December 5, 2019

Dear Majority Leader McConnell and Minority Leader Schumer,

The undersigned organizations —a diverse group of employers, industries, health care stakeholders, unions, patient and disease groups — urge you to take immediate action to protect the health care of the more than 178 million Americans who receive health care coverage through an employer. We are asking you to swiftly, and fully, repeal the impending 40% tax on employer-provided health care before this onerous tax increase hits the pocketbooks of hardworking Americans.

In July, the House passed a bill fully repealing this tax by an overwhelming vote of 419 to 6 and that bill is currently awaiting action in the Senate.

The consequences of inaction are serious for hardworking American families. Employers are making decisions today to avoid this looming tax. Many millions of working Americans will pay more out of pocket for medical treatment or face reduced health coverage in narrower networks. According to Kaiser Family Foundation 2018 data, since 2010, health care deductibles have risen 89%, while wage growth has remained comparatively flat.

To avoid the huge “Cadillac Tax” hikes coming in 2022, many employers are altering their benefit packages now. Employers that offer non-calendar year health plans, could begin, as early as next year, enrolling people into health plans that could be subject to the tax.

While this tax was intended to only hit Americans with “gold-plated” plans, the reality is that very modest plans covering low- and moderate-income working families are projected to trigger the tax simply because they incur greater health expenses. The tax will disproportionately affect the health plans of women, seniors, rural communities, the sick, and the disabled. Small businesses that already struggle to offer health care coverage will also be heavily penalized. This tax has real and harmful consequences – Americans cannot afford to pay more for their health care.

Employer-provided coverage is the backbone of our health care system and the primary source of coverage for more than half of all Americans. According to recent polling, 93% of voters oppose taxing employer-provided health coverage.

The 40% “Cadillac Tax” on employer-provided health coverage is widely opposed by both Republicans and Democrats. Along with the 419 members of the House that voted to fully repeal this tax, there are 63 bipartisan Senate cosponsors of S. 684, the Middle-Class Health Benefits Tax Repeal Act of 2019.

Working families are already stretched too thin. They need a meaningful WIN—one that cuts taxes, lowers health care costs, and protects employer-provided health care coverage. It all starts with repealing the “Cadillac Tax.”

Let’s work together to keep health care affordable and available for 178 million Americans.

Sincerely,

3 Rivers Communications Aero OpCo LLC A.T. Kearney Aerospace Industries Association Accurate Machine and Manufacturing, Inc. Aflac Achilles USA AFL-CIO Acme United Corporation AGC Nebraska Chapter Activision Blizzard AGC of Michigan Acuative Corporation AGC of Missouri Adams Publishing Group AGC of South Dakota, HHU Chapter AdamsWells Internet Telecom TV AGC of Western Kentucky Advanced Communications Technology, Inc. AGC of Wisconsin Advanced Technology Services AGC of Wyoming AdventHealth Agropur Inc.

Air Line Pilots Association Associated Wire Rope Fabricators AJ Benefit Solutions LLC Association of Flight Attendants-CWA AK Steel Corporation AssuredPartner of New Jersey LLC Alabama Associated General Contractors AT&T Alabama Association of Health Underwriters Atlas Copco North America LLC Alabama Retail Association Auditor of Pottawattamie County, Iowa Alabama Tire Dealers Association Austin Association of Health Underwriters Alaska Airlines Auto Care Association Alaska Association of Health Underwriters Autobell Albany Mutual Telephone Automotive Aftermarket Association of the Mid-South, Inc Alcon Laboratories Automotive Aftermarket Association Southeast, Inc ALDO Group Aviation Partners Boeing Alfred Nickles Bakery, Inc Avnet, Inc. Allen Fairview Chamber of Commerce AWA Insurance Agency Alliance Benefit Solutions Balanced Rock Insurance, Inc Alliance for Retired Americans Ballard Rural Telephone Cooperative Alliance of Automotive Service Providers of Minnesota Barnes & Noble, Inc Alliance to Fight the 40 Barrett & Company, PLLC AllianceBernstein LP Bascom Mutual Telephone Co. Alliant Energy Corporation Bates College Alliant Insurance Bath Fitter Allover Media Baylor College of Medicine ALOM Baypromo llc Alternative Benefit Concepts Beam Suntory Inc. Alterra Mountain Company Beer Institute Alton MultiSpecialists Beinhauer LLC Alverno Laboratories Ben Perry, McLennan County Commissioner PCT 4 Alvogen Benefit Foundations of America Amalgamated Transit Union (ATU) Benevis, Corp AMC Networks Inc. Benson/San Pedro Valley Chamber of Commerce American AVL Benton Communications American Benefits Council Berlitz American Council on Education Bernalillo County Clerks Office American Eagle Outfitters, Inc. BFL Construction Co. Inc. American Engineering Testing BFS Capital American Federation of Teachers Big Stone County American Hotel & Lodging Association Big Y Foods, Inc. American Rental Association Biggs Insurance Services American Society of Association Executives Billings Chamber of Commerce Americares BioBridge Global America's Health Insurance Plans BioKyowa Inc. Amsted Industries Incorporated Black Hawk County Auditor Grant Veeder Anterra Management Corporation Blackfoot Communications, Inc. Anvil International, LLC Blackfoot Telephone Cooperative, Inc. DBA Blackfoot APL (America) LLC Blasingame Insurance Applied Motion Systems, Inc. Bloomin’ Brands, Inc. ArcelorMittal USA Blowing Rock Chamber of Commerce Architectural Nexus, Inc. Blue Earth County Arcwood Benefits Consulting, Inc. Blue Cross Blue Shield Association Ardmore Telephone Company Blue Valley Tele-Communications, Inc. Arizona Alliance for Retired Americans BlueScope Steel North America Arizona Association of Health Underwriters (AAHU) Boeing Arizona Chamber of Commerce and Industry Boilermakers National Funds Arkansas State Chamber/AIA Bolingbrook Area Chamber of Commerce ARKRAY, USA Borough of Garwood Arthur Schuman Inc Bossier Chamber of Commerce Ashland LLC Bottineau County Assoc Wall and Ceiling Contractors Bravo Insurance Solutions Associated Construction Contractors of New Jersey Breda Telephone Corp. Associated Contractors of New Mexico British Swim School - East Valley Associated General Contractors of America Brotherhood of Railroad Signalmen Associated General Contractors of Colorado Bruker Corporation Associated General Contractors of MN Buckeye Valley Chamber of Commerce

Buffalo Niagara Partnership Building Industry Association of Clark County College and University Professional Association for Human Resources Bunzl Distribution Colo Telephone Company Business Roundtable Colorado State Association of Health Underwriters California Association of Health Underwriters (CAHU) Columbia Forest Products California Schools VEBA Columbia Insurance Group Cambium Networks, Inc. Columbiana Foundry Company Cambridge Telephone Company Communications Workers of America (CWA) Campbell County Chamber of Commerce Compass Benefit Advisors Campbell Petrie, Inc. Concordia Plan Services, The Lutheran Church - Missouri Synod CancerCare Connecticut Alliance for Retired Americans Canon Medical Systems USA, Inc. Conover Beyer Associates Capital One CONSOL Energy, Inc. Capital Region Chamber Consolidated Companies, Inc. Carey International, Inc. Construction Employers Association Carlisle Companies Incorporated Constructors Association of Western Pennsylvania Carlsbad Chamber of Commerce Converge Carlton County Cornerstone Financial Group, Inc. Carnahan & D'Sylva Enterprises, LLC Council on Foreign Relations Carnegie Hall County of Johnson, Kansas Carolinas AGC County of Martin, MN Carothers Insurance Agency County of Otero (NM) Assessor Carr Telephone Co Correct Electric Inc Carroll County Chamber of Commerce Crisp Insurance Advisors Carson City Chamber of Commerce Crown Holdings, Inc. Carson Valley Chamber of Commerce Culp, Inc. Cascade Communications Company Cunix Insurance Services Cascade Utilities Current Management Group, Inc. Cascade Valley Insurance Custom Control Sensors, LLC Cass Communications Mgmt., Inc. Cutter & Buck CAWA - Representing the Automotive Parts Industry Cuyahoga Community College Cedar Rapids Metro Economic Alliance CVS Health Central Kentucky Association of Health Underwriters Dallas-Fort Worth Business Group on Health Central Louisiana Regional Chamber of Commerce Danville Mutual Telephone Company Central Vermont Chamber Of Commerce Datalogic CF Real Estate Services David Weekley Homes Chandler Chamber of Commerce Davis Chamber of Commerce Chemung County Chamber of Commerce Dayton Superior Corporation Chester County Chamber of Business & Industry Deaconess Health System CHG Healthcare Delaware NAHU Chapter Chippewa County Delta Air Lines, Inc. Chisago County Denver Management Advisors, Inc. Christian Brothers Employee Health Trust DI GEEK Church of God Benefits Board, Inc. Diamondhead Water & Sewer District Cigna DigiCert Citizens Mutual Telephone Cooperative Dimora Brands Citizens Telephone Cooperative, Inc. Diocese of Baton Rouge City of Central Point DirectPath, LLC City of Ellensburg Dixon Hughes Goodman LLP City of Kent DMSI City of Peoria DocuSign City of St. Louis Dodge County CJK Group DOLESE BROS CO Clay County, Minnesota Dominican College Clean Water Services Domo, Inc. Clear Lake Telephone Company Dow Inc. Cleaver-Brooks, Inc. Downtown Chicago Association of Health Underwriters (CHAHU) Clovis Unified School District Drug Plastics and Glass CMA CGM (America) LLC Drywall & Interior Systems Contractors Association of NJ Coca-Cola Consolidated DSM Cochrane Cooperative Telephone Co Dunkin' Brands Colas Inc. dunnhumby Coleman County Telephone Cooperative, Inc. Duo Broadband

DuPage Association of Health Underwriters Florida Alliance for Healthcare Value DuPont Florida Alliance for Retired Americans Durez Corporation Florida Association of Health Underwriters East Texas Association of Health Underwriters Food Marketing Institute Eastern Slope Rural Telephone Association, Inc. Foothills Communications Eastex Telephone Cooperative, Inc. Forcepoint ECFC Echo Analytics Group Forever Living Products International Eden Autism Services, Inc. Fort Jennings Telephone Company Edison Electric Institute Frank Adams Wholesale Florist Inc. Edmond Chamber of Commerce Franklin County Board of Commissioners EDP Renewables North America LLC Fredericksburg Regional Chamber of Commerce Edwardsville/Glen Carbon Chamber of Commerce Fredrikson & Byron, P.A. Egyptian Telephone Cooperative Association Freeborn & Peters LLP EJA Capacity Benefits Agency LLC Freeborn County Eli Lilly and Company Freeman Heyne Schaller Ellie Mae Fremont Telecom Co. Ellsworth Cooperative Telephone Assn. Fresno County Ellucian Frisco Chamber of Commerce Employers Health Purchasing Corporation Garden of Life Employers’ Advanced Cooperative on Healthcare Garrett County Chamber of Commerce, Inc. EPCOR USA, Inc. GB Manchester, Inc. EPICTOUCH General Credit Forms Epson America, Inc. General Motors Company EQ Electric, Inc. Genesis Corp (dba Genesis10) Eramet Marietta Inc. Georgia Chamber of Commerce Erickson Financial Services, Inc. Gerdau Essex Realty Management, Inc. GHG Etex Telephone Coop., Inc. Gila River Telecommunications, Inc. Everence Gilbert Chamber of Commerce Eversource Energy Gilchrist Construction Company, LLC Ewing Electric, Inc. Global Atlantic Financial Company Executive Benefits Group, LLC Global Financial Credit, LLC Exelon Corporation Global Financial Resources, Inc. Fairview Health Services Global Security & Communication, Inc. Families USA Golden Belt Telephone Association Inc. Farmers Cooperative Telephone Company (IA) Golden Gate Association of Health Underwriters Farmers Independent Telephone Company (WI) Goodwill Industries of Southeastern WI Inc. Farmers Mutual Cooperative Telephone Company Inc (IA) Gorham Telephone Company Farmers Mutual Telephone (ID) Government Finance Officers Association Farmers Mutual Telephone Company (MN) Grant and Eisenhofer P.A. Farmers Telephone Cooperative, Inc (SC) Greater Cincinnati Association of Health Underwriters Fatboy Vapors Alaska, LLC Greater Irving-Las Colinas Chamber of Commerce Fatboy Vapors Oregon, LLC Greater Killeen Chamber of Commerce Fatboy Vapors, LLC Greater Louisville Inc. FCA US LLC Greater Philadelphia Assn of Health Underwriters Federated Telephone Cooperative Greater Philadelphia Business Coalition on Health FHN Greater Phoenix Association of Health Underwriters Field Museum Greater Phoenix Chamber Filer Mutual Telephone Company Greater Yakima Chamber of Commerce Financial Green Valley Sahuarita Chamber of Commerce & Visitor Center Firefly Benefits LLC Griffin Estep Benefit Group Firmenich Incorporated GRM Networks First Focus Campaign for Children Guess?, Inc. First Insurance Group of the Midwest GuideStone Financial Resources of the Southern Baptist FirstEnergy Convention FirstService Residential Gulf Coast Health Underwriters of Florida Fishers Island Development Corp. H&B Communications, Inc. Fishers Island Utility Company Hall & Associates Fishers Landing Internal Medicine Harbor Offshore, Inc. Five Area Telephone Hardenbergh Insurance Group Flexential Corp. Hardy Telecommunications, Inc. Flexicrew Technical Services Harrisonville Telephone Company

Hartwell Corporation Corporation Hawkins, Inc. Intercept Pharmaceuticals HD Supply International Alliance of Theatrical Stage Employees Health Action Council International Association of Fire Fighters Health Agents for America, Inc. International Association of Machinists and Aerospace Workers HealthCare 21 Business Coalition International Brotherhood of Boilermakers Healthcare Purchaser Alliance of Maine International Brotherhood of Teamsters Heart of Iowa Communications Cooperative International Festivals & Events Association Heath Village International Franchise Association Heathen Brewing LLC International Union of Operating Engineers Hemingford Coop Telephone Co International Union of Police Associations Henderson Chamber of Commerce International Union, United Automobile, Aerospace & Agricultural Implement Workers of America (UAW) Highland Chamber of Commerce Interstate Telecommunications Cooperative, Inc. Hipskind Seyfarth Risk Solutions LLC Iowa Association of Business & Industry HireVue Iowa Association of Health Underwriters HMS Insurance Associates, Inc Isanti County Holland America Line NV, Seabourn Cruises and Princess J&J Worldwide Services Cruises Ltd Janice Kwarta Hologic, Inc. Jefferson Chamber Home Telecom Jeffrey Enterprises Homestead Electrical Contracting JH Lamb Hospital for Special Care JK Moving Services Household & Commercial Products Association John Hancock Life Insurance Co. (USA) Houston Association of Health Underwriters Johnson, Kendall & Johnson, Inc. Houston Business Coalition on Health Jonah Energy LLC Houston Methodist JS & BK Insurance HR Business Partner Julia Dyckman Andrus Memorial, Inc. HR Policy Association JVS Contracting, Inc. HTC (Horry Telephone Cooperative) Kalida Telephone Co. Hubbard County Kampgrounds of America, Inc. Hubbell Incorporated Kanabec County Hughes-Norton Insurance Services Inc. KanOkla Networks Humboldt Chamber of Commerce Kansas Business Group on Health Huttig Building Products Kansas Fiber Network Hycroft Mining Corporation Karen Hobbs, HR Consultant, University of New Mexico Hyundai Capital America Kelly & Associates Insurance Group (KELLY) IAHU Kelly Snell, McLennan County Commissioner PCT 1 IBEW LOCAL UNION 220 Kensington Church IBM Kentucky Chamber of Commerce IBMSECU Keystone Farmers Coop Tel Idaho Associated General Contractors Kingdom Telephone Company Idaho Insurance Specialists Koochiching County Idaho Retailers Association Kwik Trip, Inc. IEAHU Inland Empire Association of Health Underwriters Kyowa Kirin USA Holdings, Inc. IHG L.L.D. Electric Co. IKEA North America Services, LLC Laboratory Corporation of America Holdings IKEA Purchasing Services (US) Inc. Laborers' International Union of North America Illinois Chapter NECA Lakeland Communications Illinois Tool Works Inc. Lakeshore Employee Benefits Imerys Landmark Property Services, Inc. Immunomedics, Inc. Las Vegas Metro Police Department Employee Health & Independent Bakers Association Welfare Trust Independent Insurance Agents & Brokers of America Le Sueur County Independent Petroleum Association of America LeachGarner Indiana Chamber of Commerce Lehigh Valley Coop Telephone Association Industrial Constructors/Managers, Inc. Lehigh Valley Health Network Industry Telephone Company LHC Group Informatica LifeCare, Inc. Ingevity Corporation Lincoln Association of Health Underwriters Innovative Control, LLC Lindsay Goldberg Integra LifeSciences Inc. Littleton Public Schools Integris Health, Inc LiveRamp

LNE Communications Moxtek Lobosco Insurance Group, LLC Multnomah County Oregon Lockheed Martin Corporation Murray County Lockton Companies Mutzabaugh's Market Inc. Lombard Chamber of Commerce Myron Corp LookAfter Hair Company NABET-CWA Local 59051 Loretto Telecom NAES Corporation Louisiana Association of Business and Industry NAHU-Northeast Indiana Chapter Louisiana Business Group on Health NAIFA-Alabama Lyon County NAIFA-Alaska Mabel Cooperative Telephone Company NAIFA-Arizona Machinists Union District 751 Retirement Club NAIFA-Arkansas Magna Hospitality NAIFA-California Mahnomen County NAIFA-Colorado Maine Association of Health Underwriters NAIFA-Connecticut Marana Chamber of Commerce NAIFA-Delaware Marathon County Board NAIFA-Florida Margaretville Telephone Co NAIFA-Georgia Marne Elk Horn Telephone Co NAIFA-Greater Washington, DC Marriott International, Inc. NAIFA-Guam Marsh & McLennan Companies, Inc. NAIFA-Hawaii Marshall Excelsior Company NAIFA-Idaho Mary Kay Inc. NAIFA-Illinois Maryland Chamber NAIFA-Indiana Massachusetts Association of Health Underwriters NAIFA-Iowa Massachusetts Food Association NAIFA-Kansas Matanuska Telephone Association, Inc. NAIFA-Kentucky McCarter Financial Group NAIFA-Louisiana McCarthy Holdings, Inc. NAIFA-Maine Meadowood Senior Living NAIFA-Maryland Mechanical Contractors Association of America (MCAA) NAIFA-Massachusetts Mecklenburg County, North Carolina NAIFA-Michigan Mediacom Communications Corporation NAIFA-Minnesota Medical College of Wisconsin, Inc NAIFA-Mississippi Meeker County NAIFA-Missouri Memphis Business Group on Health NAIFA-Montana Mentor Graphics Corp NAIFA-Nebraska Mercer NAIFA-Nevada Merrick & Company NAIFA-New Hampshire Metals Service Center Institute NAIFA-New Jersey MetroDenver Association of Health Underwriters NAIFA-New Mexico MGW Communications NAIFA-New York MICHELLE HUGHES CPA NAIFA-North Carolina Michigan State University NAIFA-North Dakota MicroPort Orthopedics NAIFA-Ohio MidAtlantic Business Group on Health NAIFA-Oklahoma Midstate Communications NAIFA-Oregon Midwest Automotive Parts & Service Association NAIFA-Pennsylvania Midwest Business Group on Health NAIFA-Puerto Rico Midwest Video Solutions NAIFA-Rhode Island Minnesota Association of Health Underwriters NAIFA-South Carolina Mobile Area Chamber of Commerce NAIFA-South Dakota Monmouth Ocean Association of Health Underwriters NAIFA-Tennessee Monon Telephone Co. Inc. NAIFA-Texas Monte R. Lee and Company NAIFA-Utah Montefiore St. Luke's Cornwall NAIFA-Vermont Moog Inc NAIFA-Virginia Morgan County Government NAIFA-Washington Morrison County NAIFA-West Virginia Mosaic Telecom NAIFA-Wisconsin Moundville Telephone Co., Inc. NAIFA-Wyoming Mountain Health CO-OP National Alliance of Healthcare Purchaser Coalitions Mower County National Association of College and University Business Officers

National Association of Counties North Carolina Association of Health Underwriters National Association of Free Will Baptist Board of North Carolina Business Group on Health Retirement and Ins. Inc. North Carolina Retail Merchants Association National Association of Health Underwriters North Carolina Triangle Association of Health Underwriters National Association of Insurance and Financial Advisors North Country Business Products National Association of Manufacturers North Country Chamber of Commerce National Association of Mutual Insurance Companies North East Association of Health Underwriters (OHIO) National Association of Professional Employer Organizations North Orange County Chamber National Association of Wholesaler-Distributors North San Diego Business Chamber National Association of Worksite Health Centers Northcentral Employers Healthcare Alliance National Business Group on Health Northeast Missouri Rural Telephone Company National Coalition on Benefits Northeastern Illinois Chapter, NECA National Coordinating Committee for Multiemployer Plans Northern Colorado Association of Health Underwriters (NCCMP) Northern Illinois Building Contractors Association National Education Association Northern Nevada Association of Health Underwriters National Electrical Contractors Association Northern New Jersey Association of Health Underwriters National Federation of Federal Employees Northway Well and Pump Company National Grange Northwest Communications Cooperative National League of Cities Northwest Fluid System Technologies Inc. National Restaurant Association Northwest Permanente National Retail Federation Norwegian Cruise Line Holdings National Roofing Contractors Association NTCA - The Rural Broadband Association National Rural Electric Cooperative Association Nucla-Naturita Telephone Company National Taxpayers Union Nutanix, Inc. National Treasury Employees Union OCA Nationwide Ohio Alliance for Retired Americans Educational Fund NC Chamber Ohio Association of Health Underwriters NC Triangle Association of Health Underwriters Ohio Bankers Benefits Trust Nebraska Alliance for Retired Americans Educational Fund Oklahoma State Association of Health Underwriters Nebraska Association of Health Underwriters Old Dominion Freight Line, Inc. Nebraska Central Telephone Co Olmsted County Nebraska Retail Association ON Semiconductor Neopost USA OneBlood, Inc. Neponset River Regional Chamber Oregon Alliance for Retired Americans Nevada Alliance for Retired Americans Oregon Association of Health Underwriters Nevada Association of Health Underwriters Oregon-Idaho Utilities, Inc. Nevada Business Group on Health Otterstedt Insurance Agency Nevada Chapter of the Associated General Contractors Outsen Electric Inc. Nevada State Association of Health Underwriters Owens Electric Co New Age Benefits Consulting Ownby Insurance Service, Inc. New Balance Athletics Pacific Crest Insurance Coeur d Alene New Castle - Henry County Chamber of Commerce Pacira Bioscience New England Carpenters Health Fund Palm Desert Area Chamber of Commerce New Jersey Association of Health Underwriters (NJAHU) Palmer Johnson Power Systems New Mexico Alliance for Retired Americans Palmetto Electric Cooperative New York State Alliance for Retired Americans Parexel International New York State Association of Health Underwriters Paris Area Chamber of Commerce & Tourism Newark Regional Business Partnership Park Region Mutual Telephone Company NFIB Parker Health Group NGK Spark Plugs (USA) Inc. Parsons Electric Nice-Pak Products, Inc. Partner Communications Cooperative Nicolet Area Technical College Partnership for Employer-Sponsored Coverage Nicollet County, Minnesota Pasco Chamber of Commerce Nika Corporate Housing Patricia Miller, McLennan County Commissioner PCT 2 Niobrara Chamber of Commerce Paul Hastings LLP Nissan North America PBF Energy NJ State Chamber of Commerce PC Telcom Noble Energy, Inc. Peetz Coop Telephone Company Nobles County Pembroke Telephone Company, Inc. Nogales-Santa Cruz County Chamber of Commerce Penasco Valley Telephone Cooperative, Inc. of America Corporation Penetone Corporation North America's Building Trades Unions PENN-DEL-JERSEY CHAPTER OF THE NECA North Carolina Alliance for Retired Americans Pennington County Board of Commissioners

Pennsylvania Food Merchants Association (PFMA) RigNet, Inc. Penske Transportation Solutions Roanoke Regional Chamber of Commerce Peoples Rural Telephone Cooperative Robert Ilaria Pet Retail Brands ROCKMOUNT RESEARCH & ALLOYS, INC. Peterson & Associates, P.S. Roggen Telephone Cooperative Company Pettee & D'Sylva Enterprises, LLC Rolling Meadows Chamber Pfizer Inc Ronald H. Carr, Jr. PFMA Roseau County MN Phillips Exeter Academy Rosebud Mining Company Phoenix Insurance Group, Inc Roto-Rooter Services Company Pics Auditing, dba Avetta LLC RSP Consulting, LLC Pine County Commissioner: Pine County Minnesota RT Communications Pine Drive Telephone Company RTG Pipe Trades Services MN Rue Insurance Piper Jordan Rybovich Boat Company LLC Pittsburgh Business Group on Health S&T Telephone Plains Cooperative Telephone Association Sac County Mutual Telephone Company Plainview (NE) Telephone Company Safran USA, LLC Planned Parenthood Federation of America Saft America Inc Plymouth Area Chamber of Commerce Sage Benefit Advisors Poka Lambro Telephone Cooperative, Inc. Saint Joseph's University Polyzen Salt Lake Chamber Portico Benefit Services | A Ministry of the ELCA San Diego Association of Health Underwriters Potter Anderson & Corroon LLP San Diego Regional Chamber of Commerce Poudre School District San Gabriel Valley Economic Partnership Powell Constructors, Inc. Santa Barbara Association of Health Underwriters Power Systems Manufacturing LLC Santa Rosa Telephone Cooperative Prada USA Corp Santel Communications Cooperative Prairie Electric, Inc. SAP Americas Prairie Grove Telephone Company Sares Regis Operating Company L.P. Prattville Area Chamber of Commerce Sargento Foods Inc. Premier Benefit Services Savage Services Premise Health Savannah Area Chamber of Commerce Penn United Technologies, Inc. Savannah Business Group Procaccianti Companies Savoy Associates PROFESSIONAL SERVICES Sazerac Progress Scheffler Electric Corp. Promega Corporation Schiebel & Associates, LLC PROS, Inc. Schuylkill Chamber of Commerce Public Sector HealthCare Roundtable Scott County Q.E.P., Co. Inc. Scott Felton, McLennan County Judge Q2 Software Scott Peck CPAs & Associates, APC Quarles & Brady LLP Scottie McDonald Consulting Quest Diagnostics Seaman Corporation R. M. Palmer Company Incorporated Randolph Communications Securities Finance Trust Company Range Companies Self-Insurance Institute of America (SIIA) RB Lewis Seminole Red Lake County, MN Semons Financial Group Redwood County Sentry Insurance Reform Pension Board Sertex, LLC Reid Health Servant Solutions Reno + Sparks Chamber of Commerce Service King Renville County Sewer Equipment Co. of America Retail Industry Leaders Association (RILA) Shakopee Public Schools Retailers Association of Massachusetts Shandro Group Reynolds American Inc Shawnee Communications Rhode Island Business Group on Health Shure, Incorporated RI AFTR LOCAL 8037 SI Group Richard Mills Roberts, MD Siemens Ricoh Printing Systems America, Inc. Siff & Associates, PLLC Ridgeville Telephone Company Signatory Wall and Ceiling Contractors Alliance (SWACCA) Right Angle Advisors, Inc. Signature Consultants LLC

Signode Industrial Group The Council of Insurance Agents and Brokers Silicon Valley Employers Forum the djb group, inc. Silver Star Telephone Company The Dow Hotel Company Siskiyou Telephone Company The Economic Alliance for Michigan Small Business & Entrepreneurship Council The Enterprise Team, Inc. -TD The ERISA Industry Committee Snap Finance The Greater Springfield Chamber of Commerce Society for Human Resource Management The Hartford Society of American Florists The Hartwell Corp South Carolina Association of Health Underwriters The Insurance Group, Inc. South Central Indiana AHU The Leukemia & Lymphoma Society South Central Telephone Association Inc. The Mentholatum Company South Dakota Retailers Association The Mid-America Coalition on Health Care South Plains Telephone Cooperative, Inc. The PepperMill Cafe South Shore Chamber of Commerce The Ponderosa Telephone Co. South Valley Chamber The Roth Agency Southeast Local School District The Segal Group Southern Arizona Association of Health Underwriters THE STRONACH GROUP Southern Company The Willamette Valley Company Southwest Florida Association of Health Underwriters Three River Telco Southwest VA Association of Health Underwriters Tierney Consulting, Inc. SP Industries Timmins Consulting International Speedway Sand & Gravel, Inc, To The Cloud, LLC Spika Design and Manufacturing, Inc. Tommy Bahama Springcom, Inc. Torn & Glasser SSA Marine, Inc. Totelcom Communications St. Louis Area Business Health Coalition Toyota Industries North America, Inc. St. Louis Association of Health Underwriters Toyota of Irving Staffing 360 Solutions Trachte Building Systems Inc. Stanley Black & Decker Trammo, Inc Star Telephone Membership Corporation Transport Workers Union State Chamber of Oklahoma Traverse County Steckbeck Engineering & Surveying, Inc. Travis County Treasurer Steele County Treasure Valley Association of Health Underwriters (Idaho) Sterilite Corporation Tricore Stevens County Minnesota Tri-County Association of Health Underwriters (Washington) StoneRidge Retirement Living Communities TriMet Sue Wilson Brokerage Inc. Trinity Church Wall Street Summit Healthcare TrioTel Communications, Inc. Surry Communications, Inc True Manufacturing Swederski Concrete Construction Inc TruLeap Technologies Swedish Match North America LLC TTCI Sykes Enterprises, Incorporated Tucson Metro Chamber Taghleef Industries, Inc Tulsa Association of Health Underwriters TAHU/NAHU U.S. Chamber of Commerce TaylorMade Golf Company UA Brands TCT Union County a Chamber of Commerce TDK-Lambda Americas Union Telephone Company Teamwork Tech Unitarian Universalist Association Telemedia Solutions UNITE HERE TeleSphere Software, Inc. DBA KADENCE United Airlines Texas Business Group on Health United Brotherhood of Carpenters TEXO - The Construction Association United Natural Foods, Inc. TFI International, Inc. United Steelworkers Thatcher Group, Inc. United Technologies The Alliance United Titanium, Inc. The Association of Union Constructors UniTel, Inc. The Bank of San Antonio Insurance Group Universal Forest Products, Inc. The Brink’s Company University of Louisville The Buckley Insurance Group University of Pennsylvania Health System The Builders' Association / Kansas City AGC UPS The Church Alliance Upsala Cooperative Telephone Association The Corporate Health Care Coalition Upshaw Insurance Agency

US Sugar Woodbine Community Schools USANA Health Sciences Woodhull Telephone Company Utah Association of Health Underwriters Woodmansee & Co Valley Electric Wyndham Destinations Valley Telecommunications Cooperative Wyoming Business Coalition on Health Van Buren Telephone Company, Inc. Xerox Van Horne Cooperative Telephone Company Yadtel Telecom Vancouver Warehouse and Distribution Co Yamaha Motor Corporation USA Ventura County Association of Health Underwriters Yellow Medicine County Vera Bradley Designs YK Communications, Inc. Vermont Alliance for Retired Americans Yum! Brands, Inc. Vernon Communications Cooperative YWCA of Duluth Vestas Zeller Insurance, LLC Viewpoint, Inc. Zinpro Corporation ViewSonic Corporation Virginia Education Association VIS Designs Vishay Precision Group, Inc VISTA Staffing Solutions Total: 1,102 Voice Media Group, LLC. Vopak Americas - US Vopak Terminals US Vox Media, LLC W.S. Badcock Corporation Waffle House, Inc. Wahl Clipper Corporation Washington Automotive Industry Association Washington Chapter NAHU Washington Retail Association Washington State Alliance of Retired Americans Waste Management Waterford.org Watkins Group Webcrafters Weber Metals, Inc. Webster-Calhoun Cooperative Telephone Association Wellview Health WESCO International, Inc. Wesleyan Pension Fund Wespath Benefits and Investments West Carolina Rural Telephone Cooperative, Inc. West Kentucky Rural Telephone Coop-WK&T Western Colorado Association of Health Underwriters Western DuPage Chamber of Commerce Western Governors University Western North Carolina Association of Health Underwriters Western Wahkiakum County Telephone Wes-Tex Telephone Cooperative, Inc. White Pine Chamber of Commerce Wichita Regional Chamber of Commerce Wiggins Telephone Association Wilkin County Human Resources Will Jones, McLennan County Commissioner PCT 3 Willis Towers Watson Wilson Communications Wilson Insurance Winn Telephone/Winn Telecom Winona County Wisconsin Grocers Association Wisconsin Small Businesses United Wisconsin State Telecommunications Association (WSTA) WK&T Wolverine Fuels