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Page 1: Insurance Carrier List Numeric April 2014 -  · PDF fileInsurance Carrier List Numeric April 2014 CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00001 MEDICARE P. O. BOX 12201 ROANOKE VA 24023

00002 ABSENT PARENT DO NOT USE THIS IS NOT INSURANCE RICHMOND VA 23219

00003 NOT LISTED ATTN: TPL UNIT 600 EAST BROAD STREET RICHMOND VA 23219

00004 AMERICAN COMM MUT LIFE INS CO 39201 SEVEN MILE ROAD LIVONIA MI 48152

00005 ACADEMY LIFE INS CO P O BOX 105634 ATLANTA GA 30348

00006 AETNA US HEALTHCARE P O BOX 26107 GREENSBORO NC 27402

00007 ALLSTATE INSURANCE CO ALLSTATE PLAZA NORTH A 3 NORTHBROOK IL 60062

00008 AMERICAN DEFENDER LIFE INS CO P O BOX 27887 RALEIGH NC 27611

00009 AMERICAN FIDELITY ASSUR CO WEB - TPA POB 99906 GRAPEVINE TX 76099

00010 AMERICAN HERITAGE LIFE INS CO 1776 AMER HERITAGE LIF DR JACKSONVILLE FL 32224

00011 AMERICAN MUT LIABILITY INS CO 200 QUANNAPOWITT PKWY WAKEFIELD MA 1880

00012 AMERICAN RESERVE LIFE INS CO 1722 SO CARSON SUITE 3200 TULSA OK 74119

00013 APPALACHIAN LIFE INS CO P O BOX 299 HUNTINGTON WV 25707

00014 WILSET ASOCIATES INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00015 WALMART ASSOC HLTH PLAN 702 SW 8TH STREET BENTONVILLE AR 72716

00016 AMERICAN INCOME LIFE INS CO P O BOX 2608 WACO TX 76797

00017 AMERICAN SENIOR CITIZENS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00018 AMERICAN CANCER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00019 AMERICAN INTEGRITY INS CO TWO PENN CENTER PLAZA PHILADELPHIA PA 19102

00020 BANKERS FIDELITY LIFE INS CO P O BOX 190240 ATLANTA GA 31119

00021 BANKERS LIFE AND CASUALTY INSURANCE CO P. O. BOX 66927 POLICY BENEFITS DEPARTMENT CHICAGO IL 60666

00022 BANKERS LIFE INS CO OF NE P O BOX 81889 LINCOLN NE 68501

00023 BENEFICIAL NATIONAL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00024 BLUE RIDGE INSURANCE COMPANY P O BOX 660560 DALLAS TX 75266

00025 BUILDERS LIFE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00026 AMERICAN FAMILY LIFE ASSUR CO 1932 WYNNTON ROAD P O BOX 1459 COLUMBUS GA 31999

00027 ATLANTIC LIFE INSURANCE CO 100 AUBURN AVENUE NE ATLANTA GA 30303

00028 AMERICAN MOTORISTS INS CO LAKE COUNTY LONG GROVE IL 60049

00029 BENEFICAL MULTIPLE INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00030 ANTHEM OF VIRGINIA P O BOX 27401 RICHMOND VA 23279

00031 BLUE CROSS BLUE SHIELD SOUTHWEST VA 602 SOUTH JEFFERSON ST ROANOKE VA 24011

00032 BLUE CROSS BLUE SHIELD NAT'L CAP'TL AREA 550 12TH STREET S.W. WASHINGTON DC 20065

00033 BLUE CROSS BLUE SHIELD MARYLAND CUSTOMER SERVICE 10455 MILL RUN CIRCLE OWNINGS MILLS MD 21117

00034 BLUE CROSS BLUE SHIELD OF TENNESSEE 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402

00035 BLUE CROSS BLUE SHIELD OF KENTUCKY 9901 LINN STATION ROAD LOUISVILLE KY 40223

00036 OTHER BC BS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00037 COMMONWEALTH LIFE INS CO OF KY 680 FOURTH AVENUE LOUISVILLE KY 40232

00038 CONSTITUTION LIFE INS CO P. O. BOX 130 PENSACOLA FL 32591

00039 COLUMBIA MUTUAL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00040 CHAMPUS/TRICARE P O BOX 7021 CAMDEN NJ 29020

00041 CHAMPVA P O BOX 469064 DENVER CO 80246

00042 CHARTER SECURITY ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

1

Page 2: Insurance Carrier List Numeric April 2014 -  · PDF fileInsurance Carrier List Numeric April 2014 CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00043 CHESAPEAKE LIFE INS CO P O BOX 18497 OKLAHOMA CITY OK 73154

00044 THE CITADEL LIFE INS CO P O BOX 31488 CHARLOTTE NC 28231

00045 CITIZENS HOME ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00046 COASTAL STATES LIFE INS CO P O BOX 56189 ATLANTA GA 30303

00047 COLONIAL LIFE ACCIDENT INS CO P O BOX 1365 COLUMBIA SC 29202

00048 COLONIAL PENN INSURANCE CO COLONIAL PENN PLAZA 19TH AND MARKET STREETS PHILADELPHIA PA 19181

00049 COMBINED INS CO OF AMERICA 5050 BROADWAY CHICAGO IL 60640

00050 CIGNA CONNECTICUT GEN BUILDING SHAWER ROAD 3RD FLOOR HARTFORD CT 6152

00051 CONTINENTAL CASUALTY COMPANY CNA PLAZA CHICAGO IL 60685

00052 CENTRL ST HLTH LIF INS OMAHA P O BOX 34952 OMAHA NE 68134

00053 DEER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00054 FOUNDERS LIFE ASSURANCE CO P O BOX 6408 MOBILE AL 36660

00055 KLAIS & COMPANY 1867 WEST MARKET ST AKRON OH 44313

00056 BENEFIT ADMIN OF AMERICA INC P. O. BOX 9900 SIOUX CITY IA 51102

00057 DURHAM LIFE INSURANCE CO P O BOX 61 RALEIGH NC 27702

00058 GROUP HEALTH ASSOCIATION INC 4301 CONNECTICUT AVE NW WASHINGTON DC 20008

00059 GUARANTEE TRUST LIFE INS CO P O BOX 1144 1275 MILWAUKEE AVENUE GLENVIEW IL 60025

00060 EASTERN INSURANCE COMPANY 5219 PETERS CREEK ROAD NW P O BOX 7047 ROANOKE VA 24019

00061 EMMCO INSURANCE COMPANY P O BOX 660237 DALLAS TX 75266

00062 EMPLOYERS LIFE INS CO WAUSAU P O BOX 8013 WAUSAU WI 54402

00063 EQUITABLE LIFE ASSURANCE 787 7TH AVENUE NEW YORK NY 10019

00064 EQUITY NATIONAL LIFE INS CO P O BOX 8063 LITTLE ROCK AR 72203

00065 DARDEN RESTAURANTS P. O. BOX 593330 ORLANDO FL 32859

00066 GROUP HEALTH ASSOCIATION INC 4301 CONNECTICUT AVE NW WASHINGTON DC 20008

00067 GUARDIAN LIFE INS CO OF AMER 201 PARK AVENUE SOUTH NEW YORK NY 10003

00068 HEALTH BENEFIT ADMINISTRATORS P O BOX 1040 WILLOW GROVE PA 19090

00069 AETNA INS CO FORT WAYNE P O BOX 871 FORT WAYNE IN 46801

00070 FEDERAL HOME LIFE INS CO 6277 SEA HARBOR DRIVE ORLANDO FL 32887

00071 NAT'L CLAIM ADMIN SERV (NCAS) 3703 LATROBE DRIVE STE 220 CHARLOTTE NC 28211

00072 FEDERATED INS. CO. POB 991 OWATONNA MN 55060

00073 FIDELITY BANKERS LIFE INS CO P O BOX 2368 RICHMOND VA 23218

00074 FIREMANS FUND INS CO 777 SAN MARIN DRIVE P O BOX 777 NOVATO CA 94998

00075 METRO MACHINE CORP P. O. BOX 1860 NORFOLK VA 23501

00076 HUNT TAYLOR P. O. BOX 291927 NASHVILLE TN 37229

00077 FIRST VIRGINIA LIFE INS CO 6400 ARLINGTON BLVD ONE FIRST VIRGINIA PLAZA FALLS CHURCH VA 22046

00078 THE FRANKLIN LIFE INS CO 800 6TH STREET SPRINGFIELD IL 62713

00079 IDEAL MUTUAL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00080 ITT LIFE INSURANCE CO 600 SOUTH COUNTY ROAD 18 MINNEAPOLIS MN 55426

00081 INA BENFIT SER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00082 GEN FIDELITY ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00083 GLOBE LIFE INSURANCE COMPANY 5050 NORTH BRIARWAY CHICAGO IL 60606

00084 GEOTWN COM HTH PLAN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00085 GOV EMP LIFE INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

2

Page 3: Insurance Carrier List Numeric April 2014 -  · PDF fileInsurance Carrier List Numeric April 2014 CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00086 GULF LIFE INSURANCE CO P O BOX 2568 JACKSONVILLE FL 32203

00087 BEVERLY ENTERPRISES ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00088 INDEPENDENT LIFE ACCID INS CO ONE INDEPENDENT DRIVE JACKSONVILLE FL 32276

00089 THE LINCOLN NATL LIFE INS CO P O BOX 7897 FORT WAYNE IN 46801

00090 HARTFORD LIFE INSURANCE CO ATTN: ANNUITIZATION UNIT PO BOX 5085 HARTFORD CT 6102

00091 HERALD LIFE INSURANCE CO ONE INDEPENDENT DRIVE JACKSONVILLE FL 32276

00092 HOME BENEFICIAL LIFE INS CO P O BOX 27572 RICHMOND VA 23261

00093 HOME LIFE GROUP BENE SERV INC 1 CENTENNIAL AVE PISCATAWAY NJ 8855

00094 PEOPLE SECURITY INSURANCE CO P O BOX 61 DURHAM NC 27702

00095 LABORERS DIST COU VA HLTH WELF P O BOX 13487 ROANOKE VA 24034

00096 LIFE INVESTORS INS CO OF AMER 4333 EDGEWOOD ROAD NE CEDAR RAPIDS IA 52499

00097 MEDICO LIFE INSURANCE CO 1515 SOUTH 75TH ST OMAHA NE 68124

00098 MONTGOMERY WARD LIFE INS CO 200 NORTH MARTINGALE ROAD SHAUMBURG IL 60173

00099 INDEPENDENCE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00100 INTEGON LIFE INSURANCE CORP 500 WEST FIFTH STREET P O BOX 3199 WINSTON SALEM NC 27152

00101 INTEGRITY NATL LIFE INS CO 140 WHITTINGTON PARKWAY P O BOX 32350 LOUISVILLE KY 40232

00102 INTER STATE ASSURANCE COMPANY P O BOX 1907 DES MOINES IA 50306

00103 INVESTORS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00104 NATL ASSOC GOVER EMPLOY ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00105 NATL SENIOR CITIZENS GROUP 4850 STREET ROAD TREVOSE PA 19049

00106 NATIONAL TRAVELERS LIFE CO 820 KEOSAUQUA WAY DES MOINES IA 50309

00107 JOHN HANCOCK MUTUAL LIF INS CO 1749 OLD MEADOW ROAD SUITE 410 MCLEAN VA 22102

00108 NATIONAL BENEFIT LIFE INS CO 2 PARK AVENUE NEW YORK NY 10016

00109 GREAT WEST LIFE ASSUR.CO-MD P. O. BOX 920 FREDERICK MD 21715

00110 KENTUCKY CENTRAL LIFE INS CO 300 W VINE LEXINGTON KY 40507

00111 KEY LIFE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00112 NATL ACCIDENT AND HLTH ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00113 NATL LIFE AND ACCID INS CO AMERICAN GENERAL CENTER NASHVILLE TN 37250

00114 NATIONAL CASUALTY CO P O BOX 2399 COLUMBUS OH 43216

00115 LIBERTY LIFE INS CO P O BOX 789 GREENVILLE SC 29609

00116 LIBERTY NATIONAL LIFE INS CO P O BOX 10592 BIRMINGHAM AL 35202

00117 LIFE AND CASUALTY INS CO TN AMERICAN GENERAL CENTER NASHVILLE TN 37250

00118 LIFE INS CO OF GEORGIA 5780 POWERS FERRY RD NW ATLANTA GA 30327

00119 LIFE INS CO OF NORTH AMERICA 2 LIBERTY PLACE 1601 CHESTNUT STREET PHILADELPHIA PA 19192

00120 GE FINANCIAL ASSURANCE 6610 W. BROAD STREET P. O. BOX 27601 RICHMOND VA 23230

00121 LINCOLN INCOME LIFE INS CO 11815 N PENNSYLVANIA ST CARMEL IN 46032

00122 LONE STAR LIFE INSURANCE CO P O BOX 35047 DALLAS TX 75235

00123 LUMBERMENS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00124 ORANGE STATE LIFE HLTH INS CO 2400 WEST BAY DRIVE LARGO FL 33540

00125 PEOPLES SECURITY LIFE INS CO P O BOX 32800 LOUISVILLE KY 40232

00126 PROTECTIVE LIFE INS CO P O BOX 2606 BIRMINGHAM AL 35202

00127 PYRAMID LIFE INSURANCE CO P O BOX 772 SHAWNEE MISSION KS 66201

00128 MARYLAND LIFE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

3

Page 4: Insurance Carrier List Numeric April 2014 -  · PDF fileInsurance Carrier List Numeric April 2014 CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00129 MASSACHUSETTS GEN LIFE INS CO P O BOX 6637 ENGLEWOOD CO 80155

00130 MASSACHUSETTS MUT LIFE INS CO 1295 STATE STREET SPRINGFIELD MA 1111

00131 MAYFLOWER NATIONAL LIFE INS CO 7950 ELMBROOK DRIVE DALLAS TX 75247

00132 MED INDEMNITY CO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00133 METROPOLITAN CASUALTY INS CO 700 QUAKER LANE WARWICK RI 2887

00134 MIDLAND MUTUAL LIFE INS CO 250 EAST BROAD STREET COLUMBUS OH 43215

00135 MID SOUTH INS CO P O BOX 2069 FAYETTEVILLE NC 28302

00136 MID STATES ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00137 MIDWEST SECURITY INS CO 2700 MIDWEST DRIVE ONALASKA WI 54650

00138 MUTUAL OF OMAHA INS CO PO BOX 3763 OMAHA NE 68103

00139 MUTUAL LIFE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00140 BENEFIT PLAN STRATEGIES 333 W FIRST ST DAYTON OH 45402

00141 NYHART (WYNN'S PRECISION) P. O. BOX 11708 LYNCHBURG VA 24506

00142 SOUTHEAST LIFE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00143 NATL AMER LIF INS CO OF PA 5118 EAST CLINTON WAY STE P O BOX 55020 FRESNO CA 93727

00144 BUSINESS ADMIN & CONSULTANTS P. O. BOX 107 REYNOLDSBURG OH 43068

00145 NATIONAL HOME LIF ASSURANCE C CLAIMS VALLEY FORGE PA 19493

00146 INTERCARE BENEFIT SYSTEMS P. O. BOX 3559 ENGLEWOOD CO 80155

00147 NATIONAL LIFE INSURANCE CO NATIONAL LIFE DRIVE MONTPELIER VT 5602

00148 NATIONAL SAVINGS LIFE INS CO P O BOX 1338 MURFREESBORO TN 37133

00149 NATL UN FIRE INS PITTSBURG PA 1750 CNG TOWER PITTSBURG PA 15222

00150 NATIONWIDE LIFE INSURANCE CO 1 NATIONWIDE PLAZA COLUMBUS OH 43216

00151 NEW YORK LIFE INSURANCE CO 51 MADISON AVENUE NEW YORK NY 10010

00152 NORTH AMERICAN INS CO 150 E GILMAN ST MADISON WI 53703

00153 NORTHWESTERN NATL LIFE INS CO 20 WASHINGTON AVE SOUTH MINNEAPOLIS MN 55401

00154 UFCW HLTH AND WELFARE FUND P O BOX 27806 BALTIMORE MD 21285

00155 SOUTHWESTERN LIFE INS CO P O BOX 2699 DALLAS TX 75221

00156 OCCIDENTAL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00157 OPTOMETRIC SERV CORP ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00158 SENTRY LIFE INS CO P O BOX 8888 STEVENS POINT WI 54481

00159 STANDARD LIFE SEC INS CO OF NY 485 MADISON AVE NEW YORK NY 10022

00160 PAUL REVERE LIFE INS CO THE 18 CHESTNUT STREET WORCESTER MA 1608

00161 PENN MUTUAL LIFE INS CO INDEPENDENCE SQUARE PHILADELPHIA PA 19172

00162 STONEBRIDGE INSURANCE COMPANY 2700 W PIANO PKWY PLANO TX 75086

00163 PENSION LIFE INS CO OF AMERICA P O BOX 1004 SOUTHEASTERN PA 19398

00164 PHYSICIANS LIFE IN CO P O BOX 3272 OMAHA NE 68103

00165 JEFFERSON PILOT LIFE INS CO P O BOX 26011 GREENSBORO NC 27420

00166 PIONEER LIFE INS CO OF IL 304 N MAIN ROCKFORD IL 27420

00167 PROVIDEN LIFE & ACCIDENT INS C FOUNTAIN SQUARE CHATTANOOGA TN 37402

00168 PRUDENTIAL INS CO OF AMERICA 751 BROAD ST NEWARK NJ 7102

00169 CONFED ADMIN SERVICES INC P O BOX 105103 ATLANTA GA 30348

00170 C & O RAILROAD ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00171 SENIOR AMER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

4

Page 5: Insurance Carrier List Numeric April 2014 -  · PDF fileInsurance Carrier List Numeric April 2014 CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00172 RELIANCE STANDARD LIFE INSURANCE 509 SOUTH LENOLA ROAD BLDG. 231 MOORESTOWN NJ 8057

00173 REPUBLIC AMERICAN LIFE INS CO 8585 N STEMMONS FREEWAY SUITE 1101N DALLAS TX 75247

00174 NATIONAL FINANCIAL P O BOX 2650 WACO TX 76702

00175 ROYAL GLOBE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00176 TRUSTMARK P. O. BOX 7900 LAKE FOREST IL 60045

00177 UNION LABOR LIFE INS CO 111 MASSACHUSETTS AVE NW WASHINGTON DC 20001

00178 UNION BANKERS INS CO 500 N AKARD SUITE 616 DALLAS TX 75201

00179 UNITED EQUITABLE INS CO 7373 NORTH CICERO LINCOLNWOOD IL 60646

00180 SAFECO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00181 SCHOLASTIC ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00182 ANTHEM ADMINISTRATORS - VA P O BOX 85639 RICHMOND VA 23285

00183 SHENANDOAH LIFE INS CO P O BOX 12847 ROANOKE VA 14029

00184 SOUTHERN AID LIFE INS CO INC P O BOX 12024 RICHMOND VA 23241

00185 SOUTHLAND LIFE INS CO P O BOX 105006 ATLANTA GA 30348

00186 SOUTHWEST GENERAL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00187 STATE FARM FIRE & CASUALTY CO 112 E WASHINGTON ST BLOOMINGTON IL 61701

00188 SUN LIFE AND HEALTH INS. CO POB 81633 WELLESLEY HILLS MA 2481

00189 ITPE-NMU P. O. BOX 23679 SAVANNAH GA 31403

00190 NETWORK HEALTH PLAN CORP 8550 LEE HIGHWAY SUITE 5 FAIRFAX VA 22031

00191 UNITED CHAMBER ASSUR PLN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00192 TRANS-GENERAL LIFE INS CO 730 HOLIDAY DR PITTSBURGH PA 15220

00193 TRAVELERS ONE TOWER SQUARE HARTFORD CT 6183

00194 TWENTIETH CENTURY LIFE INS CO 401 GLENWOOD AVENUE RALEIGH NC 27603

00195 AETNA-FMC CORPORATION P O BOX 182332 COLUMBUS OH 43218

00196 UNION CENTRAL LIFE INS CO THE MILL AND WAYCROSS ROADS BOX 179 CINCINNATI OH 45201

00197 USAF DEPT OF DEFENSE ATTN : TPL UNIT 600 EAST BROAD ST. #1300 RICHMOND VA 23219

00198 UNITED FAMILY LIFE INS CO P O BOX 2204 ATLANTA GA 30301

00199 USAA LIFE INS CO 9800 FREDERICKSBURG RD SAN ANTANIO TX 78288

00200 UNION SECURITY LIFE INS CO 3290 NORTHSIDE PARKWAY NW ATLANTA GA 30327

00201 UNITED AMERICAN 2909 N BUCKNER DALLAS TX 75221

00202 UNITED FIRE INSURANCE COMPANY 2350 EAST DEVON AVENUE DES PLAINES IL 60018

00203 AAG BENEFIT PLAN ADM. (UMWA/AMERICA) POB 99002 LUBBOCK TX 79490

00204 UNIVERSAL LIFE INS CO P O BOX 241 MEMPHIS TN 38101

00205 CENTRAL RESERVE LIF OF N AMER 17800 ROYALTON ROAD CRL PLAZA STRONGSVILLE OH 44136

00206 UNITED INS CO OF AMERICAL 1 E WACKER DR CHICAGO IL 60601

00207 NATIONAL FOUNDATION LIFE INS C 777 MAIN ST SUITE 900 FORT WORTH TX 76102

00208 WESTERN AND SOUTHERN LIFE INS 400 BROADWAY CINCINNATI OH 45202

00209 ZEBA TRUST ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00210 ALUMINUM WKRS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00211 AMALGAMATED CLOTHING & TEXTILE 1505 EUTAW PLACE BALTIMORE MD 21217

00212 AMAL MEATCUTTERS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00213 AMERICAN FED OF GOVT EMP ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00214 VALUE OPTIONS INC. APWU MENTAL HEALTH P. O. BOX 1347 LATHEM NY 12110

5

Page 6: Insurance Carrier List Numeric April 2014 -  · PDF fileInsurance Carrier List Numeric April 2014 CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00215 ASBESTOS WKRS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00216 BAKERY AND CONFECTIONERY BENE 10401 CONNECTICUT AVENUE KENSINGTON MD 20895

00217 BRICKLAYERS UNION ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00218 BRHD RAILWAY CLERKS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00219 CARPENTERS UNION P. O. BXO 13487 ROANOKE VA 24034

00220 COMM WKRS OF AMER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00221 CONST GEN LAB UNION ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00222 INT ASSO MACHINSTS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00223 INT BRHD ELECT WKRS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00224 INT UN OP ENGINEERS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00225 IRON WORKERS TRUST FUND LOCAL 697 P O BOX 13487 ROANOKE VA 24034

00226 MILLWRIGHTS UNION ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00227 NATIONAL ASSOC OF LTR CARRIERS 20547 WAVERLY COURT ASHBURN VA 20149

00228 MAIL HANDLERS BENEFIT PLAN P. O. BOX 24503 MENTAL HEALTH CLAIMS TUCSON AZ 85734

00229 PLAST & CEMENT ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00230 PLUMBERS & STEAMFITTERS 3801 JEFFERSON DAVIS HWY RICHMOND VA 23234

00231 SHEET METAL WORKERS' LOCAL 100 3130 AMES PLACE NE WASHINGTON DC 20018

00232 TEAMSTERS JOINT COUNCIL NO 83 HEALTH & WELFARE FUND 8814 FARGO ROAD RICHMOND VA 23229

00233 FOOD & COMM WKRS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00234 UNITED PAPERWKRS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00235 UNITED STEELWKRS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00236 WAREHOUSE EMP ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00237 BENEFIT PLAN SERVICES P O BOX 2793 HIGH POINT NC 27261

00238 GREAT AMERICAN INS CO 580 WALNUT ST CINCINNATI OH 45202

00239 BANKERS MULTIPLE LINE INS CO 4810 N KENNETH AVE CHICAGO IL 60630

00240 VA DENTAL PLAN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00241 VA FARM BUR MUT ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00242 VA MUT BENEFIT ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00243 VA SURETY CO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00244 VOLUNTEER ST ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00245 EMERSON ELEC BENE PLAN T ADDRESS UNKNOWN-CONTACT SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00246 EASTERN MED SUPPLY POLIC ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00247 HARDEN & CO 1800 SUTTER ST SUITE 400 CONCORD CA 94520

00248 WAUSAU INSURANCE COMPANY P. O. BOX 8092 WAUSAU WI 54402

00249 WESTERN NAT LIFE INS CO P O BOX 871 AMARILLO TX 79167

00250 WORLD INS CO P O BOX 3160 OMAHA NE 68103

00251 HEALTH CARE ADINISTRATORS INC 1905 TEAL RD LAFAYETTE IN 47905

00252 CROWN LIFE INS CO P O BOX 4020 BUFFALO NY 14240

00253 KEYSTONE INS CO 2040 MARKET ST PHILADELPHIA PA 19103

00254 YOUTHGUARD ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00255 UNITED BENEFIT LIFE INS CO 3909 HULEN ST SUITE 300 FORT WORTH TX 76107

00256 VA HLTH AND ACCIDENT ASSOC P O DRAWER 1114 EMPORIA VA 23847

00257 GUARANTEE RESERVE LIF INS CO 530 RIVER OAKDS WEST CALUMET CITY IL 60409

6

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00258 NATIONAL LIBERTY LIFE CLAIMS FALLEY FORGE PA 19493

00259 GEORGE WASHINGTON LIFE INS CO P O BOX 8700 JACKSONVILLE FL 32239

00260 PENNSYLVANIA LIFE INS CO P. O. BOX 100 PENSACOLA FL 32591

00261 OLD AMERICAN INS CO 3520 BROADWAY KANSAS MO 64111

00262 MONUMENTAL LIFE INS CO 2 EAST CHASE ST BALTIMORE MD 21202

00263 CENTRAL VA UFCW ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00264 NEWPORT NEWS SHIPYARD ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00265 PHYSICIAN MUTUAL INS CO P. O. BOX 2018 OMAHA NE 68103

00266 REINSURED LEX GROUP INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00267 EMPLOYEE BENEFIT CLAIMS P O BOX 24007 FRESNO CA 93779

00268 VETERANS LIFE INS CO CLAIMS VALLEY FORGE PA 91493

00269 WASHINGTON AREA CORP CAR 6009 OXON HILL ROAD OXON HILL MD 20745

00270 WAYNE ADMIN GROUP INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00271 NEW ENGLAND GEN LIFE INS CO 501 BOYLSTON ST BOSTON MA 2117

00272 FIRST CONTINENTAL LIFE & ACCID P O BOX 1951 CARMEL IN 46032

00273 MOUNTAIN TRAIL INSURANCE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00274 NAT'L HOME HEALTH ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00275 WILLIS CORROON ADMIN SERV P O BOX 305148 NASHVILLE TN 37230

00276 VA INDEPENDENT COAL CORP ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00277 UNITED OF OMAHA LIFE INS CO MUTUAL OF OMAHA PLAZA OMAHA NE 68175

00278 NAT'L LEAGUE OF POSTMAST ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00279 BENEFITS PLAN SERVICES INC P O BOX 6 WICHITA KS 67201

00280 CONTRACT DRIVERS INS TRUST ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00281 TRANS AMER ACCIDENTAL LF ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00282 FOOD HEALTH CARE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00283 RICHMOND BENEFICAL LIFE ADDRESS UNKNOWN-CONTACT SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00284 UNION FIDELITY LIFE INS CO 4850 STREET ROAD TREVOSE PA 19049

00285 SOUTHERN LUMBER MANF SPE ADDRESS UNKNOWN-CONTACT SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00286 UNION PLAN ADMINSTRATIO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00287 WOODMEN OF THE WORLD LIF INS 1700 FARM ST OMAHA NE 68102

00288 WASHINGTON NATIONAL INS CO 300 TOWER PARKWAY LINCOLNSHIRE IL 60069

00289 NORTH CAROLINA MUT LIF INS CO 411 WEST CHAPEL HILL ST DURHAM NC 27701

00290 SPERRY MARINE SYSTEM ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00291 DEPARTMENT OF LABOR P. O. BOX 828 LANHAM-SEABROOK MD 20703

00292 CIF SERVICE CENTER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00293 VIRGINIA PLAN ADDRESS UNKNOWN-CONTACT LOACL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00294 THE MINISTERS & MISSIONARIES B 475 RIVERSIDE DRIVE ROOM 1700 NEW YORK NY 10015

00295 KISER INSURANCE CO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00296 CENTRAL VA RETAIL CLERK ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00297 COSTAL PLAIN INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00298 N N INVESTORS LIFE INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00299 STUDENT ACCIDENT PROTECT ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00300 VA DENTAL SERVICE PLAN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

7

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00301 WEAVER ASSOCIATES 6196 OXEN HILL ROAD SUITE 500 OXEN HILL MD 20745

00302 HORSEMEN BEN & PROT ASSOC ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00303 PACIFIC MUTUAL LIFE INS CO 700 NEWPORT CENTER DRIVE NEWPORT BEACH CA 92663

00304 THE OHIO STATE LIFE INS CO P. O. BOX 910 COLUMBUS OH 43216

00305 DELTA DENTAL PLAN OF VA 4818 STARKEY RD ROANOKE VA 24018

00306 POSTMASTERS BENEFIT PLAN 1019 N ROYAL ST ALEXANDRIA VA 22314

00307 EQUICOR 195 BROADWAY (PURCHASED BY CIGNA) NEW YORK NY 1007

00308 ESMARK ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00309 OPTIMA HEALTH PLAN 4417 CORPORATION LANE VIRGINIA BEACH VA 23462

00310 SMITHFIELD FOOD HEALTH PLAN P. O. BOX 158 SMITHFIELD VA 23431

00311 J P KENNEDY INS CO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00312 HUMANA INSURANCE 2600 N LOOP W SUITE 620 HOUSTON TX 77092

00313 ALLIANCE HLTH BENE PLAN 10 E. 50TH STREET NEW YORK NY 10022

00314 HRSA/ILA ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00315 ROLLINS INS CO ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00316 AARP P. O. BOX 13999 PHILADELPHIA PA 19187

00317 TIME INSURANCE COMPANY P. O. BOX 624 MILWAUKEE WI 53201

00318 COSTAL HEALTH CARE PLAN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00319 HMO PLUS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00320 HEALTH AMERICA POB 7089 LONDON KY 40742

00321 QUAKER CITY ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00322 MONUMENTAL GENERAL INS CO 1111 N CHARLES ST BALTIMORE MD 21201

00323 UNION LIFE/HOSP INDEMNIT ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00324 UNION FEDERAL NATIONAL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00325 COLONIAL BENEFIT ADMINISTRATOR P. O. BOX 3770 CAPITOL HEIGHTS MO 20791

00326 AETNA 1000 BOULDERS PARKWAY RICHMOND VA 23225

00327 NORTHEAST DELTA DENTAL POB 2002 CONCORD NH 3302

00328 H J WILLIAMS COMPANY INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00329 BENEFICIAL STANDARD LFE INS CO P. O. BOX 5008 CAROL STREAM IL 60197

00330 FEDERAL LIFE INS CO P. O. BOX 1615 WARREN NJ 7061

00331 BAYLY MARTIN & FAY INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00332 HMO OF PENNSYLVANIA ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00333 BOILERMAKER NAT HLTH & WEL FND 754 MINNESOTA AVENUE SUITE 52 KANSAS CITY KS 66101

00334 ENGINEERS UNION 106 ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00335 U S FIDELITY & GUARANTY ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00336 AVTEX FIBERS INC ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00337 STOUFERS CONCOURSE HOTEL ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00338 LOYAL AMERICAN LIFE INS CO 2460 GOVERNMENT BOULEVARD P. O. BOX 6408 MOBILE AL 36606

00339 PRUDENTIAL AUTO DEALER ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00340 SECURITY TRST LFE INS CO OF GA P. O. BOX 4287 MACON GA 31297

00341 STATE MUTUAL INS CO OF AMERICA 440 LINCOLN ST WORCESTER MA 1653

00342 NATIONAL CAPITAL ADMIN SERVICE (NCAS) P. O. BOX 10153 FAIRFAX VA 22038

00343 KISER GEORGETOWN INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

8

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00344 PRIVATE HEALTH CARE/NCAS P. O. BOX 17535 OWINGS MILL MD 21117

00345 SECARE 65 ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00346 TEACHERS PROTECTIVE MUT LFE IN P. O. BOX 597 LANCASTER PA 17608

00347 CCEB TRUST ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00348 SEA FARERS P. O. BOX 380 PINEY POINT MO 20674

00349 CNS WHOLESALE GROCERY ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00350 WEYERHAEUSER GROUP INS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00351 MAIL HANDLERS BENEFIT PLAN P. O. BOX 24503 TUCSON AZ 85734

00352 CHOICE INS HEALTH PLAN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00353 MWH MEDICORP MEDICAL PLN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00354 GOVERNMNT EMPLOYEES HOSP ASSOC P. O. BOX 10304 KANSAS CITY MO 64111

00355 VULCAN LIFE INS CO P. O. BOX 1886 BIRMINGHAM AL 35201

00356 JOHN ALDEN LIFE INS CO 7300 CORPORATE CENTER DR MIAMI FL 33178

00357 PROVIDERS ALLCARE ADMINISTRATO P. O. BOX 1531 ROANOKE VA 24007

00358 LIFE & HLTH INS CO OF AMERICA 2200 WALNUT STREET PHILADELPHIA PA 19103

00359 CENTRAL LIFE ASSURANCE CO 611 FIFTH AVENUE DES MOINES IA 50309

00360 IBEX BENEFITS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00361 GREAT WESTERN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00362 CONFEDERATION LIFE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00363 BLUE CROSS BLUE SHIELD OF MA P. O. BOX 986030 BOSTON MA 2298

00364 AMERICAN REPUBLIC INS CO P. O. BOX 1 DES MOINES IA 50301

00365 HLTH CARE PLAN ADMIN ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00366 HORACE MANN INS CO P. O. BOX 20487 SPRINGFIELD IL 62715

00367 GENERAL AMERICAN INS CO 13045 TESSON FERRY RD ST LOUIS MO 63128

00368 OXFORD LIFE INSURANCE CO 2721 N CENTRAL AVENUE PHOENIX AZ 85004

00369 GENERAL AMERICAN INS CO 101 SOUTH HANLEY ST LOUIS MO 63105

00370 NORTH BROOK INSURANCE ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00371 HERITAGE NAT'L HLTH PLAN P. O. BOX 4415 DAVENPORT IA 52808

00372 GLOBAL INS MANAGEMENT ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00373 FLORIDA ROCK INDUSTRIES ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00374 VETERANS OF FOREIGN WARS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00375 HUDSON GROUP ADMINIS ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00376 KAISER PERMANENTE P. O. BOX 6233 ROCKVILLE MD 20849

00377 HARVEST LIFE INS CO CLAIMS DEPT ORLANDO FL 32887

00378 TENNESSEE COMPANY GROUP ADDRESS UNKNOWN-CONTACT LOCAL SOCIAL SERVICES OR POLICYHOLDER RICHMOND VA 23219

00379 TRANSPORT LIFE INSURANCE CO 714 MAIN STREET FORT WORTH TX 76102

00380 CONTROL DATA SYSTEMS INC. P. O. BOX 869043 PLANO TX 75086

00381 GREAT WEST LIFE ASSURANCE CO 8505 E ORCHARD RD P. O. BOX 1000 ENGLEWOOD CO 80111

00382 HECHINGER ATTN: BENEFIT OFFICE 3500 PENNSY DRIVE LANDOVER MD 20785

00383 HOME BLDS ASSOC OF VA HLTH BNF 117 N HIGH STREET SUITE B HARRISONBURG VA 22801

00384 GREAT WEST LIFE ASSURANCE CO PHILADELPHIA BENEFIT PYMT P. O. BOX 1000 HORSHAM PA 19044

00385 CHESTERFIELD RESORCE INC P. O. BOX 1884 AKRON OH 44309

00386 SECURITY TRST LFE INS OF GA PURCHASED BY PUBL SAV LFE NORFOLK VA 23502

9

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00387 HILTON NEVADA CORP GRP HLTH BN C/O SILVER STATE MED ADM 150 EAST HARMON STE 227 LAS VEGAS NV 89109

00388 DAYSTORM LADD FURNITURE SINAI ROAD SOUTH BOSTON VA 24592

00389 SENTARA/OPTIMA HEALTH PLAN P. O. BOX 5028 TROY MI 48007

00390 CAPITOL AMERICAN LIFE INS CO 1001 LAKESIDE AVE CLEVELAND OH 44114

00391 PRINCIPAL LIFE INS. CO. POB 10357 DES MOINES IA 50306

00392 FIELDCREST MILLS P. O. BOX 5000 EDEN NC 27288

00393 HUDSON GROUP ADMINISTRATOR P. O. BOX 1403 FINDLAY OH 45839

00394 GOLDEN RULE LIFE INS CO POB 31374 SALT LAKE CITY UT 84131

00395 CONSUMERS UNITED LIFE INS CO 1150 CONNECTICUT AVE NW SUITE 205 WASHINGTON DC 20036

00396 COMPREHENSIVE BENEFITS SERV CO 1536 NORTH HAMPTON STREET EASTON PA 18042

00397 DEAN COMPANY EMPLOYEE BENEFIT PLAN P. O. BOX 7152 DUBLIN OH 43017

00398 PLANNED ADMINISTRATOR INC. P. O. BOX 6702 COLUMBIA SC 29260

00399 AWANA CLUBS INT'L GROUP INS 9201 E BLOOMINGTON FREEWY BLOOMINGTON MN 55420

00400 DAN RIVER MILLS INC P O BOX 261 DANVILLE VA 24543

00401 LINCOLN NATIONAL LIFE INS CO P O BOX 7897 1300 S CLINTON ST FORT WAYNE IN 46801

00402 BOOKE AND COMPANY 310 W FOURTH STREET WINSTON-SALEM NC 27102

00403 MEDICAL DOCTORS INDIV PRACTICE 4 TAFT COURT ROCKVILLE MD 20850

00404 CORPORATE SYSTEMS ADMIN P O BOX 4985 3201 BRISTOL HIGHWAY JOHNSON CITY TN 37602

00405 TRANSPORT LIFE INS COMPANY 714 MAIN FORT WORTH TX 76102

00406 C AND A INSURANCE COMPANY 8403 COLESVILLE ROAD SILVER SPRINGS MD 20910

00407 FEDERAL EXPRESS CORP GRP HLTH P O BOX 727 MEMPHIS TN 38194

00408 ROSES INTERACTIVE MEDICAL SER P O BOX 17529 RALEIGH NC 27619

00409 CHARLES CO EMPLOYEE BENEFIT TR P O BOX 1755 MINNEAPOLIS MN 55440

00410 PROVIDERS ALLCARE ADM P O BOX 1531 ROANOKE VA 24007

00411 SETTLERS LIFE INS CO P O BOX 8600 BRISTOL VA 24203

00412 NORTHERN GROUP SERVICES INC P O BOX 7676 ST CLAIR SHORES MI 48080

00413 AID ASSOCIATION FOR LUTHERANS 4321 NORTH BALLARD ROAD APPLETON WI 54919

00414 OLD SURETY LIFE OF TEXAS P O BOX 54407 OKLAHOMA CITY OK 73154

00415 PACIFIC FIDELITY LIFE INS CO 4433 EDGEWOOD RD NE CEDAR RAPIDS IA 52499

00416 LANE CO IN HLTH CARE PLAN P O BOX 151 ALTAVISTA VA 24517

00417 REYNOLDS METALS INSURANCE 2001 REYMET ROAD RICHMOND VA 23237

00418 C AND O EMPLOYEES HOSP ASSOC 543 CHURCH STREET CLIFTON FORGE VA 24422

00419 CAMPBELL TAGGART INC P O BOX 30140 SALT LAKE CITY UT 84130

00420 COBRA SERVICE P O BOX 4699 CLEARWATER FL 34618

00421 BASSETT WALKER P O BOX 5423 MARTINSVILLE VA 24115

00422 ATLANTA GROUP BENEFIT CENTER 1950 SPECTRUM CIRCLE STE B100 MARIETTA GA 30067

00423 LONG - AIR DOX CO P O BOX 455 HILLSVILLE VA 24343

00424 ALTA P O BOX 671088 HOUSTON TX 77267

00425 UNITED FURNITURE WORKERS INS LOCAL 163 IUE AFL-CIO 1910 AIR LANE DRIVE NASHVILLE TN 37210

00426 ATLANTA LIFE INSURANCE CO 100 AUBURN AVENUE ATLANTA GA 30303

00427 GROUP HEALTH ADMINISTRATORS P O BOX 21763 COLUMBIA SC 29221

00428 MEDICAL FACILITIES OF AMERICA P O BOX 29600 ROANOKE VA 24018

00429 CIGNA P. O. BOX 29000 ATLANTA GA 30359

10

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00430 ADVANCED INSURANCE SERVICE P O BOX 1842 MEMPHIS TN 38101

00431 ITT HARTFORD LIFE & ANNUITY 505 N HIGHWAY 169 WATERFORD PARK PLYMOUTH MN 55441

00432 HEALTH CLAIM SERVICES P O BOX 273940 BOCA RATON FL 33427

00433 FRINGE BENEFIT REVIEW 7000 N BROADWAY SUITE 106 DENVER CO 80221

00434 NGS AMERICAN P O BOX 7676 ST CLAIR SHORES MI 48080

00435 JEFFERSON PILOT C/O AMPRO FISH P O BOX 319 REEDVILLE VA 22539

00436 CRUM & FOSTER INS COMPANIES 6 SYLVAN WAY PARSIPPANY NJ 7054

00437 T P A OF GEORGIA PARKRIDGE 85 OFFICE PK #3 2900 CHAMBLEE-TUCKER ATLANTA GA 30341

00438 SECURITY LIFE INS CO OF AMER 10901 RED CIRCLE DRIVE MINNETONKA MN 55343

00439 MCDONOUGH-CAPERTON BENEFIT SER P O BOX 11064 CHARLESTON WV 25339

00440 PCS HEALTH SYSTEM CLAIMS P O BOX 52116 PHOENIX AZ 85072

00441 LAWRENCE MUSGROVE ASSOC P O BOX 13487 ROANOKE VA 24034

00442 WASHINGTON POST - SELF INSURER 1150 15TH STREET NW WASHINGTON DC 20071

00443 OPTIMUM CHOICE INC P O BOX 75223 BALTIMORE MD 21275

00444 BLUE CROSS BLUE SHIELD(EMPIRE) P. O. BOX 1407 CHURCH STREET STATION NEW YORK NY 10008

00445 G H I P O BOX 1027 TIMES SQUARE ST NY 10108

00446 BENEFIT PLAN ADMINISTRATORS 1871 FOLSOM BOULDER CO 80302

00447 BLUE CROSS BLUE SHIELD OF ILLINOIS POB 1637 CHICAGO IL 60690

00448 JOHN DEERE LIFE INS COMPANY P O BOX 1126 JACKSONVILLE IL 62651

00449 NRECA NAT'L ROYAL ELECTRIC COR P O BOX 6249 LINCOLN NE 68506

00450 H. L. DUKE & COMPANY P O BOX 530 RICHMOND VA 23204

00451 AMERICAN NATIONAL INS CO P O BOX 1520 GALVESTON TX 77553

00452 THE MUTUAL GROUP P O BOX 2976 MILWAUKEE WI 53201

00453 ACORDIA LOCAL GOV'MNT BENEFITS P O BOX 40987 INDIANAPOLIS IN 46240

00454 AM FOREIGN SERV PROT ASSOC 1716 N STREET NW WASHINGTON DC 20036

00455 E B SERVICES INC 4801 CHASTAIN AVE CHARLOTTE NC 28217

00456 SELF FUNDED PLANS INC 2535 WASHINGTON RD #1130 PITTSBURG PA 15241

00457 PHYSICIANS ASSOC 2600 DODGE STREET OMAHA NE 68131

00458 FLEETWOOD INDUSTRIES P O BOX 100 ROCKY MOUNT VA 24151

00459 PAID PRESCRIPTION PROGRAM P.O. BOX 247 LEE'S SUMMIT MO 64063

00460 SOUTHERN HEALTH INSURANCE 3721 TECPORT DRIVE P. O. BOX 67103 HARRISBURG PA 17111

00461 HEALTH PLUS P O BOX 355 GREENBELT MD 20768

00462 BLUE CROSS BLUE SHIELD OF NORTH CAROLINA P. O. BOX 35 DURHAM NC 27707

00463 CAPITAL CARE BC BS 1921 GALLOWS ROAD NINTH FLOOR VIENNA VA 22182

00464 NATIONAL HEALTH INS CO P O BOX 619999 DALLAS TX 75261

00465 E D S ELECTRONIC DATA SYSTEM 5400 LEGACY DRIVE PLANO TX 75024

00466 INSUREX BENEFITS ADMINISTRATORS P O BOX 41779 MEMPHIS TN 31874

00467 BENEFIT CONSULTANT SERVICES P O DRAWER 12569 NORFOLK VA 23502

00468 MAMSOVA/OPTIMUM CHOICE (UNITED HC) 4 TAFT COURT ROCKVILLE MD 20850

00469 AETNA LIFE INS CO NC P O BOX 26190 GREENSBORO NC 27402

00470 TOWER LIFE INSURANCE CO 310 S ST MARY STREET SAN ANTONIO TX 78205

00471 SERV BEN PLAN RETAIL PHARM PRO P O BOX 52057 PHOENIX AZ 85072

00472 UNITED STATES LIFE INS CO 3600 ROUTE 66 NEPTUNE NJ 7753

11

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00473 NATIONAL BENEFIT PLANS P O BOX 13128 NORFOLK VA 23506

00474 CHESAPEAKE BAY FISHING CO HIGHWAY 660 FAIRPORT RD P O BOX 319 REEDVILLE VA 22539

00475 JOHN HANCOCK LIFE INSURANCE COMPANY 1585 PAOLI PIKE C-2688 WEST CHESTER PA 19380

00476 GROUP HEALTH COOPERATIVE P O BOX 34750 SEATTLE WA 98124

00477 AMALGATED LIFE INS CO 730 BROADWAY NEW YORK NY 10003

00478 SAVERS LIFE INS CO 8064 NORTH POINT BLVD SUITE 201 WINSTON SALEM NC 27106

00479 METLIFE (METROPOLITAN) P O BOX 1299 PITTSBURG PA 15230

00480 CIGNA HEALTHCARE P O BOX 7500 GASTONIA NC 28053

00481 ROSES INC P O DRAWER 440 HENDERSON NC 27536

00482 BLUE CROSS BLUE SHIELD OF MICHIGAN 600 LAFAYETTE EAST DETROIT MI 48226

00483 BLUE CROSS BLUE SHIELD OF WEST VA P O BOX 7026 WHEELING WV 26003

00484 BMA BUSINESS MEN'S ASSURANCE P O BOX 419407 KANSAS CITY MO 64141

00485 HEALTH STRATEGIES 104 INVERNESS CENTER PLAC BIRMINGHAM AL 35242

00486 CORPORATE BENEFITS SERVICE INC 139 S TRYON STREET 7TH FLOOR CHARLOTTE NC 28202

00487 HEALTHKEEPERS P O BOX 85087 RICHMOND VA 23261

00488 BLUE CROSS BLUE SHIELD OF ALABAMA P O BOX 995 450 RIVERCHASE PKY EAST BIRMINGHAM AL 35298

00489 BLUE CROSS BLUE SHIELD OF PENNSYLVANIA 1901 MARKET STREET PHILADELPHIA PA 19103

00491 AETNA LIFE INS CO INDIANA P O BOX 40945 INDIANAPOLIS IN 46250

00492 KANAWHA INSURANCE CO P O BOX 1000 LANCASTER SC 29721

00493 AMERICAN MEDICAL SECURITY P O BOX 19032 GREEN BAY WI 54307

00494 AMERICAN POSTAL WORKERS UNION (APWU) P. O. BOX 1358 GLEN BURNIE MD 21060

00495 TRAVELERS 1000 VOORNEES DR VOORNEES NJ 8043

00496 PRIORITY HEALTHCARE/HEALTHKEEPERS 277 BENDIX ROAD SUITE 100 VIRGINIA BEACH VA 23452

00497 NATL ASSOC OF HOME BUILDERS 1201 15TH STREET NW WASHINGTON DC 20005

00498 EMPLOYERS HEALTH INS CO 1100 EMPLOYERS BLVD GREEN BAY WI 54344

00499 BORDEN INC ADMINISTRATIVE SERVICES P O BOX 189 COLUMBUS OH 43216

00500 PAN AMERICAN LIFE INS CO POB 99007 LUBBOCK TX 79490

00501 THE GUARDIAN P O BOX 8007 APPLETON WI 54913

00502 NOBLE LOUNDES AND JOHNSON P O BOX 248 NEWTON PA 18940

00503 CONTINENTAL GENERAL INS CO P O BOX 247007 OMAHA NE 68124

00504 SOUTHERN BENEFIT SERVICE P O BOX 2568 BIRMINGHAM AL 35202

00505 AMER BANKERS LIFE ASSUR OF FL 11222 QUAIL ROOST DRIVE MIAMI FL 33157

00506 NATIONWIDE LIFE INS CO RICHMOND SERVICE CTR P O BOX 182364 COLUMBUS OH 42318

00507 GUARANTEE MUTUAL LIFE INS CO 8801 INDIAN HILLS DR OMAHA NE 68114

00508 PIECE GOOD SHOPS INC SELF INSU P O BOX 5437 WINSTON SALEM NC 27113

00509 WASHINGTON WHOLESALERS INS CO 8401 CORPORATE DRIVE 200 LANDOVER MD 20785

00510 STATE FUND WORKERS COMPENS INS P O BOX 78030 TUCSON AZ 85703

00511 ADMINISTRATIVE CONSULTANTS 92 BROOKSIDE RD WATERBURY CT 6708

00512 BLUE CROSS BLUE SHIELD OF FLORIDA POB 44144 JACKSONVILLE FL 32231

00513 GROUP BENEFITS SERVICES 1312 BELLONA AVENUE LUTHERVILLE MD 21093

00514 PHOENIX MUTUAL LIFE INS ONE AMERICAN ROW HARTFORD CT 6115

00515 DUKE AND CO EMPLOYEE BEN MANAG P O BOX 530 RICHMOND VA 23204

00516 THE PRINCIPAL FINANCIAL GROUP REG CLAIM CTR POINTE CTR ST 200 111 PRESIDENTAL BL BALA CYNWYD PA 19004

12

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00517 PLUMBERS PIPEFITTERS MEDICAL FUND 5051B BACKLICK ROAD ANNANDALE VA 22003

00518 EMPLOYEE BENEFIT MANAGEMENT CO 4789 RINGS ROAD COLUMBUS OH 43017

00519 CENTRAL BENE NATL LIFE INS CO P O BOX 16526 COLUMBUS OH 43216

00520 FORTIS BENEFITS INS CO P O BOX 419596 KANSAS CITY MO 64141

00521 BLUE CROSS BLUE SHIELD OF MISSOURI 1831 CHESTNUT ST ST LOUIS MO 63103

00522 ALICARE INC BOX 1442 NEW YORK NY 10116

00523 RURAL ELECTRIC GRP INS ADMINIS 600 PRINCETON PARKWAY KENTLAND IN 47951

00524 METROPOLITAN LIFE INS CO 1 METROPOLITAN PLAZA TAMPA FL 33607

00525 BLUE CROSS BLUE SHIELD OF TEXAS 901 S CENTRAL EXPRESSWAY RICHARDSON TX 75080

00526 CLAIMSWARE INC MANAGED DIVISION P O BOX 6125 GREENVILLE SC 29606

00527 HEALTH RISK MANAGEMENT P O BOX 1479 MINNEAPOLIS MN 55440

00528 THE MEGA LIFE & HEALTH INS CO 501 W I44 SERVICE ROAD OKLAHOMA CITY OK 73118

00529 BLUE CROSS BLUE SHIELD OF MAINE 2 GANNETT DRIVE SOUTH PORTLAND ME 4106

00530 TPA OF FORT WORTH P.O. BOX 901066 FORT WORTH TX 76101

00531 HEALTHSMART BENEFIT SOLUTIONS P.O. BOX 3262 CHARLESTON WV 25332

00532 BLUE CROSS BLUE SHIELD-CENTRAL NEW YORK P.O. BOX 4809 SYRACUSE NY 13221

00533 DIVERSIFIED GROUP ADMIN. INC. P.O. BOX 330 CANONSBURG PA 15317

00534 AFF TEAMS HLTH/WEL MD-LOCAL311 6650 BELLAIR ROAD 2ND FLOOR BALTIMORE MD 21206

00535 PIEDMONT ADMINISTRATORS P.O. BOX 78030 GREENSBORO NC 27427

00536 FIRST HEALTH - UTAH P.O. BOX 26247 SUITE 500 SALT LAKE CITY UT 84126

00537 GLOBE LIFE & ACCIDENT INS. CO. GLOBE LIFE CENTER OKLAHOMA CITY OK 73184

00538 COMMUNITY MUTUAL INS CO 1351 WM HOWARD TAFT RD CINCINNATI OH 45206

00539 BLUE CROSS BLUE SHIELD HIGHMRK 120 FIFTH AVE PITTSBURG PA 15222

00540 CIGNA P.O. BOX 34335 CHARLOTTE NC 28234

00541 THE GUARDIAN 6800 PARAGON PLACE SUITE 534 RICHMOND VA 23230

00542 ALLIANCE ASSURANCE CO 10 E 50TH ST NEW YORK NY 10022

00543 TRAVELERS-NEW YORK ONE PARK PLACE ALBANY NY 12205

00544 UNITED MEDICAL RESOURCES INC 1329 E KEMPER RD SUITE 4100 CINCINNATI OH 45246

00545 HEALTH SOURCE INS GROUP (NOW CIGNA) SEE CODE 00B60 POB 182223 CHATTANOOGA TN 37422

00546 AMERICAN CONT LIFE INS CO PO BOX 796 540 LAKE COOK RD DEERFIELD IL 60015

00547 TRAVELERS-DENTAL-NEW YORK ONE PARK PLACE ALBANY NY 12205

00548 ANTHEM HEALTHKEEPERS P. O. BOX 27401 RICHMOND VA 23279

00549 A CONSULTING SERVICES PO BOX 2000 WINSTON-SALEM NC 27102

00550 AETNA HEALTH PLAN-OHIO PO BOX 5569 AKRON OH 44334

00551 FCE BENEFIT ADMINISTRATORS 4615 WALZEM RD. STE. 300 SAN ANTONIO TX 78218

00552 FIRST HLTH ADVANTAGE-PROVIDIAN PO BOX 32800 LOUISVILLE KY 40232

00553 PRO CLAIM ADMIN INC (PROCLAIM) 10560 WAYZATA BLVD SUITE 14 MINNETONKA MN 55305

00554 CORESOURCE INC (NC) 6100 FAIRVIEW ROAD SUITE 1000 CHARLOTTE NC 28210

00555 METRAHEALTH PO BOX 3020 UTICA NY 13504

00556 CORESOURCE INC 4940 CAMPBELL BLVD SUITE 200 BALTIMORE MD 21236

00557 DUKE BENEFITS SERVICES PO BOX 35073 RICHMOND VA 23236

00558 PHARMACY NETWORK NAT CORP 4000 WAKE FOREST ROAD RALEIGH NC 27609

00559 BANKERS UNITED LIFE ASSURANCE 212 PRECINCT LINE ROAD HURST TX 76053

13

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00560 SOUTHERN HEALTH SERVICES SEE CODE A76 LONDON KY 40742

00561 GRGE WASHINGTON UNIV HLTH PLAN 4550 MONTGOMERY AVE SUITE 800 BETHESDA MD 20814

00562 METRO LIFE INS CO (DE) PO BOX 6017 NEWARK DE 19714

00563 BA MULLICAN LUMBER/MANUF CO PO BOX 152 APPALACHIA VA 24216

00564 HOME LIFE GP BEN & SERV INC PO BOX 1370 ALSO IN DULUTH GA PISCATAWAY NJ 8855

00565 CONTINENTAL ASSURANCE CO PO BOX 305059 NASHVILLE TN 37230

00566 AETNA LIFE INS CO - TX PO BOX 91555 ARLINGTON TX 76015

00567 BLUE CROSS BLUE SHIELD OF WISCONSIN GROUP MEDICAL CLAIMS PO BOX 110 FON DU LAC WI 54936

00568 NAT TELE COOP ASSOC/GRP HLTH ASHEVILLE SERVICE CENTER BB&T BLDG STE 300 ASHEVILLE NC 28801

00569 AMPRO FISHERIES COMPANY PO BOX 319 REEDVILLE VA 22539

00570 EXPRESS SCRIPTS PROVIDER RELATIONS 14000 RIVERPORT DRIVE MARYLAND HEIGHT MO 63043

00571 HARRINGTON BENEFIT SERVICES PO BOX 1391 DAYTON OH 45401

00572 PARTNERS NAT HLTH PLANS NC PO BOX 24907 WINSTON-SALEM NC 27114

00573 GROUP INSURANCES SERVICES P O BOX 2291 DURHAM NC 27702

00574 ASSOCIATED BENEFITS CORP OF TN PO BOX 1298 GREENEVILLE TN 37744

00575 FOUNTAINHEAD ADMIN INC 22 INVERNESS CENTER PKWY #410 BIRMINGHAM AL 35242

00576 SINGER FURNITURE - ROANOKE GROUP INSURANCE PLAN 101 SOUTH JEFFERSON ST. ROANOKE VA 24011

00577 HUMANA HEALTH PLAN P O BOX 2180 LOUISVILLE KY 40202

00578 BLUE CROSS BLUE SHIELD TENNESSEE P O BOX 98 MEMPHIS TN 38101

00579 CHUBB LIFEAMERICA INS. CO EIGHT SYLVAN WAY PARSIPPANY NJ 7054

00580 SPECTRUM ADMINISTRATORS 2166 SOUTH 12TH STREET ALLENTOWN PA 18103

00581 GENERAL HEALTH BENEFITS 400 MORRIS AVE. STE. 7M DENVILLE NJ 7834

00582 BLUE CROSS BLUE SHIELD NEW JERSEY TRENTON HEALTH CENTER 433 BELLEVUE AVE TRENTON NJ 8618

00583 HEALTHTRUST P O BOX 2576 VIRGINIA BEACH VA 23450

00584 BLUE CROSS BLUE SHIELD MISSISSIPPI P O BOX 1043 JACKSON MS 39215

00585 AMINITRON P O BOX 50182 NASHVILLE TN 37205

00586 TRAVELERS PLAN ADMIN OF TENN 5214 MARYLAND WAY SUITE 207 BRENTWOOD TN 37027

00587 GALLAGHER BASSETT P O BOX 39846 EDINA MN 55439

00588 ALEXANDRIA HOSPITAL PLAN 4320 SEMINARY ROAD ALEXANDRIA VA 22304

00589 PROVIDENT LIEF AND ACCID P O BOX 8814 BRISTOL TN 37621

00590 HEALTHSOURCE PROVIDENT-MEDICAL STATION B P O BOX 6185 GREENVILLE SC 29606

00591 NASI WELFARE FUND 8000 CORPORATE DRIVE LANDOVER MD 20785

00592 WILLSE & ASSOCIATES INC P O BOX 13303 BALTIMORE MD 21203

00593 CLAIM MANAGEMENT SERVICE P O BOX 10888 GREENBACY WI 54307

00594 PENN WESTERN BENEFITS INC P O BOX 7834 GREENSBORO NC 27417

00595 PHILADELPHIA AMERICAN LIFE INS 100 N 6TH STREET SUITE 800 WACO TX 76701

00596 JONBIL INC P O BOX 37 CHASE CITY VA 23924

00597 ELECTRO-MECHANICAL CORP 1 GOODSON STREET BRISTOL VA 24201

00598 COLUMBIA FOREST PRODUCTS ATTN: CLAIMS DEPT P O BOX 3768 PORTLAND OR 97208

00599 FEDERAL BLACK LUNG ASSOC U. S. DEPT OF LABOR WORKERS COMP. P. O. BOX 8302 LONDON KY 40742

00600 JEFFERSON PILOT LIFE INS CO TN 5211 LINBAR DR SUITE 513 NASHVILLE TN 37211

00601 GENERAL ELECTRIC MED BENEFITS P O BOX 3025 UTICA NY 13504

00602 E.B.C. MID-AMERICAL 9400 WILLIAMSBURG PLAZA SUITE 330 LOUISVILLE KY 40222

14

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00603 HEALTH NETWORK AMERICA 187 MANMOUTH PARKWAY WEST LONG BRANC NJ 7764

00604 EVERENCE P O BOX 483 GOSHEN IN 46527

00605 THE TRAVELERS-MANAGED CARE SYS P O BOX 473505 CHARLOTTE NC 28247

00606 LIFE INSURANCE CO OF N AMER P O BOX 23759 COLUMBIA NC 28247

00607 MEDICAL CLAIMS MANAGEMENT CORP 870 RED OAK BLVD SUITE 227 CHARLOTTE NC 28217

00608 METRA HLTH/RAILROAD ACCOUNTS P O BOX 150453 HARTFORD CT 6115

00609 MAMSI P O BOX 64311 ROCKVILLE MD 20850

00610 CAREMARK PRESCRIPTION SERV DIV P O BOX 686004 SAN ANTONIO TX 78268

00611 MID-ATLANTIC MED SERV ONE ENTERPRISE PARKWAY SUITE 215 HAMPTON VA 23666

00612 NEW YORK LIFE/HEALTH PLUS P.O. BOX 299 GREENBELT MD 20768

00613 WEIMAN UPHOLSTERY P.O. BOX 539 CHRISTIANSBURG VA 24073

00614 HEALTHSMART BENEFIT SOLUTIONS P.O. BOX 1713 CHARLESTON WV 25326

00615 POWELL MOUNTAIN COAL CO INC 2537 FOURTH AVE EAST BIG STONE GAP VA 24219

00616 NOBEL GROUP BENEFITS P.O. BOX 330 CANONSBURG PA 15317

00617 HORIZON BCBSNJ P.O. BOX 1219 NEWARK NJ 7101

00618 U S HEALTHCARE 980 JOLLY RD BLUE BELL PA 19422

00619 MCKEE FOODS GROUP BENEFITS P.O. BOX 2078 COLLEGEDALE TN 37315

00620 STATE FARM INSURANCE 1500 STATE FARM BOULEVARD CHARLOTTESVILLE VA 22909

00621 BLUE CROSS BLUE SHIELD OF IOWA 636 GRAND AVE DESMOINES IA 50309

00622 BASSETT FURNITURE P.O. BOX 389 BASSETT VA 24055

00623 BRENCO INC P.O. BOX 389 PETERSBURG VA 23804

00624 BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA P.O. BOX 100300 COLUMBIA SC 29202

00625 NEW RIVER INDUSTRIES INC P.O. BOX 1471 WATERBURY CT 6721

00626 BLUE CROSS BLUE SHIELD KANSAS P.O. BOX 239 TOPEKA KS 66629

00627 COST MANAGEMENT TECHNOLOGIES P.O. BOX 29122 SHAWNEE MISSION KS 66201

00628 BLAIR MILL ADMINISTRATORS 720 BLAIR MILL RD HORSHAM PA 19044

00629 CENTRA HEALTH BENEFITS P.O. BOX 869043 PLANO TX 75086

00630 MAN-U SER CONTRACT TRUST FUND 8401 CORPORATE DRIVE SUITE 200 LANDOVER MD 20785

00631 WILLIAM TALLEY SIGN CO P.O. BOX 751 PETERSBURG VA 23803

00632 B.P.S. INC 145 N. CHURCH STREET SPARTANBURG SC 29306

00633 CELTIC LIFE INS CO P.O. BOX 7130 ROSEMONT IL 60018

00634 LADD MEDICAL CLAIMS DEPT P.O. BOX 399 HIGH POINT NC 27261

00635 SELF INSURED SERV CO P.O. BOX 389 DUBUQUE IA 52004

00636 SHOOSMITH BROTHERSINC HLTH PLN P.O. BOX 13128 NORFOLK VA 23506

00637 MANCHESTER GROUP HEALTH PLAN P.O. BOX 13128 NORFOLK VA 23506

00638 DOANE PRODUCTS CO GROUP BENE P.O. BOX 879 TOPLIN MD 64802

00639 EDUCATORS MUTUAL LIFE P.O. BOX 83888 LANCASTER PA 17608

00640 CENTRAL CAROLINA WAREHOUSE GRP 2904 TRANSPORT STREET RICHMOND VA 23234

00641 MANGE-MEDICAL-CLAIMSWARE P.O. BOX 6125 GREENVILLE SC 29606

00642 ELECTRICAL WELFARE TRUST FUND 4601 PRESIDENTS DRIVE SUITE 300 LANHAM MD 20706

00643 PRUDENTIAL INSURANCE COMPANY P.O. BOX 10100 HIGHPOINT NC 27261

00644 MET LIFE DENTAL P.O. BOX 6131 UTICA NY 13504

00645 GREAT WEST LIFE & ANNUITY INS P.O. BOX 190019 NORTH CHARLESTO SC 29419

15

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Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00646 BASSETT EMPLOYEE BENEFITS P.O. BOX 867 MOUNT AIRY NC 27030

00647 ANTHEM LIFE 6740 N. HIGH STREET SUITE 200 FAX CLAIMS TO: 800-813-5682 WORTHINGTON OH 43085

00648 CIGNA HEALTHCARE OF VA P.O. BOX 31353 RICHMOND VA 23294

00649 JOHN HANCOCK 7025 ALBERT PICK ROAD GREENSBORO NC 27409

00650 UNITED HEALTHCARE OF NEW YORK FORMERLY UHC OF RIVER VALLEY POB 5230 KINGSTON NY 12402

00651 HILSTON VALLEY MED CTR EMPLOYEE BENEFITS P.O. BOX 359 KINGSPORT TN 37662

00652 THE GUARDIAN P.O. BOX 71509 CHICAGO IL 60694

00653 SOUTHERN HEALTH TPA P.O. BOX 530 RICHMOND VA 23204

00654 NETWORK INSURANCE INC P.O. BOX 6336 CLEARWATER FL 34618

00655 ROCCO BENEFITS P.O. BOX 549 HARRISONBURG VA 22801

00656 MANPOWER P O BOX 2053 MILWAUKEE WI 53201

00657 LAB DIST CO HL & WEL TRST FD#2 BENEFIT ACCOUNT 8401 CORPORATE DR STE 200 LANDOVER MD 20785

00658 MASS MUTUAL UNICARE P O BOX 5005 BOLINGBROOK IL 60440

00659 JONES HILL & MERCER EMPL BENE P O BOX 9888 SAVANNAH GA 31412

00660 BLUE CROSS BLUE SHIELD OF GEORGIA P O BOX 4055 ATLANTA GA 30302

00661 AETNA LIFE INS CO-PENNSYLVANIA 3541 WINCHESTER ROAD ALLENTOWN PA 18195

00662 CARILION HEALTH PLANS P O BOX 14086 ROANOKE VA 24038

00663 AETNA LIFE INS CO-FLORIDA P O BOX 31450 TAMPA FL 33631

00664 CIGNA-DELEWARE P O BOX 15408 WILMINGTON DE 19850

00665 STARMARK P O BOX 2942 CLINTON IA 52733

00666 MEDICARE PART B-RAILROAD P O BOX 26463 RICHMOND VA 23261

00667 AETNA HEALTH PLAN-OKLAHOMA 4013 NW EXPRESSWAY SUITE 300 OKLAHOMA CITY OK 73116

00668 FIRST HEALTH-MARYLAND P O BOX 6423 BALTIMORE MD 21230

00669 GREAT WEST LFE ASSUR CO PITTSB P O BOX 7000 CORAOPOLIS PA 15108

00670 CONTINENTAL LIFE AND ACCIDENT P O BOX 1300 ROCKFORD IL 61105

00671 TYSON FOODS INC GROUP HEALTH PLAN 13264 MOUNTAIN TD GLEN ALLEN VA 23059

00672 STRATEGIC RESOURCE COMPANY P O BOX 23759 COLUMBIA SC 29224

00673 WASHINGTON GAS & LIGHT CO EMPLOYEE BENEFITS 6801 INDUSTRIAL RD SPRINGFIELD VA 22151

00674 AETNA LIFE INS CO -MASS P O BOX 1211 TEWKSBURG MA 1876

00675 DENTAL HLTH ADMIN & CONSLT SR 7321 WEST LAKE STREET RIVER FOREST IL 60305

00676 FAISON INSURANCE ASSOCIATES P O BOX 97547 RALIEGH NC 27624

00677 TEACHER'S STATE EMPLOYEES' P O BOX 30111 DURHAM NC 27702

00678 HEALTH PLANS INC P O BOX 15100 WORCHESTER MA 1615

00679 FEDERATED MUTUAL INS. P O BOX 65509 WEST DES MOINES IA 50265

00680 ACORDIA BENEFITS OF THE SOUTH 4511 KOGER BLVD STE 400 DULUTH GA 30136

00681 ADMINITRON INC. P O BOX 5095 BRENTWOOD TN 37024

00682 ACORDIA BENEFITS P O BOX 18197 COLUMBUS OH 43218

00683 HEATAC INC. 1030 HAVANA AURORA CO 80010

00684 VIRGINIA SPRINKLERS 5565 STERRETT PLACE COLUMBIA MD 21044

00685 MANAGED PRESCRIPTION SERVICES 515 N 6TH STREET #1100 ST. LOUIS MS 63101

00686 PULASKI FURNITURE CORPORATION P O BOX 1371 PULASKI VA 24301

00687 PIEDMONT COMMUNITY HEALTH PLAN P O BOX 928 CHARLESTON WV 25323

00688 CONSUMER DENTAL CARE 4061 POWDER MILL ROAD SUITE 325 CALVERTON MD 20705

16

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Insurance Carrier List

Numeric

April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00689 ALTA HEALTH STRATEGIES INC P O BOX 8000 CORAPOLIS PA 15108

00690 METRAHEATLH P O BOX 9448 NEW HAVEN CT 6534

00691 AETNA LIFE INS CO-TYLER TX COOPER CLAIM UNIT P O BOX 2520 TYLER TX 75710

00692 EMPLOYESS PLAN INC P O BOX 2362 FORT WAYNE IN 46801

00693 FEDERAL EMPLOYEE PROGRAM - ANTHEM BC/BS POB 105557 ATLANTA GA 30348

00694 DONOVAN BENEFIT SYSTEMS INC 440 LOUISIANA STREET STE HOUSTON TX 77002

00695 EXPRESS SCRIPTS INC P O BOX 52161 PHOENIX AZ 85072

00696 NATIONAL PRESCRIPTION ADM-NPA P O BOX 1981 EAST HANOVER NJ 7936

00697 KIRK VAN ORSDEL INC 1776 W. LAKE PARKWAY WEST DEMOINES IA 50398

00698 BLUE CROSS BLUE SHIELD OF OHIO 2060 E. NINTH ST CLEVELAND OH 44115

00699 GOODYEAR GROUP INS. RETIREE MEDICAL BENEFITS D-85 P O BOX 5585 AKRON OH 44334

00700 INDIANAPOLIS NEWPAPERS INC GROUP MEDICAL 307 NORTH PENNSYLVANIA INDIANAPOLIS IN 46207

00701 VIRGINIA HEALTH NETWORK 7400 BEAUFONT SPRING DRIV SUITE 505 RICHMOND VA 23225

00702 EPOCH GROUP P O BOX 12170 OVERLAND PARK KS 66282

00703 UNITED HEALTHCARE CORPORATION P O BOX 30304 SALT LAKE CITY UT 84310

00704 THE NEW ENGLAND CARE HLTH PLAN PO BOX 4015 ISELIN NJ 8830

00705 COLUMBIA HOSP CORP OF AMERICA PO BOX 1479 MINNEAPOLIS MN 55440

00706 PROVANTAGE PO BOX 846 BROOKFIELD WI 53008

00707 MEDIPLUS P. O. BOX 9126 DES MOINES IA 50306

00708 FIRST ALLMERICA FINAN LIFE PO BOX 105893 ATLANTA GA 30348

00709 BLUE CROSS BLUE SHIELD OF CONNECTICUT POB 533 NORTH HAVEN CT 6473

00710 CENTRAL UNITED INSURANCE CO NORTHAM TOWER SIXTH FLOOR 2727 ALLEN PARKWAY HOUSTON TX 77019

00711 AETNA LIFE INS CO - CALIF P. O. BOX 129002 SAN DIEGO CA 92112

00712 DONNKENNY APPAREL INC. GROUP MEDICAL PLAN(TRIGON 995 INDUSTRY ROAD WYTHEVILLE VA 24382

00713 ALLMERICA FINANCIAL 440 LINCOLN STREET WORCESTER MA 1653

00714 SRX PHARMACY SPECIALISTS P. O. BOX 43069 CLEVELAND OH 44143

00715 HEALTHSOURCE PROVIDENT 1241 VOLUNTEER PARKWAY BUILDING 1000 BRISTOL TN 37620

00716 BLUE CROSS BLUE SHIELD OF PA (CAPITAL) 2500 ELMERTON AVE HARRISBURG PA 17110

00717 L & H ADMINISTRATORS P. O. BOX 24040 FRESNO CA 93779

00718 GRAPHIC COMM & NAT'L H & W FND 150 RIVER AVE SUITE 200 PITTSBURG PA 15212

00719 RELIASTAR(PRESTO PROD-#187119) BROOKLYN CENTER CLAIMS P. O. BOX 119 MINNEAPOLIS MN 55440

00720 METROPOLITAN LIFE INS CO-ILL P. O. BOX 5091 ROLLING MEADOWS IL 60008

00721 QUALCHOICE OF NORTH CAROLINA P. O. BOX 15107 WINSTON-SALEM NC 27113

00722 AETNA HEALTH PLAN-MID-ATLANTIC 4600-A LEESBURG PIKE FALLS CHURCH VA 23043

00723 WISCONSIN PHYS SERV/INSUR-TEC 1717 WEST BROADWAY MADISON WI 53701

00724 GATEWAY HEALTH ALLIANCE P. O. BOX 1252 DANVILLE VA 24543

00725 CORPORATE HEALTH ADMINISTRATOR P. O. BOX 1858 BISMARK ND 58502

00726 AETNA LIFE INS CO - MICHIGAN P. O. BOX 3000 GRAND RAPIDS MI 49501

00727 PRUDENTIAL INS CO (ALBANY) P. O. BOX 15075 ALBANY NY 12212

00728 ANTHEM ADMINISTRATORS - NC P. O. BOX 2829 FAYETTEVILLE NC 28302

00729 AETNA LIFE INS CO - READING P. O. BOX 1741 READING PA 19603

00730 BLUE CROSS BLUE SHIELD OF PUERTO RICO P. O. BOX 363628 SAN JUAN PR 936

00731 AETNA LIFE INS CO - FRESNO CA P. O. BOX 12340 FRESNO CA 93765

17

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00732 STANDARD INSURANCE COMPANY P. O. BOX 209 PORTLAND OR 97207

00733 YOUNG LIFE BENEFIT PLAN 540 N. CASCADE AVE. COLORADO SPRING CO 80903

00734 BLUE CROSS BLUE SHIELD OF CALIFORNIA P. O. BOX 27401 WOODLAND HILLS CA 91367

00735 BLUE CROSS BLUE SHIELD OF ARKANSAS P. O. BOX 2181 LITTLE ROCK AR 72203

00736 AETNA INS CO.- KENTUCKY P. O. BOX 35890 LOUISVILLE KY 40232

00737 AETNA HEALTH PLAN - ILLINOIS P. O. BOX 5048 ROCKFORD IL 61125

00738 BLUE CROSS BLUE SHIELD NOTHERN PA OF NORTHERN PENNSYLVANIA 70 N. MAIN STREET WILKES-BARRE PA 18711

00739 ANTHEM BLUE CROSS/BLUE SHIELD P. O. BOX 425 WORTHINGTON OH 43085

00740 PRUDENTIAL HEALTHCARE GROUP P. O. BOX 2840 JACKSONVILLE FL 32231

00741 POSITIVE CARE ADMINISTRATORS P. O. BOX 7930 SHAWNEE MISSION KS 66207

00742 TYSON FOODS INC-TEMPERANCEVILL INSURANCE DEPARTMENT P. O. BOX 8 TEMPERANCEVILLE VA 23442

00743 EMPLOYEE BENEFIT SERVICES INC P. O. BOX 8130 SOUTH CHARLESTO WV 25303

00744 ALLIED ADMINISTRATORS P. O. BOX 419233 KANSAS CITY MO 64141

00745 PRINCIPAL HLTH CARE OF MID-ATL 1801 ROCKVILLE PIKE SUITE 110 ROCKVILLE MD 20852

00746 CENTRA P. O. BOX 42820 HOUSTON TX 77242

00747 THE DARBY CHOICE PROGRAM 1979 MARCUS AVE. SUITE C-101 LAKE SUCCESS NY 11042

00748 PRUDENTIAL HEALTHCARE P. O. BOX 5060 MILLVILLE NJ 8332

00749 PENINSULA HEALTHCARE P. O. BOX 26623 RICHMOND VA 23261

00750 INTERACTIVE MEDICAL SYSTEMS P. O. BOX 19108 RALEIGH NC 27619

00751 VALUE BEHAVIORAL HEALTH 433 RIVER STREET SUITE 5000 TROY NY 12180

00752 HEWITT COLEMAN AND ASSOCIATES P. O. BOX 6708 GREENVILLE SC 29606

00753 USA HEALTH NETWORK P. O. BOX 160300 DEPT 7010 AUSTIN TX 78716

00754 ONE HEALTH PLAN P. O. BOX 88260 ATLANTA GA 30356

00755 MEDIPLAN 17-17 ROUTE 208 DEPT. TR FAIRLAWN NJ 7410

00756 CNA INSURANCE CO P. O. BOX 305059 NASHVILLE TN 37230

00757 SOUTHAMPTON MEM HOSP-VICARE AD 100 FAIRVIEW DRIVE FRANKLIN VA 23851

00758 AETNA LIFE INS CO-DELAWARE 6555 BAY RD DOVER DE 19903

00759 HEALTH PLAN SERVICES INC. P. O. BOX 30102 TAMPA FL 33630

00760 UNITED HLTHCARE ADMINISTRATORS 18 SENTRY PARK - WEST SUITE 320 BLUE BELL PA 19422

00761 NYL CARE P. O. BOX 75022 CHICAGO IL 60675

00762 MCELROY METAL MILL INC P. O. BOX 1148 SHREVEPORT LA 71163

00763 ALLIANCE P. O. BOX 2395 BALTIMORE MD 21203

00764 UNITED HEALTH CARE P. O. BOX 105312 ATLANTA GA 30348

00765 OPTIMUM CHOICE 609 CEDAR CREEK GRADE SUITE 2D WINCHESTER VA 22601

00766 UNICARE GROUP CLAIMS P. O. BOX 90130 INDUSTRY CA 91715

00767 CHA HEALTH P. O. BOX 23468 LEXINGTON KY 40523

00768 UNITED HEALTHCARE 1952 WHITNEY AVENUE HAMDEN CT 6517

00769 LITTLE CAESAR FRANCHISE BEN PL P. O. BOX 9034 ST. LOUIS MO 63102

00770 STARBRIDGE/STAR HUMAN RES GRP 1730 E. NORTHERN AVE SUITE 122 PHOENIX AZ 85020

00771 BLUE CROSS BLUE SHIELD OF ROCHESTER EXCELLUS P. O. BOX 22999 ROCHESTER NY 14692

00772 EMPHESIS 1100 EMPLOYER'S BLVD GREEN BAY WI 54344

00773 KENTUCKY UTILITIES COMPANY ONE QUALITY STREET LEXINGTON KY 40507

00774 THE GUARDIAN (WASHINGTON) P. O. BOX 2458 SPOKANE WA 99210

18

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00775 LINE CONSTRUCTION BENEFIT FUND 2000 SPRINGER DRIVE LOMBARD IL 60148

00776 NEW YORK LIFE P. O. BOX 105095 ATLANTA GA 30348

00777 UNICARE P. O. BOX 26714 GREENSBORO NC 27417

00778 BLUE CROSS BLUE SHIELD OF MINNESOTA P. O. BOX 64560 ST. PAUL MN 55164

00779 CRAWFORD & COMPANY P. O. BOX 5047 DEPT.752 ATLANTA GA 30302

00780 BLUE CROSS BLUE SHIELD OF LOUISIANA OF LOUISIANA P. O. BOX 98029 BATON ROUGE LA 70898

00781 PROVIDENT LFE & ACC-S.CAROLINA P. O. BOX 6185 STATION B GREENVILLE SC 29606

00782 BUNKER HILL FOODS INC ATTEN: PERSONNEL MANAGER P. O. DRAWER 1048 BEDFORD VA 24523

00783 CIGNA - NEW MEXICO P. O. BOX 3310 STATION D ALBUQUERQUE NM 87190

00784 BENEFIT CONCEPTS INSURANCE 651 ALLENDALE ROAD KING OF PRUSSIA PA 19406

00785 HUMANA EMPLOYERS HEALTH 1100 EMPLOYERS BLVD. GREEN BAY WI 54344

00786 BLUE CROSS BLUE SHIELD OF UTICA NY 12 RHOADS DR UTICA BUSINESS PARK UTICA NY 13502

00787 THE CENTENNIAL LIFE INS. CO. 8735 ROSEHILL LENEXA KS 66215

00788 PREFERRED HEALTH PLAN INC. 10180 LINN STATION RD SUITE B-200 LOUISVILLE KY 40223

00789 BENEFIX/OLAN MILLS GR MED PLAN P. O. BOX 19 MEMPHIS TN 38101

00790 JEFFERSON-PILOT (BLUE RDG ADM) P. O. BOX 1323 CHARLOTTESVILLE VA 22902

00791 CUNA MUTUAL INS CO-CREDIT UNIO P. O. BOX 1648 MADISON WI 53701

00792 AMERITAS GROUP POB 82520 LINCOLN NE 68501

00793 PITTMAN AND ASSOCIATES P. O. BOX 111047 MEMPHIS TN 38111

00794 COMMONWEALTH HEALTH ALLIANCE P. O. BOX 1323 CHARLOTTESVILLE VA 22902

00795 BENEFIT ASSISTANCE CORP P. O. BOX 950 HURRICANE WV 25526

00796 COASTAL LUMBER HEALTH CARE P. O. BOX 829 WELDON NC 27890

00797 ARAMARK P. O. BOX 8118 PHILADELPHIA PA 19101

00798 VICARE 115 WEST THIRD AVE FRANKLIN VA 23851

00799 PRIMARY HEALTH SERVICES P. O. BOX 379 AURORA OH 44202

00800 ABC-ASSOC BLDRS & CONTRACTORS 1300 NORTH SEVENTEENTH ST ROSSLYN VA 22209

00801 KEMPER NATIONAL INS COMPANY P. O. BOX 5550 GLEN ALLEN VA 23058

00802 WORKMANS OIL INC.(ACS GROUP) P. O. BOX 566 FOREST VA 24551

00803 WYNN'S P. O. BOX 11708 LYNCHBURG VA 24506

00804 THE TPA P. O. BOX 1127 BLUE BELLE PA 19422

00805 COMMUNITY HEALTH P. O. BOX 381327 BIRMINGHAM AL 35238

00806 AMERICAN HEALTH SERVICES 1855 WINCHESTER STREET PARIS KY 40361

00807 MVP SELECT CARE INC P O BOX 1434 SCHENECTADY NY 12301

00808 BLUE CROSS BLUE SHIELD OF DELAWARE ONE BRANDYWINE GATEWAY WILMINGTON DE 19899

00809 GREAT WEST LIFE ASSUR CO.-OHIO P. O. BOX 8020 NORTH OLMSTEAD OH 44070

00810 PRIMARY PHYSICIAN CARE P. O. BOX 11088 CHARLOTTE NC 28220

00811 SOUTHEASTERN PIPETRADES HEALTH & WELFARE FUND 2187 NORTHLAKE PKWY #106 TUCKER GA 3008

00812 ADMINISTRATIVE SERVICES INC LOCAL UNION 538 121 1/2 SPRING STREET JOHNSTON CITY TN 37604

00813 CARDAY ASSOCIATES 4600 POWDER MILL ROAD SUITE 100 BELTSVILLE MD 20705

00814 PHOENIX GROUP SERVICES P. O. BOX 150809 ARLINGTON TX 76015

00815 LAND-O-SUN DAIRIES INC. 9377 N. HIGGINS ROAD ROSEMONT IL 60018

00816 TUCKER ADMINISTRATOR 9140 ARROW POINT BLVD CHARLOTTE NC 28273

00817 SELF FUNDING ADMINISTRATORS P. O. BOX 6596 ANNAPOLIS MD 21401

19

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00818 MAKSIN MANAGEMENT CO. KEVON OFFICE CTR. #160 2500 MCCLELLAN AVE. PENNSAUKEN NJ 8109

00819 UNITED HEALTHCARE P. O. BOX 30015 TAMPA FL 33630

00820 NATIONAL ELEVATOR INDUSTRY HLT P. O. BOX 477 NEWTON SQUARE PA 19073

00821 INTER-RAIL TRANS. INC. 5565 STERRETT PLACE SUITE 300 COLOMBIA MD 21044

00822 MANUS INC. 6350 W ANDREW JOHNSON HWY TALBOTT TN 37877

00823 PILGRIM HEALTH CARE P. O. BOX 150 SYBERTSVILLE PA 18251

00824 GEORGETOWN HEALTH PLAN AIRPORT SQUARE 1099 WINTERSON ROAD LINTHICUM MD 21090

00825 AETNA LIFE INS CO-HARTFORD CT P. O. BOX 150-417 HARTFORD CT 6115

00826 DAVIS-GARVIN AGENCY P. O. BOX 21627 COLUMBIA SC 29221

00827 DIVERSIFIED PHARM. SERVICES P. O. BOX 4999 ROUTE 2100 INTERNATIONAL F MN 56649

00828 ADVANCE PCS P. O. BOX 686004 SAN ANTONIO TX 78268

00829 ALLIANCE PPO P. O. BOX 6447 ROCKVILLE MD 20850

00830 PEOPLES BENEFIT LIFE INSURANCE CLAIM SERVICE DIVISION P. O. BOX 484 VALLEY FORGE PA 19493

00831 PARTNERS OF NORTH CAROLINA INC P. O. BOX 24907 WINSTON-SALEM NC 27114

00832 VICARE P. O. BOX 13326 NORFOLK VA 23506

00833 HEALTH ALLIANCE PLAN 2850 W. GRAND BLVD DETROIT MI 48202

00834 FINDLAY INDUSTRIES 4960 STEPP PLACE DUBLIN VA 24084

00835 PHARMACARE (FORMERLY EHS) P. O. BOX 2860 PITTSBURG PA 15230

00836 ADVANCE DATA SOLUTIONS 1000 CIRCLE 75 PARKWAY ATLANTA GA 30339

00837 PHARMACY ADVANTAGE SYSTEMS 50 LANOX POINT ATLANTA GA 30324

00838 MEDCO/PAID PRECRIPTION P. O. BOX 702 PARSIPPANY NJ 7054

00839 VISION ONE 5500 AVION PARK DR HIGHLAND HILLS OH 44143

00840 ALL RISK ADMINISTRATORS INC. P. O. BOX 66249 ST. PETE BEACH FL 33736

00841 ADMINISTRATIVE SERV OF N.AMER P. O. BOX 4767 HOUSTON TX 77210

00842 AUTOMATED GRP ADMIN. INC. P. O. BOX 15568 FORT WAYNE IN 46885

00843 BENEFIT PLAN ADMINISTRATORS P. O. BOX 11746 ROANOKE VA 24022

00844 COOPERATIVE BENEFIT ADMIN P. O. BOX 6972 LINCOLN NE 68506

00845 CIGNA HEALTHCARE P. O. BOX 6185 STATION B GREENVILLE SC 29606

00846 EXPRESS SCRIPTS INC. P. O. BOX 66773 ST. LOUIS MO 63166

00847 CIGNA HEALTH PLANS P. O. BOX 182539 CHATTANOOGA TN 37422

00848 CIGNA HEALTHCARE P. O. BOX 219788 HOUSTON TX 77218

00849 AETNA US HEALTHCARE P.O. BOX 52120 MINNEAPOLIS MN 55402

00850 CIGNA HEALTHCARE P. O. BOX 10367 DES MOINES IA 50306

00851 RX PRIME 900 COTTAGE GROVE RD HARTFORD CT 6152

00852 CIGNA HEALTHCARE P. O. BOX 2100 BOURBONNAIS IL 60914

00853 MET LIFE DENTAL P. O. BOX 8740 DAYTON OH 45401

00854 CIGNA HEALTHCARE P. O. BOX 3077 BOURBONNAIS IL 60914

00855 CIGNA HEALTHCARE P. O. BOX 9317 DES MOINES IA 50306

00856 CIGNA HEALTHCARE P. O. BOX 9900 GASTONIA NC 28053

00857 HOOKER FURNITURE 834 SMITH ROAD MARTINSVILLE VA 24112

00858 CIGNA HEALTHCARE P. O. BOX 8906 BRISTOL TN 37621

00859 CIGNA HEALTHCARE P. O. BOX 85014 PLAINVILLE CT 6062

00860 EMPLOYEE BENEFIT CLAIMS INC. 820 PARISH STREET PITTSBURG PA 15228

20

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00861 FEDERATED MUTUAL INS. CO. P. O. BOX 31716 TAMPA FL 33631

00862 FIELDCREST CANNON INC. P. O. BOX 33429 CHARLOTTE NC 28233

00863 CIGNA INDEMNITY DENTAL P. O. BOX 9013 SHERMAN TX 75091

00864 GREAT WEST 1000 GREAT WEST BLVD. KENNETT MD 63857

00865 GREAT WEST 1377 DUBLIN ROAD COLUMBUS OH 43215

00866 GREAT WEST P. O. BOX 429 PORTLAND OR 97207

00867 GROUP RESOURCES INC. 5161 BROOKHOLLOW PARKWAY SUITE 200 NORCROSS GA 30071

00868 JEFFERSON PILOT LIFE INS. P. O. BOX 1561 LAKE CITY FL 32056

00869 KAISER PERMANENTE P. O. BOX 85002 RICHMOND VA 23285

00870 JOHN ALDEN LIFE INS. CO. P. O. BOX 190950 CHARLOTTE NC 28219

00871 KANAWHA HEALTHCARE SOLUTIONS HIGHLANDS WELLMONT NETWRK P. O. BOX 989 BRISTOL TN 37621

00872 BENESCRIPT P. O. BOX 921229 NORCROSS GA 30010

00873 MID-WEST NATIONAL LIFE INS CO P. O. BOX 809096 DALLAS TX 75380

00874 FIRST HEALTH P. O. BOX 3042 MILWAUKEE WI 53201

00875 MAMSI P. O. BOX 26022 GREENSBORO NC 27420

00876 DIVERSIFIED PHARMACEUTICAL SVC 4 TAFT COURT ROCKVILLE MD 20805

00877 JOHN P. PEARL & ASSOC. 1200 EAST GLEN AVE PEORIA HEIGHT IL 61614

00878 OPTIMUM CHOICE P. O. BOX 930 FREDERICK MD 21705

00879 PACIFIC MUTUAL P. O. BOX 34799 PHOENIX AZ 85067

00880 PIEDMONT COMMUNITY HEALTH PLAN P. O. BOX 14408 CINCINNATI OH 45250

00881 PRINCIPAL FINANCIAL GROUP P. O. BOX 39710 COLORADO SPRING CO 80949

00882 UNIVERSAL RX 3601 THIRLANE ROAD NW SUITE 5 ROANOKE VA 24019

00883 ULTRA LINK P. O. BOX 5049 COSTA MEAS CA 92628

00884 DELTA DENTAL OF ARKANSAS P. O. BOX 15965 N LITTLE ROAD AR 72231

00885 DELTA DENTAL OF PENNSYLVANIA 1 DELTA DRIVE MECHANICSBURG PA 17055

00886 UNICARE P. O. BOX 4046 SCHAUMBURG IL 60168

00887 UNIFI INC./MEDCOST P. O. BOX 25307 WINSTON-SALEM NC 27114

00888 PHARMACARE DMR 695 GEORGE WASHINGTON HWY. LINCOLN RI 2865

00889 VISION SERVICE PLAN P. O. BOX 997105 SACRAMENTO CA 95899

00890 DISNEY GROUP INC. P. O. BOX 10130 LAKE BUENA VIST FL 32830

00891 AMERICAN GROUP ADMINISTRATOR P. O. BOX 1349 HENDERSONVILLE TN 37077

00892 CARITEN INSURANCE CO P. O. BOX 22987 KNOXVILLE TN 37933

00893 CIGNA HEALTHCARE P. O. BOX 171839 MEMPHIS TN 38187

00894 SO.E.PIPETRADERS H & W FD/#491 2187 NORTHLAKE PARKWAY SUITE 106 TUCKER GA 30084

00895 JOHN DEERE HEALTHCARE 2578 EAST STONE DRIVE SUITE A KINGSPORT TN 37660

00896 ANTHEM HEALTH & LIFE (AHL) 3575 KOGER BLVD STE 400 DULUTH GA 30096

00897 AETNA PHARMACY MANAGEMENT ATTN: CLAIMS PROCESSING P. O. BOX 36185 MINNEAPOLIS MN 55435

00898 SPECTERA 2811 LORD BALTIMORE DRIVE BALTIMORE MD 21244

00899 PRUDENTIAL HEALTHCARE P. O. BOX 4578 HOUSTON TX 77210

00900 MEDIMPACT 10680 TREENA ST 5TH FLOOR SAN DIEGO CA 92131

00901 EAGLE MANAGE CARE P. O. BOX 546 CAMP HILL PA 17011

00902 EXPRESS SCRIPT VALUE RX P. O. BOX 41366 PLYMOUTH MN 55441

00903 UNICARE DENTAL P. O. BOX 26063 GREENSBORO NC 27420

21

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00904 PRUDENTIAL HEALTHCARE DENTAL P. O. BOX 44000 LINWOOD NJ 8221

00905 PRINCIPAL FINANCIAL GROUP P. O. BOX 3006 AMES IA 50010

00906 PRUDENTIAL INSURANCE P. O. BOX 2348 CINCINNATI OH 45201

00907 PRUDENTIAL INSURANCE P. O. BOX 904 HORSHAM PA 19044

00908 PROFESSIONAL CLAIMS MANAGEMENT P. O. BOX 35276 CANTON OH 44735

00909 FORTIS BENEFITS INS. CO. P. O. BOX 624 MILWAUKEE WI 53201

00910 COMMUNITY HEALTHCARE 1508 WILLOW LAWN DRIVE SUITE 117 RICHMOND VA 23230

00911 UFCW 7206 HULL STREET ROAD SUITE 216 RICHMOND VA 23235

00912 GROUP DENTAL SERVICE 11400 ROCKVILLE PIKE SUITE 500 ROCKVILLE MD 20852

00913 ARGUS HEALTH SYSTEM P. O. BOX 419019 DEPT 0172 KANSAS CITY MO 64141

00914 ADMINISTRATED SOLUTIONS INC. P. O. BOX 2547 NORCROSS GA 30091

00915 SHEFFIELD OLSON & MCQUEEN INC. 2145 FORD PARKWAY SUITE 300 ST. PAUL MN 55116

00916 SCRIPT CARE 87 IHIO NORTH SUITE 100 BEAUMONT TX 77707

00917 PIEDMONT COMMUNITY HEALTH PLAN 1937 THOMSON DRIVE LYNCHBURG VA 24501

00918 CIGNA HEALTHCARE P. O. BOX 0987 BRISTOL CT 6010

00919 PRINCIPAL FINANCIAL 3435 STELZER ROAD SUITE 300 COLUMBUS OH 43219

00920 PRINCIPAL FINANCIAL 620 SOUTH GLENSTONE AVE SUITE 300 SPRINGFIELD MO 65802

00921 PRINCIPAL FINANCIAL 1 INTERNATIONAL PLAZA SUITE 100 PHILADELPHIA PA 19113

00922 PRINCIPAL FINANCIAL 1245 CORPORATE BLVD SUITE 200 AURORA IL 60504

00923 PRINCIPAL FINANCIAL 4021 SOUTH 700 EAST SUITE 500 SALT LAKE CITY UT 84107

00924 CIGNA HEALTHCARE P. O. BOX 2546 SHERMAN TX 75091

00925 CIGNA HEALTHCARE P. O. BOX 800 UNIONVILLE CT 6085

00926 UNICARE P. O. BOX 3148 BALLWIN MO 63022

00927 UNITED HEALTHCARE OF MIDWEST P. O. BOX 169080 DULUTH MN 55806

00928 GOLDEN RULE POB 31374 SALT LAKE CITY UT 84131

00929 UNICARE P. O. BOX 5035 BOLING BROOK IL 60440

00930 UNICARE DENTAL P. O. BOX 9125 OXNARD CA 93031

00931 ERISA DESIGNED SYSTEMS ADMIN P. O. BOX 2396 BALTIMORE MD 21203

00932 NATIONAL TEXTILES P. O. BOX 26713 GREENSBORO NC 27417

00933 ALLIANZ-LIFE INSURANCE CO PO BOX 59060 MINNEAPOLIS MN 55459

00934 COMPANION LIFE P. O. BOX 100133 COLUMBIA SC 29202

00935 MEDICHOICE 1807 SEMINOLE TRAIL CHARLOTTESVILLE VA 22901

00936 SAI MEDICAL HEALTH 1803 RESEARCH BLVD SUITE 102 ROCKVILLE MD 20850

00937 KAISER PERMANENTE 500 NE MULTNOMAH ST SUITE 100 PORTLAND OR 97232

00938 CORNING INC. HEALTH BENEFITS P. O. BOX 542 CORNING NY 14830

00939 AON CONSULTING P. O. BOX 15 WINSTON-SALEM NC 27102

00940 BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA PIEDMONT SERVICE CENTER P. O. BOX 6000 GREENVILLE SC 29606

00941 FIRST OPTION HEALTH PLAN P. O. BOX 700 RED BANK NJ 7701

00942 AARP HC OPTIONS/UNITED HC CLAI P. O. BOX 740819 ATLANTA GA 30374

00943 INSURERS ADMINISTRATORS P. O. BOX 39119 PHOENIX AZ 85069

00944 TUFTS BENEFIT ADMINISTRATORS P. O. BOX 557 ROCKLAND MA 2370

00945 RX NET P. O. BOX 41018 PLYMOUTH MN 55442

00946 DELMARVA UNITED F&C WKRS POB 1968 MILLSBORO DE 19966

22

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00947 GROUP H PENSION ADMINISTRATOR P. O. BOX 691930 SAN ANTONIO TX 78269

00948 RESERVE NATIONAL INS CO P. O. BOX 26620 OKLAHOMA CITY OK 73126

00949 RURAL CARRIER BENEFIT P. O. BOX 7404 LONDON KY 40742

00950 FMH BENEFIT SERVICES INC. P. O. BOX 25946 OVERLAND PARK KS 66225

00951 HRM CLAIM MANAGEMENT INC. P. O. BOX 4022 KALAMAZOO MI 49003

00952 THE BOARD OF PENSIONS P. O. BOX 13896 PHILADELPHIA PA 19101

00953 CENTRA P. O. BOX 569411 DALLAS TX 75356

00954 SIMA/SOUTHERN INSURANCE MGMT P. O. BOX 80038 CHATTANOOGA TN 37414

00955 NEW ENGLAND FINANCIAL P. O. BOX 88270 ATLANTA GA 30356

00956 MEDICAL MUTUAL OF OHIO P. O. BOX 6018 CLEVELAND OH 44101

00957 WELS VEBA HLTH PLAN GRP ASSOC P. O. BOX 981 BROOKFIELD WI 53008

00958 MD HEALTH PLAN P. O. BOX 7063 BRIDGEPORT CT 6601

00959 SERV-U PRESCRIPTION SERVICES P. O. BOX 23237 MILWAUKEE WI 53223

00960 SOUTH WEST INSURANCE 112 SHAWNEE AVENUE DRAWER S BIG STONE GAP VA 24219

00961 METRA-HEALTH ESSILOR OF AMERIC P. O. BOX 22600 ST. PETERSBURG FL 33742

00962 GALLAGHER BASSETT SERVICES INC P. O. BOX 34297 SAN ANTONIO TX 78265

00963 DDP*DELTA P. O. BOX 537007 SACRAMENTO CA 95853

00964 JFP BENEFIT MANAGEMENT INC. P. O. BOX 189 JACKSON MI 49204

00965 VIRGINIA PREMIER HEALTH PLAN P. O. BOX 5120 RICHMOND VA 23220

00966 ANTHEM HEALTH & LIFE INS. CO. 1 CENTENNIAL AVE. PISCATAWAY NJ 8855

00967 CHEVRON MEDICAL PLAN CHEVRON MEDICARE PLUS PLN P. O. BOX 6647 ENGLEWOOD CO 80155

00968 THE NYHART COMPANY INC. P. O. BOX 88316 INDIANAPOLIS IN 46208

00969 UNICARE OF NC/ARMY BENEFITS GREENSBORO CLIENT SERVICE P.O. BOX 26079 GREENSBORO NC 27420

00970 FREEDOM LIFE INS CO OF AMERICA AFFILIATED WORKERS ASSOC. BLANKET CLAIMS POB 1468 ARLINGTON TX 76004

00971 BOARD OF PENSIONS P. O. BOX 13896 PHILADELPHIA PA 19101

00972 COMMUNITY CARE PLUS P. O. BOX 25228 LITTLE ROCK AR 72221

00973 ANTHEM DENTAL ADMINISTRATION OFFICE 555 MIDDLE SPIRNGS PKWY M5425 COLORADO SPRING CO 80921

00974 PRESCRIPTION SOLUTION P. O. BOX 6037 MAILSTOP LC 07-286 CYPRESS CA 90630

00975 USA ONE 10700 NORTH FREEWAY SUITE 485 HOUSTON TX 77037

00976 NEW ENGLAND FINANCIAL (MD) P. O. BOX 920 FREDERICK MD 21705

00977 MIDWESTERN INSURANCE ALLIANCE 10300 LINN STATION ROAD LOUISVILLE KY 40223

00978 CM ADMINISTRATION P. O. BOX 87269 FAYETTEVILLE NC 28304

00979 CONSECO HEALTH INSURANCE P. O. BOX 66909 CHICAGO IL 60666

00980 MIDWESTERN INS ALLIANCE BEECH P. O. BOX 17719 IRVINE CA 92713

00981 NORTH AMERICAN HEALTH PLAN P. O. BOX 9501 AMHERT NY 14226

00982 ANTHEM 901 DULANEY VALLEY ROAD SUITE 508 TOWSON MD 21204

00983 PEOPLES BENEFIT & VETERANS LIF ATTN: CLAIMS SERVICE DEPT VALLEY FORGE PA 19493

00984 HEALTH MANAGEMENT CORPORATION P. O. BOX 546 FARMINGTON CT 6034

00985 DELTA DENTAL OF TENNESSEE 240 VENTURE CIRCLE NASHVILLE TN 37228

00986 JF MOLLOY & ASSOCIATES P. O. BOX 68947 INDIANAPOLIS IN 46268

00987 U.S. ABLE ADMINISTRATORS P. O. BOX 1650 LITTLE ROCK AR 72203

00988 IBC P. O. BOX 567 FARMINGTON CT 6034

00989 SUN HEALTH INC. CLAIMS DEPARTMENT P. O. BOX 93098 ALBUQUERQUE NM 87199

23

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00990 AMERIHEALTH ADMINISTRATORS 720 BLAIR MILL ROAD HORSHAM PA 19044

00991 THE LOOMIS COMPANY P. O. BOX 13815 READING PA 19612

00992 AETNA US HEALTHCARE - MARYLAND 1302 CONCOURSE DRIVE SUITE 402 LINTHICUM MD 21090

00993 LIFE INVESTORS NPPN P. O. BOX 7052 MIDDLETOWN NY 10940

00994 CARENET P. O. BOX 7702 LONDON KY 40742

00995 AMERICAN BENEFITS MANAGEMENT P. O. BOX 667 CHAGRIN FALLS OH 44022

00996 TWENTY-FIRST CNTRY HLTH & BENF 1760 MARKET STREET 14TH FLOOR PHILADELPHIA PA 19103

00997 MEGA LIFE & HEALTH INSURANCE 501 W. 144 SERVICE ROAD OKLAHOMA CITY OK 73118

00998 PENINSULA INSURANCE AGENCY 525 OYSTER POINT ROAD NEWPORT NEWS VA 23602

00999 MEDICARE - PART B P. O. BOX 26463 RICHMOND VA 23261

00A01 NORTH AMERICAN BENEFITS NETWK P. O. BOX 94928 CLEVELAND OH 44101

00A02 MEDICAL CLAIMS SERVICES 1 WALL STREET SUITE 2A RAVENSWOOD WV 26164

00A03 UNITED HEALTHCARE OF VA 9020 STONY POINT PARKWAY RICHMOND VA 23235

00A04 NEBRASKA BOOK EMP.HLTH CARE PL P. O. BOX 80529 LINCOLN NE 68501

00A05 FIRST HEALTH MEDICAL P. O. BOX 671088 HOUSTON TX 77267

00A06 UNITED HEALTH CARE P. O. BOX 26303 GREENSBORO NC 27438

00A07 AVADO BRAND HANCOCK AT WASHINGTON MADISON GA 30650

00A08 JEWEL SMOKELESS COAL CORP. ATTN: INSURANCE DEPT. P. O. BOX 70 VANSANT VA 24656

00A09 GALLAGHER BENEFIT ADMIN P. O. BOX 419980 KANSAS CITY MO 64141

00A10 KANSAS CTY LIFE ADMIN SERVICES P. O. BOX 219325 KANSAS CITY MO 64121

00A11 RUSSELL MANUFACTURING P. O. BOX 788 LEBANON VA 24266

00A12 HLTH & WELFARE BENEFIT SYSTEMS P. O. BOX 13647 ROANOKE VA 24036

00A13 UPSTATE INSURANCE P. O. BOX 6589 SYRACUSE NY 13217

00A14 SEABURY AND SMITH 2 WEST 2ND STREET SUITE 1750 TULSA OK 74103

00A15 MEDCOST BENEFIT SERVICES P. O. BOX 25987 WINSTON-SALEM NC 27114

00A16 THE MAXON COMPANY P. O. BOX 606 NEVERSINK NY 12765

00A17 INNOVATION HEALTH INC 9900 MAIN STREET FAIRFAX VA 22031

00A18 ALTA HEALTH AND LIFE P. O. BOX 88260 ATLANTA GA 30356

00A19 HEALTHSOURCE/CIGNA LENOX CLAIMS P. O. BOX 28087 RALEIGH NC 27611

00A20 LEGGETT & PLATT 300 INDUSTRIAL PARK DRIVE ROGERSVILLE TN 37857

00A21 GROUP ADMINISTRATORS LTD 1880 N. ROSELLE ROAD SCHAUMBURG IL 60195

00A22 AMERICAN COMMERCIAL BARGE LINE P. O. BOX 610 JEFFERSONVILLE IN 47131

00A23 LANE HEALTH BENEFITS PLAN P. O. BOX 189 ROCKY MOUNT VA 24151

00A24 RMSCO INC. P. O. BOX 6309 SYRACUSE NY 13217

00A25 KANAWHA BENEFIT SOLUTION INC. P. O. BOX 150 GREENVILLE SC 29606

00A26 AMERICAN HEALTH GROUP P. O. BOX 1500 MAUMEE OH 43537

00A27 BELL ATLANTIC DENTAL BENEFIT P. O. BOX 14093 LEXINGTON KY 40512

00A28 COMMUNITY CARE NETWORK P. O. BOX 5190 TAMPA FL 33675

00A29 CIGNA HEALTHCARE - FARMINGTON P. O. BOX 2005 FARMINGTON CT 6034

00A30 MUTUAL OF OMAHA P. O. BOX 668587 CHARLOTTE NC 28266

00A31 COVENTRY HEALTH CARE WELLPATH P. O. BOX 7102 LONDON KY 40742

00A32 AETNA US HEALTHCARE - ND P. O. BOX 1858 BISMARK ND 58503

00A33 GOOD SAMARITAN P.O. BOX 279 BEECH GROVE IN 46107

24

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00A34 GREAT WEST 3100 WEST END AVENUE SUITE 500 NASHVILLE TN 37203

00A35 AETNA US HEALTHCARE P. O. BOX 1630 COLUMBUS OH 43216

00A36 MEDICAL BENEFITS MUTUAL INS CO P. O. BOX 1129 NEWARK OH 43058

00A37 AARP/MEDICARE COMPLETE P. O. BOX 31362 SALT LAKE CITY UT 84131

00A38 CENTRAL STATES WELFARE FUND P. O. BOX 5116 DES PLAINS IL 60017

00A39 ZENITH ADMINISTRATORS 10320 LITTLE PATUXENT PKW COLUMBIA MD 21044

00A40 QUALITY SERVICE ADMINISTRATORS C/O MEDCOST P. O. BOX 25307 WINSTON-SALEM NC 27114

00A41 AMERICAN GENERAL LIFE&ACCIDENT P. O. BOX 307 LANGHORNE PA 19047

00A42 AAGI P. O. BOX 802422 DALLAS TX 75380

00A43 SCOTT AND WHITE HEALTH PLAN 2401 SOUTH 31ST STREET TEMPLE TX 76505

00A44 FEDERAL MOGUL P. O. BOX 1999 DETROIT MI 48235

00A45 CONCORDIA HEALTH PLAN P. O. BOX 229013 ST. LOUIS MO 63122

00A46 IPS P. O. BOX 33400 CLEVELAND OH 44133

00A47 VIGILANT INSURANCE P. O. BOX 4700 CHESAPEAKE VA 23327

00A48 UNITED HEALTHCARE OF NEW YORK P. O. BOX 5230 KINGSTON NY 12402

00A49 MAIL HANDLERS BENEFIT PLAN RX DRUG CLAIMS P. O. BOX 23824 TUCSON AZ 85734

00A50 KAISER PERMANENTE P. O. BOX 7102 PASADENA CA 91109

00A51 GLEN RAVEN MILLS INC. REGIONAL MED. ADMIN. INC P. O. BOX 4128 GLEN RAVEN NC 27215

00A52 COVENTRY HEALTHCARE CHARLOTTE P. O. BOX 668587 CHARLOTTE NC 28266

00A53 CIGNA HEALTHCARE P. O. BOX 7000 ROCKAWAY NJ 7866

00A54 CAMBRIDGE P. O. BOX 365 PARSIPPANY NJ 7054

00A55 RESTAT P. O. BOX 758 WEST BEND WI 53095

00A56 MED TAC HEALTHCARE P. O. BOX 9110 NEWTON MA 2160

00A57 CORESTAR/ELECTRA HEALTH NETWK P. O. BOX 1195 MINNEAPOLIS MN 55440

00A58 INTEGRA P. O. BOX 1178 MATTHEWS NC 28106

00A59 FOREIGN SERVICE BENEFIT PLAN 1716 N. ST. NW WASHINGTON DC 20036

00A60 GREAT WEST LIFE P. O. BOX 11111 FORT SCOTT KS 66701

00A61 AETNA US HEALTHCARE P. O. BOX 2749 JACKSONVILLE FL 32232

00A62 AETNA U.S. HEALTHCARE 4050 PIEDMONT PKWAY HIGHPOINT NC 27265

00A63 MAMSI P. O. BOX 930 FREDERICK MD 21705

00A64 MONUENTAL LIFE INSURANCE 520 PARK AVENUE BALTIMORE MD 21201

00A65 JOHN ALDEN LIFE INSURANCE CO. P. O. BOX 9398 MINNEAPOLIS MN 55440

00A66 GENERAL PRESCRIPTION 305 MADISON AVE. SUITE 11663 NEW YORK NY 10165

00A67 CHURCH MUTUAL INSURANCE P. O. BOX 342 MERRILL WI 54452

00A68 FOREIGN SERVICE BENEFIT PLAN 1718 N. ST. NW WASHINGTON DC 20036

00A69 MED COST PREFERRED P. O. BOX 25307 WINSTON-SALEM NC 27114

00A70 WAC WELFARE FUND 1200 #3 GATEWAY CENTER PITTSBURG PA 15222

00A71 PRINCIPAL LIFE INSURANCE CO. P. O. BOX 10826 CLEARWATER FL 33757

00A72 KEYSTONE MERCY HEALTH PLAN AIRPORT BUSINESS CENTER 200 STEVENS DRIVE PHILADELPHIA PA 19113

00A73 NORTH AMERICAN ADMINISTRATION P. O. BOX 1984 NASHVILLE TN 37202

00A74 THE GUARDIAN P. O. BOX 8019 APPLETON WI 54912

00A75 BENEFITS PLANNERS P. O. BOX 690450 SAN ANTONIO TX 78269

00A76 COVENTRY HEALTH CARE / CARENET P. O. BOX 7704 LONDON KY 40742

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00A77 BENESIGHT P. O. BOX 340 PUEBLO CO 81002

00A78 INTERMOUNTAIN HEALTH CARE P. O. BOX 30192 SALT LAKE CITY UT 84180

00A79 BENEFIT MANAGEMENT CORP. P. O. BOX 291558 FORT LAUDERDALE FL 33329

00A80 THE J. P. FARLEY CORP. P. O. BOX 268000 CLEVELAND OH 44126

00A81 UNITED PAYORS AND PROVIDERS P. O. BOX 10261 GAITHERSBURG MD 20898

00A82 AMERICAN GEN.LIFE&ACCID.INS.CO AMERICAN GEN. CTR. 1180 NASHVILLE TN 37250

00A83 IVOE LOCAL 115 WELFARE FUND 265 WEST 14TH ST. RM. 509 NEW YORK NY 10011

00A84 KELLER HEALTH PLAN P. O. BOX 280 CULPEPPER VA 22701

00A85 WELLPOINT PHARMACY P. O. BOX 4165 WOODLAND HILLS CA 91365

00A86 AMERICAN BENEFITS MANAGEMENT P. O. BOX 1012 RADFORD VA 24143

00A87 ADMINISTRATIVE SERVICES P. O. BOX 419325 KANSAS CITY MO 64141

00A88 SCHOOL PLANS DIVISION 70 GENESEE STREET UTICA NY 13502

00A89 CONSECO DIRECT LIFE 399 MARKET STREET PHILADELPHIA PA 19181

00A90 CIGNA P. O. BOX 2900 ATLANTA GA 20291

00A91 EXECUTIVE PHARMACY ADMIN. P. O. BOX 266 CHARDON OH 44024

00A92 FEDERATED BENEFITS P. O. BOX 8036 MASON OH 45040

00A93 LUCENT TECHNOLOGY 475 S STREET MORRISTOWN NJ 7962

00A94 NECA IBEW LOCAL 176 1100 NE FRONTAGE ROAD JOLIET IL 60431

00A95 INNOVATIVE HEALTH SERVICES P. O. BOX 778 EASTON MD 21601

00A96 METLIFE DENTAL P. O. BOX 14589 LEXINGTON KY 40512

00A97 ANTHEM BLUE CROSS/BLUE SHIELD POB 37180 LOUISVILLE KY 40233

00A98 CONNECTICUT GENERAL LIFE INSURANCE CO. P. O. BOX 55270 PHOENIX AZ 85078

00A99 AMERICAN BENEFITS MANAGEMENT 6520 WHIPPLE AVENUE NORTH CANTON OH 44720

00B01 PRINCIPAL LIFE INSURANCE CO. P. O. BOX 57700 SALT LAKE CITY UT 84157

00B02 UNITED INSURANCE COMPANY P. O. BOX 4325 BATON ROUGE LA 70821

00B03 MCKINLEY HEALTH PLAN P. O. BOX 6910 CANTON OH 44706

00B04 APWU HEALTH PLAN P. O. BOX 967 SILVER SPRING MD 20910

00B05 UNITED INS. CO. OF AMERICA CLAIMS DEPARTMENT P.O. BOX 4325 BATON ROUGE LA 70821

00B06 PA EMPLOYEE BENEFIT TRUST FUND 150 S. 43RD STREET HARRISBURG PA 17111

00B07 NATIONAL MED. HLTH.CARD SYSTEM P. O. BOX 1170 PORT WASHINGTON NY 11050

00B08 AMALGAMATED INSURANCE FUND P. O. BOX 1149 NEW YORK NY 10116

00B09 MACHIGONNE BENEFIT ADMIN. 110 FREE STREET P. O. BOX 3859 PORTLAND ME 4104

00B10 PEOPLES BENEFIT SERVICES INC. ATTN: CLAIMS SERVICE DEPT VALLEY FORGE PA 19494

00B11 OXFORD HEALTH PLAN POB 7082 BRIDGEPORT CT 6611

00B12 CORESOURCE P. O. BOX 6994 WAYNE PA 19087

00B13 AMERICORPS PROGRAM P.O. BOX 78308 INDIANAPOLIS IN 46278

00B14 INSURANCE MANAGEMNT ADMIN(IMA) P. O. BOX 71120 BOSSIER CITY LA 71171

00B15 ADVANCE PCS/CAREMARK P. O. BOX 686004 SAN ANTONIO TX 78268

00B16 CLAIMSPRO 24370 NORTHWESTERN HIGHWA SOUTHFIELD MI 48075

00B17 HEALTH PLAN OF NEVADA INC. P. O. BOX 15645 LAS VEGAS NV 89114

00B18 CHESAPEAKE HEALTH 736 N. BATTLEFIELD BLVD. CHESAPEAKE VA 23327

00B19 AETNA US HEALTHCARE CLAIMS P. O. BOX 961106 EL PASO TX 79998

00B20 PANAMA CANAL AREA HLTH BENEFIT HNA PANAMA P. O. BOX 398 WEST LONG BRANC NJ 7764

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00B21 PROCARE RX 3090 PREMIER PARKWAY SUITE 100 DULUTH GA 30097

00B22 BENEFITS SYSTEMS P. O. BOX 6001 INDIANAPOLIS IN 46206

00B23 NESTLE 800 N. BRANCH ROAD GLENDALE CA 91203

00B24 EMPLOYEE BENE. ADMIN. COLONIAL 64 SCHOOSETT STREET ROAD 139 PEMBROKE MA 2359

00B25 KEY BENEFIT ADMINISTRATORS 8330 ALLISON POINTE TRAIL INDIANAPOLIS IN 46250

00B26 AVMED 541 S. ORLANDO AVE. SUITE 205 MAITLAND FL 32751

00B27 HEALTH CARE SAVINGS PPO 222 N. PERSON ST. 2ND FL RALEIGH NC 27601

00B28 BENEFIT COORDINATORS INC. P. O. BOX 210546 COLUMBIA SC 29221

00B29 AMERICAN PIONEER LIFE INSURANC P. O. BOX 130 PENSACOLA FL 32591

00B30 UK HMO MEDICAL BENEFITS PLAN P. O. BOX 25010 LEXINGTON KY 40524

00B31 COMMONWEALTH ADMINISTRATORS LLC P. O. BOX 3079 LEXINGTON KY 40588

00B32 ONENET PPO ATTN: CLAIMS DEPARTMENT P. O. BOX 934 FREDERICK MD 21705

00B33 DENTAL BENEFIT PROVIDERS INC. P. O. BOX 30640 BETHESDA MD 20824

00B34 CAREFIRST ADMINISTRATORS 10715 RED RUN BLVD. SUITE 125 OWINGS MILLS MD 21117

00B35 PREMERA BLUE CROSS P. O. BOX 3048 SPOKANE WA 99202

00B36 AULT-CARE P. O. BOX 6910 CANTON OH 44706

00B37 ADVANCED PCS/CAREMARK P. O. BOX 686002 SAN ANTONIO TX 78268

00B38 THE PYRAMID LIFE INSURANCE CO. P. O. BOX 772 SHAWNEE MISSION KS 66201

00B39 AFLAC 1932 WYNNTON ROAD COLUMBUS GA 31999

00B40 UNITED PROVIDER SERVICES P. O. BOX 820277 FORT WORTH TX 76182

00B41 COMMUNITY HEALTH BY OPTIMA ATTN: CLAIMS DEPARTMENT P. O. BOX 5028 TROY MI 48007

00B42 DELTA DENTAL PLAN OF WISCONSIN P. O. BOX 828 STEVENS POINT WI 54481

00B43 WEST POINT STEVENS P. O. BOX 71 WEST POINT GA 31833

00B44 AMERI BEN SOLUTIONS P. O. BOX 7186 BOISE ID 83707

00B45 AETNA US HEALTHCARE - HMO P. O. BOX 963 BLUEBELL PA 19422

00B46 GREAT WEST LIFE & ANNUITY INS. 719 TEACO ROAD KENNETT MO 63857

00B47 UNITED AMERICAN INSURANCE 3700 S. STONEBRIDGE DRIVE P. O. BOX 8080 MCKINNEY TX 75070

00B48 MANAGED MED P. O. BOX 6125 GREENVILLE SC 29606

00B49 CAREFIRST - BC/BS POB 14116 LEXINGTON KY 40512

00B50 OXFORD LIFE INSURANCE COMPANY P. O. BOX 46518 MADISON WI 53744

00B51 UNITED CONCORDIA 4401 DEER PATH ROAD HARRISBURG PA 17110

00B52 HCH ADMINISTRATION P. O. BOX 1986 PEORIA IL 61656

00B53 ONE HEALTH PLAN P. O. BOX 1111 FORT SCOTT KS 66701

00B54 AETNA US HEALTHCARE P. O. BOX 981106 EL PASO TX 79998

00B55 HIGHMARK SERVICE COMPANY P. O. BOX 535078 PITTSBURG PA 15253

00B56 THE CAPELLA GROUP P. O. BOX 200368 ARLINGTON TX 76006

00B57 CONNECTICUT GEN/UNITED METHODI P. O. BOX 2100 BOURBONNAIS IL 60914

00B58 UNITED TEACHER ASSOC./MEDICARE P. O. BOX 30010 AUSTIN TX 78755

00B59 STANDARD LIFE & ACCID. INS. CO P. O. BOX 1800 GALVESTON TX 77553

00B60 CIGNA POB 182223 CHATTANOOGA TN 37422

00B61 GENERAL PRESCRIPTION PROGRAM 305 MADISON AVENUE SUITE 1166B NEW YORK NY 10165

00B62 WESTMORELAND COAL COMPANY P. O. BOX 9554 SALT LAKE CITY UT 84109

00B63 SOUTHERN HEALTH SERVICES INC. TOWN CENTER ONE 1000 RESEARCH ROAD CHARLOTTESVILLE VA 22911

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00B64 PROVIDENCE HC RISK MANAGER 101 S. JEFFERSON STREET SUITE 501 ROANOKE VA 24011

00B65 CIGNA HEALTHCARE CIGNA HEALTH & LIFE INS. CO POB 182223 CHATTANOOGA TN 37422

00B66 BLUE CROSS BLUE SHIELD KEYCARE P. O. BOX 14046 ROANOKE VA 24038

00B67 BLUE CROSS BLUE SHIELD FEDERAL P. O. BOX 11847 ROANOKE VA 24022

00B68 AARP-HEALTHCARE OPTIONS P. O. BOX 8009 PHILADELPHIA PA 19101

00B69 GEICO GENERAL INSURANCE CO. ONE GEICO PLAZA WASHINGTON DC 20076

00B70 MINNESOTA COMM. HEALTH (MCHA) P. O. BOX 64566 ST. PAUL MN 55164

00B71 AMERICAN GENERAL P. O. BOX 10845 CLEARWATER FL 33757

00B72 HILLCO LTD P. O. BOX 400 KINSTON NC 28502

00B73 CIGNA HEALTHCARE P. O. BOX 188007 CHATTANOOGA TN 37422

00B74 BLUE CROSS BLUE SHEILD OF OKLAHOMA 1215 S. BOULDERS P. O. BOX 3283 TULSA OK 74102

00B75 VALLEY COMMUNITY HC NETWORK P. O. BOX 3262 CHARLESTON WV 25332

00B76 RBMS LCC/RISK & BENEFIT MGMT P. O. BOX 241569 ANCHORAGE AK 99524

00B77 HEALTH NET OF PENN. INC. 11 PENN CENTER 1835 MARKET STREET 1OTH F PHILADELPHIA PA 19103

00B78 ANTHEM PRESCRIPTION MANAGEMENT P. O. BOX 145433 CINCINNATI OH 45250

00B79 DEFINITY HEALTHCARE P. O. BOX 69305 HARRISBURG PA 17106

00B80 BLUE CROSS BLUE SHIELD OF OREGON-REGENCE 100 SOUTH WEST MARKET PORTLAND OR 97207

00B81 BLUE CROSS BLUE SHIELD OF NC P. O. BOX 580463 CHARLOTTE NC 28258

00B82 UNICARE - TEXAS P. O. BOX 833933 RICHARDSON TX 75083

00B83 CENTRAL UNITED LIFE P. O. BOX 925309 HOUSTON TX 77292

00B84 VETARI SYSTEMS P. O. BOX 50228 TROY MI 48007

00B85 OPERATING ENGINEERS LOCAL 147 P. O. BOX 5305 VA BEACH BLVD. NORFOLK VA 23502

00B86 U.S. HEALTH & LIFE INSURANCE P. O. BOX 1378 TROY MI 48099

00B87 BRISTOL COMPRESSORS 15185 INDUSTRIAL PARK RD. BRISTOL VA 24202

00B88 WALGREENS HEALTH CARE PLUS P. O. BOX 29061 PHOENIX AZ 85038

00B89 PROVIDENCE HC RISK MANAGEMENT 101 SOUTH JEFFERSON ST. ROANOKE VA 24011

00B90 HEALTH SMART PREFERRED CARE P. O. BOX 53010 LUBBOCK TX 79453

00B91 BOON-CHAPMAN P. O. BOX 9201 AUSTIN TX 78766

00B92 COMPREHENSIVE BENEFITS ADMIN. P. O. BOX 2365 SOUTH BURLINGTO VT 5407

00B93 MEDIVERSAL P. O. BOX 26329 LAS VEGAS NE 89126

00B94 USI ADMINISTRATORS P. O. BOX 1539 FORT WORTH TX 76101

00B95 TPSC P. O. BOX 1894 TACOMA WA 98401

00B96 ASSURE CARE OF ILLINOIS 340 QUADRANGLE DRIVE BOLINGBROOK IL 60440

00B97 OREGON LABORERS HEALTH&WELFARE P. O. BOX 6711 PORTLAND OR 97228

00B98 UNITED BENEFITS P. O. BOX 2480 DAYTONA BEACH FL 32115

00B99 ADMINISTRATIVE ENTERPRISE INC 5810 W. BEVERLY LANE GLENDALE AZ 85306

00C01 UVA HEALTH PLAN 914 EMMET STREET CHARLOTTESVILLE VA 22904

00C02 NHC HEALTH BENEFIT PLAN P. O. BOX 1398 MURFREESBORO TN 37133

00C03 SWIFT TRANSPORTATION P. O. BOX 29243 PHOENIX AZ 85038

00C04 CIGNA - MICHIGAN P. O. BOX 2305 SOUTHFIELD MI 48037

00C05 UNITED HEALTHCARE/GEN. MOTORS P. O. BOX 740800 ATLANTA GA 30374

00C06 UNICARE HEALTHCARE OF VIRGINIA P. O. BOX 626 MERRIFIELD VA 22116

00C07 CLAREDON NATIONAL GM/SOUTHWST P. O. BOX 802522 DALLAS TX 75380

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00C08 CEMARA ADMINISTRATORS INC. 3450 N. ROCK RD. STE.605 P. O. BOX 8902 WICHITA KS 67208

00C09 PROVIDENCE HEALTH PLAN P. O. BOX 4327 PORTLAND OR 97208

00C10 PREFERRED ONE ADMIN. SERVICES P. O. BOX 59212 MINNEAPOLIS MN 55459

00C11 P-5 HEALTH SERVICES P. O. BOX 9554 SALT LAKE CITY UT 84109

00C12 HEALTHCOMP P. O. BOX 45018 FRESNO CA 93718

00C13 USI ADMINISTRATORS 4150 INTERNATIONAL PLAZA SUITE 900 FORT WORTH TX 76109

00C14 LBA HEALTH PLAN 9475 DEERECO ROAD SUITE 408 TIMONIUM MD 21093

00C15 EMPIRE BLUE CROSS/BLUE SHIELD 11 W. 42ND STREET NEW YORK NY 10036

00C16 INTEQ/FOUNDATION ONE P. O. BOX 690450 SAN ANTONIO TX 78269

00C17 STAR HUMAN RESOURCE GROUP 2036 EAST CAMELBACK ROAD PHOENIX AZ 85016

00C18 EMPLOYEE BENEFIT MNGT. SERVICE P. O. BOX 21367 2075 OVERLAND AVENUE BILLINGS MT 59104

00C19 PACIFIC LIFE & ANNUITY 700 NEWPORT CENTER DRIVE NEWPORT BEACH CA 92660

00C20 CONNECTICARE INC. P. O. BOX 4058 FARMINGTON CT 6032

00C21 THE ANTIOCH COMPANY P. O. BOX 145804 CINCINNATI OH 45250

00C22 HELLER ASSOCIATES 2755 BRISTOL STREET SUITE 250 COSTA MESA CA 92626

00C23 MEDICA ROUTE 2901 BOX 169061 DULUTH MN 55816

00C24 T. R. PAUL INC. P. O. BOX 5508 NEWTOWN CT 6470

00C25 WASHINGTON EMPLOYER'S TRUST P. O. BOX 24085 SEATTLE WA 98124

00C26 CARDINAL HOME INC. BENEFITS P. O. BOX 10 WYLLIESBURG VA 23976

00C27 ARLINGTON BENEFIT SERVICES P. O. BOX 30219 TAMPA FL 33630

00C28 FIDELITY INSURANCE 201 INTERNATIONAL CIRCLE 4TH FLOOR HUNT VALLEY MD 21030

00C29 LONG CLAIMS SERVICES 4747 LINCOLN MALL DRIVE MATTESON IL 60043

00C30 S & S HEALTHCARE STRATEGIES 110 BOGGS LANE STE 400 P. O. BOX 14407 CINCINATTI OH 45250

00C31 FAMILY HERITAGE LIFE INS. CO. P. O. BOX 470608 BROADVIEW HEIGH OH 44147

00C32 UNITED MEDICAL RESOURCE INC. P. O. BOX 145804 CINCINNATI OH 45250

00C33 JSL ADMINISTRATORS INC. P. O. BOX 71489 NEWMAN GA 30271

00C34 INSURANCE SERVICE OF LUBBOCK 4601-66TH STREET SUITE C LUBBOCK TX 79414

00C35 ALTERNATIVE INSURANCE RESOURCE P. O. BOX 660787 BIRMINGHAM AL 35266

00C36 FOUNDATION BENEFITS ADMINISTRATORS 6300 BRIDGEPORT PARKWAY BUILDING 3 SUITE 400 AUSTIN TX 78730

00C37 CHESAPEAKE HEALTH/AON SELECT P. O. BOX 15 WINSTON SALEM NC 27102

00C38 WELLPATH 2815 COLISEUM CENTRE DR. SUITE 550 CHARLOTTE NC 28217

00C39 HOLDEN & COMPANY P. O. BOX 10411 SAVANNAH GA 31412

00C40 NAT. VISION ADM. OF WISCONSIN N17 W2422 RIVERWOOD DR. SUITE 200 WAUKESHA WI 53188

00C41 RWDSU BENEFITS P. O. BOX 55728 BIRMINGHAM AL 55255

00C42 EQUITABLE PLAN SERVICES P. O. BOX 720460 OKLAHOMA CITY OK 73172

00C43 LONDON HEALTH ADMINISTRATORS 40 COMMERICAL WAY EAST PROVIDENCE RI 2914

00C44 BLUE CROSS BLUE SHIELD OF NE P. O. BOX 3248 OMAHA NE 68180

00C45 TEAMSTERS LOCAL639-EMPL.HEALTH 3130 AMES PLACE NE WASHINGTON DC 20018

00C46 PROFESSIONAL BENEFITS SERVICES 6475 28TH STREET SE GRAND RAPIDS MI 49546

00C47 NC STATE COMPREHENSIVE MAJOR P. O. BOX 3011 DURHAM NC 27702

00C48 SOUTHERN BEN. ADM. CAROLINA-VA 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502

00C49 BRIDGESTONE/FIRESTONE 1200 FIRESTONE PARKWAY AKRON OH 44203

00C50 A.B.T LIFECARE CTRS.OF AMERICA P. O. BOX 1439 HENDERSON TN 37077

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00C51 HEALTH NEW ENGLAND 0NE MONARCH PLACE SPRINGFIELD MA 1144

00C52 SUPERIOR VISION SERVICES POB 967 RANCHO CORDOVA CA 95741

00C53 ASR GROUP P. O. BOX 6392 GRAND RAPIDS MI 49516

00C54 BEECH STREET P. O. BOX 989 CHESTERFIELD MO 63006

00C55 MAMSI 3800 ELECTRIC RD. STE 103 ROANOKE VA 24018

00C56 AMERICAN HOME PATIENT 5200 MARYLAND WAY BRENTWOOD TN 37027

00C57 LOCAL 1205 UNION 246 CONKLIN STREET FARMINGDALE NY 11735

00C58 ABA INC. P. O. BOX 10787 BURBANK CA 91510

00C59 INTER. UNION OF OPERATING ENG. LOCAL 25 983 ROUTE 33W MONROE TOWNSHIP NJ 8831

00C60 BLUE CROSS BLUE SHIELD OF IDAHO P. O. BOX 7408 BOISE ID 83707

00C61 MCCREW CARE CENTRAL P. O. BOX 6702 COLUMBIA SC 29260

00C62 LABORERS TRUST FUND P. O. BOX 13487 ROANOKE VA 24034

00C63 JLT SERVICES P. O. BOX 1471 WATERBURY CT 6721

00C64 PROTECTIVE CONSUMER DIRECT P. O. BOX 2606 GV-6NP BIRMINGHAM AL 35202

00C65 LUMENOS P. O. BOX 69309 HARRISBURG PA 17106

00C66 EQUITABLE LIFE AND CASUALTY P. O. BOX 2460 348 EAST SOUTH TEMPLE SALT LAKE CITY UT 84110

00C67 ASSOCIATED PLAN ADMINISTRATORS P. O. BOX 15061 LATHEM NY 12110

00C68 COMBINED GROUP INVESTMENT(CGI) P. O. BOX 5933 BALTIMORE MD 21282

00C69 FOOD EMPLOYERS LABOR RELATIONS P. O. BOX 936 FREDERICK MD 21705

00C70 THE BOONE GROUP 9003 WATERFORD BLVD. SUITE 100 AUSTIN TX 78758

00C71 HRH OF ILLINOIS P. O. BOX 468 MOLINE IL 61266

00C72 HEALTH STAR P. O. BOX 66930 CHICAGO IL 60666

00C73 PROVIDER BENEFIT PLANS INC. P. O. BOX 346 SIMPSONVILLE KY 40067

00C74 HARTLAND INSTITUTE P. O. BOX 1 RAPIDAN VA 22733

00C75 WALGREENS HEALTH INITIATIVE 2275 HALF DAY ROAD SUITE 250 BANNOCKBURN IL 60015

00C77 SELECT BENEFIT ADMINISTRATORS P. O. BOX 4250 HOUSTON TX 77210

00C78 OLD REPUBLIC INSURANCE CO. INC M & M COAL CO. CLAIMS P. O. BOX 2200 GREENSBURG PA 15601

00C79 GENERAL INS. AGENCY/CULPEPER 767 MADISON ROAD SUITE 1 P. O. BOX 1119 CULPEPER VA 22701

00C80 CARELINK P. O. BOX 7373 LONDON KY 40742

00C81 UNITED COMMERCIAL TRAVELERS 632 NORTH PARK STREET COLUMBUS OH 43215

00C82 ROBEY-BARBER P. O. BOX 6283 2040 RAYBROOK S. E. GRAND RAPIDS MI 49516

00C83 SYSCO BENEFITS P. O. BOX 271969 HOUSTON TX 77277

00C84 SISCO HEALTH PLAN P. O. BOX 389 DUBUQUE IA 52004

00C85 CEBA 6300 BRIDGEPOINT PARKWAY BUILDING 3 SUITE 500 AUSTIN TX 78730

00C86 ALTERNATIVE BENEFIT PLANS 2920 BRANDYWINE ROAD SUITE 106 ATLANTA GA 30341

00C87 FI SERV HEALTH - TN P. O. BOX 305154 NASHVILLE TN 37230

00C88 EQUITABLE PLAN SERVICES P. O. BOX 720460 OKLAHOMA CITY OK 73172

00C89 GREAT WEST LIFE AND ANNUITY 7600 LEESBURG PIKE FALLS CHURCH VA 22043

00C90 DOC FIRST/PRIMARY SELECTION P. O. BOX 17098 OWINGS MILLS MD 21117

00C91 TRI COUNTY BUILDING TRADES HEALTH FUND P. O. BOX 230 MILES OH 44446

00C92 WISCONSIN PHY. SERVICE/WAUSAU HOMES P. O. BOX 8190 MADISION WI 53708

00C93 PPOM WEYCO GROUP P. O. BOX 30132 LANSING MI 48909

00C94 EMPLOYEE BENEFIT MANAGEMENT/KB TOYS P. O. BOX 9071 DUBLIN OH 43017

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00C95 ALLIED BENEFIT SYSTEMS P. O. BOX 909786 CHICAGO IL 60690

00C96 ASSOCIATION AND SOCIETY INS. CORP. P. O. BOX 2510 ROCKVILLE MD 20847

00C97 CHOICE NET INTERCARE P. O. BOX 76149 COLORADO SPRING CO 80970

00C98 COLONIAL HEALTHCARE INC. P. O. BOX 827 LANHAM MD 20703

00C99 VETRI ATTN: MENTAL HEALTH CLAIMS P. O. BOX 1440 TROY MI 48099

00D01 BENEFIT SERVICES INC. P. O. BOX 4138 AKRON OH 44321

00D02 MCC REAL CARE HEALTH PLAN 311 NORTH PECOS ROAD SUITE 100 HENDERSON NV 89014

00D03 WATKINS ASSOCIATED INDUSTRIES P. O. BOX 1738 ATLANTA GA 30301

00D04 ASSOCIATED ADMINISTRATORS INC. 10626 YORK ROAD COCKEYSVILLE MD 21030

00D05 COST CONTAINMENT CONCEPTS P. O. BOX 1220 ZEPHYR COVE NV 89448

00D06 TYSON FOODS GROUP HEALTH P. O. BOX 2020 SPRINGDALE AR 72765

00D07 REGENCE LIFE AND HEALTH P. O. BOX 1071 PORTLAND OR 97207

00D08 MCA ADMINISTRATORS 820 PARISH STREET PITTSBURG PA 15220

00D09 BLUE CROSS BLUE SHIELD OF ARIZONA P. O. BOX 2924 PHOENIX AZ 85062

00D10 UNITED HEALTHCARE OF ALABAMA 3700 COLONNADE PARKWAY BIRMINGHAM AL 35243

00D11 ECKERD HEALTH SERVICES P. O. BOX 270 PITTSBURG PA 15230

00D12 AETNA P. O. BOX 14586 LEXINGTON KY 40512

00D13 ADMINISTRATORS & CONSULTANTS A LOOMIS COMPANY P. O. BOX 4925 LANCASTER PA 17604

00D14 PREFERRED ADMINISTRATORS P. O. BOX 18263 TAMPA FL 33679

00D15 COMMERCE BENEFIT GROUP P. O. BOX 900 ELYRIA OH 44036

00D16 EMPLOYERS LIFE INSURANCE P. O. BOX 5787 SPARTENBURG SC 29304

00D17 ADMINISTRATIVE SOLUTIONS P. O. BOX 2490 ALPHAETTA GA 30023

00D18 UNDERWRITERS SECURITY AND CLAIMS P. O. BOX 23507 LOUISVILLE KY 40223

00D19 G. E. GROUP ADMINISTRATORS P. O. BOX 150809 ARLINGTON TX 76015

00D20 REGENCE BLUE SHIELD P. O. BOX 21267 SEATTLE WA 98111

00D21 BLUE CROSS BLUE SHIELD OF UTAH-REGENCE P. O. BOX 30270 SALT LAKE CITY UT 84130

00D22 PYRAMID CLAIMS P. O. BOX 391885 CAMBRIDGE MA 2139

00D23 MOUNTAIN STATES ADMINISTRATION INC. 13901 EAST EXPOSITION AVENUE AURORA CO 80012

00D24 BLUE CROSS BLUE SHIELD OF RHODE ISLAND 444 WESTMINISTER STREET PROVIDENCE RI 2903

00D25 DENTAL SELECT 65 E. WADSWORTH PARK DRIVE SUITE 202 DRAPER UT 84020

00D26 BOYD CARE P. O. BOX 70 CLAYTON VA 36016

00D27 CHEROKEE INSURANCE P. O. BOX 159 WARREN MI 48090

00D28 THE BENEFIT GROUP 10675 BEDFORD AVENUE OMAHA NE 68134

00D29 MOUNTAIN CLAIMS MANAGEMENT P. O. BOX 1008 FRUITLAND ID 83619

00D30 AMERICAN STERLING 10975 GRAND VIEW DRIVE SUITE 100 OVERLAND PARK KS 66210

00D31 LINECO 2000 SPRINGER DRIVE LOMBARD IL 60148

00D32 VISION SERVICE PLAN 333 QUALITY DRIVE RANCHO CORDOVA CA 95670

00D33 SHEET METAL WORKERS HP OF STN CA/AZ/NV P. O. BOX 10067 MANHATTEN BEACH CA 90266

00D34 ABS INC. P. O. BOX 40879 MEMPHIS TN 38174

00D35 SUPPLEMENTAL HC/ADVENTIST RETIREMENT P. O. BOX 4088 SILVER SPRING MD 20914

00D36 BLUE CROSS BLUE SHIELD/SD WELLMARK 1601 W. MADISON SIOUX FALLS SD 57104

00D37 SENTARA HEALTHCARE 15 INTERSTATE CORPORATE NORFOLK VA 23502

00D38 GUARDIAN P. O. BOX 8013 APPLETON WI 54913

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00D39 HEALTH ASSURANCE P. O. BOX 67103 HARRISONBURG PA 17106

00D40 LUTHERAN PREFERRED P. O. BOX 666 BROWNSBURG IL 46112

00D41 LOOMIS COMPANY P. O. BOX 7011 WYOMISSING PA 19610

00D42 UNIVERA HEALTHCARE 205 PARK CLUD LAND BUFFALO NY 14221

00D43 JOHN HANCOCK SIGNATURE SERVICES P. O. BOX 852 BOSTON MA 2117

00D44 LOVELACE HEALTH PLAN P. O. BOX 74207 CHICAGO IL 60690

00D45 STRATEGIC SECURITY COMPANY P. O. BOX 23759 COLUMBIA SC 29224

00D46 MARSH ADVANTAGE AMERICA ONE WEST THIRD STREET SUITE 900 TULSA OK 74103

00D47 SOUTHERN HEALTH SERVICES INC. P. O. BOX 17012 WILMINGTON DE 19850

00D48 CIGNA PHARMACY/VISION P. O. BOX 3598 SCRANTON PA 18505

00D49 TRICARE - NORTH REGION P. O. BOX 870140 SURFSIDE BEACH SC 29587

00D50 AETNA HEALTH PLAN-CAPITAL ONE P. O. BOX 14079 LEXINGTON KY 40512

00D51 UNITED HEALTHCARE P.O. BOX 30555 SALT LAKE CITY UT 84130

00D52 HEALTHCOMP ADMINISTRATOR P. O. BOX 45018 FRESNO CA 93718

00D53 MERITAIN HEALTH P. O. BOX 27267 MINNEAPOLIS MN 55427

00D54 CA VA UFCW & EMPLOYEES HEALTH FUND 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502

00D55 HOMETOWN AMS P. O. BOX 4816 MASSILLION OH 44648

00D56 ASSURED BENEFITS 4100 RIO BRAVO SUITE 211 EL PASO TX 79902

00D57 HIP HMO 7 WEST 34TH STREET NEW YORK NY 10001

00D58 BIG LOTS ASSOCIATES BENEFIT PLAN P. O. BOX 9071 DUBLIN OH 43017

00D59 MOORE'S ELECT. HEALTH CARE PLAN P. O. BOX 119 ALTA VISTA VA 24517

00D60 CONTACT BEHAVIOR HEALTH 1400 S. SOUTHERN SUITE 800 TEMPE AZ 85282

00D61 RX UNITED DRUG 7227 N. 16TH ST. SUITE 160 PHOENIX AZ 85020

00D62 BASHAS BENEFIT TRUST 2255 N. 44TH ST. SUITE 250 PHOENIX AZ 85008

00D63 HEALTHSCOPE BENEFITS 27 CORPORATE HILL DRIVE LITTLE ROCK AR 72205

00D64 AUSA INSURANCE PLAN ADMINISTRATOR SEABURY & SMITH INC. P. O. BOX 10408 DES MOINES IA 50306

00D65 FIRST ADMINISTRATORS INC. P. O. BOX 9900 SIOUX CITY IA 51102

00D66 UMWA P. O. BOX 389 EPHRAIM UT 84627

00D67 IMSCP P. O. BOX 697 BUCKEYSTOWN MD 21717

00D68 AMERICAN FIDELITY BENEFIT PLANNERS P. O. BOX 93929 SOUTHLAKE TX 76092

00D69 HOMETOWN AMS P. O. BOX 1200 MASSILLON OH 44648

00D70 MAGELLAN BEHAVIORAL HEALTH P. O. BOX 13000 TALLAHASSEE FL 32317

00D71 ATLANTICARE ADMINISTRATORS HEALTH PLAN P. O. BOX 613 HAMMONTON NJ 8037

00D72 HEALTH DESIGN PLUS 1755 GEORGETOWN RD. HUDSON OH 44236

00D73 SOUTHERN INDIANA HEALTH ORG. (SIHO) P. O. BOX 1787 COLUMBUS IN 47202

00D74 COVENTRY HEALTHCARE POB 7713 LONDON KY 40742

00D75 COVENTRY HEALTHCARE OF DELAWARE 211 LAKE DRIVE NEWARK DE 19702

00D76 WEYCO INC. P. O. BOX 30132 LANSING MI 48909

00D77 PREFERRED BENEFIT ADMINISTRATORS P. O. BOX 9161188 LONGWOOD FL 32791

00D78 ALLSTATE WORKPLACE ALLSTATE WORKPLACE DIVISION RICHARDSON TX 75085

00D79 OPERATING ENGINEERS LOCAL 37 5901 HARFORD ROAD #A BALTIMORE MD 21214

00D80 CAPITAL DISTRICT PHYSICIANS HEALTH PLAN P. O. BOX 66602 ALBANY NY 12206

00D81 PRICE CO. HEALTH PLAN SMC INC. ADMINISTRATORS P. O. BOX 1979 SEARCY AK 72145

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00D82 HEALTH FIRST PLANS P. O. BOX 565001 ROCKLEDGE FL 32956

00D83 EXPRESS SCRIPTS INC. ATTN: S. A. TEAM P. O. BOX 66518 ST. LOUIS MO 63166

00D84 CIGNA BEHAVIORAL HEALTH P. O. BOX 46270 EDEN PRAIRIE MN 55344

00D85 VA HOSPITAL/MCGUIRE MEDICAL CENTER 1201 BROAD ROCK BLVD. RICHMOND VA 23249

00D86 PACIFICARE P. O. BOX 6098 CYPRESS CA 90630

00D87 NEW WORLD SERVICES 2624 N. 5TH STREET NILES MI 49120

00D88 ADMINISTRATIVE BENEFITS SERVICES INC. P. O. BOX 40879 MEMPHIS TN 38174

00D89 SOUTHERN GROUP ADMINISTRATORS 200 S. MARSHALL STREET SALEM NC 27101

00D90 SMITH ADMINISTRATORS 3800 SANDSHELL DRIVE SUITE 260 FORT WORTH TX 86137

00D91 C. W. MATHEWS EMPLOYEE BENEFITS TRUST P. O. DRAWER 970 MARIETTA GA 30061

00D92 SUMMACARE 4510 13TH AVENUE SOUTHWEST FARGO ND 58121

00D93 BLUE CROSS BLUE SHIELD OF ND 4510 13TH AVENUE SOUTHWEST FARGO ND 58121

00D94 FIRST CHOICE HEALTH PLAN P. O. BOX 12659 SEATTLE WA 98111

00D95 HORIZON HEALTH CARE P. O. BOX 79 NEWARK NJ 7101

00D96 GLOBAL EXCEL MANAGEMENT INC. P. O. BOX 10 BEE BEE PLAIN VT 5823

00D97 SOUTHERN GROUP ADMINISTRATORS 200 SOUTH MARSHALL STREET WINSTON-SALEM NC 27101

00D98 HORIZON HEALTH INSURANCE OF NEW YORK P. O. BOX 79 NEWARK NJ 7101

00D99 UNION MUTUAL MEDICAL FUND P. O. BOX 090430 STATEN ISLAND NY 10304

00E01 PYRAMID LIFE/MEDICARE 411 NORTH BAYLEN STREET PENSACOLA FL 32501

00E02 CHICKERING CLAIMS ADMINISTRATORS INC. P. O. BOX 15708 BOSTON MA 2215

00E03 VIACOM BENEFITS ACCESS CENTER P. O. BOX 24565 JACKSONVILLE FL 32241

00E04 NATIONAL TELECOMMUNICATIONS COOP.(NTCA) ONE WEST PACK SQUARE SUITE 600 ASHEVILLE NC 28801

00E05 CIGNA HEALTH CARE 499 WASHINGTON BLVD. JERSEY CITY NJ 7310

00E06 BLUE CROSS BLUE SHIELD OF TEXAS P. O. BOX 660044 DALLAS TX 76001

00E07 WELLS FARGO DEFINITY HEALTH P. O. BOX 9525 AMHERST NY 14226

00E08 VALUE OPTIONS P. O. BOX 1290 LATHAM NY 12110

00E09 DELTA DENTAL OF MINNESOTA P. O. BOX 59238 MINNEAPOLIS MN 55459

00E10 NATIONAL CAPITAL PPO (NCPPO) 6850 VERSAR CENTER SPRINGFIELD VA 22151

00E11 SOUTHCARE 1100 CIRCLE 75 PARKWAY SUITE 1400 ATLANTA GA 30339

00E12 DAKOTA CARE POB 7406 SIOUX FALLS SD 57117

00E13 COLE VISION CORPORATION P. O. BOX 8057 1925 ENTERPRISE PKWAY TWINSBURG OH 44087

00E14 COVENTRY HEALTHCARE OF GA 1100 CIRCLE 75 PARKWAY SUITE 1400 ATLANTA GA 30339

00E15 OPERATING ENGINEERS LOCAL 99 5901 HARFORD ROAD SUITE C BALTIMORE MD 21214

00E16 STATE FARM INSURANCE HEALTH OPER.CTR.- E P. O. BOX 3070 NEWARK OH 43058

00E17 NPPN-MSIC CLAIMS 419 E. MAIN STREET MIDDLETOWN NY 10940

00E18 EMPLOYEE BENEFITS SERV. CTR/MARDON INC P. O. BOX 8130 SOUTH CHARLESTO WV 25303

00E19 CALIFORNIA CASUALTY MANAGEMENT COMPANY 4000 WEST 114TH STREET SUITE 300 LEAWOOD KS 66211

00E20 PARAMOUNT HEALTH CARE 1901 INDIAN WOOD CIRCLE MAUMEE OH 43697

00E21 VA MEDICAL CENTER 590/HAMPTON 1970 ROANOKE BLVD. SALEM VA 24153

00E22 STATE FARM HEALTH OPERATION CENTER P. O. BOX 9403 GREELEY CO 80663

00E23 COMP PYSCH GUIDANCE RESOURCES P. O. BOX 8379 CHICAGO IL 60680

00E24 BLUE CROSS BLUE SHIELD OF CA P. O. BOX 60007 LOS ANGELES CA 90060

00E25 UNITED HEALTHCARE/VERIZON TAMPA SERVICE CENTER P. O. BOX 740803 ATLANTA GA 30374

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00E26 AMERICAN MEDICAL AND LIFE INSURANCE LOCAL 377 WELFARE FUND LONG ISLAND NY 11101

00E27 ACEC HEALTH PLAN P. O. BOX 44109 LAS VEGAS NV 89116

00E28 SIOUX VALLEY HEALTH PLAN 1100 EAST 21ST STREET SUITE 600 SIOUX FALLS SD 57105

00E29 PROFESSIONAL BENEFITS ADMIN. POB 4687 OAK BROOK IL 60522

00E30 EYEMED P. O. BOX 8504 MASON OH 45040

00E31 SIERRA HEALTH SERVICES INC. 2724 N. TENAYA WAY LAS VEGAS NV 89128

00E32 UNICARE SECURITY CHOICE POB 795180 SAN ANTONIO TX 78279

00E33 MAMSI-OPTIMUM CHOICE (UNITED HC) P. O. BOX 42924 PHILADELPHIA PA 19010

00E34 GE FINANCIAL 101 MUNSON STREET GREENFIELD MA 1302

00E35 HEALTHNET HMO P. O. BOX 14702 LEXINGTON KY 40512

00E36 SYMETRA LIFE INSURANCE P. O. BOX 34690 SEATTLE WA 98124

00E37 KELLY AND ASSOCIATES 11300 ROCKVILLE PIKE ROCKVILLE MD 20852

00E38 CAROLINA CARE PLAN 201 EXECUTIVE CENTER DRIVE COLUMBIA SC 29210

00E39 CATALYST RX 4020 WAKE FOREST ROAD SUITE 102 RALEIGH NC 27609

00E40 ESSEX DENTAL BENEFITS P. O. BOX 8510 ST. LOUIS MO 63126

00E41 HEALTH LINK 12443 OLIVE BLVD. ST. LOUIS MO 63141

00E42 ASSURANT DENTAL P. O. BOX 2940 CLINTON IA 52733

00E43 SECURE HORIZONS DIRECT P. O. BOX 4169 SCRANTON PA 18505

00E44 MEDCO PRESCRIPTION P. O. BOX 14711 LEXINGTON KY 40512

00E45 CONSOLIDATED HEALTH PLANS 195 STAFFORD STREET SPRINGFIELD MA 1104

00E46 MERCY HEALTH PLANS P. O. BOX 4568 SPRINGFIELD MO 65808

00E47 PRIORITY PARTNERS 6704 CURTIS COURT GLEN BURNIE MD 21060

00E48 CBCA ADMINISTRATORS P. O. BOX 902 BEATTYVILLE KY 41311

00E49 BROADSPIRE 9502 WILLIAMSBURG PLAZA WORKMAN COMP CLAIMS LOUISVILLE KY 40222

00E50 VIVA HEALTH 1919 OXMOOR ROAD #134 BIRMINGHAM AL 35209

00E51 GE GROUP LIFE ASSURANCE CO. P. O. BOX 1477 GREENFIELD MA 1302

00E52 HUMANA GOLD CHOICE P. O. BOX 7060 PGBA CLAIMS & CORRESPONDENCE CAMDEN SC 29020

00E53 JOHN ALDEN LIFE INSURANCE COMPANY P. O. BOX 1599 BOISE ID 83701

00E54 INDIANA STATE COUNCIL OF ROOFERS P. O. 5769 CLAIMS ADMIN. OFFICE LAFAYETTE IN 47903

00E55 WEB TPA 8500 FREEPORT HIGHWAY S. SUITE 400 IRVING TX 75063

00E56 PERMACARE HEALTH SCOPE P. O. BOX 2860 PITTSBURGH PA 15230

00E57 CORESOURCE 7830 E. BROADWAY TUSCON AZ 85710

00E58 SECUREHORIZONS DIRECT BY UNITED HLTHCARE P. O. BOX 31353 SALT LAKE CITY UT 84131

00E59 UNITED HEALTHCARE M.D.I.P.A. P. O. BOX 935 FREDRICK MD 21705

00E60 G. E. HEALTH P. O. BOX 100252 AF-1407 COLUMBIA SC 29202

00E61 J. P. FARLEY CORP. P. O. BOX 41779 MEMPHIS TN 38174

00E62 DELTA DENTAL OF GA P. O. BOX 1809 ALPHARETTA GA 30323

00E63 CORESOURCE INC. P. O. BOX 8215 LITTLE ROCK AR 72221

00E64 BENEFITS IN A CARD 1776 AMERICAN HERITAGE LIFE DR. JACKSONVILLE FL 32274

00E65 PRINCIPAL FINANCIAL/DENTAL 9475 DEERCO ROAD SUITE 204 TIMONIUM MD 21093

00E66 MEDICARE COMPLETE MEDICAL CLAIMS P. O. BOX 659787 SAN ANTONIO TX 78265

00E67 AETNA OPEN ACCESS HMO P. O. BOX 14089 LEXINGTON KY 40512

00E68 CENTURY HEALTHCARE P. O. BOX 2256 GRAPEVINE TX 76099

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00E69 UNITED HEALTHCARE OF TEXAS P. O. BOX 981502 EL PASO TX 79998

00E70 ULTRA BENEFITS INC. P. O. BOX 763 WESTBORO MA 1581

00E71 BENERX 168 FRANKLIN CORNER ROAD BLVD. #2 SUITE 201 LAWRENCEVILLE NJ 8648

00E72 ADVANTEX BENEFITS ADMINISTRATORS P. O. BOX 45007 FRESNO CA 93718

00E73 GENWORTH LIFE & HEALTH INS. CO. P. O. BOX 6168 CAROL STREAM IL 60197

00E74 1199 SEIU NATIONAL BENEFIT FUND 330 WEST 42ND STREET NEW YORK NY 10036

00E75 UNICARE CLAIMS & SERVICE P. O. BOX 061109 CHICAGO IL 60606

00E76 BLUE CROSS BLUE SHIELD/NATIONAL ALLIANCE P. O. BOX 100121 COLUMBIA SC 29202

00E77 METLIFE DENTAL P. O. BOX 981282 EL PASO TX 79998

00E78 AETNA DMO P. O. BOX 14901 LEXINGTON KY 40512

00E79 MEDCO HEALTH P. O. BOX 2187 LEES SUMMIT MO 64063

00E80 CAREMARK P. O. BOX 52062 PHOENIX AZ 85072

00E81 DAVIS VISION FEP BLUE VISION POB 2010 LATHAM NY 12110

00E82 DOMINION DENTAL SERVICES INC. POB 1126 ELK GROVE VILLA IL 60009

00E83 ESSENTIAL CARE P. O. BOX 6702 COLUMBIA SC 29260

00E84 AVESIS VISION POB 7777 PHOENIX AZ 85011

00E85 SCREEN ACTORS GUILD P. O. BOX 7830 BURBANK CA 91510

00E86 DELTA DENTAL P. O. BOX 997330 SACRAMENTO CA 95899

00E87 INFOR MED P. O. BOX 6752 ANNAPOLIS MD 21401

00E88 DELTA DENTAL P. O. BOX 242810 LOUISVILLE KY 40224

00E89 ANTHEM BLUE CROSS BLUE SHIELD 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204

00E90 AMERIBEN 3449 EAST COOPER POINT DR. MERIDEN ID 83642

00E91 AMPLIFON USA 5000 CHESHIRE LANE N. PLYMOUTH MN 55446

00E92 BLUE CROSS (CAPITAL) CAPITAL ADVANTAGE 2500 ELMERTON AVENUE HARRISBURG PA 17177

00E93 BLUE CHOICE HEALTH PLAN P. O. BOX 6170 COLUMBIA SC 29260

00E94 US NOW 16910 DALLAS PARKWAY SUITE 116 DALLAS TX 75248

00E95 ASRM CORP 509 SOUTH LENOLA ROAD BUILDING TWO MOORESTOWN NJ 8057

00E96 MCCREW CARE CENTRAL P. O. BOX 6702 COLUMBIA SC 29260

00E97 DELTA DENTAL OF MICHIGAN P. O. BOX 9085 FARMINGTON HILL MI 48335

00E98 MERITAIN HEALTH P. O. BOX 94928 CLEVELAND OH 44101

00E99 NOVA HEALTHCARE ADMINISTRATORS P. O. BOX 9010 BUFFALO NY 14231

00F01 AETNA AFFORDABLE HEALTH CHOICES P. O. BOX 23759 COLUMBIA SC 29224

00F02 BLUE GRASS FAMILY HEALTH 651 PERIMETER DR. SUITE 300 LEXINGTON KY 40517

00F03 MERCER HEALTH & BENEFITS ONE WEST THIRD ST. SUITE 900 TULSA OK 74103

00F04 GEM GROUP CLAIMS DEPARTMENT 1200 THREE GATEWAY CENTER PITTSBURG PA 15222

00F05 PIONEER MANAGEMENT SYSTEMS P. O. BOX 9040 W. SPRINGFIELD MA 1090

00F06 FIRST HEALTH P. O. BOX 11807 TUCSON AZ 85734

00F07 HUMANA GOLD CHOICE P. O. BOX 14601 LEXINGTON KY 40512

00F08 UNICARE LIFE AND HEALTH P. O. BOX 7654 CHICAGO IL 60680

00F09 TRICARE FOR LIFE (TFL) P. O. BOX 7890 RETIRED/DISABLE MILITARY MADISON WI 53707

00F10 PERSONAL CARE P. O. BOX 7141 LONDON KY 40742

00F11 LIFE SAVERS HEALTH PLAN 520 FELLOW ROAD MT. LAUREL NJ 8054

00F12 MS ADMINISTRATORS P. O. BOX 45073 BOISE ID 83711

35

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00F13 BLUE CROSS BLUE SHIELD OF NC 2303 W. MEADOWVIEW ROAD GREENSBORO NC 27405

00F14 PREMIER PHARMACY GROUP P. O. BOX 5824 SPARTANBURG SC 29304

00F15 CONTINENTAL LIFE INSURANCE COMPANY P. O. BOX 5008 BRENTWOOD TN 37024

00F16 HEALTH CARE SUPPORT 25 COLUMBIA HEIGHTS BROOKLYN NY 11201

00F17 BLUE CROSS BLUE SHIELD CAREFIRST NATIONAL ACCT. DEDICATED SERVICES P. O. BOX 1739 CUMBERLAND MD 21501

00F18 BLUE CROSS BLUE SHIELD OF COLUMBUS P. O. BOX 9907 COLUMBUS GA 31908

00F19 IRON WORKERS LOCAL 79 HEALTH FUND 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502

00F20 LINCOLN FINANCIAL GROUP P. O. BOX 2640 OMAHA NB 63103

00F21 UNITED HEALTHCARE 9020 STONEY POINT PARKWAY #30 BETHESDA MD 20814

00F22 KAISER PERMANENTE 6501 LOISDALE COURT SPRINGFIELD VA 22150

00F23 FEDERAL BLACK LUNG ASSOC U S DEPT. OF LABOR WORKERS COMP. P. O. BOX 8302 LONDON KY 40742

00F24 GLOBAL BENEFITS INC. 1250 24TH STREET SUITE 300 WASHINGTON DC 20037

00F25 GM SOUTHWEST INC. 4950 KELLER SPRINGS #300 ADDISON TX 75001

00F26 ADVANTRA FREEDOM P. O. BOX 7154 LONDON KY 40742

00F27 G.M.P. EMPLOYERS RETIREE TRUST GLASS MOLDERS AND POTTERS 5245 BIG PINE WAY S.E. FORT MYERS FL 33907

00F28 CIGNA HEALTHCARE 3500 BRIDGEPOINT PARKWAY BUILDING 3 SUITE 400 AUSTIN TX 78730

00F29 AMCOMP P. O. BOX 49189 CHARLOTTE NC 28277

00F30 QUALITY HEALTH PLANS INC. 2435 US 19 SUITE 470 HOLIDAY FL 34691

00F31 STERLING INVESTORS LIFE INSURANCE P. O. BOX 10844 CLEARWATER FL 33757

00F32 SPECIAL AGENTS MUTUAL BENEFIT ASSOC. SAMBA 11301 OLD GEORGETOWN ROAD ROCKVILLE MD 20852

00F33 AETNA DENTAL P. O. BOX 14094 LEXINGTON KY 40512

00F34 CIGNA DENTAL DHMO P. O. BOX 188045 CHATTANOOGA TN 37422

00F35 GREAT WEST HEALTHCARE P. O. BOX 1700 DENVER CO 80201

00F36 OPTIMED HEALTH PLAN 902 CLINT MOORE ROAD SUITE 100 BOCA RATON FL 33497

00F37 UNITED TEACHER'S ASSOC. TEXAS INTERN. LIFE INS. CO. P. O. BOX 11011 WINSTON SALEM NC 27116

00F38 DELTA DENTAL OF RHODE ISLAND P. O. BOX 1517 PROVIDENCE RI 2901

00F39 GERBER LIFE INSURANCE P. O. BOX 2088 GRAND RAPIDS MI 49501

00F40 WELL CARE HEALTH PLAN P. O. BOX 4438 CLAIMS DEPARTMENT SCRANTON PA 18505

00F41 CIGNA MED PLUS P. O. BOX 1768 SAN ANTONIO TX 78296

00F42 PRINCIPAL LIFE P. O. BOX 39710 COLORADO SPRING CO 80949

00F43 SOUTHERN HEALTH SERVICES P. O. BOX 6485 CAROL STREAM IL 60197

00F44 BLUE CROSS BLUE SHIELD BLUE VIEW DENTAL P. O. BOX 8504 MASON OH 45074

00F45 BLUE CROSS BLUE SHIELD BLUE VIEW DENTAL P. O. BOX 9201 0XNARD CA 93031

00F46 MARYLAND INDIVIDUAL PRACTICE ASSOC. P. O. BOX 930 FREDERICK MD 21705

00F47 INTEGRATED HEALTH PLAN INC. 4020 PARK ST. NORTH SUITE 103 ST. PETERSBURG FL 33709

00F49 CAREFIRST DENTAL BLUE CROSS BLUE SHIELD P. O. BOX 800 OWINGS MILL MD 21117

00F50 EMPIRE BLUE CROSS BLUE SHIELD P. O. BOX 5067 MIDDLETOWN NY 10940

00F51 GILSBAR P. O. BOX 2947 2100 COVINGTON CENTRE COVINGTON LA 70434

00F52 INSURANCE ADVISOR ADMIN. FOR UNITED HLTH BEN. P. O. BOX 238 WASHINGTON OK 73093

00F53 CAMBRIDGE INTEGRATED SERVICE GROUP INC WORKMAN COMPENSATION CLAIMS P. O. BOX 111760 CARROLLTON TX 75011

00F54 CHRISTIAN CARE MEDI-SHARE P. O. BOX 79791 BALTIMORE MD 21279

00F55 RELIANCE STANDARD LIFE SPECIALTY PRODUCT 505 S. LENOLA ROAD MOORESTOWN NJ 8057

00F56 BLUE CROSS BLUE SHIELD 2001 FOX DRIVE CHAMPAIGN IL 61820

36

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00F57 OMNI CARE (RX) 30 CENTER OF ENGLAND BLVD. COVENTRY RI 2816

00F58 GEHA (GOV. EMPLOYEE HEALTH ASSOCIATION) P. O. BOX 4665 INDEPENDENCE MO 64051

00F59 COMMONWEALTH SERVICE CENTER P. O. BOX 9016 ANDOVER MA 1810

00F60 ANTHEM SOUTHEAST DENTAL P. O. BOX 758987 BALTIMORE MD 21275

00F61 GUARDIAN DENTAL P. O. BOX 2459 SPOKANE WA 99210

00F62 UNITED HEALTH CARE DENTAL P. O. BOX 30567 SALT LAKE CITY UT 84130

00F63 PATRIOT HEALTH CONTINENTAL AMERICAN INSURANCE CO. 160 EILEEN WAY SYOSSET NY 11791

00F64 DELTA DENTAL OF NEW JERSEY 1639 ROUTE 10 PARSIPPANY NJ 7054

00F65 HEALTHSPRING DEPT. 44 VANTAGE WAY SUITE 300 NASHVILLE VA 37228

00F66 CENTRAL RESERVE LIFE INSURANCE CO. P. O. BOX 30010 AUSTIN TX 78755

00F67 WELLS FARGO DISABILITY MANAGEMENT WORKER'S COMP/BLACK LUNG PROGRAM P. O. BOX 3389 CHARLESTON WV 25333

00F68 CATALYST RX/MARYLAND P. O. BOX 1069 ROCKVILLE MD 20849

00F69 PRESCRIPTION SOLUTION P. O. BOX 2975 UNITED HC MEDICARE RX SHAWNEE MISSION KS 66201

00F70 PRESCRIPTION PATHWAY P. O. BOX 1232 PITTSBURGH PA 15230

00F71 PENN TREATY NETWORK AMERICA INS. CO 3440 LEHIGH STREET P. O. BOX 7066 ALLENTOWN PA 18105

00F72 COMMUNITY CARE RX P. O. BOX 39668 CLEVELAND OH 44139

00F73 ASSURANT HEALTH POB 91604 LUBBOCK TX 79490

00F74 ASSURANT P. O. BOX 830607 BIRMINGHAM AL 35282

00F75 AETNA GLOBAL BENEFITS P. O. BOX 30258 TAMPA FL 33630

00F76 METLIFE 177 S. COMMONS DRIVE AURORA IL 60504

00F77 DELTA DENTAL OF MA P. O. BOX 9695 BOSTON MA 2114

00F78 QUAD MED CLAIMS 555 SOUTH 108TH STREET WEST ALLIS WI 53214

00F79 UNITED HEALTHCARE P. O. BOX 6083 CYPRESS CA 90630

00F80 MCS SOLUTION P. O. BOX 9023547 SAN JUAN PR 902

00F81 USA MANAGED CARE P.O. BOX 10170 DEPT. 30 PHOENIX AZ 85064

00F82 MEDCO P. O. BOX 650022 DALLAS TX 75265

00F83 CONTINENTAL AMERICAN INSURANCE CO. P. O. BOX 427 COLUMBIA SC 29202

00F84 WALGREENS HEALTH INITIATIVES P. O. BOX 25858 TAMPA FL 33622

00F85 PHYSICIANS CARE HEALTH PLAN P. O. BOX 15165 SANTA MONICA CA 92735

00F86 LIFEWISE HEALTH PLAN OF VIRGINIA P. O. BOX 91134 SEATTLE WA 98111

00F87 PLUMBERS AND PIPEFITTERS LOCAL 540 5305 E. VIRGINIA BEACH BLVD. NORFOLK VA 23502

00F88 MVP HEALTH CARE P. O. BOX 22920 ROCHESTER NY 14692

00F89 BAKERY & CONFECTIONERY PENSION & HEALTH 10401 CONNECTICUT AVENUE KENSINGTON MD 20895

00F90 BLUE CROSS BLUE SHIELD LOS ANGELES P. O. BOX 54159 LOS ANGELES CA 90054

00F91 UMR P. O. BOX 450 PUEBLO CO 81002

00F92 MONUMENTAL LIFE GENERAL DELIVERY VALLEY FORGE PA 19493

00F93 CINERGY HEALTH INC. CLAIMS DEPT. 144 N. BEVERWYCK ROAD #332 LAKE HIAWATHA NJ 7034

00F94 MM&P HEALTH AND BENEFIT PLAN 700 MARITIME BLVD. LINTHICUM HEIGH MD 21090

00F95 THE MEGA LIFE & HEALTH INSURANCE P. O. BOX 982009 N. RICHLAND HIL TX 76182

00F96 HEALTHSMART BENEFIT SOLUTIONS P. O. BOX 71489 NEWNAN GA 30271

00F97 ALLSTATE WORKPLACE DIVISION ATTN: GROUP CLAIM DEPARTMENT P. O. BOX 853916 RICHARDSON TX 75085

00F98 INTERPLAN HEALTH GROUP P. O. BOX 6743 LUBBOCK TX 79493

00F99 HEALTHPARTNERS CLAIMS P. O. BOX 1289 MINNEAPOLIS MN 55440

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00G01 UNITED ASSOCIATES UTA CLAIMS DEPARTMENT P. O. BOX 30010 AUSTIN TX 78755

00G02 AFFORDABLE HEALTHCARE OPTIONS P. O. BOX 299 AVON LAKE OH 44012

00G03 GLOBAL EXCHANGE P. O. BOX 667468 POMPANO BEACH FL 33066

00G04 UNITED HEALTHCARE STUDENT RESOURCES P. O. BOX 809025 DALLAS TX 75380

00G05 CHRISTIAN FIDELITY LIFE INSURANCE P. O. BOX 44990 MADISON WI 53744

00G06 HIGHMARK MEDICARE SERVICES P. O. BOX 890396 CAMP HILL PA 17089

00G07 HEALTH NET PEARL P. O. BOX 2226 AUGUSTA GA 30903

00G08 UMR P. O. BOX 30530 SALT LAKE CITY UT 84130

00G09 UNITED BEHAVIORAL HEALTH P. O. BOX 30755 SALT LAKE CITY UT 84130

00G10 AETNA PHARMACY MANAGEMENT P. O. BOX 14023 LEXINGTON KY 40512

00G11 MEDAMERICA P. O. BOX 41090 ROCHESTER NY 14604

00G12 AMERICA'S CHOICE HELATH PLAN P. O. BOX 922043 EDI #20029 HOUSTON TX 77292

00G13 COMMUNITY EYE CARE 2359 PERIMETER POINT PARKWAY SUITE 150 CHARLOTTE NC 28208

00G14 HEALTHSMART BENEFIT SOLUTIONS P. O. BOX 2451 CHARLESTON WV 25329

00G15 STERLING RETIREE OPTIONS P. O. BOX 69314 HARRISONBURG PA 17106

00G16 RENAISSANCE DENTAL P. O. BOX 17250 INDIANANPOLIS IN 46217

00G17 AMERICAN MINING CLAIMS SERVICE POB 660988 BIRMINGHAM AL 35266

00G18 SEARS LIFE INSURANCE COMPANY P. O. BOX 901099 FORT WORTH TX 76101

00G19 LIBERTY MUTUAL INSURANCE COMPANY 100 MAIN STREET DOVER NH 3820

00G20 VSP POB 60000 SAN FRANCISCO CA 94160

00G21 J. VAN BREDA HAAPP LLC (PREFERRED PARTNERS) POB 260248 MIAMI FL 33126

00G22 AMERICAN GENERAL LIFE AND ACC. INS. POB 1500 NASHVILLE TN 37202

00G23 POMCO POB 6329 SYRACUSE NY 13217

00G24 ODS COMPANIES FOR INS. BUS. SVCS. 601 SW SECOND AVE PORTLAND OR 97204

00G25 CIGNA DENTAL PPO POB 188037 CHATTANOOGA TN 37422

00G26 UNITED HEALTHCARE VISION POB 30978 SALT LAKE CITY UT 84130

00G27 AMERICAN HEALTHCARE ALLIANCE POB 8530 KANSAS CITY MO 64114

00G28 AETNA SIGNATURE ADMINISTRATORS PPO POB 90970 CHICAGO IL 60690

00G29 FORTIS BENEFITS POB 2940 CLINTON IA 52733

00G30 UNITED HEALTH CARE (MDIPA) UNITED HEALTHCARE (MDIPA) P. O.BOX 740825 ATLANTA GA 30374

00G31 TRANSAMERICA LIFE INSURANCE COMPANY POB 97 SCRANTON PA 18504

00G32 SHENANDOAH LIFE INS. CO. SHENANDOAH LIFE INS. CO. POB 10854 CLEARWATER FL 33757

00G33 CAREFIRST BCBS/NCAS POB 10104 FAIRFAX VA 22038

00G34 AETNA - GENERAL DYNAMICS - POB 14079 LEXINGTON KY 40512

00G35 NEA MEMBERS INSURANCE TRUST 900 CLOPPER RD. STE 300 GAITHERSBURG MD 20878

00G36 BLUE CROSS BLUE SHIELD / HMSA POB 860 HONOLULU HI 96808

00G37 VA ASSOC. OF COUNTIES - SELF INS. WORKERS COMP. DEPT. 308 MARKET ST. S.E. SUITES 1 & 2 ROANOKE VA 24011

00G38 NATL. UNION OF HOSPITAL & HC EMPLOYEES AFSCME/AFL-CIO 9-25 ALLING ST. 4TH FL. NEWARK NJ 7102

00G39 TRANSAMERICA LIFE INS. CO. POB 97 SCRANTON PA 18504

00G40 OPTIMA VANTAGE POB 5028 TROY MI 48007

00G41 CIGNA FEDERAL EMPLOYEE HEALTH PLAN/SAMBA POB 188007 CHATTANOOGA TN 37422

00G42 DELTA DENTAL OF ILLINOIS POB 5402 LISLE IL 60532

00G43 SOUTH CENTRAL UFCW UNITED FOOD & COMM. WORKER'S UNION 12160 N. ABRAMS RD SUITE 201 DALLAS TX 75243

38

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00G44 RX AMERICA MEDICARE POB 22690 SALT LAKE CITY UT 84122

00G45 FT. DEARBORN LIFE INS. CO. DENTAL NETWORK OF AMERICA POB 23060 BELLEVILLE IL 62223

00G46 BLUE CROSS BLUE SHIELD - WISCONSIN POB 10888 GREEN BAY WI 54307

00G47 WESTERN NATIONAL LIFE INS. CO 2271 SOUTH EAST 27TH AVE AMARILLO TX 79103

00G48 OPTUM HEALTH VISION POB 30978 SALT LAKE CITY UT 84130

00G49 IRON WORKERS LOCAL 40 361 & 417 FUND 451 PARK AVENUE SOUTH NY NY 10016

00G50 ENVISION RX PLUS POB 1298 TWINSBURG OH 44087

00G51 UMR POB 30541 SALT LAKE CITY UT 84130

00G52 UNIFIED LIFE INSURANCE POB 25326 OVERLAND PARK KS 66225

00G53 SCAN HEALTH PLAN POB 22698 LONG BEACH CA 90801

00G54 STIRLING BENEFITS INC. 20 ARMORY LANE MILFORD CT 6460

00G55 DENTAQUEST POB 9708 BOSTON MA 2114

00G56 ERIE INSURANCE POB 2013 MECHANICSBURG PA 17055

00G57 MEDICAL BENEFITS ADM. OF MD INC. PO BOX 950 FOREST HILL MD 21050

00G58 TODAY'S OPTIONS POB 742568 HOUSTON TX 77274

00G59 SXC HEALTH SOLUTION KROGER PRESCRIPTION PLAN POB 3163 LISLE IL 60532

00G60 HEALTHSMART BENEFIT SOLUTIONS POB 3262 CHARLESTON WV 25332

00G61 LIBERTY MUTUAL POB 49000 CHARLOTTE NC 28277

00G62 AMERICAN PUBLIC LIFE POB 925 JACKSON MS 39205

00G63 NATIONWIDE LIFE INS. CO POB 391438 CAMBRIDGE MA 2139

00G64 HUMANA POB 7533 CHICAGO IL 60680

00G65 CIGNA HEALTHCARE PPO CIGNA POB 188004 CHATTANOOGA TN 37422

00G66 FUTURE SCRIPTS 1909 MARKET STREET PHILADELPHIA PA 19103

00G67 BLUE CROSS BLUE SHIELD OF NC (DENTAL) POB 2100 WINSTON-SALEM NC 27102

00G68 EMBLEM HEALTH SERVICE 55 WATER STREET FLOOR 11 NEW YORK NY 10014

00G69 MEDICARE ADVANTAGE .......... POB 795180 SAN ANTONIO TX 78279

00G70 FUTURE SCRIPTS 1909 MARKET STREET PHILADELPHIA PA 19103

00G71 DELTA DENTAL OF COLORADO POB 173803 DENVER CO 80217

00G72 ANTHEM BLUE CROSS AND BLUE SHIELD POB 5747 DENVER CO 80217

00G73 PYRAMID LIFE INSURANCE COMPANY MEDICARE ADVANTAGE POB 742568 HOUSTON TX 77274

00G74 HUMANA VISION/DENTAL POB 30349 TAMPA FL 33630

00G75 HEALTH OPTIONS PROGRAM HOP ADMINISTRATION UNIT POB 2921 CLINTON IA 52733

00G76 MCDONALD'S INSURANCE PROGRAM POB 6702 COLUMBIA SC 29260

00G77 ADVANTICA EYECARE 3290 PINE ORCHARD LANE STE. D ELLICOTT CITY MD 21042

00G78 TRIGON INSURANCE COMPANY 165 COURT STREET ROCHESTER NY 14647

00G79 VISION BENEFITS OF AMERICA 300 WEYMAN PLAZA PITTSBURG PA 15236

00G80 AETNA GLOBAL BENEFITS POB 14199 LEXINGTON KY 40512

00G81 INNOVIANT POB 8082 WAUSAU WI 54402

00G82 TRICARE PRIME SKYLINE 5 STE. 810 5111 LEESBURG PIKE FALLS CHURCH VA 22041

00G83 UNITED HEALTHCARE AARP MEDICARE RX POB 29300 HOT SPRINGS AR 71903

00G84 EUROPEISKA -IKEA EURO-CENTER USA 140 W 57TH ST. STE 6A NEW YORK NY 10019

00G85 COVENTRY HEALTH GHP POB 7374 LONDON KY 40742

00G86 HARRINGTON HEALTH POB 2697 WICHITA KS 67201

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00G87 BLUE CROSS BLUE SHIELD KANSAS CITY POB 419169 KANSAS CITY MO 64141

00G88 THRIVENT FINANCIAL FOR LUTHERANS 4321 N. BALLARD RD. APLETON WI 54919

00G89 WAGEWORKS INC POB 1403 LEXINGTON KY 40512

00G90 CAREFIRST BLUE CROSS BLUE SHIELD 840 FIRST STREET NE WASHINGTON DC 20065

00G91 CORESOURCE POB 2920 CLINTON IA 52733

00G92 MERITAIN HEALTH POB 853921 RICHARDSON TX 75085

00G93 COVENTRY HEALTH CARE MAILHANDLERS DENTAL POB 8403 LONDON KY 40742

00G94 UNUM LIFE INS. CO. OF AMERICA 2211 CONGRESS STREET PORTLAND ME 4122

00G95 DAVIS VISION 159 EXPRESS STREET PLAINVIEW NY 11803

00G96 BC/BS FEDERAL EMPLOYEE PROGRAM 1310 G. STREET NW WASHINGTON DC 20005

00G97 UNITED CONCORDIA COMPANIES INC. DENTAL CLAIMS POB 69421 HARRISBURG PA 17106

00G98 CVS CAREMARK POB 52065 PHOENIX AZ 85072

00G99 WELLMONT MCA ADMINISTRATORS INC MANOR OAK TWO STE. 605 1910 COCHRAN ROAD PITTSBURG PA 15220

00H01 NATIONAL VISION ADMINISTRATORS LLC POB 2187 CLIFTON NJ 7015

00H02 GUARDIAN POB 95101 CHICAGO IL 60694

00H03 WISCONSIN PHYS SVCS TRICARE FOR LIFE POB 7890 MADISON WI 53707

00H04 NHEALTH 7202 GLEN FOREST DR RICHMOND VA 23226

00H05 DELTA DENTAL OF NORTH CAROLINA POB 1609 MINNEAPOLIS MN 55440

00H06 GHI POB 3000 NEW YORK NY 10116

00H07 NATIONWIDE HEALTH PLAN POB 420 SPRINGFIELD MA 1101

00H08 BC/BS ALLEGHENY POWER COBRA POB 535196 PITTSBURGH PA 15235

00H09 EYEBENEFITS 100 MORRIS PAUL CT. CHARLOTTESVILLE VA 22903

00H10 ADMINISTRATIVE CONCEPTS INC (ACI) 994 OLD EAGLE SCHOOL RD. STE. 100 WAYNE PA 19087

00H11 CIGNA DENTAL DMO POB 189060 PLANTATION FL 33318

00H12 ANTHEM BCBS BLUE CARD PPO POB 37010 LOUISVILLE KY 40233

00H13 CVS CAREMARK POB 52196 PHOENIX AZ 85072

00H14 EMPIRE BLUE CROSS BLUE SHIELD POB 5078 MIDDLETOWN NY 10940

00H15 CAREFIRST BLUE CROSS BLUE SHIELD POB 14115 LEXINGTON KY 40512

00H16 CENTRAL RESERVE LIFE INS. CO. GREAT AMERICAN SUPPLEMENTAL BENEFITS POB 30010 AUSTIN TX 78755

00H17 DENTA CHECK 5565 STERRETT PLACE SUITE 300 COLUMBIA MD 21044

00H18 WORLD CORP. INSURANCE POB 21690 EAGAN MN 55121

00H19 CVS CAREMARK POB 853901 RICHARDSON TX 75085

00H20 SOLERS KLAIS AND COMPANY 1867 W. MARKET ST. AKRON OH 44313

00H21 METLIFE DENTAL 4150 N. MULBERRY DR. SUITE 300 KANSAS CITY MO 64116

00H22 CVS CAREMARK ARIZONA POB 52136 PHOENIX AZ 85072

00H23 DENTAL NETWORK OF AMERICA DEARBORN NATIONAL DENTAL POB 23060 BELLEVILLE IL 62223

00H24 EXPRESS SCRIPTS MEMBER REIMBURSEMENT POB 390873 BLOOMINGTON MN 55439

00H25 NATIONWIDE LIFE INS. CO. POB 15750 WILMINGTON DE 19850

00H26 BLOCK VISION VISION INS. PLAN OF AMERICA POB 14035 MILWAUKEE WI 53214

00H27 TEXAS INTERNATIONAL LIFE POB 11007 WINSTON-SALEM NC 27116

00H28 UNION FIDELITY LIFE INSURANCE CO. POB 10841 CLEARWATER FL 33757

00H29 BENEFIT ADMIN SERVICES POB 14208 JACKSON MS 39236

00H30 ANTHEM DENTAL POB 9274 OXNARD CA 93031

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00H31 PREMERA BC/BS OF WASHINGTON STATE POB 91059 SEATTLE WA 98111

00H32 HOMELAND HEALTHCARE 825 MARKET STREET SUITE 300 ALLEN TX 75013

00H33 MADISON NATIONAL LIFE INS. CO. DENTAL 2U POB 5008 MADISON WI 53705

00H34 CVS CAREMARK ARIZONA 9501 E SHEA BLVD SCOTTSDALE AZ 85260

00H35 GEHA CONNECTION DENTAL FEDERAL POB 2336 INDEPENDENCE MO 64051

00H36 COMMERCIAL TRAVELERS MUTUAL INS. CO. 70 GENESEE STREET UTICA NY 13502

00H37 MIDWEST DENTAL BENEFITS 1335 INDUSTRIAL BLVD SUITE 100 MINNEAPOLIS MN 55413

00H38 BENEFIT ADMINISTRATIVE SYS. (BAS) 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD IL 60430

00H39 DENTAL 2U 29055 CLEMENS ROAD WESTLAKE OH 44145

00H40 AUSA MASTERCARE - AGIA CLAIMS POB 9060 PHOENIX AZ 85068

00H41 HUMANA ONE POB 14635 LEXINGTON KY 40512

00H42 HORIZON HEALTH POB 292580 LEWISVILLE TX 75029

00H43 AFTRA HEALTH & RETIREMENT 261 MADISON AVE NEW YORK NY 10016

00H44 EXPRESS SCRIPTS INC. POB 66583 ST. LOUIS MO 63166

00H45 SECURITY HEALTH PLAN POB 8000 1515 ST. JOSEPH AVE. MARSHFIELD WI 54449

00H46 NATIONAL BETTER LIVING ASSOCIATION 1300 VIRGINIA DRIVE STE. 315 FT. WASHINGTON PA 19034

00H47 SOUTHEAST COMMUNITY CARE ARCADIAN HEALTH PLANS INC. POB 4946 COVINA CA 91723

00H48 BLUE SHIELD OF CALIFORNIA POB 272540 CHICO CA 95927

00H49 BLUE CROSS BLUE SHIELD OF TEXAS C/O DENTAL NETWORK OF AMERICA POB 660247 DALLAS TX 75266

00H50 CIGNA VISION CLAIMS POB 997561 SACRAMENTO CA 95899

00H51 CVS CAREMARK PRESCRIPTION SVC. POB 14408 CINCINNATI OH 45250

00H52 KAISER PERMANENTE INS. CO. POB 261130 PLANO TX 75026

00H53 BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS POB 1460 LITTLE ROCK AR 72203

00H54 HIGHLANDS WELLMONT HEALTH NETWORK POB 515T BRISTOL TN 37621

00H55 CAREMARK POB 686005 SAN ANTONIO TX 78268

00H56 BLUE VIEW VISION POB 8504 MASON OH 45040

00H57 AMERICAN MARITIME OFFICERS MED PLAN POB 35 DANIA BEACH FL 33004

00H58 COVENTRY HEALTH CARE NATIONAL NETWORK POB 7404 LONDON KY 40742

00H59 ASSURANT HEALTH POB 2806 CLINTON IA 52733

00H60 PYRAMID LIFE INS. CO. POB 12922 PENSACOLA FL 32591

00H61 KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES POB 6233 ROCKVILLE MD 20849

00H62 UNIFIED GROUP SERVICE INC. PO BOX 10 PENDLETON IN 46064

00H63 ST. LAWRENCE-LEWIS INSURANCE POB 300 RICHVILLE NY 13681

00H64 OPERATING ENGINEERS LOCAL #147 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502

00H65 UNITED HEALTHCARE INTEGRATED SERVICES POB 30783 SALT LAKE CITY UT 84130

00H66 GE FINANCIAL ASSURANCE GROUP DENTAL BENEFITS POB 1477 GREENFIELD MA 1302

00H67 VSP 5700 GRANITE PARKWAY STE.455 PLANO TX 75024

00H68 ASSURANT POB 419423 KANSAS CITY MO 64141

00H69 PRIME THERAPEUTICS POB 64812 ST. PAUL MN 55164

00H70 UNITED TEACHER ASSOCIATES INS. CO. 5508 PARKCREST DRIVE POB 26580 AUSTIN TX 78755

00H71 CIGNA HEALTHCARE POB 188050 CHATTANOOGA TN 37422

00H72 AMA & ASSOCIATES LLC POB 659570 SAN ANTONIO TX 78265

00H73 VISION CARE POB 1525 LATHAM NY 12110

41

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00H74 MERITAIN HEALTH POB 27725 MINNEAPOLIS MN 55427

00H75 DELTA DENTAL OF IOWA POB 9020 JOHNSTON IA 50131

00H76 BC/BS OF ALABAMA - DENTAL POB 830389 BIRMINGHAM AL 35283

00H77 LAFAYETTE LIFE INS. CO. POB 7007 1905 TEAL ROAD LAFAYETTE IN 47903

00H78 UNITED HEALTHCARE POB 30551 SALT LAKE CITY UT 84130

00H79 DELTA DENTAL OF IOWA POB 919 ANKENY IA 50021

00H80 WASHINGTON NAT'L INS. CO - CONSECO POB 2034 CARMEL IN 46082

00H81 EMPIRE BLUE CROSS BLUE SHIELD POB 5012 MIDDLETOWN NY 10940

00H82 INDEPENDENT HEALTH POB 9066 BUFFALO NY 14231

00H83 UNITED HEALTHCARE VISION 2811 LORD BALTIMORE DRIVE BALTIMORE MD 21244

00H84 AM.PROGRESSIVE LIFE & HEALTH CO. OF NY POB 130 PENSACOLA FL 23591

00H85 UNITED HEALTHCARE POB 31382 SALT LAKE CITY UT 84131

00H86 AETNA GLOBAL BENEFITS POB 981543 EL PASO TX 79998

00H87 METLIFE DENTAL 1 MADISON AVE. NEW YORK NY 10010

00H88 DOMINION DENTAL SERVICES 115 SOUTH UNION SUITE 300 ALEXANDRIA VA 23314

00H89 HOPEWELL MENNONITE SHARING PLAN POB 129 MORGANTOWN PA 19543

00H90 ANTHEM DENTAL CLAIMS POB 1115 MINNEAPOLIS MN 55440

00H91 CSA FRATERNAL LIFE POB 30010 AUSTIN TX 78755

00H92 CAREFIRST BC/BS FED EMPLOYEE BENEFITS MAILROOM ADMINISTRATOR POB 14113 LEXINGTON KY 40512

00H93 HCC LIFE INS. CO. POB 863 INDIANAPOLIS IN 46206

00H94 CSA FRATERNAL LIFE POB 30010 AUSTIN TX 78755

00H95 ALASKA CARE WELLS FARGO INS. SVCS. POB 99004 ANCHORAGE AK 99509

00H96 ANTHEM BC/BS DENTAL ADMINISTRATIVE OFC. POB 659444 SAN ANTONIO TX 78265

00H97 RITE AID HEALTH SOLUTIONS-MEDCO 30 HUNTER LANE CAMP HILL PA 17011

00H98 A. G. ADMINSTRATORS CLAIMS DEPARTMENT POB 979 VALLEY FORGE PA 19482

00H99 UNITED HEALTHCARE OPTIONS PPO COMPASS ROSE HEALTH PLAN POB 6430 ANNAPOLIS MD 21401

00I01 SENIOR HEALTH INSURANCE CO. OF PA. POB 64913 ST. PAUL MN 55164

00I02 SECURIAN DENTAL POB 9385 MINNEAPOLIS MN 55440

00I03 CIGNA INTERNATIONAL POB 15050 WILMINGTON DE 19850

00I04 FAMILY LIFE INSURANCE COMPANY MANHATTAN INSURANCE GROUP POB 925309 HOUSTON TX 77292

00I05 AMERITAS POB 82520 LINCOLN NE 68501

00I06 MEGA LIFE AND HEALTH POB 981606 EL PASO TX 79998

00I07 UNITED HEALTHCARE CHOICE PLUS POB 30884 SALT LAKE CITY UT 84130

00I08 CVS CAREMARK POB 52116 PHOENIX AZ 85072

00I09 PRO HEALTH COMMUNITY HEALTH NETWORK POB 50407 INDIANAPOLIS IN 46250

00I10 HEALTHSMART BENEFIT SOLUTIONS PERDUE DIRECT MEDICAL POB 2801 CHARLESTON WV 25330

00I11 ARROWPOINT CAPITAL 3600 ARCO CORPORATE DRIVE CHARLOTTE NC 28273

00I12 MAGNACARE POB 1001 GARDEN CITY NY 11530

00I13 PROFESSIONAL RISK MANAGEMENT POB 1049 YOUNGSTOWN OH 44501

00I14 INFORMED-UNITED HEALTH CARE COMBINED GOV. HEALTH PLAN POB 9709 ARNOLD MD 21012

00I15 DEARBORN NATIONAL 36788 EAGLE WAY CHICAGO IL 60678

00I16 EXPRESS SCRIPTS POB 8545 BENSALEM PA 19020

00I17 INTERNATIONAL MEDICAL GROUP (IMG) POB 88500 INDIANAPOLIS IN 46208

42

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00I18 CAREFIRST ADMINISTRATORS POB 981608 EL PASO TX 79998

00I19 CITIZENS SECURITY LIFE INSURANCE POB 436149 LOUISVILLE KY 40253

00I20 UNIVERSAL HEALTH CARE INS. CO. POB 3211 ST. PETERSBURG FL 33731

00I21 TRANSCHOICE POB 1279 FORT MILL SC 29716

00I22 CVS CAREMARK PRESCRIPTION SVCS - CAP ONE CAPITOL ONE POB 659529 SAN ANTONIO TX 78625

00I23 DELTA DENTAL OF CALIFORNIA POB 7736 SAN FRANCISCO CA 94120

00I24 ANTHEM OF CALIFORNIA NORTHROP GRUMMAN POB 4318 LOS ANGELES CA 90068

00I25 HUMANA HUMANA POB 14611 LEXINGTON KY 40512

00J01 AETNA P. O. BOX 14079 LEXINGTON KY 40512

00J02 ACE AMERICAN INSURANCE COMPANY ADMINISTRATIVE CONCEPTS INC 994 OLD EAGLE SCHOOL ROAD STE 1005 WAYNE PA 19087

00J03 HEALTH CHOICE P. O. BOX 24870 OKLAHOMA CITY OK 73124

00J04 INFORMED RX 2241 WARRENVILLE ROAD LISLE IL 60532

00J05 RELIANCE STANDARD LIFE INS. CO. POB 82510 LINCOLN NE 68501

00J06 BC/BS OF NORTHEASTERN NEW YORK POB 5132 BUFFALO NY 14240

00J07 INDEPENDENCE BLUE CROSS OF PENNSYLVANIA POB 69352 HARRISBURG PA 17106

00J08 AMERICAN MEDICAL AND LIFE INS. CO. NCE ADVANTAGE 500 POB 1353 CHICAGO IL 60690

00J09 KROGER PHARMACY 1014 VINE ST. CINCINNATI OH 45202

00J10 CVS/CAREMARK POB 270 PITTSBURGH PA 15230

00J11 AMERICAN CONTINENTAL INS. CO. POB 2368 BRENTWOOD TN 37024

00J12 3P ADMINISTRATORS POB 247 ONALASKA WI 54650

00J13 HEALTHSCOPE BENEFITS POB 99006 LUBBOCK TX 79490

00J14 HARVARD PILGRIM HEALTH CARE POB 699183 QUINCY MA 2269

00J15 COORDINATED BENEFIT PLANS POB 21517 EAGAN MN 55121

00J16 UNITED HEALTHCARE POB 30557 SALT LAKE CITY UT 84130

00J17 DOMINION DENTAL POB 75314 CHARLOTTE NC 28275

00J18 AMERIPRISE FINANCIAL RIVERSOURCE LIFE INS. CO. 227 AMERIPRISE FINANCIAL CENTER MINNEAPOLIS MN 55474

00J19 PHYSICIAN'S HEALTH PLAN (PHP) POB 2359 FORT WAYNE IN 46801

00J20 CAREFIRST BLUE CROSS/BLUE SHIELD NATL CLAIMS ADMINISTRATION SVCS-NCAS POB 981610 EL PASO TX 79998

00J21 GEM GROUP RODMAN LOCAL UNION 201 WELFARE FUND 6009 OXON HILL RD. STE. 416 OXON HILL MD 20745

00J22 BC/BS OF WESTERN NEW YORK POB 80 BUFFALO NY 14240

00J23 CORNERSTONE BENEFITS ADMINISTRATOR POB 1007 ELKHART IN 46515

00J24 LIBERTY MUTUAL INS. CO. 301 CONCOURSE BLVD. STE.200 GLEN ALLEN VA 23059

00J25 ANTHEM BLUE CROSS BLUE SHIELD POB 791273 BALTIMORE MD 21279

00J26 LAS VEGAS FIREFIGHTERS HEALTH & WELFARE POB 26718 LAS VEGAS NV 89126

00J27 PRUDENTIAL POB 11210 SANTA ANA CA 92711

00J28 ECHO HEALTH INC 896 CORPORATE WAY WESTLAKE OH 44145

00J29 HOMELAND HEALTHCARE HAMMERMAN & GAINER INC. 122 W. JOHN CARPENTER FREEWAY STE 485IRVING TX 75039

00J30 GM SOUTHWEST POB 660 DALEVILLE VA 24083

00J31 J. P. FARLEY CORP. POB 458022 WESTLAKE OH 4145

00J32 HEALTH NET POB 14700 LEXINGTON KY 40512

00J33 ST. JOHN'S CLAIMS ADMINISTRATION POB 14230 SPRINGFIELD MO 65814

00J34 CRESTPOINT HEALTH POB 3620 AKRON OH 44309

00J35 BC/BS OF WESTERN NEW YORK 257 W. GENESEE ST. BUFFALO NY 14202

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00J36 LBA HEALTH PLANS POB 981801 EL PASO TX 79998

00J37 AVMA GROUP HEALTH & LIFE INS. TRUST POB 909720 CHICAGO IL 60690

00J38 HEALTHSMART BENEFIT SOLUTIONS POB 2857 FAYETTEVILLE NC 28302

00J39 UNITED HEALTHCARE POB 30985 SALT LAKE CITY UT 84130

00J40 HUMANA COMPBENEFITS DENTAL DENTAQUEST POB 14287 LEXINGTON KY 40512

00J41 DESERET MUTUAL POB 45530 SALT LAKE CITY UT 84145

00J42 UNITEDHEALTH INTERNATIONAL POB 740372 ATLANTA GA 30374

00J43 GUARDIAN DENTAL 47 SOUTH COMMERCE WAY BETHLEHEM PA 18017

00J44 PRESCRIPTION SOLUTIONS POB 29045 HOT SPRINGS AR 71903

00J45 PEKIN LIFE INS. CO. SCOTT BROS. INS. AGENCY 2505 COURT ST. PEKIN IL 61558

00J46 COMPREHENSIVE BENEFITS DANA LIMITED POB 9009 MELVILLE NY 11747

00J47 KAISER PERMANENTE OF COLORADO CLAIMS ADMINISTRATION POB 373150 DENVER CO 80237

00J48 BRMS (BENEFIT & RISK MGMT. SVCS.) POB 2140 FOLSOM CA 95763

00J49 COMPASS ROSE HEALTH PLAN POB 6430 ANNAPOLIS MD 21401

00J50 DAVIS VISION POB 931 LATHAM NY 12110

00J51 FIDELIS CARE NEW YORK 8 SOUTHWOODS BLVD. ALBANY NY 12211

00J52 ADVENTIST RISK MANAGEMENT POB 1021 HORSHAM PA 19044

00J53 CONEXIS COBRA SERVICES POB 226101 DALLAS TX 75222

00J54 CIGNA 1000 GREAT-WEST DRIVE KENNETT MO 63857

00J55 CORIS USA 11900 BISCAYNE BLVD. MIAMI FL 33181

00J56 ABS (AUTOMATED BENEFIT SERVICES) POB 37705 OAK PARK MI 48237

00J57 MWG DENTAL POB 30567 SALT LAKE CITY UT 84130

00J58 HARTFORD LIFE & ACCIDENT CO. POB 2838 ATT: UMR-0704 CLINTON IA 52733

00J59 SEVEN CORNERS INC 303 CONGRESSIONAL BLVD. CARMEL IN 46032

00J60 AMERICAN HERITAGE LIFE INS. CO. POB 853916 RICHARDSON TX 75085

00J61 UFCW & EMPLOYEES HLTH & WELFARE FUND 412 TENNESSEE AVE STE 200 CHARLESTON WV 25302

00J62 OHIO CARPENTERS HEALTH & WELFARE FUND 6281 YOUNGSTOWN-WARREN RD. STE.240 NILES OH 44446

00J63 CIGNA HEALTHCARE CIGNA ONEVIEW POB 3050 EASTON PA 18043

00J64 LIBERTY DENTAL PLAN POB 26110 SANTA ANA CA 92799

00J65 VISION SERVICE PLAN 334 EAST LAKE ROAD #306 PALM HARBOR FL 34685

00J66 MET LIFE DENTAL 501 US HIGHWAY 22 BRIDGEWATER NJ 8807

00J67 SEDGWICK CLAIMS MGMT. SVCS. INC. 1800 BAYBERRY CT. #200 RICHMOND VA 23226

00J68 SUMMIT AMERICA INSURANCE 7400 COLLEGE BLVD. SUITE 100 OVERLAND PARK KS 66210

00J69 MAJESTACARE POB 63545 PHOENIX AZ 85082

00J70 FINGER LAKES RX P. O. BOX 22999 ROCHESTER NY 14692

00J71 UNITED HEALTHCARE 22703 NETWORK PLACE CHICAGO IL 60673

00J72 CHARTIS ACCIDENT & HLTH CLAIMS TIS CLAIMS UNIT POB 25987 SHAWNEE MISSION KS 66225

00J73 TRANSCHOICE PLUS POB 90847 LAKELAND FL 33804

00J74 COMPASS ROSE HEALTH PLAN POB 141501 NASHVILLE TN 37214

00J75 PREMERA BLUE CROSS BLUE SHIELD OF ALASKA POB 240609 ANCHORAGE AK 99524

00J76 MONUMENTAL LIFE INSURANCE POB 93019 HURST TX 76053

00J77 TRANSAMERICA LIFE INS. CO POB 310 GRAPEVINE TX 76099

00J78 AMERICAN ZURICH INC. CO. POB 968053 SCHAUMBURG IL 60196

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April 2014

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00J79 BEECH STREET CORP. POB 853925 RICHARDSON TX 75085

00J80 INDEPENDENCE ADMINISTRATORS (TPA) UNITED CONCORDIA - MACSTEEL SVC. CTR. POB 1010 HORSHAM PA 19044

00J81 CLARK COUNTY SELF-FUNDED PLAN ABPA & ZENITH AMERICAN SOLUTIONS POB 3825 SEATTLE WA 98124

00J82 ROYAL NEIGHBORS OF AMERICA POB 10851 CLEARWATER FL 33757

00J83 MISSOURI CONSOLIDATED HEALTH CARE PLAN POB 104355 832 WEATHERED ROCK CT. JEFFERSON CITY MO 65110

00J84 CARILION CLINIC MEDICARE HEALTH PLAN POB 3237 SCRANTON PA 18505

00J85 UNITED STATES CONTRACTORS TRUST 1799 W. 5TH AVE. COLUMBUS OH 43212

00J86 MEDCO HEALTH POB 747050 CINCINNATI OH 45274

00J87 UNITED HEALTHCARE PHARMACY POB 14711 LEXINGTON KY 40512

00J88 PCIP (PRE-EXISTING CONDITION INS. PLAN) ADMINISTERED BY GEHA POB 300 INDEPENDENCE MO 64501

00J89 DC DENTAL SERVICE POB 90583 WASHINGTON DC 20090

00J90 BC/BS OF FLORIDA - NATIONAL ACCTS. POB 3355 PITTSBURGH PA 15230

00J91 HIGHMARK BLUE SHIELD FREEDOM BLUE POB 14711 LEXINGTON KY 40512

00J92 MUTUAL OF OMAHA 3316 FARNAM ST. OMAHA NE 68175

00J93 PREMIER ACCESS POB 659020 SACRAMENTO CA 95865

00J94 INSURANCE DESIGN ADMINISTRATORS POB 875 OAKLAND NJ 7436

00J95 WELBORN HEALTH PLANS 101 SE THIRD ST. EVANSVILLE IN 47708

00J96 FORETHOUGHT LIFE INS. POB 981721 EL PASO TX 79998

00J97 BC/BS OF ILLINOIS 3290 E. MAIN STREET DANVILLE IL 61834

00J98 DELTA DENTAL OF KANSAS POB 49198 WICHITA KS 67201

00J99 SURENCY LIFE AND HEALTH POB 789773 WICHITA KS 67201

00K01 METLIFE LONG TERM CARE GROUP POB 937 WESTPORT CT 6881

00K02 UNITED HEALTH INTEGRATED SERVICES POB 30783 SALT LAKE CITY UT 84130

00K03 DENEX DENTAL POB 7402 LONDON KY 40742

00K04 INTERNATIONAL BENEFITS 100 GARDEN CITY PLAZA SUITE 102 GARDEN CITY NY 11530

00K05 GEISINGER GOLD 100 NORTH ACADEMY AVE. DANVILLE PA 17822

00K06 HEALTHSCOPE BENEFITS 5150 E. DUBLIN GRANVILLE RD. STE. 300 WESTERVILLE OH 43081

00K07 BABCOCK & WILCOX RETIREE HLTH CARE PLAN 12421 MEREDITH DRIVE URBANDALE IA 50398

00K08 HUMANA OF PUERTO RICO POB 192059 SAN JUAN PR 919

00K09 DELTA DENTAL WASHINGTON DENTAL SERVICES POB 75983 SEATTLE WA 98175

00K10 GOLDEN RULE POB 31374 SALT LAKE CITY UT 84131

00K11 CLAIMS MANAGEMENT INC. POB 1288 BENTONVILLE AK 72712

00K12 DAVIS VISION C/O H M LIFE INSURANCE CO. POB 382038 PITTSBURG PA 15251

00K13 BLUE CROSS OF NORTHEASTERN PENNSYLVANIA 19 NORTH MAIN STREET WILKES-BARRE PA 18711

00K14 DAVIS VISION 175 E. HOUSTON ST. SAN ANTONIO TX 78205

00K15 EMPLOYER'S VISION TRUST VISION SERVICE PLAN ONE ENTERPRISE DR. STE 210 SHELTON CT 6484

00K16 FEP BLUE VISION POB 2010 LATHAM NY 12110

00K17 UPMC HEALTH PLAN POB 2999 PITTSBURGH PA 15230

00K18 UNICARE POB 8504 MASON OK 45040

00K19 THE DENTAL NETWORK 1501 S. CLINTON ST 6TH FL BALTIMORE MD 21224

00K20 HTH WORLDWIDE HIGHWAY TO HEALTH INS. CO. ONE RADNOR CORP. CTR. STE. 100 RADNOR PA 19087

00K21 OPERATING ENG. TRUST FUND LOCAL 77 FUND OFFICE 911 RIDGEBROOK ROAD SPARKS MD 21152

00K22 ANTHEM BLUE CROSS BLUE SHIELD POB 105187 ATLANTA GA 30348

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00K23 CAPITOL ADMINISTRATORS OF THE SOUTHEAST 1002 MACY DRIVE ROSWELL GA 30076

00K24 ANTHEM BLUE CROSS BLUE SHIELD POB 54159 LOS ANGELES CA 90054

00K25 GUARDIAN DENTAL POB 677458 DALLAS TX 75267

00K26 EXPRESS SCRIPTS POB 2872 CLINTON IA 52733

00K27 SAMBA FEDERAL HEALTH PLAN 11301 OLD GEORGETOWN ROAD ROCKVILLE MD 20852

00K28 NORTHWESTERN MUTUAL LIFE BENEFITS DIVISION POB 2972 MILWAUKEE WI 53201

00K29 HUMAN RESOURCE INCORPORATED POB 659 EVANSVILLE IN 47704

00K30 TUFTS HEALTH PLAN POB 9171 WATERTOWN MA 2471

00K31 COORDINATED BENEFIT PLANS POB 21575 EAGAN MN 55121

00K32 NEW YORK STATE INS. FUND 105 CORPORATE PARK DR. SUITE 200 WHITE PLAINS NY 10604

00K33 ALLEGIANCE LIFE & HEALTH INS. CO. POB 3018 MISSOULA MT 59806

00K34 KEY BENEFIT ADMINISTRATORS POB 1929 FORT MILL SC 29716

00K35 DEARBORN NATIONAL POB 23060 BELLEVILLE IL 62223

00K36 DIRECT CARE ADMINISTRATORS POB 5000 SPRINGVILLE UT 84663

00K37 SOUTHERN BENEFIT ADMINISTRATORS INC POB 1449 GOODLETTSVILLE TN 37070

00K38 AZIMUTH RISK SOLUTION POB 627 INDIANAPOLIS IN 46206

00K39 MAYO MEDICAL PLAN MMSI 4001 41ST STREET NW ROCHESTER MN 55901

00K40 OPTUM RX POB 29044 HOT SPRINGS AR 71903

00K41 WELL POINT POB 105187 ATLANTA GA 30348

00K42 TRANSAMERICA LIFE INSURANCE CO. POB 8043 LITTLE ROCK AR 72203

00K43 SELECT HEALTH POB 30192 SALT LAKE CITY UT 84130

00K44 GLOBAL CLAIMS ADMINISTRATION 3195 LINWOOD RD. STE. 201 CINCINNATI OH 45208

00K45 ACS BENEFIT SVCS/GLOBAL CARE INC POB 247 ALPHARETTA GA 30009

00K46 FIRST HEALTH POB 7820 LONDON KY 40742

00K47 INDEPENDENCE ADMINISTRATORS POB 21974 EAGAN MN 55121

00K48 FUTURESCRIPTS POB 99 AVON LAKE OH 44012

00K49 ANTHEM BC/BS-FEDERAL EMPLOYEE PRG P. O. BOX 105557 ATLANTA GA 30348

00K50 UNICARE P. O. BOX 60099 LOS ANGELAS CA 90060

00K51 AMERIPLAN USA CORPORATION 5700 DEMOCRACY DRIVE PLANO TX 75024

00K52 SPECTERA POB 30978 SALT LAKE CITY UT 84130

00K53 SELECTHEALTH POB 30192 SALT LAKE CITY UT 84130

00K54 VSP 3400 MORSE CROSSING COLUMBUS OH 43219

00K55 DELTA DENTAL OF SOUTH DAKOTA POB 1157 720 N. EUCLID AVE PIERRE SD 57501

00K56 AMERICAN BENEFITS CORP. 3150 US RT. 60 ONA WV 25545

00K57 HCC MEDICAL INSURANCE SERVICES BOX 2005 FARMINGTON HILL MI 48333

00K58 BOLLINGER POB 727 SHORT HILLS NJ 7078

00K59 CATAMARAN RX POB 968022 SCHAUMBURG IL 60196

00K60 CIGNA DENTAL 1601 CHESTNUT ST. PHILADELPHIA PA 19192

00K61 QUALITY PLAN ADMINISTRATORS 7824 EASTERN AVE NW WASHINGTON DC 20012

00K62 UNION BANKERS INS. CO. POB 130 PENSACOLA FL 32591

00K63 MULTIPLAN POB 6090 DEPERE WI 54115

00K64 COMPASS ROSE HEALTH PLAN - UMR POB 8095 WAUSAU WI 54402

00K65 HEALTH FIRST POB 958438 LAKE MARY FL 32795

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April 2014

CARRIER CODE CARRIER NAME ADDR LN1 ADDR LN2 CITY STATE ZIP

00K66 VSP ONE GATEHALL DRIVE PARSIPPANY NJ 7054

00K67 CORVESTA SERVICES INC. POB 12806 ROANOKE VA 24028

00K68 ABILITY RESOURCES POB 3735 OMAHA NE 68103

00K69 VIRGINIA UNITED METHODIST PENSIONS INC POB 5606 10330 STAPLES MILL ROAD GLEN ALLEN VA 23058

00K70 UNITED HEALTHCARE DENTAL 800 KING FARM BLVD #600 ROCKVILLE MD 20850

00K71 HIGHMARK BLUE CROSS BLUE SHIELD POB 3355 PITTSBURGH PA 15230

00K72 UNITED HEALTHCARE VISION 6220 OLD DOBBIN LANE LIBERTY 6 STE 100 COLUMBIA MD 21045

00K73 HTH WORLDWIDE POB 30259 TAMPA FL 33630

00K74 PARTNERS RX 3515 HARBOR BLVD COSTA MESA CA 92626

00K75 UNITED HEALTHCARE IBM CLAIMS POB 740831 ATLANTA GA 30374

00K76 BLUE CROSS BLUE SHIELD POB 805107 CHICAGO IL 60680

00K77 UNITED HEALTHCARE NEIGHBORHOOD HEALTH PARTNERSHIP POB 5210 KINGSTON NY 12402

00K78 FREEDOM LIFE INS. CO. OF AMERICA POB 1628 ADDISON TX 75001

00K79 AETNA POB 5008 BRENTWOOD TN 37024

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