 HORIZON HEALTH PO BOX 292580 LEWISVILLE TX 75029-258038 11040010 HOSPITAL BENEFITS INC PO BOX 16248 ALTEMONTE SPRINGS FL 32716-214886 40428095 HR DIRECT PO BOX 44148 JACKSONVILLE FL 32212-414888 20362005 HRM CLAIM MANAGEMENT INC. PO BOX 4022 KALAMAZOO MI 49003-402289 40428125 HTH WORLDWIDE INSURANCE PO BOX 968 HORSHAM PA 19044-

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OI Carrier ID Carrier Name Street City State Zip Code88 40412805 HUMANA PO BOX 14610 LEXINGTON KY 40512-461089 03773010 HUMANA PO BOX 14610 LEXINGTON KY 40512-461086 40425965 HUMANA COMP BENEFITS PO BOX 30349 TAMPA FL 33630-334962 03773005 HUMANA EMPLOYERS HEALTH PO BOX 14610 LEXINGTON KY 40512-461087 40424765 HUMANA RX PO BOX 14610 LEXINGTON KY 40512-461038 40127005 I & K DISTRIBUTORS INC PO BOX 369 DELPHOS OH 45833- 38 29959005 IA BENEFITS PO BOX 707 AMES IA 50010-070767 05114010 IA LABORERS DISTRICT COUNCIL 5806 MEREDITH DRIVE DES MOINES IA 50322- 89 11087025 IBA FULLY INSURED PO BOX 51100 KALAMAZOO MI 49005- 88 11087020 IBA HEALTH & LIFE ASSURANCE PO BOX 51100 KALAMAZOO MI 49005- 89 40429185 IBA HEALTH & LIFE ASSURANCE CO/UHC PO BOX 659747 RTE 2702 SAN ANTONIO TX 78265-974768 11087005 IBA HEALTH AND LIFE ASSURANCE PO BOX 51100 KALAMAZOO MI 49005- 89 11087015 IBA PPO NETWORK 106 FARMERS ALLEY KALAMAZOO MI 49007- 67 28324005 IBEW 117 6525 CENTURION DRIVE LANSING MI 48917-927538 40424595 IBEW 547 2600 DENALI STE 200 ANCHORAGE AK 99503-278267 28323005 IBEW LOCAL 17 PO BOX 1347 TROY MI 48099-134738 27795010 KEY LINK GROUP 216 N GREEN BAY ROAD THIENSVILLE WI 53092-162589 05286010 KEYSTONE HEALTH PLAN EAST PO BOX 8339 PHILADELPHIA PA 19101-833988 30703005 KIRKWOOD IND TOLEDO COMMUTATOR 1101 S CHESTNUT OWOSSO MI 48867- 89 25091005 KITSAP PHYSICIANS SERVICE PO BOX 339 BREMERTON WA 98337-003938 25028005 KLAIS AND COMPANY INC 1867 W MARKET ST AKRON OH 44313- 38 26633005 KOHLER CO INSURANCE KOHLER AVE. KOHLER WI 53044- 38 23631005 KOREX COMPANY 50000 WEST PONTIAC TRAIL WIXOM MI 48096- 87 40426085 KROGER PRESCRIPTION PLANS 1014 VINE STREET CINCINNATI OH 45202- 89 40425855 LA HOTEL/RESTAURANT EMPLOYER UNION WELFARE PO BOX 57924 LOS ANGELES CA 90057- 38 40425065 LABOR HEALTH AND WELFARE 11465 W CERMAK RD WEST IL 60154- 38 40425355 LABORERS HEALTH & WELFARE 11465 W SURMACK WESTCHESTER IL 60154- 67 12360005 LABORERS METRO DETROIT H & W 6525 CENTURION DRIVE LANSING MI 48917- 38 24076005 LAHOOD AND ASSOCIATES PO BOX 12170 OVERLAND PARK KS 66212- 89 40427575 LAKELAND CARE 1234 NAPIER AVE ST JOSEPH MI 49085- 38 18248005 LAMAR LIFE INS CO PO BOX 66978 CHICAGO IL 60666-097838 14866005 LANSING GENERAL HOSPITAL 2727 S PENNSYLVANIA AVE LANSING MI 48910-349038 28341005 LATVIAN RELIEF FUND PO BOX 8857 ELKINS PARK PA 19027- 89 40427045 LBA HEALTH PLANS PO BOX 981801 EL PASO TX 79998-180187 40427465 LDI PHARMACY BENEFIT MANAGEMENT 300 SOUTH GRAND BLVD ST LOUIS MO 63103- 38 29960005 LEAHY & ASSOCIATES INC 900 W JACKSON BLVD CHICAGO IL 60607-308338 14688005 LEGAL SECURITY LIFE INS CO PO 8476 DALLAS TX 75205- 38 25618005 LEGGETT & PLATT INC #1 LEGGETT RD PO BOX 757 CARTHAGE MO 64836- 86 40426235 IBEW LOCAL 43 & ELECTRICAL CONTRACTORS TRUST PO BOX 2218 SYRACUSE NY 13220- 67 40423375 IBEW LOCAL 490 PO BOX 271 DOVER NH 03820- 67 19263010 IBEW LOCAL UNION 903 HEALTH & PO BOX 66745 MOBILE AL 36660- 89 40439405 IBEW NECA SW HEALTH PO BOX 819015 DALLAS TX 75381- 38 20219005 IBP INC 800 STEVENS PORT DRIVE DAKOTA DUNES SD 57049- 38 40164005 IDEALIFE INSURANCE 411 N. BAYLEN ST. PENSACOLA FL 33501- 38 40428115 IDS LIFE INSURANCE CO (GENWORTH) PO BOX 40007 LYNCHBURG VA 24506-993938 40425725 IDSN 227 AMERICAN EXPRESS FIN. CTR MINNEAPOLIS MN 55474- 38 40423425 IEES 118 PROSPECT ST STE 102 ITHACA NY 14850- 89 40356010 IHC CARE PLUS PO BOX 11670 SALT LAKE CITY UT 84147-067038 04841005 IL MUTUAL LIFE 300 SW ADAMS ST PEORIA IL 61634- 38 40428705 IMA INSURANCE MANAGEMENT PO BOX 71120 BOSSIER CITY LA 71171-

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OI Carrier ID Carrier Name Street City State Zip Code87 04879005 IMMEDIATE PHARMACEUTICAL SERVICE 33381 WALKER RD AVON LAKE OH 44012- 89 40425845 IMPERIAL PALACE HOTEL AND CASINO PO BOX 97979 LAS VEGAS NV 89193- 89 16575010 IN AREA UNITED FOOD & COMMERCIAL WORKERS PO BOX 42669 INDIANAPOLIS IN 46242- 64 30599005 IN AREA UNITED FOOD AND PO BOX 42669 INDIANAPOLIS IN 46242-066989 40439955 INDEPENDENCE ADMINISTRATORS PO BOX 1010 HORSHAM PA 19044-801089 13279010 INDEPENDENCE BC 1901 MARKET,15TH FL PHILADELPHIA PA 19103-000089 40429485 INDEPENDENT HEALTH PO BOX 9066 BUFFALO NY 12432- 89 15344005 INTL UNION OF OPERATING ENGINEERS LOCAL 547 24270 W 7 MILE DETROIT MI 48219- 38 40268010 INTRACORP PREFERRED CARE PO BOX 17719 IRVINE CA 92713-771967 25547010 IRON WORKERS LOCAL 8 WELFARE FUND 2100 N MAYFAIR RD SUITE 100 MILWAUKEE WI 53226- 67 27642005 IRONWORKERS FRINGE BEN LOC 16 6229 N CHARLES BALTIMORE MD 21212- 89 40440655 IRONWORKERS INTERMOUNTAIN HEALTH & WELFARE PO BOX 30124 SALT LAKE CITY UT 84130-012467 25547005 IRONWORKERS LOCAL 17 1564 EAST 23RD STREET CLEVELAND OH 44114-429067 11111005 IRONWORKERS LOCAL 25 P.O. BOX 8006 NOVI MI 48376-800689 40439585 IRONWORKERS LOCAL 292 PO BOX 398 DAYTON OH 45401- 67 11120005 IRONWORKERS LOCAL 340 510 E COLUMBIA BATTLE CREEK MI 49015- 67 29658005 IRONWORKERS LOCAL 395 TRUST 2111 W LINCOLN HWY MERRILLVILLE IN 46410- 67 20415005 IRONWORKERS WELFARE TRUST PO BOX 398 DAYTON OH 45401- 89 40439265 ITPE HEALTH AND WELFARE FUND PO BOX 13817 SAVANNAH GA 31416-081788 40426805 JAMES BURG TRUCKING CO 27275 MOUND RD WARREN MI 48092- 38 30869005 JEC HEALTH CLAIMS PO BOX 8210 CLEARWATER FL 34618- 88 27327015 JEFFERSON PILOT P O BOX 51487 ONTARIO CA 91761-008738 27327020 JEFFERSON PILOT PO BOX 2615, DEPT BE OMAHA NE 68103- 38 11710005 JEFFERSON PILOT LIFE INSURANCE P O BOX 26011 GREENSBORO NC 27420-601138 40067005 JELD WEN HEALTH BENEFIT PLAN PO BOX 1747 REDMOND OR 97756-400189 40439005 JENSEN ADMINISTRATIVE SERVICES (JAS) 4885 S 900 E STE 202 SALT LAKE CITY UT 84117-391149 23408005 JFP BENEFIT MANAGEMENT 100 S JACKSON STREET JACKSON MI 49201-225289 23408010 JFP BENEFIT MANAGEMENT 100 S JACKSON STREET JACKSON MI 49201-225288 30577105 JLT SERVICES PO BOX 2233 SCHENECTADY NY 12301- 89 30601010 JMS ADMINISTRATORS 30700 TELEGRAPH RD FRANKLIN MI 48025- 38 30601005 JMS ADMINISTRATORS PO BOX 480199 NEW HAVEN MI 48048-019989 40429195 JOHN ALDEN PO BOX 981652 EL PASO TX 79998- 23 17563005 JOHN ALDEN PO BOX 981652 El Paso TX 79998- 89 05212010 JOHN DEERE HEALTH CARE INC PO BOX 8803 MOLINE IL 61266-880338 05212005 JOHN DEERE HEALTH CARE INC 3800 23RD AVE STE 200 MOLINE IL 61265- 83 00190015 JOHN HANCOCK PO BOX 852 BOSTON MA 02117- 38 40371010 JOHN HOPKINS EMPLOYER HEALTH PLANS 111 MARKET PLACE BALTIMORE MD 21202- 38 29271005 JOHN P PEARL & ASSOCIATES LTD 4815 N PROSPECT RD PEORIA IL 61614-647088 40425425 JP FARLEY PO BOX 458022 WESTLAKE OH 44145-802289 40286010 JP FARLEY CORPORATION PO BOX 458022 WESTLAKE OH 44145-802238 40286005 JP FARLEY CORPORATION P.O. BOX 458022 WESTLAKE OH 44145-802289 40427965 JSL ADMINISTRATORS PO BOX 2857 FAYETTEVILLE NC 28302- 88 40426295 JSL ADMINISTRATORS PO BOX 72749 NWNAN GA 30271- 38 25019005 JW CARELL ADMINISTRATORS PO BOX 1984 NASHVILLE TN 37202- 89 40439765 JW TERRILL PO BOX 989 CHESTERFIELD MO 63016-098989 40425715 KAISER PO BOX 190849 ATLANTA GA 31119- 38 12656025 KAISER PERMANENTE PO BOX 6611 ROCKVILLE MD 20849-661138 40425665 KAISER PERMANENTE 3495 PIEDMONT RD NE ATLANTA GA 30305- 89 40427115 KAISER PERMANENTE PO BOX 5316 CLEVELAND OH 44101- 89 30926010 KAISER PERMANENTE PO BOX 7004 DOWNEY CA 90241-7004

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OI Carrier ID Carrier Name Street City State Zip Code38 12656005 KAISER PERMANENTE MED CARE PRO PO BOX 12923 OAKLAND CA 94604- 89 40428275 KANAWHA HEALTHCARE SOLUTIONS 210 S WHITE ST LANCASTER SC 29721- 38 26615005 KANAWHA HEALTHCARE SOLUTIONS INC 210 S WHITE ST LANCASTER SC 29721- 38 05230005 KANSAS CITY LIFE INS PO BOX 219325 KANSAS CITY MO 64121-932538 40426165 KAPNICK INSURANCE GROUP 950 VICTORS WAY STE 10 ANN ARBOR MI 48108- 89 27696005 MED CENTERS PO BOX 1289 MINNEAPOLIS MN 55440- 38 22868005 MED CHOICE PO BOX 385 TOLEDO OH 43691- 38 40425945 MED NET PO BOX 15440 PORTLAND ME 04112- 89 30950010 MED PAY INC PO BOX 10909 SPRINGFIELD MO 65808- 38 30950005 MED PAY INC PO BOX 10909 SPRINGFIELD MO 65808- 38 29336005 MED TAC CLAIM CENTER PO BOX 9110 NEWTON MA 02160- 38 40423495 MEDBEN PO BOX 1099 NEWARK OH 43058-109989 40429415 MEDBEN PO BOX 1099 NEWARK OH 43058-109988 40427455 MEDBEN PO BOX 1099 NEWARK OH 43058- 87 00029015 MEDCO BCBS PO BOX 2500/600 LAFAYETTE DETROIT MI 48226- 87 17269005 MEDCO HEALTH PO BOX 14711 LEXINGTON KY 40512- 38 40423675 MEDCOM SERVICES PO BOX 10269 JACKSONVILLE FL 32247-026989 22868010 MEDCOST PO BOX 25307 WINSTON SALEM NC 27114-530789 40429105 MEDCOST BENEFIT SERVICES PO BOX 25987 WINSTON-SALEM NC 27114-598738 12164005 MEDI CLAIM PO BOX 4007 DANVILLE IL 61834-400738 23257005 NYHART COMPANY INC PO BOX 80884 INDIANAPOLIS IN 46208-088489 06908020 NYLCARE HEALTH PLANS PO BOX 509 GREENBELT MD 20770- 89 40440565 NYSA-ILA WELFARE FUND 45 BROADWAY 5TH FLOOR NEW YORK NY 10006-401238 30602005 ODS PO BOX 40384 PORTLAND OR 97240- 88 40423865 ODS 601 SW 2ND AVE PORTLAND OR 97204- 89 40423225 OFFICE OF GROUP BENEFITS PO BOX 44036 BATON ROUGE LA 70804- 38 07226005 OGDEN RIGA MUT FIRE ROUTE 1 BLISSFIELD MI 49228- 67 30823005 OH CARPENTERS H & W FUND WARREN RD SUITE 240 NILES OH 44446- 67 20961005 OH CONFERENCE OF PLASTERERS & CEMENT MASONS PO BOX 230 NILES OH 44446- 89 40426465 KEENAN & ASSOC PO BOX 11431 TORRANCE CA 90510- 88 40429715 KENAN ADVANTAGE GROUP PO BOX 35519 CANTON OH 44735- 89 40440445 KENTUCKY LABORERS DISTRICT COUNCIL H&W FUND 1996 BYPASS S LAWRENCEBURG KY 40342-975589 28861010 KEY BENEFIT ADMINISTRATORS PO BOX 55210 INDIANAPOLIS IN 46205- 38 28861005 KEY BENEFIT ADMINISTRATORS PO BOX 55210 INDIANAPOLIS IN 46205- 38 12709005 MENNONITE MUTUAL AID 1110 NORTH MAIN STREET GOSHEN IN 46527-048338 40427055 MERCER ADMINISTRATION PO BOX 4542 IOWA CITY IA 52244-454289 40428295 MERCER ADMINISTRATION 701 MARKET ST STE 1100 ST LOUIS MO 63101- 38 05947005 MERCHANTS MUT INS CO 250 MAIN ST BUFFALO NY 14240- 89 40429875 MERCY HEALTH PARTNERS PO BOX 6018 CLEVELAND OH 44101-101889 40428135 MERCY HEALTH PLANS 14528 S OUTER 40 #300 CHESTERFIELD MO 63017-574338 40362005 MERIT BEHAVIORAL CARE PO BOX 2158 MARYLAND HEIGHT MO 63043- 38 21889005 MERITAIN PO BOX 10906 EVANSVILLE IN 47706- 38 29703005 MERITAIN HEALTH PO BOX 94928 CLEVELAND OH 44101-492838 40429095 MERITAIN HEALTH PO BOX 853921 RICHARDSON TX 75085-392188 40424835 MERITAIN HEALTH PO BOX 9501 AMHERST NY 14226- 38 30099005 MERITAIN HEALTH PO BOX 853921 RICHARDSON TX 75085-392189 40428365 MERITAIN HEALTH PO BOX 853921 RICHARDSON TX 75085-392189 29703010 MERITAIN HEALTH PO BOX 94928 CLEVELAND OH 44101-492872 26769005 MERITAIN HEALTH (CBSA) 400 HIGHWAY 169 MINNEAPOLIS MN 55426- 88 40429935 MERITAIN HEALTH (CBSA) PO BOX 27267 MINNEAPOLIS MN 55427-

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OI Carrier ID Carrier Name Street City State Zip Code38 40427035 MERITAIN HEALTH (PERFORMAX) PO BOX 853921 RICHADSON TX 75085-392189 40428185 MERITAIN HEALTH (PERFORMAX) PO BOX 853921 RICHARDSON TX 75085-392188 40427325 MERITAIN HEALTH (WEYCO) PO BOX 30126 LANSING MI 48909- 88 40425015 MERITAIN HEALTH (WEYCO) PO BOX 30126 LANSING MI 48909-762689 20237010 MERITAIN HEALTH (WEYCO) PO BOX 30126 LANSING MI 48909- 38 40425025 MERITAIN HEALTH (WEYCO) PO BOX 31026 LANSING MI 48909-763286 40427315 MERITAIN HEALTH (WEYCO) PO BOX 30126 LANSING MI 48909- 43 20237005 MERITAIN HEALTH (WEYCO) PO BOX 30126 LANSING MI 48909- 38 40429985 MERRY MOUNT BEHAVIORAL HEALTH 6000 W CREEK RD STE 20 INDEPENDENCE OH 44131- 89 40439535 MERS PREMIER HEALTH PO BOX 1649 GRAND RAPIDS MI 49501- 38 26660005 MERVYN'S HEALTH PLAN TRUST PO BOX 3108 RANCHO CORDOVA CA 95741-310886 40426135 MES VISION PO BOX 93033 LONG BEACH CA 90809- 88 40424715 METLIFE PO BOX 981282 EL PASO TX 79998-128288 40426865 METLIFE 1 FINANCIAL BLDG. BOSTON MA 02110- 88 40425555 METLIFE DEPT CH 10579 PALATINE IL 60055-057983 40423135 METLIFE PO BOX 937 WESTPORT CT 06881-093788 00163015 METROPOLITAN LIFE INS 177 S COMMONS DR AURORA IL 60507- 38 30063005 LEGIONNAIRE INSURANCE TRUST PO BOX 9060 PHOENIX AZ 85068-906038 11185005 LEWER AGENCY INC 4534 WORNALL ROAD KANSAS CITY MO 64111- 84 40412085 LIBERTY UNION LIFE ASSURANCE COMPANY PO BOX 71507 MADISON HEIGHTS MI 48071- 65 11461005 LIBERTY UNION LIFE ASSURANCE COMPANY PO BOX 71507 MADISON HEIGHTS MI 48071- 38 14356005 LIFE INVESTORS 4333 EDGEWOOD ROAD NE CEDAR RAPIDS IA 52499- 38 20792005 LIFEGUARD BOX 5506 SAN JOSE CA 95150- 89 40427445 LIFEWISE HEALTH PLAN OF AZ PO BOX 91134 SEATTLE WA 98111-923488 40423915 LINCOLN FINANCIAL PO BOX 2640 OMAHA NE 68103- 38 40440235 LINCOLN HERITAGE LIFE INS CO PO BOX 10843 CLEARWATER FL 33757- 33 40096005 LOCAL 135 WELFARE FUND 1233 SHELBY STREET INDIANAPOLIS IN 46203- 38 40439725 LOCAL 400 WELFARE FUND 707 BROOKPARK RD CLEVELAND OH 44109- 89 40096015 LOCAL UNION INSURANCE #1102 1587 STEWART AVENUE WESTBURY NY 11590- 67 40096010 LOCAL UNIONS 19 & 127 H & W 11270 W PARK PLACE MILWAUKEE WI 53224- 38 40390005 LOOMIS COMPANY PO BOX 7011 WYOMISSING PA 19610-601189 40439345 LOVELACE HEALTH PLAN PO BOX 760 PUEBLO CO 81002-016089 40428645 LOVELACE HEALTH PLAN 4101 INDIAN SCHOOL NE STE110 S ALBUQUERQUE NM 87110- 38 05615005 LOYAL AMERICAN INSURANCE PO BOX 6408 MOBILE AL 36660-040838 40222005 LUCKY STAR INDUSTRIES PO DRAWER K NETTLETON MS 38858- 38 40423555 LUMENOS PO BOX 11265 ALEXANDRIA VA 22312- 89 40428845 LUMENOS PO BOX 11265 ALEXANDRIA VA 22312- 89 05704010 LUTHERAN PREFERRED PO BOX 2592 FT. WAYNE IN 46801- 38 40423175 M PLAN 8802 N MERIDIAN ST STE 100 INDIANAPOLIS IN 46260- 89 30570005 M PREFERRED PPO PO BOX 134005 ANN ARBOR MI 48113-400538 05867005 MA GENERAL LIFE 7730 E BELLEVIEW AVE ENGLEWOOD CO 80111- 38 40244010 MAGELLAN PO BOX 2278 MARYLAND HEIGHTS MO 63043- 89 40428515 MAGNACARE 825 EASTGATE BLVD GARDEN CITY NY 11530- 89 13789010 MAIL HANDLERS BENEFIT PLAN PO BOX 8402 LONDON KY 40742- 41 13789005 MAIL HANDLERS BENEFIT PLAN PO BOX 8402 LONDON KY 40742-000038 30510005 MAKSIN MANAGEMENT CORP PO BOX CN85000 PENN SAUKEN NJ 08110-500089 40279005 MANAGED CARE OF AMERICA 820 PARISH STREET PITTSBURGH PA 15220- 89 40348005 MANAGED CARE SERVICES PO BOX 5548 FORT WAYNE IN 46895- 88 40279010 MANAGED DENTAL CHOICE 3 PENN PLAZA EAST PP-03Q NEWARK NJ 07105- 38 40427405 MANAGED HEALTH NETWORK (MNA) 2600 N MAYFAIR RD STE 490 MILWAUKEE WI 53226-

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OI Carrier ID Carrier Name Street City State Zip Code38 40280005 MANAGING UNDERWRITERS INC PO BOX 1008 DELAWARE OH 43015- 89 40427775 MANATEE SERVICE CENTER PO BOX 851258 RICHARDSON TX 75087-125838 40425415 MANHATTAN LIFE INS CO PO BOX 925309 HOUSTON TX 77292-530938 27831005 MARATHON OIL CO 539 SOUTH MAIN ST. FINDLAY OH 45840- 38 40423835 MARSH ADVANTAGE AMERICA ONE WEST THIRD ST STE 900 TULSA OK 74103- 38 22536010 MARSH AFFINITY GROUP SERVICES PO BOX 10439 DES MOINES IA 50306-043288 00163020 METROPOLITAN LIFE INS PO BOX 14093 LEXINGTON KY 40512-409338 40429605 MHN PO BOX 14621 LEXINGTON KY 40512-462138 40313005 MI BAPTIST BENEFIT PLAN PO BOX 956353 DULUTH GA 30136- 33 00074005 MI CONF OF TEAMSTERS WELFARE 2700 TRUMBULL DETROIT MI 48216- 88 00074025 MI CONF OF TEAMSTERS WELFARE PO BOX 331237 DETROIT MI 48232-723786 00074020 MI CONF OF TEAMSTERS WELFARE/DELTA VISION 2700 TRUMBULL DETROIT MI 48216- 38 13798010 MI COUNCIL OF ABATEMENT WKRS PO BOX 3039 BIRMINGHAM MI 48012-303967 13798005 MI COUNCIL OF ABATEMENT WORKERS PO BOX 1349 TROY MI 48099-134988 40427305 MI EDUC SPEC SERV ASSOC PO BOX 2560 EAST LANSING MI 48823- 86 40427295 MI EDUC SPEC SERV ASSOC PO BOX 2560 EAST LANSING MI 48823- 19 00154005 MI EDUC SPEC SERV ASSOC PO BOX 2560 EAST LANSING MI 48823- 89 00154010 MI EDUC SPEC SERV ASSOC PO BOX 2560 EAST LANSING MI 48823- 38 40201005 MI EDUCATION EMP MUT INS 691 N SQUIRREL ROAD AUBURN HILLS MI 48326- 88 40427345 MI EMPLOYEES BENEFIT SER 3809 LAKE EASTBROOK BLVD GRAND RAPIDS MI 49546-593186 40427335 MI EMPLOYEES BENEFIT SER 3809 LAKE EASTBROOK BLVD GRAND RAPIDS MI 49546-593138 25583005 MI EMPLOYEES BENEFIT SER 3809 LAKE EASTBROOK BLVD. GRAND RAPIDS MI 49546-593138 11381005 MI FUNERAL DIRECTORS PO BOX 27158 LANSING MI 48909- 88 00136005 MI LABORERS H & W FUND 6525 CENTURION DRIVE LANSING MI 48917- 67 26132005 MI LUMBER & BUILDING MATERIALS 5815 EXECUTIVE DR LANSING MI 48911-534064 00225005 MI UNITED FOOD & COMMERCIAL 876 HORACE BROWN DR MADISON HEIGHTS MI 48071-040088 40429135 MI UNITED FOOD & COMMERCIAL WORKERS 876 HORACE BROWN DR MADISON HEIGHTS MI 48071- 86 40429125 MI UNITED FOOD & COMMERCIAL WORKERS 876 HORACE BROWN DR MADISON HEIGHTS MI 48071- 89 00225010 MI UNITED FOOD & COMMERCIAL WORKERS 876 HORACE BROWN DRIVE MADISON HEIGHTS MI 48071-040088 30705005 MICHIGAN DENTAL PLAN PO BOX 379 CLAWSON MI 48017- 86 40429795 MICHIGAN GLASS AND GLAZING 357 PO BOX 966 TROY MI 48099- 38 40429205 MID AMERICAN BENEFITS INC 5310 N 99TH ST STE 1 OMAHA NE 68134- 38 11470005 MID CONTINENTAL CLAIMS PO BOX 3039 BIRMINGHAM MI 48012- 88 25162005 MIDA DENTAL PLANS 2000 TOWN CENTER SOUTHFIELD MI 48075- 89 40413395 MIDLANDS CHOICE PO BOX 5809 TROY MI 48007- 88 40413575 MIDWEST DENTAL BENEFITS 2236 MARSHALL AVE STE 100 ST. PAUL MN 55104- 89 40424085 MIDWEST HEALTH AKM 5050 SCHAEFER DEARBORN MI 48126- 38 40323005 MID-WEST NATIONAL INS CO OF TN PO BOX 982017 HILLS TX 76182-801767 12745005 MIDWEST OPER ENG WELFARE FUND 6150 JOLIET RD COUNTRYSIDE IL 60525- 88 21717005 MIDWESTERN DENTAL CENTER 5050 SCHAFER RD DEARBORN MI 48126- 67 11514005 MILLWRIGHTS LOCAL1102 H&W FUND 6525 CENTURION DRIVE LANSING MI 48917-927567 30050005 MILWAUKEE CARPENTERS DISTRICT PO BOX 670 PEWAUKEE WI 53072- 67 27966005 MILWAUKEE PAINTERS LOCAL 781 633 S HAWLEY ROAD MILWAUKEE WI 53214- 38 11283010 MARYLAND INSURANCE GROUP PO BOX 7131 INDIANAPOLIS IN 46206-713189 40439035 MAS BENEFITS PO BOX 1400 OXFORD MS 38655-140038 40440025 MASHANTUCKET PEQUOT PLAN PO BOX 3620 MASHANTUCKET CT 06388- 38 40423365 MASKIN MANAGEMENT CORP PO BOX 599 PENNSKAN NJ 08110- 38 40424415 MASKIN MANAGEMENT CORP CN85000 PENNSAUKEN NJ 08110-500038 30899010 MASLAND INDUSTRIES 1855 STEPEHENSON HIGHWAY TROY MI 48083- 89 40439485 MASONRY INDUSTRY TRUST ADMINISTRATORS 9848 E BURNSIDE ST PORTLAND OR 97216-2330

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OI Carrier ID Carrier Name Street City State Zip Code38 40413645 MASTERS,MATES & PILOTS HEALTH & BENEFIT PLAN 5700 HAMMONDS FERRY ROAD LINTHICUM HEIGHTS MD 21090-199638 40000005 MATTHEW THORNTON HEALTH PLAN PO BOX 9514 MANCHESTER NH 03108-951438 40148005 MAXCO INC 1118 CENTENNIAL WAY LANSING MI 48908- 87 40427495 MAXOR 320 S POLK STE 200 AMARILLO TX 79101- 38 29670005 MBA PO BOX 651109 SALT LAKE CITY UT 84165-110938 40440455 MBA OF MARYLAND PO BOX 950 FOREST HILL MD 21050- 87 40429465 MC 21 PO BOX 4908 CAGUAS PR 00726- 38 40413335 MCA ADMINISTRATORS 820 PARISH STREET PITTSBURGH PA 15220- 89 21430005 MCARE 2301 COMMONWEALTH BLVD ANN ARBOR MI 48105-294538 40427165 MCARE 2301 COMMONWEALTH BLVD ANN ARBOR MI 48105-294589 21860005 MCAULEY HEALTH PLAN PO BOX 9082 FARMINGTON HILL MI 48333- 38 40079005 MCC BEHAVIORAL CARE 11095 VIKING DR EDEN PRAIRIE MN 55344- 38 30204005 MCCONACHIE FINANCIAL SERVICES PO BOX 859 PARK RIDGE IL 60068- 38 17581010 MCELROY METAL MILL INC PO BOX 527 MARSHALL MI 49068- 38 40223005 MCKEE FOODS PO BOX 2078 COLLEGEDALE TN 37315- 89 40223010 MCLAREN HEALTH ADVANTAGE PO BOX 1511 FLINT MI 48201-151138 30793005 ME HEALTH PLAN INC 110 FREE STREET PORTLAND ME 04101-390889 40029005 MEDICA PO BOX 659752 SAN ANTONIO TX 78265-975238 23480005 MEDICAL BENEFIT ADMINISTRATORS 217 BROADWAY MONTICELLO NY 12701- 38 30921005 MEDICAL BENEFITS ADMIN PO BOX 909991 MILWAUKEE WI 53209- 38 40081005 MEDICAL BENEFITS MUTUAL PO BOX 1129 NEWARK OH 43058-112989 40081500 MEDICAL CLAIMS MANAGEMENT CORPORATION PO BOX 12995 CHARLOTTE NC 28220-299589 29681010 MEDICAL CLAIMS SERVICE 1 WALL STREET RAVENSWOOD WV 26164- 38 30743005 MEDICAL COLLEGE OF WI 11200 W PLAN CT STE 160 MILWAUKEE WI 53213- 89 30743010 MEDICAL CONTROL NETWORK PO BOX 549005 DALLAS TX 75354-900589 40425055 MEDICAL MUTUAL OF OH PO BOX 6018 CLEVELAND OH 44101-101838 12253010 MEDICAL MUTUAL OF OH PO BOX 6018 CLEVELAND OH 44101-101889 40439615 MEDICAL NETWORK PO BOX 828 COLORADO SPRINGS CO 80901-082838 26787005 MEDICAL SERVICE CORPORATION PO BOX 3048 SPOKANE WA 99220-304891 41414141 MEDICARE - ELIG, NOT ENROLLED IN PART B N/A N/A MI 48933- 50 77777777 MEDICARE-ALIENS NOT ENROLLED FOR MEDICARE N/A N/A MI 48933- 90 12121212 MEDICARE-ELIGIBLE FOR, NOT CONFIRMED BY CMS N/A N/A MI 48933- 90 11111111 MEDICARE-ELIGIBLE FOR,NOT ENROLLED N/A N/ MI 48933- 91 22222222 MEDICARE-ELIGIBLE,NOT ENROLLED IN MEDICARE D N/A N/A MI 48933- 96 55555555 MEDICARE-ENROLLED IN MEDICARE ADVANTAGE PLAN N/A N/A MI 48933- 91 66666666 MEDICARE-ENROLLED IN MEDICARE PART D N/A N/A MI 48933- 91 33333333 MEDICARE-ENROLLED IN PART A N/A N/A MI 48933- 91 44444444 MEDICARE-ENROLLED IN PART B N/A N/A MI 48933- 38 24601005 MEDICO GROUP 1515 SOUTH 75TH ST OMAHA NE 68124- 87 40259005 MEDIMPACT 10680 TREENA STREET SAN DIEGO CA 92131- 38 29347005 MEDIPLAN 502 VALLEY ROAD WAYNE NJ 07470- 38 40129005 MEDIPLUS THE HARTFORD PO BOX 9126 DES MOINES IA 50306-912689 40428305 MEDNET PO BOX 15253 PORTLAND MA 04112- 38 30806010 MEDPLAN SELECT PO BOX 2088 DALTON GA 30722-208887 40423145 MEDTRAK SERVICES 6310 LAMAR STE 230 OVERLAND PARK KS 66202- 38 30095010 MEGA LIFE & HEALTH PO BOX 982009 HILLS TX 76182-800938 30094005 MEGA LIFE & HEALTH INSURANCE PO BOX 982009 HILLS TX 76182-800938 30094010 MEGA LIFE & HEALTH INSURANCE PO BOX 982009 HILLS TX 76182- 38 40424935 MEIJER FIRST CARE MEDICAL PO BOX 442048 HOUSTON TX 77244- 87 40426985 MEMBER HEALTH PO BOX 391180 CLEVELAND OH 44139-

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OI Carrier ID Carrier Name Street City State Zip Code38 23749005 MEMBER INSURANCE 203 JANDUS RD CARY IL 60013- 89 40429525 MEMORIAL HERMAN HEALTH NETWORK PO BOX 742567 HOUSTON TX 77274- 89 40439865 MEMORIAL MANAGED CARE PO BOX 849029 PENBROKE PINES FL 33084-102938 17714005 MI OIL & GAS ASSOCIATION PO BOX 15069 LANSING MI 48901- 67 11443005 MI RETAILERS GROUP INS 221 N PINE ST LANSING MI 48933- 67 14374005 MI STATE CNCL OF LATHERS PO BOX 1132 BAY CITY MI 48706- 38 11425005 MI STATE PAINTERS INSURANCE 6525 CENTURION DR LANSING MI 48197-927567 40269005 MINNEAPOLIS MEAT CUTTERS & 6600 FRANCE AVE SOUTH EDINA MN 55435- 38 40426445 MINNESOTA LIFE PO BOX 2327 SPRINGFIELD IL 62705- 89 26938005 MINNESOTA TEAMSTERS HEALTH AND WELFARE FUND 3001 UNIVERSITY AVE SE MINNEAPOLIS MN 55414- 38 40352005 MIRAGE RESORTS EMPLOYEE HEALTH PO BOX 1180 LAS VEGAS NV 89125- 38 40424275 MMA INSURANCE CO PO BOX 483 GOSHEN IN 46527- 89 40440405 MMSI 4001 41ST ST NW ROCHESTER MN 55901-890167 28937005 MN LABORERS H & W FUND 7645 METRO BLVD MINNEAPOLIS MN 55439-306038 23032005 MN TIMBER PRODUCERS ASSOCIATIO 2002 LONDON RD DULUTH MN 55812- 88 24432010 MODERN BENEFITS CORPORATION PO BOX 4000 SOUTHFIELD MI 48037-400089 40427395 MO-KAN SHEET METAL WRKRS & WELFARE FUND 406 W 34TH ST KANSAS CITY MO 64111- 88 40423715 MONARCH BENEFIT GROUP PO BOX 162390 ATLANTA GA 30321-239067 21851005 MONROE PLUMBERS & PIPEFITTERS 309 DETROIT AVENUE MONROE MI 48162- 38 17590005 MONTGOMERY WARD INSURANCE PO BOX 5008 CAROL STREAM IL 60197-500838 06318005 MONUMENTAL GENERAL INS CO P O BOX 97 SCRANTON PA 18504-009738 30549005 MONUMENTAL LIFE INSURANCE CO PO BOX 97 SCRANTON PA 18504-009738 06621005 MONUMENTAL LIFE INSURANCE COMPANY CLAIMS DEPARTMENT VALLEY FORGE PA 19493- 89 28314010 MORRIS ASSOCIATES PO BOX 50440 INDIANAPOLIS IN 46250- 38 40423625 MORTON BUILDINGS INC PO BOX 232 MORTON IL 61550-023238 30801005 MOTEL 6 MEDICAL CLAIM SERVICE PO BOX 809092 DALLAS TX 75380-909167 40165005 MOTION PICTURE H & W PO BOX 1118 STUDIO CITY CA 91604- 89 40426595 MOTION PICTURE IND PENSION & HEALTH PLANS PO BOX 1999 STUDIO CITY CA 91614- 38 20916005 MOTOROLA INC PO BOX 29005 PHOENIX AZ 85038- 89 40423985 MOUNTAIN STATE BC BS PO BOX 7026 WHEELING WV 26003- 89 40363005 MOUNTAIN STATES ADMINISTRATIVE PO BOX 32709 TUCSON AZ 85751- 38 40413105 MOUNTAIN STATES ADMINISTRATIVE PO BOX 32709 TUCSON AZ 85751-270938 40427805 MPE EMPLOYEE BENEFIT SERVICES INC PO BOX 24327 JACKSON MS 39225- 86 40426055 MRCC EMPLOYEE BENEFITS PLAN 2075 W BIG BEAVER STE 700 TROY MI 48084- 87 40426105 MRCC EMPLOYEE BENEFITS PLAN 2075 W BIG BEAVER STE 700 TROY MI 48084- 88 40426065 MRCC EMPLOYEE BENEFITS PLAN 2075 W BIG BEAVER STE 700 TROY MI 48084- 38 40428835 MULTI NATIONAL UNDERWRITERS PO BOX 863 INDIANAPOLIS IN 46206- 89 40399105 MULTIPLAN 115 FIFTH AVENUE NEW YORK NY 10003- 89 40428165 MUNICIPAL HEALTH BENEFIT FUND PO BOX 188 NORTH LITTLE ROCK AR 72115- 38 24227005 MUTUAL ASSURANCE AGENCY INC PO BOX 42096 OKLAHOMA CITY OK 73123- 86 28383005 MUTUAL EYE CLAIM AUDITS INC PO BOX 17190 INDIANAPOLIS IN 46217- 38 26526005 MUTUAL HEALTH SERVICE COMPANY PO BOX 9 4601 CLEVELAND OH 44101- 38 00397005 MUTUAL LIFE INSUR CO OF NY ONE MONY PLAZA SYRACUSE NY 13221- 38 30821005 MUTUAL MEDICAL PLANS PO BOX 689 PEORIA IL 61652- 38 40440475 MUTUAL OF AMERICA 320 PARK AVE NEW YORK NY 10022-683922 00421015 MUTUAL OF OMAHA PO BOX 9 WOODWARD OK 73802- 83 00421105 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAZA OMAHA NE 68175- 84 00421020 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAZA OMAHA NE 68175- 22 00421005 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAZA OMAHA NE 68175- 22 00421010 MUTUAL OF OMAHA PO BOX 668329 CHARLOTTE NC 28266-8329

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OI Carrier ID Carrier Name Street City State Zip Code89 40413375 MUTUAL OF OMAHA PPO PO BOX 9 WOODWARD OK 73802- 54 06434005 MUTUAL PROTECTIVE MEDICO LIFE 1515 SOUTH 75TH STREET OMAHA NE 68124-161889 40270005 MUTUALLY PREFERRED PPO MUTUAL OF OMAHA PLAZA OMAHA NE 68175- 38 40402025 MVP HEALTH PLAN PO BOX 2207 SCHENECTADY NY 12301- 89 40427945 MVP HEALTH PLAN PO BOX 2207 SCHENECTADY NY 12301- 89 40426675 MVP SELECT CARE PO BOX 1434 SCHENECTADY NY 12031- 38 40428865 MW UNIVERSAL HEALTH SERVICES PO BOX 368 PARIS KY 40361- 38 40050005 MW UNIVERSAL HEALTH SERVICES 1855 WINCHESTER RD PARIS KY 40361- 88 40426965 MWG DENTAL PO BOX 30567 SALT LAKE CITY UT 84130- 89 40413635 NALC HEALTH BENEFIT PLAN 20547 WAVERLY CT ASHBURN VA 22093- 41 11541005 NALC HEALTH BENEFIT PLAN 20547 WAVERLY CT ASHBURN VA 22093- 38 24808005 NASCC CLAIMS 7400 COLLEGE BLVD., SUITE 100 OVERLAND PARK KS 66210- 67 21468005 NATIONAL ASBESTOS WORKER MED 8401 CORPORATE DRIVE LANDOVER MD 20785- 88 13635005 NATIONAL AUTO SPRINKLER SYSTEM 8000 CORPORATE DRIVE LANDOVER MD 20785- 38 40424495 NATIONAL BENEFIT ADMINISTRATORS PO BOX 263 PARSIPPANY NJ 07054- 89 40427955 NATIONAL BENEFITS ADMINISTRATORS PO BOX 690903 CHARLOTTE NC 28227- 89 40439835 NATIONAL BETTER LIVING ASSOCIATION (NBLA) 6470 EAST JOHNS CROSSING DULUTH GA 30097- 38 30979005 NATIONAL ELEVATOR INDUSTRY PO BOX 477 NEWTOWN SQUARE PA 19073-047789 30929005 NATIONAL ELEVATOR INDUSTRY PO BOX 477 NEWTOWN SQUARE PA 19073-047788 40426515 NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS PO BOX 475 NEWTON PA 19073- 86 40426525 NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS PO BOX 476 NEWTON PA 19073- 38 40423305 NATIONAL EMPLOYEE BENEFITS USCW 9970 OLD AIRPORT HWY MONCLOVA OH 43542- 89 40428355 NATIONAL EMPLOYEE BENEFITS ADMINISTRATORS 8875 LIBERTY RIDGE DR JACKSONVILLE FL 32256- 38 40001005 NATIONAL FOUNDATION LIFE INS 777 MAIN STREET FORT WORTH TX 76102- 89 19227010 NATIONAL HEALTH INSURANCE CO PO BOX 619999 DALLAS TX 75261-999989 40371015 NATIONAL HEALTH PLAN 1005 W ORANGEBURG AVENUE MODESTO CA 95350- 89 40391010 NATIONAL IAM BENEFIT TRUST FUND 1300 CONNECTICUT AVE #300 WASHINGTON DC 20036- 38 21477005 NATIONAL INSURANCE SERVICE INC P O BOX 30324 TAMPA FL 33630-332487 40402015 NATIONAL MEDICAL HEALTH CARD SYSTEMS PO BOX 1170 PORT WASHINGTON NY 11050- 87 40413585 NATIONAL PHARMACEUTICAL SERVICES PO BOX 407 BOYSTOWN NE 68010- 89 14060010 NATIONAL PREFERRED PROVIDER NETWORK PO BOX 7078 MIDDLETOWN NY 10940- 38 30596005 NATIONAL RURAL ELECTRIC COOP PO BOX 6249 LINCOLN NE 10056- 38 12763005 NATIONAL STATE INS CO PO BOX 46925 ST LOUIS MO 63146- 38 06793005 NATIONAL TRAVELERS LIFE P O BOX 9197 DES MOINES IA 50306-919786 40424675 NATIONAL VISION ADMINISTRATION NORTH 17 W 24222 WAUKESHA WI 53188- 89 40426585 NATIONAL WAY HEALTHCARE PO BOX 421169 HOUSTON TX 77242- 38 40413185 NATIONWIDE HEALTH PLANS/CHCS PO BOX 12467 PENSACOLA FL 32591-246738 00299005 NATIONWIDE INSURANCE COMPANY P O BOX 8006 DUBLIN OH 43016- 87 40429265 NAVITUS HEALTH SOLUTIONS PO BOX 999 FIVE INNOVATION CRT APPLETON WI 54912- 89 30931005 NCAS PO BOX 10153 FAIRFAX VA 22038-805389 40371005 NCHPP PO BOX 8012 WAUSAU WI 54402-801289 40439795 NEIGHBORHOOD HEALTH PO BOX 025680 MIAMI FL 33102- 38 23248005 NETWORK HEALTH PLAN 411 LINCOLN STREET NEENAH WI 54956- 89 40413815 NETWORK HEALTH PLAN PO BOX 568 MENASHA WI 54952- 89 40428345 NEVADA CARE PO BOX 82505 LAS VEGAS NV 89180- 88 40425765 NEVADA PACIFIC DENTAL 1432 D JONES BLVD LAS VEGAS NV 89146- 38 16860005 NEW ENGLAND HEALTH PLANS INS 501 BOYLSTON STREET BOSTON MA 02117- 38 06857005 NEW ENGLAND, THE 900 SECOND AVE,S-STE650 MINNEAPOLIS MN 55402-334138 40110005 NEW ERA LIFE INSURANCE COMPANY PO BOX 4884 HOUSTON TX 77210-488489 40439715 NEW ORLEANS ELECTRICAL HEALTH FUND PO BOX 1449 GOODLETTSVILLE TN 37070-

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OI Carrier ID Carrier Name Street City State Zip Code38 22581005 NEW TRIBES MISSION 1000 EAST FIRST STREET SANFORD FL 32771-148789 40439335 NEW WEST HEALTH PLAN PO BOX 548 KALISPELL MT 59903- 38 22115005 NEW WORLD CLAIMS SERVICES 2624 N 5TH STREET NILES MI 49120- 83 40427725 NEW YORK LIFE 51 MADISON AVE RM 1808 NEW YORK NY 10010-160386 40427195 NGS PO BOX 7676 ST CLAIR SHORES MI 48080-767688 40427185 NGS PO BOX 7676 ST CLAIR SHORES MI 48080-767628 13439010 NGS AMERICAN INC PO BOX 7676 ST CLAIR SHORES MI 48080-767689 13439005 NGS AMERICAN INC PO BOX 7676 ST CLAIR SHORES MI 48080-767638 17213005 NIBCO MEDICAL BENEFITS PO BOX 1167 ELKHART IN 46516- 89 40149010 NIPPON LIFE INSURANCE PO BOX 39710 COLORADO SPRINGS CO 80949-319038 40149005 NIPPON LIFE INSURANCE PO BOX 39710 COLORADO SPRINGS CO 80949-319067 40307005 NM PIPE TRADES H & W TRUST 4316 CARLISLE NE ALBUQUERQUE NM 87107- 89 40428545 NO BUCKEYE EDUCATIONAL COUNCIL 22-900 ST RT 34 ARCHEBOLD OH 43502- 38 30757010 NORTH AMERICA ADMINISTRATORS PO BOX 1984 NASHVILLE TN 37202- 89 30757015 NORTH AMERICA ADMINISTRATORS PO BOX 1984 NASHVILLE TN 37202- 38 26025005 NORTH AMERICAN INSURANCE CO PO BOX 44160 MADISON WI 53744-416089 40429705 NORTH NEVADA TRUST PO BOX 11337 RENO NV 89510-133738 40053005 NORTH SHORE ADMINISTRATORS PO BOX 1210 SANDUSKY OH 44871-109489 40423345 NORTH STAR ADMINISTRATORS PO BOX 91010 SEATTLE WA 98111- 38 29692010 NORTH STAR ADMINISTRATORS PO BOX 91010 SEATTLE WA 98111-911088 40426705 NORTHEAST DELTA DENTAL PO BOX 2022 CONCORD NH 03302- 38 40428965 NORTHERN ILLINOIS HEALTH PLAN PO BOX 880 FREEPORT IL 61032- 38 07093005 NORTHERN INSURANCE CO OF NY PO BOX 91 BALTIMORE MD 21203- 38 07128005 NORTHERN LIFE INS CO PO BOX 12530 SEATTLE WA 98111- 38 07137005 NORTHERN MUTUAL FIRE INS CO 112 CLEVELAND ISHPEMING MI 49849- 38 07146005 NORTHERN NATIONAL LIFE BOX 580 BISMARCK ND 58501- 38 07155005 NORTHLAND INSUR CO HAMM BUILDING ST PAUL MN 55102- 89 40439645 NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE EAST SEATTLE WA 98102-330538 14543005 NORTHWEST FED OF INDEP BUSINES PO BOX 8867 BOISE ID 83707- 89 40440745 NORTHWEST ROOFERS & EMPLOYERS H&W TRUST FUND 2815 SECOND AVE STE 300 SEATTLE WA 98124- 89 40335010 PCA HEALTH PLAN OF FL INC 6101 BLUE LAGOON DR MIAMI FL 33126- 38 17643005 PECK ASSOCIATES PO BOX 1208 MT CLEMENS MI 48043- 38 22590010 PEERLESS CORPORATION PO BOX 760 PARAGOULD AR 72451- 38 40207010 PEHP 560 EAST 200 SOUTH SALT LAKE CITY UT 84102-200438 30740005 PEKIN LIFE 2505 COURT PEKIN IL 61558- 38 40424445 PENNSYLVANIA LIFE PO BOX 399127 CAMBRIDGE MA 02139- 38 40324005 PENSIONED OPERATING ENGINEERS PO BOX 23980 OAKLAND CA 94623-098038 07594005 PEOPLES MUTUAL INS C O538 WEST MAIN ST IONIA MI 48846- 89 40424375 PERCS 2950 INDUSTRIAL RD LAS VEGAS NV 89109- 89 40439185 PERFECT HEALTH PO BOX 140724 STATEN ISLAND NY 10314- 38 40271005 PERSONAL CARE PLAN PO BOX 30004 DURHAM NC 27702-300438 07600005 PERSONAL INDEM MUT 6150 W FOND DU LAC MILWAUKEE WI 53218- 38 40271010 PERSONAL INSURANCE ADMINISTRATORS PO BOX 5004 THOUSAND OAKS CA 91359-500438 07629005 PERSONAL LIFE INS CO 7711 BONHOMME AVE ST LOUIS MO 63105- 38 14801005 PESCHKE 18615 SHERWOOD DETROIT MI 48234- 38 07638005 PETROLEUM CASUALTY PO BOX 2180 HOUSTON TX 77001- 38 06499005 PFL AND LIFE 9151 GRAPEVINE HWY N RICHLAND HILL TX 76182-800987 40157010 PHARMACARE PO BOX 2680 PITTSBURGH PA 15238-268087 30550010 PHARMACEUTICAL CARE NETWORK 9343 TECH CENTER DRIVE SACRAMENTO CA 95826-259287 40426855 PHARMACY DATA MANAGMENT 940 WINDHAM CRT STE 1 BOARDMAN OH 44512-

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OI Carrier ID Carrier Name Street City State Zip Code89 40400010 PHCS NETWORK 1100 WINTER STREET WALTHAM MA 02451- 38 07647005 PHILADELPHIA AMERICAN LIFE PO BOX 2465 HOUSTON TX 77252-246538 07656005 PHILADELPHIA MANUF MUT INS CO PO BOX 824 VALLEY FORGE PA 19482- 38 07665005 PHILADELPHIA UNITED LIFE INS PO BOX 4583 PHILADELPHIA PA 19131- 38 07674005 PHOENIX ASSUR OF NY 80 MAIDEN LANE NEW YORK NY 10038- 38 07692005 PHOENIX HOME LIFE PO BOX 8027 BOSTON MA 02266- 89 40440415 PHOENIX MUTUAL LIFE PO BOX 8027 BOSTON MA 02266- 89 23865005 PHP MANAGEMENT SYSTEMS PO BOX 2359 FORT WAYNE IN 46801-235989 19281005 PHP MID MICHIGAN 1400 EAST MICHIGAN AVENUE LANSING MI 48909-787789 22788005 PHP OF MN 5601 SMETANA DRIVE MINNETONKA MN 55343- 89 20970005 PHP OF SOUTH MICHIGAN 1 JACKSON SQUARE JACKSON MI 49201-991489 26034010 PHYSICIANS CARE NETWORK 3033 ORCHARD VISTA DRIVE SE GRAND RAPIDS MI 49546- 89 40440465 PHYSICIANS CARE OF CA PO BOX 15165 SANTA ANA CA 92735-016589 30874010 PHYSICIANS CHOICE NETWORK PO BOX 4055 JACKSON MI 49204- 38 00412010 PHYSICIANS LIFE INSURANCE 2600 DODGE OMAHA NE 68131- 29 00412005 PHYSICIANS MUTUAL PO BOX 2018 OMAHA NE 68103-201889 40440205 PHYSICIANS MUTUAL PO BOX 2018 OMAHA NE 68103-201884 40413355 PHYSICIANS MUTUAL PO BOX 2018 OMAHA NE 68103-201889 40428555 PHYSICIANS PLUS PO BOX 269017 PLANO TX 75026-901738 40226005 PHYSICIANS PLUS INS CORP 340 WEST WASHINGTON AVE MADISON WI 53703- 38 27031005 PIEDMONT ASSOCIATES PO BOX 420188 ATLANTA GA 30342- 38 12790005 PILGRIM HEALTH AND LIFE 1143 LANEY WALKER BLVD AUGUSTA GA 30901- 59 12807015 PIONEER LIFE INSURANCE CO OF IL PO BOX 2034 CARMEL IN 46082-203489 12807005 PIONEER LIFE INSURANCE CO OF IL PO BOX 2034 CARMEL IN 46082-203438 12807020 PIONEER MANAGEMENT SYSTEMS INC PO BOX 9040 W. SPRINGFIELD MA 01090- 72 20587005 PIPEFITTERS LOCAL UNION WELFARE FUND 45 N OGDEN AVENUE CHICAGO IL 60607- 67 17198005 PIPELINE INDUSTRS BENEFIT FUND 4845 S 83RD EAST AVENUE TULSA OK 74147-095088 40440275 PIPELINE INDUSTRY BENEFIT FUND PO BOX 470950 TULSA OK 74147-095089 40440265 PIPELINE INDUSTRY BENEFIT FUND PO BOX 470950 TULSA OK 74147-095038 40131005 PITTMAN & ASSOCIATES ONE PRESCOTT SOUTH MEMPHIS TN 38111- 89 40423705 PLAINES HEALTH NETWORK INC PO BOX 810 PEWAUKEE WI 53072-081089 40055005 PLANNED ADMINISTRATORS INC PO BOX 6702 COLUMBIA SC 29260- 38 40425035 PLANNED ADMINISTRATORS INC PO BOX 6702 COLUMBIA SC 29260- 38 24684005 PLANNED EMPLOYEE PROGRAMS 1 BALA CYNWYD BALA CYNWYD PA 19004- 38 13564005 PLANNED SEC TRUST GROUP INS 6866 FLORIDA BLVD BATON ROUGE LA 70806- 38 14220005 PLASTIC EMPLOYEES BENEFIT FUND PO BOX 191 ST CLAIRE MI 48079- 67 40056010 PLUMBERS & PIPEFITTERS LOCAL #9 PO BOX 1028 TRENTON NJ 08628-023067 30713010 PLUMBERS & PIPEFITTERS LOCAL 172 2111 W LINCOLN HIGHWAY MERRILLVILLE IN 46410- 38 40423978 PLUMBERS & PIPEFITTERS LOCAL 450 5303 VA BEACH BLCD NORFOLK VA 23503- 67 11775005 PLUMBERS & STEAMFITTERS 2320 WASHTENAW AVENUE ANN ARBOR MI 48104- 89 40439675 PLUMBERS AND PIPEFITTERS 525 PO BOX 29150 LAS VEGAS NV 89126- 38 40423565 NORTHWESTERN OHIO PLUMBERS & PIPEFITTERS NO50 7570 CABLE BLVD STE B NORTHWOOD OH 43619- 38 40372005 NORTHWOOD INC 7277 BERNICE CENTERLINE MI 48015- 38 40429345 NORTHWOOD NPN PO BOX 3078 CENTERLINE MI 48015- 38 40425645 NOUASYS HEALTH PO BOX 25230 LITTLE ROCK AR 72221- 38 40004005 NOVA HEALTHCARE ADMINISTRATORS PO BOX 9010 BUFFALO NY 14231-901089 40429315 NOVASYS HEALTH PO BOX 25310 LITTLE ROCK AR 72221- 38 14060005 NRFEA INSURANCE SERVICE INC 10877 WATSON ROAD ST LOUIS MO 63127- 88 40440095 NUGENT SAND CO 2925 LINCOLN ST MUSKEGON MI 49441-339386 40426005 NVA-NATIONAL VISION ADMINISTRATORS PO BOX 2187 CLIFTON NJ 07051-5

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OI Carrier ID Carrier Name Street City State Zip Code38 07244005 OH FARMERS INS CO 1 WESTFIELD CTR OH 44251- 67 18201005 OH OPERATING ENG H&W PLAN PO BOX 12009 COLUMBUS OH 43212-000938 07271005 OH SECURITY INS CO 136 N THIRD STREET HAMILTON OH 45012- 89 40423945 OHIO CARPENTERS H&W FUND 6281 YOUNGSTOWN WARREN RD NILES OH 44446- 38 40429085 OKLAHOMA CARPENTERS HEALTH AND WELFARE FUND 1000 BURR RIDGE PRKWY BURR RIDGE IL 60527- 38 07324005 OLD LINE LIFE INS AM 707 N ELEVENTH ST MILWAUKEE WI 53233- 38 07333005 OLD RELIABLE FIRE 231 W LOCKWOOD AVE WEBSTER GROVES MO 63119- 38 07342005 OLD REPUBLIC INS CO PO BOX 789 GREENSBURG PA 15601- 38 07389005 OLYMPIC INSURANCE CO BOX 2138 LOS ANGELES CA 90054- 38 07398005 OMAHA INDEMNITY CO 3113 DODGE ST OMAHA NE 68131- 89 14178005 OMNICARE INC 1333 GRATIOT DETROIT MI 48207- 89 40405005 ONE HEALTH PLAN BENEFIT 1000 GREATWEST DRIVE KENNETT MO 63857-374989 30721015 OPERATING ENGINEERS PO BOX 7067 PASADENA CA 91109- 89 40429995 OPERATING ENGINEERS 302, 612 PO BOX 34684 SEATTLE WA 98124- 67 40424365 OPERATING ENGINEERS 49 2850 METRO DR STE 404 BLOOMINGTON MN 55425- 67 30721020 OPERATING ENGINEERS LOCAL 139 PO BOX 160 PEWAUKEE WI 53072-016067 30721005 OPERATING ENGINEERS LOCAL 2 2929 S JEFFERSON ST LOUIS MO 63118- 89 40428505 OPERATING ENGINEERS LOCAL 25 461 STATE HWY 33 MANALAPAN NJ 07726- 67 40423445 OPERATING ENGINEERS LOCAL 428 PO BOX 16200 PHOENIX AZ 85011- 38 40439755 OPERATING ENGINEERS LOCAL 701 PO BOX 34687 SEATTLE WA 98124-160186 40428565 OPTICARE PO BOX 7548 ROCKY MOUNTAIN NC 27804- 89 40426385 OPTIMA HEALTH PO BOX 5028 TROY MI 48007- 38 40180005 OPTIONS HEALTH CARE PO BOX 34750 SEATTLE WA 98124-974538 40181010 OPTIONS MENTAL HEALTH 240 CORPORATE BOULEVARD NORFOLK VA 23502- 38 40339005 OSF HEALTH PLANS PO BOX 1229 PEORIA IL 61654-122989 40423455 OSHCARE NETWORK PO BOX 730 PUEBLO CO 81002-073038 40111005 OVERHEAD DOOR CO OF LANSING 2045 EAST M-78 EAST LANSING MI 48823- 38 21145005 OWENS & ASSOCIATES PO BOX 5766 LITTLE ROCK AR 72215- 89 11686010 OXFORD HEALTH PLANS PO BOX 7082 BRIDGEPORT CT 06601- 38 11686005 OXFORD LIFE 2721 N CENTRAL AVE PHOENIX AZ 85004- 89 40427595 OXFORD LIFE 2721 N CENTRAL AVE PHOENIX AZ 85004- 38 40413405 OXFORD LIFE INSURANCE PO BOX 46518 MADISON WI 53744- 38 40413005 P5 ELECTRONIC HEALTH SERVICES PO BOX 9554 SALT LAKE CITY UT 84109- 38 40381005 PA EMPLOYEES BENEFIT TRUST FUND 150 S 43RD STEET SUITE 1 HARRISBURG PA 17111-570038 07511005 PA SECURITY LIFE 7777 BONHOMME ST LOUIS MO 63105- 38 07567005 PA SLOVAK CATH UNION 173 N MAIN ST WILKES-BARRE PA 18701- 38 40251005 PA TREATY LIFE INSURANCE CO 110 GILBRALTER ROAD HORSHAM PA 19044- 88 40440615 PACIFIC DENTAL SERVICES 2860 MICHELLE DR STE 200 IRVINE CA 92606-100838 07404005 PACIFIC EMPLOYER INS 1600 ARCH ST PHILADELPHIA PA 19101- 89 40440385 PACIFIC FEDERAL BENEFIT ADMINISTRATORS 1000 NORTH CENTRAL AVE STE 400 GLENDALE CA 91202-362738 07413005 PACIFIC FIDELITY LIF PO BOX 24022 LOS ANGELES CA 90024- 38 30983005 PACIFIC HEALTH ADMINISTRATORS PO BOX 1550 HUNTINGTON BEAC CA 92647-155038 07422005 PACIFIC INDEMNITY CO 51 J F KENNEDY PKY SHORT HILLS NJ 07078- 89 40413225 PACIFIC LIFE AND ANNUITY BENEFITS OFFICE PO BOX 33699 PHOENIX AZ 85067- 38 27176005 PACIFIC MUTUAL GROUP PO BOX 34799 PHOENIX AZ 85067-479938 40413465 PACIFIC SOURCE HEALTH PLANS PO BOX 7068 EUGENE OR 97401- 89 30719005 PACIFICARE PO BOX 5105 ENGLEWOOD CO 80155-510589 30004020 PACIFICARE OF CA PO BOX 6006 CYPRESS CA 90630-000638 30004015 PACIFICARE OF OR 5 CENTERPOINTE DRIVE LAKE OSWEGO OR 97035-865089 40427025 PACIFICARE OF OR PO BOX 6090 CYPRESS CA 90630-

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OI Carrier ID Carrier Name Street City State Zip Code89 11695005 PAINTERS UNION INSURANCE 26877 NORTHWESTERN HWY STE 100 SOUTHFIELD MI 48033- 38 40427825 PAN AMERCIAN LIFE PO BOX 61070 NEW ORLEANS LA 70160- 84 40424075 PAN AMERICAN PO BOX 60219 NEW ORLEANS LA 70160- 38 30826005 PAN AMERICAN PO BOX 60219 NEW ORLEANS LA 70160-021938 07469005 PAN AMERICAN LIFE INSUR CO 601 POYDRAS STREET NEW ORLEANS LA 70130- 38 14552010 PARAGON BENEFITS PO BOX 12288 COLUMBUS GA 31917- 38 40329005 PARAGON BENEFITS PO BOX 1526 DOUGLASVILLE GA 30133- 89 29171005 PARAMOUNT HEALTH CARE PO BOX 497 TOLEDO OH 43697-049789 29171010 PARAMOUNT HEALTH CARE OF MI 106 PARK PLACE DUNDEE MI 48131- 89 40425895 PLUMBERS LOCAL 98 PO BOX 2631 MONROE MI 48161-763238 40429235 PLUMBERS LOCAL 98 PO BOX 2631 MONROE MI 48161- 67 40056005 PLUMBERS LOCAL UNION 93 H & W 100 LEBARRON STREET WAUKEGON IL 60085- 89 40296005 PNI PPO NETWORK PO BOX 11328 SOUTH BEND IN 46634- 89 40397010 POLARIS BENEFIT ADMINISTRATORS PO BOX 2010 WESTERVILLE OH 43086- 38 07727005 POLICE & FIREMEN INS 3550 N WASHINGTON INDIANAPOLIS IN 46205- 38 07745005 POLISH FALCONS 97-99 SOUTH 18TH ST PITTSBURGH PA 15203- 38 07754005 POLISH NAT ALL BROOK 155 NOBLE STREET BROOKLYN NY 11222- 38 07763005 POLISH NAT ALL US NA 1514-1520 W DIVISION CHICAGO IL 60622- 38 07772005 POLISH ROMAN CATHOLIC INS 984 MILWAUKEE AVE CHICAGO IL 60622- 38 07781005 POLISH UNION OF AMER 761 FILLMORE AVE BUFFALO NY 14212- 38 07790005 POLISH UNION US INS 53-59 N MAIN STREET WILKES BARRE PA 18701- 38 07807005 POLISH WOMENS ALL IN 1309-15 N ASHLAND AV CHICAGO IL 60622- 89 40425815 POLY AMERICA 2000 W MARSHALL DR GRAND PRAIRIE TX 75051- 89 07807010 POMCO, A MARKEL BUSINESS PARTNER PO BOX 186 SYRACUSE NY 13206-018641 11748005 POSTMASTERS BENEFIT PLAN 1019 N ROYAL ST ALEXANDRIA VA 22314- 38 07816005 POTOMAC INS CO 414 WALNUT PHILADELPHIA PA 19105- 38 30954005 PRAIRIE STATES PO BOX 23 SHEBOYGAN WI 53002-002338 40423635 PRAIRIE STATES ENTERPRISES INC PO BOX 23 SHEBOYGAN WI 53082-002386 40427675 PRAIRIE STATES ENTERPRISES INC PO BOX 23 SHEBOYGAN WI 53082- 88 40427685 PRAIRIE STATES ENTERPRISES INC PO BOX 23 SHEBOYGAN WI 53082- 38 30825005 PRC CORPORATED 1500 PRC DRIVE #239-E MCLEAN VA 22102- 38 30018005 PRE CARE FEDERAL BLDG 607 MARQUET MINNEAPOLIS MN 55402- 87 40427695 PRECISION RX PO BOX 961025 FORT WORTH TX 76161- 89 40429355 PREFERRED BENEFIT ADMINISTRATORS PO BOX 916188 LONGWOOD FL 32791- 38 19951005 PREFERRED BENEFITS SERV INC STC C700 DENVER CO 80222- 89 40439445 PREFERRED CARE PO BOX 22920 ROCHESTER NY 14692-292089 23435005 PREFERRED CHOICES PPO NETWORK PO BOX 9082 FARMINGTON HILL MI 48333-908238 40428145 PREFERRED HEALTH PO BOX 22920 ROCHESTER NY 14692-292038 40424845 PREFERRED HEALTH ALLIANCE CORP PO BOX 382048 BIRMINGHAM AL 35238- 89 21154010 PREFERRED HEALTH NETWORK PO BOX 60308 6MF LOS ANGELES CA 90060- 89 40423185 PREFERRED HEALTH PARTNERSHIP NETWORK 1420 CENTER POINT BLVD KNOXVILLE TN 37932- 38 40425495 PREFERRED HEALTH PLANS PO BOX 437017 LOUISVILLE KY 40253-701789 40440245 PREFERRED HEALTH SYSTEMS PO BOX 29288 WICHITA KS 67201-292838 40369010 PREFERRED ONE ADMINISTRATIVE SERVICES PO BOX 59212 MINNEAPOLIS MN 55459-021289 40369005 PREFERRED ONE PPO NETWORK 6105 GOLDEN HILLS DR GOLDEN VALLEY MN 55416-102389 30933015 PREFERRED PARTNERS NETWORK PO BOX 19400 KALAMAZOO MI 49019- 87 40429155 PARTNERS RX MANAGEMENT PO BOX 12119 SCOTTSDALE AZ 85260- 89 40192020 PARTNERSHIP HEALTH PO BOX 130799 ANN ARBOR MI 48113-079938 26393010 PATIENT ADVOCATES PO BOX 8236 PORTLAND MA 04104- 38 26393005 PATRIOT HEALTH SERVICES P.O. BOX 21166 TAMPA FL 33622-

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OI Carrier ID Carrier Name Street City State Zip Code38 26419005 PAUL BURKE & ASSOCIATES INC 4000 OLSON MEMORIAL HWY MINNEAPOLIS MN 55440-986387 40427155 PBM PLUS 300 TECHNE CENTER DR STEB MILFORD OH 45150- 38 40423105 PBP HEALTH PLAN PO BOX 9554 SALT LAKE CITY UT 84109-055438 30985010 PREFERRED UNITED PLANS/SECURE ONE PO BOX 1847 GRAND RAPIDS MI 49501-184786 40426795 PREFERRED VISION SERVICES INC 2855 COOLIDGE HWY STE 202 TROY MI 48084- 38 30985005 PREFERRED WORKS INC PO BOX 2703 CHICAGO IL 60690-270389 40401005 PREMERA BC OF WA & AK PO BOX 91059 SEATTLE WA 98111-915988 40426145 PREMIER ACCESS DENTAL PO BOX 659010 SACRAMENTO CA 95865-901038 40007005 PREMIER BENEFITS 2030 S NATIONAL SPRINGFIELD MO 65804- 88 07852010 PREMIER DENTAL GROUP PO BOX 47126 PLYMOUTH MN 55447-012689 40426685 PRESBYTERIAN PO BOX 27489 ALBUQUERQUE NM 87125- 87 30576005 PRESCRIPTION SOLUTIONS PO BOX 6037 LC07-190 CLAIMS CYPRESS CA 90630- 63 30805005 PRESIDIUM INC PO BOX 24110 OKLAHOMA CITY OK 73124- 89 40425315 PREVEA HEALTH NETWORK 2710 EXECUTIVE DR GREEN BAY WI 54304- 38 40425095 PRIMARY PHYSICIANCARE INC PO BOX 11088 CHARLOTTE NC 28220-108887 40225005 PRIME THERAPEUTICS PO BOX 64812 ST PAUL MN 55164- 38 40252005 PRIMECARE HEALTH PLAN INC 10701 W RESEARCH DRIVE MILWAUKEE WI 53226- 38 30603005 PRIMERICA LIFE INSURANCE CO 3120 BRECKINRIDGE DULUTH GA 30199-000186 40429115 PRINCIPAL FINANCIAL PO BOX 47126 PLYMOUTH IA 55447- 88 40426075 PRINCIPAL FINANCIAL PO BOX 47126 PLYMOUTH IA 55447- 38 40367005 PROVIDENT AMERICAN LIFE PO BOX 679005 DALLAS TX 75367- 38 40253005 PROVIDENTIAL LIFE INSURANCE CO PO BOX 8072 LITTLE ROCK AR 72203-807238 40412205 PROVIDER BENEFIT PLANS INC PO BOX 346 SIMSONVILLE KY 40067-034689 40440695 PROVIDERS GROUP PO BOX 315 PICKNEY MI 48169- 31 30831005 PRU CARE OF ATLANTA PO BOX 44097 JACKSONVILLE FL 32231-409731 30767005 PRU CARE OF CA PO BOX 9315 VAN NUYS CA 91409- 31 30802010 PRU CARE OF CINCINNATI PO BOX 45088 JACKSONVILLE FL 32231- 31 30802005 PRU CARE OF CO PO BOX 378710 DENVER CO 80237- 31 30771005 PRU CARE OF NJ PO BOX 4042 ISELIN NJ 00830- 38 07997005 PRUDENT AMER LIFE 55 PUBLIC SQUARE CLEVELAND OH 44113- 89 00083150 PRUDENTIAL HEALTHCARE HMO PO BOX 54289 LOS ANGELES CA 90054-028989 00083160 PRUDENTIAL HEALTHCARE POS PO BOX 4804 HOUSTON TX 77210- 89 00083155 PRUDENTIAL INS CO OF AMERICA PO BOX 477917 BROADVIEW HEIGHTS OH 44147-791705 13250005 REGENCE BCBS OF OR PO BOX 30805 SALT LAKE CITY UT 84130-080589 13250010 REGENCE BCBS OF OR PO BOX 30805 SALT LAKE CITY UT 84130-080589 40440135 REGENCE BLUE SHIELD OF IDAHO PO BOX 31603 SALT LAKE CITY UT 84131-060305 30791005 REGENCE BS 1501 MARKET STREET TACOMA WA 98405- 89 18364005 REGENCE BS 1800 NINTH AVENUE SEATTLE WA 98111-326705 17939005 REGENCE BS OF ID PO BOX 1106 LEWISTON ID 83501- 87 40426735 REGENCE RX PO BOX 12625 M/S S2P SALEM OR 97309- 89 40423875 REGENCY GROUP ADMINISTRATORS PO BOX 52890 BELLEVUE WA 98015-289021 15371005 REGENCY MEDICAL ADMIN INC PO BOX 610609 PORT HURON MI 48061-771138 40100005 REGIT PO BOX 1461 ST LOUIS MO 63188-146138 08072005 REINSURANCE CO OF NY 99 JOHN STREET NEW YORK NY 10038- 89 30770005 UNITED HEALTH PLAN 3405 W IMPERIAL HWY INGLEWOOD CA 90303- 38 40425565 UNITED HEALTHCARE 450 COLUMBUS BLVD HARTFORD CT 06106- 34 40423795 UNITED HEALTHCARE 2717 NORTH 118TH CIRCLE OMAHA NE 68167- 34 40423895 UNITED HEALTHCARE PO BOX 2560 MARYLAND HTS MO 63043- 89 40429545 UNITED HEALTHCARE PO BOX 659747 SAN ANTONIO TX 78265-974734 40423695 UNITED HEALTHCARE PO BOX 14079 LEXINGTON KY 40512-

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OI Carrier ID Carrier Name Street City State Zip Code38 40426355 UNITED HEALTHCARE 601 BOOK CREEK BLVD OLDSMAR FL 34677- 88 40413655 UNITED HEALTHCARE DENTAL PO BOX 659747 SAN ANTONIO TX 78265-974788 40424785 UNITED HEALTHCARE DENTAL PO BOX 30567 SALT LAKE CITY UT 84130-056789 30047010 UNITED HEALTHCARE INS CO PO BOX 1600 KINGSTON NY 12402-160089 00065150 UNITED HEALTHCARE INS CO PO BOX 30555 SALT LAKE CITY UT 84130-055531 00083100 PRUDENTIAL INSURANCE COMPANY PO BOX 477917 BROADVIEW HEIGHTS OH 44147-791738 40413825 S&S HEALTHCARE STRATEGY PO BOX 14407 CINCINNATI OH 45250- 88 40429495 SAFEGUARD DENTAL PO BOX 30920 LAGUNA HILLS CA 92654- 86 40429505 SAFEGUARD VISION PO BOX 30920 LAGUNA HILLS CA 92654- 89 30053005 SAGAMORE PO BOX 6051 INDIANAPOLIS IN 46206- 38 26553005 SAI NEW ENGLAND PO BOX 83301 LANCASTER PA 17608-330189 40429805 SAINT MARY'S HEALTH FIRST 1510 MEADOW WOOD LANE RENO NV 89502- 89 30561005 SAMBA MUTUAL BENEFIT ASSOCIATION INC PO BOX 5909 SCRANTON PA 18505-520089 08671005 SANFORD HEALTH PLAN PO BOX 91110 SIOUX FALLS SD 57109-111038 11864010 SANFORD INSURANCE GROUP PO BOX 51368 KALAMAZOO MI 49005-136838 22142005 SAUDER WOODWORKING COMPANY 502 MIDDLE ST ARCHBOLD OH 43502- 89 40424235 SAUDERS WOODWORKING PO BOX 156 ARCHBALD OH 43502- 38 40298005 SAVERS LIFE INSURANCE COMPANY PO BOX 11967 WINSTON SALEM NC 27116-196787 40380005 SAV-RX 224 NORTH PARK AVUNUE FREMONT NE 68025- 89 30069005 SB HOWARD & COMPANY PO BOX 1627 ROGERS AR 72757- 38 40429815 PSYCHARE 10200 SUNSET DR MIAMI FL 33173- 83 00252010 PTNA LIFE INSURANCE COMPANY PO BOX 7066 ALLENTOWN PA 18105-706689 40439455 PUGET SOUND ELECTRICAL WORKER PO BOX 34970 SEATTLE WA 98124- 38 08027005 PURITAN LIFE INS CO PO BOX 519 PROVIDENCE RI 02901- 38 14884005 PURVIS & FORSTER INC 6440 WIGHT DETROIT MI 48207- 38 08036005 PYRAMID LIFE INS CO PO BOX 12922 PENSACOLOA FL 32591-280738 40255005 QUAD GRAPHICS W224 N3322 DUPLAINVILLE PEWAUKEE WI 53702-419587 40255010 QUAD MED PHARMACY W224 N3322 DUPLAINVILLE PEWAUKEE WI 53702- 38 30877005 QUAKER HEALTH SERVICES 100 S BROADWAY SALEM OH 44460- 89 40272010 QUAL CHOICE OF NC 100 KIMEL FOREST DRIVE WINSTON-SALEM NC 27102- 89 40272005 QUAL MED 6100 UPTOWN BLVD NE ALBUQUERQUE NM 87110- 38 24657005 QUALCARE PO BOX 943 TOLEDO OH 43656- 89 40428255 QUALCHOICE 600 PARKLAND BLVD CLEVELAND OH 44124- 38 30519005 QUEENS HEALTH CARE PLAN 1301 PUNCHBOWL HONOLULU HI 96813- 89 40429895 QUICKTRIP PO BOX 733 BUCKEYSTOWN MD 21717-073338 29558005 QUINCY IND GROUP HEALTH 4700 KNOWLES RD NORTH ADAMS MI 49262- 87 40427845 R THROUGH NMHC 3835 PRESIDENTIAL PKWY STE 123 ATLANTA GA 30340- 38 18373005 RADCLIFFE ADMINISTRATORS INC 2550 S TELEGRAPH RD BLOOMFIELD HILL MI 48013- 38 40182005 RADIO OFFICERS UNION 1415 MOYLIN ROAD PANAMA CITY BEA FL 32407- 38 00065080 RAILROAD MAINT & IND H & W 2205 W WABASH AVE #211 SPRINGFIELD IL 62704- 38 30986005 RALSTON PURINA COMPANY 1100 OAKMAN BLVD DETROIT MI 48238- 38 08054005 RANGER INSURANCE CO PO BOX 2807 HOUSTON TX 77001- 38 40166005 RAPP & COMPANY 132 KINGS HIGHWAY EAST HADDONFIELD NJ 08033- 38 30597005 RAYMOND TAYLOR AGENCY 20155 GODDARD TAYLOR MI 48180- 38 40236005 RAYOVAC CORPORATION 2317 WINNEBAGO STREET MADISON WI 53704-528838 40413175 RBMS LLC PO BOX 241569 ANCHORAGE AK 99524-156989 40399200 REAL HEALTH/MULTIPLAN 24 WESTON STREET SW GRAND RAPIDS MI 49503- 38 08063005 RECIPROCAL EXCHANGE 92ND AND STATE LINE KANSAS CITY MO 64114- 88 40424605 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949-391089 40424645 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949-3910

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OI Carrier ID Carrier Name Street City State Zip Code45 30935005 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949-391038 40047015 PRINCIPAL HEALTH CARE 2751 CENTERVILLE RD WILMINGTON DE 19808-162789 40413215 PRINCIPAL HEALTHCARE NETWORK PO BOX 9498 MINNEAPOLIS MN 55440- 45 27040005 PRINCIPAL LIFE INSURANCE CO PO BOX 10826 CLEARWATER FL 33757-882689 23364005 PRIORITY HEALTH PO BOX 232, 1231 E BELTLINE NE GRAND RAPIDS MI 49501-023286 23364020 PRIORITY HEALTH PO BOX 232 1231 E BELTLINE NE GRAND RAPIDS MI 49501-023288 23364010 PRIORITY HEALTH - SELF FUNDED PO BOX 232, 1231 E BELTLINE NE GRAND RAPIDS MI 49501-023289 23364015 PRIORITY HEALTH - SELF FUNDED PO BOX 232 GRAND RAPIDS MI 49501-023289 24924005 PRIORITY HEALTH (CARE CHOICES) PO BOX 232 1231 E BELTLINE NE GRAND RAPIDS MI 49501-023289 29547015 PROAMERICA NETWORK PO BOX 90603 ARLINGTON TX 76006- 87 40391015 PROCARE NOVA SCRIPTS 3090 PREMIER PARKWAY DULUTH GA 30097- 38 40205015 PRO-CLAIM PLUS INC PO BOX 9648 FORT WAYNE IN 46899- 38 30085005 PRODUCERS EXCHANGE BEN SERV IN 14665 MIDWAY RD STE 110 DALLAS TX 75244- 38 40206005 PROFESSIONAL BENEFIT ADMINISTRATORS PO BOX 4687 OAKBROOK IL 60522-468789 40206010 PROFESSIONAL BENEFIT ADMINISTRATORS PO BOX 4687 OAKBROOK IL 60522-468789 40206015 PROFESSIONAL BENEFIT SERVICES 2959 LUCERNE SE GRAND RAPIDS MI 49546- 89 40440675 PROFESSIONAL BENEFIT SERVICES INC 2255 N 44TH ST STE 250 PHOENIX AZ 85008-327838 30784005 PROFESSIONAL BENEFITS SERVICES 2959 LUCERNE SE SUITE 205 GRAND RAPIDS MI 49546- 38 40227005 PROFESSIONAL CLAIMS MANAGEMENT PO BOX 35276 CANTON OH 44735-527638 30604005 PROFESSIONAL RISK MANAGEMENT PO BOX 1049 YOUNGSTOWN OH 44501- 38 40211005 PROFESSIONAL SERV INDUSTRIES PO BOX 3041 SPRINGFIELD IL 62708- 88 40427665 PROFILE MANUFACTURING INC 50790 RICHARD W BLVD CHESTERFIELD MI 48051- 38 25494005 PROGRESSIVE ADMINISTRATORS 1370 W SIXTH ST #202 CLEVELAND OH 44113- 38 07870005 PROGRESSIVE CASUALTY 3600 EUCLID AVENUE CLEVELAND OH 44115- 38 15658005 PROPRIETORS LIFE ASSUR CO 7991 COLUMBUS PIKE DELAWARE OH 43015- 38 07905005 PROTECTED HOME MUT 30 EAST STATE STREET SHARON PA 16146- 88 07923010 PROTECTIVE DENTAL CARE HMO PO BOX 801694 DALLAS TX 75380-169484 40424115 PROTECTIVE LIFE INS CO PO BOX 12686 BIRMINGHAM AL 35202-668688 17821005 PROTECTIVE LIFE INSURANCE PO BOX 830626 BIRMINGHAM AL 35283-062638 07932005 PROTECTIVE NAT OF OM 105 S 17TH ST OMAHA NE 68102- 86 40358005 PROTECTIVE VISION PLAN 1200 N ARLINGTON HEIGHTS ITASCA IL 60143- 86 23382005 PROVANTAGE VISION PLAN PO BOX 1662 WAUKESHA WI 53187- 38 40195005 PROVIDENCE GOOD HEALTH PLAN OF OR PO BOX 3125 PORTLAND OR 97208- 89 40440295 PROVIDENCE HEALTH PLANS PO BOX 3125 PORTLAND OR 97208-432757 26428005 STATE FARM INSURANCE PO BOX 3080 NEWARK OH 43058- 38 26428015 STATE FARM INSURANCE PO BOX 3080 NEWARK OH 43058- 89 26428010 STATE FARM INSURANCE PO BOX 2978 CLINTON IA 52733-297857 12852005 STATE FARM INSURANCE 1440 GRANVILLE ROAD NEWARK OH 43055- 89 12852010 STATE FARM INSURANCE 1440 GRANVILLE ROAD NEWARK OH 43093- 38 08887005 STATE FARM LIFE INS P.O. BOX 339403 GREELEY CO 80633-940338 08902005 STATE LIFE INS CO PO BOX 406 INDIANAPOLIS IN 46206- 38 08920005 STATE MUTUAL INSURANCE CO 33 NORTH GARDEN AVENUE CLEARWATER FL 33755-660686 19835005 STERLING VISION SHOPS INC PO BOX 464 MT CLEMENS MI 48046-046489 40440045 STEWART C MILLER & CO PO BOX 5769 LAFAYETTE IN 47903-576967 30020005 STEWART C MILLER & CO INC 2111 W LINCOLN HWY MERRILLVILLE IN 46410- 84 05150005 STONEBRIDGE LIFE INS CO 2700 WEST PLANO PARKWAY PLANO TX 75075- 38 30070005 STRATEGIC HEALTH CARE MANAGEME 2250 E DEVON DES PLAINS IL 60018- 56 29569005 STRATEGIC RESOURCE COMPANY PO BOX 23759 COLUMBIA SC 29224-375989 29569010 STRATEGIC RESOURCE COMPANY PO BOX 23759 COLUMBIA SC 29224-375938 30089005 STUDENT ASSURANCE SERVICES DRAWER 196 STILLWATER MN 55082-

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OI Carrier ID Carrier Name Street City State Zip Code38 40424435 STUDENT INSURANCE PO BOX 809025 DALLAS TX 75380-902538 40184005 SUBURBAN HEALTH CARE BENEFITS 5270 W 84TH ST STE 520 MINNEAPOLIS MN 55437-137989 40355005 SUMMA CARE PO BOX 3620 AKRON OH 44309- 89 40440425 SUMMERLIN LIFE AND HEALTH PO BOX 13505 HONOLULU HI 96801-500589 40424925 REGENCE BC BS OF UTAH PO BOX 30272 SALT LAKE CITY UT 84130-027238 15792005 RELIABLE LIFE & CASUALTY CO 3321 W BELTLINE HWY MADISON WI 53711- 38 08107005 RELIANCE THREE PARKWAY PHILADELPHIA PA 19102-137638 08116005 RELIANCE INSURANCE CO 4 PENN CENTER PLAZA PHILADELPHIA PA 19102- 38 08107010 RELIANCE INSURANCE COMPANY PO BOX 2996 PARKERSBURG WV 26102- 88 40429335 RELIANCE STANDARD LIFE INS POLICY PO BOX 82510 LINCOLN NE 68501-351038 40426755 RELIANT STANDARD LIFE 509 LENOLA RD BLDG 2 MOORESTOWN NJ 08057- 38 08125005 REPUBLIC FRANKLIN BOX 1438 COLUMBUS OH 43216- 38 19755005 RESERVE NATIONAL INSURANCE CO PO BOX 18448 OKLAHOMA CITY OK 73154-044867 14015005 RESILIENT FRINGE BENEFIT FUNDS 2075 W BIG BEAVER RD TROY MI 48084-344638 23097005 RESOURCE PARTNERS PO BOX 189 COLUMBUS OH 43216- 87 30897005 RESTAT DRUG PROGRAM PO BOX 758 WEST BEND WI 53095-075889 29381010 RETAIL CLERKS WELFARE TRUST PO BOX 2265 SEATTLE WA 98111-226587 40428525 RITE AID HEALTH SOLUTIONS 30 HUNTER LANE CAMP HILL PA 17011- 38 27247005 RMSCO INC PO BOX 6309 SYACUSE NY 13217-630938 40359005 ROBINSON JULIENNE & BAILEY INC PO BOX 101 JACKSON MS 39205- 38 40428985 ROCKY MOUNTAIN HEALTH PLANS PO BOX 10600 GRAND JUNCTION CO 81502- 67 14113005 ROOFERS INS FUND PO BOX 3039 BIRMINGHAM MI 48012-303938 40413595 ROOFERS LOCAL 149 PO BOX 149 TROY MI 48099- 86 40426955 ROOFERS LOCAL 70 INS FUND 1451 OLD PINCKNEY RD HOWELL MI 48843- 67 24245015 ROOFERS LOCAL 74 HEALTH & WELFARE FUND 2800 CLINTON ST. WEST SENECA NY 14224- 38 40427015 ROYAL NEIGHBORS OF AMERICA PO BOX 10850 CLEARWATER FL 33757- 38 40424095 RURAL CARRIER BENEFIT PLAN PO BOX 668329 CHARLOTTE NC 28266- 38 27489005 RWDSU HEALTH & BENEFIT PO BOX 55728 BIRMINGHAM AL 35255-050987 40084020 RX AMERICA 221 N CHARLES LINDBERGH DR SALT LAKE CITY UT 84116- 87 40428495 RX PHARMACY SOLUTIONS 1600 W BROADWAY RD #300 TEMPE AZ 85282- 87 40427175 RXEDO 400 CHISHOLM PLACE STE 301 PLANO TX 75075- 38 40429145 SCOR LIFE INS CO PO BOX 4243 WOODLAND HILLS CA 91365-424338 15086010 SCOTT & WHITE 2401 S 31ST STREET TEMPLE TX 76508- 87 40086010 SCRIPT CARE 6380 FOLSOM DR BEAUMONT TX 77706-726587 40086015 SCRIPTGUIDE 15400 E. JEFFERSON PARK MI 48230- 38 30987005 SEABURY & SMITH TWO WEST SECOND STREET TULSA OK 74103-312138 30987010 SEABURY & SMITH PO BOX 14426 DES MOINES IA 50306-342689 40439975 SEAFARERS HEALTH AND BENEFITS PLAN PO BOX 380 PINEY POINT MD 20674-038067 11882005 SEAFARERS WELFARE PLAN 5201 AUTHWAY CAMP SPRINGS MD 20746- 38 40413315 SEARS LIFE INSURANCE CO PO BOX 475 NORTHBROOK IL 60065- 88 40425625 SECURE CARE DENTAL 3625 N 16TH ST #206 PHOENIX AZ 85016- 38 40428015 SECURE HORIZONS PO BOX 659787 SAN ANTONIO TX 78265-978738 40424695 SECURE HORIZONS PO BOX 12466 PENSACOLA FL 32591-246686 40427745 SECUREONE PO BOX 1847 GRAND RAPIDS MI 49501- 88 40427735 SECUREONE PO BOX 1847 GRAND RAPIDS MI 49501- 73 18453005 SECUREONE BENEFIT ADMIN INC PO BOX 1847 GRAND RAPIDS MI 49501- 88 40427095 SECURIAN DENTAL PO BOX 9385 MINNEAPOLIS MN 55440- 89 40008005 SECURITY HEALTH PLAN PO BOX 8000 MARSHFIELD WI 54449-570338 29994010 SECURITY LIFE INSURANCE CO OF AMERICA PO BOX 5348 BELLINGHAM WA 98227- 89 40428205 SEIU LOCAL 4 HEALTH & WELFARE FUND 7026 W NORTH AVE CHICAGO IL 60707-

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OI Carrier ID Carrier Name Street City State Zip Code38 40425805 SELECT BENEFIT ADMINISTRATORS PO BOX 440 ASHLAND WI 54806- 84 40424975 SELECT BENEFIT ADMINISTRATORS PO BOX 440 ASHLAND WI 54806- 89 40394005 SELECT BENEFIT ADMINISTRATORS PO BOX 440 ASHLAND WI 54806- 38 01572010 SELECT BROKERAGE SERVICE PO BOX 2976 MILWAUKEE WI 53201-297689 40428975 SELECT HEALTH PLAN PO BOX 30192 SALT LAKE CITY UT 84130- 89 30808005 SELECT HEALTH PLAN PO BOX 1378 TROY MI 48099-137889 40423965 SELECT MEDICAL MANAGEMENT PO BOX 970 AMHERST NY 14226-970 89 40427555 SELECTCARE PO BOX 830489 BIRMINGHAM AL 35283-048968 29995005 SELF FUNDED PLANS INC 1432 HAMILTON AVE CLEVELAND OH 44114- 68 29995010 SELF FUNDED PLANS INC 1797 W STATE ST SUITE B GENEVA IL 60134- 68 30537010 SELF FUNDING ADMINISTRATORS IN PO BOX 6596 ANNAPOLIS IN 21401- 89 40428035 SELF INSURED PLANS 1016 COLLIER CTR WAY NAPLES FL 34110- 89 40439745 SENTRY INSURANCE PO BOX 8025 STEVENS POINT WI 54481-802538 00270005 SENTRY INSURANCE COMPANY PO BOX 8888 STEVENS POINT WI 54481- 87 40033005 SERVE YOU CUSTOM RX MGMT PO BOX 240034 MILWAUKEE WI 53224-900274 00216005 SET SEG INC 415 WEST KALAMAZOO ST LANSING MI 48933- 88 00216010 SET SEG INC 415 W KALAMAZOO STREET LANSING MI 48933- 86 40424965 SET SEG INC 415 E KALAMAZOO ST LANSING MI 48933- 89 40439435 SETON HEALTH PLAN PO BOX 15445 AUSTIN TX 78761-544588 40426045 SHANDOAH PO BOX 70602 CHARLOTTE NC 28272- 89 40429685 SHARP HEALTH PLAN PO BOX 939035 SAN DIEGO CA 92193- 38 40424985 SHASTA ADMINISTRATIVE SERVICE PO BOX 1747 REDMOND OR 97756- 38 40273005 SHAW MEDICAL CLAIMS CENTER PO BOX 10 DALTON GA 30722- 67 11917010 SHEET METAL WKRS LOCAL 292 PO BOX 189 TROY MI 48099- 67 11926005 SHEET METAL WKRS LOCAL 360 P O BOX 1449 GOOLETTSVILLE TN 37070-144967 19773005 SHEET METAL WKRS LOCAL 7 ZONE1 BENEFIT FUNDS PO BOX 1156 TROY MI 48099-115667 25215005 SHEET METAL WKRS VA 601 NORTH FAIRFAX STREET ALEXANDREA VA 22314- 38 40429375 SHEET METAL WORKERS LOCAL 104 PO BOX 1618 SAN RAMON CA 94583- 38 40413525 SHEET METAL WORKERS LOCAL 20 PO BOX 42489 INDIANAPOLIS IN 46242- 88 40428285 SHEET METAL WORKERS LOCAL 7 ZONE 2 2565 CENTURION BLVD LANSING MI 48917- 89 40440635 SHEET METAL WORKERS WELFARE FUND LOCAL NO 85 3835 PRESIDENTIAL PKWY STE 123 ATLANTA GA 30340- 38 40426115 SHEET METAL WRKRS LOCAL 80 PO BOX 1408 TROY MI 48099-140889 40440505 SHEETMETAL WRKRS HLTH PLAN OF S. CA,AZ & NV PO BOX 10067 MANHATTAN BEACH CA 90267-756788 40427535 SHEFFIELD OLSON & MCQUEEN INC PO BOX 16608 ST PAUL MN 55116-060838 08662010 SHEFFIELD OLSON & MCQUEEN INC 2145 FORD PARKWAY ST PAUL MN 55116-186288 08662005 SHENANDOAH LIFE INS CO PO BOX 12847 27102010 VA 24029-284789 40428055 SHIPPERS RENTAL CO EMPLOYEE BENEFIT PLAN PO BOX 3156 QUINCY IL 62305-315638 16216005 SHOPKO HEALTH PLAN PO BOX 9478 MINNEAPOLIS MN 55440- 89 40426335 SHOPMENS LOCAL 508 HEALTH & WELFARE FUND 36040 MI AVE WAYNE MI 48184- 86 40439355 SIGHTCARE 220 N MCKEMY AVE CHANDLER AZ 85226- 89 40102005 SIGNATURE CARE INC PO BOX 5548 FORT WAYNE IN 46895- 38 40424795 SIHO INS SERVICES PO BOX 1787 COLUMBUS IN 47202- 89 40424325 SIHO INS SERVICES PO BOX 1787 COLUMBUS IN 47202- 38 40034005 SILVER STATE MEDICAL 2073 E SAHARA STE B LAS VEGAS NV 89109- 89 40440435 SISBRO INC PO BOX 3765 QUINCY IL 62305-376538 21501005 SISCO INC PO BOX 389 DUBUQUE IA 52001- 89 40427905 SISTERS OF CHARITY LEAVONWORTH HEALTH SYSTEM 9801 RENNER BLVD STE 100 LENEXA KS 66219- 38 20166005 SMA LIFE ASSURANCE COMPANY 440 LINCOLN ST WORCESTER MA 01605- 38 40427875 SMITHFIELD FOOD HEALTH CARE BENEFITS PO BOX 158 SMITHFIELD VA 23431- 38 08724005 SONS OF NORWAY 1455 W LAKE ST MINNEAPOLIS MN 55408-

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OI Carrier ID Carrier Name Street City State Zip Code89 40413865 SOUTH CARE HMO PO BOX 695001 ORLANDO FL 32869-500189 24316010 SOUTH CENTRAL PREFERRED PO BOX 2347 YORK PA 17405- 38 40274005 SOUTHEASTERN CA CONFERENCE PO BOX 8050 RIVERSIDE CA 02515- 38 30088005 SOUTHERN BENEFIT CONSULTANTS 222 W COLINAS BLVD #756 IRVING TX 75039- 89 40428715 SOUTHERN GROUP ADMINISTRATORS 200 S MARSHALL ST WINSTON SALEM NC 27101- 89 40413495 SOUTHERN HEALTH SERVICES INC PO BOX 7704 LONDON KY 40742- 38 30302005 SOUTHLAND CORP PO BOX 1510 DALLAS TX 75221- 88 40440525 SOUTHLAND NATIONAL PO BOX 1250 TUSCALOOSA AL 35403-125086 40428075 SOUTHLAND NATIONAL PO BOX 1250 TUSCALOOSA AL 35403- 89 40426905 SOUTHWEST ADMINISTRATORS PO BOX 26509 LAS VEGAS NV 89126- 89 40439785 SOUTHWEST SERVICES ADMINISTRATORS 1440 KAPIOLANI BLVD HONOLULU HI 96814- 89 26802010 SPARROW PHYSICIANS HEALTH NETWORK 2900 HANNAH BOULEVARD LANSING MI 48823- 86 40402020 SPECTERA INC 6220 OLD DOBBIN LN STE 200 COLUMBIA MD 21045-586189 40428385 SPECTRUM ADMINISTRATORS 2166 SOUTH 12TH ST ALLENTOWN PA 18103- 89 40391020 SPI PO BOX 40132 FORT WAYNE IN 46804- 38 40427625 ST JOHNS CLAIM ADMINISTRATION PO BOX 14409 SPRINGFIELD MO 65814- 89 40371020 ST JOHNS SMART PLAN PO BOX 37705 OAK PARK MI 48237- 88 40426835 STANDARD LIFE & ACCIDENT PO BOX 82622 LINCOLN NE 68501- 38 12843010 STANDARD LIFE & ACCIDENT INSURANCE CO PO BOX 1800 40439215N TX 77553-180083 12843005 STANDARD LIFE/ACCIDENT INS CO PO BOX 1800 GALVESTON TX 77553-180089 40439215 STANDARD SECURITY LIFE PO BOX 110 PARK RIDGE IL 60068-011038 40429645 STARBRIDGE 250 COMMONWEALTH DR STE 110 GREENVILLE SC 29615- 38 29403010 STARMARK PO BOX 2942 CLINTON IA 52733-294288 40427485 STARMOUNT INSURANCE 7800 OFFICE PARK BLVD BATON ROUGE LA 70809-760389 40425615 SUMMIT MANAGEMENT SERVICES PO BOX 25160 SCOTTSDALE AZ 85255- 38 09042010 SUN HEALTH CARE GROUP PO BOX 93098 ALBURQUERQUE NM 87199-309838 40425505 SUN LIFE & HEALTH INSURANCE CO PO BOX 677 GREENFIELD MA 01302-067788 15809005 SUN LIFE OF CANADA - SC3250 PO BOX 82520 LINCOLN NE 68501-252088 40439845 SUNLIFE FINANCIAL PO BOX 1477 GREENFIELD MA 01302-147789 40423335 SUPERIEN HEALTH NETWORK PO BOX 2090C STOW OH 44224- 88 40009005 SUPERIOR DENTAL CARE 6683 CENTERVILLE BUS PKY DAYTON OH 45459- 86 40425205 SUPERIOR VISION SERVICES PO BOX 967 RANCHO CORDOVA CA 95741- 86 40009010 SUPERIOR VISION SERVICES INC PO BOX 967 RANCHO CORDOVA CA 95741- 86 40440515 SURENCY VISION PO BOX 789773 WICHITA KS 67278-977338 09060005 SURETY LIFE INS CO PO BOX 2520 SALT LAKE CITY UT 84110- 86 40425675 SVS VISION 140 MACOMB MT CLEMENS MI 48043- 38 09098005 SWISS AMERICA 237 PARK AVE NEW YORK NY 10017- 87 40427355 SXC HEALTH SOLUTIONS INC 2441 WARRENVILLE RD STE 610 LISLE IL 60532- 89 40440345 SYNERMED PO BOX 2002 MONTEREY PARK CA 91754-095238 40429405 T.E.N.J. WELFARE FUND INC PO BOX 8037 UNION CITY NJ 07087-346389 40439525 TACO BUENO HEALTH PLAN 16001 LBJ FREEWAY STE 800 FARMERS BRANCH TX 75234- 89 40440055 TALL TREE ADMINISTRATORS PO BOX 71570 SALT LAKE CITY UT 84171-057038 40423815 TAYLOR BENEFIT RESOURCE PO BOX 6580 THOMASVILLE GA 31758- 38 40104005 TBG PO BOX 1724 WAUSAU WI 54402-172489 40429365 TEACHERS HEALTH TRUST PO BOX 96238 LAS VEGAS NV 89193-623833 40425395 TEAMSTERS BENEFIT TRUST PO BOX 5820 FREEMONT CA 94537-582089 16074005 TEAMSTERS H & W OF OH 435 S HAWLEY TOLEDO OH 43609- 87 40439155 TEAMSTERS LOCAL 237 216 W 14TH ST NEW YORK NY 10011- 88 40439245 TEAMSTERS LOCAL 237 216 W 14TH ST NEW YORK NY 10011- 67 25574005 TEAMSTERS UNION LOCAL 7 PO BOX 2047 KALAMAZOO MI 49003-2047

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OI Carrier ID Carrier Name Street City State Zip Code38 40208005 TECNOL INC INDUSTRIAL BOULEVARD FORT WORTH TX 76180- 38 20685005 TELEX COMMUNICATIONS INC 9600 ALDRICH AVE SOUTH MINNEAPOLIS MN 55420- 89 40439195 TEXAS MUNICIPAL LEAGUE (TML) PO BOX 149190 AUSTIN TX 78714- 89 40423285 TEXAS PIPE TRADES PO BOX 860037 PLANO TX 75086-003738 40423475 TEXAS PIPE TRADES PO BOX 860037 PLANO TX 75086-003789 40334005 THE AFFORDABLE MEDICAL NETWORK PO BOX 10636 SCOTTSDALE AZ 85271-063689 40428765 THE BENEFIT GROUP 10675 BEDFORD AVE OMAHA NE 68134- 89 40440165 THE CARE NETWORK PO BOX 140050 KANSAS CITY MO 64114-005089 40424655 THE CHANDLER GROUP PO BOX 2388 STOW OH 44224- 38 21314005 THE COMMERCE GROUP PO BOX 900 ELYRIA OH 44036- 38 22349005 THE EVANGELICAL ALLIANCE MISSION PO BOX 969 WHEATON IL 60189- 38 40333005 THE FUNDS PO BOX 389 ETHENY UT 84627-036138 40425605 THE GUARDIAN 4170 ASHFORD DUNWOODY RD NE ATLANTA GA 30305- 89 40439885 THE HEALTH PLAN PO BOX 4816 MASSILLON OH 44648- 89 40440365 THE KEMPTON GROUP INC PO BOX 54889 OKLAHOMA CITY OK 73154-188989 40440375 THE RIGHT CHOICE BENEFIT ADMINISTRATORS PO BOX 419104 ST LOUIS MO 63141-910489 40428875 THE WELLS PLAN 2949 N MAYFAIR MILWAUKEE WI 53222- 38 30773010 THIRD PARTY CLAIMS MANAGEMENT PO BOX 268820 OKLAHOMA CITY OK 73126-882089 40439915 THREE RIVERS NETWORK PO BOX 2600 FT WAYNE IN 46801- 38 40423325 THRIVENT FINANCIAL FOR LUTHERANS 4321 N BALLARD RD APPLETON WI 54919- 38 17358005 TIC INTERNATIONAL CORP HEALTH 11590 N MERIDIAN ST. CARMEL IN 46032-452938 40406010 TML INTERGOVERNMENTAL EMPLOYEE BENEFITS POOL PO BOX 149140 AUSTIN TX 78714-919038 40406025 TN BEHAVIORAL HEALTH INC PO BOX 5260 COLUMBIA MD 21046-526088 40425295 UMR 2700 MIDWEST DR ONALSKA WI 64650-876438 29358005 UMR 2700 MIDWEST DRIVE ONALASKA WI 54650-876438 19719005 UMR 2700 MIDWEST DRIVE ONALSKA WI 54650-876489 40428575 UMR PO BOX 251369 PLANO TX 75025- 89 28749030 UMR PO BOX 730 PUEBLO CO 81002- 89 40412005 UMR 2700 MIDWEST DRIVE ONALSKA WI 54650-876438 40429025 UMR PO BOX 251369 PLANO TX 75025- 38 40428105 UMWA HEALTH & RETIREMENT FUNDS PO BOX 619099 DALLAS TX 75261-974138 40209005 UNDERWRITERS SAFETY & CLAIMS PO BOX 23507 LOUISVILLE KY 40223-050787 05885055 UNICARE PO BOX 4458 CHICAGO IL 60680-445889 40423645 UNICARE PO BOX 4458 CHICAGO IL 60680-445816 00190110 UNICARE PO BOX 4458 CHICAGO IL 60680-445816 00190060 UNICARE/JOHN HANCOCK PO BOX 4458 CHICAGO IL 60680-445888 00190040 UNICARE/JOHN HANCOCK PO BOX 4458 CHICAGO IL 60680-445816 00190005 UNICARE/JOHN HANCOCK PO BOX 7677 SCHAUMBURG IL 60196-767789 40330010 UNIFIED GROUP SERVICE PO BOX 10 PENDLETON IN 46064-001038 40330005 UNIFIED GROUP SERVICE PO BOX 10 PENDLETON IN 46064- 88 01554005 UNIFIED LIFE PO BOX 25326 OVERLAND PARK KS 66225-532638 40428815 UNIFIED LIFE PO BOX 25326 OVERLAND PARK KS 66225-532689 40429865 UNIFORM MEDICAL PLAN PO BOX 34850 SEATTLE WA 98124- 88 40426305 UNIMERICA 6300 OLSON MEMORIAL HWY GOLDEN VALLEY MN 55427- 04 09481005 UNION BANKERS INS CO PO BOX 13667 PENSACOLA FL 32591-366767 11980005 UNION CONSTRUCTION WORKERS HEALTH PLAN PO BOX 697 TOLEDO OH 43697-069789 11980010 UNION CONSTRUCTION WORKERS HEALTH PLAN PO BOX 697 TOLEDO OH 43697-069738 09507005 UNION FIDELITY LIFE PO BOX 10841 CLEARWATER FL 33757-884138 09516005 UNION LABOR LIFE INS CO 111 MASSACHUSETTS AVE,NW WASHINGTON DC 20001- 38 09516010 UNION LABOR LIFE INSURANCE CO SERVICE CENTER VALLEY FORGE PA 19493-

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OI Carrier ID Carrier Name Street City State Zip Code38 26900005 UNION LABOR LIFE INSURANCE CO 2607 W. 22ND OAKBROOK IL 60521- 48 09561005 UNITED AMERICAN INSURANCE CO PO BOX 26400 OKLAHOMA CITY OK 73126-980948 09561010 UNITED AMERICAN INSURANCE CO PO BOX 8080 MCKINNEY TX 75070-808038 40427795 UNITED BEHAVIORAL HEALTH PO BOX 30755 SALT LAKE CITY UT 84130- 38 16904010 UNITED BENEFITS INC 220 S RIDGEWOOD AVE DAYTONA BEACH FL 32114- 38 09605005 UNITED COMMERC TRAVELERS AMER 632 N PARK STREET COLUMBUS OH 43215-091988 40425705 UNITED CONCORDIA PO BOX 69421 HARRISBURG PA 17106-942188 40288010 UNITED CONCORDIA COMPANIES PO BOX 69422 HARRISBURG PA 17106-942188 40288005 UNITED CONCORDIA COMPANIES INC PO BOX 69421 HARRISBURG PA 17106-942167 22204005 UNITED CONSTRUCTION WKR INS PO BOX 65 ZEELAND MI 49464- 87 40440685 UNITED DRUGS 7227 N 16TH ST STE 160 PHOENIX AZ 85020-529064 40041005 UNITED FOOD & COMMERCIAL TRUST P O BOX 6010 CYPRESS CA 90630-001038 26259010 UNITED FOOD & COMMERCIAL WKRS 1800 PHOENIX BLVD STE310 ATLANTA GA 30349-983464 26259005 UNITED FOOD & COMMERCIAL WKRS 621 TRAIL DRIVE NAPOLEON OH 43545- 64 26562005 UNITED FOOD & COMMERCIAL WRKS 2001 N MAYFAIR RD MILWAUKEE WI 53226- 53 12084005 UNITED FURNITURE WORKERS 1910 AIR LANE DRIVE NASHVILLE TN 37210- 89 12084010 UNITED FURNITURE WORKERS PO BOX 100037 NASHVILLE TN 37224- 38 40424855 UNITED GROUP PROGRAMS 902 CLINT MORE RD BOCA RATON FL 33487- 89 40136005 UNITED HEALTH CARE OF GA PO BOX 659750 SAN ANTONIO TX 78265-975089 40439825 UNITED HEALTH INTERNATIONAL PO BOX 869035 PLANO TX 75086- 34 30047005 UNITED HEALTHCARE INS CO PO BOX 1600 KINGSTON NY 12402-160089 00065160 UNITED HEALTHCARE INS CO PO BOX 740800 ATLANTA GA 30374-080089 28269010 UNITED HEALTHCARE INS CO PO BOX 981502 EL PASO TX 79998-150234 00065108 UNITED HEALTHCARE INS CO 415 N MCKINLEY LITTLE ROCK AR 72205- 89 00065180 UNITED HEALTHCARE INS CO PO BOX 30551 SALT LAKE CITY UT 84130-055134 00065120 UNITED HEALTHCARE INS CO PO BOX 901069 FORT WORTH TX 76101-206934 00163005 UNITED HEALTHCARE INS CO P O BOX 2007 AURORA IL 60507- 34 00065040 UNITED HEALTHCARE INS CO PO BOX 740800 ATLANTA GA 30374-080034 00065060 UNITED HEALTHCARE INS CO PO BOX 30304 SALT LAKE CITY UT 84130-040434 00065114 UNITED HEALTHCARE INS CO 250 JOHNSON RD MORRIS PLAINS NJ 07950- 89 00163040 UNITED HEALTHCARE INS CO PO BOX 2074 AURORA IL 60507-207489 00065175 UNITED HEALTHCARE INS CO PO BOX 30985 SALT LAKE CITY UT 84130- 87 30726005 UNITED HEALTHCARE INS CO-PHARMACY PO BOX 740800 ATLANTA GA 30374-080089 40136015 UNITED HEALTHCARE OF FL P.O. BOX 659735 SAN ANTONIO TX 78265-973589 28269005 UNITED HEALTHCARE OF IL 500 N DEARBORN CHICAGO IL 60610- 89 28269105 UNITED HEALTHCARE OF TN PO BOX 659737 SAN ANTONIO TX 78265- 89 30796010 UNITED HEALTHCARE PPO NETWORK PO BOX 1459 MINNEAPOLIS MN 55440-145989 30977005 UNITED HEALTHCARE/MAMSI LIFE & HEALTH PO BOX 930 FREDERICK MD 21705- 38 00486005 UNITED INSURANCE CO OF AMERICA ONE E WACKER DRIVE CHICAGO IL 60601- 38 28065005 TN VALLEY OPERATING ENGINEERS HEALTH FUND 907 TWO WILW PARKWAY GOODLETTSVILLE TN 37072- 67 13475005 TOLEDO ELECTRICAL WELFARE FUND PO BOX 60408 ROSSFORD OH 43460- 89 13475010 TOLEDO FIRE FIGHTERS HEALTH 714 WASHINGTON STREET TOLEDO OH 43624- 67 12001005 TOLEDO PLUMBERS AND PIPEFITTER 5050 BENNETT RD TOLEDO OH 43612- 89 40426265 TOTAL BENEFIT SERVICES PO BOX 30444 NEW ORLEANS LA 70190- 38 40426925 TOTAL CLAIMS SOLUTION (TCS) PO BOX 10888 GREENBAY WI 54307-088888 40439225 TOTAL DENTAL ADMINISTRATORS PO BOX 44035 PHOENIX AZ 85064- 89 12039005 TOTAL HEALTH CARE PO BOX 380308 BIRMINGHAM AL 35238-030887 40384005 TOTAL SCRIPTS 10901 W 120TH AVENUE BROOMFIELD CO 80021- 89 40427655 WEA INSURANCE GROUP PO BOX 7338 MADISON WI 93031- 38 30019005 WEA INSURANCE GROUP 45 W BELTLINE MADISON WI 53707-7338

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OI Carrier ID Carrier Name Street City State Zip Code89 40423805 WEB TPA PO BOX 99906 GRAPEVINE TX 76099-970689 40429245 WELFARE & PENSION ADM SERV INC PO BOX 34203 SEATTLE WA 98124- 38 20021005 WELFARE & PENSION ADM SERV INC 2815 SECOND AVE., SUITE 300 SEATTLE WA 98124- 87 40084025 WELLDYNE RX WEST PO BOX 4517 ENGLEWOOD CO 80155-451738 40257010 WELLMARK 636 GRAND AVENUE DES MOINES IA 50309-256589 40257015 WELLMARK BCBS 636 GRAND AVENUE DES MOINES IA 50309-256538 10259005 WOODMEN ACCIDENT & LIFE PO BOX 82288 LINCOLN NE 68501- 38 10286005 WORKMENS BENEFIT FUND OF USA 99 N BROADWAY HICKSVILLE NY 11801-290538 10295005 WORKMENS CIRCLE 45 EAST 33RD STREET NEW YORK NY 10016-533638 10310005 WORLD INS CO PO BOX 3160 OMAHA NE 68103-016089 40429015 WORLD INS CO PO BOX 3160 OMAHA NE 68103- 38 40423755 WORLDWIDE INSURANCE & CLAIMS SVC 4675 S HOLLAND SPRINGFIELD MO 65810- 38 30071005 WRLA EMPLOYEE BENEFIT PO BOX 840 GERMANTOWN WI 53022-084038 40423235 WSA TPA SERVICES INC 310 EAST 96TH ST STE 200 INDIANAPOLIS IN 46240- 38 40424685 WV PIPE TRADES HEALTH & WELFARE FUND 600 CHARLES ST COLONY CTR WELLSBURG WV 26070-172138 40011005 WYATT CO 601 THIRTEENTH STREET NW WASHINGTON DC 20005-381389 40383005 XANTUS 3401 WEST END AVENUE NASHVILLE TN 37203- 38 40424725 YOUNG LIFE BENEFIT PLAN PO BOX 520 COLORADO SPRINGS CO 80901- 89 40427615 ZENITH ADMIN PO BOX 26449 LAS VEGAS NV 89126- 38 30072010 ZENITH ADMINISTRATORS PO BOX 11137 CHICAGO IL 60611- 38 40424465 ZENITH ADMINISTRATORS PO BOX 7128 PHOENIX AZ 85014- 38 30072005 ZENITH ADMINISTRATORS 201 QUEEN ANNE AVENUE SEATTLE WA 98109- 89 40428025 ZENITH ADMINISTRATORS TEAMSTERS LOCAL 14 PO BOX 27287 LAS VEGAS NV 89126- 89 40440665 WELLNET PO BOX 1640 COLUMBIA SC 29202-164087 40428325 WELLPOINT (WMS RX DRUG PLAN) PO BOX 145433 CINCINNATI OH 45250-543338 09140005 TOWER LIFE INSURANCE CO 310 ST MARY'S ST SAN ANTONIO TX 78205- 38 30833015 TPA OF GA 2900 CHAMBLEE TUCKER ROAD ATLANTA GA 30341-415689 40428225 TRANSAMERICA PO BOX 8063 LITTLE ROCK AR 72203-806389 40428665 TRANSCHOICE PO BOX 1279 FORT MILLS SC 29716-127938 09258005 TRANSPORT LIFE INS 714 MAIN ST FORT WORTH TX 76102- 34 09300005 TRAVELERS INSURANCE COMPANY 3316 FARNAM OMAHA NE 50955- 38 29996005 TRI TEC EMPLOYEE BENEFITS INC PO BOX 804 OKEMOS MI 48805- 38 30880005 TRIAD LLC 115 GLASTONBURY BLVD. GLASTONBURY, CT 06033- 38 40413795 TRICARE FOR LIFE PO BOX 7052 CAMDEN SC 29020-705289 00047005 TRICARE/CHAMPUS PO BOX 7021 CAMDEN SC 29020- 89 14697005 TRICARE/CHAMPVA 600 LAFAYETTE EAST DETROIT MI 48226- 87 40428235 TRICAST 10400 W INNOVATION DR MILWAUKEE WI 53226- 38 40427505 TRIDENT PLAN ADMINISTRATORS 5045 N 12TH ST, STE A PHOENIX AZ 85014- 88 40427515 TRIDENT PLAN ADMINISTRATORS 5045 N 12TH ST, STE A PHOENIX AZ 85014- 89 40429455 TRIPLE S INC (BC BS OF PUERTO RICO) PO BOX 363628 SAN JUAN PR 00936-362889 40440035 TRISURANT PO BOX 853935 RICHARDSON TX 75085-393538 40427215 TRIUNE RESOURCES 1600 E PIONEER PARKWAY #410 ARLINGTON TX 76010- 38 40425125 TRUSTEED PLANS PO BOX 1894 TACOMA WA 98401- 44 01886010 TRUSTMARK PO BOX 2942 CLINTON IA 52733-294288 40413605 TRUSTMARK PO BOX 2980 CLINTON IA 52733-298089 01886020 TRUSTMARK PO BOX 2942 CLINTON IA 52733-294238 26052005 TUCKER & CLARK INC PO BOX 802516 DALLAS TX 75380- 38 29182005 TUCKER ADMINISTRATOR 9140 ARROWPOINT CHARLOTTE NC 28217- 89 40429665 TUFTS HEALTH PLAN PO BOX 9163 WATERTOWN MA 02471- 38 16593010 TX UNIVERSITY HEALTH PLAN PO BOX 266696 HOUSTON TX 77207-6696

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OI Carrier ID Carrier Name Street City State Zip Code38 40423615 U CARE MINNESOTA 2000 SUMMER ST NE MINNEAPOLIS MN 55413- 89 40439085 UABT (UNITED AGRICULTURAL BENEFIT TRUST) 54 CORPORATE PARK IRVINE CA 92606- 89 40440305 UFCW EMPLOYERS BENEFIT PLANS PO BOX 9000 WALNUT CREEK CA 94598-099064 30834005 UFCW IN AREA 2601 FORTUNE CIRCLE E 103 A INDIANAPOLIS IN 46241- 38 40428735 UFCW LOCAL 1459 33 EASTLAND ST SPRINGFIELD MA 01109-234889 40429165 UFCW LOCAL 911 & EMPLOYERS HEALTH & WELFARE 9970 OLD AIRPORT HWY MONCLAVA OH 43542- 89 19281015 UHC OF OH SUITE 400 COLUMBUS OH 45069-487538 26535005 UHC OF OHIO PO BOX 659752 SAN ANTONIO TX 78265-975238 40424895 ULLICARE PO BOX 61593 KING OF PRU PA 19406- 38 40366005 ULTICARE INC PO BOX 321127 DETROIT MI 48216- 38 40428315 ULTRA BENEFITS INC PO BOX 763 WESTBORO MA 01581- 89 40440395 UMR PO BOX 30541 SALT LAKE CITY UT 84130-054134 00065113 UNITED HEALTHCARE INS CO PO BOX 740801 ATLANTA GA 30374-080134 30046005 UNITED HEALTHCARE INS CO 2929 EXPRESS HAUPPAUGE NY 11787- 38 10114005 WESTERN & SOUTHERN FINANCIAL GROUP PO BOX 5735 CINCINNATI OH 45202- 89 40427855 WESTERN BENEFITS PO BOX 22185 PORTLAND OR 97269- 38 30788005 WESTERN FIDELITY INSURANCE CO PO BOX 1250 ROCKFORD IL 61105- 89 40429275 WESTERN HEALTH ADVANTAGE HMO 1331 GARDEN HWY STE 100 SACRAMENTO CA 95833- 38 24156005 WESTERN UNION TELEGRAPH COMPAN ONE MACK CENTRE DRIVE PARAMUS NJ 07652- 38 40424225 WESTLAKE FINANCIAL 1477 BARCLAY BLVD BUFFALO GROVE IL 60089- 38 40393015 WESTPORT BENEFITS 1600 S BRENTWOOD BLVD ST LOUIS MO 63144- 38 30572005 WHATCOM MEDICAL PO BOX 9753 BELLINGHAM WA 98227- 89 40439735 WHEATON FRANCISCAN PLAN 635 GRAND BLVD DES MOINES IA 50309- 38 40043005 WI AUTO & TRUCK DEALERS ASSOC PO BOX 5345 MADISON WI 53705- 67 30883005 WI CARPENTERS HEALTH PO BOX 4002 EAU CLAIRE WI 54702- 38 40424875 WI ELECTRICAL EMPLOYEES HEALTH PLAN 2730 DARY DRIVE SUITE 101 MADISON WI 53718- 38 27470005 WI HEALTH FUND PO BOX 601 MILWAUKEE WI 53201- 67 27516005 WI LABORERS HEALTH 4633 LIUNA LANE DEFOREST WI 53532- 38 12351005 WI PHYSICIANS SERVICE PO BOX 8190 MADISON WI 53708- 89 12351010 WI PHYSICIANS SERVICE PO BOX 8190 MADISON WI 53708- 38 20030005 WI PUBLIC SERV CORP 700 N ADAMS ST GREEN BAY WI 54301- 67 27867005 WI SHEET METAL WORKERS FUND 4633 LIUNA WAY STE 201 DEFOREST WI 53532- 64 40386005 WI UFCW UNIONS & EMPLOYERS HEALTH PLAN 2001 N MAYFAIR ROAD MILWAUKEE WI 53226- 88 40439075 WILLAMETTE DENTAL 6950 NE CAMPUS WAY HILLSBORO OR 97124- 38 02266005 WILLIAM PENN ASSOCIATION 709 BRIGHTON RD PITTSBURGH PA 15233- 38 30747005 WILLIS CORROON CORP OF KS 300 W DOUGLAS STE 800 WICHITA KS 67201-269738 40361005 WILSON GREGORY AGENCY INC PO BOX 8 CAMP HILL PA 17001-000838 21548005 UNITED MED RESOURCES-DEPT EPHT PO BOX 145804 CINCINNATI OH 45250-580489 40439135 UNITED MEDICAL ALLIANCE 2021 BATTLECREEK DR STE A FORT COLLINS CO 80528- 17 28749025 UNITED MEDICAL RESOURCES PO BOX 730 PUEBLO CO 81002- 86 40425475 UNITED MEDICAL RESOURCES PO BOX 710 PUEBLO CO 81002-072089 40428905 UNITED MEDICAL RESOURCES PO BOX 360 PUEBLO CO 81002- 17 28749005 UNITED MEDICAL RESOURCES PO BOX 720 PUEBLO CO 81002- 17 40413205 UNITED MEDICAL RESOURCES PO BOX 450 PUEBLO CO 81002-045017 28749020 UNITED MEDICAL RESOURCES PO BOX 268902 OKLAHOMA CITY OK 73126-890217 40413505 UNITED MEDICAL RESOURCES PO BOX 725 PUEBLO CO 81002- 89 28749040 UNITED MEDICAL RESOURCES PO BOX 720 PUEBLO CO 81002- 89 40413945 UNITED MEDICAL RESOURCES PO BOX 740 PUEBLO CO 81002- 89 00305015 UNITED MEDICAL RESOURCES PO BOX 8092 WAUSAU WI 54402-809238 40428915 UNITED MEDICAL RESOURCES PO BOX 360 PUEBLO CO 81002-

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OI Carrier ID Carrier Name Street City State Zip Code38 40423725 UNITED MEDICAL RESOURCES PO BOX 520 PUEBLO KS 81002-052017 40094005 UNITED MEDICAL RESOURCES PO BOX 6133 WESTERVILLE OH 43081- 38 28093005 UNITED MEDICAL RESOURCES 1302 N HIGHWAY 81 DUNCAN OK 73533-000089 40428935 UNITED MEDICAL RESOURCES PO BOX 450 PUEBLO CO 81002- 38 40413755 UNITED MEDICAL RESOURCES PO BOX 305154 NASHVILLE TN 37230- 89 40428775 UNITED MEDICAL RESOURCES PO BOX 8013 WAUSAU WI 54402-801310 00305010 UNITED MEDICAL RESOURCES PO BOX 8092 WAUSAU WI 54402-809289 40423205 UNITED MEDICAL RESOURCES PO BOX 730 PUEBLO CO 81002- 10 00305005 UNITED MEDICAL RESOURCES PO BOX 8013 WAUSAU WI 54402-801338 40428895 UNITED MEDICAL RESOURCES PO BOX 740 PUEBLO CO 81002- 89 28749010 UNITED MEDICAL RESOURCES PO BOX 1391 DAYTON OH 45401-139188 28749035 UNITED MEDICAL RESOURCES PO BOX 720 PUEBLO CO 81002-072017 30595005 UNITED MEDICAL RESOURCES PO BOX 710 PUEBLO CO 81002-071017 20836005 UNITED MEDICAL RESOURCES 130 W 2ND ST DAYTON OH 45402-150089 40428925 UNITED MEDICAL RESOURCES PO BOX 725 PUEBLO CO 81002- 38 40427435 UNITED MEDICAL RESOURCES PO BOX 3079 LEXINGTON KY 40588- 17 21753005 UNITED MEDICAL RESOURCES P.O. BOX 1391 DAYTON OH 45401-139171 23186005 UNITED MEDICAL RESOURCES INC PO BOX 145804 CINCINNATI OH 45250-580489 23186010 UNITED MEDICAL RESOURCES INC PO BOX 145804 CINCINNATI OH 45250-580438 40106005 UNITED PLANS INC PO BOX 30153 TAMPA FL 33630- 87 40360005 UNITED PROVIDER SERVICES PO BOX 820277 FORT WORTH TX 76182- 38 09721010 UNITED SECURITY LIFE INSURANCE 10275 W HIGGINS ROAD ROSEMONT IL 60018- 38 09730005 UNITED SERVICES AUTO ASSOC 9800 FREDRICKSBURG RD SAN ANTONIO TX 78215- 38 09801010 UNITED STATES LIFE INSURANCE PO BOX 15205 READING PA 19612-520538 09801005 UNITED STATES LIFE INSURANCE P O BOX 1581 NEPTUNE NJ 07554-158138 30939005 UNITED TEACHER ASSOC INSURANCE PO BOX 26580 AUSTIN TX 78755-058024 09113005 UNITED TEACHER ASSOCIATES PO BOX 30010 AUSTIN TX 78755-301038 30579005 UNITED WI INSURANCE PO BOX 2013 MILWAUKEE WI 53201-201389 40439375 UNITY HEALTH INSURANCE PO BOX 610 SAUK CITY WI 53583- 89 40428855 UNIVERA HEALTH PLANS PO BOX 23000 ROCHESTER NY 14692- 38 40426845 UNIVERSAL CARE INC PO BOX 438 PARK RIDGE IL 60068- 89 40439145 UNIVERSITY HEALTH ALLIANCE 700 BISHOP ST STE 300 HONOLULU HI 96813- 38 40403005 UNIVERSITY OF CHICAGO HEALTH PLAN 550 E BOUGHTON ROAD BOLLINGBROOK IL 60440- 89 40428045 UNIVERSITY OF PITTSBURGH MEDICAL CTR (UPMC) PO BOX 2999 PITTSBURGH PA 15230- 89 40423385 UNIVERSITY OF UTAH HEALTH PO BOX 45180 SALT LAKE CITY UT 84145- 38 09534005 UNUM GROUP BENEFITS 2211 CONGRESS STREET PORTLAND ME 04122- 67 12146005 UP PLUMBERS & PIPEFITTERS 6525 CENTURION LANSING MI 48917-927589 40425045 UPPER PENINSULA HEALTH PLAN 228 W WASHINGTON ST MARQUETTE MI 49855- 38 40439565 US BEHAVIORAL HEALTH PO BOX 880639 SAN DIEGO CA 92168- 38 40423685 US HEALTH AND LIFE PO BOX 37504 OAK PARK MI 48237-050438 40426625 US NOW PO BOX 260808 PLANO TX 75072- 87 40439165 US SCRIPTS 2425 W SHAW AVE FRESNO CA 93711- 38 40326005 USA HEALTH NETWORK PO BOX 163930 AUSTIN TX 78716- 38 09392005 USAA LIFE INS CO 4119 BROADWAY SAN ANTONIO TX 78288- 38 40375015 USI ADMINISTRATORS PO BOX 776 MELLVILLE NY 11747- 38 40375005 USI ADMINSTRATORS PO BOX 1909 DANBURY CT 06813-190987 40375010 USI RX 675 FOXON ROAD EAST HAVEN CT 06513- 67 40356015 UT LABORERS TRUST FUNDS 2156 WEST 2200 SOUTH SALT LAKE CITY UT 84119- 38 40413895 VA HEALTH ADMINISTRATION CENTER PO BOX 65024 DENVER CO 80206-902438 30919005 VALUE OPTIONS PO BOX 1002 MERRIFIELD VA 22116-

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OI Carrier ID Carrier Name Street City State Zip Code38 40425575 VALUE OPTIONS PO BOX 1002 MERRIFIELD VA 22116- 38 40426225 VALUE OPTIONS PO BOX 1290 LATHAM NY 12110- 89 28527010 VANTAGE HEALTH PLAN 4602 TIMBER COMMONS DRIVE SANDUSKY OH 44870- 38 40138005 VEBA PO BOX 91588 ARLINGTON TX 76015-008838 40107005 VERMEER PO BOX 200 PELLA IA 50219- 38 40425345 VERUS HEALTH PO BOX 50427 INDIANAPOLIS IN 46250- 88 40428375 VICKSBURG COMMUNITY SCHOOLS 301 S KALAMAZOO ST BOX 158 VICKSBURG MI 49097- 38 40396005 VIRGINIA MASON GROUP HEALTH ALLIANCE PO BOX 1207 SEATTLE WA 98111-120786 40412825 VISION ADVANTAGE 1700 S PARK KALAMAZOO MI 49001- 86 40425655 VISION BENEFITS OF AMERICA 300 WEYMAN PLAZA PITTSBURGH PA 15236- 86 30564005 VISION CARE ADMINISTRATORS PO BOX 1822 LAPORTE IN 46350- 86 40423505 VISION INSURANCE PLAN OF AMERICA PO BOX 44077 MILWAUKEE WI 53214-707786 40426175 VISION ONE EYE CARE PROGRAM PO BOX 8504 TWINSBURG OH 45040-711186 13671010 VISION SERVICE PLAN PO BOX 997105 SACRAMENTO CA 95899-710589 40427865 VISTA HEALTH PLAN 300 S PARK RD HOLLYWOOD FL 33021- 89 40439625 VIVA HEALTH PO BOX 55926 BIRMINGHAM AL 35255-592689 40088010 W J JONES ADMINISTRATIVE SERVICES INC 1979 MARCUS AVENUE LAKE SUCCESS NY 11042- 38 28039005 WA NATIONAL INSURANCE PO BOX 1250 ROCKFORD IL 61105-125089 40427265 WABASH AMERICAN BENEFITS GROUP PO BOX 50427 INDIANAPOLIS IN 46250-099889 40424775 WABASH MEMORIAL HOSP ASSOC PO BOX 1340 DECATUR IL 62525- 38 24325005 WABASH MEMORIAL HOSPITAL ASSOC 1900 EAST LAKE SHORE DR DECATUR IL 62525- 87 12164010 WALGREENS HEALTH INITIATIVE PO BOX 545 DEERFIELD IL 60015- 38 10016005 WARNERS RECIPROCAL 4210 PETERSON AVE CHICAGO IL 60646- 38 28011005 WARREN STEINBORN ASSOCIATES 310 E 96TH ST SUITE 200 INDIANAPOLIS IN 46240-373288 40426775 WASHINGTON DENTAL SERVICE PO BOX 75688 SEATTLE WA 98175- 89 40426275 WATERSTONE BENEFITS 4013 NW EXPRESSWAY STE 575 OKLAHOMA CITY OK 73116- 89 17732005 WATKINS ASSOCIATED INDUSTRIES PO BOX 1738 ATLANTA GA 30301-173887 30588005 WAUSAU PHARMACY BENEFITS PO BOX 8046 WAUSAU WI 54402-804687 29769010 WELLPOINT NEXT RX PO BOX 145433 CINCINNATI OH 45250-543387 40257005 WELLPOINT PHARMACY MANAGEMENT PO BOX 4496 WOODLAND HILLS CA 91365-449638 22106005 WELLS FARGO PO BOX 3262 CHARLESTON WV 25332- 89 22106010 WELLS FARGO PO BOX 3262 CHARLESTON WV 25332- 88 40439815 WELLS FARGO PO BOX 3262 CHARLESTON WV 25332-326267 30713015 WEST MI PLUMBERS FITTERS & SERVICE TRADES 2111 W LINCOLN HIGHWAY MERRILLVILLE IN 46410-

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SEPTEMBER 2009 CARRIER FILE · SEPTEMBER 2009 MICHIGAN DEPARTMENT OF COMMUNITY HEALTH CARRIER ID LISTING OI Carrier ID Carrier Name Street City State Zip Code 89 40428615 21ST CENTURY

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