First Choice Employer List Report Run Date: 11/08/2007 for the Period: 10/01/2007 Through 10/31/2007 Effective End Employer Name Group No
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First Choice Employer List Report run date: 11/08/2007 For the period: 10/01/2007 through 10/31/2007 Effective End Employer Name Group No. Date Date Contract Holder Name Payor Name Status 1 2 3 MAINTENANCE 5103600 06/01/2003 Group Health Options Inc U 1-2-3 Cash Inc W1171 03/01/2006 Health Net Health Plan of Oregon Inc U 1-2-3 Cash, Inc. W1171 03/01/2006 Health Net Health Plan of Oregon Inc U 1-800-Flowers.com G000524A 01/01/2006 Mutual of Omaha U 10th Avenue Cleaners W8223 09/01/2007 Health Net Health Plan of Oregon Inc U 123 MAINTENANCE CONSTRUCTION W5635 01/01/2006 Health Net Health Plan of Oregon Inc U 15th Street Auto Service 958846 04/01/1998 Assurant Health U 1st & 10 Marketing E0904008 10/01/2004 Beech Street Corp U 1st Avenue Pharmacy W6625 01/01/2006 Health Net Health Plan of Oregon Inc U 1st Avenue Pharmacy W6625 01/01/2006 Health Net Health Plan of Oregon Inc U 1st Eagle Express LLC FEE001 04/01/2004 Beech Street Corp U 2 State Water Inc AMI 05/01/2003 Beech Street Corp ADVANCED INSURANCE U ADMINISTRATORS 212TH AUTOMOTIVE W6821 01/01/2006 Health Net Health Plan of Oregon Inc U 212th Automotive W6821 01/01/2006 Health Net Health Plan of Oregon Inc U 21st Century Oncology N04011 02/01/2004 Beech Street Corp U 21st Century Oncology FL 592011512 04/01/2004 Beech Street Corp U 22 Acquisitions Corporation 800160 06/01/2004 Beech Street Corp U 290K DESIGN LLC W5597 01/01/2006 Health Net Health Plan of Oregon Inc U 3 Cats Designs W5913 01/01/2006 Health Net Health Plan of Oregon Inc U 3 Rivers Communications 0010570 01/01/2006 Allegiance Benefit Plan Management Inc U 3-D Micro Computers, Who 931574 04/01/1998 Assurant Health U 3E DESIGN GROUP 6914802 04/01/2001 Group Health Options Inc U 3MD Investments Inc U6547 10/01/2007 Health Net Health Plan of Oregon Inc N 3MD Investments, Inc U6546 10/01/2007 Health Net Health Plan of Oregon Inc N 420 Consulting W7538 01/01/2006 Health Net Health Plan of Oregon Inc U 4ward Logic W7528 01/01/2006 Health Net Health Plan of Oregon Inc U 5 Corners Plumbing Llc W6661 01/01/2006 Health Net Health Plan of Oregon Inc U 50 State Security 4110045 10/01/2006 Beech Street Corp Pioneer Management Systems U 501 C Services Q3025 09/01/2003 Principal Financial Group U 7 ELEVEN INC 5609700 01/01/1998 Group Health Options Inc U 7 ELEVEN INC 5813700 01/01/2002 Group Health Options Inc U 7 ELEVEN INC COBRA 5609799 01/01/1998 Group Health Options Inc U 7 ELEVEN INC EARLY 5115000 01/01/2003 Group Health Options Inc U 7 ELEVEN INC EARLY 5815000 01/01/2003 Group Health Options Inc U This information is CONFIDENTIAL and/or proprietary and only for use by those affiliated with FCHN. 11/08/2007 09:56:07 AM Status Key: N = New Employer, T = Termed Employer, U = No Change, Page 1 of 772 C = Changed (* indicates changed data) First Choice Employer List Report run date: 11/08/2007 For the period: 10/01/2007 through 10/31/2007 Effective End Employer Name Group No. Date Date Contract Holder Name Payor Name Status 7 J K Ranch 893358 04/01/1998 Assurant Health U 7-12 Food Store W5498 01/01/2006 Health Net Health Plan of Oregon Inc U 7-Eleven Store #23107 830105 04/01/1998 Assurant Health U 711 - 148th St & Main #1 880461 04/01/1998 Assurant Health U 757 MINI MART W5352 01/01/2006 Health Net Health Plan of Oregon Inc U 911 Media Arts Center 898296 04/01/1998 Assurant Health U @Road 11351 08/01/2002 Beech Street Corp U A & A Search LLP FTSM380-001 08/01/2006 Beech Street Corp FBA U A & B Mortgage 916797 04/01/1998 Assurant Health U A & B Vending 749691 04/01/1998 Assurant Health U A & E Communications W5884 01/01/2006 Health Net Health Plan of Oregon Inc U A & E Enterprises Inc Dba A & 968346 04/01/1998 Assurant Health U A & H Imports 635070 04/01/1998 Assurant Health U A & I Distributors AID01 06/01/2004 Beech Street Corp U A & K Ranch 933021 04/01/1998 Assurant Health U A & L Consulting Inc 911346 04/01/1998 Assurant Health U A & L Staffing Inc dba Sphe 800300 02/01/2005 Beech Street Corp STRATEGIC RESOURCE COMPANY U A & M Warehouses Inc 878378 04/01/1998 Assurant Health U A & S POLIQUIN INC DBA 6069500 07/01/2003 Group Health Options Inc U A & T Siding 933018 04/01/1998 Assurant Health U A BEAD IN THE HAND 5538100 12/01/1996 Group Health Options Inc U A C Horn & Co G000947A 01/01/2006 Mutual of Omaha U A C SERVICES ANH 08/01/2003 Beech Street Corp ADVANCED INSURANCE U ADMINISTRATORS A Clean Carpet Company 921040 04/01/1998 Assurant Health U A Clean Connection 916680 04/01/1998 Assurant Health U A DOUBLE J ACCOUNTING 5124200 07/01/2003 Group Health Options Inc U A Double J Accounting Service 798090 04/01/1998 Assurant Health U A Far Site Better W5949 01/01/2006 Health Net Health Plan of Oregon Inc U A G EL DORADO W5259 01/01/2006 Health Net Health Plan of Oregon Inc U A G Financial Services 3019513 10/01/2004 Beech Street Corp U A Grooming Gallery 930916 04/01/1998 Assurant Health U A LA FRANCAISE 6120700 01/01/2003 Group Health Options Inc U A LA FRANCAISE COBRA 6120799 01/01/2003 Group Health Options Inc U A MCMURRAY CO BUILDING 5764300 11/01/1999 Group Health Options Inc U This information is CONFIDENTIAL and/or proprietary and only for use by those affiliated with FCHN. 11/08/2007 09:56:07 AM Status Key: N = New Employer, T = Termed Employer, U = No Change, Page 2 of 772 C = Changed (* indicates changed data) First Choice Employer List Report run date: 11/08/2007 For the period: 10/01/2007 through 10/31/2007 Effective End Employer Name Group No. Date Date Contract Holder Name Payor Name Status A Paneless Window Clean 788563 04/01/1998 Assurant Health U A Passmore & Sons Inc 1030 04/01/2004 Beech Street Corp U A Patchwork of Friends 857898 04/01/1998 Assurant Health U A Plus Benefits Inc 54345 05/01/2004 Beech Street Corp EVEREST ADMINISTRATORS U A Plus Health Care Inc 0214995 06/01/2006 Health InfoNet Inc WMI Western Mutual Insurance U A S B FINANCIAL W6759 01/01/2006 Health Net Health Plan of Oregon Inc U A STORY KEEPER LLC 5585600 07/01/2000 Group Health Options Inc U A Special Touch Grooming 838966 04/01/1998 Assurant Health U A Street Coffee House 925232 04/01/1998 Assurant Health U A TO Z STUMP AND TREE INC W6848 01/01/2006 Health Net Health Plan of Oregon Inc U A TO Z TIRE & BATTERY 751243053 05/01/2003 Beech Street Corp INSURANCE MGMT SERVICES U A Y A Corp 980 05/01/2006 Beech Street Corp CHEROKEE INSURANCE COMPANY U A and J Custom Cabinets U3457 01/01/2004 Health Net Health Plan of Oregon Inc U A to Z Properties 698480 04/01/1998 Assurant Health U A&A Truck Repair W8004 06/01/2007 Health Net Health Plan of Oregon Inc U A&C GLASS INC 5791500 09/15/2000 Group Health Options Inc U A&G Restaurant 12570 07/01/2005 Beech Street Corp Community Health Plan U A&J Custom Cabinets V4851 01/01/2007 Health Net Health Plan of Oregon Inc U A+ Production Painting 985668 06/01/1999 Assurant Health U A-1 Certified Cleaning Specialists Inc W5991 01/01/2006 Health Net Health Plan of Oregon Inc U A-1 Doors Inc W1975 05/01/2007 Health Net Health Plan of Oregon Inc U A-1 Electronic Repair 946621 08/01/1999 Assurant Health U A-1 Flooring 959809 04/01/1998 Assurant Health U A-1 Loans & Pawn W6390 01/01/2006 Health Net Health Plan of Oregon Inc U A-1 Pepperworth Plumbing 747282 10/15/2001 Assurant Health U A-1 Performance Inc 961215 04/01/1998 Assurant Health U A-1 Pool & Spa Inc 979337 01/01/1999 Assurant Health U A-1 Quality Tire and Auto 739669 04/01/1998 Assurant Health U A-Action Group Utilities 680476 04/01/1998 Assurant Health U A-One Medical Services 701672 04/01/1998 Assurant Health U A-Plus Hearing Aid 910755 04/01/1998 Assurant Health U A1 Appliance 855986 04/01/1998 Assurant Health U A1 Construction 537698 04/01/1998 Assurant Health U A1 Landscaping & Construction Inc Q0028 07/01/2007 Health Net Health Plan of Oregon Inc U A1 SEWING CENTER 0856913 12/01/1998 Group Health Options Inc U This information is CONFIDENTIAL and/or proprietary and only for use by those affiliated with FCHN. 11/08/2007 09:56:07 AM Status Key: N = New Employer, T = Termed Employer, U = No Change, Page 3 of 772 C = Changed (* indicates changed data) First Choice Employer List Report run date: 11/08/2007 For the period: 10/01/2007 through 10/31/2007 Effective End Employer Name Group No. Date Date Contract Holder Name Payor Name Status A1 TRANSMISSION SERVICES 5084300 10/01/2002 Group Health Options Inc U AA Plumbing 760083 04/01/1998 Assurant Health U AAA Auger Holdings Inc AAA0303 06/01/2006 Beech Street Corp True Choice USA U AAA Auger Holdings Wrap AAA0303 06/01/2006 Beech Street Corp True Choice USA U AAA Awards Inc 925989 04/01/1998 Assurant Health U AAA Bluegrass Kentucky 5581 05/01/2005 Beech Street Corp Acordia National U AAA Heating Service 440781 04/01/1998 Assurant Health U AAA Precious Metals, Inc U5769 01/01/2006 Health Net Health Plan of Oregon Inc U AAA RESIDENTIAL SERVICES 6138700 02/01/2003 Group Health Options Inc U AAA Service Provider Trust G-381498 07/01/2004 Guardian Life Insurance U AACE CONSULTING ENGINEERING W5381 01/01/2006 Health Net Health Plan of Oregon Inc U AAI DEVELOPMENT SERVICE 1156 01/01/2005 Beech Street Corp MEDCOST U AAI Engineers U3374 01/01/2006 Health Net Health Plan of Oregon Inc U AAI Pharma Inc 2 1155 01/01/2005 Beech Street Corp MEDCOST U AARON & COMPANY F-701 08/01/2002 Beech Street Corp EMPLOYEE BENEFIT CONSULTANT U OH AASE STUDIOS 6075800 06/01/2001 Group Health Options Inc U AB CORLISS COMPANY, INC.