CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 326 1199 NATIONAL BENEFIT FUN (646) 473-7160 PO BOX 1034 NEW YORK NY 10108-1034 589 1199 SEIU NATIONAL BENEFI (888) 819-1199 330 WEST 42ND STREET NEW YORK NY 10036 28 AARP HEALTH ADVANTAGE HEA (800) 227-7789 PO BOX 740819 ATLANTA GA 30374-0819 D6K AARP MEDICARE COMPLETE PL PO BOX 66773 ST LOUIS MO 63166 D6P AARP MEDICARE COMPLETE PL (800) 393-0939 950 WINTER ST SUITE 3800 WALTHEM MA 02451 D8T AARP MEDICARE RX PREFERRE (888) 867-5575 PO BOX 29300 HOT SPRINGS AR 71903 D9H AARP MEDICARE RX PREFERRE 600 NEW LONDON AVE CRANSTON RI 02920 D9L AARP MEDICARE RX SAVER 600 NEW LONDON CRANSTON RI 02920 D8V AARP MEDICARERX SAVER (PD (888) 867-5575 PO BOX 29300 HOT SPRINGS AR 71903 D4Q ABRAZO ADVANTAGE 7878 NORTH 16TH STRE SUITE 105 PHOENIX AZ 85020 301 ACADIA INSURANCE CO. (888) 786-1170 PO BOX 9168 MARLBOROUGH MA 01752 390 ACE INTERNATIONAL INSURAN (800) 262-8028 PO BOX 15417 WILMINGTON DE 19850 470 ACE USA (860) 731-6800 PO BOX 5001 HARTFORD CT 06102-5001 30 ACORDIA BENEFIT SERVICES PO BOX 18197 COLUMBUS OH 43218 346 ACS HEALTH NET - NORTHEAS (800) 441-5741 PO BOX 14700 LEXINGTON KY 40512 768 ADMINISTRATION CONCEPTS ( (800) 226-5116 994 OLD EAGLE SCHOOL ST E1 WAYNE PA 19087 795 ADMINISTRATIVE CONCEPTS, (888) 293-9229 994 OLD EAGLE SCHOOL SUITE 1005 WAYNE PA 19087-1802 101 ADMINISTRATIVE ENTERPRISE (602) 789-1101 3404 WESTCHESTER DR PHOENIX AZ 85051-9588 267 ADMINISTRATIVE SERVICE CO (800) 634-8816 3301 E. ROYALTON ROA CLEVELAND OH 44147-2886 198 ADVANCED PARADIGM (800) 364-6331 PO BOX 853901 RICHARDSON TX 75081-3901 327 ADVANCED PCS (800) 364-6331 PO BOX 961066 FORT WORTH TX 76161 331 ADVANCED PCS HELP SYSTEM, (800) 345-5413 PO BOX 52115 ATTN: MAIL CODE 12 8 PHOENIZ AZ 85072-2115 D8M ADVANTAGE FREEDOM PLAN RX (800) 429-6686 221 N CHARLES LINDBE SLC UT 84116 D5B ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430 D5S ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430 D8O ADVANTRA RX (866) 823-5177 VALUE (PDP) LEXINGTON KY 40512 722 ADVENTIST RISK MANAGEMENT (800) 447-5002 P O BOX 1808 GRAPEVINE TX 76099 593 ADVNATAGE HEALTH SOL (317) 573-6228 9490 PRIORITY WAY INDIANANPOLIS IA 46240 22P AETNA HEALTH CARE (800) 811-5671 PO BOX 15048 ALBANY NY 12212 D1T AETNA HEALTH INSURANCE OF 151 FARMINGTON AVENU HARTFORD CT 06156 22D AETNA HEALTH PLAN (800) 222-5553 PO BOX 25519 RICHMOND VA 23260 22E AETNA HEALTH PLAN (800) 237-0575 UPS CLAIMS PO BOX 26053 GREENSBORO NC 27420 22I AETNA HEALTH PLAN (800) 624-0756 PO BOX 5569 AKRON OH 44334 22K AETNA HEALTH PLAN (800) 238-6221 PO BOX 795083 SAN ANTONIO TX 78279 22L AETNA HEALTH PLAN (800) 624-0756 PO BOX 2231 BLUE BELL PA 19422 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 22A AETNA HEALTH PLANS (610) 391-1700 PO BOX 3909 ALLENTOWN PA 18106-0909 22B AETNA HEALTH PLANS (800) 624-0756 3 HIGHWOOD DRIVE TEWKSBURY MA 01876 22C AETNA HEALTH PLANS (800) 624-0756 PO BOX 120 GRAND RAPIDS MI 49501 22 AETNA LIFE INS. CO. P O BOX 18040 COLUMBUS OH 43218-0040 D01 AETNA MEDICARE (877) 238-6211 980 JOLLY ROAD BLUE BELL PA 19422 D3U AETNA MEDICARE 151 FARMINGTON AVENU HARTFORD CT 06156 D5J AETNA MEDICARE 151 FARMINGTON AVENU HARTFORD CT 06156 D7I AETNA MEDICARE (800) 445-1796 151 FARMINGTON AVENU HARTFORD CT 06156 D8S AETNA MEDICARE RX ESSENTI (877) 238-6211 PO BOX 14023 LEXINGTON KY 40512 D9G AETNA MEDICARE RX PLUS 600 NEW LONDON AVE CRANSTON RI 02920

22G AETNA PHARMACY MANAGEMENT (800) 238-6279 PO BOX 14024 ATTN: CLAIM PROCESS LEXINGTON KY 40512 603 AETNA STRATEGIC RESOURCE (800) 800-8121 PO BOX 14079 LEXINGTON KY 40512-4079 563 AETNA STUDENT HEALTH PLAN (800) 966-7772 PO BOX 981106 EL PASO RI 79998 22H AETNA U.S. HEALTHCARE (800) 624-0756 PO BOX 31450 TAMPA FL 33631 22N AETNA U.S. HEALTHCARE (800) 445-7175 PO BOX 26106 GREENSBORO NC 27402-6106 22X AETNA U.S. HEALTHCARE (866) 899-4378 PO BOX 14586 LEXINGTON KY 40512-4586 22Z AETNA U.S. HEALTHCARE (800) 624-0756 PO BOX 14079 LEXINGTON KY 40512 22F AETNA US HEALTH CARE (800) 624-0756 PO BOX 150417 HARTFORD CT 06115 22Q AETNA US HEALTH CARE (800) 293-3536 PO BOX 14091 LEXINGTON KY 40512 22J AETNA US HEALTHCARE (800) 545-5862 CITIBANK DIVISION PO BOX 3911 ALLENTOWN PA 18106-0911 22M AETNA US HEALTHCARE (800) 624-0756 PO BOX 7012 DOVER DE 19903-1512 22R AETNA US HEALTHCARE (888) 632-3862 PO BOX 981109 EL PASO TX 79998 22S AETNA US HEALTHCARE (800) 323-9930 PO BOX 1125 BLUE BELL PA 19422 22T AETNA US HEALTHCARE (800) 624-0756 7676 HAZARD CENTER D SAN DIEGO CA 92108 22U AETNA US HEALTHCARE (800) 741-4781 PO BOX 14066 LEXINGTON KY 40512 22V AETNA US HEALTHCARE (800) 635-2095 PO BOX 2295 FORT WAYNE IN 46601-2295 22W AETNA US HEALTHCARE (877) 535-2128 PO BOX 981106 EL PASO TX 79998 22Y AETNA US HEALTHCARE (800) 543-5458 PO BOX 14094 LEXINGTON KY 40512 683 AETNA US HEALTHCARE/VISIO (888) 632-3862 PO BOX 981106 EL PASO TX 79998-1106 D4G AFFINITY HEALTH PLAN 2500 HALSEY STREET BRONX NY 10461 197 AFFORDABLE MEDICAL NETWOR (800) 255-8109 PO BOX 3281 SCOTTSDALE AZ 85271-3281 288 AFLAC (800) 992-3522 1932 WYNNTON ROAD COLUMBUS GA 31999 254 AH & L (631) 666-2616 EPC ASSOCIATES PO BOX 5329 BAY SHORE NY 11706 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE WORKERS COMP. CLAIM 99 SUMMER 274 AIG (617) 790-9000 STREET BOSTON MA 02110 500 AIG LIFE INSURANCE CO. (800) 221-3480 PO BOX 1581 NEPTUNE NJ 07754-1581 614 AIG LTC 11000 PRAIRIE LAKES EDEN PRAIRI MN 55344 D8D ALAMEDA ALLIANCE FOR HEAL (510) 747-4500 12401 SOUTH LOOP ROA ALAMEDA ALLIANCE CA 94501 102 ALBANY INSURANCE CO. (518) 445-2200 PO BOX 1907 ALBANY NY 12201 540 ALICARE (MASS STATE HEALT (800) 338-4330 P.O. BOX 1477 NEW YORK NY 10116-1477 739 ALL SAVERS UNITED HEALT (800) 232-5432 P.O. BOX 31375 SALT LAKE CITY UT 84131-0375 724 ALLEGIANCE BENEFIT PLAN M (800) 877-1122 P.O.BOX 3018 MISSOULA MT 59086-3018 725 ALLEGIANCE BENEFIT PLAN M (800) 877-1122 P.O.BOX 3018 MISSOULA MT 59086-3018 400 ALLIANCE (608) 276-6620 PO BOX 44365 MADISON WI 53744-4365 417 ALLIANCE BLUE CROSS OF MI PO BOX 14882 ST. LOUIS MO 63178-4882 527 ALLIED BENEFIT SYSTEMS (800) 288-2078 PO BOX 909786-60690 CHICAGO IL 60690 350 ALLSTATE FINANCIAL GROUP (800) 937-7039 1776 AMERICAN HERITA JACKSONVILLE FL 32224 173 ALLSTATE INSURANCE CO (401) 333-6100 625 GEORGE WASHINGTO LINCOLN RI 02865 391 ALTUS DENTAL INSURANCE CO (877) 223-0588 PO BOX 1557 PROVIDENCE RI 02901-1557 697 ALWAYS HEALTH PARTNERS (855) 444-4647 P O BOX 10 NUTTING LAKE MA 01865 787 ALWAYS PARTNERS (800) 432-9449 PO. BOX 852099 RICHARDSON TX 75085 29 AM. POSTAL WORKERS UNION (800) 222-2798 P.O. BOX 967 SILVER SPRINGS MD 20910 403 AMA INSURANCE AGENCY (800) 458-5736 200 NORTH LASALLE ST CHICAGO IL 60601 0AK AMALG LIFE (800) 333-4456 770 BROADWAY NEW YORK NY 10003 707 AMALGAMATED LIFE INSURANC (800) 315-9174 333 WESTCHESTER AVEN WHITE PLANS NY 10604 389 AMERIBEN SOLUTIONS (800) 786-7930 PO BOX 7186 BOISE ID 83707 252 AMERICAN FREIGHTWAYS (870) 741-7227 NPPN 419 E MAIN STRE MIDDLETOWN NY 10940 D31 AMERICAN HEALTH MEDICARE (866) 620-2420 PO BOX 11320 SAN JUAN PR 09220 D7Y AMERICAN HEALTH MEDICARE (787) 620-1919 PO BOX 11320 CAPARRA PR 09229- 907 655 AMERICAN HERITAGE LIFE (800) 535-8086 1776 AMERICAN HERITA JACKSONVILLE FL 32224 PO BOX 25050 EMPLOYEE BENEFITS 103 AMERICAN INTERNATIONAL CO (800) 468-7077 DE WILMINGTON DE 19899 541 AMERICAN MEDICAL & LIFE I (888) 264-1512 PO BOX 1235 FREDERICK MD 21702 691 AMERICAN MEDICAL AND LIFE (888) 264-1512 P O BOX 34912 PHILADELPHIA PA 19101 656 AMERICAN NATIONAL I PO BOX 696520 SAN ANTONIO TX 78269-6520 464 AMERICAN PIONEER LIFE INS (800) 999-2224 PO BOX 130 PENSACOLA FL 32591 205 AMERICAN REPUBLIC INSURAN (515) 245-2000 PO BOX 10 ATTN: CLAIMS DES MOINES IA 50301-0010 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

340 AMERICAN SPECIAL RISK MGM (800) 359-7475 509 SOUTH LENOLA ROA BUILDING 2 MOORESTOWN NJ 08057 472 AMERICAN TRUST ADMINISTRA (800) 843-4121 P.O. BOX 87 SHAWNEE MISSION KS 66201 D4N AMERICA'S HEALTH CHOICE M 1175 US HIGHWAY 1 VERO BEACH FL 32962

D40 AMERICHOICE PERSONAL CARE (877) 289-1915 1 RIVERFRONT PLAZA PO BOX 200449 NEWARK NJ 07102 309 AMERICORPS (800) 847-8217 PO BOX 33757 INDIANAPOLIS IN 46203-0757 D4E AMERIGROUP COMMUNITY CARE 4200 WEST CRPRESS ST SUITE 900 TAMPA FL 33607 D51 AMERIHEALTH 65 (866) 282-3235 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103 401 AMERI-HEALTH ADMINISTRATO (800) 480-5032 720 BLAIR MILL ROAD HORSHAM PA 19044-0975 D2V AMERIHEALTH ADVANTAGE PO BOX 41514 PHILADELPHIA PA 19101 D44 AMERIHEALTH ADVANTAGE (866) 456-1694 PO BOX 41514 PHILADELPHIA PA 19101 D8Q AMERIHEALTH ADVANTAGE RX (800) 645-3965 PO BOX 7576 PHILADELPHIA PA 19101-8951

203 AMERITAS LIFE INSURANCE C (800) 487-5553 GROUP CLAIMS DEPT. PO BOX 82520 LINCOLN NE 68501-2520

D88 ANTHEM 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206 626 ANTHEM BLUE CROSS - KENTU (800) 880-2583 135500 TRITTON PARK LOUISVILLE KY 40223 409 ANTHEM BLUE CROSS - VIRGI (800) 451-1527 PO BOX 27401 RICHMOND VA 23279 D75 ANTHEM BLUE CROSS & BLUE (800) 334-7676 PO BOX 14046 ROANOKE VA 24038

D5X ANTHEM BLUE CROSS AND BLU 1351 WILLIAM HOWARD CN1413-818 CINCINNATI OH 45206 628 ANTHEM BLUE CROSS BLUE SH (800) 422-4304 2 GANNETT DRIVE SOUTH PORTLAND ME 04106 630 ANTHEM BLUE CROSS BLUE SH (800) 932-4480 PO BOX 105557 ATLANTA GA 30348 766 ANTHEM BLUE CROSS COLORAD (800) 677-6669 P.O.BOX 5747 DENVER CO 80217-5747 619 ANTHEM BLUE CROSS CONNECT (800) 438-5856 PO BOX 105557 ATLANTA GA 30348 328 ANTHEM BLUE CROSS OF (888) 290-9160 PO BOX 37180 LOUISVILLE KY 40233-7180 430 ANTHEM BLUE CROSS OF NEW (800) 238-2465 PO BOX 660 NORTH HAVEN CT 06473 507 ANTHEM BLUE CROSS- OHIO (888) 290-9160 PO BOX 37180 LOUISVILLE KY 40233-7180 706 ANTHEM BLUE CROSS VERIZON (855) 869-8138 P O BOX 105187 ATLANTA GA 30348-5187 479 ANTHEM BLUE CROSS/BLUE SH (800) 345-4344 PO BOX 7101 INDIANAPOLIS IN 46207-7101 488 ANTHEM BLUE CROSS/BLUE SH (800) 234-0111 PO BOX 4109 WOODLAND HILLS CA 91365 491 ANTHEM BLUE CROSS/BLUE SH (800) 822-7442 PO BOX 34210 LOUISVILLE KY 40232-4210

D24 ANTHEM BLUE CROSS/BLUE SH (800) 692-5399 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D3R ANTHEM BLUE CROSS/BLUE SH 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206 105 ANTHEM BLUE OF CALIFORNIA (800) 333-0912 PO BOX 9061 OXNARD CA 93031 729 ANTHEM OHIO/DENTAL (866) 641-7762 P O BOX 659444 ST ANTONIO TX 78265 332 ANTHEM RX PHARMACY (800) 962-8192 PO BOX 746000 CINCINNATI OH 45274-6000 435 ANTHEM RX PHARMACY PO BOX 145433 CINCINNATI OH 45250-5433 D6J ANTHEN BLUE PO BOX 30043 DURHAM NC 27702 240 AON SELECT (800) 822-3287 110 GIBRALTAR ROAD HORSHAM PA 19044 D5Q APIPA PERSONAL CARE 3141 NORTH THIRD AVE PHOENIX AZ 85013

526 APWU HEALTH PLAN (800) 222-2798 799 CROMWELL PARK DR SUITES K-Z GLEN BURNIE MD 21061 1100 CROWN COLONIAL PO BOX 202 ARBELLA INDEMNITY INSURAN (617) 769-3100 699227 QUINCY MA 02269 565 ARGUS PHARMACY SERVICES (800) 241-3371 1300 WASHINGTON ST. KANSAS CITY MO 64105-1433 D1L ARKANSAS COMMUNITY CARE P 3810 FRONT STREET SUITE 811 FAYETTEVILLE AR 72703 228 ASC (800) 472-6630 PO BOX 928 FINDLAY OH 45839 299 ASSOCIATED PLAN ADMINISTR (800) 626-3880 PO BOX 9568 NEW HAVEN CT 06535 104 ASSOCIATED PRESCRIPTION S (410) 986-2168 104 CHURCH LANE BALTIMORE MD 21208 553 ASSURANT EMPLOYEE BENEFIT (180) 044-2774 PO BOX 2940 CLINTON IA 52733 792 ATLAS (ZENITH ADMINISTRAT (312) 649-1200 18891 90TH AVENUE SUITE A MOKENA IL 60448 609 AULTCARE (800) 505-2858 PO BOX 6910 CANTON OH 44706 282 AUTOMATED BENEFIT SERVICE (800) 521-1321 PO BOX 37506 OAK PARK MI 48237 733 AUTOMATED BENEFIT SERVICE (800) 225-9369 8220 IRVING ROAD STERLING HEIGHTS MI 48312 D1E AVALON HEALTH, LTD. 2500 ELMERTON AVENUE HARRISBURG PA 17177 612 AVERA HEALTH PLAN (605) 322-4545 PO BOX 381506 BIRMINGHAM AL 65238 586 AVESIS (800) 828-9341 PO BOX 7777 PHOENIX AZ 85011 615 AV-MED (305) 671-5437 9400 SOUTH DADELAND MIAMI FL 33156 D6L AVMED PREMIER CARE (HMO) PO BOX823 GAINNESVILLE FL 32602 0CH B/S OF PENNSYLVANIA (717) 763-3533 1800 CENTER STREET CAMP HILL PA 17089 302 BAKERY & CONF. UNION HEAL (301) 468-3731 10401 CONNECTICUT AV KENSINGTON MD 20895-3731 37 BANKERS LIFE & CASUALTY (800) 800-2254 222 MERCHANDISE MART CHICAGO IL 60654-2001 0H8 BC OF FLORIDA (904) 791-6111 P.O. BOX 1798 JACKSONVILLE FL 32331-0014 119 BEACON MUTUAL INSURANCE (401) 825-2667 ONE BEACON CENTER WARWICK RI 02886 308 BENEFIRST (877) 823-6334 PO BOX 1421 MARSHFIELD MA 02050 268 BENEFIT ADMINISTRATIVE SY (708) 799-7400 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD IL 60430-4623 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 705 BENEFIT ADMINISTRATOR OF (877) 707-2583 P O BOX 2000 EXETER NH 03833 PO BOX 60608 651 ALLENDALE 31 BENEFIT CONCEPTS, INC RD KING OF PRUSSIA PA 19406-0608 122 BENEFIT MANAGEMENT SERVIC (800) 279-1171 PO BOX 1178 MATTHEWS NC 28106 35 BENEFIT PLAN MANAGEMENT (877) 642-7500 PO BOX 536 ROCKLAND MA 02370 112 BENEFIT PLANNERS (210) 699-1872 PO BOX 690450 SAN ANTONIO TX 78269 351 BENEFIT SYSTEM & SERVICE, (800) 423-1841 760 PASQUINELLI DRIV WESTMONT IL 60059 566 BENEMAX DENTAL HEALTH PLA (508) 359-4107 PO BOX 355 MEDFIELD MA 02052 204 BENEMAX HEALTH PLAN (508) 359-4107 PO BOX 355 MEDFIELD MA 02052 310 BENESIGHT (815) 395-0080 PO BOX 7045 ROCKFORD IL 61125-7045 576 BLUE ADVANTAGE , BLUE OF (866) 823-3790 PO BOX 1460 LITTLE ROCK AR 72203 578 BLUE ADVANTAGE BLUE CROSS (866) 823-3790 PO BOX 1460 LITTLEROCK AR 72203 682 BLUE BENEFIT ADMINISTRATO (877) 707-2583 PO BOX 55917 BOSTON MA 02205-5917 12A BLUE CHIP - MEDICARE HMO (800) 528-4141 15 LASALLE SQUARE PROVIDENCE RI 02903-1814 12 BLUE CHIP-COORD HLTH PART (401) 274-3500 15 LASALLE SQUARE PROVIDENCE RI 02903-1814 623 BLUE CORSS NY HEALTHNOW (800) 856-0480 PO BOX 80 BUFFALO NY 14240 D20 BLUE CROSS & BLUE SHIELD (800) 505-2583 15 LA SALLE SQUARE PROVIDENCE RI 02903 D2C BLUE CROSS & BLUE SHIELD 1215 SOUTH BOULDER TULSA OK 74119 D64 BLUE CROSS & BLUE SHIELD (800) 876-2227 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246 552 BLUE CROSS BLUE SHEILD OF (866) 470-2963 PO BOX 3355 PITTSBURGH PA 15230-3355 D5T BLUE CROSS BLUE SHEILD OF PO BOX 180205 CHATTANOOGA TN 37402 633 BLUE CROSS BLUE SHIELD O (800) 722-3130 PO BOX 660044 DALLAS TX 75266-0044 621 BLUE CROSS BLUE SHIELD FL (800) 432-5373 PO BOX 1798 JACKSONVILLE FL 32231 624 BLUE CROSS BLUE SHIELD KA (800) 451-2348 PO BOX 419169 KANSAS CITY MO 64108 625 BLUE CROSS BLUE SHIELD KA (800) 451-2348 PO BOX 419169 KANSAS CITY MO 64108 631 BLUE CROSS BLUE SHIELD NO 5901 CHAPEL HILL RD DURHAM NC 27702 632 BLUE CROSS BLUE SHIELD NO 5901 CHAPEL HILL RD DURHAM NC 27702 616 BLUE CROSS BLUE SHIELD OF PO BOX 995 BIRMINGHAM AL 35298 617 BLUE CROSS BLUE SHIELD OF (800) 827-4814 PO BOX 2181 LITTLE ROCK AR 72203 618 BLUE CROSS BLUE SHIELD OF (877) 811-3106 700 BROADWAY DENVER CO 80273 627 BLUE CROSS BLUE SHIELD OF (800) 880-2583 13550 TRITTON PARK B LOUISVILLE KY 40223 629 BLUE CROSS BLUE SHIELD OF (800) 722-0203 PO BOX 105557 ATLANTA GA 30348 636 BLUE CROSS BLUE SHIELD OF (800) 552-6989 PO BOX 27401 RICHMOND VA 23279 D4S BLUE CROSS BLUE SHIELD OF 27000 WEST ELEVEN MI MCH44 SOUTHFIELD MI 48034 D5E BLUE CROSS BLUE SHIELD OF PO BOX 9092 OXNARD CA 93031 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE D6F BLUE CROSS BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223 713 BLUE CROSS FEDERAL EMPLOY (888) 550-2583 P O BOX 2010 LATHAM LATHAM NY 12110-2010 16 BLUE CROSS OF ALABAMA (800) 334-9041 PO BOX 360508 BIRMINGHAM AL 35236 398 BLUE CROSS OF ALABAMA/DEN PO BOX 830389 BIRMINGHAM AL 35283 34 BLUE CROSS OF CONNECTICUT (800) 922-6621 PO BOX 533 NORTH HAVEN CT 06473 0H7 BLUE CROSS OF FLORIDA (877) 352-2583 PO BOX 1798 JACKSONVILLE FL 32231 0H9 BLUE CROSS OF FLORIDA (800) 926-6565 PO BOX 44160 JACKSONVILLE FL 32231-4160 399 BLUE CROSS OF GEORGIA (800) 676-2583 PO BOX 9907 COLUMBUS GA 31908 677 BLUE CROSS OF GEORGIA/DEN (800) 627-0004 PO BOX 9907 COLUMBUS GA 31908 253 BLUE CROSS OF GREATER NEW (800) 842-8421 PO BOX 4782 SYRACUSE NY 13221 716 BLUE CROSS OF IDAHO (866) 482-2250 PO BOX 7408 BOISE ID 83707 116 BLUE CROSS OF ILLINOIS (800) 730-8445 PO BOX 1220 CHICAGO IL 60690 298 BLUE CROSS OF IOWA (WELLM (800) 524-9242 636 GRAND AVENUE DES MOINES IA 50309-2565 411 BLUE CROSS OF KANSAS (800) 432-3990 1133 S.W. TOPEKA BLV TOPEKA KS 66629-0001 42 BLUE CROSS OF MAINE (800) 482-0966 2 GANNET DRIVE SOUTH PORTLAND ME 04106 STATE OF MD OPERATIO PO BOX 120 BLUE CROSS OF MARYLAND (800) 225-0131 9885 BALTIMORE MD 21284-9885 0J3 BLUE CROSS OF MASSACHUSET (617) 376-4700 PO BOX 1996 MEDEX CLAIMS BOSTON MA 02105-1996 0J4 BLUE CROSS OF MASSACHUSET (800) 782-3675 PO BOX 9196 NORTH QUINCY MA 02171-9196 107 BLUE CROSS OF MEMPHIS (800) 222-7212 PO BOX 10 MEMPHIS TN 38101 169 BLUE CROSS OF MICHIGAN (800) 324-5760 NASCO CLAIMS PO BOX 5124 SOUTHFIELD MI 48086-5124 125 BLUE CROSS OF MINNESOTA (800) 382-2000 PO BOX 64338 ST PAUL MN 55164 1831 CHESTNUT STREET ATTN: 260 BLUE CROSS OF MISSOURI (800) 433-5929 NASCO ST. LOUIS MO 63103-2275 281 BLUE CROSS OF MISSOURI (888) 571-9054 PO BOX 66893 ATTN: LOCAL 655 ST. 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543 EMIH (EMPLOYEE HEALTH INS (800) 311-3446 26711 NORTHWESTERN H SUITE 400 SOUTHFIELD MI 48033 54A EMPIRE BLUE CROSS PO BOX 170 MURPHY HILL STATION NEW YORK NY 10156 54B EMPIRE BLUE CROSS (212) 476-7700 PO BOX 11802 ALBANY NY 12211-0802 54C EMPIRE BLUE CROSS (800) 468-8802 PO BOX 5012 MIDDLETOWN NY 10940-9012

54D EMPIRE BLUE CROSS NY STATE SERVICE CTR PO BOX 11815 ALBANY NY 12211-0815 54E EMPIRE BLUE CROSS (877) 732-7717 PO BOX 1407 CHURCH ST. STATION NEW YORK NY 10008 D3B EMPIRE BLUE CROSS/BLUE SH 3 HUNTINGTON QUADRAN MELVILLE NY 11747

54 EMPIRE BLUE CROSS/NYNEX (855) 880-0575 NYNEX DEDICATED SVC PO BOX 5047 MIDDLETOWN NY 10941 313 EMPLOYEE BENEFIT ADMINIST (800) 224-2522 64 SCHOOSETT STREET ROUTE 139 PEMBROKE MA 02359 121 EMPLOYEE BENEFITS TRUST (302) 426-3224 PO BOX 8788 WILMINGTON DE 19899 641 EMPLOYEE HEALTH INS MANAG (800) 311-3446 26711 NW HIGHWAY SOUTHFIELD MI 48033 764 ENVISION RX (844) 429-6893 2181 EAST AURORA RD #21 TWINSBURG OH 44087 D1H ENVISION RX PLUS (866) 250-2005 2181 EAST AURORA ROA SUITE 201 TWINSBURG OH 44087 D9A ENVISION RX PLUS SILVER (866) 250-2005 2181 E. AURORA RD ST TWINSBURG OH 44087 D9R ENVISION RX PLUS SILVER 600 NEW LONDON AVE CRANSTON RI 02920 59 EQUICOR, INC. PO BOX 34337 CHARLOTTE NC 28234 307 ERN ADMINISTRATORS (800) 252-4698 PO BOX 9137 FORT WORTH TX 76147-2137 755 ESSENTIALSTAFFCARE (866) 798-0803 PO BOX 6702 COLUMBIA SC 29260-6702 455 EURO-CENTER USA (212) 265-8522 140 W 57TH STREET SUITE 6B NEW YORK NY 10019 06B EVERCARE (800) 393-0993 PO BOX 659754 SAN ANTONIO TX 78265-9754 D2W EVERCARE HEALTH PLANS 13621 NW 12 STREET SUNRISE FL 33323 D4V EVERCARE HEALTH PLANS 13621 N.W. 12TH STRE SUNRISE FL 33323 D84 EVERCARE OF TEXAS, LLC (866) 382-4642 9700 BISSONNET SUITE 2225 HOUSTON TX 77036

D5L EVERCARE PLAN 450 COLUMBUS BOULEVA CT 28-07SB HARTFORD CT 06115 D4U EVERCARE PLAN DH PO BOX 459018 SUNRISE FL 33345

D4K EVERCARE PLAN IH 900 4TH AVENUE, SUITE WA33-1000 SEATTLE WA 98164 D1J EVERCARE PLAN IP 6085 MARSHALEE DRIVE SUITE 110 ELKRIDGE MD 21075 D4R EVERCARE PLAN IP 275 GROVE STREET SUI AUBURNDALE MA 02466 UTICA BUSINESS PARK 12 RHOADS 620 EXCELLUS BLUE CROSS BLUE (800) 311-3536 DRIVE UTICA NY 13502 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 498 EXCELLUS BLUE CROSS/ BLUE (877) 757-3850 PO BOX 22999 ROCHESTER NY 14692 53 EXPRESS SCRIPT (800) 451-6245 14000 RIVERPORT DR MARYLAND HEIGHTSMO 63043 6625 W. 78TH STREET ATTN: CLAIMS 53A EXPRESS SCRIPT (877) 212-1021 BL0630 BLOOMINGTON MN 55439 53C EXPRESS SCRIPT (800) 964-1888 PO BOX 1180 433 RIVER STREET TROY NY 12180 53D EXPRESS SCRIPTS (800) 772-3979 PO BOX 390873 B 470-Q4H BLOOMINGTON MN 55439-0873 53E EXPRESS SCRIPTS (800) 955-1171 PO BOX 66518 ATTN: SA TEAM ST. LOUIS MO 63166-6518 53B EXPRESS SCRIPTS/BCMA RX (800) 524-4491 PO BOX 66583 ATTN: CLAIMS DEPT. ST. LOUIS MO 63166-6773 126 EYE CARE PLAN OF AMERICA (800) 221-3272 PO BOX 51810 PHOENIX AZ 85076 471 EYE MED VISION PLAN (866) 939-3633 PO BOX 8506 MASON OH 45040-7111 485 EYEMED MANAGED CARE CLAIM (866) 723-0513 PO BOX 8504 MASON OH 45040-7111 57 FALLON COMMUNITY HEALTH P (888) 468-1541 PO BOX 15121 WORCESTER MA 01615-0121 ONE CHESTNUT PLACE 10 CHESTNUT D29 FALLON COMMUNITY HEALTH P (888) 846-5997 STREET WORCESTER MA 01608 690 FCE BENEFIT ADMINISTRATOR (800) 899-9355 4615 WALZEM ROAD SUITE #300 SAN ANTONIO TX 78218 JFK BLDG-ROOM E 260 US DEPT OF 339 FEDERAL EMPLOYEE COMP ACT (800) 888-6227 LABOR/OWC BOSTON MA 02203 58 FEDERAL EMPLOYEE PLAN/BC (401) 831-0153 444 WESTMINSTER ST PROVIDENCE RI 02903-3279 418 FEDERL MUTUAL INSURANCE (507) 455-5200 PO BOX 328 OWATONNA MN 55060 235 FFI, RX MANAGED CARE (800) 699-7857 8536 CROW DRIVE MACEDONIA OH 44056 210 FIREMAN'S FUND (516) 756-6100 538 BROADHOLLOW ROAD MELVILLE NY 11747 123 FIRST HEALTH (412) 269-1178 PO BOX 8400 LONDON KY 40742 124 FIRST HEALTH PO BOX 945030 MAITLAND FL 32797-5030 262 FIRST HEALTH PO BOX 23550 TUCSON AZ 85734 270 FIRST HEALTH PO BOX 11127 TUCSON AZ 85734 280 FIRST HEALTH PO BOX 23070 TUCSON AZ 85734 317 FIRST HEALTH PO BOX 10000 ELEC. CLAIMS PAYOR CORAOPOLIS PA 15108-6910 PO BOX 24308 ELECTRONIC CLAIM 453 FIRST HEALTH PAY TUCSON AZ 85734 D9E FIRST HEALTH PART D-PREMI 600 NEW LONDON AVE CRANSTON RI 02920 D30 FIRST HEALTH PREMIER (800) 588-3322 2222 EWING ROAD MOON TOWNSHIP PA 15108 D67 FIRST HEALTH PREMIER (800) 588-3322 2222 EWING ROAD MOON TOWNSHIP PA 15108 HEALTH PLAN MEDICAL PO BOX D4L FIRST MEDICAL 195080 SAN JUAN PR 09190 D27 FIRST MEDICAL HEALTH PLAN (866) 515-5885 P.O. BOX 195080 SAN JUAN PR 09190 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE D8C FIRST MEDICAL HEALTH PLAN (787) 625-9557 PO BOX 195080 SAN JUAN PR 09190 D83 FIRST PLAN BLUE (800) 635-4159 525 S. LAKE AVENUE SUITE 222 DULUTH MN 55802 D2H FIRST UNITED AMERICAN LIF 3700 SOUTH STONEBRID MCKINNEY TX 75070 520 FISERV (800) 826-9781 PO BOX 8077 WAUSAU WI 54402-9781 329 FISERV HEALTH (866) 881-0800 PO BOX 310 PUEBLO CO 81002 642 FISERV SAN ANTONIO (800) 218-1004 PO BOX 2838 CLINTON IA 52733 595 FISERV WAUSAU (800) 826-9781 754 MINNESOTA AVE SUITE 522 SALT LAKE CITY UT 84130 D80 FLORIDA HEALTH CARE PLAN, (800) 232-0578 1340 RIDGEWOOD AVENU HOLLY HILL FL 32117 517 FLRX (800) 724-5033 PO BOX 22999 ROCHESTER NY 14692 358 FMH BENEFITS (800) 990-9058 PO BOX 25946 OVERLAND PARK KS 66225 261 FOREMOST OF AMERICA (800) 847-8217 1009 LENOX DRIVE LAWRENCEVILLE NJ 08648 60 FORTIS BENEFIT INSURANCE (800) 800-2000 GROUP CLAIM DEPT ST PAUL MN 55164 60B FORTIS BENEFITS (800) 434-2638 PO BOX 2940 CLINTON IA 52733 60A FORTIS SELF FUNDED INSURA (800) 847-8284 PO BOX 2043 HOPKINS MN 55343 6300 BRIDGEPOINT PAR BLDG. 3, 486 FOUNDATION BENEFITS ADMIN (866) 868-9449 SUITE 400 AUSTIN TX 78730 D8G FOX INSURANCE (877) 369-9564 40 WEST 25TH ST. 6TH NEWYORK NEWYORNY 10010

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D5A HEALTH NET OF ARIZONA, IN 1230 WEST WASHINGTON SUITE 401 TEMPE AZ 85281 D8P HEALTH NET ORANGE OPTION (800) 806-8811 2222 EWING ROAD MOON TOWNSHIP PA 15108 D9D HEALTH NET ORANGE OTION 1 600 NEW LONDON AVE CRANSTON RI 02920 611 HEALTH NEW ENGLAND (800) 310-2835 ONE MONARCH PLACE SUITE 1500 SPRINGFILED MA 01144-1500 460 HEALTH OPTIONS - JACKSONV (800) 734-6656 532 RIVERSIDE AVENUE JACKSONVILLE FL 32202 D5G HEALTH OPTIONS PROGRAM PO BOX 1764 LANCASTER PA 17608 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE D79 HEALTH OPTIONS, INC.\BSBS (800) 876-2227 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246 8170 33RD AVENUE SOU PO BOX 529 HEALTH PARTNERS ADMINISTR (952) 883-6000 1309 MINNEAPOLIS MN 55440-1309 DE6 HEALTH PARTNERS OF PA (800) 553-0784 P.O.BOX 1220 PHILADELPHIA PA 19105-1220 511 HEALTH PLAN ADMINISTRATOR (866) 513-1479 PO BOX 828 ST M CLAIMS DEPT. 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778 HUMANA MILITARY (800) 444-5445 TRICARE CARE EAST RE CLAIMS DEPT MADISON WI 53707-7981 D7S HUMANA VALUE S5884-102 (P (800) 281-6918 102 WEST MAIN ST LOUISVILLE KY 40202 D07 HUMANA, INC. (800) 281-6918 500 WEST MAIN STREET LOUISVILLE KY 40202 DC3 HYMANA GOLD PLUS (859) 232-8686 P O BPX 14605 LEXINGTON KY 40512-4605 347 IBEW LOCAL 223 HEALTH & W (508) 947-8555 PO BOX 1238 LAKEVILLE MA 02347 0BX IBEW LOCAL UNION 42 & 104 P O BOX 1213 MANCHESTER CT 06040 780 IMG (855) 731-9442 P.O.BOX 88506 INDIANAPOLIS IN 46201 216 INDECS CORPORATION (800) 225-0324 PO BOX 668 LYNDHURST NJ 14779-7215 225 INDEPENDENCE BLUE CROSS (877) 448-7526 1901 MARKET STREET PHILADELPHIA PA 19103-1480 740 INDEPENDENT HEALTH ASSOCI (800) 501-3439 P O BOX 9066 BUFFALO NY 14231 D93 INDEPENDENT LIVING FOR SE 2066 HUDSON AVENUE ROCHESTER NY 14617 686 INFORMED RX (800) 880-1188 2441 WARRENVILLE ROA LISLE IL 60532 648 INNOVIANT (877) 559-2955 PO BOX 8082 WAUSAU WI 54402 D49 INSTIL HEALTH INSURANCE C (877) 446-7845 17 TECHNOLOGY CIRCLE COLUMBIA SC 29203 266 INSURANCE ADMINISTRATORS (888) 599-1515 PO BOX 5082 MT. LAUREL NJ 08054 348 INSURERS ADMINISTRATIVE C (800) 397-5800 PO BOX 39119 PHOENIX AZ 85069-9119 D4H INTER VALLEY HEALTH PLAN 300 S PARK AVENUE PO BOX 6002 POMONA CA 91769 647 INTERACTIVE MEDICAL SYSTE (800) 426-8739 11635 NORTHPARK DR SUITE 335 WAKE FOREST NC 27587 416 INTERNATIONAL MEDICAL GRO (800) 628-4664 407 FULTON STREET INDIANAPOLIS IN 46202 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 414 INTERPLAN CORPORATION (800) 444-4036 2575 GRAND CANAL BLV STOCKTON CA 95207 487 IRON CLAD INSURANCE (866) 229-4766 161 GRANITE AVENUE DORCHESTER MA 02124 567 IRON CLAD INSURANCE DENTA (866) 229-4766 161 GRANITE AVE DORCHESTER MA 02052 217 J.C. PENNEY LIFE INSURANC 2700 WEST PLANO PKWY PLANO TX 75075 359 J.F. MALLOY & ASSOCIATES (800) 373-5208 PO BOX 790215 ST. LOUIS MO 63179 137 JEFFERSON PILOT INSURANCE (713) 776-1761 10101 SW FREEWAY HOUSTON TX 77074 25 JOHN ALDEN LIFE INSURANCE (800) 328-4316 PO BOX 9398 MINNEAPOLIS MN 55440 COMMONWEALTH SERVICE PO BOX 83B JOHN HANCOCK HEALTH INSUR (800) 442-9300 9016 ANDOVER MA 01810 83C JOHN HANCOCK INSURANCE (800) 843-6147 PO BOX 833898 RICHARDSON TX 75083 83 JOHN HANCOCK MUTUAL LIFE (800) 343-0034 200 BERKELEY ST BOSTON MA 02117 83A JOHN HANCOCK MUTUAL LIFE (800) 345-1335 208 OLD LANCASTER RD DEVON PA 19333

428 KAISER FOUNDATION HEALTH (800) 464-4000 PO BOX 7004 ATTN: SOUTHERN CAR DOWNEY CA 90242-7004 D3I KAISER FOUNDATION HEALTH 1001 LAKESIDE AVENUE CLEVELAND OH 44114 218 KAISER PERMANENTE (800) 464-4000 PO BOX 12923 ATTN: CLAIMS DEPT. OAKLAND CA 94604-2923 D58 KAISER PERMANENTE (800) 777-1238 1800 HARRISON STREET OAKLAND CA 94612 D8E KAISER PERMANENTE (877) 221-8221 500 NE MULTNOMAH SUI PORTLAND OR 97232 0EB KEMPER INS - LUMBERMAN'S (800) 922-3185 1 KEMPER DRIVE LONG GROVE IL 60049 0EC KEMPER INSURANCE/WORKERS (508) 998-1123 PO BOX 51148 NEW BEDFORD MA 02745 785 KEY BENEFIT ADMINISTRATOR (877) 851-0906 PO BOX 3252 MILWAUKEE WI 53201-3252 D1K KEYSTONE HEALTH PLAN EAST 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103 668 KEYSTONE WEST (877) 258-3123 PO BOX 898819 CAMP HILL PA 17089-8316 452 KLAIS & CO., INC. (330) 867-8443 1867 WEST MARKET STR AKRON OH 44313 761 KROGER RX (800) 917-4926 1014 VINE STREET CINCINNATI OH 45202 D87 LEON MEDICAL CENTERS HEAL 11501 SW 40TH STREET MIAMI FL 33165 ONE HUNTINGTON QUADR SUITE D6I LIBERTY HEALTH ADVANTAGE 3N01 MELVILLE NY 11747 547 LIBERTY MUTUAL (800) 245-1700 PO BOX 1052 ATTN: CLAIMS DEPT. MONTGOMERYVILLEPA 18936 0H4 LIBERTY MUTUAL ASSURANCE (516) 724-9100 P O BOX 1500 SMITHTOWN NY 11787 142 LIBERTY MUTUAL GROUP (800) 422-4718 PO BOX 9212 WESTWOOD MA 02090-9212 143 LIBERTY MUTUAL GROUP (800) 845-4075 245 WATERMAN ST PROVIDENCE RI 02906 MAPLEWOOD OFFICE PAR 130 561 LIFE INS. CO OF NORTH AME (800) 726-4474 VIRGINIA DR. SU FORT WASHINGTON PA 19034 514 LIFEWISE HEALTH PLAN OF A (800) 592-6834 4343 N. SCOTTSDALE R SUITE 355 SCOTTSDALE AZ 85251 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 742 LIFEWISE PLAN OF ARIZONA (800) 592-6804 P.O. BOX 91134 SEATTLE WA 98111 86 LINCOLN NATIONAL LIFE (219) 455-2000 1300 S. CLINTON ST FORT WAYNE IN 46801 146 LINDSEY MORDEN CLAIM SERV (401) 941-6900 75 OXFORD STREET PROVIDENCE RI 02905 352 LOCAL 1102 BENEFITS FUND (516) 832-9200 1587 STEWART AVENUE WESTBURY NY 11590 467 LOCAL 534 HEALTH & WELFAR (617) 825-3302 7 FREDERICKA STREET BOSTON MA 02124 271 LONDON HEALTH ADMINISTRAT (401) 435-4700 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914 353 LOOMIS CO. (800) 782-0392 PO BOX 7011 WYOMISSING PA 19610 4101 INDIAN SCHOOL R SENIOR D1U LOVELACE HEALTH PLAN, INC SERVICES 1 NO ALBUQUERQUE NM 87110 20 LOYAL AMERICAN LIFE INSUR (800) 752-7818 PO BOX 6408 MOBILE AL 36660 762 MADISON NATIONAL LIFE (800) 356-9601 P.O. BOX 5008 MADISON WI 53705 781 MAGELLAN RX MANAGEMENT (401) 344-1000 88 SILVA LN MIDDLETOWN RI 02842 555 MAGNACARE (718) 859-1624 825 EASTGATE BLVD GARDEN CITY NY 11530 692 MAGNACARE/PHARMACY (800) 235-7267 1600 STEWART AVENUE SUITE 700 WESTBURRY NY 11590 598 MAIL HANDLERS BENEFIT PLA (800) 410-7778 PO BO 8402 LONDON KY 40742 0L8 MAIL HANDLERS BENEFIT PLA (800) 410-7778 P O BOX 45118 JACKSONVILLE FL 32232-5118 601 MAMSI (800) 343-8205 PO BOX 930 FREDERICK MD 21705 150 MANAGED COMP (401) 453-2110 ONE RICHMOND SQUARE BOX 3 PROVIDENCE RI 02906 DD2 MANAGED HEALTH SERVICES A (877) 935-8024 10700 W. RESEARCH DR SUITE 300 MILWAUKEE WI 53226 78 MANAGEMENT SERVICES, INC (217) 446-1089 PO BOX 1430 DANVILLE IL 61834-1430 D70 MAPFRE LIFE INSURANCE COM (888) 750-5288 PO BOX 71419 SAN JUAN PR 09360 D8A MAPFRE LIFE INSURANCE COM (787) 250-6500 PO BOX 70297 SAN JUAN PR 09368- 297 138 MARRIOTT CLAIMS SERVICE (781) 245-0376 301 EDGEWATER DRIVE WAKEFIELD MA 01880-6279 649 MARSH (800) 638-2603 PO BOX 4542 IOWA CITY IA 52244 490 MARSH AFFINITY GROUP SERV (800) 626-8567 PO BOX 10439 DES MOINES IA 50306 588 MARTIN'S POINT HEALTH (888) 732-7364 PO BOX 9746 PORTLAND ME 04104 79 MASHANTUCKET PEQUOT HEALT (888) 779-6872 PO BOX 3620 MASHANTUCKET CT 06338 695 MASHANTUCKET PEQUOT HEALT (888) 779-6872 PO BOX 3620 MASHANTUCKET CT 06338 419 MASS HEALTH (800) 325-5231 PO BOX 9101 PROVIDER SERVICES SOMERVILLE MA 02145

94 MASS LABORERS H & W FUND (781) 272-1000 14 NEW ENGLAND EXEC PO BOX 4000 BURLINGTON MA 01803 82B MASS MUTUAL INSURANCE (800) 333-3304 PO BOX 149160 AUSTIN TX 78714-9160 82 MASS MUTUAL LIFE INSURANC (708) 747-3000 PO BOX 6004 MATTESON IL 60443

82A MASS. MUTUAL INSURANCE (800) 227-1555 WINDSOR SERVICE CENT PO BOX 743 WINDSOR CT 06095 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 139 MASS. STATE CARPENTERS HL (978) 694-1000 PO BOX 7075 WILMINGTON MA 01887-7075 354 MATTHEW THORTON HEALTH PL (800) 544-8333 3000 GOFFS FALLS ROA MANCHESTER NH 03111-0001 542 MAXOR PLUS (800) 687-0707 320 SOUTH POLK AMARILLO TX 79101 717 MAXOR PLUS (800) 687-0707 320 S POLK SUITE 200 AMARILLO TX 79101 539 MAXORPLUS (800) 687-0707 320 SOUTH POLK, SUIT AMARILLO TX 79101 569 MCDONALDS INSURANCE / DEN (888) 645-6410 PAL PO BOX 6702 COLUMBIA SC 29260 564 MCDONALD'S INSURANCE PROG (888) 645-6460 PAL PO BOX 6702 COLUMBIA SC 29260 D63 MCS CLASSICARE (866) 627-8181 255 PONCE DE LEON AV SUITE 201 SAN JUAN PR 09170 D77 MCS CLASSICARE 255 PONCE DE LEON AV SUITE 201 SAN JUAN PR 09170 779 MCS INSURANCE (866) 627-8181 P.O. BOX 191720 SAN JUAN PR 09170 365 MED IMPACT (800) 788-2949 10680 TREENE STREET 5TH FLOOR SAN DIEGO CA 92131 276 MEDCO HEALTH (800) 922-1557 399 JEFFERSON ROAD MAIL STOP P PARSIPPANY NJ 07054 420 MEDCO HEALTH PRESCRIPTION (888) 796-6245 PO BOX 2187 LEE'S SUMMIT MO 64063 D08 MEDCO HEALTH SOLUTIONS, I (800) 758-3605 PO BOX 630246 IRVING TX 75063 D5F MEDCO MEDICARE PRESCRIPTI P.O. BOX 630246 IRVING TX 75063 D8N MEDCO MEDICARE PRESCRIPTI (800) 758-4574 PO BOX 14570 LEXINGTON KY 40512 275 MEDCO PRESCRIPTIONS, LLC (877) 842-6048 PO BOX 14711 LEXINGTON KY 40512 751 MEDICA (800) 228-1403 P.O. 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CO (401) 827-2000 700 QUAKER LANE WARWICK RI 02887 653 METROPOLITAN LIFE LONG TE (800) 308-0179 57 GREENFARMS ROAD WESTPORT CT 06880 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE 436 MID-AMERICAN PLAN ADMINIS (800) 747-0600 PO BOX 2850 ROCKFORD IL 61132-2850 147 MID-WEST NATIONAL LIFE IN (800) 733-8880 PO BOX 982017 NORTH RICHLAND H TX 76182-8017 743 MID-WEST NATIONAL LIFE IN (800) 733-8880 P.O. BOX 982017 NORTH RICHLAND TX 76182 229 MIM HEALTH PLANS (800) 944-2668 33 NORTH ROAD WAKEFIELD RI 02879 750 MMSI INC (800) 635-6671 4001 41ST STREET NW ROCHESTER MN 55901 765 MODA-DELTA DENTAL OF OREG (888) 374-8906 P.O. BOX 40384 PORTLAND OR 97240-0384 468 MOHEGAN SUN VALUEOPTIONS PO BOX 1347 LATHAM NY 12110 D3H MOLINA HEALTHCARE OF UTAH 7050 UNION PARK #200 MIDVALE UT 84047 96 MONARCH LIFE INS. CO. 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91A WAL-MART GROUP HEALTH (800) 421-1362 PO BOX 1411 C/O CLEAR CARE CORP CLEARFIELD PA 16830 325 WAUSAU BENEFITS (800) 523-3578 PO BOX 8079 WAUSAU WI 54402-8079 324 WAUSAU INSURANCE (866) 881-0800 PO BOX 8014 WAUSAU WI 54402-8014 449 WAUSAU/LIBERTY MUTUAL INS (800) 468-3000 PO BOX 4834 SYRACUSE NY 13221-4834 385 WEA TRUST (800) 279-4000 PO BOX 8220 MADISON WI 53708-8220 522 WEB-TPA (888) 792-2432 PO BOX 1808 GRAPEVINE TX 76099 D18 WELLCARE (888) 423-5252 8735 HENDERSON BLVD. TAMPA FL 33634 D34 WELLCARE (866) 238-3885 PO BOX 25885 TAMPA FL 33622 D5R WELLCARE PO BOX 25885 TAMPA FL 33622 D6D WELLCARE P.O. BOX 25885 TAMPA FL 33622 D6Q WELLCARE (888) 888-9355 PO BOX 31577 TAMPA FL 33631 D8Y WELLCARE CLASSIC (888) 550-5252 8735 HENDERSON BLVD TAMPA FL 33634 D9O WELLCARE CLASSIC 600 NEW LONDON AVE CRANSTON RI 02920 794 WELLCARE HMO HEALTH PLANS (888) 453-2534 P.O .BOX 31224 TAMPA FL 33631-3224 D95 WELLCARE OF NEW YORK, INC PO BOX 25885 TAMPA FL 33622 728 WELLDYNE RX (FL) (888) 886-5822 PO BOX 90369 LAKELAND FL 33804 796 WELLFLEET INTERNATIONAL S (800) 633-7867 P O BOX 15369 SPRINGFIELD MS 01115 688 WELLMARK BLUE CROSS AND B P.O. BOX 9291 DES MOINES IA 50306 448 WELLMARK BLUE CROSS OF SO (800) 831-4818 1601 WEST MADISON ST SIOUX FALLS SD 57104 386 WELLPOINT DENTAL (888) 209-7852 PO BOX 9201 OXNARD CA 93031 518 WELLPOINT NEXT RX (877) 850-0185 PO BOX 145433 CINCINNATI OH 45250 PO BOX 27908 ATTN: PHARMACY 377 WELLPOINT PHARMACY (800) 962-7378 SVCS WILWAUKEE WI 53227 CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

384 WELLPOINT PHARMACY MANAGE (888) 218-4844 PO BOX 9085 ATTN: CLAIMS SERVICE OXNARD CA 93031 462 WELLPOINT PHARMACY MANAGE (800) 700-2541 ATTN: BLUE CROSS OF PO BOX 4165 WOODLAND HILLS CA 91365-4165 477 WELLS FARGO DEFINITY HEAL (866) 333-4648 PO BOX 9525 AMHERST NY 14226-9525 196 WESTERN FIDELITY INSURANC (800) 800-7201 PO BOX 1250 ROCKFORD IL 61105 584 WESTERN HEALTH ADVANTAGE (916) 563-2250 2349 GATEWAY OAKS DR ST E1 SACRAMENTO CA 95833 PO BOX 305154 ADMINISTRATIVE 247 WILLIS-CORROON (800) 255-8109 SERVICES NASHVILLE TN 37230-5154 7100 COMMERCE WAY SU ATTN: D4Y WINDSOR HEALTH PLANS INC MARKETING BRENTWOOD TN 37027 D4A WINDSOR RX 7100 COMMERCE WAY SUITE 285 BRENTWOOD TN 37027 248 WOODHALL WEAVING (973) 684-1600 PO BOX AE PATERSON NJ 07509 250 ZURICH INSURANCE (800) 818-5835 PO BOX 9217 BOSTON MA 02205