CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER CARRIER . - Rhode Island

Transcription

2D22E22I22K22LCARRIER NAME1199 NATIONAL BENEFIT FUN1199 SEIU NATIONAL BENEFIAARP HEALTH ADVANTAGE HEAAARP MEDICARE COMPLETE PLAARP MEDICARE COMPLETE PLAARP MEDICARE RX PREFERREAARP MEDICARE RX PREFERREAARP MEDICARE RX SAVERAARP MEDICARERX SAVER (PDABRAZO ADVANTAGEACADIA INSURANCE CO.ACE INTERNATIONAL INSURANACE USAACORDIA BENEFIT SERVICESACS HEALTH NET - NORTHEASADMINISTRATION CONCEPTS (ADMINISTRATIVE CONCEPTS,ADMINISTRATIVE ENTERPRISEADMINISTRATIVE SERVICE COADVANCED PARADIGMADVANCED PCSADVANCED PCS HELP SYSTEM,ADVANTAGE FREEDOM PLAN RXADVANTRA FREEDOMADVANTRA FREEDOMADVANTRA RXADVENTIST RISK MANAGEMENTADVNATAGE HEALTH SOLAETNA HEALTH CAREAETNA HEALTH INSURANCE OFAETNA HEALTH PLANAETNA HEALTH PLANAETNA HEALTH PLANAETNA HEALTH PLANAETNA HEALTH PLANCARRIER PHONENUMBER(646) 473-7160(888) 819-1199(800) 227-7789(800) 393-0939(888) 867-5575(888) 867-5575(888) 786-1170(800) 262-8028(860) 731-6800(800) 441-5741(800) 226-5116(888) 293-9229(602) 789-1101(800) 634-8816(800) 364-6331(800) 364-6331(800) 345-5413(800) 429-6686(866) 823-5177(800) 447-5002(317) 573-6228(800) 811-5671(800) 222-5553(800) 237-0575(800) 624-0756(800) 238-6221(800) 624-0756CARRIER ADDRESSPO BOX 1034330 WEST 42ND STREETPO BOX 740819PO BOX 66773950 WINTER ST SUITE 3800PO BOX 29300600 NEW LONDON AVE600 NEW LONDONPO BOX 293007878 NORTH 16TH STRE SUITE 105PO BOX 9168PO BOX 15417PO BOX 5001PO BOX 18197PO BOX 14700994 OLD EAGLE SCHOOL ST E1994 OLD EAGLE SCHOOL SUITE 10053404 WESTCHESTER DR3301 E. ROYALTON ROAPO BOX 853901PO BOX 961066PO BOX 52115 ATTN: MAIL CODE 12221 N CHARLES LINDBEPO BOX 690PO BOX 690VALUE (PDP)P O BOX 18089490 PRIORITY WAYPO BOX 15048151 FARMINGTON AVENUPO BOX 25519UPS CLAIMS PO BOX 26053PO BOX 5569PO BOX 795083PO BOX 2231CITYNEW YORKNEW YORKATLANTAST LOUISWALTHEMHOT SPRINGSCRANSTONCRANSTONHOT SLEXINGTONWAYNEWAYNEPHOENIXCLEVELANDRICHARDSONFORT WORTH8 LISALBANYHARTFORDRICHMONDGREENSBOROAKRONSAN ANTONIOBLUE XAZUTNJNJKYTXIANYCTVANCOHTXPAZIP 7420443347827919422

CARRIERCODE22A22B22C22D01D3UD5JD7ID8SD9GCARRIER NAMEAETNA HEALTH PLANSAETNA HEALTH PLANSAETNA HEALTH PLANSAETNA LIFE INS. CO.AETNA MEDICAREAETNA MEDICAREAETNA MEDICAREAETNA MEDICAREAETNA MEDICARE RX ESSENTIAETNA MEDICARE RX 2V22W22Y683D4G197288254AETNA PHARMACY MANAGEMENTAETNA STRATEGIC RESOURCEAETNA STUDENT HEALTH PLANAETNA U.S. HEALTHCAREAETNA U.S. HEALTHCAREAETNA U.S. HEALTHCAREAETNA U.S. HEALTHCAREAETNA US HEALTH CAREAETNA US HEALTH CAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCAREAETNA US HEALTHCARE/VISIOAFFINITY HEALTH PLANAFFORDABLE MEDICAL NETWORAFLACAH & LCARRIER PHONENUMBER(610) 391-1700(800) 624-0756(800) 624-0756(877) 238-6211(800) 445-1796(877) 238-6211(800) 238-6279(800) 800-8121(800) 966-7772(800) 624-0756(800) 445-7175(866) 899-4378(800) 624-0756(800) 624-0756(800) 293-3536(800) 545-5862(800) 624-0756(888) 632-3862(800) 323-9930(800) 624-0756(800) 741-4781(800) 635-2095(877) 535-2128(800) 543-5458(888) 632-3862(800) 255-8109(800) 992-3522(631) 666-2616CARRIER ADDRESSPO BOX 39093 HIGHWOOD DRIVEPO BOX 120P O BOX 18040980 JOLLY ROAD151 FARMINGTON AVENU151 FARMINGTON AVENU151 FARMINGTON AVENUPO BOX 14023600 NEW LONDON AVECITYALLENTOWNTEWKSBURYGRAND RAPIDSCOLUMBUSBLUE PAMAMIOHPACTCTCTKYRIZIP 61564051202920PO BOX 14024 ATTN: CLAIM PROCESSPO BOX 14079PO BOX 981106PO BOX 31450PO BOX 26106PO BOX 14586PO BOX 14079PO BOX 150417PO BOX 14091CITIBANK DIVISION PO BOX 3911PO BOX 7012PO BOX 981109PO BOX 11257676 HAZARD CENTER DPO BOX 14066PO BOX 2295PO BOX 981106PO BOX 14094PO BOX 9811062500 HALSEY STREETPO BOX 32811932 WYNNTON ROADEPC ASSOCIATES PO BOX 5329LEXINGTONLEXINGTONEL GTONALLENTOWNDOVEREL PASOBLUE BELLSAN DIEGOLEXINGTONFORT WAYNEEL PASOLEXINGTONEL PASOBRONXSCOTTSDALECOLUMBUSBAY 911706

CARRIERCODECARRIER PHONENUMBERCARRIER 97787294030AK707389252D31D7Y655AIGAIG LIFE INSURANCE CO.AIG LTCALAMEDA ALLIANCE FOR HEALALBANY INSURANCE CO.ALICARE (MASS STATE HEALTALL SAVERS UNITED HEALTALLEGIANCE BENEFIT PLAN MALLEGIANCE BENEFIT PLAN MALLIANCEALLIANCE BLUE CROSS OF MIALLIED BENEFIT SYSTEMSALLSTATE FINANCIAL GROUPALLSTATE INSURANCE COALTUS DENTAL INSURANCE COALWAYS HEALTH PARTNERSALWAYS PARTNERSAM. POSTAL WORKERS UNIONAMA INSURANCE AGENCYAMALG LIFEAMALGAMATED LIFE INSURANCAMERIBEN SOLUTIONSAMERICAN FREIGHTWAYSAMERICAN HEALTH MEDICAREAMERICAN HEALTH MEDICAREAMERICAN HERITAGE LIFE(617) 790-9000(800) 221-3480103541691656464205AMERICAN INTERNATIONAL COAMERICAN MEDICAL & LIFE IAMERICAN MEDICAL AND LIFEAMERICAN NATIONAL IAMERICAN PIONEER LIFE INSAMERICAN REPUBLIC INSURAN(800) 468-7077(888) 264-1512(888) 264-1512(510) 747-4500(518) 445-2200(800) 338-4330(800) 232-5432(800) 877-1122(800) 877-1122(608) 276-6620(800) 288-2078(800) 937-7039(401) 333-6100(877) 223-0588(855) 444-4647(800) 432-9449(800) 222-2798(800) 458-5736(800) 333-4456(800) 315-9174(800) 786-7930(870) 741-7227(866) 620-2420(787) 620-1919(800) 535-8086(800) 999-2224(515) 245-2000CARRIER ADDRESSWORKERS COMP. CLAIM 99 SUMMERSTREETPO BOX 158111000 PRAIRIE LAKES12401 SOUTH LOOP ROAPO BOX 1907P.O. BOX 1477P.O. BOX 31375P.O.BOX 3018P.O.BOX 3018PO BOX 44365PO BOX 14882PO BOX 909786-606901776 AMERICAN HERITA625 GEORGE WASHINGTOPO BOX 1557P O BOX 10PO. BOX 852099P.O. BOX 967200 NORTH LASALLE ST770 BROADWAY333 WESTCHESTER AVENPO BOX 7186NPPN 419 E MAIN STREPO BOX 11320PO BOX 113201776 AMERICAN HERITAPO BOX 25050 EMPLOYEE BENEFITSDEPO BOX 1235P O BOX 34912PO BOX 696520PO BOX 130PO BOX 10 ATTN: CLAIMSCITYSTATEZIP CODEBOSTONMANEPTUNENJEDEN PRAIRIMNALAMEDA ALLIANCE CAALBANYNYNEW YORKNYSALT LAKE CITYUTMISSOULAMTMISSOULAMTMADISONWIST. INUTTING LAKEMARICHARDSONTXSILVER SPRINGSMDCHICAGOILNEW YORKNYWHITE PLANSNYBOISEIDMIDDLETOWNNYSAN 50852091060601100031060483707109400922009229- 90732224WILMINGTONFREDERICKPHILADELPHIASAN ANTONIOPENSACOLADES PATXFLIA

CARRIERCODECARRIER PHONENUMBERCARRIER NAME340472D4NAMERICAN SPECIAL RISK MGMAMERICAN TRUST ADMINISTRAAMERICA'S HEALTH CHOICE M(800) 359-7475(800) 843-4121509 SOUTH LENOLA ROA BUILDING 2 MOORESTOWNNJP.O. BOX 87SHAWNEE MISSION KS1175 US HIGHWAY 1VERO ICHOICE PERSONAL CAREAMERICORPSAMERIGROUP COMMUNITY CAREAMERIHEALTH 65AMERI-HEALTH ADMINISTRATOAMERIHEALTH ADVANTAGEAMERIHEALTH ADVANTAGEAMERIHEALTH ADVANTAGE RX(877) 289-1915(800) 847-8217(866) 456-1694(800) 645-39651 RIVERFRONT PLAZA PO BOX 200449PO BOX 337574200 WEST CRPRESS ST SUITE 9001901 MARKET STREET 28TH FLOOR720 BLAIR MILL ROADPO BOX 41514PO BOX 41514PO BOX -0975191011910119101-8951203AMERITAS LIFE INSURANCE C(800) 487-5553GROUP CLAIMS DEPT. PO BOX 82520 LINCOLNNE68501-2520D88626409D75ANTHEMANTHEM BLUE CROSS - KENTUANTHEM BLUE CROSS - VIRGIANTHEM BLUE CROSS & BLUE(800) 880-2583(800) 451-1527(800) 334-76761351 WILLIAM HOWARD CN14B-818135500 TRITTON PARKPO BOX 27401PO BOX 8491ANTHEM BLUE CROSS AND BLUANTHEM BLUE CROSS BLUE SHANTHEM BLUE CROSS BLUE SHANTHEM BLUE CROSS COLORADANTHEM BLUE CROSS CONNECTANTHEM BLUE CROSS OFANTHEM BLUE CROSS OF NEWANTHEM BLUE CROSS- OHIOANTHEM BLUE CROSS VERIZONANTHEM BLUE CROSS/BLUE SHANTHEM BLUE CROSS/BLUE SHANTHEM BLUE CROSS/BLUE SH(800) 422-4304(800) 932-4480(800) 677-6669(800) 438-5856(888) 290-9160(800) 238-2465(888) 290-9160(855) 869-8138(800) 345-4344(800) 234-0111(800) 822-74421351 WILLIAM HOWARD CN1413-8182 GANNETT DRIVEPO BOX 105557P.O.BOX 5747PO BOX 105557PO BOX 37180PO BOX 660PO BOX 37180P O BOX 105187PO BOX 7101PO BOX 4109PO BOX 34210CINCINNATISOUTH PORTLANDATLANTADENVERATLANTALOUISVILLENORTH HAVENLOUISVILLEATLANTAINDIANAPOLISWOODLAND 518746207-71019136540232-4210D24ANTHEM BLUE CROSS/BLUE SH(800) 692-53991351 WILLIAM HOWARD CN14B-818 CINCINNATIOH45206(866) 282-3235(800) 480-5032CARRIER HAMPHILADELPHIAPHILADELPHIAPHILADELPHIASTATEZIP CODE

CARRIERCODECARRIER PHONENUMBERCARRIER NAMED3R105729332435D6J240D5QANTHEM BLUE CROSS/BLUE SHANTHEM BLUE OF CALIFORNIAANTHEM OHIO/DENTALANTHEM RX PHARMACYANTHEM RX PHARMACYANTHEN BLUEAON SELECTAPIPA PERSONAL CARE526APWU HEALTH PLAN(800) 615D6L0CH302370H8119308268ARBELLA INDEMNITY INSURANARGUS PHARMACY SERVICESARKANSAS COMMUNITY CARE PASCASSOCIATED PLAN ADMINISTRASSOCIATED PRESCRIPTION SASSURANT EMPLOYEE BENEFITATLAS (ZENITH ADMINISTRATAULTCAREAUTOMATED BENEFIT SERVICEAUTOMATED BENEFIT SERVICEAVALON HEALTH, LTD.AVERA HEALTH PLANAVESISAV-MEDAVMED PREMIER CARE (HMO)B/S OF PENNSYLVANIABAKERY & CONF. UNION HEALBANKERS LIFE & CASUALTYBC OF FLORIDABEACON MUTUAL INSURANCEBENEFIRSTBENEFIT ADMINISTRATIVE SY(617) 769-3100(800) 241-3371(800) 333-0912(866) 641-7762(800) 962-8192(800) 822-3287(800) 472-6630(800) 626-3880(410) 986-2168(180) 044-2774(312) 649-1200(800) 505-2858(800) 521-1321(800) 225-9369(605) 322-4545(800) 828-9341(305) 671-5437(717) 763-3533(301) 468-3731(800) 800-2254(904) 791-6111(401) 825-2667(877) 823-6334(708) 799-7400CARRIER ADDRESSCITYSTATEZIP CODE1351 WILLIAM HOWARD CN14B-818PO BOX 9061P O BOX 659444PO BOX 746000PO BOX 145433PO BOX 30043110 GIBRALTAR ROAD3141 NORTH THIRD AVECINCINNATIOXNARDST 7021904485013799 CROMWELL PARK DR SUITES K-Z1100 CROWN COLONIAL PO BOX6992271300 WASHINGTON ST.3810 FRONT STREET SUITE 811PO BOX 928PO BOX 9568104 CHURCH LANEPO BOX 294018891 90TH AVENUE SUITE APO BOX 6910PO BOX 375068220 IRVING ROAD2500 ELMERTON AVENUEPO BOX 381506PO BOX 77779400 SOUTH DADELANDPO BOX8231800 CENTER STREET10401 CONNECTICUT AV222 MERCHANDISE MARTP.O. BOX 1798ONE BEACON CENTERPO BOX 142117475 JOVANNA DRIVE SUITE 1BGLEN BURNIEMD21061QUINCYKANSAS CITYFAYETTEVILLEFINDLAYNEW HAVENBALTIMORECLINTONMOKENACANTONOAK PARKSTERLING ECAMP 373160654-200132331-0014028860205060430-4623

CARRIERCODE705CARRIER NAMEBENEFIT ADMINISTRATOR NEFIT CONCEPTS, INCBENEFIT MANAGEMENT SERVICBENEFIT PLAN MANAGEMENTBENEFIT PLANNERSBENEFIT SYSTEM & SERVICE,BENEMAX DENTAL HEALTH PLABENEMAX HEALTH PLANBENESIGHTBLUE ADVANTAGE , BLUE OFBLUE ADVANTAGE BLUE CROSSBLUE BENEFIT ADMINISTRATOBLUE CHIP - MEDICARE HMOBLUE CHIP-COORD HLTH PARTBLUE CORSS NY HEALTHNOWBLUE CROSS & BLUE SHIELDBLUE CROSS & BLUE SHIELDBLUE CROSS & BLUE SHIELDBLUE CROSS BLUE SHEILD OFBLUE CROSS BLUE SHEILD OFBLUE CROSS BLUE SHIELD OBLUE CROSS BLUE SHIELD FLBLUE CROSS BLUE SHIELD KABLUE CROSS BLUE SHIELD KABLUE CROSS BLUE SHIELD NOBLUE CROSS BLUE SHIELD NOBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFBLUE CROSS BLUE SHIELD OFCARRIER PHONENUMBER(877) 707-2583(800) 279-1171(877) 642-7500(210) 699-1872(800) 423-1841(508) 359-4107(508) 359-4107(815) 395-0080(866) 823-3790(866) 823-3790(877) 707-2583(800) 528-4141(401) 274-3500(800) 856-0480(800) 505-2583(800) 876-2227(866) 470-2963(800) 722-3130(800) 432-5373(800) 451-2348(800) 451-2348(800) 827-4814(877) 811-3106(800) 880-2583(800) 722-0203(800) 552-6989CARRIER ADDRESSP O BOX 2000PO BOX 60608651 ALLENDALERDPO BOX 1178PO BOX 536PO BOX 690450760 PASQUINELLI DRIVPO BOX 355PO BOX 355PO BOX 7045PO BOX 1460PO BOX 1460PO BOX 5591715 LASALLE SQUARE15 LASALLE SQUAREPO BOX 8015 LA SALLE SQUARE1215 SOUTH BOULDER4800 DEERWOOD CAMPUSPO BOX 3355PO BOX 180205PO BOX 660044PO BOX 1798PO BOX 419169PO BOX 4191695901 CHAPEL HILL RD5901 CHAPEL HILL RDPO BOX 995PO BOX 2181700 BROADWAY13550 TRITTON PARK BPO BOX 105557PO BOX 2740127000 WEST ELEVEN MI MCH44PO BOX 9092CITYEXETERSTATENHZIP CODE03833KING OF PRUSSIAMATTHEWSROCKLANDSAN ANTONIOWESTMONTMEDFIELDMEDFIELDROCKFORDLITTLE SJACKSONVILLEKANSAS CITYKANSAS CITYDURHAMDURHAMBIRMINGHAMLITTLE 48232794803493031

142CARRIER PHONENUMBERCARRIER NAMEBLUE CROSS BLUE SHIELD OFBLUE CROSS FEDERAL EMPLOYBLUE CROSS OF ALABAMABLUE CROSS OF ALABAMA/DENBLUE CROSS OF CONNECTICUTBLUE CROSS OF FLORIDABLUE CROSS OF FLORIDABLUE CROSS OF GEORGIABLUE CROSS OF GEORGIA/DENBLUE CROSS OF GREATER NEWBLUE CROSS OF IDAHOBLUE CROSS OF ILLINOISBLUE CROSS OF IOWA (WELLMBLUE CROSS OF KANSASBLUE CROSS OF MAINE1200J30J4107169125BLUE CROSS OF MARYLANDBLUE CROSS OF MASSACHUSETBLUE CROSS OF MASSACHUSETBLUE CROSS OF MEMPHISBLUE CROSS OF MICHIGANBLUE CROSS OF MINNESOTA(800) 225-0131(617) 376-4700(800) 782-3675(800) 222-7212(800) 324-5760(800) 382-2000260281323933223784199284304634172BLUE CROSS OF MISSOURIBLUE CROSS OF MISSOURIBLUE CROSS OF NEBRASKABLUE CROSS OF NEW HAMPSHIBLUE CROSS OF NEW MEXICOBLUE CROSS OF NORTH EASTEBLUE CROSS OF OREGON (REGBLUE CROSS OF PUERTO RICOBLUE CROSS OF ROCHESTERBLUE CROSS OF TENNESSEEBLUE CROSS OF TENNESSEEBLUE CROSS OF TEXAS(800) 433-5929(888) 571-9054(888) 592-8963(800) 438-9672(800) 835-8699(800) 829-8599(888) 675-6570(809) 749-4949(800) 676-2583(800) 565-9140(800) 565-9140(800) 451-0287(888) 550-2583(800) 334-9041(800) 922-6621(877) 352-2583(800) 926-6565(800) 676-2583(800) 627-0004(800) 842-8421(866) 482-2250(800) 730-8445(800) 524-9242(800) 432-3990(800) 482-0966CARRIER ADDRESSPO BOX 100206P O BOX 2010 LATHAMPO BOX 360508PO BOX 830389PO BOX 533PO BOX 1798PO BOX 44160PO BOX 9907PO BOX 9907PO BOX 4782PO BOX 7408PO BOX 1220636 GRAND AVENUE1133 S.W. TOPEKA BLV2 GANNET DRIVESTATE OF MD OPERATIO PO BOX9885PO BOX 1996 MEDEX CLAIMSPO BOX 9196PO BOX 10NASCO CLAIMS PO BOX 5124PO BOX 643381831 CHESTNUT STREET ATTN:NASCOPO BOX 66893 ATTN: LOCAL 655PO BOX 32483000 GOFFS FALLS RDPO BOX 27630P.O. BOX 890179100 SW MARKET STAV FRANKLIN D ROOSVE165 COURT STREETPO BOX 1801501 CAMERON HILL CIRCLPO BOX 655488CITYCOLUMBIALATHAMBIRMINGHAMBIRMINGHAMNORTH USEBOISECHICAGODES MOINESTOPEKASOUTH PORTLANDSTATESCNYALALCTFLFLGAGANYIDILIAKSMEZIP ALTIMOREBOSTONNORTH QUINCYMEMPHISSOUTHFIELDST 148086-512455164ST. LOUISST. LOUISOMAHAMANCHESTERALBUQUERQUECAMP HILLPORTLANDCAPARRA 25-763017089972010920014617374013740275265-5488

N297D3XD6XCARRIER NAMEBLUE CROSS OF TEXASBLUE CROSS OF TEXAS/PHARMBLUE CROSS OF TEXAX FEDERBLUE CROSS OF THE NATIONABLUE CROSS OF VERMONTBLUE CROSS OF WESTERN NEWBLUE CROSS OF WESTERN PENBLUE CROSS OF WESTERN PENBLUE CROSS VIRGINIA/DENTABLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE CROSS/BLUE SHIELD OFBLUE MEDICARE PPOBLUE MEDICARE RXBLUE MEDICARE RX (PDP)BLUE RX OPTION IIIBLUE SHIELD OF CALIFORNIABLUE SHIELD OF CALIFORNIABLUECROSS & BLUESHIELD OFCARRIER PHONENUMBER(508) 747-6530(800) 521-2227(202) 479-6560(716) 887-6900(800) 245-2763(800) 345-7808(800) 451-1527(800) 637-3718(800) 355-2583(406) 444-8200(808) 948-6111(800) 482-0898(800) 942-5837(800) 830-1501(800) 548-4455(800) 633-2563(800) 214-4844(602) 544-4990(973) 456-2000(877) 479-2227(800) 678-2265(877) 213-1821(877) 932-3375(800) 200-4255CARRIER ADDRESSP O BOX 1658PO BOX 660201PO BOX 660044550 12TH STREET SWPO BOX 186PO BOX 80PO BOX 559120 FIFTH AVENUEPO BOX 27401444 WESTMINISTER STPO BOX 1609PO BOX 5004PO BOX 860PO BOX 166PO BOX 3283PO BOX 100300PO BOX 167PO BOX 8799PO BOX 100121PO BOX 98029P.O. BOX 2924PO BOX 247 DEPT V220 VIRGINIA AVENUEPO BOX 100206PO BOX 909227000 W ELEVEN MILE MCH44PO BOX 9201PO BOX 1002064800 DEERWOOD CAMPUSPO BOX 34160PO BOX 3897450 RIVERCHASE PARKWPO BOX 2725406300 CANOGA AVENUEONE ENTERPRISE EAT FALLSHONOLULUDETROITTULSACOLUMBIASTEVENS POINTWILMINGTONCOLUMBIABATON IELDNORTH GHAMCHICOWOODLAND HILLSNORTH AAZNJINSCCAMIMASCFLKYPAALCACAMAZIP 8505-99473524495927-25409136702171

KD9CD6MD71392694CARRIER NAMEBLUECROSS OF ARKANSASBLUESHIELD OF NORTHEASTERBMC HEALTHNET PLANBOILERMAKER NATIONAL HEALBOILERMAKERS NAT'L HEALTHBOLLINGER INSURANCEBOON CHAPMANBOSTON MUTUAL LIFEBRAVO CLASSICBRAVO HEALTHBRAVO RXBRAVO RX IIBRAVORXBRIDGESTONE CLAIM SERVICEBROOKS MAXI DRUGCALOPTIMACAMBRIDGE INTEGRATED GROUCAPITAL BLUE CROSSCAPITAL BLUE CROSS/DENTALCAPITAL HEALTH PLANCARE FIRST ADMINISTRATORSCARE OREGON ADVANTAGECARELINK (TUFTS)CARELINK CHTCAREMARKCAREMARK PRESCRIPTION SERCAREMARK PRESCRIPTION SERCAREMARK PRESCRIPTION SERCAREMARK PRESCRIPTION SERCAREONECAREONECAREONE (HMO)CAREPLUS HEALTH PLANS, INCATALYST RXCATAMARANCARRIER PHONENUMBER(800) 676-2583(800) 888-1238(888) 566-0010(913) 342-6555(913) 342-6555(800) 526-1379(800) 805-0622(800) 669-2668(877) 504-7252(330) 379-6500(401) 825-3900(887) 412-2734(401) 354-3223(800) 962-2242(800) 613-2624(800) 423-9791(800) 799-1240(800) 799-1240(800) 824-6349(800) 841-5550(877) 353-3879(800) 335-5268(800) 701-5833(800) 794-5907(800) 794-5907(800) 794-4105(888) 869-4600(888) 546-5502CARRIER ADDRESSPO BOX 1460PO BOX 80TWO COPLEY SUITE 600754 MINNESOTA AVENUE754 MINNESOTA AVE SUITE 522PO BOX 7273012 RIDGE ROAD #102120 ROYALL STREET CLAIMS DEPT.3601 O'DONNELL STREE3601 O'DONNELL STREE600 NEW LONDON AVE3601 O'DONNELL STREE3601 O'DONNELL ST.PO BOX 24750 SERVICE AVE1120 W LA VETA AVE1420 MINERAL SPRINGPO BOX 779503PO BOX 1126PO BOX 15349PO BOX 1196315 SW FIFTH AVENUEP O BOX 9165P.O.BOX 9165PO BOX 521957034 ALAMO DOWNS PKWPO BOX 6860059501 E. SHEY BLVD.PO BOX 52116PO BOX 31286600 NEW LONDONPO BOX34555 ALHAMBRA PLAZA 7TH FLOORPO BOX 1069P.O. BOX 5216CITYSTATELITTLEROCKARBUFFALONYBOSTONMAKANSAS CITYKSKANSAS CITYKSSHORT NGECANORTH PROVIDENCERIHARRISBURGPAELK GROVE VILLAGE ILTALLAHASSEEFLOWINGS N ANTONIOTXSAN ALFLMIAMIFLROCKVILLEMDLISLEILZIP 084960532-5216

6G46H46I46JCARRIER NAMECBA - BLUECBCA ADMINISTRATORSCBCA ADMINISTRATORS INCCCEBT HEALTH BENEFITSCCMSICCNCDPHP MEDICARE CHOICECDPHP NYCELTIC INSURANCECELTIC INSURANCE COMPANYCENTRAL HEALTH MEDICARE PCENTRAL STATES HEALTH & WCENTRAL STATES HEALTH (TECHAMPVACHARTIS HEALTH INS.CHESAPEAKE LIFE INSURANCECHESTERFIELD RESOURCES/SACHICKERING CLAIMS ADMINISCHRISTIAN BROS EMPLOYEE BCHT PROVDERCHUBB LIFE AMERICACIGNA DENTALCIGNA DENTALCIGNA DENTALCIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECARRIER PHONENUMBER(888) 222-9206(800) 309-1851(952) 829-3500(800) 642-4456(800) 634-3506(518) 446-0181(800) 477-7870(800) 766-2525(800) 323-2190(800) 323-2190(800) 733-8387(877) 803-9095(800) 527-5504(800) 321-0935(800) 966-7772(800) 807-0400(800) 367-1037(800) 882-4462(822) 882-4462(800) 882-4462(800) 244-6224(800) 722-7535(800) 566-3344(800) 645-7300(800) 542-4271(800) 345-9458(800) 441-7150CARRIER ADDRESSP.O. BOX 2365PO BOX 902PO BOX 552PO BOX 226PO BOX 1430PO BOX 5190500 PATROON CREEK BL500 PATROON CREEK BLPO BOX 06410PO BOX 463371540 BRIDEGATE DRIVEPO BOX 5116P.O. BOX 34952PO BOX 65024PO BOX 37269151 BLVD.26PO BOX 1884PO BOX 3681205 WINDHAM PKWY1 VIRGINIA AVENUEPO BOX 2023PO BOX 189060PO BOX 15558PO BOX 188036PO BOX 366PO BOX 8012PO BOX 34336PO BOX 182352PO BOX 89000PO BOX 978PO BOX 5001PO BOX 2048PO BOX 800PO BOX 15558PO BOX 30151CITYSTATESOUTH WIDIAMOND BARCADES PLAINESILOMAHANEDENVERCOSEATTLEWANORTH RICHLAND H ZIP 6102-500128053060851985048909

DC7CARRIER NAMECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARECIGNA HEALTH CARE OF NEWCIGNA HEALTH CARE VISIONCIGNA HEALTH SPRING 16516834946947CIGNA HEALTHCARECIGNA HEALTHCARECIGNA HEALTHCARECIGNA HEALTHCARECIGNA HEALTHCARE DENTALCIGNA INTERNATIONALCIGNA MEDICARE RX PLAN ONCIGNA MEDICARE RX PLAN TWCIGNA OF MASSACHUSETTSCIGNA PHARMACYCIGNA VOLUNTARYCINERGY HEALTH INSURANCECITIZENS CHOICE HEALTH PLCITRUS HEALTH CARE INC.CITRUS HEALTH CARE, INC.CLAIM MANAGEMENT, INC.CLAIM STRATEGIESCLAIMS PROCLARITY VISIONCNA INSURANCE COCARRIER PHONENUMBER(800) 845-3818(800) 443-7451(800) 832-3211(800) 462-7486(800) 462-2135(800) 252-2091(800) 525-5803(800) 525-5803(800) 244-6224(800) 828-7622(855) 561-3805(800) 222-6700(800) 545-6534(800) 722-7535(800) 379-2192(800) 735-1459(800) 244-6224(800) 441-2668(800) 222-6700(800) 222-6700(800) 922-8380(800) 244-6224(800) 762-2727(813) 490-8903(800) 527-0566(401) 435-2800(800) 541-2039(800) 621-0839CARRIER ADDRESSPO BOX 171806PO BOX 32894PO BOX 49180PO BOX 2005PO BOX 34335PO BOX 5000PO BOX 10433PO BOX 2546PO BOX 9013PO BOX 5200PO BOX 2100PO BOX 2041PO BOX 5200P O BOX 269005PO BOX 182223 CLAIMSADMINISTRAT RPO BOX 188007PO BOX 18801313650 NW 8TH STREETPO BOX 5200PO BOX 15050PO BOX 269005PO BOX 269005PO BOX 2083PO BOX 3598PO BOX 552701844 NORTH NOL HILL5400 E. OLYMPIC BLVD SUITE 1305420 BAY CENTER DRIV5420 BAY CENTER DRIV SUITE 250PO BOX 128860 CATAMORE BLVD.24370 NORTHWESTERN HPO BOX 890500PO BOX VISALIADES NTONWESTONSTATETNNCGACTNCCAIATXTXPAILNHPAFLZIP ONWESTONWESTONCONCORDSCRANTONPHOENIXPLANTATIONLOS ANGELESTAMPATAMPABENTONVILLEEAST PROVIDENCESOUTHFIELDCAMP 8029144807517089-050060690

5227255596311CARRIER NAMECNA RISK MANAGEMENTCOLE VISIONCOLONIAL PENN (AFFILIATCOLORADO ACCESSCOMCAR INSURANCECOMMERCE BENEFIT GROUPCOMMUNITY CARE RXCOMMUNITY CCRX BASICCOMMUNITY CCRX BASIC (PDPCOMMUNITY HEALTH CHOICECOMPANION LIFE LTD MED CLCOMPASS ROSE HEALTH PLANCOMPREHENSIVE BENEFITSCOMPREHENSIVE CARE MANAGECONN. GENERAL LIFE INSURACONNECT CARE CHOICECONNECT CARE CHOICE COMMUCONNECTICARE, INC.CONNECTICARE, INC.CONNECTICUT GENERALCONNECTICUT GENERAL (CIGNCONNECTION'S AVESIS VISIOCONSOLIDATED HEALTH PLANSCONSTELLATION HEALTH, LLCCONSTITUTION STATE SERVICCONTINENTAL BENEFITSCOOK & ASSOCIATESCOORDINATED BENEFIT PLANCOORPERATIVA DE SEGUROS DCORESOURCECORE-SOURCECORESOURCE, INC.CORESTARCORP BENEFIT SERVICES ADMCORPORATE BENEFITS SERVICCARRIER PHONENUMBER(800) 334-7591(800) 800-2254(800) 524-1101(800) 223-9941(866) 684-5353(866) 684-5353(713) 295-2294(866) 227-5400(877) 531-1159(631) 306-5100(203) 747-4591(800) 846-8578(800) 846-8578(800) 523-4626(800) 227-0269(800) 672-7552(800) 633-7867(787) 304-4040(508) 946-6437(855) 894-4984(303) 861-5100(877) 902-9918(800) 223-3943(717) 295-9201(410) 931-5060(800) 444-6965(800) 925-2272(800) 277-9476CARRIER ADDRESS3 FARM GLEN BLVD.PO BOX 8056PO BOX 193510065 EAST HARVARD A SUITE 600PO DRAWER 67PO BOX 9001 CSC WAY600 NEW LONDON AVE.PO BOX 1593P. O. BOX 301424PO BOX 99906P.O. BOX 141501.PO BOX 89552401 WHITE PLAINS ROP O BOX 8013171 SERVICE AVENUE SUITE 1005225 CHAPMAN STREETPO BOX 546175 SCOTT SWAMP ROADPO BOX 5112PO BOX 1976PO BOX 61000-4195 STAFFORD STREETPO BOX 38464744 BEDFORD STREETPO BOX 3610700 BROADWAY SUITE 811P O BOX 21944PO BOX 363428PO BOX 2920PO BOX 833014940 CAMPBELL BLVD.PO BOX 1195PO BOX 27267PO BOX GFIELDSAN JUANMIDDLEBOROBRANDONDENVEREAGANSAN TCTMIILAZMAPRMAFLCOMNPRIAPAMDMNMNNCZIP 6032480866091485011-777701104-350309384- 608-33012123655440-00205542728220

763396CARRIER NAMECORPORATE HEALTH ADMINISTCORPORATE HLTH ADM/HOME DCOSVIMED-CARECOVENTRY ADVANTRA RXCOVENTRY HEALTH AND LIFECOVENTRY HEALTH CARE OF KCOVENTRY HEALTH CARE OF LCOVENTRY NATIONALCRYSTAL RUN HEALTH PLANSCUNA INSURANCE COCVS CAREMARKCYPRESS BENEFIT ADMINISTRDAKOTA CAREDAVIS VISIONDC11 TAFT-HARTLEY / TEAMSDEFINITY HEALTH 395770533DEFINITY HEALTH CLAIMSDELTA DENTAL (USA) PREMIEDELTA DENTAL OF ARIZONADELTA DENTAL OF ARKANSASDELTA DENTAL OF CALIFORNIDELTA DENTAL OF COLORADODELTA DENTAL OF GEORGIADELTA DENTAL OF ILLINOISDELTA DENTAL OF IOWADELTA DENTAL OF KANSASDELTA DENTAL OF KENTUCKYDELTA DENTAL OF MICHIGANDELTA DENTAL OF MINNESOTADELTA DENTAL OF MISSOURIDELTA DENTAL OF NEW JERSEDELTA DENTAL OF NEW YORKDELTA DENTAL OF NHDELTA DENTAL OF PENNSYLVACARRIER PHONENUMBER(800) 788-7247(800) 235-0123(877) 311-0013(800) 882-3822(800) 969-3343(800) 341-6613(800) 638-8432(844) 638-6507(800) 233-0367(877) 236-0844(800) 628-3778(800) 999-5431(800) 972-1627(866) 333-4648(800) 451-1249(800) 352-6132(800) 462-5410(877) 442-7462(800) 610-0201(800) 616-3631(800) 398-7203(800) 544-0718(800) 234-3375(800) 955-2030(800) 524-0149(877) 598-5342(800) 335-8266(800) 346-5377(800) 932-0783(800) 832-5700(800) 932-0783CARRIER ADDRESSPO BOX 1858PO BOX 1257PO BOX 363428PO BOX 686007PO BOX 686007PO BOX 7109PO BOX 7707PO BOX 8400P O BOX 3630PO BOX 484600 NEW LONDON AVE5960W. GRAND MARKETP.O. BOX 7406P.O. BOX 971 VISION CAREPO BOX 5817PO BOX 9525PO BOX 740810 UHC OPTION HEALTHPPPO BOX 9695PO BOX 43026PO BOX 15965PO BOX 537007 FEDERAL SERVICESP.O. BOX 173803PO BOX 1809PO BOX 5402PO BOX 919PO BOX 49198PO BOX 242810PO BOX 9085PO BOX 59238PO BOX 8690PO BOX 2221 DELTA DRIVEP.O. BOX 2002ONE DELTA DRIVECITYBISMARCKBISMARKSAN JUANSAN ANTONIOSAN ANTONIOLONDONLONDONLONDONAKRONVALLEY FORGECRANSTONAPPLETONSIOUX YKYKYOHPARIWISDNYCTNYZIP 363

carrier phone number carrier address city state zip code 274: aig (617) 790-9000: workers comp. claim 99 summer 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 .