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Carrier ID Carrier Name Carrier Address1 Carrier City Carrier State Carrier Zip 2171 HEALTH COST SOLUTIONS PO BOX 1439 Hendersonville TN 37077-0000 0177 1199 SEIU LOCAL 144 WELFARE & PENSION FUND 330 WEST 42ND STREET New York NY 10036-6977 0267 3P ADMINISTRATORS PO BOX 247 Onalaska WI 54650-0000 0720 AARP PO Box 740819 Atlanta GA 30374-0819 9029 AARP MEDICARE COMPLETE (M-HMO) PO BOX 31362 Salt Lake City UT 84131-0362 8416 ABATEMENT WORKERS NATIONAL HEALTH & WELFARE Troy MI 48084-0000 7851 ACS PO Box 2000 Winston-Salem NC 27102-0000 0124 ADMINISTRATIVE CONCEPTS INC 994 OLD EAGLE SCHOOL ROAD Chesterbrook PA 19087-1802 0176 ADMINISTRATIVE ENTERPRISES IN 5810 WEST BEVERLY LANE Glendale AZ 85306-0000 0148 ADMINISTRATIVE SERVICES INC 2187 NORTHLAKE PARKWAY Tucker GA 30084-0000 0238 ADVANTAGE HEALTH SOLUTIONS 9490 PRIORITY WASY Indianapolis IN 46240-0000 7332 ADVANTAGE HLTH CONGRESS LIFE 121 SEVENTH ST Pittsburgh PA 15222-0000 9024 ADVANTRA COVENTRY (M-HMO) PO BOX 7822 London KY 40742-0000 0061 ADVENTIST RISK MANAGEMENT PO Box 4759 Silver Spring MD 20914-0000 8306 AETNA PO Box 98106 Houston TX 77000-0000 9004 AETNA (M-HMO) PO BOX 981107 El Paso TX 79998-0000 0246 AETNA CONTINENTAL LIFE INS CO (SUPPLEMENTAL A&B) 800 CRESCENT DRIVE Franklin TN 37067-0000 8307 AETNA DENTAL PO Box 14091 Lexington KY 40912-4091 7877 AETNA PHARMACY MANAGEMENT PO Box 398106 Edina MN 55435-0000 8305 AETNA VISION PO Box 981109 El Paso TX 79998-0000 0170 AFLAC (AMERICAN FAMILY LIFE 1932 WYNNTON RD Columbus GA 31999-0000 0323 AH - IDAHO TEAMSTERS 2425 N CENTRAL EXPRESSWAY Richardson TX 75080-0000 0237 AIG LIFE INSURANCE 72 WALL STREET, 14TH FLOOR New York NY 10005-2800 8284 ALL RISK ADMINISTRATORS, INC PO Box 66237 Saint Petersburg FL 33736-0000 0282 ALLEGEANT ACCOUNTABLE CARE SOLUTIONS PO BOX 981801 El Paso TX 79998-1801 0276 ALLEGIANCE BENEFIT PLAN MANGEMENT INC PO BOX 3018 Missoula MT 59806-3018 0375 ALLIANCE COAL HEALTH PLAN PO BOX 211577 Eagan MN 55121-0000 2590 ALLIED BENEFIT ADMIN PO Box 59 Huntington WV 25706-0000 3780 AMALGAMATED LIFE INSURANCE C PO Box 1440 New York NY 10116-1451 8207 AMERI HEALTH PO Box 380786 Birmingham AL 35238-0786 0063 AMERIBEN SOLUTIONS PO Box 7186 Boise ID 83707-0000 9037 AMERICA'S 1st CHOICE of SC 250 BERRYHILL ROAD #311 Columbia SC 29210-0000 0174 AMERICA'S CHOICE HEALTH PLAN PO BOX 55690 King of Prussia PA 19406-0000 4170 AMERICAN BENEFIT CORP. PO Box 2687 Huntington WV 25726-0000 8212 AMERICAN BENEFIT MANAGEMENT PO Box 35008 Canton OH 44735-0000 Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

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  • Carrier ID Carrier Name Carrier Address1 Carrier City Carrier State Carrier Zip2171 HEALTH COST SOLUTIONS PO BOX 1439 Hendersonville TN 37077-0000

    0177 1199 SEIU LOCAL 144 WELFARE & PENSION FUND 330 WEST 42ND STREET New York NY 10036-6977

    0267 3P ADMINISTRATORS PO BOX 247 Onalaska WI 54650-0000

    0720 AARP PO Box 740819 Atlanta GA 30374-0819

    9029 AARP MEDICARE COMPLETE (M-HMO) PO BOX 31362 Salt Lake City UT 84131-0362

    8416 ABATEMENT WORKERS NATIONAL HEALTH & WELFARE Troy MI 48084-0000

    7851 ACS PO Box 2000 Winston-Salem NC 27102-0000

    0124 ADMINISTRATIVE CONCEPTS INC 994 OLD EAGLE SCHOOL ROAD Chesterbrook PA 19087-1802

    0176 ADMINISTRATIVE ENTERPRISES IN 5810 WEST BEVERLY LANE Glendale AZ 85306-0000

    0148 ADMINISTRATIVE SERVICES INC 2187 NORTHLAKE PARKWAY Tucker GA 30084-0000

    0238 ADVANTAGE HEALTH SOLUTIONS 9490 PRIORITY WASY Indianapolis IN 46240-0000

    7332 ADVANTAGE HLTH CONGRESS LIFE 121 SEVENTH ST Pittsburgh PA 15222-0000

    9024 ADVANTRA COVENTRY (M-HMO) PO BOX 7822 London KY 40742-0000

    0061 ADVENTIST RISK MANAGEMENT PO Box 4759 Silver Spring MD 20914-0000

    8306 AETNA PO Box 98106 Houston TX 77000-0000

    9004 AETNA (M-HMO) PO BOX 981107 El Paso TX 79998-0000

    0246 AETNA CONTINENTAL LIFE INS CO (SUPPLEMENTAL A&B) 800 CRESCENT DRIVE Franklin TN 37067-0000

    8307 AETNA DENTAL PO Box 14091 Lexington KY 40912-4091

    7877 AETNA PHARMACY MANAGEMENT PO Box 398106 Edina MN 55435-0000

    8305 AETNA VISION PO Box 981109 El Paso TX 79998-0000

    0170 AFLAC (AMERICAN FAMILY LIFE 1932 WYNNTON RD Columbus GA 31999-0000

    0323 AH - IDAHO TEAMSTERS 2425 N CENTRAL EXPRESSWAY Richardson TX 75080-0000

    0237 AIG LIFE INSURANCE 72 WALL STREET, 14TH FLOOR New York NY 10005-2800

    8284 ALL RISK ADMINISTRATORS, INC PO Box 66237 Saint Petersburg FL 33736-0000

    0282 ALLEGEANT ACCOUNTABLE CARE SOLUTIONS PO BOX 981801 El Paso TX 79998-1801

    0276 ALLEGIANCE BENEFIT PLAN MANGEMENT INC PO BOX 3018 Missoula MT 59806-3018

    0375 ALLIANCE COAL HEALTH PLAN PO BOX 211577 Eagan MN 55121-0000

    2590 ALLIED BENEFIT ADMIN PO Box 59 Huntington WV 25706-0000

    3780 AMALGAMATED LIFE INSURANCE C PO Box 1440 New York NY 10116-1451

    8207 AMERI HEALTH PO Box 380786 Birmingham AL 35238-0786

    0063 AMERIBEN SOLUTIONS PO Box 7186 Boise ID 83707-0000

    9037 AMERICA'S 1st CHOICE of SC 250 BERRYHILL ROAD #311 Columbia SC 29210-0000

    0174 AMERICA'S CHOICE HEALTH PLAN PO BOX 55690 King of Prussia PA 19406-0000

    4170 AMERICAN BENEFIT CORP. PO Box 2687 Huntington WV 25726-0000

    8212 AMERICAN BENEFIT MANAGEMENT PO Box 35008 Canton OH 44735-0000

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  • 3170 AMERICAN COMBINED LIFE INS CO PO Box 1009 Langhorne PA 19047-0000

    6660 AMERICAN COMMERCIAL TERMINAL PO Box 610 Jeffersonville IN 47130-0000

    5700 AMERICAN COMMUNITY 39201 SEVEN MILE RD Livonia MI 48152-0000

    3630 AMERICAN GENERAL LIFE & ACCI PO Box 1500 Nashville TN 37202-1500

    0184 AMERICAN HEALTHCARE 2217 Plaza Drive Rocklin CA 95765-0000

    0175 AMERICAN HERITAGE LIFE 1776 AMERICAN HERITAGE DRIVE Jacksonville FL 32224-6687

    7254 AMERICAN MEDICAL SECURITY/UHC PO Box 19032 Green Bay WI 54307-9032

    7035 AMERICAN NATIONAL LIFE of TX One Moody Plaza Galveston TX 77553-1790

    9011 AMERICAN PROG/TODAY'S OPTIONS (M-HMO) 6 International Drive Rye Brook NY 10573-1068

    0194 AMERICAN REPUBLIC INSURANCE COMPNAY PO BOX 1 Des Moines IA 50306-0001

    0247 AMERICAN RETIREMENT LIFE INSURANCE COM PO BOX 30010 Austin TX 78755-3010

    8246 AMERIHEALTH ADMINISTRATORS 720 BLAIRMILL RD. Horsham PA 19044-0000

    7704 AMERISCRIPT (RX) 4301 Darrow Road Stow OH 44224-0000

    7312 AMERITAS LIFE INS. CORP. PO Box 82520 Lincoln NE 68501-2520

    0339 ANTHEM BCBS MAINE 2 GANNETT DRIVE Portland ME 41066-909

    0338 ANTHEM BCBS NEW HAMPSHIRE FEDERAL EMPLOYEES PO BOX 105557 Nunez GA 30448-5557

    8140 ANTHEM BCBS of CALIFORNIA PO BOX 4152 Woodland Hills CA 91365-0000

    0070 ANTHEM BCBS of KENTUCKY PO Box 37690 Louisville KY 40233-0000

    6710 ANTHEM BCBS of MISSOURI PO Box 14882 Saint Louis MO 63178-4882

    0299 ANTHEM BCBS of NEVADA PO BOX 5747 Denver CO 80217-5747

    0296 ANTHEM BCBS of NEW HAMPSHIRE 1155 ELM STREET #200 Manchester NH 31010-000

    8419 ANTHEM BCBS of VA PO Box 27401 Richmond VA 23279-0000

    2334 ANTHEM BCBS of VIRGINIA 120 MONUMENT CIRCLE Indianapolis IN 46204-0000

    8128 ANTHEM BENEFITS PO Box 18015 Columbus OH 43218-8015

    8309 ANTHEM DENTAL 555 MIDDLE CREEK PARKWAY Colorado

    Springs

    CO 80921-0000

    2180 ANTHEM of VA NATIONAL ACCOUNTS PO Box 27401 Richmond VA 23279-0000

    1125 ANTHEM VISION 555 Middle Creek Colorado

    Springs

    CO 80921-0000

    0341 APEX BENEFIT SERVICES PO BOX 3620 Akron OH 44309-3620

    0244 APPRO RX 415 SOUTH MAIN STREET Waynesville OH 45068-0000

    9022 APWU (M-HMO) PO BOX 967 Silver Spring MD 20910-0000

    1950 APWU--AMERICAN POSTAL WORKERS UNION PO Box 967 Silver Spring MD 20910-0000

    8004 ASC ADMIN. SERVICE CONSULT. PO Box 928 Findlay OH 45839-0000

    0288 ASR CORPORATION PO BOX 6392 Grand Rapids MI 49516-6392

    2832 ASSURANT HEALTH PO BOX 42033 Hazelwood MO 63042-0000

    5110 ASSURANT HEALTH [FORTIS] PO BOX 624 Milwaukee WI 53201-0000

    7536 ASSURE CARE/GMP HLTH & WELFARE FUND PO BOX 1849 Stow OH 44224-0000

    8095 ASSURED HEALTH (formally FORTIS) 501 W MICHIGAN ST Milwaukee WI 53203-0000

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  • 0337 ATLAS (ZENITH ADMINISTRATORS) 18861 90th AVENUE, SUITE A Mokena IL 60448-0000

    7939 ATRIUM HLTH PLAN (HMO-MIDWES PO Box 64338 Saint Paul MN 55164-0000

    7653 AULT CARE INC PO Box 6910 Dueber Station Canton OH 44706-6910

    9018 AULT CARE/PRIMETIME HEALTH PLAN (M-HMO) PO Box 6905 Canton OH 44706-0905

    6408 AULTRA ADMINISTRATIVE GROUP PO Box 6060 Canton OH 44706-0000

    0289 AUTOMATED BENEFITS SERVICES INC PO BOX 37506 Detroit MI 48237-0506

    0342 AUXIANT PO BOX 75008 Cedar Rapids IA 52407-0000

    0316 AVERA HEALTH PLANS 3816 S ELMWOOD AVE STE 100 Sioux Falls SD 57105-0000

    0127 AVESIS PO BOX 7777 Phoenix AZ 85011-7777

    0188 AVMA (AMERICAN VETERINARY MEDICAL ASSOC) PO BOX 909720 Chicago IL 60690-9720

    2006 AVMED HEALTH PLAN PO Box 569000 Miami FL 33256-0000

    2890 BABB INC. 850 RIDGE AVENUE Pittsburgh PA 15212-0000

    2350 BANKERS FIDELITY PO Box 105652 Atlanta GA 30348-0000

    0280 BANKERS LIFE & CASUALTY CO. PO Box 66927 Chicago IL 60666-0000

    6592 BC of WESTERN PA (ABRAXAS) PO Box 540 Pittsburgh PA 15230-0000

    0294 BCBC of WYOMING PO BOX 2266 Cheyenne WY 82003-0000

    6605 BCBS CAPITAL 2500 ELMERTON AVE Harrisburg PA 17110-0000

    0028 BCBS DENTAL of ILLINOIS PO Box 23059 Belleville IL 62223-0000

    1310 BCBS FEDERAL POB 33932 Seattle WA 98133-0000

    0550 BCBS HIGHMARK of PENNSYLVANIA PO BOX 70 Pittsburgh PA 15222-3099

    2200 BCBS HIGHMARK of WV POB 7026 Wheeling WV 26003-0000

    0215 BCBS HORIZON of NEW JERSEY PO BOX 1219 Newark NJ 71010-000

    0344 BCBS KANSAS FEDERAL EMPLOYEES 1133 SOUTHWEST TOPEKA BLVD Topeka KS 66629-0000

    0301 BCBS MAINE FEP PO BOX 105557 Atlanta GA 30348-0000

    0302 BCBS MASS FEP 401 PARK DRIVE LANDMARK CENTER Boston MA 21150-000

    0345 BCBS MASSACHUSETTS FEDERAL EMPLOYEES 401 PARK DRIVE Boston MA 21150-000

    6210 BCBS MASTER HEALTH PLUS PO Box 1560 Boston MA 21041-560

    0303 BCBS MISSOURI & NEVADA FEP PO BOX 105557 Atlanta GA 30348-0000

    0346 BCBS NEW YORK HEALTHNOW FEDERAL EMPLOYEES PO BOX 80 Buffalo NY 14240-0000

    0347 BCBS NORTH DAKOTA FEDERAL EMPLOYEES 4510 13th AVENUE SOUTHWEST Fargo ND 58121-0000

    0161 BCBS NY EXCELLUS ROCHESTER 165 COURT ST Rochester NY 14647-0000

    5008 BCBS of ALABAMA PO Box 995 Birmingham AL 35298-0000

    2080 BCBS of ALBANY NEW YORK PO Box 15013 Albany NY 12212-0000

    0334 BCBS of ARKANSAS PO Box 2181 Little Rock AR 72203-0000

    1131 BCBS of COLORADO PO BOX 5747 Denver CO 80217-0000

    0107 BCBS of CONNECTICUT ANTHEM 370 BASSETT ROAD North Haven CT 64734-202

    7725 BCBS of FLORIDA PO Box 1798 Jacksonville FL 32231-0000

    4840 BCBS of ILLINOIS PO Box 1220 Chicago IL 60690-0000

    8338 BCBS of INDIANA/ANTHEM PO Box 37010 Louisville KY 40233-0000

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  • 1574 BCBS of IOWA PO BOX 9291 Des Moines IA 50392-0000

    8406 BCBS of KANSAS CITY PO Box 419169 Kansas City MO 64141-6169

    0197 BCBS of LOUISIANA PO BOX 98024 Baton Rouge LA 70898-9024

    8420 BCBS of MASSACHUSETTS PO Box 14061 North Quincy MA 21719-196

    1010 BCBS of MICHIGAN PO Box 2888 Detroit MI 48226-2998

    6618 BCBS of MINNESOTA PO Box 64061 Saint Paul MN 55164-0000

    0017 BCBS of MISSISSIPPI PO Box 1043 Jackson MS 39215-0000

    0151 BCBS of MONTANA PO BOX 14882 Saint Louis MO 63146-0000

    2410 BCBS of NATIONAL CAPITAL AREA 550 12th ST. S.W. Washington DC 20065-0000

    7445 BCBS of NEBRASKA PO Box 3248 Omaha NE 68180-0001

    7604 BCBS of NEW JERSEY PO Box 387 Newark NJ 71050-000

    3590 BCBS of NEW YORK EMPIRE 11 W. 42nd Street New York NY 10036-0000

    6800 BCBS of NJ DENTAL PO BOX 1938 Newark NJ 71010-000

    6631 BCBS of NORTH CAROLINA PO Box 2291 Durham NC 27702-0000

    0123 BCBS of NORTH DAKOTA 4510 13th Ave, South Fargo ND 58121-0000

    2020 BCBS of OHIO PO Box 956 Toledo OH 43697-0000

    8383 BCBS of OKLAHOMA PO Box 3028 Tulsa OK 74101-0000

    8298 BCBS of OREGON (REGENCE) PO Box 1071 Portland OR 97201-0000

    8313 BCBS of PENNSYLVANIA PO Box 3355 Pittsburgh PA 15230-0000

    1850 BCBS of PENNSYLVANIA HIGHMARK PO BOX 890062 Camp Hill PA 17089-0062

    9033 BCBS of PENNSYLVANIA HIGHMARK (M-HMO) PO BOX 890062 Camp Hill PA 17089-0062

    7369 BCBS of RHODE ISLAND PO Box 1507 Providence RI 29030-000

    7757 BCBS of SOUTH CAROLINA PO Box 6000 Columbia SC 29260-6000

    2584 BCBS of SOUTH DAKOTA PO BOX 5023 Sioux Falls SD 57117-0000

    7017 BCBS of TENNESSEE PO Box 180150 Chattanooga TN 37401-7150

    7377 BCBS of TEXAS PO Box 660044 Dallas TX 75266-0044

    0152 BCBS of TEXAS DENTAL SERVICES PO BOX 660247 Dallas TX 75266-0000

    9019 BCBS of TN BLUE ADVANTAGE [M-HMO] 1 CAMERON HILL CIRCLE Chattanooga TN 37402-0000

    1570 BCBS of UTAH PO Box 30270 Salt Lake City UT 84130-0000

    2347 BCBS of VERMONT PO Box 186 Montpelier VT 56010-000

    8293 BCBS of WASH PREMERA PO Box 91080 Seattle WA 98111-9180

    7431 BCBS of WESTERN NEW YORK (TRAD.BLUE) PO Box 1199 Buffalo NY 14204-0356

    7036 BCBS of WISCONSIN PO Box 2141 Milwaukee WI 53201-2141

    1311 BCBS OKLAHOMA FEDERAL (FEP) 1400 S BOSTON Tulsa OK 74119-0000

    8133 BCBS or GEORGIA PO Box 9907 Columbus GA 31908-0000

    0304 BCBS SOUTH DAKOTA FEP PO BOX 9291 Des Moines IA 50306-0000

    1312 BCBS TEXAS FEDERAL (FEP) 1001 E LOOKOUT DRIVE Richardson TX 75082-0000

    7285 BCBS WASH / ALASKA PREMERA PO Box 327 Seattle WA 98111-0000

    6665 BELL ATLANTIC SERVICE UNIT PO Box 3742 Charleston WV 25337-3742

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  • 0384 BENECARD RX/BENECARD SERVICES 5040 RITTER ROAD Bowmansdale PA 17055-0000

    0243 BENEFIT ADMINISTRATIVE SYSTEMS LLC 17475 JOVANNA DRIVE Homewood IL 60430-0000

    0242 BENEFIT ADMINISTRATORS INC 14214 U STREET Omaha NE 68137-0000

    0348 BENEFIT AND RISK MANAGEMENT PO BOX 2140 Folsom CA 95763-0000

    7452 BENEFIT ASSISTANCE CORP PO Box 950 Hurricane WV 25526-0000

    8279 BENEFIT CONCEPTS, INC PO Box 61505 King of Prussia PA 19406-0000

    5600 BENEFIT COORDINATORS CORP. 111 Ryan Street Pittsburgh PA 15200-0000

    7318 BENEFIT MANAGEMENT SERVICES PO Box 1178 Matthews NC 28106-0000

    7317 BENEFIT MANAGEMENT SYSTEMS 6650 BELAIR RD. Baltimore MD 21206-0000

    5010 BENEFIT PLAN ADMIN (BPA) PO Box 7060 Middletown NY 10940-0000

    7722 BENEFIT SERVICES INC. PO Box 4138 Copley OH 44321-0000

    8263 BENESIGHT PO Box 320 Pueblo CO 81003-0000

    0216 BENESYS, INC 700 TOWER DRIVE, SUITE 300 Troy MI 48098-0000

    9026 BLUE CARE NETWORK CLAIMS (M-HMO) PO BOX 68710 Grand Rapids MI 49516-8710

    0305 BLUE CHOICE PO BOX 14115 Lexington KY 40512-0000

    0343 BLUE CROSS AR FEDERAL EMPLOYEES PO BOX 2181 Little Rock AR 72203-2181

    0179 BLUE CROSS NEPA--FIRST PRIORITY HEALTH 19 NORTH MAIN STREET Wilkes Barre PA 18711-0000

    5270 BLUE CROSS of CALIFORNIA PO BOX 60007 Los Angeles CA 90060-0000

    8294 BLUE CROSS of IDAHO POB 7408 Boise ID 83707-0000

    5271 BLUE SHIELD of CA PHARMACY PO BOX 7168 San Francisco CA 94120-0000

    5272 BLUE SHIELD of CALIFORNIA PO BOX 272540 Chico CA 95927-0000

    8304 BLUE VIEW VISION PO BOX 8504 Mason OH 45040-0000

    0173 BLUEGRASS FAMILY HEALTH PO BOX 21973 Lexington KY 40522-1973

    3290 BOILERMAKERS NATIONAL PO Box 23825 Tucson AZ 85734-0000

    0292 BOON GROUP ADMINISTRATORS PO BOX 14079 Lexington KY 40512-4079

    0306 BROKERAGE CONCEPTS 801 LAKEVIEW DRIVE STE 301 Blue Bell PA 19422-0000

    0591 BROKERS NATIONAL LIFE ASSURANCE CO (BNLAC) PO Box 1028 Houston TX 77251-1028

    0322 BUSINESS ADMINISTRATORS & CONSULTS, INC PO BOX 107 Etna OH 43068-0000

    8278 C & O EMPLOYEES HOSPITAL ASSOC. 511 MAIN ST. Clifton Forge VA 24422-1199

    1540 CAMBRIDGE INTEGRATED 110 GIBRALTAR ROAD HORSHAM PA 19040-0000

    0273 CAPITOL ADMINISTRATORS PO BOX 2318 RANCHO

    CORDOVA

    CA 25741-2318

    0349 CAPROCK PO BOX 54139 Lubbock TX 79453-0000

    4650 CAREFIRST BCBS MD 10455 MILL RUN CIRCLE Owings Mills MD 21117-0000

    9014 CARELINK ADVANTRA SILVER (M-HMO) PO Box 7101 London KY 40742-0000

    7294 CAREMARK ADVANCE PCS PO Box 686005 San Antonio TX 78268-0000

    9028 CAREPLUS HEALTH PLANS (M-HMO) PO BOX 14697 Lexington KY 40512-4697

    0277 CARESOURCE WV EXCHANGE PO BOX 8738 Dayton OH 45401-7838

    7912 CARILION HLTH PLANS PO Box 1531 Roanoke VA 24007-0000

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  • 4610 CARPENTERS HEALTH. & WELFARE WV 401 ELEVENTH STREET Huntington WV 25701-0000

    0141 CATALYST RX 800 King Farm Blve 4th Floor Rockville MD 20850-0000

    1762 CATAMARAN (SXC HEALTH SOLUTIONS) PO BOX 3163 Lisle IL 60532-0000

    8151 CCNN PPO PO Box 939032 San Diego CA 92123-0000

    0143 CEBA CLAIMS 6300 BRIDGEPOINT PARKWAY, BLD 3

    SU500

    Austin TX 78700-0000

    0172 CELTIC INSURANCE COMPANY PO BOX 46337 Madison WI 53744-0000

    6806 CENTRAL PA TEAMSTERS HLTH & WELFARE PO Box 15224 Reading PA 19612-5224

    5480 CENTRAL RESERVE LIFE 17800 ROYALTON ROAD Strongsville OH 44136-5197

    8112 CENTRAL RESERVE LIFE PO Box 934 Frederick MD 21705-0000

    8407 CENTRAL RESERVE LIFE PO Box 13429 Charleston WV 25360-0000

    8216 CENTRAL RESERVE LIFE-ONE SOU PO Box 5190 Tampa FL 33675-0000

    7240 CENTRAL STATES FUNDS PO Box 5103 Des Plaines IL 60017-5103

    1845 CENTURY HEALTHCARE PO Box 2256 Grapevine TX 76099-0000

    8442 CHA HEALTH PO Box 269009 Plano TX 75026-9009

    7459 CHAMPVA CENTER DEPT OF VETERANS AFF -- CHAMPUS PO Box 65024 Denver CO 80206-5024

    7283 CHAPMAN PRINTING CO. PO Box 2968 Huntington WV 25778-0000

    0134 CHARTIS [ASRM CLAIMS] 505 SOUTH LENOLA ROAD Moorestown NJ 80570-000

    7350 CHESTERFIELD RESOUCES PO Box 1884 Akron OH 44309-0000

    8318 CIGNA PO Box 5200 Scranton PA 18505-0000

    8160 CIGNA DENTAL PO Box 8921 Bristol TN 37621-0000

    8500 CIGNA HEALTH CARE (WALMART PT EMPLOYEE) PO Box 55270 Phoenix AZ 85078-5270

    0214 CIGNA HEALTHCARE (A&B) PO BOX 182223 Chattanooga TN 37422-0223

    8320 CIGNA PHARMACY PO Box 3598 Scranton PA 18505-0000

    0196 CIGNA VISION CARE CLAIMS PO BOX 997561 Sacramento CA 95899-0000

    0327 CITIZENS SECURITY LIFE PO BOX 436149 Louisville KY 40253-6149

    8425 CLARITY VISION PO Box 890500 Camp Hill PA 17089-0000

    0008 CM ADMINISTRATORS PO Box 87269 Fayetteville NC 28304-0000

    8163 COLE VISION POB 18903 WARRENSVILL

    E

    OH 44128-0000

    3530 COLONIAL BENEFITS ADMINISTRATOR PO Box 3770 Capitol Heights MD 20791-0000

    0450 COLONIAL PENN INSURANCE 1818 MARKET ST Philadelphia PA 19181-0000

    0490 COMBINED INS. CO. OF AMERICA 5050 N. BROADWAY 9TH FLOOR NW Chicago IL 60640-0000

    7268 COMMERCE GROUP PO Box 900 Elyria OH 44036-0000

    9030 COMMUNITY BLUE (M-HMO) PO BOX 890173 Camp Hill PA 17089-0173

    3650 COMP I CENTER DENTAL (BC/BS) PO Box 898857 Camp Hill PA 17089-0000

    0135 COMPASS ROSE HEALTH PLAN PO Box 6430 Annapolis MD 21401-0000

    0115 COMPBENEFITS DENTAL, INC 200 West Jackson Blvd, 9th Floor Chicago IL 60606-0000

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  • 0275 CONIFER HEALTH SOLUTIONS PO BOX 981637 El Paso TX 79998-0000

    0378 CONNECTCARE 1218 SOUTH BROADWAY Lexington KY 40504-0000

    0307 CONNECTICARE PO BOX 546 Farmington CT 60340-546

    0211 CONSECO SENIOR HEALTH INSURANCE COMPANY PO BOX 2034 Carmel IN 46082-2034

    0264 CONSOLIDATED HEALTH PLANS--CHP 2077 ROOSEVELT AVENUE Springfield MA 11040-000

    0713 CONSTITUTION LIFE INSURANCE COMPANY PO BOX 130 Pensacola FL 32591-0130

    6614 CONTINENTAL GENERAL INS. CO, PO Box 247007 Omaha NE 68114-0000

    7443 CORESOURCE 6100 FAIRVIEW RD Charlotte NC 28210-0000

    3990 CORPORATE SYSTEMS ADMINISTRATION PO Box 4985 Johnson City TN 37602-0000

    0336 COVENTRY - PERSONAL CARE PO Box 7141 London KY 40742-0000

    6990 COVENTRY DENTAL PO BOX 7402 London KY 40742-0000

    0208 COVENTRY HEALTH CARE of DELAWARE PO BOX 7713 London KY 40742-7713

    7765 COVENTRY HEALTH CARE of WV INC PO Box 7373 London KY 40742-0000

    0199 COVENTRY HEALTHCARE of GA, INC PO BOX 7711 London KY 40742-0000

    0236 COVENTRY HEALTHCARE of LA 3838 N CAUSEWAY BLVD Metairie LA 70002-0000

    0248 COVENTRY HEALTHCARE of MISSOURI 550 MARYVILLE CENTRE DRIVE Creve Coeur MO 63141-0000

    0235 COVENTRY HEALTHCARE of TENNESSEE PO BOX 7170 Corbin KY 40702-0000

    0203 COVENTRY HEALTHCARE of THE CAROLINAS P O BOX 7102 London KY 40742-0000

    0198 COVENTRY HEALTHCARE of VA PO BOX 7704 London KY 40742-0000

    0350 COX HEALTH PLANS PO BOX 5750 Springfield MO 65801-0000

    0013 CUSTOM DESIGN BENEFITS 5589 CHEVLOT ROAD Cincinnati OH 45247-0000

    0278 CYPRESS BENEFIT ADMINISTRATORS 1235 S 75TH STREET Omaha NE 68124-0000

    0206 DAKOTA CARE PO Box 7406 Sioux Falls SD 57117-0000

    0202 DATA RX 5029 O'DELL STREET Cumming GA 30040-0000

    8426 DAVIS VISION / FASHION FOCUS PO Box 1525 Latham NY 12110-0000

    6066 DEFINITY HEALTH [DIVISION of UHC] PO Box 9525 Amherst NY 14221-0000

    7281 DELTA DENTAL of ARKANSAS PO Box 15965 Little Rock AR 72231-0000

    7981 DELTA DENTAL of CA PO Box 997330 Scramento CA 94120-0000

    0149 DELTA DENTAL of COLORADO 4582 S. ULSTER STREET Denver CO 80237-0000

    0205 DELTA DENTAL of GEORGIA PO BOX 1809 Alpharetta GA 30023-0000

    8368 DELTA DENTAL of ILLINIOS 801 OGDEN AVENUE Lisle IL 60532-0000

    0234 DELTA DENTAL of IOWA PO BOX 9000 Johnston IA 50131-9000

    6025 DELTA DENTAL of KANSAS PO Box 789769 Wichita KS 67278-9769

    0023 DELTA DENTAL of KENTUCKY PO Box 242810 Louisville KY 40224-0000

    0207 DELTA DENTAL of MASSACHUSETTS PO BOX 9695 Boston MA 21149-695

    0031 DELTA DENTAL of MICHIGAN PO Box 9085 Farmington Hills MI 48333-0000

    8446 DELTA DENTAL of MISSOURI PO Box 8690 Crestwood MO 63126-0690

    8455 DELTA DENTAL of NEW JERSEY PO Box 222 Parsippany NJ 70540-000

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  • 8017 DELTA DENTAL of PENNSYLVANIA ONE DELTA DRIVE Mechanicsburg PA 17055-6999

    0032 DELTA DENTAL of VIRGINIA 4818 STARKEY ROAD Roanoke VA 24014-0000

    0036 DELTA DENTAL of WISCONSIN PO Box 828 Stevens Point WI 54481-0000

    0044 DELTA U S A - MN PO Box 59238 Minneapolis MN 55459-0238

    7787 DELTA USA - TN 95 WHITEBRIDGE RD Nashville TN 37205-0000

    0279 DELTAVISION PO BOX 2105 Bowmansdale PA 17055-6999

    6714 DENTAL SERVICES PO Box 9274 Oxnard CA 93031-0000

    6630 DERMOX CORP. G.H.C.P.HEALTH.CR.FD PO Box 6219 Bluefield WV 24701-6219

    0178 DESERET MUTUAL 60 EAST SOUTH TEMPLE Salt Lake City UT 84111-0000

    8354 DOCFIRST PO Box 17098 Owings Mills MD 21117-0000

    8288 DONLEY & CO. 6330 EAST 75th STREET Indianapolis IN 46250-0000

    0308 DUNN & ASSOCIATES PO BOX 2369 Columbus IN 47202-2369

    0039 EBRX 2045 MIDWAY DRIVE Twinsburg OH 44087-0000

    7321 EBSO--EXPERT BENEFIT SERVICE CONSULTANTS 9200 SHELBYVILLE RD. Louisville KY 40222-0000

    0103 EBSO-EMPLOYEE BENEFIT CONSULTANTS 3303 E ROYALTON ROAD Broadview

    Heights

    OH 44147-0000

    5260 EDUCATORS MUTUAL LIFE INS. C PO BOX 83888 Lancaster PA 17608-3888

    7781 ELECTRICAL WORKERS #369 906 Minoma Ave Louisville KY 40217-0000

    7108 EMERALD HEALTH PO BOX 308014 CLEVELAND OH 44130-8014

    5120 EMPLOYEE BENEFIT MANAGEMENT COR 4789 RINGS ROAD Dublin OH 43017-1599

    8290 EMPLOYEE BENEFIT MGMT SVCS (EMBS) PO BOX 21367 Billings MT 59104-0000

    7110 EMPLOYEE BENEFIT SERVICE- SE PO Box 8130 South

    Charleston

    WV 25303-8130

    0003 EMPLOYEE BENEFITS ADMINISTRATORS (EBA) PO BOX21875 Lexington KY 40522-0000

    0351 EMPLOYEE HEALTH INSURANCE MANAGEMENT RX 26711 NORTHWESTERN HIGHWAY Southfield MI 48033-0000

    0317 EMPLOYER PLAN SERVICES 2180 NORTH LOP WEST SUITE 400 Houston TX 77018-0000

    2860 EMPLOYER-TEAMSTERS JOINT COUNCIL 6810 MACCORKLE AVE. SE Charleston WV 25304-0000

    0193 ENTERPRISE GROUP PLANNING 5910 HARPER ROAD Cleveland OH 44139-1835

    6118 ENVISION RX 2182 E Aurora Rd Suite 201 Twinsburg OH 44087-0000

    6551 EQUITABLE PLAN SERVICES (EPS) PO Box 720480 Oklahoma City OK 73172-0480

    7846 EXPRESS SCRIPTS PO BOX 247 Lees Summit MO 64063-0000

    8165 EYE MED VISION CARE PO Box 8504 Mason OH 45040-0000

    0352 FALLON HEALTHCARE PO BOX 15121 Worcester MA 16150-000

    8137 FCE BENEFITS 445 RECOLETA ROAD San Antonio TX 78216-0000

    8093 FEDERAL MUTUAL PO BOX 50487 Indianapolis IN 46250-0487

    1960 FEDERATED MUTUAL INSURANCE COMPANY PO BOX 991 Rosemount MN 55068-0000

    8275 FEDEX FREIGHT, NPPN 419 E MAIN STREET Middletown NY 10940-0000

    9012 FELRA & UFCW HLTH&WELFARE FUND (M-HMO) 911 Ridge Brook Road Sparks Glencoe MD 21152-0000

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  • 0145 FHM BENEFITS 13160 Foster Street Overland Park KS 66213-0000

    9025 FIDELIS CARE of NY 95-25 QUEENS BLVD Bronx NY 10467-0000

    8388 FIDELITY BENEFITS ADMIN 201 INTERNATIONAL CIRCLE 4TH FLOO HUNT VALLEY MD 21030-0000

    0700 FIDELITY SECURITY LIFE INSURANC PO 418131 Kansas City MO 64141-0000

    0353 FIRST AMERITAS LIFE INSURANCE 400 RELLA BLVD Airmont NY 10901-0000

    0182 FIRST SERVICES ADMINISTRATORS 3035 LAKELAND HILLS BLVD Lakeland FL 33805-2225

    0111 FL (FINGER LAKES) RX/BCBS OF CENTRAL NEW YORK 165 Court St. Rochester NY 14642-0000

    0108 FLORIDA LIFE & HEALTH GUARANTEE 3740 BEACH BLVD SUITE 201A Jacksonville FL 32207-0000

    7779 FOLA COAL CO. PO BOX 180 Bickmore WV 25019-0000

    0245 FORETHOUGHT LIFE INSURANCE COMPANY ADMINISTRATION OFFICE Clearwater FL 33766-4659

    0354 FOX EVERETT PO BOX 6006 Ridgeland MS 39158-0000

    4320 FRANK, VACCARO & ASSOC - WV PIPE TRADES H&W FUND 600 CHARLES STREET Wellsburg WV 26070-0000

    0251 FREEDOM LIFE INSURANCE COMPANY of AMERICA 801 CHERRY STREET Fort Worth TX 76102-0000

    0271 FRINGE BENEFIT GROUP PO BOX 21854 Eagan MN 55121-0000

    6820 FUTURE SCRIPTS BOX 419019 Kansas City MO 64141-0000

    8270 GALLAGHER BENEFIT ADMINSTRATORS PO Box 43297 San Antonio TX 78265-0000

    0263 GATEWAY HEALTH PO BOX 11088 Charlotte NC 28220-1088

    8053 GE VISION CARE PO BOX 2243 Schenectady NY 12301-0000

    0360 GEHA / GOVERNMENT EMPLOYEES HOSP ASSOC PO BOX 4665 Independence MO 64051-0000

    3408 GEISHP (GEISINGER HEALTH PLAN) PO Box 82200 Danville PA 17822-0000

    5750 GENERAL INS. EXCHANGE AGENCY PO BOX 1849 Stow OH 44224-0000

    0231 GENERAL PRESCRIPTION PROGRAM 305 Madison Ave Suite 1166 B New York NY 10165-0000

    0209 GLOBE LIFE and ACCIDENT INSURANCE COMPANY PO BOX 8080 Mc Kinney TX 75070-8080

    0760 GOLDEN RULE INS. CO. 419E Main Street Middletown NY 10940-0000

    7040 GOODYEAR TIRE & RUBBER CO. STATE RT. 2 APPLEGROVE WV 25550-0000

    8328 GREAT WEST HEALTHCARE 1000 Great West Drive Kennett MO 63857-0000

    0147 GROUP & PENSION ADMINISTRATORS 12770 Merit Drive Dallas TX 75251-0000

    7562 GROUP BENEFITS SERV. BEECH S PO BOX 4368 Lutherville-

    Timonium

    MD 21094-0000

    0355 GROUP HEALTH COOPERATIVE PO BOX 34585 Seattle WA 98124-1585

    0800 GUARANTEE TRUST LIFE INS.CO. 1275 MILWAUKEE AVE Glenview IL 60025-0000

    8283 GUARDIAN INSURANCE PO BOX 2459 Spokane WA 99210-0000

    7165 HAGERSTOWN TMSTRS & MTR.CARRIER 10312 REMINGTON DR. Hagerstown MD 21740-0000

    0155 HAMMERMAN AND GARNIER (HOMELAND HEALTHCARE) 909 LAKE CAROLYN PARKWAY Irving TX 75039-0000

    0201 HARRINGTON BENEFITS / FISERV HEALTH 130 W 2ND ST Dayton OH 45401-1391

    0233 HARVARD PILGRIM INSURANCE PO BOX 8699193 Quincy MA 22699-183

    1775 HEALTH & WELFARE BENEFIT SYSTEMS PO BOX 21109 Roanoke VA 24018-0000

    0232 HEALTH ADVANTAGE HMO PARTNERS PO BOX 8069 Little Rock AR 72203-0000

    9013 HEALTH ALLIANCE (M-HMO) 2850 W. Grand Blvd. Detroit MI 48202-0000

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  • 8116 HEALTH AMERICA PO Box 7088 London KY 40742-0000

    0035 HEALTH ASSURANCE PO BOX 8103 London KY 40742-0000

    9035 HEALTH ASSURANCE (M-HMO) PO BOX 8103 London KY 40742-0000

    0153 HEALTH CHOICE PO BOX 24870 Oklahoma City OK 73124-0870

    0074 HEALTH DESIGN PLUS CS 5060 Findlay OH 45839-0000

    0813 HEALTH FIRST PO Box 5196 New York NY 10274-0000

    7695 HEALTH NET PO BOX 470 Wheeling WV 26003-0000

    6965 HEALTH NET CA PO BOX 14702 Lexington KY 40512-0000

    0356 HEALTH NEW ENGLAND 1 MONARCH PLACE Springfield MA 11440-000

    8285 HEALTH PARTNERS CLAIM DEPT PO BOX 1289 Minneapolis MN 55440-1289

    2040 HEALTH PLAN OF UPPER OHIO VALLEY 52160 NATIONAL RD Saint Clairsville OH 43950-0000

    0357 HEALTH PLANS INC 1500 WEST PARK DRIVE Westborough MA 15810-000

    0358 HEALTH PLUS of MICHIGAN PO BOX 1700 Flint MI 48501-0000

    0075 HEALTH REACH RX 445 HUTCHINSON AVENUE Columbus OH 43235-0000

    8461 HEALTH SMART BENEFIT SOLUTIONS was AAG PO Box 167768 Irving TX 75016-7768

    0158 HEALTH SMART LLC PO BOX 6743 Lubbock TX 79493-0000

    9006 HEALTH SPRING of TENNESSEE (M-HMO) PO Box 20000 Nashville TN 37202-0000

    0164 HEALTH TRANS FORMULARY MANAGEMENT ATTN: DMR Englewood CO 80155-4557

    9027 HEALTHAMERICA of PENNSYLAVANIA (M-HMO) PO BOX 7088 London KY 40742-7088

    0309 HEALTHCARE MANAGEMENT ADMI 220 120th AVENUE NE Bellevue WA 98005-0000

    2333 HEALTHCARE SAVINGS 4530 PARKROAD SUITE 110 Charlotte NC 28209-0000

    0241 HEALTHEZ 7201 W 78TH STREET Edina MN 55439-0000

    0283 HEALTHGRAM, INC PO BOX 11086 Charlotte NC 28220-1086

    5190 HEALTHLINK (GENELCO) PO BOX 41904 Saint Louis MO 63141-9998

    0204 HEALTHNOW PO BOX 211034 Eagan MN 55121-0000

    7836 HEALTHSCOPE PO Box 8002 Little Rock AR 72203-0000

    8505 HEALTHSCOPE/CENTRAL BENEFITS MUTUAL INSURANCE CO PO Box 182424 Columbus OH 43218-2424

    1670 HEALTHSMART PO Box 3043 Charleston WV 25332-3262

    9034 HEALTHSMART (M-HMO) PO BOX 3043 Charleston WV 25332-3262

    1671 HEALTHSMART DENTAL PO BOX 3043 Charleston WV 25331-3043

    0239 HEALTHSMART PREFERRED CARE PO BOX 93670 Lubbock TX 79493-3670

    1672 HEALTHSMART RX 3320 W MARKET STREET Akron OH 44333-0000

    0125 HEALTHSMART VISION 10100 Linn Station Road Louisville KY 40223-0000

    0012 HEALTHSPAN PO BOX 58339 Cincinnati OH 45211-0000

    9007 HHIC FREEDOM BLUE PPO (M-HMO) PO BOX 7004 Wheeling WV 26003-0000

    7823 HIGHMARK DELAWARE PO Box 1991 Wilmington DE 19895-0000

    0183 HIP (HEALTH INS PLAN OF GREATER NY) 55 WATER STREET New York NY 10041-0000

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  • 0181 HM BENEFITS ADMINISTRATORS PO BOX 535078 Pittsburgh PA 15253-5078

    0229 HOSPITAL BENEFITS, INC PO BOX 162148 Altamonte

    Springs

    FL 32716-0000

    0228 HOTEL & RESTAURANT EMPLOYEES INT'L UNION WELFARE PO BOX 6020 Aurora IL 60598-0020

    9002 HUMANA (M-HMO) PO Box 740036 Louisville KY 40512-4601

    2111 HUMANA DENTAL PO BOX 14611 Lexington KY 40512-0000

    2110 HUMANA INSURANCE CO PO BOx 740036 Louisville KY 40512-4601

    2113 HUMMA RX PO Box 14610 Lexington KY 40512-0000

    2645 IAA INSURANCE ADMINISTRATORS of AMERICA PO BOX 5082 Mount Laurel NJ 80540-000

    0077 IBEW INTERNATIONAL BROTHERHOOD ELECTRICAL ENGINEERS PO BOX 2967 Huntington WV 25729-0000

    0254 IMG INTERNATIONAL MEDICAL GORUP PO BOX 88506 Indianapolis IN 46208-0000

    0038 INDEPENDENCE BCBS PO BOX 13038 Philadelphia PA 19103-0000

    2841 INDEPENDENT ADMINISTRATORS PO Box 1010 Horsham PA 19044-8010

    2141 INDIANA LABORERS WELFARE FUND PO BOX 20490 Indianapolis IN 46220-0000

    8289 INFOR MED PO BOX 6752 Annapolis MD 21401-0000

    0324 INGENIO RX PO BOX 52065 Phoenix AZ 85072-0000

    1634 INNOVIANT PO BOX 8082 Wausau WI 54402-0000

    0291 INS ADMIN GROUP IAC 3200 EAST MEMORIAL ROAD Edmond OK 73013-0000

    0227 INSURANCE MANAGEMENT SERVICES OF TEXAS PO BOX 15688 Amarillo TX 79105-0000

    0359 INSURERS ADMIN CORPORATION PO BOX 21456 Eagan MN 55121-0456

    0185 INTERACTIVE MEDICAL SYSTEMS 11635 NORTHPARK DRIVE Wake Forest NC 27587-0000

    0293 INTOTAL HEALTH 3190 FAIRVIEW PARK DRIVE Falls Church VA 22042-0000

    4800 IRON WORKERS BENEFIT TRUST PO BOX 398 Dayton OH 45401-0000

    7399 IRON WORKERS HEALTH & WELFARE FUND 119 South Centre Street, Room 6 Cumberland MD 21502-0000

    2580 IUOE PO BOX 2626 Huntington WV 25726-0000

    0385 JFP BENEFITS MGMT PO BOX 18903 Jackson MI 49204-0000

    7884 JOHN DEER HEALTH.INS. 380 KINGS DAUGHTER DR. Frankfort KY 40601-0000

    0361 JOHNS HOPKINS HEALTHCARE 6704 CURTIS COURT Glen Burnie MD 21060-0000

    8274 JSL ADMINISTRATORS PO BOX 9580 Fayetteville NC 28311-0000

    7956 KAISER PERMANENTE PO BOX 6473 Rockville MD 20849-0000

    7153 KANAWHA INS. CO. PO Box 610 Lancaster SC 29721-0000

    2833 KBA (KEY BENEFIT ADMINISTRATORS) PO Box 1239 Fort Mill SC 29716-1239

    5885 KENTUCKY LABORERS HEALTH & WELFARE 1996 Bypass Circle Lawrenceburg KY 40342-0000

    8390 KLAIS & COMPANY 1867 W MARKET STREET Akron OH 44313-0000

    0318 KROGER PRESCRIPTION PLAN PO BOX 509098 San Diego CA 92150-0000

    1711 LABORERS AGC TRUST of MONTANA PO BOX 5434 Spokane WA 99205-0000

    8302 LABORERS' NATL HEALTH & WELF PO BOX 1100 Columbia MD 21044-0000

    0256 LDI INTEGRATED PHARMACY SERVICES 701 EMERSON ROAD, #301 Creve Coeur MO 63141-0000

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  • 0261 LIFESTYLE HEALTH PLANS 345 N RIVERVIEW, STE 600 Wichita KS 67203-0000

    0257 LIFETIME BENEFITS SOLUTIONS 115 CONTINUUM DRIVE Liverpool NY 13088-0000

    0376 LINCOLN FINANCIAL GROUP PO BOX 614008 Orlando FL 32861-0000

    0258 LINCOLN HERITAGE-STATE MUTUAL PO BOX 10843 Clearwater FL 33757-8843

    0311 LINECO (LINE CONSTRUCTION BENEFIT FUND) 821 PARKVIEW BOULEVARD Lombard IL 60148-3230

    6626 LOCAL NO. 1 HEALTH FUND PO BOX 11137 Chicago IL 60611-1137

    0186 LOCKARD & WILLIAMS PO BOX 1688 Pascagoula MS 39568-0000

    7298 LOOMIS CO. PO BOX 7011 Wyomissing PA 19610-0000

    0268 LOYAL AMERICAN INSURANCE CO PO BOX 559004 Austin TX 78755-9004

    0113 LUMENOS PO Box 69309 Harrisburg PA 17106-0000

    5911 MADISON NATIONAL LIFE INSURANCE CO PO Box 828 Park Ridge IL 60068-0000

    0226 MAGELLAN BEHAVIORAL HEALTH PO BOX 1958 Hazelwood MO 63043-0000

    0272 MAGELLAN RX 4801 WASHINGTON STREET Phoenix AZ 85034-0000

    0163 MAGNACARE PO BOX 1001 Garden City NY 11530-1001

    0501 MAIL HANDLERS HEALTH PLAN PO BOX 8402 London KY 40742-0000

    7769 MANAGE MED PO BOX 6125 Greenville SC 29606-0000

    6450 MANAGED CARE OF AMERICA - MCA 1910 COCHRAN RD MANOR OAK BLD 2 Pittsburgh PA 15220-0000

    8262 MANAGED PHARMACY BENEFITS 1100 NORTH LINDBERGH Saint Louis MO 63132-0000

    5530 MARTIN ASSOCIATES, INC. PO BOX 1158 Beaver WV 25813-1158

    0284 MARYLAND ELECTRICAL INDUSTRY HEALTH FUND 9411 PHILADELPHIA ROAD BALTIMORE MD 23137-0000

    0312 MAYO HEALTH - MMSI INC 4001 41st STREET NW Rochester MN 55901-0000

    7185 MDIPA (HMO) 4 TAFT CT. Rockville MD 20850-0000

    8098 MED COST PREFERRED PO BOX 25307 Winston-Salem NC 27156-2240

    8397 MED IMPACT 10680 TREENA STREET San Diego CA 92181-0000

    2520 MED-BEN PO BOX 1099 Newark OH 43058-0000

    3337 MEDI-SHARE PO BOX 981652 El Paso TX 79998-0000

    7258 MEDI-SUN HEALTH MEDCARE (FIRST HEALTH) 13632 NORTH 99TH AVENUE Sun City AZ 85351-0000

    0362 MEDICA PO BOX 30990 Salt Lake City UT 84130-0000

    8247 MEDICAL CLAIMS MANAGEMENT CO PO BOX 12995 Charlotte NC 28220-2995

    7031 MEDICAL CLAIMS SERV. ONE WALL ST. Ravenswood WV 26164-0160

    8066 MEDICAL MUTUAL of OHIO PO BOX 6018 Cleveland OH 44101-1018

    8336 MEDICARE SUPPLEMENT CLAIMS PROCESSING CENTER CLEARWATER FL 33757-8841

    0128 MEDICO INSURANCE COMPANY 1515 SOUTH 75TH STREET Omaha NE 68124-0000

    0329 MEDIGOLD 5150 E BROAD STREET Columbus OH 43213-0000

    1761 MEDTRAK 6310 Lamar Ave. Suite 230 Overland Park KS 66202-0000

    0037 MEGA LIFE PO BOX 982017 North Richland

    Hills

    TX 76182-0000

    0363 MEGALIFE - MIDWEST NATIONAL LIFE PO BOX 981606 El Paso TX 79998-1606

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  • 0105 MEMBER HEALTH PO BOX 391180 Solon OH 44139-0000

    0139 MENNONITE MUTUAL AID PO BOX 483 Goshen IN 46527-0000

    8429 MERCER ADMINISTRATION 1220 BUTTERWORK CT Stevensville MD 21666-0000

    0138 MERCYCARE HEALTH PLANS PO BOX 4568 Chesterfield MO 63017-0000

    0331 MERIDIAN RX 1 CAMPUS MARTIUS, SUITE 750 Detroit MI 48226-0000

    1035 MERITAN HEALTH PO Box 853921 Richardson TX 75085-0000

    8337 METLIFE PO BOX 14093 Lexington KY 40512-4093

    7996 METLIFE DENTAL PO BOX 6106 Utica NY 13504-0000

    8126 METLIFE DENTAL PO Box 981282 El Paso TX 79998-0000

    3850 METLIFE DENTAL SERVICES PO BOX 30434 Tampa FL 33630-0434

    6693 METRAHEALTH METLIFE PO BOX 30429 Tampa FL 33630-0000

    7806 METROPOLITAN LIFE PO Box 2078 Aurora IL 60507-0000

    0253 MID-ATLANTIC REGIONAL CARPENTERS HEALTH FUND 3 GATEWAY CTR Pittsburgh PA 15222-1024

    0146 MIDLAND CHOICE PO Box 5809 Troy MI 48007-5809

    0189 MIDLAND-COLT RETIREE MEDICAL PLAN 60 BLVD of the ALLIES Pittsburgh PA 15222-0000

    8258 MIM - PHARMACY SOLUTIONS 33 NORTH ROAD Wakefield RI 28790-000

    0379 MODA HEALTH PLAN PO BOX 40384 Portland OR 97240-0384

    0364 MONTEFIORE 200 CORPORATE DRIVE Yonkers NY 10701-0000

    8198 MONTERRA HEALTH SYSTEM PO BOX 567 Logan WV 25601-0000

    6617 MONUMENTAL GENERAL INS. GROUP PO BOX 97 Scranton PA 18504-0097

    0137 MUTUAL ASSURANCE ADMINISTRATORS PO BOX 42096 Oklahoma City OK 73123-3096

    1050 MUTUAL of OMAHA INSURANCE CO. MUTUAL OF OMAHA PLAZA Omaha NE 68175-0001

    9020 MVP HEALTH CARE PLAN of NY [M-HMO] PO BOX 2207 Schenectady NY 12301-2207

    7001 MYLAN PHARMACEUTICALS INC. PO BOX 4310 Morgantown WV 26504-4310

    7643 NASE - NATL ASSOC SELF EMPLOYEE PO BOX 982009 North Richland

    Hills

    TX 76180-0000

    5670 NASI WELFARE FUND 8000 CORPORATE DR. Cheverly MD 20785-0000

    5640 NAT'L ASSOC LETTER CARRIERS HLTH BENEFIT PLAN (NALC) 20547 WAVERLY ST. Ashburn VA 22093-0000

    9015 NAT'L ASSOC of LETTER CARRIERS (NALC) (M-HMO) 20547 Waverly Court ASHBURN VA 20149-0000

    7083 NATIONAL ASBESTOS WORKERS 4600 Powder Mill Rd Ste 100 Beltsville MD 20705-0000

    1700 NATIONAL FOUNDATION LIFE (WESTBRIDGE CAP.) 777 MAIN ST./SU 900 Fort Worth TX 76102-0000

    7482 NATIONAL HEALTH INS. CO PO BOX 619999 Dallas TX 75261-9999

    2338 NATIONAL TELECOMMUNICATIONS COOP ASSN (NTCA) ONE WEST PACK SQ, SUITE 600 Asheville NC 28801-3459

    6500 NATIONWIDE INSURANCE One Nationwide Plaza Columbus OH 43215-0000

    6501 NATIONWIDE SPECIALTY HEALTH PO Box 42033 Springfield MA 11010-000

    0383 NAVITUS RX PO BOX 9906 Appleton WI 54912-0999

    7983 NCAS (NATIONAL CLAIMS ADMIN SERVICES) PO BOX 1227 Fairfax VA 22030-1227

    0249 NEA MEMBERCARE GROUP INS PO BOX 10424 Des Moines IA 50306-0424

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  • 8245 NEIGHBORHOOD HEALTH PLAN 214 SOUTH WAY 3 Medford MA 21552-062

    0365 NEIGHBORHOOD HEALTH PLAN FLORIDA PO BOX 5210 Kingston NY 12402-0000

    7203 NEW ERA LIFE INS. PO BOX 4884 Houston TX 77210-4884

    7959 NGS AMERICAN INC.--CORESOURCE PO BOX 2310 Mount Clemens MI 48046-2310

    0366 NIWU HEALTH & WELFARE FUND 1981 MARCUS AVENUE N New Hyde Pk NY 11042-1038

    1785 NLI AMERICA (NIPPON LIFE INSURANCE CO) PO BOX 39710 Colorado

    Springs

    CO 80949-3910

    8211 NORTH AMERICAN ADMINISTRATOR PO BOX 9501 Amherst NY 14226-9501

    6645 NORTH AMERICAN BENEFITS NETWORK PO BOX 94928 Cleveland OH 44101-4928

    0367 NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVENUE EAST Seattle WA 98102-0000

    8340 NPA [NATIONAL PRESCRIPTION ASSOC] PO BOX 1981 E HANOVER NJ 79360-0000

    0033 NVA NATIONAL VISION ADMINISTORS PO BOX 2187 Clifton NJ 70150-000

    7655 NYHART INS. PO BOX 80884 Indianapolis IN 46280-0884

    7612 OHIO BRICKLAYERS H&W FUND 120 W. 5TH ST. #1100 Cincinnati OH 45202-0000

    7236 OHIO CARPENTERS H&W FUND 6281 YOUNGSTOWN/WARREN RD SU/240 Niles OH 44446-4690

    2151 OHIO CONFERENCE of PLASTERERS & CEMENT MASONS 33 FITCH BLVD Austintown OH 44515-0000

    8234 OHIO HEALTH GROUP PO BOX 6029 Worthington OH 43085-0000

    7688 OHIO OPERATING ENGINEERS H & W PO BOX 12009 Columbus OH 43212-0000

    3870 OPERATING ENGINEERS BENEFIT 5901 HARFORD RD. SUITE C Baltimore MD 21214-0000

    7491 OPTIMA HEALTH PLAN PO box 5028 Troy MI 48007-5028

    0315 OPTIMED HEALTH PLANS 4 TERRY DRIVE George School PA 18940-0000

    9032 OPTIMUM HEALTHCARE INC (M-HMO) PO BOX 151258 Tampa FL 33684-0000

    0225 OPTIMUM HEALTHCARE, INC 5403 N CHURCH AVENUE Tampa FL 33614-0000

    7932 OPTUM RX LC07-190 PO BOX 6037 Cypress CA 90630-0000

    8235 OPTUMHEALTH VISION (UHC) PO BOX 30978 Salt Lake City UT 84130-0000

    0162 OXFORD HEALTH PLAN PO BOX 7082 Bridgeport CT 66017-082

    8029 OXFORD LIFE INS. 2721 N. CENTRAL AVE. Phoenix AZ 85004-0000

    2331 P5 HEALTH SERVICES PO BOX 9554 Salt Lake City UT 84109-0554

    7780 PACIFIC LIFE AND ANNUITY PO BOX 33699 Phoenix AZ 85067-0000

    7697 PACIFICARE PO BOX 6035 Cypress CA 90630-6013

    0129 PAI PLANNED ADMINISTRATORS INC ESSENTIAL STAFF CARE PO BOX 6702 Columbia SC 29260-0000

    7335 PAN AMERICAN LIFE INS. CO. PO Box 61070 New Orleans LA 70160-0000

    7916 PARADIGM CARE PLANS PO BOX 1268 Tifton GA 31793-1268

    0136 PARAMOUNT HEALTH PLANS 1901 INDIAN WOOD CIRCLE Maumee OH 43537-0000

    0084 PARTNERS RX MANAGEMENT PO BOX 35007 Phoenix AZ 85069-0000

    8301 PCN 9343 TECH CENTER DRIVE Sacramento CA 95826-0000

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  • 1530 PEIA UMR PO BOX 30541 Salt Lake City UT 84130-0541

    7028 PENN TREATY LIFE INS. CO. PO BOX 151 Sybertsville PA 18251-0000

    4340 PENN WESTERN BENEFITS INC. PO BOX 7834 Greensboro NC 27417-0000

    1750 PEOPLES BENEFIT LIFE MEM. CAPITAL HOLDING FAMILY Valley Forge PA 19494-0000

    7513 PEOPLES SECURITY LIFE INS CO PO BOX 1144 Beckley WV 25801-0000

    8450 PGBA [PALMETTO] PO BOX 870133 Surfside Beach SC 29587-9733

    0368 PHARMACEUTICAL TECHNOLOGIES 13660 CALIFORNIA STREET Omaha NE 68154-0000

    8182 PHARMACY CARE NETWORK 9343 TECH CENTER DR. SACRAMENTO CA 95026-0000

    6713 PHARMACY DATA MANAGEMENT (PDM) 940 Windham Ct Suite 1 Youngstown OH 44512-0000

    7945 PHARMACY NETWORK (PNNC) 4000 WAKE FOREST RD. Raleigh NC 27607-0000

    7709 PHARMALINK PO BOX 9007 OVERLAND

    PARK

    KS 66201-0000

    0118 PHARMAVAIL 3380 TRICKUM ROAD Woodstock GA 30188-0000

    0321 PHCS 15560 NORTH FLW BLVD Scottsdale AZ 85260-0000

    7563 PHILADELPHIA AMERICAN LIFE PO BOX 2465 Houston TX 77252-0000

    0169 PHYSICIANS HEALTH PLAN OF MID MICHIGAN 1400 EAST MICHIGAN AVENUE Lansing MI 48912-2107

    0168 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA PO BOX 2359 Fort Wayne IN 46804-4163

    0260 PHYSICIANS MUTUAL INSURANCE COMP PO Box 2018 Omaha NE 68103-2018

    7069 PIEDMONT ADMIN. PO BOX 78030 Greensboro NC 27427-8030

    8249 PIKA GROUP SERVICES 110 WESTWOOD PLACE SUITE 100 CLAI Brentwood TN 37027-0000

    7211 PIMCO PO BOX 2005 Mechanicsburg PA 17055-0782

    8228 PIONEER LIFE PO BOX 5151 Janesville WI 53547-0000

    7940 PIPELINE INDUSTRY BEN. FUND PO BOX 470950 Tulsa OK 74147-0950

    4905 PLANNED ADMINISTRATORS STAFFMARK CARE PO BOX 6702 Columbia SC 29260-0000

    9023 PLUMBERS & PIPE FITTERS LOCAL UNION 354 (M-HMO) THREE GATEWAY CENTER, SUITE 1625 Pittsburgh PA 15222-0000

    7868 PLUMBERS & PIPEFITERS LOCAL 1230 KINNEAR RD. Columbus OH 43212-0000

    0165 PLUMBERS AND PIPEFITTERS #123 8657 BAY PINE RD Jacksonville FL 32256-0000

    8079 PLUMBERS AND STEAMFITTERS PO BOX 2648 Huntington WV 25726-2648

    2142 PREFERRED ONE ADMINISTRATIVE SERVICES PO BOX 59212 Minneapolis MN 55459-0212

    8411 PREMIER PHARMACY PLAN PO BOX 5824 Spartanburg SC 29304-0000

    0259 PRESCRIPTION NETWORK RX 4125 SW GAGE CENTER DRIVE, STE 203 Topeka KS 66604-0000

    8203 PRIMARY PHYSICIAN CARE PO BOX 11088 Charlotte NC 28220-0000

    8206 PRIMARY SELECT P O BOX 1323 Charlottesville VA 22902-0000

    3041 PRIME THERAPUTIC RX PO BOX 64812 Saint Paul MN 55164-0000

    8143 PRINCIPAL FINANCIAL GRP. POB 39710 Colorado

    Springs

    CO 80949-0000

    3250 PRINCIPAL MUTUAL INS. 401 EAST CITY AVE. Bala-Cynwyd PA 19004-0000

    2336 PRIORITY HEALTH CARE 621 LYNNHAVEN PKWY Virginia Beach VA 23452-0000

    0286 PRO CARE RX---HEALTH SOLUTIONS 30 HUNTER LANE Camp Hill PA 17011-0000

    Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

  • 8395 PROFESSIONAL BENEFITS 2040 FRONT STREET Cuyahoga Falls OH 44221-0000

    8346 PROVIDENCE HEALTHCARE PO BOX 12846 Roanoke VA 24029-0000

    0022 PRUDENTIAL PO BOX 7001 Parkersburg WV 26102-0000

    0224 PUBLIC EMPLOYEES HEALTH PROGRAM 560 EAST 200 S Salt Lake City UT 84102-0000

    8299 QUAD MED 555S 108th Street West Allis WI 53214-0000

    0223 QUALCARE 30 KNIGHTSBRIDGE ROAD Piscataway NJ 88550-000

    0087 QUALCHOICE 6000 PARKLAND BLVD CLEVELAND OH 44124-0000

    6697 RAVENSWOOD ALUMINUM CORP. RT. 1 BOX 37 Ravenswood WV 26164-0000

    2065 RELIANCE PO BOX 82510 Lincoln NE 68501-0000

    0212 RENAISSANCE DENTAL PO BOX 17250 Indianapolis IN 46217-0000

    5141 RICHARDSON INS CO (JAN CARE AMBULANCE) 127 Dove Lane Glen Morgan WV 25813-0000

    7764 RISK MNGT SERV (RMSC) PO BOX 6309 Syracuse NY 13217-0000

    6711 ROYAL NEIGHBORS of AMERICA PO Box 10850 CLEARWATER FL 33757-8850

    0500 RR HEALTH & WELFARE FUNDS PO BOX 44242 JACKSONVILLE FL 32331-4242

    2339 RX AMERICA 221 N CHARLES ST Salt Lake City UT 84109-0000

    0222 S & S HEALTHCARE STRATEGIES PO BOX 46511 Cincinnati OH 45240-0511

    0191 SAMBA FEDERAL EMPLOYEE BENEFIT ASSOCIATION PO BOX 1880007 Chattanooga TN 37422-0000

    0369 SANDFORD HEALTH PLAN PO BOX 91110 Sioux Falls SD 57109-0000

    0142 SAVRX 224 N PARK AVENUE Fremont NE 68025-0000

    4043 SCRIPT CARE 5380 Folsom Drive Beaumont TX 77706-0000

    0313 SCRIPT WORLD 4246 RIVERBOAT ROAD STE 175 Murray UT 84123-2590

    0332 SECURITY HEALTH PLAN WI 1515 ST JOSEPH AVE Marshfield WI 54449-0000

    0167 SEGBP (STATE EMPLOYEES GRP BEN LOUISIANA] PO BOX 44036 Baton Rouge LA 70804-4036

    6870 SELECT BENEFIT ADIMINISTRATORS--SYMETRA PO Box 440 Ashland WI 54806-0000

    3420 SELF-FUNDED PLANS INC. 2535 WASHINGTON RD. Pittsburgh PA 15241-0000

    8248 SENTARA HEALTH PLANS 6015 POPLAR HALL DRIVE Norfolk VA 23502-0000

    0011 SHASTA ADMINISTRATORS PO BOX 1747 Redmond OR 97756-0000

    0089 SHEET METAL WORKERS LOCAL #292 PO Box 1449 Goodlettsville TN 37070-0000

    7921 SHENANDOAH LIFE INS. PO BOX 12847 Roanoke VA 24029-0000

    0281 SIERRA HEALTH & LIFE INSURANCE CO INC 2724 N TENAYA WAY Las Vegas NV 89114-5642

    0287 SIGNIFICA BENEFIT SERVICES PO BOX 7777 Lancaster PA 17604-7777

    0381 SIHO TPA PO BOX 1787 Columbus IN 47202-1487

    7609 SIMPLIFI ESO [CBCA of HCA] PO BOX 1479 Minneapolis MN 55440-0000

    7891 SISCO (SELF INSURED SERV.CO.) PO BOX 389 Dubuque IA 52004-0389

    3871 SOUTHERN BENEFITS ADMINISTRATORS 5305 Virginia Beach Blvd Norfolk VA 23502-0000

    7953 SOUTHERN ELECTRICAL HLTH FUN 3928 VOLUNTEER DR. Chattanooga TN 37416-0000

    Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

  • 8209 SOUTHERN GROUP ADMIN. 200 SOUTH MARSHALLS ST. Winston-Salem NC 27101-0000

    8002 SPECTERA UNITED HEALTH OPTIC 2211 LORD BALTIMORE DR. Baltimore MD 21244-0000

    7821 SRC STRATEGIC RESOURCE CO. PO BOX 23759 Columbia SC 29224-3759

    7847 STANDARD LIFE PO BOX 25097 Oklahoma City OK 73193-0000

    0156 STANDARD SECURITY LIFE PO BOX 21156 EAGAN MN 55121-0000

    8412 STAR MARK PO Box 7060 Middletown NY 10940-0000

    7120 STAR MARKETING & ADMIN. INC. PO BOX 7922 Lake Forest IL 60045-2500

    8456 STARBRIDGE - CIGNA VOLUNTARY PO BOX 5909 Scranton PA 18505-0000

    7690 STATE FARM INSURANCE ONE STATE FARM PLAZA Charlottesville VA 22909-0000

    9016 STERLING LIFE INSURANCE (M-HMO) PO Box 69314 Harrisburg PA 17106-0000

    8281 STEWART C. MILLER CO, INC PO BOX 5769 ADMIN FOR:INDIANA ST Lafayette IN 47903-5769

    6460 STRATEGIC HEALTH SERVICES PO BOX 2633 Charleston WV 25329-2633

    2261 SUMMA CARE PO BOX 3620 Akron OH 44309-0000

    0218 SUMMIT AMERICA INSURANCE SERVICES INC 7400 COLLEGE BOULEVARD Lenexa KS 66210-0000

    8282 SUPERIOR VISION 11050 OLSEN DRIVE Rancho Cordova CA 95670-0000

    0298 SYMETRA LIFE INSURANCE PO BOX 34690 Seattle WA 98124-0000

    0285 TALL TREE ADMINISTRATORS PO BOX 1807 Draper UT 84020-0000

    0371 TCC - THOMAS COOPER & COMPANY PO BOX 22557 Charleston SC 29413-0000

    8185 TDI / CIGNA PO BOX 2860 Pittsburgh PA 15230-0000

    7702 TEAMCARE PO BOX 5116 Des Plaines IL 60017-5116

    7833 TEAMSTERS #639 HLTH TRUST FU PO BOX 1399 Rockville MD 20849-0000

    8286 TEAMSTERS BENEFITS LOCAL #710 Chicago IL 60609-2674

    0266 TENNESSEE VALLEY OPERATING ENGINEERS 865 CONFERENCE DRIVE Goodlettsville TN 37072-0000

    9001 THE HEALTH PLAN (M-HMO) 52160 National Road, East Saint Clairsville OH 43950-0000

    7534 THE NEW ENGLAND MUTUAL PO BOX 30466 Tampa FL 33630-3466

    8077 THE RIGHT CHOICE / EPOCH 10795 WATSON RD. Sunset Hills MO 63127-1011

    0325 THRIVENT FINANCIAL PO BOX 14057 Clearwater FL 33766-0000

    4330 TIME INSURANCE COMPANY PO 624 Milwaukee WI 53201-0000

    8264 TOTAL SCRIPT 10901 WEST 120TH AVE. Broomfield CO 89145-0000

    1772 TOWER LIFE INSURANCE CO 310 S St. Mary's Street Suite 400 San Antonio TX 78205-3164

    0026 TPA PO BOX 742168 Dallas TX 75374-0000

    7207 TRANS-GEN.SERV.CO INC POBX 16532 Pittsburgh PA 15242-6532

    0157 TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY BOX 97 Scranton PA 18504-0097

    7740 TRI-COUNTY BUILDING & TRADES PO BOX 4138 Copley OH 44321-4138

    8113 TRICARE PO Box 7011 Camden SC 29020-7011

    6991 TRICARE DENTAL METLIFE [MILITARY ONLY] PO BOX 14181 Lexington KY 40512-0000

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  • 6999 TRICARE EXPRESS SCRIPTS PO BOX 66518 Saint Louis MO 63166-0000

    8457 TRICARE FOR LIFE / WISCONSIN PHYSICIANS SVCS PO BOX 7890 Madison WI 53707-0000

    8236 TRUSTMARK PO BOX 9055 Youngstown OH 44513-0000

    8186 TUFTS ASSOC. HEALTH PLAN PO BOX 9163 Waltham MA 22540-000

    9036 UCARE MEDICARE ADVANTAGE PO BOX 70 Minneapolis MN 55440-0000

    1880 UFCW LOCAL 412 TENNESSEE AVE. Charleston WV 25302-0000

    0221 UFCW SOUTHERN CALIFORNIA 6425 KATELLA AVENUE Cypress CA 90630-5238

    9038 ULTIMATE HEALTH PLUS PO BOX 3146 Scranton PA 18505-0000

    8387 UMR PO BOX 30541 Salt Lake City UT 84130-0541

    0171 UMR--COOPERATIVE BENEFIT ADMINISTRATORS INC PO BOX 6249 Lincoln NE 68506-0249

    1720 UMWA PO Box 619099 Dallas TX 75261-9741

    9009 UMWA UNITED MINE WORKER (M-HMO) PO Box 619099 Dallas TX 75261-0000

    3810 UNDERWRITERS SAFETY & CLAIMS IN PO BOX 23507 Louisville KY 40223-0000

    8147 UNICARE PO BOX 833933 Richardson TX 75083-0000

    9010 UNICARE SECURITY CHOICE (M-HMO) PO Box 795180 San Antonio TX 78279-0000

    0314 UNIFIED GROUP SERVICE PO BOX 10 Pendleton IN 46064-0010

    0595 UNIFIED LIFE INSURANCE CO POBox 25326 Overland Park KS 66225-5326

    1120 UNIION FIDELITY LIFE INSURANCE CO PO Box 8132 Fort Washington PA 19034-0000

    1110 UNION BANKERS INS. CO. PO BOX 655433 Dallas TX 75265-9952

    0122 UNION CONSTRUCTION WORKERS HEALTH PLAN 1600 Madison Ave Toledo OH 43624-1467

    9017 UNISON ADVANTAGE (M-HMO) 890 Willow Tree Circle Cordova TN 38018-0000

    0372 UNISON HEALTH PLAN 1001 BRINTON ROAD Pittsburgh PA 15221-0000

    8021 UNITED AMERICAN INS CO PO Box 8080 McKinney TX 75070-8080

    0126 UNITED BEHAVIORAL (UHCBH) PO BOX 30602 Salt Lake City UT 84130-0602

    0192 UNITED COMMERCIAL TRAVELERS PO BOX 15901 Columbus OH 43215-8619

    8348 UNITED CONCORDIA PO BOX 69421 Harrisburg PA 17106-9421

    8062 UNITED HEALTH CARE PO Box 740800 Atlanta GA 30374-0800

    9003 UNITED HEALTH CARE (M-HMO) PO Box 659429 San Antonio TX 78265-0000

    0270 UNITED HEALTH CARE DENTAL PO BOX 30567 Salt Lake City UT 84130-0567

    1099 UNITED HEALTHCARE of THE RIVER VALLEY PO Box 5230 Kingston NY 12402-5230

    0213 UNITED HEALTHCARE SENIOR SUPPLEMENT PO BOX 31359 Salt Lake City UT 84131-0000

    7422 UNITED MEDICAL RESOURCES PO BOX 145801 Cincinnati OH 45250-5801

    7951 UNITED PROVIDER SERVICES PO BOX 820277 North Richland

    Hills

    TX 76182-0277

    6370 UNITED TEACHERS ASSOC. PO BOX 26580 Austin TX 78755-0580

    0269 UNITED WORLD LIFE INSURANCE PO BOX 791119 Baltimore MD 21279-0000

    9008 UNIV OF PITTSBURGH (M-HMO) PO BOX 2997 Pittsburgh PA 15230-0000

    1266 UNIVERA HEALTH CARE PO Box 23000 Rochester NY 14692-0000

    Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

  • 0255 UNIVERSAL RX 1170 E WESTERN RESERVE ROAD Poland OH 44514-0000

    0382 UNIVIEW VISION PO BOX 8504 Mason OH 45040-7111

    9021 UPMC FOR LIFE (M-HMO) PO BOX 2997 Carmichaels PA 15320-0000

    8415 UPMC HEALTH PLAN PO BOX 2999 Pittsburgh PA 15230-0000

    0166 US SCRIPTS 2425 WEST SHAW AVENUE Fresno CA 93711-0000

    0217 USAA INSURANCE COMPANY PO BOX 12750 Pensacola FL 32591-2750

    0099 VALUE OPTIONS 3110 Fairview Park Drive Falls Church VA 22042-0000

    8149 VALUE RX 636 LAREW AVE Beckley WV 25801-0000

    0373 VANTAGE HEALTH PLAN 130 DESIARO STREET Monroe LA 71201-7363

    7574 VARIABLE PROTECTION ADMIN. 6902 PEARL RD. Cleveland OH 44130-0000

    0319 VENTEGRA INC 450 N BRAND BLVD #600 Glendale CA 91203-0000

    8259 VISION BENEFITS of AMERICA 300 WEYMAN PLAZA Pittsburgh PA 15236-0000

    0219 VISION INSURANCE PLAN AMERICA PO BOX 44077 Milwaukee WI 53214-7077

    7813 VISION SERVICE PLAN [VSP] PO Box 997100 Sacramento CA 95899-7100

    0374 VIVA HEALTHCARE PO BOX 55926 Birmingham AL 35255-0000

    8382 WALGREEN RX (WHI) 2275 HALF DAY ROAD Bannockbu IL 60015-0000

    0112 WASHINGTON DENTAL PO Box 75983 Seattle WA 98175-0000

    1210 WASHINGTON NATIONAL INS PO BOX 3091 Evanston IL 60204-3091

    0154 WEB-TPA, INC PO BOX 99906 Grapevine TX 76099-0000

    8251 WELL POINT PHARMACY MANAGEME PO BOX 9085 Oxnard CA 93031-0000

    5784 WELLCARE INC PO Box 4438 Scranton PA 18505-0000

    0265 WELLNET HEALTH-CARE PO BOX 270226 Crystal MN 55427-0000

    0119 WELLPATH PO Box 7102 London KY 40742-0000

    0326 WESTERN CATHOLIC UNION PO BOX 14109 Clearwater FL 33766-4109

    0295 WESTERN HEALTH ADVANTAGE 2349 GATEWAY OAKS DRIVE Sacramento CA 95833-0000

    2620 WESTERN-SOUTHERN LIFE INS. POBX 5735 Cincinnati OH 45201-5735

    0274 WILLIAM C EARHART COMPANY INC PO BOX 4148 Portland OR 97208-0000

    0252 WOODMEN of the WORLD ASSURED LIFE ASSOC PO BOX 2397 Omaha NE 68103-2397

    7323 WORLD INSURANCE PO BOX 3160 Omaha NE 68103-0160

    1710 WV LABORER'S TRUST 1 Union Square Charleston WV 25302-0000

    7837 WV PLUMBERS & STEAMFITTERS 1200 THREE GATEWAY CTR. Pittsburgh PA 15222-0000

    9031 WV SENIOR ADVANTAGE PLAN (M-HMO) PO BOX 908 Addison TX 75001-0908

    4700 WV STEAMFITTERS-UNION LABOR PO BOX 90988 Washington DC 20090-0988

    End of Report

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    (212)541-9150

    (608)779-3000

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    Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

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    Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

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    (800)523-0582

    (800)228-0480

    (888)326-2555

    (800)448-1131

    (610)337-2600

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    (888)599-1515

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    ()-

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    Run Date and Time: 10/31/2020 5:41:42 AM Page 2 of 2

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    End of Report

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