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Supplemental Insurer Listing (Automatic Crossover)

Medicare Part B of Florida

Medicare of Florida has electronic trading partner agreements with many private insurers to provide electronic transfer or "Automatic Crossover" of Medicare Part B claim information. The following insurers currently participate in the Medicare Part B electronic crossover program.

Note: Certain companies (*) function as a CLEARINGHOUSE, which provides Medicare with the eligibility to receive the crossover claim, and then forwards the claim to the supplemental insurer to process benefits.

AARP United HealthCare Aetna AFLAC (American Family Life Assurance Corp) AIAG (American Insurance Administration Group) Union Labor IdeaLife Insurance Alliance BCBS of Missouri American Pioneer American Exchange Life American Progressive Life AmeriHealth Administrators (AMHA) Anthem BCBS (Indiana) Anthem BCBS of New Hampshire APWU (American Postal Workers Union) Bankers Life and Casualty BCBS of Alabama BCBS of Delaware BCBS of Florida BCBS of Illinois BCBS of Massachusetts BCBS of Michigan BCBS of Minnesota BCBS of Oklahoma BCBS United of Wisconsin Benefit Planners Inc. CareFirst BCBS (Washington, DC) Caterpillar Insurance Central States Insurance Claims Administration Mail Handlers Health Benefit Plan Cologne Life Gerber Life Insurance Colonial Penn Continental Life Insurance Empire BCBS GEHA (Government Employee Hospital Association) GHI (Group Health Insurance) Great West Life & Annuity Insurance Company

Page 1 Date: 02/06/02 supplist.doc

Supplemental Insurer Listing (Automatic Crossover)

Medicare Part B of Florida

HDM (Health Data Management) (*) Aid Association for Lutherans American Medical Association (Monumental Life) American Republic Insurance Arkansas Blue Cross Blue Shield Central Benefits Life Insurance Continental General Insurance Company Health Care Service Corporation Blue Cross Blue Shield of New Mexico Highmark Services Insurance Company Highmark Life and Casualty North American Insurance Company Celtic Life Insurance Savers Life Insurance USAble Life Insurance Oxford Life Insurance Christian Fidelity Insurance Pacificare Health Plan Administrators Pekin Life Insurance Principal Financial Group State Farm Insurance Company Unified Life Insurance Wakely and Associates GE Capital GE Life & Annuity Assurance Union Fidelity Harvest Life Federal Home Life American General State Mutual Westport Benefits World Insurance Company Highmark BCBS (Pennsylvania) Horizon BCBS of New Jersey Medicaid, Florida Medical Mutual of Ohio Monumental Life Mutual of Omaha (*) Blue Cross of California/Unicare Cigna (Formerly Health Source Provident) Conseco Direct (Formerly Colonial Penn) ITT Hartford Life Insurance Medico Life Mennonite Mutual Aid Mutual Protective

Page 2 Date: 02/06/02 supplist.doc

Supplemental Insurer Listing (Automatic Crossover)

Medicare Part B of Florida

Mutual of Omaha (*), Continued Nationwide Health Plans Pyramid USAA Life Insurance Company Wausau Company (Employers Insurance of Wausau) NALAC (National Association of Letter Carriers) Nationwide Olympic Health Management (OLHM) Combined Insurance Company of America Sterling Life Insurance Penn Employee Benefit Trust Fund Peoples Benefit Life (formerly Providian) AUSA Life Insurance (formerly First Providian Life and Health) Union Labor Veterans Life Insurance Physicians Mutual Pioneer Life Universal Fidelity Life Insurance Samba (Special Agents Mutual Benefits Association) Seabury & Smith Fleet Reserve Hartford Life & Accident King City Blue Shield Kirke Van Orsdel (KVI) Mastercare Mediplus (KVI) TROA Insurance Standard Life & Accident Stirling & Stirling Tricare (Sierra Military Health Services, Inc.) Unicare Life Insurance Union Bankers Insurance Union Fidelity (GE Capital) Associated Doctors Life Insurance of Georgia United American Insurance American Income Life American Life & Accident Globe Life & Accident Liberty National Life United Commercials Travelers (UCT) United HealthCare (formerly MetraHealth) United Teachers Associates (UTA) American Life & Casualty Humana (Medicare Supplements) John Alden Insurance

Page 3 Date: 02/06/02 supplist.doc

Supplemental Insurer Listing (Automatic Crossover)

Medicare Part B of Florida

United Teachers Associates (UTA), Continued National Casualty USAA Life Insurance Wellmark BCBS of Iowa Wellmark BCBS of South Dakota

Page 4 Date: 02/06/02 supplist.doc

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Supplemental Insurer Listing (Automatic Crossover)

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