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Third Party Insurance Codes

Code 000 003 007 015 016 017 023 024 025 026 028 029 030 031 033 034 037 038 039 040 041 043 044 045 046 051 052 053 054 055 056 057 060 061 062 063 064 066 068

CompanyName Tricare North Region Services ACACIA MUTUAL LIFE INS CO Aetna Insurance Company Allstate Fire Ins. Co. Allstate Indemnity Co. Allstate Insurance Co. American Bankers American Bankers Ins. Co. of Florida American Bankers Life of Florida American Casualty Co. of Reading, PA American Employers Ins. Co. AFLAC American Fidelity Assurance American Fire and Casualty American Founders Life Ins. American General American Hardware Mutual Ins. Co. American Health & Life Ins. Co. ALLSTATE FINANCIAL WORKPLACE DIVISON American Home Assurance Co. American Income Life Ins. Co. American International Ins. Co. American International Life Assurance of New York American Liberty Ins. Co. American Life Insurance Co. American National Fire Ins. Co. American National Ins. Co. American National Life of Texas American Pioneer Life Ins. Co. American Protection Ins. Co. American Republic Ins. Co. American Reserve Ins. Co. American States Life Ins. Co. American States Life Ins. Co. American United Life Ins. Co. American Variable Annuity Life Assurance Amoco Life Ins. Co. Andrew Jackson Life Ins. Co. Associated Indemnity Corp.

Address PO Box 870140 51 LOUISIANA AVENUE NW PO Box 14079 60 Allstate Plaza 60 Allstate Plaza 60 Allstate Plaza 777 Main St., Ste. 900 11222 Quail Roost Dr. PO Box 3866 CNA Plaza One Beacon Street 1932 Wynnton Road PO Box 25523 136 N. Third St. PO Box 52121 PO Box 4373 PO Box 435 300 St. Paul Place PO Box 853916 70 Pine St. PO Box 2608 70 Pine St. 70 Pine St. PO Box 1568 810 Seventh Avenue 580 Walnut St. One Moody Plaza PO Box 1520 PO Box 12407 Rt. 22 PO BOX 2975 163 Asylum St. 500 N. Meridian St. 500 N. Meridian St. One American Square 440 Lincoln Street 306 S. 15th St. PO Box 5025 PO Box 3136 Updated: December 8, 2009

City Surfside Beach WASHINGTON Lexington Northbrook Northbrook Northbrook Fort Worth Miami Durham Chicago Boston Columbus Oklahoma City Hamilton Phoenix Houston Minneapolis Baltimore Richardson New York Waco New York New York Birmingham New York Cincinnatti Galveston Galveston Pensacola Long Grove CLINTON Hartford Indianapolis Indianapolis Indianapolis Worchester Omaha Jackson San Francisco

State SC DC KY IL IL IL TX FL NC IL MA GA OK OH AZ TX MN MD TX NY TX NY NY AL NY OH TX TX FL IL IA CT IN IN IN MA NE MS CA

Zipcode 29587-9740 2000140512-4079 60062600626006276102-5313 33157277026068502108319997251 731250523 450258507277210-4373 554162120275085-3916 102707679710270102703520110019452027755077553325916004952733-2975 06102462044620446204016056810239296-1025 94119-

Phone1 Phone2 (877) 874-2273 (202) 628-4506 (800) 942-5210

8007251407 3052532244 9196823051 6177256000 (800) 992-3522 4055232000 5138673000 8005315067 8002313655 6129201400 (800) 937-7039 (800) 521-3535 2127707000 (800) 433-3405 (254) 761-6400 2127707000 2127707000 2059871407 2125811200 5133695000 4097634661 8008996520 4076281776 3125402000 (800) 641-0366 3172626262 3172626262 3172631877 5088521000 4023444500 6019397800 4157779900

Third Party Insurance Codes

Code 071 072 073 074 076 077 078 079 080 081 082 083 084 085 087 088 089 091 093 094 101 103 104 105 106 107 108 109 111 113 114 115 116 117 118 119 120 121 123

CompanyName Auto-Owners Life Ins. Co. Automotive Club Ins. Co. Aetna Amoco Insurance Co. Balboa Insurance Co. Banker Fidelity Life Ins. Co. Bankers Life and Casualty Co. Principal Financial Group Ameritaf Financial Service Code no longer Valid Bankers National Life Ins. Co. Bankers Security Life Ins. Co. Bankers Standard Ins. Co. Bankers United Life Investors Beneficial National Life Ins. Trustmark Berkshire Life Ins. Co. BCBS of North Carolina Code no longer Valid BC/BS OF North Carolina/Medco Health-RX Drugs Only Central Mutual Ins. Co. Central National Life Ins. Co. Central States Health & Life Co. of Omaha Centry Insurance Co. Pan American Life Charter National Life Ins. Co. Charter Oak Fire Ins. Co. Chesapeake Life Ins. Co. Air Control Mechanical, Inc. City Agency Ins. Co. United Ins. Co. of America Coastal States Life Ins. Co. College Life Ins. of America Colonial Life & Accident Ins. Co. Colonial Life Ins. Of America Colonial Penn Franklin Ins. Co. Colonial Penn Ins. Co. Colonial Penn Life Ins. Co. Columbus Financial Group

Address PO Box 30660 3590 Twin Creeks Dr. 151 Farmington Ave. 306 South 15th St. 3349 Michaelson Dr. 4370 Peachtree St. NE PO Box 1935 711 High St. 5900 "O" Street ZZZZZZZZZZZZZZZZZZZZZZZ PO Box 11911 PO Box 3700 1900 Biscayne Blvd. 4333 Edgewood Rd., NE 2 Park Ave. PO Box 7900 700 South St. PO Box 35 ZZZZZZZZZZZZZZZZZZ PO Box 14713 800 S. Washington St. 400 Beneficial Center 1212 N. 96th St. 1800 Northpoint Dr. PO Box 19090 8301 Maryland Ave. One Tower Square 300 N. Cathedral St. 4th Floor PO Box 2636 900 Ellison Ave. One E. Wacker Dr. PO Box 56189 PO Box 68181 PO Box 100195 111 Prospect St. 19th & Market St. 1818 Market St. 5 Penn Center Plaza PO Box 1381 Updated: December 8, 2009

City Lansing Columbus Hartford Omaha Irvine Atlanta Carmel Des Moines Lincoln ZZZZZZ Carmel Arlington Miami Cedar Rapids New York Lake Forest Pittsfield Durham ZZZZZZZZZZ Lexington Van Wert Peapack Omaha Stevens Point Greenville St. Louis Hartford Baltimore Gastonia West Berry Chicago Atlanta Indianapolis Columbia East Orange Philadelphia Philadelphia Philadelphia Binghamton

State MI OH CT NE CA GA IN IO NE ZZ IN VA FL IA NY IL MA NC ZZ KY OH NJ NE WI SC MS CT MD NC NY IL GA IN SC NJ PA PA PA NY

Zipcode 48909-8160 432040615668102927153031946082-1935 503096851000000-0000 460322203333132524991001660045-7900 012012770200000-0000 405124589107997681145448129602-9090 631050611521201280532636 11590606013034346268292020701719181-1250 19181-1250 19181-1250 13902-1381

Phone1 Phone2 5173231200 6142726951 (800) 624-0756 (202) 273-0123 4023444500 7145530700 4042665500 (312) 396-6000 (800) 621-3724 5152475111 4024671122 (111) 111-1111 3175736300 7038753460 9047697668 3193988511 8002212554 2126846565 (708) 234-5900 4134994321 8002225028 9194897431

4192381010 2017814181 4023971111 2032655656 8646094777 3147259575 2032770111 (704) 485-2125 5166830500 8007778467 3178714200 8003252467 8005234000 8005234000 2159888000 6077242472

2017814000

2159888000

Third Party Insurance Codes

Code 124 125 126 127 128 129 130 131 132 133 134 136 137 138 139 140 141 142 145 146 147 148 151 152 154 155 156 157 158 159 161 162 163 164 166 167 169 171 172

CompanyName Combined Ins. Co. of America Commercial Ins. Co. of Newark NJ Commercial Travelers Mutual Ins. Commercial Union Ins. Co. Commercial Union Ins. Co. Commonwealth Life Ins. Co. Confederation Life Ins. Co. Cigna Connecticut Mutual Life Ins. Co. Consolidated Mutual Ins. Co. Constitution Life Ins. Co. Continental American Life Ins. Co. Continental Assurance Co. Continental Casualty Co. Continental Ins. Co. Cotton States Life Countrywide Life Ins. Co. Life Ins. Services CUDIS Ins. Society Incorp. CUMS Ins. Society Incorp. CUNA Mutual Ins. Society Delta Dental Plan of NC Inc. Group Management Services Educators Mutual Life Ins. Co. Code no longer valid Employers Fire Ins. Co. Employers Life Ins. Co. of Wassau Employers Modern Life Co. Employers Mutual Casualty Co. Employers Mutual Liability Ins. of Wisconsin Equitable Fire Ins. Co. The Equitable Equitable Life Ins. Co. Life Investors Ins. Co. Executive Life Ins. Co. Excel Ins. Co. Farmers & Traders Life Ins. Co. Federal Kemper Ins. Co. Federal Kemper Life Assurance

Address 5050 N. Broadway St. 401 W. Peachtree St. NE Commercial Travelers Bldg. One Beacon Lane One Beacon St. PO Box 32800 1 Mount Pleasant Rd. PO Box 5200 140 Garden St. 345 Adams St. 4423 West Lawrence Ave. PO Box 15750 333 S. Wabash Ave. PO Box 13925 3700 Crestwood Parkway PO Box 105303 Box 3653 Terminal Annex 205 W. 4th St. PO Box 391 PO Box 391 PO Box 1648 2310 Myron Dr. PO Box 2263 PO Box 3149 zzzzzzzzzzzzzzzzzzzzzzz One Beacon St. PO Box 182361 717 Mulberry St. PO Box 712 2000 Westwood Dr. 161 Peachtree St. NE PO Box 3000 American General Center PO Box 2900 9777 Wilshire Blvd. 221 W. Wayne St. 960 James St. 20001 E. Mound Rd. Kemper Bldg. D-3 Updated: December 8, 2009

City Chicago Atlanta Utica Canton Boston Louisville Toronto, Ontario Scranton Hartford Brooklyn Chicago Wilmington Chicago Orlando Duluth Atlanta Los Angeles Cincinnati Madison Madison Madison Raleigh Waukesha Lancaster zzzzzzzzzzzzz Boston Columbus Des Moines Des Moines Wassau Atlanta Lancaster Nashville Little Rock BeverlyHills SouthBend Syracuse Decatur Long Grove

State IL GA NY MA MA KY CN PA CT NY IL DE IL FL GA GA CA OH WI WI WI NC WI PA ZZ MA OH IA IA WI GA SC TN AR CA IN NY IL IL

Zipcode 60640303651350202021-1030 0210840232m4y2y5 18505-5200 061151120160630198996068532859301363034890051452025370153701537012760653187-2263 1760400000-0000 0210843218-2361 503095030954402 3030129721-3000 37250722039201246601070786252660049-

Phone1 Phone2 7732758000 4045817853 3157975200 6177256000 6177256000 5025877371 4163238111 4049535100 (800) 244-6224 (860) 987-6500 3122831100 3024545000 3128225000 4042793800 4043918600 2137422345 8007366542

6082385851 9197878626 4147842630

8003314222

8007829355 6157491761 5013725000

Third Party Insurance Codes

Code 174 175 176 177 178 179 180 181 183 184 185 186 188 189 190 191 193 194 197 198 200 201 202 203 204 205 206 207 208 209 210 211 213 214 215 216 217 218 220

CompanyName Federal Life Ins. Co. Federated Life Ins. Co. Federated Mutual Ins. Co. ITT Hartford Life Ins. Co. CAN Fidelity & Guaranty Life Ins. Code no longer valid. Fidelity Life Association Fireman's Fund Ins. Co. Fireman's Fund Ins. Co. Fireman's Ins. Co. of Newark NJ First Colony Life Ins. Co. First Federated Life Ins. Co. First General Ins. Co. First National Ins. Co. of America First Protection Life Ins. Co. Foremost Ins. Co. Foremost Life Ins. Co. Franklin Life Ins. Co. Gamble Alden Life Ins. Co. General Acct. Fire & Life Assurance General America Life Ins. Co. General Fidelity Life Ins. Co. General Fire & Casualty Co. General Ins. Co. of America General Life Ins. Of Wisconsin General Reinsurance Corp. General United Life Ins. George Washington Life Ins. Co. Georgia International Life Ins. New Era Ins. Germantown Ins. Co. Glens Falls Ins. Co. Globe Life & Accident Ins. Globe Life & Accident Ins. Globe Indemnity Co. Government Employees Life Ins. Government Personnel Mutual Great American Life Ins. Co.

Address 3750 W. Deerfield Rd. 129 E. Broadway PO Box 31716 PO Box 2999 2810 Premiere Pkwy #100 PO Box 1138 ZZZZZZZZZZZZZZZZZZ Kemper Bldg. D-3 1600 Los Gamas Dr. 333 California St. 161 Peachtree St. NE PO Box 1280 1400 Munsey Bldg. 4858 Street Rd. Safeco Plaza PO Box 30279 PO Box 2450 PO Box 2450 Franklin Square PO Box 1344 414 Walnut St. PO Box 396 PO Box 2249 275 Glen Cove Safeco Plaza PO Box 349 600 Steamboat Rd. PO Box 1302 PO Box 4214 PO Box 7325 PO Box 4884 Market Square In Germantown 333 Glen St. Globe Life Center Globe Life Center 150 William St. 1701 Research Blvd. PO Box 32266 PO Box 559002 Updated: December 8, 2009

City Riverwoods Owatonna Tampa Hartford Duluth Baltimore ZZZZZZZZZ Long Grove SanRafael San Francisco Atlanta Lynchburg Baltimore Trevose Seattle Raleigh Grand Rapids Grand Rapids Springfield Minneapolis Philadelphia St. Louis Richmond Carle Place Seattle Milwaukee Greenwich Des Moines Jacksonville Atlanta Houston Philadelphia Glen Falls Oklahoma City Oklahoma City New York Rockville San Antonia Austin

State IL MN FL CT GA MD ZZ IL CA CA GA VA MD PA WA NC MI MI IL MN PA MO VA NY WA WI CT IA FL GA TX PA NY OK OK NY MD TX TX

Zipcode 60015550503363106104-2999 300978908 2120300000-0000 60049949119491133678 2450521203 1904798185276124950149501627135544019172 63166232171151498185532010683050305322033030977210-4884 1914412801731847318410038208507828478755-9002

Phone1 8475201900 5074555200 8132870155 4042793800

Phone2

8048450911

3142311700

3148438700

9047258231 8007134680

4052701400 4052705500 3012794848 (800) 880-2745

Third Party Insurance Codes

Code 221 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 240 241 242 243 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262

CompanyName Great American Reserve Ins. Co. Great Southern Life Ins. Co. Great West Life Assurance Guarantee Reserve Guarantee Trust Life Ins. Co. Guardian Ins. & Annuity Guardian Life Ins. Co. of America American General Gulf Ins. Co. Hanover Ins. Co. Harco National Ins. Co. Harleysville Mutual Ins. Hartford Ins. Co. Hartford Ins. Co. Hartford Ins. Co. Hartford Ins. Co. Hartford Ins. Co. Holiday Life Ins. Co. Home Beneficial Life Ins. Home Indemnity Co. Home Ins. Co. MONUMENTAL LIFE INS Horace Mann Life Ins. Co. Horace Mann Mutual Ideal Mutual Ins. Co. IDS Life Ins. Co. Imperial Casualty & Indemnity Code no longer Valid Independence Life & Accident American General Indianapolis Life Ins. Insurance Co. of N. America Insurance Co. of the State of Pennsylvania Integon General Ins. Corp. Integon Indemnity Corp. Integon Life Ins. Integrity National Life Inter-Ocean Ins. Co. International Ins.

Address PO Box 388 3121 Buffalo Speedway 1000 Great West Dr 530 River Oaks 1275 Milwaukee Ave. 201 Park Ave., South PO Box 8017 PO Box 307 PO Box 1771 440 Lincoln St. PO Drawer 12-U 355 Maple Ave. PO Box 2999 PO Box 2999 PO Box 2999 PO Box 2999 PO Box 2999 PO Box 1009 PO Box 27572 59 Maiden Ln. 59 Maiden Ln. PO Box 61 1 Horace Mann Plaza 1 Horace Mann Plaza 260 Madison Ave. IDS Tower 306 S. 15th St. zzzzzzzzzzzzzzz PO Box 1115 American General Center PO Box 1230B 1600 Arch St. 102 Maiden Ln. PO Box 3199 PO Box 3199 PO Box 3199 PO Box 32350 PO Box 14568 PO Box 2387 Updated: December 8, 2009

City Dallas Houston Kennett Calumet City Glenview New York Appleton Langhorne Dallas Worcester Milwaukee Harleysville Hartford Hartford Hartford Hartford Hartford Longhorne Richmond New York New York Durham Springfield Springfield New York Minneapolis Omaha zzzzzzzzzzzzz Louisville Nashville Indianapolis Philadelphia New York Winston-Salem Winston-Salem Winston-Salem Louisville Cincinatti Morristown

State TX TX MO IL IL NY WI PA TX MA WI PA CT CT CT CT CT PA VA NY NY NC IL IL NY MN NE ZZ KY TN IN PA NY NC NC NC KY OH NJ

Zipcode 752217709863857-3749 6040960075100031000319047-0307 752210160553201 1943806104061040610406104061041984723261100381003827702627156271510016554026810200000-0000 4020137250462061910110005271022710227102402324521407960-

Phone1 7138714600 (800) 663-8081 8003238764 8476990600

Phone2

(800) 873-4542 (212) 598-8000 8008710260 (972) 650-8994

(800) 368-3653 (800) 368-3653 (800) 368-3653 (800) 368-3653 (800) 368-3653 8043588431

(800) 444-5431 8003410900

4023444500

6157491000

9107702000 9107702000 9107702000 5024261843 5138702000

Third Party Insurance Codes

Code 264 265 266 267 268 269 270 271 272 273 275 276 277 279 280 281 282 283 284 285 286 287 288 290 291 292 293 294 295 296 297 299 300 301 302 303 304 305 306

CompanyName Investors Consolidated Ins. Investment Life & Trust Co. Investors Guaranty Life Investors Heritage Life Investors Life of Nebraska ITT Life Ins. Corp. JC Penny Ins. Corp. Jefferson National Life John Deere Dealer Group Insurance Trust John Deere Life Ins. Co. Kanawha Ins. Co. Kansas City Fire & Marine Ins. Kansas City Life Ins. Kentucky Central Life Ins. Code no longer valid Knights of Columbus Lafayette Life Ins. Co. Lamar Life Ins. Co. Liberty Life Assurance of Boston RBC Liberty Life Ins. Liberty Mutual Fire Ins. Liberty Mutual Ins. Co. Liberty National Life Ins. Life Ins. Co. of Alabama Life of Georgia Life Ins. Co. of N. America Life Ins. Co. of VA Life Investors Ins. Of America Lincoln America Life Ins. Lincoln Income Life Ins. Lincoln Liberty Life Ins. London Guarantee & Accident Co. of New York Reassure American Insurance Loyal American Life Ins. Lumbermens Mutual Lumbermens Mutual Ins. Lutheran Mutual Life Ins. Maccabees Mutual Life Ins. Main Fidelity Life Ins.

Address PO Drawer 30 PO Box 631 9611 Sunset Highway, SE 200 Capital Ave. PO Box 57 PO Box 9302 2700 W. Plano Pkwy. 11815 N. Pennsylvania St. PO Bo 1387 PO Box 1387 PO Box 610 161 Peachtree St., NE PO Box 219325 300 W. Vine St., Kincaid Towers ZZZZZZZZZZZZZZZZZZ One Columbus Plaza 2203 S. 18th St. PO Box 880 175 Berkeley Square PO Box 789 175 Berkeley Square 175 Berkeley Square PO Box 2612 PO Box 349 PO Box 105006 1600 Arch St. PO Box 27601 4333 Edgewood Rd., NE 60 N. Main St. PO Box 1173 PO Box 82449 80 Maiden Ln. PO Box2586 PO Box 30010 Route 22 Lumbermens Heights 201-211 First St. SE 25800 NY Highway 55 West St. Updated: December 8, 2009

City Durham Mullins Mercer Island Frankfort Watertown Minneapolis Plano Carmel Saint Louis Saint Louis Lancaster Atlanta Kansas City Lexington ZZZZZZZZZZZ New Haven Lafayette Jackson Boston Greenville Boston Boston Birmingham Gadsden Atlanta Philadelphia Richmond Cedar Rapids Memphis Louisville Omaha New York Fort Wayne Austin Long Grove Mansfield Waverly Southfield Keene

State NC SC WA KY SD MN TX IN MO MO SC GA MO KY ZZ CT IN MS MA SC MA MA AL AL GA PA VA IA TN KY NE NY IN TX IL OH IA MI NH

Zipcode 277022957498040406025720155440750754603263188-1387 631881387 297203030164121-9325 4050700000-0000 065074790339205021172960202117021173520235902303485006 191012326152499381034020168114100384680178755-3010 6004944901506774807503431-

Phone1 9192863116 8034649561 5022332361 6125452100 (800) 527-9027 3178173700 (800) 538-4693 8032835300

Phone2

(800) 874-5254 (859) 253-5082 6062535071

(800) 551-8354 (864) 609-8111 8002411132 6173579500 8002411132 2053252722 2055432022 (888) 968-5433 (770) 980-5100 8042816000 3193988511 8042816454

4023916054 (888) 275-5676 (512) 531-1599 8003653605 3125402000

3063571450

Third Party Insurance Codes

Code 307 309 311 313 314 315 316 317 318 320 321 322 323 325 326 329 331 332 333 334 335 336 337 338 339 340 341 342 343 344 346 347 348 349 350 351 352 353 354

CompanyName Manhattan Life Ins. Maryland Casualty Company Mass. Casualty Ins. Massachusetts Indeminity & Life Mass. Mutual Medical Indemnity of America Merit Life Insurance Company United Healthcare United Healthcare Midland Mutual Life Ins. Midland Natl. Life Ins. Mid-South Insurance Mid-States Insurance Company Security Life Ministers Life & Casualty Union Minn. Mutual Life Ins. Modern Woodmen of America Monarch Life Ins. Montgomery Ward Life Ins. Monumental Life Insurance Motor Club of America Ins. Fortis Benefits The Mutual Life Insurance Co. Mutual of Omaha Mutual Security Life Mutual Trust Life Chesapeake Life Insurance Natl.-Ben Franklin Ins. Natl.-Ben Franklin Ins. Ntl. Premium & Benefit Administrative Co. Code no longer Valid Natl. Foundation Life Ins. Natl. General Ins. Natl. Grange Mutual Providian Life Ins. Co. Natl. Independence Ins. Natl. Investors Life Ins. Natl. Life & Accident Nat'l Life & Accident of Canada

Address 111 W. 57th St. PO Box 1228 711 Atlantic Ave. 3120 Brekinridge Blvd. 1295 State Street 200 N. Michigan Ave. PO Box 39 PO BOX 740800 PO Box 495 250 E. Broad Street 1 Midland Plaza PO Box 1634 CNA Plaza PO Box 17190 PO Box 930 400 Robert St. Mississippi River @ 17th St. 1250 State Street PO Box 5008 1111 N. Charles Street 484 Central Ave. PO Box 3195 PO Box 4728 Mutual of Omaha Plaza 3000 E. Coliseum Blvd. 1200 Jorie Blvd. 300 N Cathedral St, 4th Fl 360 W. Jackson Blvd. 360 W. Jackson Blvd. 8877 N. Gainey Ctr. Dr. zzzzzzzzzzzzzzzzzzzzzz 777 Main Street National General Plaza 55 West Street Liberty Park PO Box 3668 Nat'l Life Center 522 University Ave. Updated: December 8, 2009

City New York Baltimore Boston Duluth Springfield Chicago Evansville ATLANTA Warwick Columbus Sioux Falls SPARTANBURG Chicago Denver Minneapolis St. Paul Rock Island Springfield Carols Stream Baltimore Newark Milwaukee Syracuse Omaha Ft. Wayne Oak Brook Englewood Chicago Chicago Scottsdale zzzzzzzzzz Ft. Worth Earth City Keene Valley Forge Fazer Little Rock Nashville Toronto, Ontario

State NY MD MA GA MA IL IN GA RI OH SD SC IL CO MN MN IL MA IL MD NJ WI NY NE IN IL CO IL IL AZ ZZ TX MO NH PA PA AR TN CN

Zipcode 10019212030220530199-1000 01111606014770130374-0800 028874321557193 29304-1634 6063180217-9806 5544055101612010110160197-5008 2120207107532013195 1322168131468056052180111606316063185258-2108 00000-0000 76102630450343119493193557220337250M5G1W7

Phone1

Phone2

6177288000 4043811000 8003332770

4137888411

(877) 842-3210 (866) 314-0335 4018272586 6142282001 (605) 335-5700 (864) 583-2904 8003310033 8003286124 6122983500

8006210393 8007529797 (800) 955-1586 8002214014 (800) 521-6029 2194800100 3128877000 3037791111

(800) 638-3080

8002258258 8178783300 3142980500 8005237900

6157491000

Third Party Insurance Codes

Code 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 382 384 385 386 387 388 389 390 391 392 393 394 396 397 398

CompanyName Natl. Old Line Ins. Natl. Savings Life Ins. Natl. Security Corp. Natl. Union Fire Ins. Co. of Pittsburgh, PA National Travelers Life Company NATIONWIDE INSURANCE Nationwide Nationwide Mutual Fire Ins. Nationwide Life Insurance Co Code no longer valid Newark Insurance Company Code no longer valid New Hampshire Ins. Co. New York Life New York Underwriters NGM Fire & Casualty Ins. Niagara Fire Ins. N. America Assurance Society of Virginia, Inc. N. America Company for Life & Health Allianz Life Ins. of North America N.C. Mutual Life Ins. Northern Assurance Co. of America Northern Ins. of New York North River Ins. Reliastar Occidental Fire & Casualty of NC Occidental Life of NC Occidental Life of CA Ohio Casualty Insurance Ohio Farmers Ohio State Life Insurance Co. Old American Insurance Company Old Equity Life Old Line Life Ins. of America Old Republic Insurance Company Old Republic Life Insurance Co. Omaha Indemnity Company Order of United Commercial Travelers of America Pacific Employers Insurance Co.

Address PO Box 2900 PO Box 1338 200 W. Monroe Street 70 Pine Street 820 Kedsauqua Way PO BOX 182690 PO Box 182202 PO Box 925309 PO Box 130 zzzzzzzzzzzzzz 150 William St. zzzzzzzzzzzzzzzzzzzzz 1750 Elm St. 51 Madison Avenue Hartford Plaza 55 West Street 161 Peachtree St. NE PO Box 1319 222 S. Riverside Plaza 5701 GOLDEN HILLS DR. 411 W. Chapel Hill St. One Beacon Street PO Box 91 PO Box 2387 PO Box 1195 PO Box 10800 1001 Wade Ave. Box 2101 Terminal Annex 136 N. Third Street PO Box 5001 PO Box 410288 PO Box 418573 811 Chicago Avenue PO Box 401 PO Box 789 307 N. Michigan Avenue 3113 Dodge Street 632 N. Park Street 1600 Arch Street Updated: December 8, 2009

City Little Rock Murfreesboro Chicago New York Des Moines COLUMBUS Columbus Houston Pensacola zzzzzzzzz New York zzzzzzzzz Manchester New York Hartford Keene Atlanta Richmond Chicago Minneapolis Durham Boston Baltimore Morristown Minneapolis Raleigh Raleigh Los Angeles Hamilton Westfield Center KANSAS CITY Kansas City Evanston Milwaukee Greenburg Chicago Omaha Columbus Philadelphia

State AR TN IL NY IA OH OH TX FL ZZ NY ZZ NH NY CT NH GA VA IL MN NC MA MD NJ MN NC NC CA OH OH MO MO IL WI PA IL NE OH PA

Zipcode 722033713060606102705030843218432182202 77292-5309 3259100000-0000 1003800000-0000 03105100100610403431303012321060606554162770102108212030796055440-1195 2760527605900514502544251-5001 641996414160202532011560160601681314321519103-

Phone1 8003311494

Phone2

(800) 672-3159 (800) 882-2822 (800) 543-3747 (800) 669-9030 8005433747 (888) 803-1780

(800) 995-5991

6123476500 (919) 682-9201 (800) 626-1899

8004446965 9198340751 9198340751

2168870840 (800) 449-5433 8167534900

(800) 346-6190 (312) 346-8100

Third Party Insurance Codes

Code 399 400 401 403 404 405 406 407 408 409 410 411 412 413 416 417 418 419 420 421 422 425 426 427 428 429 430 431 432 433 435 436 437 438 441 444 446 448 449

CompanyName Pacific Fidelity Life Pacific Indemnity Company Pacific Mutual Pan-American Life Paul Revere Life Paul Revere Variable Annuity Peerless Insurance Company Pennisular Life Insurance Co. Penn Mutual Life Pennsylvania Life Pennsylvania National Life Ins. Peoples-Home Life of Indiana Peoples Life Personal Life Ins. Philadelphia-United Life Ins. Phoenix Insurance Company Phoenix Insurance Company Phoenix Mutual Physicians Mutual Insurance Jefferson Pilot Insurance Co. Pioneer American Insurance Co. Preferred Risk Life Insurance Code no longer valid Protective Life Insurance Co. Provident Alliance Life Cigna Cigna Cigna Provident Mutual Life Ins. Code no longer valid Prudential Prudential Property & Casualty Puritan Life Insurance Company Puritan Insurance Company Reliable Life Insurance Republic Insurance Company Republic-Vanguard Life Reserve Life c/o Natl. Financial Royal Globe Life Insurance Co.

Address 10100 Santa Monica Blvd. 3200 Wilshire Blvd. 700 Newport Center Dr. PO Box 60219 18 Chestnut Street 18 Chestnut Street 62 Maple Avenue PO Box 2667 530 Walnut Street PO BOX 130 1900 Derry Street 78 W. Michigan Avenue PO Box 61 7711 Bonhomme Avenue 4500 City Avenue 80 Maiden Lane One Tower Square 1 American Row PO BOX 2018 PO Box 20727 425 Austin Avenue 1111 Ashworth Rd. ZZZZZZZZZZZZZ PO Box 830626 3349 Michelson Dr. PO Box 5200 PO BOX 5200 PO Box 5200 PO Box 7378 ZZZZZZZZZZZZZZZ PO Box 4578 PO Box 2229 PO Box 13487 1515 Summer Street 231 W. Lockwood PO Box 3000 PO Box 39919 801 Cherry St Unit 33 PO Box 2912 Updated: December 8, 2009

City Los Angeles Los Angeles Newport Beach New Orleans Worchester Worchester Keene Jacksonville Philadelphia PENSACOLA Harrisburg Battle Creek Durham St. Louis Philadelphia New York Hartford Hartford Omaha Greensboro Waco West Des Moines ZZZZZZZZZZ Birmingham Irvine SCRANTON SCRANTON SCRANTON Philadelphia ZZZZZZZZZZ Houston Jacksonville Kansas City Stanford Webster Groves Dallas Phoenix Fort Worth Hartford

State CA CA CA LA MA MA NH FL PA FL PA MI NC MO PA NY CT CT NE NC TX IA ZZ AL CA PA PA PA PA ZZ TX FL MO CT MO TX AZ TX CT

Zipcode 9006790048926637016001608-1528 01608-1528 0343132203 19172 3259117105 49016 27702 63105 19131 10038 06115 06115 68103-2018 27420 76701 50265 00000-0000 35283-0626 92715 18505-5200 18505-5200 18505-5200 19101 00000-0000 77210 32231 64199 06905 63119 75221 85069-0919 7610206104

Phone1 2136586500 8008007646 5045661300 5087994441

Phone2

9043586000 2156299854 (800) 275-6667 7172344941 9196828131

(800) 228-9100 9196913918 2149299000

(877) 938-8920 7145530700 8002225026 6157551001 (800) 542-4294 2136365000 (800) 541-1805 9043915497

8007251407 2036594211

Third Party Insurance Codes

Code 450 451 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 471 472 473 474 477 478 479 480 481 482 483 490 491 492 493 494 496 497 498 501 502

CompanyName Central United Life Central United Life Security Benefit Life Ins. Security-Connecticut Life Security Insurance of Hartford Security Life & Accident Co. Life Insurance Company of GA Security Mutual Casualty Security Life of NY Select Insurance Company Sentry Ins. & Mutual Sentry Life Shenandoah Life Insurance Southeastern Fire Insurance Company Southern Farm Bureau Life Southern Life Ins. c/o Liberty Life Southland Life Insurance Co. Southwestern General Life Springfield Life Ins., Inc. Standard Guaranty Insurance Company Standard American Life Standard Life & Casualty State Capital Insurance Company State Farm Fire & Casualty State Farm State Farm Life State Farm Mutual Auto Ins. State Life Insurance Company State Mutual Life Assurance Stuyvesant Insurance Company Stuyvesant Insurance company Sun Insurance Office, Ltd. Sun Life Assurance of Canada Sun Life Insurance of America Superior Life Insurance Company Supreme Council @ Royal Arcanum Surety Life Insurance Company Thomas Jefferson Life of America Time Insurance Company

Address PO Box 925309 PO Box 2728 700 Harrison Street Security Drive 1000 Asylum Ave. Security Life Building PO Box 105006 222 S. Riverside Plaza Courthouse Square PO Box 1171 PO Box 8888 PO Box 8025 PO Box 12847 PO Box 20967 PO Box 78 PO Box 789 PO Box 105006 PO Box 779 PO Box 9004 PO Box 50355 One Washington Street PO Box 1514 4011 Westchase Blvd. 112 E. Washington Street 1500 State Farm Blvd. 1500 State Farm Blvd. One State Farm Plaza PO Box 406 440 Lincoln Street 1105 Hamilton Street 1105 Hamilton Street 100 William Street PO Box 6075 One Sun Life Executive Park PO Box 471 61 Batterymarch Street PO Box 30030 PO Box 986 515 West Wills Updated: December 8, 2009

City Houston Houston Topeka Avon Hartford Denver Atlanta Chicago Binghamton Dallas Stevens Point Stevens Point Roanoke Greensboro Jackson Greenville Atlanta Dallas Springfield Atlanta Park Ridge Fort Mill Raleigh Bloomington Charlottesville Charlottesville Bloomington Indianapolis Worcester Allentown Allentown New York Montreal, Quebec Ellesley Hills Florence Boston Salt Lake City Champaign Milwaukee

State TX TX KS CT CT CO GA IL NY TX WI WI VA NC MS SC GA TX MA GA IL SC NC IL VA VA IL IN MA PA PA NY CN MA SC MA UT IL WI

Zipcode 77292-5309 772522728 66636 06001 80202 80202 30348-5006 14851 13902 75221 54481 54481 24029 27420 39205 29602 75221 75221 01101 30302 60068 29716-1514 27607 61701 22909 22909-0001 61701 46206 01605 18101 18101 10038 H2X3M7 02181 29501 02110 84125 61820 53201

Phone1 Phone2 (800) 669-9030 (800) 669-9030

7709805631

8004267234 8004267234

8646098111 3034850006 2143373083

4049805100

8035483657 9198362000 (804) 872-5886 8049725000 3097662311 5088521000

4142713011

8005537654

Third Party Insurance Codes

Code 503 505 506 507 508 510 511 512 513 514 515 516 518 519 520 522 523 524 525 526 527 528 529 531 532 533 534 536 537 538 539 540 542 543 544 545 546 547 548

CompanyName Transcontinental Insurance Transportation Insurance Transport Insurance Company Transport Life Insurance Co. United Healthcare United Healthcare United Healthcare United Healthcare Triad Life Insurance Company Truck Insurance Exchange Twentieth Century Life Twin City Fire Insurance Union Bankers Insurance Company Union Central Life Insurance Union Fidelity Life Insurance Jefferson National Life Union Mutual Life Union Mutual Stock Life Co. of America Union Security Life Insurance United American Life Insurance Co. United American Life Insurance Co. United Benefit Life Insurance United Companies Life Insurance United Fidelity Life Insurance United Fire Insurance Company United Insurance Co. of America United Life & Accident US Fidelity & Guarranty US Fire Insurance US Life Insurance in New York Universal Underwriters Universal Underwriters USAA Life Insurance Co. US Life Credit Life Ins. Utica National Insurance Group Valiant Insurance Company Valley Forge Insurance Company Valley Forge Life Insurance Co. Vanguard Insurance Company

Address CNA Plaza CNA Plaza 4100 Harry Hines Blvd. 714 Main Street PO Box 740802 PO Box 740800 PO Box 30985 One Tower Square 115 Glastonberry Blvd. 4680 Wilshire Blvd. 7711 Bonhomme Avenue Hartford Plaza PO Box 130 PO Box 40888 4850 Street Road PO Box 1951 PO Box 548 PO Box 548 PO Box 50355 PO Box 8080 PO Box 8080 Dodge @ 33rd Street PO Box 1591 PO Box 1778 2350 E. Devon Ave. One E. Wacker Dr. 1 Granite Place PO Box 1138 PO Box 2387 125 Maiden Lane 6363 College Blvd. 6363 College Blvd. USAA Building 1300 N. Meachum Rd. PO Box 6520 PO Box 802 CNA Plaza CNA Plaza 10001 W. Roosevelt Rd. Updated: December 8, 2009

City Chicago Chicago Dallas Fort Worth Atlanta Atlanta Salt Lake City Hartford Glastonberry Los Angeles St. Louis Hartford Pensacola Cincinnatti Trevose Carmel Portland Portland Atlanta McKinney McKinney Omaha Baton Rouge Ft. Worth Chicago Chicago Concord Baltimore Morristown New York Overland Park Overland Park San Antonio Schaumburg Utica Baltimore Chicago Chicago Westchester

State IL IL TX TX GA GA UT CT CT CA MO CT FL OH PA IN MA MA GA TX TX NE LA TX IL IL NH MD NJ NY KS KS TX IL NY MD IL IL IL

Zipcode 60685 60685 75219 76102 30374-0802 30374 84130-0985 061836090 06033 90010 63105 06115 32591-0130 45240 19047 46032 04112 04112 30302 75070-8080 75070-8080 68131 70821 76102 60601 60601 03301 21203 07960 10038 66211 66211 78288 60172 13504-6520 21203 60685 60685 60153-2657

Phone1

Phone2

8004412251 (800) 577-8567 (800) 343-3743 (866) 333-4648 (800) 842-5252 2032770111 8009898742

(800) 789-6364 5135952200 8005235758 2159533000 2077802211 2077802211 9725295085 9725295085 4023427600 8173901011 3126614500 6032247741

9133391000 9133391000

(800) 866-1914

8003238560

Third Party Insurance Codes

Code 549 550 551 552 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 572 573 574 575 576 577 579 580 581 582 583 584 588 590 591 592 593 594 595

CompanyName Vico Life Insurance Company Vigilant Insurance, Inc. Virginia Surety Company, Inc. Vista Life Insurance Company Volunteer State Life Insurance Vulcan Life Insurance Company Washington Natl. Ins. West American Insurance Co. Westchester Fire Insurance Co. Western Casualty & Surety Co. Western Life Insurance Company Western & Southern Life Westfield Insurance Company Partners National Health Wisconsin Life Insurance Wisconsin Natl. Life Ins. Woodmen of the World Life Ins. World Insurance Company Code no longer Valid Yosemite Insurance Company Chatham Manufacturing Tucker Administrators United of Omaha Insurance Co. Farm Bureau of Wayne Co. Pentecostal Free Will Baptist Mutual Benevolent American Patriot Health Ins. AARP Healthcare Options - United Hlthcare Claims Unit Tower Life Insurance Company Belk Employee Insurance Company Aetna U.S. Healthcare Teamsters Local No. 391 BCBS of California Student Insurance Inc. Central States, SE & SW Health. & Welfare Fund Kentucky Life Insurance Company Columbia Accident & Health Ins. Equity Life & Annuity Insurance Code no longer valid BCBS of MA

Address 11975 Wesline Drive 51 JFK Parkway 123 North Wacker Dr. The American Rd. Volunteer Building PO Box 1886 PO Box 1250 136 N. Third Street PO Box 2387 14 E. First Street 385 Washington Street 400 Broadway Westfield Center PO Box 17268 PO Box 5099 PO Box 740 1700 Farnam Street PO Box 3160 zzzzzzzzzzzzzzzzzzzz 717 Market Street PO Box 620 3800 Arco Corporation Drive, Suite 450 Mutual Of Omaha Plaza PO Drawer 1958 PO Box 1568 PO Box 3509 PO Box 740819 310 S. Saint Mary's St., Suite 400 2801 W. Tyvola Rd. PO Box 14586 8550 W. Brynmauer Ave. PO Box 6666 PO Box 546 PO Box 590 Kentucky Central Building PO Box 1381 501 Wood Lane ZZZZZZZZZZZZZZZZ PO BOX 986025 Updated: December 8, 2009

City St. Louis Short Hills Chicago Dearborn Chattanooga Birmingham Rockford Hamilton Morristown Ft. Scott St. Paul Cincinnatti Park Circle Winston-Salem Madison Oshkosh Omaha Omaha zzzzzzzzzzzz San Francisco Elkin Charlotte Omaha Goldsboro Dunn Orlando Atlanta San Antonio Charlotte Lexington Chicago Oxnard Metairie Des Plaines Lexington Binghamton Little Rock ZZZZZZZZZZ Boston

State MO NJ IL MI TN AL IL OH NJ KS MN OH OH NC WI WI NE NE ZZ CA NC NC NE NC NC FL GA TX NC KY IL CA LA IL KY NY AR ZZ MA

Zipcode 63141 07078 60601 48121 37401 35209 61105-1250 45026 07960 66701 55102 45202 44251 271167268 53705 54901 68172-0052 68103-0160 00000-0000 94103 28621 28273 68175 27533 28334 32802 303740819 782053164 28217 40512-4586 60681 930316666 70004 60017-5103 40507 13902 72203 00000-0000 02298-

Phone1

Phone2

3127013700

2059422011 8002751896

6127384000 5136291800 (336) 760-4822 (336) 718-1525 6082385841 3034968000 (888) 208-3526 (402) 496-8000

9108352211 (800) 347-1232 (704) 525-9666 9197341283 9198924161 8005235800 (210) 554-4400 7043571064 (800) 437-3666 (800) 333-0912 5048375413 8003232190 8003235000 6062535111 6077242472

(617) 832-5000

Third Party Insurance Codes

Code 596 598 599 600 601 602 603 604 607 609 611 612 613 614 615 616 618 619 621 622 623 625 627 628 629 630 631 632 634 635 637 638 640 641 642 643 644 646 647

CompanyName BCBS of Texas Zeba Trust W/Zayre Corp. Thompson-Arthur Paving Company Anthem BCBS of Virginia National Liberty Life Insurance M&W Health Care Benefit Plan (MSIPA) Mutual Benefit Health & Accident National Assoc. of Letter Carriers Amalgamated Life & Health Ins. Group Health Association HIGHMARK BLUE SHIELD Government Wide Indemnity BCBS of Florida BCBS of New York BCBS of Tennessee Champion International Iowa State Travelers Mutual Assurance Glenn Raven Mills LOCAL Health and Welfare Fund Pioneer Life Insurance Company Atlanta Life Insurance Company Public Savings Life Insurance Standard Life & Accident Co. of Oklahoma City Doug Ruelinger Insurance Quality Mills, Income Security Corp. Florists' Mutual Ins. Western Union Medical Dept. BCBS of Delaware Rural Letter Carriers Assoc. (NRLCA) National Benefit Life Insurance Industrial Life & Health The National Liberty Group Automobile Owners Association Ins. BCBS of Ohio FISERV-Wausau Hunt Manufacturing Stowe Pharr Mills, Inc. BCBS of New Jersey Texas Gulf

Address PO Box 660044 PO Drawer 6000 PO Box 21088 PO Box 27401 Liberty Park PO Box 10129 409-11 Penn St. 20547 Waverly Pl. 333 Asheland Blvd. 4301 Connecticut Ave., NW PO BOX 898845 PO Box 2291 PO Box 1798 150 E. Main Street PO Box 180150 101 Knightsbridge Dr PO Box 1474 PO Box 3485 PO Box 1432 304 N. Main Street 100 Auburn Avenue PO Box 472 PO Box 1800 PO Box 66601 South Street PO Box 1208 One Mack Center Dr. PO Box 1991 PO Box 668329 2 Park Avenue Box 660274 Liberty Park 151 Farmington Ave. 2060 E. Ninth Street PO Box 450 PO Box 1836 PO Box 1939 3 Penn Plaza East PO Box 48 Updated: December 8, 2009

City Dallas Hampton Greensboro Richmond Frazier Rockville countryside Ashburn Chicago Washington Camp Hill Durham Jacksonville Rochester Chattanooga Hamilton Des Moines Kinston NEW YORK Rockford Atlanta Cheraw Galveston Topeka Mt. Airy Edwardsville Paramus Wilmington Charlotte New York Dallas Valley Forge Hartford Cleveland Pubelo Statesville McAdenville Newark Aurora

State TX NY NC VA PA MD NE VA IL DC PA NC FL NY TN OH IA NC NY IL GA SC TX KS NC IL NJ DE NC NY TX PA CT OH CO NC NC NJ NC

Zipcode 75266-0044 03842 27420 23279 19355 20849 16652 20149 60607 20008 17089-0062 27702 32202 14647 37402 4502050306 28501 10116-1432 61101 80319 29520 775531800 66601 27030 62025 07652 19899 28266-8239 10016-5660 75266 19493 06156 44115 8100228687 28101 07105 27806

Phone1 Phone2 (972) 766-6900 9192745413 (800) 445-7490 8043581551 3012945100 (888) 636-6252 (703) 729-4677 8003235000 7086938550 2023642000 (866) 763-6695 8002224739 9047916111 7163253630 4237555600 (513) 868-4615 9195279036 4047555665 8159875000 8006597374 4046592100 8035373002 (888) 350-1488 8002552400 9132722906

2019865100 (302) 429-0260 8006388432 2126846565

2166877000 2166877415 (800) 826-9781 7048729511 7048243551 2014562000 2014562534 9193224111

Third Party Insurance Codes

Code 648 649 650 651 652 654 655 657 658 659 660 661 663 666 668 671 672 673 674 675 677 679 680 682 683 684 685 686 691 692 695 696 697 698 699 700 701 703 705

CompanyName Carolson Insurance Properties BCBS Federal Employee Program American Progressive Life & Health Ins. Co. United Healthcare Cumberland Life Insurance Co. UMWA Benefit Plan Services R.J. Reynolds Co. Health Care Plan BCBS of South Carolina Georgia-Pacific Group Plan Mead Reinsurance Corp. Dan River Inc., Spindale Plant B.F. Goodrich R.G. Barry Company of Goldsboro Hardees Fast Food Group Plan NC Auto Dealers Ins./Prudential Ins. Co. Kemp Furniture Industries Sears Roebuck & Company Code no longer Valid BCBS of Illinois USA-Civil Service Retirement Program BCBS of Michigan Secure Care American Veterans Group Ins. Trust National Maritime Union Of America ITPE Jones, Hill and Mercer BCBS OF TEXAS National Standard Insurance Co. Century Health Care Plan BCBS of Kentucky Greenville NC Group Benefit Plan Metal Creations, Inc./Health Benefi Bassett Furniture/BCBS NC Service Life Insurance Company Allied Maintenance Co. Health Plan APAC Empire BCBS Kelly Springfield Tire Company Inter-County Hospitalization Plan

Address 1755 State Hwy 55 PO Box 2291 6 International Drive Suite 190 450 Columbus Blvd. 401 Broadway PO Box 619099 PO Box 2793 401 N. Main Street 1-20 A Alpine Rd. PO Box 308 115 S. Lasalle St. PO Box 150 348 N. Greene St. 2201 S. John St. PO Box 1619 PO Box 44058 PO Box 1678 Ntl. Headquarters, Sears Tower zzzzzzzzzzzzzzzzzzzzz PO Box 1220 1900 E. Northwest Street 600 Lafayette East National Home Life Ins. Co. National Home Assurance Co. PO Box 13817 PO Box 9888 PO Box 660044 2929 Allen Parkway PO Box 608 13550 Triton Park Blvd. PO Box 7207 PO Box 1104 PO BOX 35 1904 Farnam Street PO Box 1139 PO Box 21088 PO Box 1407 PO Box 677 720 Blair Mill Road Updated: December 8, 2009

City Minneapolis Durham Rye Brook Hartford Nashville DALLAS High Point Winston-Salem Columbia Dudley Chicago Harris Greensboro Goldsboro Rocky Mount Jacksonville Goldsboro Chicago zzzzzzzzzzzz Chicago Washington Detroit Valley Forge Valley Forge Savannah Savannah Dallas Houston Hickory Louisville Greenville High Point Durham Omaha Wilson Greensboro New York Akron Horsham

State MN NC NY CT TN TX NC NC SC NC IL NC NC NC NC FL NC IL ZZ IL DC MI PA PA GA GA TX TX NC KY NC NC NC NE NC NC NY OH PA

Zipcode 55441 27702 10573 061031801 37201 75261-9741 27261 27102 29219 28333 60603 280740150 27401 27530 27802 32231-4058 27530 60684 00000-0000 60690 20415 48226 19493 19493 31416 31412 75266 77019 28603 40223 27835 27261 2770268100 27893 27420 100081407 44309 19044

Phone1 8002224739 (914) 934-8300 (860) 702-5000

Phone2

(888) 865-5290 9108892003 9107684730 8003342583 8032883018 (919) 705-0520 (901) 256-0354

9199778669 8008458601 9197352801 3128752500 (800) 327-8497 2026327700 (800) 344-8525 ( ) 000-0000 (000) 000-0000 2156485000 (800) 327-5926 (912) 352-7169 (800) 631-3441 (800) 521-2227 7043281851 5024269000 9198304492 (800) 445-7490 (800) 487-5522 9192914275 (212) 476-7111 2167966531

Third Party Insurance Codes

Code 706 707 708 710 715 716 717 718 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 740 741 742 744 746 747 748 749 750 751 752 755 756

CompanyName Fairfield Communities, Inc. NC Plumbing & Heating Welfare Fund Ministers Life, A Mutual Life Ins. Code no Longer Valid BCBS of Georgia Life Insurance Company of Southwest Westinghouse Electric Corp. Mail Handlers Benefit Plan Family Protection Insurance Co. Allmerica Financial Cigna Ladies Auxiliary to the VFW Local 28 65 Security Plan CIBA-GEIGI Corp. Fingerhut Group Insurance Trust Income Security Corporation Carolina & Western Express Risk Management Council Postmasters Benefit Plan Associated Life Insurance Company Builders Transport Redman Employee Benefits NN Investors Life Insurance Company Code no longer valid Southeastern Brokers & Admin. Wabash Insurance Company Federal Spinning Employee HC Plan National Accident Ins. Underwriters Federal Molding Employee HC Plan American Postal Workers Union (APWU) Exxon Medicare Supplement New York Public Library Group Health Inc. State Life & Health Ins. Co. National Friends Insurance Trust Rego Company Overnite Transport Executive and Employee Benefit Plan American Standard Life Insurance

Address PO Box 3198 Carolina Admin., Local 785 PO Box 59093 ZZZZZZZZZZZZZZZZZZZZZZZZZ PO Box 9907 1300 W. Mockingbird Gateway Center PO Box 44242 Park Place 440 Lincoln St. PO Box 188002 AUX # 03354 2128 Commonwealth Ave. PO Box 18300 PO Box 10526 PO Box 10762 PO Box 3995 Metal Bed Rail Company 1019 N. Royal Street PO Drawer 240 PO Box 7005 PO Box 2686 4333 Edgewood Road NE zzzzzzzzzzzzzzzzzzzzzzzzzz PO Box 1268 7887 E. Bellwood Ave. PO Box 158 2 Penn Center Plaza, Suite 200 3301 Industrial Dr. PO Box 1358 350 Glenborough Drive 330 W. 42nd Street 80 Wolf Road PO Box 1338 PO Box 1179 PO Box 247 74 Sweeten Creek Rd. Oak Springs Road PO Drawer 3248 Updated: December 8, 2009

City Little Rock Charlotte Minneapolis ZZZZZZZZZ Columbus Dallas Pittsburgh Jacksonville Seattle Worcester Chatanooga Laurens Charlotte Greensboro Chicago Raleigh Gastonia Linwood Alexandria Milwaukee Camden Sanford Cedar Rapids zzzzzzzzzzz Tifton Indianapolis Sanford Philadelphia Sanford Glen Burnie Houston New York Albany Murfreesboro Stanwood Elon College Asheville Rutherfordton Enid

State AR NC MN ZZ GA TX PA FL WA MA TN SC NC NC IL NC NC NC VA WI SC NC IA ZZ GA IN NC PA NC MD TX NY NY TN WA NC NC NC OK

Zipcode 72203 28210 55459-0093 00000-0000 31908-9988 75247 15222 32231-4242 98101 0165337422 29360 28205 27419 60610 27605 28052 27299 22314 53201 29020 27330 52499 00000-0000 31793 46206 27330 19102 27330 2106077067 10036 12205 37130 98292 27244 28803-2318 28139 73701

Phone1 7045541033 6123337651 8004412273 9198766316 8008229788 8004107778 (800) 423-6011 (800) 599-9368 8039845211

Phone2

7139931610 4126423483

7043522111 7036835585 4147975000 8034321400 3193988511

2158546320 9197748370 (410) 424-1500 (410) 484-2852 2127606400 5184468000 6158961502 9194997707 8042318359 4052334000

Third Party Insurance Codes

Code 757 758 759 760 761 762 764 766 767 768 769 770 773 774 775 777 779 781 782 783 784 786 787 788 789 790 791 792 794 796 797 799 801 802 803 804 805 806 807

CompanyName Simmons Universal (Bloomcraft) American Benefit Administration Services Eastern Aviation & Marine Ins. Co. American Insurance, Annuities & Relief Carson, Inc. (Group Benefit Plan) American Barmag-Bouligny Co. Employees Insurance Co. of Wassau The Guardian Life Insurance House Claims Administration & Co. World Mutual Health & Accidental Independence Blue Cross Mega Life and Health Intercontinental Life Insurance Bankers Life of Des Moines, IA JJ Haines Co. Northern Telecom VA Mutual Benefit Life Insurance Co. Carolina Freight Great West Care Health Plan Fieldcrest Mills c/o CBS NC Teachers & State Employees Health Plan NC Farm Bureau Insurance Co. Zaytoun & Associates, Inc. US Office of Personal Mgmt. Core Source Teachers Protective Mutual Life Ins. Textilease Corporation Southern Pacific Transportation Mailhandlers Benefit Plan Aid Association for Lutherans Siecor Corporation Carolina Electrical Workers Hlth. & Welfare Fund Bakery & Confectionary Union & Industry Int. Tidwell Employee Benefit Trust BCBS of Kansas Willis Carroon Benefits Owens & Associates Hewitt, Coleman & Associates, Inc. Life of America, Wortham Tower

Address 295 5th Avenue 1733Part St., Ste300 411 Aviation Way 1852 Century Place, Ste. 170 PO Box 14186 PO Box 7046 PO Box 994 PO Box 8017 20 E. Cass Street Insurance Company of PA 1901 Market Street PO Box 548801 PO Box 149138 4201 N. 27th Street 4800 E. Monument Street 4001 E. Chapel Hill Nelson Hwy 4480 Cox Road PO Box 697 1000 Great West Drive PO Box 33429 PO Box 30025 PO Drawer 27427 PO Box 880 1900 E. Northwest Street 6100 Fairview Rd., Ste. 1000 PO Box 597 4700 Dwight Evans Rd. PO Box 244 PO Box 44242 4321 N. Ballard Rd. 1928 Main Ave. 3928 Volunteer Dr. 10401 Connecticut Ave. Box 637 1133 Southwest Topeka Blvd. PO Box 305154 PO Box 5744 PO Box 5500 2727 Allen Parkway, 6th Floor Updated: December 8, 2009

City New York Chicago Frederick Atlanta Archdale Charlotte Southfield Appleton Joliet Valley Forge Philadelphia Oklahoma City Austin Milwaukee Baltimore RTP Glen Allen Cherryville Kennett Charlotte Durham Raleigh Cary Washington Charlotte Lancaster Charlotte Houston Jacksonville Appleton Hickory Chattanooga Kensington Rockwell Topeka Nashville Little Rock Greenville Houston

State NY IL MD GA NC NC MI WI IL PA PA OK TX WI MD NC VA NC MO NC NC NC NC DC NC PA NC TX FL WI NC TN MD NC KS TN AR SC TX

Zipcode 10016 60603 21701 30345-4305 272633243 28241-7046 54402 54913 60431 19493 19103 7315478714-9138 53216 21205 27709 23060 28021 63857-3749 28233 27702 27611 27511 20415 28210 17603 28210 77001 32231-4242 54919-0001 28601 37416 20895-3960 28138 66629-0001 37230-5154 72215 296065500 77019

Phone1 (630) 416-1111 4043203377 (336) 431-1101 7158477111 (800) 624-4050

Phone2

2152412400 (405) 848-0179 8009256000 4144496000

8042721992 8005320091 8004442908 6144862908 (704) 373-0447 8004224658 9197810547 9197821705 2026327700 7045520900 7045239593 7132236314 8004107778 4147345721 7043282171 6158992593 3014683731 7042795531

(800) 327-5462

7132236315 8004107778 (800) 847-4836

6158723000 5016647888 (864) 240-5840 8006699030 7135290045

Third Party Insurance Codes

Code 808 809 811 812 813 814 815 816 818 819 820 821 822 824 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850

CompanyName BellSouth c/oBCBS of Alabama Greyhound Food Mgmt. Company Reliastar Hanes Corporation National Retired Teachers Assoc./ AARP Brown Group, Inc. Code no longer Valid Labor Trust Fund of North Carolina Allstate Motor Club Group Ins. Services/Howard Johnson's Motor Lodge Capital Blue Cross of Pennsylvania Praetorian Mutual Life Insurance Society National Life Insurance Co. BCBS of Southwest Virginia Skil Corporation BCBS of Indiana Ithaca Industies c/o Upstate Administrators State Industries, Inc. McDowell General Hospital/Penn Western Nat'l Sr Citizen's Group/Union Fidelity Ins Champion International Southern States Health & Welfare Fund BCBS of W. Virginia Leggett & Platt, Inc. Carefirst BCBS of National Capital Area Hickory Printing Group Combined Mutual Casualty Co. Care First/BCBS Carolina Motor Club BCBS of Maryland/ Care First UIU Health & Welfare Fund Hackney Sons, Inc. Burlington Indurstries Kaiser Found. Hlth. Plan South Carolina Insurance Company Interactive Medical Systems International Claim Services Rutherford Hospital (EBP) c/o Acordia Acturial Associaton of America

Address PO Box 2294 Greyhound Tower Bldg. G-2 PO Box 1195 PO Box 1413 PO Box 740819 PO Box 29 ZZZZZZZZZZZZZZZZ PO Box 13487 30 Allstate Plaza 2400 Wilkinson Blvd. PO Box 779503 1303 Walnut Hill Lane 9101 Wesleyan Rd. PO Box 13047 4801 W. Peterson PO Box 6174 PO Box 6589 Medical Benefit Plan PO Box 7834 PO Box 10841 Main Street 15160 W. Eight Mile Rd., Suite 206 PO Box 1353 P O Box 757 550 12th Street SW PO Box 69 5050 Broadway PO Box 14115 PO Box 30008 P O Box 804 25 North Fourth Street PO Box 27889 PO Box 2048 111 Fairview Plaza, Suite 100 PO Box 1 PO Box 19108 3855 Presidential Parkway PO Box 3262 PO Drawer 1567 Updated: December 8, 2009

City Birmingham Phoenix Minneapolis Winston-Salem Atlanta St. Louis ZZZZZZZZZZZZ Roanoke Northbrook Charlotte Harrisburg Irving Indianpolis Roanoke Chicago Indianapolis Syracuse Ashland City Greensboro Clearwater Canton Detroit Charleston Carthage Washington Hickory Chicago LEXINGTON Charlotte Owings Mills Philadelphia Washington Gastonia Charlotte Columbia Raleigh Atlanta Charleston Fayetteville

State AL AZ MN NC GA MO ZZ VA IL NC PA TX IN VA IL IN NY TN NC FL NC MI WV MO DC NC IL KY NC MD PA NC NC NC SC NC GA WV AR

Zipcode 3520185077 55440-1195 27102 30374-0819 63166 00000-0000 24034 60062 28208 17177-9503 75038 46268 24045 60646 46206-6174 13217-6589 37105 27407 33757-0841 28716 48327 25325 64836 20065 28601 60640 40512-4115 28230 21117-5559 19106 27889 28053-2048 28210 29202 27619 30340 25332 72702

Phone1 Phone2 (800) 292-8802 (888) 783-5743 8004446965 9107444349

(800) 962-2242 (717) 541-7000

7039855000 8006215143 8004535747 3154221533 (888) 792-7828 (877) 825-9336 7046462128 8005211321 8005238316 4173588131 8009502583 7043223431 3122758000 (800) 628-8548 8005320355 (800) 296-0724 2159235700 8006828520 (800) 255-7476 7045514300 (919) 877-9933 4044586795 8006248605 5015214880

(800) 826-2164

(336) 665-9400 (800) 523-5758

(410) 998-7374 9199466521

Third Party Insurance Codes

Code 851 852 853 855 856 858 859 860 861 862 863 864 865 866 867 868 869 870 871 872 873 875 876 877 878 881 882 883 884 885 886 887 890 891 892 893 894 895 896

CompanyName American Defender Life Insurance State of Georgia Hlth. Benefit Plan Cigna Healthcare Unison Ins. Co. Shelby Mutual Insurance Co. Lutheran Brotherhood Iowa State Travelers Insurance Co. Independent Insulating Glass Co. John Alden Life Insurance Company Layman National Life Ins. Co. Combined Accident Ins. Co. of America Esmark, Inc. Maxon Administrators, Inc. Carolina Rubber Hose NN Investors Life Insurance Co. Contiental Preferred Plan Bassett Upholstery Division Care Inn's Inc. Fuqua Industries, Inc. American Greetings Ind. Benefit Plan Southeastern Benefit Plans Styrex Industries, Inc. American Citizens Health Plan State Farm Health Insurance Company American Insurance Company Hunter Manufacturing Company Empire BCBS Indiana Lumberman Mutual Cascade Die Municipal Insurance Trust of NC The Gilbert-Magill Company NC State Motor Club Penn General Upstate Administrators Services, Inc. Kings Mountain Hospital Pacer Manufacturing Corp. Church Mutual Insurance Company United Equitable Insurance Company Crown Life Western States Trust

Address PO Box 27887 PO Box 740806 PO Box 188034 PO Box 31190 PO Box V-3 625 Fourth Avenue, South PO Box 1474 PO Box 43444 PO Box 520270 4200 S. Hulen, Suite 435 5050 Broadway 1030 Higgins, Suite 200 76 North Broadway PO Drawer 751 PO Box 1038 2185 Center Ridge Rd., Suite 404 East 29th Street PO Box 1237 3800 First National Bank Tower Pine Street 335 Archdale Dr. 240 Berkley Street 919 Sherida St., NW 1500 State Farm Blvd. 3333 California Street PO Box 1267 PO Box 5035 PO Box 68600 PO Box 8045 PO Box 1310 PO Box 13265 PO Box 30008 PO Box 9120 PO Box 6589 PO Box 232 455 Spring St., NW 800 Second Avenue 7373 N. Cicerco Avenue 2171 E. Thompson Blvd. Updated: December 8, 2009

City Raleigh Atlanta Chattanooga Charleston Greensboro Minneapolis Des Moines Atlanta Miami Ft. Worth Chicago Park Ridge Irvington Salisbury Hurst Rocky River Newton Rockingham Atlanta Forest City Charlotte High Point Washington Charlottesville San Francisco Statesville Middletown Indianapolis High Point Raleigh Kansas City Charlotte Marshfield Syracuse Kings Mountain Concord New York Lincolnwood Ventura

State NC GA TN SC NC MN IA GA FL TX IL IL NY NC TX OH NC NC GA NC NC NC DC VA CA NC NY IN NC NC MI NC MA NY NC NC NY IL CA

Zipcode 27611 30334 374228034 29417-1190 27408 33415 50306 30336 33152 76109 60640 60068 10533 28144 76053 44116 28658 28379 30303 28043 28217-4212 27260 20011 22909 94119 28677 109409035 46468 2726427602 64199 28230 020509120 13217-6589 28026 28025 10017 60646 91001

Phone1

Phone2

8007363464 4046562715 (800) 355-5970 8035710510 6123408686

8003284316

3054703100

8004312688 7046360121 8176566110 2163338866 8284599049

7045295400 9108898084 8003685824 7045246461

2027266800

(800) 732-9762 3178753600 (336) 882-0186 (919) 715-7973 7043773600 4137811426 3154221533 7047393601 7047864191

6196436118

Third Party Insurance Codes

Code 897 898 899 900 901 902 903 904 906 907 911 912 913 914 915 916 918 919 920 922 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 943 944 945 946

CompanyName Buckingham Insurance Company Statesville Concrete Product, Inc. Crowder Construction Port East Transfer, Inc. New Era Life Insurance Co. Connecticut Blue Cross, Inc. Guilford Mills c/o Cigna Healthcare Farm Bureau of Johnston County Teamsters Local No. 71 Mutual of New York (MONY) Beverly Enterprises of NC, Inc NC Plumbers & Pipefitters Hlth. & Welfare Psychiatric Institutes of America NC League of Municipalities Guilford Mills c/o Cigna Healthcare Carlson Co. Employee Benefit Plan Doncaster-Tanner Employee Benefit Washington Mills Company BCBS of Oklahoma Southeast Machine Tool Sales, Inc. Cochrane Furniture Health Care Plan Kobacker Stores, Inc. Citgo Company BB&T Westpoint Pepperell MIC Life Insurance Company Consulting Engineers Council Life & Health Health Care Mgmt, Inc. Tidewater Electrical & Industrial Cigna First Southeast Risk Insurance Co. BCBS of Colorado Veterans Life Insurance Company E.H. Crump & Company Onslow Memorial Hosp. Employee Trust Voluntary Trust Ins. Co. Baxter Laboratories Goodyear Medical Benefits Program The Gilbert-MacGill Company

Address 121 West Wacker Dr. 2289 Salisbury Highway PO Box 30007 Pulaski Hwy and 68th Street PO Box 4884 PO Box 504 PO Box 2049 1809 S. Brightleaf Blvd. PO Box 560248 1740 Broadway 1000 Western Blvd 5950 Fairview Rd., Suite 614 PO Box 1414 PO Box 3069 PO Box 2049 PO Box 12755 Oak Springs Road PO Box 127 PO Box 3283 PO Box 18602 PO Box 220 2041 Riverside Drive Box 300 PO Box 25987 PO Box 1069 Home Office PO Box 8895 PO Box 1268 5307 Va. Beach Blvd. PO Box 188002 PO Box 1268 700 Broadway Attn: Claims Service Division PO Box 171377 PO Box 1358 PO Box 699 PO Box 1390 PO Box 677 PO Box 13265 Updated: December 8, 2009

City Chicago Statesville Charlotte Baltimore Houston North Haven Gastonia Smithfield Charlotte New York Tarboro Charlotte Alexandria Raleigh Gastonia Minneapolis Rutherford Spindale Tulsa Greensboro Lincolnton Columbus Tulsa Winston-Salem Clinton Wilmington St. Louis Tifton Norfolk Chattanooga Tilton Denver Valley Forge Memphis Jacksonville OldFort Marion Akron Kansas City

State IL NC NC MD TX CT NC NC NC NY NC NC VA NC NC MN NC NC OK NC NC OH OK NC NC DE MI GA VA TN GA CO PA TN NC NC NC OH MO

Zipcode 60601 28677 28230 21237 77210-4884 06473 2805327577 28256 10019 27886 28210 22313 27602 2805355441 28139 28160 74102 27419 28092 43221 74102 27114-5987 28328 19803 63102 31793 23502 374228002 31793 80273 19495 38117 28540 28762 28752 44309 64199

Phone1

Phone2

7043723541 8005527879 2032394961 (800) 542-4294 7045962475 2127082000 (252) 823-0401 7045541033 9198341311 (800) 542-4294 7042874205 9185603500 7047321151 8007774283 8007951023 9107984911 3146210040 9123861751 8044618091 (800) 251-0670 3038312131 (800) 872-8387

(800) 334-9395 (330) 796-2121 8164743535

Third Party Insurance Codes

Code 947 948 949 950 952 953 955 956 958 959 960 961 962 963 964 965 966 967 968 969 970 971 973 974 976 977 978 980 981 982 983 984 985 986 987 988 989 990 991

Address CompanyName Pacific Guardian Grp. Insurance Crown Leasing Corp. American Stevedoring Corp. PO Box 19264 Gardner & White PO Box 40948 Southern Life c/o Liberty Life PO Box 789 Swift Textiles PO Box 8069 Postal Supervisors Health Benefit 51 Monroe Street Epoch Group 10795 Watson Rd Bassetts Family Plan/BCBS of VA PO Vox 27401 Travenol Labratories Inc. PO Drawer 1390 Penn Western Benefits Inc. PO Box 7834 BCBS of Oregon PO Box 1271 Reelo (Self-Insured) 2241 Asheboro Street Carolina-VA Meat Cutters Union 5305 Virginia Beach Blvd. Republican National Life PO Box 221169 Code no longer valid ZZZZZZZZZZZZZZZ Detroit Mutual Accident Insurance 333 Plymouth Street Lowe's Co., Inc. c/o Cigna Healthcare PO Box 188007 Code no longer Valid ZZZZZZZZZZZZZZZ Barrus Construction Company PO Box 30430 Board of Pensions/Presbyterian Church PO Box 13896 Florida Home Builder's Health Benefit Trust PO Box 1950 Oakwood Homes c/o EB Services PO BOX 1929 International Mineral & Chemical Co./UNITED HEALTHCARE PO BOX 30555 Commercial Bankers Life 2301 Dupont Dr. Battelle Group Med. Benefits Office 505 King Ave. Bene Plan Strategies PO Box 1391 Community BCBS 1901 Main Street Loris Community Hospital Employee Health Plan PO Box 159 BCBS of Connecticut 370 Bassett Road Furlong Insurance 4300 SW 74th Ave. Bristol Myers Squibb c/o Metrahealth PO Box 6135 Government Employees Hospital Assoc. PO Box 4665 District 1199J Ntl. Union of Hospital & Health 31 Central Avenue Silver Craft Furniture Co. 1140 Bedford Street Board of Pensions/Presbyterian Church/UNITED HEALTHCAREPO BOX 2097 Certified Life Insurance Co. of Cal 222 Merchandise Mart Plaza Independent Order of Forresters PO Box 179 Equifax PO Box 4081 Anthem BCBS of CA 21555 Oxnard St Updated: December 8, 2009

City Texarkana Greensboro Indianapolis Greenville Columbus Rockville St. Louis Richmond Marion Greensboro Portland Greensboro Norfolk Charlotte ZZZZZZZZZZ Plymouth Chattanooga ZZZZZZZZZZZ Tampa Philadelphia Altamonte Springs FORT MILL SALT LAKE CITY Irvine Columbus Dayton Buffalo Buffalo North Haven Miami Utica Independence Newark High Point LEES SUMMIT Chicago Buffalo Atlanta Woodland Hills

State TX NC IN SC GA MD MO VA NC NC OR NC VA NC ZZ OR TN ZZ FL PA FL SC UT CA OH OH NY NY CT FL NY MO NJ NC MO IL NY GA CA

Zipcode 75504 27419 4624029602 31908-8069 20850 63127-1011 2327929752 27407 97207 27406 22502 28222 00000-0000 48170 37422 00000-0000 33630-3430 19101 32701 29716841300555 92715 43201 45401 14240 14202 06473 33155 13504 6405107102 27260 64063-7097 60654-2026 14201 30302 91367-

Phone1 2147923795 (317) 581-1580 8002228271 3017381260 3145532000

Phone2

(336) 665-9400 5032255336 7574618091 (866) 232-3646 3134538500 (800) 255-7476

(800) 521-8507 3057881200 (800) 242-1510 (877) 468-1019 6144246350 5132268610 8005442583 8005442583 2032394911 8004638667 8162575500

(900) 289-4000 8004451942 3123966000 4048858000 8003330912

Third Party Insurance Codes

Code 993 995 996 997 998 A00 A01 A03 A05 A06 A07 A08 A09 A10 A11 A12 A14 A17 A18 A19 A20 A21 A22 A23 A24 A25 A26 A28 A29 A30 A33 A35 A37 A38 A39 A40 A41 A44 A46

CompanyName Goodmark Foods Buehler Products James Benefits Bayliner Marine Corporation BC/BS of Alabama Cigna Southern Group Administrators BCBS of Wisconsin Variable Protection Adm., Ins. Specialty & Paper Products Union (Local 527) City of Greenville/Human Resources Aetna U.S. Healthcare Cuddy Foods c/o EBS Rudlinger Insurance Southern Employees Insurance Co. Administrative Services, Inc. National Benefit Trust Southeastern Chambers Plans, Inc. Better Backers, Inc. Aetna Oxford Life Insurance Company Partners National Health Care BCBS United of Wisconsin Pyramid Life Insurance Co. Rollins Insurance Company White & White Inspection Service Pet Dairy Group Hospital Exp. Sperry Company Blue Cross Hospital Service, Inc. US Liability Ins. Co. Black Lung Benefits Act - Dept. of Lab Ryder Truck Rental Whisper Knits, Inc. Goodyear Tire & Rubber Company Tucker Adminstrators American Drew Furniture Ind. Austin Berryhill Fabricators Summey Building Systems BCBS of Louisiana

Address PO Box 187 PO Box A 735 Peachtree St. NE 502 Lincoln St. PO Box 830279 PO Box 28187 200 S. Marshall St. 401 W. Michigan St. 7123 Pearl Rd. PO Box 641 PO Box 7207 PO Box 14079 PO BOX 1929 PO Box 2159 255 North Peters Road, Suite C 5950 Fairview Rd. 310 West 43rd Street 335 Archdale Drive PO Box 37 PO Box 14079 2721 N. Cental Ave. PO Box 17268 PO Box 2025 6201 Johnson Drive PO Box 647 5200 Park Road 700 Walnut Street PO Box 2909 900 Pennsylvania Ave. PO Box 699 200 Constitution NW 5940 Fairview Rd. PO Box 777 890 Pineview Road 3800 Arco Corp. Drive, Suite 450 1101 D Street PO Box 8867 Philadelphia Church Rd. PO Box 98029 Updated: December 8, 2009

City Garner Kinston Atlanta Shelby Birmingham Raleigh Winston-Salem Milwaukee Cleveland Mableton Greenville Lexington FORT MILL Topeka Knoxville Charlotte New York Charlotte Chatsworth Lexington Phoenix Winston-Salem Milwaukee Shaunee Mission Atlanta Charlotte Waynesville Minneapolis Charleston Cary Washington Charlotte Vass Asheboro Charlotte N. Wilkesboro Greensboro Dallas Baton Rouge

State NC NC GA NC AL NC NC WI OH GA NC KY SC KS TN NC NY NC GA KY AZ NC WI KS GA NC NC MN WV NC DC NC NC NC NC NC NC NC LA

Zipcode 27524 28502-1000 30303 28105 35283-0279 276118187 27101 5320344130 30059 27834 40512-4079 29716666012159 37923 28210 10036 28217-4246 30705 40512-4079 85004 271167268 53201-2025 66201 30301 28209 28786 55402 25302 27511 20210 28211 28394 27203-0556 28273 28659 27419 28034 70898

Phone1 9197721511 9195223101

Phone2

7044876371 8002928802 2059882100 (800) 948-6759 (800) 334-8159 (414) 226-5000 4049447348 9198304493 (800) 942-5210 (800) 242-1510 8002552400 6156947741 2123077500 7045295400 8004457175 (888) 632-3862

(336) 760-4822 (800) 810-2583 9137221616 8002415532 7045522814 7044565385 8002225246 3043485950 9194674700 3017315116 7045252301 3055933537 9192457716 9104952238 (800) 347-1232 (704) 525-9666 (336) 651-9400 7049227883 5042915370

Third Party Insurance Codes

Code A48 A49 A51 A53 A54 A55 A56 A57 A58 A60 A61 A62 A64 A65 A66 A67 A69 A70 A71 A72 A73 A74 A75 A76 A77 A78 A81 A82 A83 A84 A87 A89 A90 A92 A93 A94 A95 A96 A97

CompanyName Wright Chemical Corporation Boiling Stout Employee Benefit Plan Code no longer valid Intl. Union of Operating Local No. 147 Welfare ILA Pension & Welfare Fund Union/Cigna Code no longer valid Seaboard Coastal Systems Illinois Mutual Life & Casualty National States Insurance Company NC Home Builders Health Benefit Trust Mid-America Soft Drink Bottling Ntl. Council of Senior Citizens Seabury & Smith Eaton Benefits c/o First Health Ntl. Assoc. of Foreign Student Affairs Century Life Insurance Maxicare Laundry Worker's Local 218 United General Insurance Co. Trans Ntl. Grp. Plan Admin. The Firestone Tire & Rubber Co. Laborers District Council of VA Health & Welfare AIMS Consultant Company Teamster Local - 61 Chubb & Sone Insurance Co. Horn & Hardart Co. Medical Plan Laborers Welfare Fund Southern Group Administrators Southern Manufacturing, Inc. Morris & Associates American Bakeries Company Breeden's Poulty & Egg, Inc. Lincoln National Myrtle Desk Co. Group Benefit Plan Trust United Globe Co. Carisbrook Yarns - Templon Mills W & J Rives Plumbers & Fitters Local 79 Welfare & Pension Carter Lumber Company BCBS of Arkansas

Address PO Box 9009 PO Box 409 ZZZZZZZZZZZZZZZZ 5305 Va. Beach Blvd. PO Box 188006 ZZZZZZZZZZZZZZ 500 Water Street 300 S. W. Adams Street 1830 Craig Court Park PO Box 37429 PO Box 966 1255 23rd St. NW PO Box 2900 8027 Leesburg Pike PO Box 1 1149 S. Broadway PO Box 115027 16420 Park Renn Place Dr. 2 Charlesgate West 1200 Firestone Parkway PO Box 13487 PO Box 2069 PO Box 421 14 Piedmont Ct., Suite 600 PO Box 240239 116 Commerce Drive 200 S. Marshall Street PO Box 32427 US Highway 70 2128 Commonwealth Ave. PO Box 308 1100 Employers Blvd. PO Box 2490 PO Box 577 PO Box 480 PO Box 1761 1201 Broad Street 601 Pallmadge PO Box 2181 Updated: December 8, 2009

City Wilmington Siler City ZZZZZZZZZ Norfolk Chattanooga ZZZZZZZZZZZ Jacksonville Peoria St. Louis Raleigh Madisonville Washington Coraopolis Vienna Isle Wright Los Angeles Atlanta Houston Boston Akron Roanoke Fayetteville Des Plaines Atlanta Charlotte Jefferson City Winston-Salem Charlotte Raleigh Charlotte Morganton GreenBay High Point Robbinsville Mooresville High Point Utica Kent Little Rock

State NC NC ZZ VA TN ZZ FL IL MO NC KY DC PA VA VA CA GA TX MA OH VA NC IL GA NC MO NC NC NC NC NC WI NC NC NC NC NY OH AR

Zipcode 28402 27344 00000-0000 23502 37422 00000-0000 322024423 61634 63146 27627-7429 24231 20037 151086923 22180 23397 900152213 30310 77218 02215 44317 24034 28302 60016 30305 28224 65101 27101 28232 27610 28205 28655 54344 27261 28771 28115 27261 13501 44130 72203-2181

Phone1

Phone2

8044618091 (800) 794-7882 (910) 763-8577

3096748255 3148780101 8007222030 2022968030 (412) 269-1178 8003363310 8043575355 (213) 742-0900 4047555665 8002257678 8005331708 8005526972 8003348622 4042664000 7045272675 3148932446 8003348159 7043722880 9197791250 7044372951 8002323040 9198854021 7044793311 7046641041 9194344181 3157246440 2166736100 5013782000

9197835640

Third Party Insurance Codes

Code A99 AA0 AA1 AA2 AA3 AA4 AA5 AA6 AA7 AA8 AA9 AB0 AB1 AB2 AB3 AB4 AB5 AB6 AB7 AB8 AB9 AC0 AC1 AC2 AC3 AC4 AC5 AC6 AC7 AC8 AC9 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7

CompanyName GAB Business Services Atlanta Plumbers & Steamfitters Health & Welfare The New England Health Plan Benefit Management Shelter Components New York Life Insurance Co. Adminastar Solutions Cigna Healthplan of South Florida Pike Electric Company Invalid Code - Pricing Company only Invalid Code - Pricing Company Only Platinum Rotissere Corp. Caremark/Advance PCS Angus Fire Armour Company Kinder-Care Learning Center, Inc Loomis Company Georgia Pacific Anthem Life Unicare HealthNet American Investors Life Insurance Dixie Yarns General American Life Ins. Co. Stadler's Country Hams, Inc. IBEW - Health Benefit Fund WSMP, Inc. Caremark Line Construction Co. Pacific Life & Annuity Great West Life Ben. Plan Stanley Furniture Co. Fleming of North Carolina Interstate Brands - Merita Sonoco Products Company Sonoco Products Company Genuine Parts Inc. SCT Yarns CGT Vantage Scapa Press Fabric

Address 211 Mt. Airy Rd. 3835 Presidential Pkwy., Ste. 123 PO Box 88270 PO Box 2636 4287 Stough Roan PO Box 1090 PO Box 40509 PO Box 49400 PO Box 868

City Basking Ridge Atlanta Atlanta Bangor Concord Louisville Indianapolis Atlanta Mount Airy

State NJ GA GA ME NC KY IN GA NC

Zipcode 07920 30340 30356-8270 04401 28027 40202 46240-0509 30359 27030

Phone1 8009220019 8003826926 8007236991 8002871059 2192624541 8003885186 8008478217 8009422471 9107892171

Phone2 4044553802 4043942522 2079902631

3175814240

100 Cambridge Park PO Box 52195 PO Drawer 879 PO Box 2150 PO Box 6843 PO Box 489 PO Box 839000 PO BOX 1993 PO Box 20000 PO Box 8212 PO Box 760 PO Box 30820 PO Box 397 200 Bloomingdale St. PO Box 399 PO Box 52195 PO Box 3937 PO Box 33699 PO BOX 11111 PO Box 577 PO Box 565 PO Box 591 PO Box 717 PO Box 7026 PO Box 668009 PO Box 608 PO Box 3356 PO Box 1411 Updated: December 8, 2009

Winston-Salem Phoenix Angier Montgomery Wyomissing Creedmoor Miami ANDOVER Nashville Little Rock Newton Los Angeles Elon College White Plains Claremont Phoenix Sanford Phoenix FORT SCOTT Robbinsville Warsaw Rocky Mount Lincolnton Charlotte Charlotte Cherryville Nashua Wilson

NC AZ NC AL PA NC FL MA TN AR NC CA NC NY NC AZ NC AZ KS NC NC NC NC NC NC NC NH NC

27104 8507227501 36102-2150 19610 27522 33283-9000 01810-0193 37202-4070 72221 28658 90030 27244 10605-1592 28610 85072-2196 27331 85067-3699 6670128771 28398 27802 28093 28241-7026 28266 28021 030613356 27894-1411

9106595000 (800) 841-5550 (800) 303-0187 9196396151 8003349222 6103744040 9195282576 8002745466 9726996539 5012276660 7044644662 2138737800 9105841396 9149483844 7044595345 9197747925 9197755454 8007298545 (800) 663-8081 (828) 479-3311 9102937821 9199773400 7047350424 7045883895 7043997895 7044356881 8008327311 9192913800

Third Party Insurance Codes

Code AD8 AD9 AE0 AE1 AE2 AE3 AE4 AE5 AE6 AE7 AE8 AE9 AF1 AF2 AF3 AF4 AF5 AF7 AF8 AF9 AG0 AG1 AG2 AG3 AG4 AG5 AG6 AG7 AG9 AH0 AH1 AH2 AH3 AH4 AH5 AH6 AH7 AH8 AH9

CompanyName Nash Finch Company Hanes Converting Company Leathercraft, Inc. Chubb Life America John Alden Life Insurance Phoenix Insurance Tufts Associated Health Plans Carolina Benefit Administrators BCBS of S. Carolina Congress Life Ins. Co. Rogers, Adkin, Gunther & Associates The Guardian Life Insurance Co. Benefit Administrators Goggin Truck Line Primextra Carolina Stalite Company Heller Associates Comcar Industries Phyne Mills, Inc. Nylacor Prudential Insurance Company United Healthcare Connecticut General Life Insurance Oxford Health Plans Pearson Company Fleet Reserve Association IBA Healthplan Kaiser Permanente Prudential Insurance Company Infinger Transportation Co., Inc. Parker Hannifin Corporation Life Care Plus Mohawk: Karastan Bigelow Operating Engineers Trust Fund Risk Management Prudential Insurance Company MVP Health Plan HMSA/ BC/BS of Hawaii State Line TPA, Inc.

Address Po Box 490 PO Box 457 PO Box 639 PO Box 353 PO Box 1599 PO Box 1900 PO Box 9112 PO Box 3257 Piedmont Service Center - PO Box 6000 10901 Red Circle Dr., # 4FL PO Box 12099 PO Box 2458 PO Box 6279 35000 N. Graham St. PO Box 1088 PO Box 1040 2755 BRISTOL STREET, SUITE 250 PO Drawer 67 PO Box 70 98 San Jacinto Blvd., Ste. 800 PO Box 8000 PO Box 740800 PO Box 34336 PO Box 7082 PO Box 2838 1776 W. Lakes Pkwy. PO Box 51100 PO Box 6217 PO Box 2229 PO Box 70689 12415 Capital Blvd. 7720 Rivers Edge Dr. PO Box 459 8401 Coporate Dr., Suite 200 PO Box 30010 PO Box 2229 PO Box 2207 PO Box 860 1718 Indian Wood Circle, Ste. E Updated: December 8, 2009

City Statesboro Conover Conover Parsippany Boise Enfield Waltham Spartanburg Greenville Minnetonka Tallahassee Spokane Erie Charlotte Twinsburg Salisbury Costa Mesa Auburndale Lincolnton Austin Linwood Atlanta Charlotte Bridgeport High Point West Des Moines Kalamazoo Rockville Jacksonville Charleston Wake Forest Columbus Landrum Landover Reno Jacksonville Schenectady Honolulu Maumee

State GA NC NC NJ ID CT MA SC SC MN FL WA PA NC OH NC CA FL NC TX NJ GA NC CT NC IA MI MD FL SC NC OH SC MD NV FL NY HI OH

Zipcode 30459 28613 28613 07054 83701 060831900 022549112 29304 29606 55343-9137 32317-2099 99210-2458 16512 28206 44087 28145-1037 92626 33823 28093 78701 08221 303740800 28234 06601-7082 27261 50398 49005-1100 20849-6217 32231 29414 27587 43235 29356 20785 89524-1070 32231 12301-2207 96808-0860 43537

Phone1 (912) 681-4580 7044644673 7043223305 8002482297 (800) 328-4316 2032531000 6174669410 8038751795 8032974665 8005284667 8006977890 8005417846 8144533633 8002644685 8004224201 7046365231 8005522929 8005241101 7047325560 5127035555 8005093566 (800) 741-8805

Phone2

(208) 368-7770

8004762295 (800) 845-6067

(714) 549-7052

(800) 666-1353 9108828135 8004241120 6163418000 3014686000 (800) 952-2227 8035544433 9195564031 8002825300 8034573391 3014599300 7028256040 8009522227 (888) 687-6277 (800) 777-4793 8089486280 8004288194

Third Party Insurance Codes

Code AI1 AI2 AI3 AI4 AI5 AI6 AI7 AI8 AI9 AJ0 AJ1 AJ2 AJ3 AJ4 AJ5 AJ6 AJ7 AJ8 AJ9 AK0 AK1 AK2 AK3 AK4 AK6 AK7 AK8 AK9 AL1 AL2 AL3 AL5 AL6 AL7 AL8 AL9 AM0 AM1 AM2

CompanyName Hilb, Rogal & Hamilton Co. (HRH) MetLife Claims Office Standard Group, Inc. Bridgestone/Firestone, Inc. Code no longer valid Code no longer valid TPA American International Companies Employee Benefit Adminstrators, Inc. Palm Harbor Homes, Inc. Allmerica Financial Administrative Services, Inc. City of Plantation Wilton Connor Packaging, Inc. John Alden Life Insurance Company Comprehensive Health Care Trust Greater Atlantic Health Service MegaLife & Health Catawba Transportation Group Whitley Products, Inc. Great West BassettWalker, Inc. National Group Life Insurance Co. Hartford Life Companies Richard Slay Insurance Payflex, Inc. John Alden Life Insurance Co. Leggett & Platt Employee Benefit Fund Kerr Group/BCBS of VA Local 4-69 Welfare Fund Hash Management Employee Health Plan Pro America Bravell Claims Management (BCM) Group Administrators, Inc. Central Carolina WHSE/KSI Cigna Perma-Flex (Southern) Inc. Twenty-First Century Health & Benefits, Inc. United Healthcare

Address PO Box 530470 PO Box 672588 PO Box 400 PO Box 247 ZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZ 116 Washington Ave. PO Box 25050 35 Corporate Park Dr. Boaz Industrial Blvd. 440 Lincoln St. PO Box 839000 400 NW 73 Avenue PO Box 7627 PO Box 821808 4789 Rings Rd. 3550 Market St. PO Box 548801 PO Box 339 PO Box 708 PO BOX 11111 2500 Airport Rd PO Box 1250 PO Box 178 PO Box 34 PO Box 2040 PO Box 1599 PO Box 757 PO Box 127401 1 Harmon Plaza PO Box 399 PO Box 201929 PO Box 846 10440 N. Central Expressway, Ste. 300 PO Box 3229 PO BOX 28087 PO Box 2389 1760 Market St., 14th Fl PO Box 1600 Updated: December 8, 2009

City Birmingham Marietta Cornelia Sheldon ZZZZZZZZZZ ZZZZZZZZZZ North Haven Wilmington Pembroke Boaz Worcester Miami Plantation Charlotte Dallas Dublin Philadelphia Oklahoma City Claremont Pierceton FORT SCOTT Kinston Rockford Franklin Lafayette Omaha Boise Carthage Richmond Secaucus Claremont Arlington Brookfield Dallas Kinston RALEIGH Salisbury Philadelphia Kingston

State AL GA GA IA ZZ ZZ CT DE MA AL MA FL FL NC TX OH PA OK NC IN KS NC IL VA AL NE ID MO VA NJ NC TX WI TX NC nc NC PA NY

Zipcode 35253-0470 30067-0044 30531 5120100000-0000 00000-000 06473 19899 023591966 35957 0165333283-9000 33317-1678 28241-7627 75382-9953 43017-1599 19104-9963 73154-8801 28610 46562 6670128501 61105-1250 23851 36862 68103-0040 83701 64836 23279 07094 28610 76006-1929 53008-0846 75231 28502 2761128145-2389 19103 12401-0600

Phone1 2058797111 8002419964 7067764558 8002378447

Phone2

7067764567

2032341614 8004687077 7818261177 2055939193 (800) 423-6011 4043536500 8007491858 8007491858 7045888522 8003284316 6143263393 2158238610 8007257887 7044593241 2195942112 (800) 663-8081 9195232277 8009500084 8159658955 8045694357 2058648687 4023450666 (800) 328-4316 4173588131 9193325151 2103301222 7044595345 (800) 435-0155 (817) 436-5100 4147844600 2143737887 9195226450 (800) 542-4294 7046331201 8005339323 9143827500

Third Party Insurance Codes

Code AM3 AM4 AM5 AM6 AM7 AM8 AM9 AN0 AN1 AN3 AN4 AN5 AN6 AN7 AN8 AN9 AP1 AP2 AP3 AP4 AP5 AP6 AP7 AP8 AP9 AQ0 AQ1 AQ2 AQ3 AQ4 AQ5 AQ6 AQ7 AQ8 AQ9 AR1 AR3 AR4 AR5

CompanyName Mohawk Industries National Benefit Plan Upstate Administrators Services, Inc. Bost Construction The Timken Company Cigna Interstate Packaging Health Benefits KinderCare / Trigon Healthkeepers Cigna Wilson Cook Medical Plan, Inc. PennCorp Financial Inc. SRI, Inc. Drake Insruance Adminstrators Group Health Insurance Harrington Benefit Services Humana Insurance Company Value RX Choice Diagnostic Snap-On Tools, Inc. American Medical Association Ins. Principal Financial Group J.P. Farley Corp. Osca, Inc. W. Virginia Laborers Trust Fund Group Benefit Services (GBS) Prudential Insurance Co. Epic Insurance Services, Inc. United Healthcare GIA of Virginia Kirke-Van Orsdel, Inc. Pacific Heritage Administrators Code no longer Valid Great West Care Health Plan United Healthcare of Minnesota Doctors Healthplan Transworld Music Corp. Home Life Financial Assurance Corp. Wellcraft Marine Complete Health Blue Shield of California

Address PO Box 100184 PO Box 13128 PO Box 6589 PO Box 519 1835 Dueber Ave., S.W. PO Box 2048 PO Box 789 PO Box 26623 PO Box 28125 4900 Bethania Station Rd. 1001 Wade Ave. 9200 Keystone Crossing PO Box 1253 PO Box 660100 PO Box 909772 PO Box 14601 PO Box 390873 PO Box 1690 200 N. LaSalle St., Ste. 600 PO BOX 39710 PO Box 458022 PO Box 80627 One Monongalia St., Suite 4 PO BOX 4368 PO Box 378710 PO Box 46579 PO BOX 740800 950 Herndon Parkway, Ste. 220 PO Box 9007 PO Box 1020 zzzzzzzzzzzzzzzzz PO BOX 11111 9900 Bern Rd 2828 Croasdaile Dr. 38 Corporate Circle 6101 Carnegie Blvd., Ste. 100 1651 Whitfield Ave. PO Box 55967- Dept. 30 PO Box 272520 Updated: December 8, 2009

City Columbia Norfolk Syracuse Rockwell Canton Gastonia White Bluff Richmond Raleigh Winston-Salem Raleigh Indianapolis Colton Dallas Chicago Lexington Bloomington Elizabethton Chicago COLORADO SPRINGS Westlake LaFayette Charlston Lutherville Denver Seattle ATLANTA Herndon St. Louis Portland zzzzzzzzzz FORT SCOTT Minnetonka Durham Albany Charlotte Sarasota Birmingham Chico

State SC VA NY NC OH NC TN VA NC NC NC IN CA TX IL KY MN TN IL CO OH LA WV MD CO WA GA VA MO OR ZZ KS MN NC NY NC FL AL CA

Zipcode 29202 23506 13217-6589 28138 44706 28052 37187 23261 276118125 27105 27605 4624092324 75260-1000 60690 405125543937644-1690 60601-9798 8094944145-8022 70598-0627 25302 2109480237-8710 98146-0579 3037422070 631019007 97207-1020 00000-0000 6670155816-8280 27705 12210 28209 34243 35255 95927-2560

Phone1 (800) 991-7401 8044661940 (800) 788-8771 7042795548 2164383000 (800) 542-4294 8002511072 8003349222 (800) 849-9000 8002454707 8002757366 (800) 335-0611 7147210644

Phone2

2052775090 9107440157 9198340751

(312) 346-2626 8003677587 8008544469 6155435771 8004585736 8002474695 (800) 634-0173 3188376047 8002455145 3043425142 8006386085 (800) 337-4973 8004538025 8005543245 8004325925 7038343120 3146210040 5032216700 (800) 663-8081 8035532718 4049828900 (877) 842-3210 8004762303 5184521242 8007332802 8137537811 8002393215 8003349849

Third Party Insurance Codes

Code AR6 AR7 AR8 AR9 AS0 AS1 AS2 AS3 AS4 AS5 AS6 AS7 AS8 AS9 AT0 AT1 AT2 AT3 AT4 AT5 AT6 AT7 AT8 AU1 AU2 AU3 AU4 AU5 AU6 AU7 AU8 AU9 AW0 AW1 AW2 AW3 AW4 AW5 AW6

CompanyName Structual Wood Preserving Co. Consolidated Employee Benefits Cigna Hanes Dye and Finishing Company Spardley and Coker Ralston Purina Co. Cigna Blue Ridge Carpet Mills & Courier Health Plan United Healthcare MetLife Red Hill Hosiery Code no longer Valid Carolina Container One Source Health Advantage Health Risk Management (HRM) Complete Care Control Great West Insurance Co. American Continental Life Insurance Blue Shield of Puerto Rico United Health Plans of New England Cost Containment Systems APA Partners United Healthcare of Ohio, Inc. Turner Tolson Co. Pension Board/United Church of Christ Prudential Berkely Association Services, Ltd. DELTA DENTAL Lawrence C. Musgrove Associates Aultcare Member Service Administrators Co. Diversified Group Administrators BCBS of Virginia (Trigon) Code no longer valid Consolidated Stores (EBP) Equifax Healthnet United Healthcare Wellpoint Pharmacy Mgmt

Address PO Box 13 5444 Bay Center Dr. Ste. 200 PO Box 180149 PO Box 202 PO Box 8200 PO Box 1606 PO Box 15408 PO Box 507 PO Box 29050 PO Box 495 PO Box 9530 zzzzzzzzzzzzzzzzzzz PO Box 2347 922 W. Walnut St. #A PO Box 1479 Simplex Plaza PO Box 1080 PO Box 796 PO box 363628 475 Kilvert St., Suite 310 PO Box 64668 PO BOX 1506 PO Box 1138 3302 Clarendon Blvd. PO Box 3600 PO Box 3016 100 Garden City Plaza PO BOX 5402 PO Box 13487 PO Box 6910 PO Box 3028 PO Box 330 PO Box 27287 ZZZZZZZZZZZZZZZZZZZZ PO Box 10636 PO Box 42820 PO Box 14700 PO Box 740800 PO Box 4496 Updated: December 8, 2009

City Coleridge Tampa Chattanooga Winston-Salem Little Rock St. Louis Wilmington Ellijay Phoenix Warwick Hickory zzzzzzzzz Hickory Rogers Minneapolis Gardner Denver Deerfield San Juan Warwick St. Paul Latham Columbus New Bern Youngstown Millville Garden City LISLE Roanoke Canton Tulsa Canonsburg Richmond ZZZZZZZZZZZZ Scottsdale Houston Lexington Atlanta Woodland Hills

State NC fl TN NC AR MO DE GA AZ RI NC ZZ NC AR MN MA CO IL PR RI MN NY OH NC OH NJ NY IL VA OH OK PA VA ZZ AZ TX KY GA CA

Zipcode 27234 33609-3400 37401-7149 27102-0202 72221 63188 198505408 30540 85038 02887 28603-9530 00000-0000 28603 727563540 55440-1479 01441 80201 60015 0092002886 55164 121101415 43216 28562 44513-3600 083325066 11530 6053224034 44706-0910 74101 15317 23261 00000-0000 85271-0636 77242-0820 40512303740800 91365-4496

Phone1 Phone2 9108795691 8002325244 8006357749 9107251391 5012241237 3149822647 (800) 441-7150 7062762001 6028709773 8004514720 4018272587 7043643865 (574) 295-2200 7043223380 (501) 621-2929 8004220055 5086328244 3038391710 8002224774 8097494949 8004221404 8003652735 (800) 833-3640 8002257951 9196382121 8008355509 (800) 645-6661 8004534080 8004017690 7033457735 8003448858 9185867700 8002218490

8003320663 (800) 438-7886 (877) 222-4261 (866) 841-8954 (800) 388-1116

Third Party Insurance Codes

Code AW7 AW8 AW9 AX0 AX1 AX2 AX3 AX4 AX5 AX6 AX7 AX8 AX9 AY0 AY1 AY2 AY3 AY4 AY5 AY7 AY8 AY9 AZ0 AZ1 AZ2 AZ3 AZ4 AZ5 AZ6 AZ7 AZ8 AZ9 B00 B02 B03 B04 B05 B06 B07

CompanyName Health Plan Services Code no longer valid Fountainhead Administrators code no longer valid Zeneca Specialty Inc. United Insurance Company Code no Longer Valid Western Self Insurance Services (WSIS) Summit America United Healthcare Prudential Insurance Company American Medical and Life Insurance AVMED Select Care Plus National Automatic Sprinkler Nippon Life Ins. Co. of America Steamship Trade Assoc. PRN Prescription Reimb. Network Aetna Life & Casualty American Zyannayd Preferred Health Network National Benefit Administrators Administrative Benefits Svs., Inc. United Healthcare AUSA Life Insurance Duke Select/Wellpath Prudential Insurance Co. The Funds United Healthcare Jaksonlea U.S. Healthplan Dallas General Life Ins. Co. Broyhill Furniture Carolina Power and Light Co. Charles D. Owen Manufacturing American Life & Casualty Insurance Singer Furniture Code no longer Valid Trinity Industries/ co Benefit Planners, LTD>

Address PO Box 3990 ZZZZZZZZZZZZZZZzz PO Box 2568 zzzzzzzzzzzzzzzzzzzzz 7830 N. Point Blvd. PO Box 1118 zzzzzzzzzzzzzzzzzzzzzzz PO Box 1016 7400 College Blvd. PO Box 8050 PO Box 45003 35 Broadway PO Box 2939 PO Box 10886 8000 Corporate Drive PO BOX 39710 6610 Tributary Street 4300 Cox Road PO Box 14079 1 Cyanamid Place 1099 Winterson Road PO Box 690903 1255 Lynnfield Road, Suite 140 PO Box 30985 ATTN: Claims Services Division PO Box 7102 PO Box 44280 PO Box 4410 116 Washington Ave. PO Box 699 PO Box 14982 PO Box 1080 PO Box 700 411 Fayetteville Street PO Box 457 American Life Building PO Box 1627 zzzzzzzzzzzzzzzzzzzzzz PO Box 1917 Updated: December 8, 2009

City Youngstown ZZZZZZZZZZ Birmingham zzzzzzzzzzzzzzz Winston-Salem Washington zzzzzzzzz Eureka Overland Lancaster Jacksonville Hicksville Gainesville Eugene Landover COLORADO SPRINGS Baltimore Glen Allen Lexington Wayne Linticum Charlotte Memphis Salt Lake City Valley Forge London Jacksonville Albany North Haven Conover Columbus Dallas Lenoir Raleigh Swannanoa Fargo Washington zzzzzzzzz Boerne

State OH ZZ AL ZZ NC NC ZZ CA KS SC FL NY FL OR MD CO MD VA KY NJ MD NC TN UT PA KY FL NY CT NC OH TX NC NC NC ND NC ZZ TX

Zipcode 44513 00000-0000 35202 00000-0000 27106 27889 00000-0000 95502 6621029721 32232-5003 11801 32602-2939 97440 20785-2239 80949-3910 21224 23060 40512-4079 07470 21090 28227 38119 841300985 19493 4074232231-4280 12204-0410 06473 28613 43214-0982 75221 28633 27612 28778 58103 27889 00000-0000 78006

Phone1 2167260833 2059913875 9107590354 9199466459

Phone2

8005487677 (800) 955-1991 8006387443 8007788857 5163782000 8008165465 8008828633 8004210544 8006382603 3015771700 8009376542 3016339311 8006690776 8008723862 2018727000 9143432100 (800) 482-6736 9016809450 (801) 393-0843 8002521053 8003853636 8005557695 8006065479 8009928354 7044641376 8006357207 6144570227 8003279961 7047583111 9198366111 7042986802 9199465165 (888) 287-6489

Third Party Insurance Codes

Code B08 B09 B10 B11 B12 B13 B14 B15 B16 B19 B20 B24 B25 B26 B27 B28 B29 B30 B31 B32 B33 B34 B35 B36 B37 B38 B39 B40 B41 B42 B43 B44 B45 B46 B48 B49 B50 B52 B53

CompanyName NCNB Thorn Apple Valley c/o Tyson Foods Southshore Health Plan Wisconsin Physician Service Aeroglide Corporation Wiscassett Mills Electricon, Inc. Benefit Mgmnt. of Maine, Inc. BCBS of Rhode Island GSH Corporation BCBS of Maryland Statesmen National Life Insurance Code no longer valid Domino's Pizza, Inc. Grief Brothers Corp. Abbott Laboratories US Furniture Industries Unicare Industrial Underwriters Champion Benefits Golden Rule Insurance Co. Tuscarora Yarns Carolina Leaf Tobacco Co. Inc. US Textile Corporation James M. Johnson Agency, Inc. Health Service Plan of Pennsylvania AP Parts Company Celtic Life Insurance Company Plan Services Rebsamen Insurance Company Walt Disney World CONCORDIA HEALTH PLAN Shoe Show Maxicare JL Plans and Service Hornwood Employee Benefit Plan WA Brown and Son Mason and Dixon Lines Inc. Goshen Ruber Empl. Benefit Plan

Address PO Box 20727 PO Box 2020 PO Box 407 PO Box 8190 PO Box 29505 415 Salisbury Ave. PO Box 158 PO Box 3859 444 Westminster St. 310 Kingold Blvd. PO Box 9836 3815 Monroe Blvd. zzzzzzzzzzzzzzzzzz 200 Rennisance Ct., Suite 2166 PO Box 410124 PO Box 2226 PO Box 2127 7025 Albert Pick Rd., 5th Floor PO Box 3665 Knightsbridge Dr. 7440 Woodland Dr. PO Box 477 PO Box 796 PO Box 1179 10 Court Street 1401 Arch Street 300 Dixie Trail PO Box 30082 PO Box 30082 PO Box 3198 PO Box 10130 PO BOX 26676 776 Florence Plance, NW 111 E. Wacker St., Suite 1500 PO Box 6244 Route 1, Box 286 2001 S. Main PO Box 969 2600 Wilco Blvd. Updated: December 8, 2009

City Greensboro Sprindale Linwood Madison Raleigh Albemarle Kinston Portland Providence Snow Hill Baltimore Houston zzzzzzzzzz Detroit Charlotte Rocky Mount High Point Greensboro Wilmington Hamilton Indianapolis Oakboro Greenville Lancaster Delhi Philadelphia Goldsboro Tampa Tampa Little Rock Lake Buena Vista ST. LOUIS Concord Chicago Charlotte Lilesville Salisbury Kingsport Wilson

State NC AR NJ WI NC NC NC ME RI NC MD TX ZZ MI NC NC NC NC NC OH IN NC NC SC NY PA NC FL FL AR FL MO NC IL NC NC NC TN NC

Zipcode 27420 72765-2020 08221 53708 27626 28001-3351 28502-0158 04104 02903 28580 21204 77006 00000-0000 43215 282410124 27802-2226 27261 27409 28406 45020 46278-1719 28129 27835 29721 13753 19102 27530 33630-3082 33630-3082 72203 32830 63122 28025 60601 28207 28091 28145-1408 37663 27893

Phone1 Phone2 8002553604 9193297461 6099270400 8003568051 9198512000 7049821181 9195232191 2077221601 8005277290 4018317300 (242) 747-5947 3014945555

(252) 977-5111 9198858026 (847) 706-4050 9197997999 5138684615 3172974123 7044853331 9197252144 8032836800 6077462133 2159881666 9197352030 8002377221 8008269952 8138706600 4078246000 (800) 248-1930 7047824143 3126164700 7043722338 7048484121 7046365131 6152464121 9192376171

Third Party Insurance Codes

Code B54 B55 B56 B57 B60 B62 B63 B64 B65 B66 B67 B68 B69 B70 B71 B72 B73 B74 B75 B76 B77 B78 B79 B80 B81 B82 B83 B84 B85 B86 B87 B88 B89 B90 B91 B92 B93 B94 B95

CompanyName Ladd Furniture Co. Women in the Work Force Medical Ins. Adminstration Ingles Retail Division c/o BMS Standard Oil Company Co-op Insurance Fund Federal Express Corp. Phoenix Management Services Big Star BCBS of Missouri (Alliance BCBS) Catholic Knights Insurance Society Equitable Life & Casualty Ins. Hospital Service, Inc. Hooker Furniture Corporation BCBS of New Hampshire Epoch Group New World Services Earth Grain Bakery Westpoint Pepperell-Lumberton Lytle Associates Exposaic Wire Company RE Pratt & Company Wilse & Associates, Inc. Ryder Systems, Inc. Servitex, Inc. Ryder Truck Rental Borden Health Benefits Plan United Chambers Life Ins. BCBS of Idaho Acordia National Wilson Tree Company Sixtyfive Security Plan Veterans of Foreign Wars (VFW) First Service Insurance Blue Cross of W. Pennsylvania Mars Manufacturing Gerber Life Insurance Co. Wake EMC Piedmont American Life

Address PO Box 7405 218 Lindsay Street PO Box 619001 PO Box 1178 PO Box 5738 2015 Peachtree Rd. NE PO Box 727 Dept. O 120 S. Meeting Street PO Box 105525 PO Box 14882 11 Wells Street PO Box 2460 PO Box 2367 PO Box 663 3000 Goffs Falls Road 10795 Watson Road 2624 N. 5th Street PO Box 669087 PO Box 1347 MPO Box 2128 PO Box 1122 PO Box 2991 PO Box 13303 3600 NW 82nd Avenue PO Box 958 One Fairview Plaza PO Box 189 PO Box 3048 PO Box 7408 PO Box 3262 PO Box 105 2128 Commonwealth Ave. PO Box 32344 PO Box 2 120 Fifth Ave., Fifth Ave. Place PO Box 6874 66 Church Street PO Box 872 PO Box 9887 Updated: December 8, 2009

City Greensboro High Point Pompano Matthews Chicago Atlanta Memphis Statesville Atlanta St. Louis Milwaukee Salt Lake City Fort Collins Kernersville Manchester St. Louis Niles Charlotte Lumberton Niagara Falls Mount Airy Winston-Salem Baltimore Miami Kinston Charlotte Columbus Naperville Boise Charleston Shelby Charlotte Kansas City Isle of Wight Pittsburgh Asheville White Plains Wake Forest Greensboro

State NC NC FL NC IL GA TN NC GA MO WI UT CO NC NH MO MI NC NC NY NC NC MD FL NC NC OH IL ID WV NC NC MO VA PA NC NY NC NC

Zipcode 27417 28806 33061-9001 28106 60680 30309 38194 28677 30348 63178-4882 53233 84110 805222367 27285 03111 63127-1011 49120 28266 28359 14302 27030 27102 21297-0417 33166 28501 28210 43215 60566 83707 25332 28150 28205 64111-5344 23397 15222-3099 28806 10601 27587 27408

Phone1 Phone2 (336) 294-5233 9198820109 3058642674 (704) 845-5608 3128565111 4043558880 9196682476 7048738430 4047658300 3149234500 4142736266 8015212500 3034828403 9109932196 8002252666 6036957000 3148213957 (269) 684-6700 7043926175 9107392811 7162840468 9197868336 9107242451 8004239791 3055933726 9195233191 7045252301 8008486181 7085053100 (800) 627-1188 8006248605 7044877245 7043332173 8008212606 8043575355 8002354999 7042540741 8002533074 9195563155 8003348622

Third Party Insurance Codes

Code B96 B97 B98 B99 BA1 BA2 BA3 BA4 BA5 BA6 BA7 BA8 BA9 BB0 BB1 BB2 BB3 BB4 BB5 BB6 BB7 BB8 BB9 BC0 BC1 BC2 BC3 BC4 BC5 BC8 BC9 BD0 BD1 BD2 BD3 BD4 BD5 BD6 BD7

CompanyName Unity Mutual Life Insurance Spanco Industries Mutual Protective Insurance American General United Healthcare Diversified Benefit Plans Code no longer valid Commonwealth Life Insurance Aetna U.S. Healthcare New York Life Ins. Co. District 9 Welfare Fund Penn. Employees Benefit Trust Fund Health Risk Management (HRM) RX Prime New England Financial Services Broyhill of Conover Group Health Insurance (GHI) Zenith Administrators Code no longer valid Unicare Synergetic Administrative Services Kemper National Insurance Penn General BCBS of S. Carolina Medco Health Solutions, Inc. United Healthcare Ridgeway Clocks Superior Teletec Choice Care Unicare Simcare PPO GEM Insurance Co. Revco Drug Claims Claims Management Corp. CIGNA NTDRA Group Trust Employee Benefit Systems, Inc. Southern Ins. Mgmt. Assoc. Trinity Industries

Address One Unity Plaza PO Box 19109 1515 S. 75th Street PO Box 1500 PO Box 740800 PO Box 900 ZZZZZZZZZZZZZZZZZZ PO Box 665 PO Box 14079 PO Box 4000 12365 Saint Charles Rock Road 150 S. 43rd Street, Suite 1 PO Box 4022 PO Box 3598 PO Box 30466 PO Box 428 PO Box 3000 PO Box 42279 zzzzzzzzzzzzzzzzzz 5171 VERDUGO WAY PO Box 28367 PO Box 189095 1020 Plain Street PO Box 100605 PO Box 14713 PO Box 740800 PO Box 407 150 Interstate North, Suite 300 PO Box 3188 PO Box 26715 PO Box 613 PO Box 449 1 CVS Dr. PO Box 419797 PO Box 5200 5272 River Road, Ste. 700 1575 San Ignacio PO Box 2469 69 Bingham Road Updated: December 8, 2009

City Syracuse Greensboro Omaha Nashville ATLANTA Elyria ZZZZZZZZZZZZ Ashland Lexington Freehold Bridgeton Harrisburg Kalamazoo SCRANTON Tampa Conover New York San Francisco zzzzzzzzzzzzzz CAMARILLO San Jose Plantation Marshfield Columbia Lexington Atlanta Ridgeway Atlanta Cincinnati Greensboro Hammonton Salt Lake City Woonsocket Kansas City Scranton Bethesda Coral Gables Tuscaloosa Asheville

State NY NC NE TN GA OH ZZ VA KY NJ MO PA MI PA FL NC NY CA ZZ CA CA FL MA SC KY GA VA GA OH NC NJ UT RI MO PA MD FL AL NC

Zipcode 13215 274199109 68101 37202-1500 303740800 44036 00000-0000 23005 40512-4079 07728 63044 17111-5700 49003-4022 1850533630-3466 28613 10116 94142-2279 00000-0000 93012-8603 95159-8367 33318 02050 29260-0605 40512303740800 24148 30339 45201 27417-6715 8037 84110 02895-6146 6414118505-5200 2081633146 35403 28806

Phone1 3154697751

Phone2

(402) 398-0881 (402) 391-6900 6157491000 8005537360 2169341044 8047981215 (888) 632-3862 8006953131 3147396442 8006280174 8002530966 8006225579 8006541731 7044641561 8003585500 (212) 615-0767 8003880508 (800) 969-8509 4089880900 8007357279 8002424472 8008682520 (800) 882-8879 (877) 222-4261 7039542950 8006856543 8004350666 8006375865 8005562378 8008887164 8008215401 (800) 882-4462 (301) 320-2400 3052847484 8004769928 7042540891

Third Party Insurance Codes

Code BD8 BD9 BE0 BE1 BE2 BE3 BE4 BE5 BE6 BE7 BE8 BE9 BF0 BF1 BF2 BF4 BF5 BF6 BF7 BF8 BF9 BG0 BG1 BG2 BG3 BG4 BG5 BG6 BG7 BG8 BG9 BH0 BH1 BH2 BH3 BH4 BH5 BH6 BH7

CompanyName Presidential Life Ins. Co. Trigon Administrators GHI BCBS of Montana Code no longer Valid Florida First Haney Group Services Atlantic Coast Health Plan Pacific Foundation for Medical Care of Sonoma Co. Gilsbar, Inc. United Healthcare PCI Southern Health Services Cigna TPA Massachusetts Mutual Life Insurance New York Life Great West Health Plan Midland Benefits Administrator (MBA) American Dental Plan Choice Care Natl. Telephone Coop. Assoc. Tar Heel Paving Co. Aetna Life Insurance Co. Graphic Arts Center Health Care Canada Life Cotton Belt, Inc. Unicare Mid-Atlantic Administrators Prudential Insurance Co. Ball-Foster Glass Co. Mohawk Health Care Plan CC Systems Local 400 John Jenkins Corp. General American Life Ins. Co. Midwestern Personnel Services Aetna U.S. Healthcare Chandler & Assoc.

Address PO Box 28218 PO Box 85639 PO Box 2832 PO Box 5004 zzzzzzzzzzzzzzzzz 3425 Lake Alfred Rd. Ste. 2 12222 Merit Drive, Suite 850 5305 Virginia Beach Blvd. 3033 Cleveland Ave., # 100 PO Box 2947 PO Box 1630 PO Box 370 PO Box 85603 PO Box 28127 PO Box 121212 PO Box 743 PO Box 6047 PO BOX 11111 PO Box 17126 PO Box 566967 395 N. Service Road BB&T Bldg., Suite 300 PO Box 5208 PO Box 7064 PO Box 5726 PO Box 105025 PO Box 108 PO Box 5037 PO Box 212209 PO Box 4042 620 Facet Rd. PO Box 1707 4660 S. Hagadorn Road, Ste. 210 PO Box 277 PO Box 12366 PO Box 5445 PO Box 36 PO Box 14079 4301 Darrow Road Updated: December 8, 2009

City Dallas Richmond New York Great Falls zzzzzzzzzz Winter Haven Dallas Norfolk Santa Rosa Covington Pittsburgh Maumee Richmond Raleigh Marietta Windsor Camarillo FORT SCOTT Memphis Atlanta Melville Asheville High Point Dover Portland Atlanta Pinetops Bolingbrook Columbia Iselin Henderson Greenville E. Lansing Jarratt Gastonia Rockford Olive Branch Lexington Stow

State TX VA NY MT ZZ FL TX VA CA LA PA OH VA NC GA CT CA KS TN GA NY NC NC DE OR GA NC IL SC NJ NC NC MI VA NC IL MS KY OH

Zipcode 75228 23285 10116-2832 59403 00000-0000 33881-1492 75251 23502 95403 70434 15230-1630 43537 23285 27611-8127 30067-0092 060950743 93011 6670138187 31156-6967 11747 28801-3457 27262 19903-1512 97228 30348-5025 27864 604405037 29221-2209 08830 27536 27834 48823 23867 28052 61125-0445 38654 40512-4079 44224-2674

Phone1 Phone2 2143282801 8005236796 (212) 501-4444 (800) 624-2414 8004477828 8002263155 8132930785 8009676780 (757) 461-8091 8002844267 8006387785 8008377279 4198917980 8006274872 8009486759 8005627079 8002271555 8006951352 (800) 663-8081 9016841175 8006331262 8008424148 7042529776 9108855154 8008233084 5032233220 7709531959 9198274192 (800) 232-0117 8008499270 8004227399 9194921131 9197524126 8009686616 8008458518 7048645421 8152274800 8005265642 3362737706 2165625757

Third Party Insurance Codes

Code BH8 BH9 BI0 BI1 BI2 BI3 BI4 BI5 BI6 BI7 BI8 BI9 BJ0 BJ1 BJ2 BJ3 BJ4 BJ5 BJ6 BJ7 BJ8 BJ9 BK0 BK1 BK2 BK3 BK4 BK5 BK6 BK7 BK8 BK9 BL0 BL1 BL2 BL3 BL4 BL5 BL6

CompanyName Singer Furniture Co. American Society of Mechanical Engineers Local #32 B&J Administrative Support Services MEBA Erisa Design Systems & Admin. (EDSA) Albemarle News Co. Unicare Wright of Thomasville Prudential Laborers Pension & Trust of CA Federated Mutual Ins. Co. John Alden Life Ins. Co. Universal Bedroom Furniture, Ltd. Pan American Life Insurance Co. Healthplan of Nevada, Inc. Teamcare F.B.A. Country Life Ins. Co. Precise Benefits Administrators State Farm BCBS of Texas United Healthcare Amerisure Aetna Value RX Choice Diagnostic AG Admin., Inc. Ornda First Health Corp. Aetna Dillon Yarn Corp. General American MAMSI Life & Health Great West Life Insurance Co. Fortis Benefits Aetna TDI Managed Care Service Signature Dental Plan Aetna S.C. Hospitals Health Benefit Trust

Address 4500 Singer Road 1255 23rd St. NW 300 101 Ave. of the Americas 5966 Stellhorn Rd. 1007 Eastern Ave. 204 E. Lombard St., 4th Floor PO Box 767 PO Box 4046 PO Box 1069 PO Box 44221 220 Campus Lane PO Box 467500 PO Box 1804 PO Box 1660 PO Box 19090 PO Box 15645 PO Box 5116 PO Box 652 PO Box 2000 PO Box 9064 PO Box 948 PO Box 660044 PO Box 740800 PO Box 5110 PO Box 981107 PO BOX 390873 PO Box 979 PO Box 8097 PO Box 50065 PO Box 1245 716 Teaco Rd. PO Box 930 1000 Great West Dr 501 W. MICHIGAN ST. PO Box 14586 620 Epsilon Drive 200 N. Martingale Rd. PO Box 14079 PO Box 16707 Updated: December 8, 2009

City Murfreesboro Washington New York Fort Wayne Baltimore Baltimore Elizabeth City Schaumburg Thomasville Jacksonville Suisun Atlanta Dublin Marion Greenville Las Vegas Des Plaines Lakeland Bloomington Jericho Clayton Dallas Atlanta Southfield El Paso BLOOMINGTON Valley Forge London San Bernadino Dillon Kennett Frederick Kennett MILWAUKEE Lexington Pittsburgh Schaumburg Lexington Jackson

State TN DC NY IN MD MD NC IL NC FL CA GA OH NC SC NV IL FL IL NY GA TX GA MI TX MN PA KY CA SC MO MD MO WI KY PA IL KY MS

Zipcode 37129-2913 20037 10013-1906 4681521202-4345 21202 27907 601684046 27361 322314221 94585 311467500 43017 28752 296029090 89114-5645 60017-5116 33802 61702-2000 11753-8962 30525 75266-0044 303740800 48086-5110 79998-1107 5543919481 40742-8097 92412 29536 638573749 217050993 63857-3749 5320340512-4586 15238 60173-2096 40512-4079 39236-6707

Phone1 Phone2 (615) 893-6493 8002892763 2123883341 8002740225 4105479111 8008203372 9193355930 (800) 454-3262 9104724200 (800) 220-5470 7078642800 8002414945 6147982800 7046522112 (864) 609-4777 7022427300 8003235000 8137596000 3095573000 8003312794 7067825733 (972) 766-6900 (800) 521-2227 (877) 222-4261 8002531900 8108277400 8006455677 8007267220 8007749412 8006441142 8037747353 (888) 989-9890 (800) 331-2102 (800) 663-8081 8008002000 8004286111 8005815300 (800) 346-0310 (847) 605-5522 8002386236 6019827304

Third Party Insurance Codes

Code BL7 BL8 BL9 BM0 BM1 BM2 BM3 BM4 BM5 BM6 BM7 BM8 BM9 BN0 BN1 BN2 BN4 BN5 BN6 BN7 BN8 BN9 BP0 BP1 BP2 BP3 BP4 BP5 BP8 BP9 BQ0 BQ1 BQ2 BQ3 BQ4 BQ5 BQ6 BQ7 BQ8

CompanyName Willamette Ind. Kirke-Van Orsdel, Inc. MAMSI Estes Express Lines Provident American United Healthcare Robey-Barber Ins. Services Harrington Benefit Services Cigna Code no longer Valid The Guardian United Healthcare UNITED HEALTH CARE Atlantic Coast Health Ins. Moore's Quality Snacks Central & Southwest Services Great West Life Health Grinnel Corp. Script Care, Inc. UMR Lexington Furniture Stowe Assoc. Great West Benefit Plan Concrete Supply Co. The Mutual Group Kanawha Employee Ben. Admin. Principal Healthcare of Florida First Fortis United Dominion Underwriters & Admin. Contractors Employees Benefits (CEBA) Governors Club S & S Healthcare Strategies, Ltd. Triangle Pacific Corp. Chickering Claims Admin. United Healthcare United Healthcare Reynolds & Reynolds CNA Managed Care Claims

Address PO Box 230 PO Box 9007 4 Taft Ct. PO Box 25612 PO Box 679005 PO Box 740800 3965 Henderson Blvd. PO Box 909772 PO Box 5200 zzzzzzzzzzzzzzzzzzz PO Box 2459 PO Box 3098 PO BOX 30555 5305 Virginia Beach Blvd. PO Box 1909 PO Box 660164 1000 Great West Drive PO Box 128 6380 folsom drive PO BOX 14804 PO Box 1773 2872 Woodcock Blvd., Ste. 200 8505 E. Orchard Rd. PO Box 5247 PO Box 82552 PO Box 5150 PO Box 44283 PO Box 2989 301 S. College St. PO Box 6250 6300 Bridgepoint Parkway, Bldg 3 Ste.500 PO Box 2615 PO Box 141097 4040 McEwen St., Ste. 100 PO Box 15708 PO Box 218 PO Box 740800 PO Box 2608 PO Box 58527 Updated: December 8, 2009

City Moncure St. Louis Rockville Richmond Dallas Atlanta Tampa Chicago Scranton zzzzzzzzzzzz Spokane Naperville St Lake City Norfolk Bristol Dallas Kennett Cleveland Beaumont Cincinnati Hildebran Atlanta Englewood Charlotte Lincoln Greenville Jacksonville Syracuse Charlotte Harrisburg Austin Chapel Hill Cincinnati Dallas Boston North Haven Atlanta Dayton Houston

State NC MO MD VA TX GA FL IL PA ZZ WA IL UT VA VA TX MO NC TX OH NC GA CO NC NE SC FL NY NC PA TX NC OH TX MA CT GA OH TX

Zipcode 27559 63101-9007 20850 23260-5612 75367-9005 3037433629 60690 18505-5200 00000-0000 99210-2459 60566 8413023502 24203 75266 63857-3749 27013 7770645250-5804 28637 30341 80111 28225 68501-2552 29606 32231-4283 13220-2989 28202 17112 7873027515 452501097 75244-5092 02215-0014 06473 303740800 45401 77258-8527

Phone1 Phone2 9195422311 3146210040 3012945100 8042326793 2146969091 8004625423 8132867023 8005336654 (800) 882-4462 (800) 541-7846 8008745693 (800) 566-7273 (757) 461-8091 7036696194 2147771260 (800) 663-8081 7042782221 8008809988 (800) 950-4867 7043977371 8005337896 3037901993 7043722930 8007453464 8004765150 8008211530 8007458003 7043476868 7176528040 (800) 247-7724 (512) 339-4449 9199688500 (866) 266-1110 8005270320 2149801123 8009667772 8009928354 (877) 222-4261 8007363539 8009990972

Third Party Insurance Codes

Code BQ9 BR0 BR1 BR2 BR3 BR4 BR5 BR6 BR7 BR8 BR9 BS0 BS1 BS2 BS3 BS4 BS5 BS6 BS7 BS8 BS9 BT0 BT1 BT2 BT3 BT4 BT5 BT6 BT7 BT8 BT9 BU0 BU1 BU2 BU3 BU5 BU6 BU7 BU8

CompanyName United Healthcare Aetna Teamsters Local 1035 Health Services & Ins. Plan Dixie Yarns/Victory Plant Employee Benefit Services Benicorp Infinger Transportation Equifax Healthsource John Alden Life Insurance Kemper National Services; Third Party Admin. Carolina Benefit Admin. Delta Dental Plan of Idaho Employee Benefit Admin. (EBA) United Healthcare New England Benefit Payments Cigna Kyrus Corp Excell Linde Metrahealth/UNITED HEALTHCARE SOUTERN HEALTH SERVICES Cairn Studio, LTD Continental Grain Co. Jefferson Pilot Cost Mgmt. Technologies, Inc. Boral Bricks, Inc. AWANE Scrip Card The Guardian Unicare Dicey Fabrics Thrift Drugs, Inc. National Uniform Services The New England Health Plan/GREAT WEST Acordia National Metropolitan Tucker & Clark Sterling & Sterling, Inc. United Healthcare

Address PO Box 740800 PO Box 150409 400 Chapel Rd., Unit 2B PO Box 1357 PO BOX 1929 PO Box 68917 PO Box 70698 PO Box 6000 PO Box 190023 PO Box 9398 PO Box 189130 PO Box 1075 PO Box 2870 35 Corporate Park Dr. PO Box 30555 900 2nd Ave. S., Ste. 650 PO Box 800 25 W. Ridge Marketplace 1 Linde Drive PO BOX 740800 PO BOX 7704 PO Box 400 PO Box 9 PO Box 26011 PO Box 29122 PO Box 1957 PO Box 838 448 E. 6400 S., Ste. 400 PO BOX 8007 PO Box 6113 PO Box 1090 615 Alpha Drive 2402 Walkup Ave. PO BOX 11111 PO Box 3043 PO Box 14093 PO Box 901030 20 Armory Lane 116 Washington Ave. Updated: December 8, 2009

City Atlanta Hartford S. Windsor Gastonia Fort Mill Indianapolis Charleston Duncan Charleston Minneapolis Plantation Greenville Boise Pembroke Salt Lake City Minneapolis Unionville Candler Goldsboro Atlanta LONDON Davidson Selma Greensboro Shawnee Mission Augusta Peterborough Salt Lake City Appleton Dearborn Shelby Pittsburgh Monroe FORT SCOTT Charleston Lexington Ft. Worth Milford North Haven

State GA CT CT NC SC IN SC OK SC MN FL SC ID MA UT MN CT NC NC GA KY NC NC NC KS GA NH UT WI MI NC PA NC KS WV KY TX CT CT

Zipcode 303740800 061150409 06074 28053 29716462680917 29415 73534-6000 29419-9023 55440-9398 3331829603 83701 02359 841300555 55402 06085 28715-9174 27530 303744074228036 27576 27420-6011 66201 30903-1957 03458 84107 54912-8007 48120 28151 15328 28110 6670125331-3043 405124093 76101 064603361 06473

Phone1 Phone2 (800) 741-8805 (800) 643-4301 8006246864 7048649761 (800) 242-1510 3172901205 8004765150 8008520914 8007203150 8003284316 8007357279 8007356188 2083444546 8002242522 (800) 566-7273 8002225688 8006549631 8286657270 9197357111 8008582345 8049751212 7048923581 8006728138 (336) 691-3918 8003323539 7067226831 8002585318 8008727471 (800) 685-4542 8004430174 7044876324 8002847438 7042832121 8009446692 8003324732 (800) 275-4638 2143922930 8004476689 8008420231

Third Party Insurance Codes

Code BU9 BW0 BW1 BW2 BW3 BW4 BW5 BW6 BW7 BW8 BW9 BX0 BX1 BX2 BX3 BX4 BX5 BX6 BX7 BX8 BX9 BY0 BY1 BY2 BY3 BY4 BY5 BY6 BY7 BY8 BY9 BZ0 BZ1 BZ2 BZ3 BZ4 BZ5 BZ6 BZ7

CompanyName Harrington Benefit Services Cigna Harrington Benefit Services Benefit Mgmt. Systems Health Plan Services Shared Medical Alternatives Association Group Admin. Cigna Metlife Blair Mill Admin. NEA Member Care Caremark All American Homes Caremark/ formerlyPharmacare Hometown Health Network Flexible Benefit Plans Cigna Code no longer valid Prudential BCBS of New Jersey Caremark/Advance PCS UTZ Quality Foods Health Plan AETNA Carolina Benefit Administrators Administrative Services Unicare First Choice Benefits Mgmt. Alliance PPO, Inc. American Freightways, Inc. Gulf South Admin. Royal Development Co. Anvil Knitwear United Healthcare Town of Cary United Healthcare United Healthcare Thermo Products Amerisouth CWI Benefits

Address PO Box 909772 PO Box 8205 675 Brooksedge Blvd PO Box 809 PO Box 30461 PO Box 51098 PO Box 96987 PO Box 8819 PO Box 2925 720 Blair Mill Rd. 1255 23rd St. NW, Ste. 300 PO Box 52195 PO Box 929 PO Box 52010 100 Lilliam Gish Blvd., Ste. 301 PO Box 385 PO Box 182576 ZZZZZZZZZZZZZZZZ PO Box 45096 PO Box 1609 PO Box 52195 900 High Street PO Box 14110 PO Box 3257 2187 N. Lake Pkwy, Ste 106 PO Box 5037 PO Box 658 PO box 993 PO Box 840 PO Box 8570 325 Kettering Rd. PO Box 367 PO Box 30555 PO Box 8005 PO Box 740800 PO Box 17719 PO Box 237 PO Box 1286 PO Box 6125 Updated: December 8, 2009

City Chicago London Westerville Ridgeland Tampa Riverside Washington Bristol Englewood Horsham Washington Phoenix Rutherfordton Phoenix Massillon Taylorsville Chattanooga ZZZZZZZZZZZ Jacksonville Newark Phoenix Hanover Lexington Spartanburg Tucker Bolingbrook Beloit Frederick Harrison Metairie High Point Swannanoa Salt Lake City Cary Atlanta Irvine Denton Savannah Greenville

State IL KY OH MS FL CA DC TN CO PA DC AZ NC AR OH NC TN ZZ FL NJ AZ PA KY SC GA IL WI MD AR LA NC NC UT NC GA CA NC GA SC

Zipcode 60690 40742-8205 4308139158-0809 33630 92517 20090-6987 37621 80150-0125 19044-0975 20037 8507228139-0929 85072-2010 44647 28681 37422-7576 00000-0000 32232 071012200 8507217331 40512-4110 2930430084 604405037 53512 217050993 72602-0840 70011-8570 27263 28778 8413027512 30374-0800 92713-7709 27239 31402 29606

Phone1 Phone2 8005336654 8007227535 8008484623 6019910060 8002371276 9093207400 8008084516 (800) 325-1404 8006383933 8004805031 8005414119 (800) 841-5550 (800) 303-0187 8007771023 (800) 618-4877 8004269013 (828) 632-4970 8002225026 (800) 778-8857 8004147427 8009292524 7176376644 (877) 440-4708 (800) 735-6188 8009593953 (800) 232-0117 8003035770 (800) 331-2102 8005461900 8003662475 9108892569 7042982280 (800) 566-7273 9194694374 (877) 222-4261 7048694521 8002411121 8009928088

(800) 355-2583 (800) 303-0187

4049343953 6083635770

Third Party Insurance Codes

Code BZ8 BZ9 C01 C02 C03 C04 C05 C07 C08 C09 C10 C11 C12 C13 C14 C16 C17 C19 C20 C21 C22 C24 C25 C27 C28 C29 C30 C31 C32 C33 C34 C35 C36 C37 C38 C39 C40 C41 C42

CompanyName Principal Healthcare of Delaware Standard Warehouse Atlantic American Life National Fruit Employee Welfare Bladen County Hospital Ames Insurance Co. Cigna Marine Corps Exchange (CNPO) Cigna BCBS of Arizona Maxicare Employee Benefit System Life Care Centers of America, Inc. Hedrick Employee Group Benefits Waffle House Employee Benefit Plan American Sentinel Insurance Teamsters Local 639 Code no Longer Valid Godwin, Booke & Dickinson Rospatch Narrow Fabrics Seafarer Welfare Plan Beneplan Strategies United Healthcare Combined American Life Insurance Co. Penn Ventilator Co. Inc. CFE Equipment Corporation Fleet Reserve Association Millcare Club Major Medical Insurance Zale's Employee Benefit Assoc. McDowell Agency, Inc. Dargan Construction Company HCA Health Benefit Trust Fieldcrest Mills c/o Corporate Benefits Revclaims, Inc. Dillards c/o Prudential Armstrong World Industries Kincaid Furniture c/o BCBS of NC CoreSource Bigger Brothers Company

Address PO Box 11170 PO Box 819 4370 Peachtree Rd., NE PO Box 916 PO Box 398 PO Box 2069 PO Box 5200 Marine Corps Air Station PO BOX 188002 PO Box 13466 5550-77 Center Drive, Suite 380 PO Box 53947 3520 Keith Street, NW PO Box 1037 PO Box 6450 PO Box 61140 3130 Ames Place NE ZZZZZZZZZZZZZZZZZZZ PO Box 66 PO Box 735 PO Box 380 PO Box 1391 2307 West Cone Blvd., Suite 200 PO Box 1009 701 By-Pass 818 Widgeon Rd. 2100 M. Street NW PO Box 4000 246 Valley Hills Mall PO Drawer 3088 PO Box 1468 PO Box 1922 PO Box 33429 PO Box 345 PO Box 470475 PO Box 3001 PO Box 35 400 Field Dr PO Box 34156 Updated: December 8, 2009

City Wilmington Grifton Atlanta Lincolnton Elizabethtown Fayetteville SCRANTON Cherry Point CHATTANOOGA Phoenix Charlotte Fayetteville Cleveland Salisbury Norcross Harrisburg Washington ZZZZZZZZZZZZ Winston-Salem Lenoir Piney Point Dayton Greensboro Longhorne Tabor City Norfolk Washington Pinehurst Hickory Greenville Myrtle Beach Altamonte Springs Charlotte Twinsburg Tulsa Lancaster Durham Lakeforest Charlotte

State DE NC GA NC NC NC PA NC TN AZ NC NC TN NC GA PA DC ZZ NC NC MD OH NC PA NC VA DC NC NC SC SC FL NC OH OK PA NC IL NC

Zipcode 19808 28530 30319 28902 28337 28302 18505-5200 28533-5003 3742285002-3466 28217 28305 37311 28145 30091 17105 20018 00000-0000 27102 28645 20674 45401 27408 19047 28463 23513 20065 28374 28602 29602 29578 32701 2823344087 74147 17604 27702 17603 28234

Phone1 Phone2 (800) 833-7423 9195245136 4042665500 7047342531 9108624043 9104833185 7048673831 8005424294 9106406156 (800) 357-9189 6028644100 7045250880 8006222444 (888) 229-5020 7046371515 7707295700 8006923353 7172384559 2026368181 9107481120 7047582338 (800) 252-4674 (937) 226-8610 (800) 772-1180 (336) 282-0900 2157523122 8044802660 8004241120 2142472045 7043226020 8032426012 8036267602 3057881200 (704) 373-0447 2168768000 9186244700 7173960111 8004377458 8002233943 7172959201 7043947121

Third Party Insurance Codes

Code C43 C44 C45 C46 C48 C49 C50 C51 C52 C53 C54 C55 C56 C57 C58 C60 C61 C62 C63 C64 C65 C66 C67 C69 C70 C71 C72 C73 C74 C75 C77 C78 C79 C80 C81 C82 C83 C84 C86

CompanyName Beacon Manufacturing Company Smithfield Packing Smithfield Foods Health Care Plan PruCare of Charlotte BCBS of N. Hampshire/Vermont West Point Pepperell Aetna Hatteras Yachts Code no longer Valid Baxter Travenol c/o Aetna Barrus Construction Co. American Fidelity Assurance Company Firestone Tire & Rubber Company Chicago Rawhide Industries Personal Care Plan of NC Third Party Administrators, Inc. Golden State Mutual Life Principal Mutual Life Insurance Cooperative Benefit Admin. Inc. Local Union #29 Health America Potter & Phillips NARFE Mannington Mills, Inc. Group Administration Services Univec-DMA Health Plan Cigna K & S Sprinkle Health Care Plan Printing Industries of Texas L & H Associates Reliastar Bernard, Inc. Rhulen Agency Inc. Mutual Health Services Company National Federation of National Hairdress & Cosmetology Assoc. Edgecombe Manfacturing Company Cameron Brown Insurance Company Marcotle Administrators Insurance

Address PO Box 395 2602 W. Vernon Ave. PO Box 158 PO Box 45096 3000 Goffs Falls Road PO Box 697 PO Box 14079 2100 Kivett Drive ZZZZZZZZZZZZZZZZZZZ PO Box 35890 PO Box 399 PO Box 25160 PO Box 1139 900 North State Street PO Box 30004 PO BOX 660787 PO Box 2332 9428 Baymeadows Rd., Suite 360 PO Box 6249 136-25-37th Avenue 5701 W. Sunrise Blvd. PO Box 87 332 S. Michigan Ave. Ste. 1400 PO Box 30 PO Box 6500 2350 Valleyview, Suite 440 PO Box 188007 PO Box 802 1110 Twin Towers South PO Box 12772 206 8th Street PO Box 1489 PO Box 5006 PO Box 94601 PO Drawer T436 3510 Olice Street PO Box 1300 PO Box 18109 PO Box 18383 Updated: December 8, 2009

City Swannanoa Kinston Smithfield Jacksonville Manchester Elizabethtown Lexington High Point ZZZZZZZZZZZ Louisville Kinston Oklahoma City Wilson Elgin Durham BIRMINGHAM Los Angeles Jacksonville Lincoln Flushing Plantation Beauford Chicago Salem Coraopolis Dallas Chattanooga Lenoir Dallas Fresno Des Moines High Point Monticello Cleveland Nashville St. Louis Tarboro Raleigh Tampa

State NC NC VA FL NH NC KY NC ZZ KY NC OK NC IL NC AL CA FL NE NY FL NC IL NJ PA TX TN NC TX CA IA NC NY OH TN MO NC NC FL

Zipcode 28778 28501 2343132231-5096 03111 28337 40512-4079 27260 00000-0000 40232 28501 73125 27893 60123 27702 35266-0787 90018 32256 6850811354 33313 28516 60604 08079 15108-3965 95834 374228007 28646 75247 937792772 50309 27261 12701 44101 37244 63103 27886 27610 33679

Phone1 Phone2 7046863861 (252) 522-4777 (800) 809-5916 8006433609 8002252666 9198622053 8009425210 9198896621 5024267130 9195278021 4055232000 9192914275 (800) 429-4201 9194897431 (770) 414-6599 2137311131 8004322794 8002459440 (402) 483-9200 7187623370 3055815008 9197284532 3019077640 6099353000 3015390411 2033474747 8054850226 (800) 240-4648 7047587331 2146303751 2094856480 6152432131 3368617400 8005226633 2165228500 6152979955 3145347980 9198235731 9198816000 8138312754

Third Party Insurance Codes

Code C87 C88 C89 C90 C91 C92 C94 C95 C96 C97 C99 CA0 CA1 CA2 CA3 CA4 CA5 CA7 CA8 CA9 CB0 CB2 CB3 CB4 CB5 CB6 CB7 CB8 CB9 CC0 CC1 CC2 CC3 CC4 CC5 CC6 CC7 CC8 CC9

CompanyName Group Health Administrator Code no longer Valid State of Florida Emp. Group Health Self Ins. Plan Smoky Mountain Area Mental Health B'NAI B'rith Members Insurance BCBS of Mississippi Encyclopedia Britannica Eagle Administrators, LTD. Frederickson Motor Express Trust Fund Administrators Jordan Jones & Associates, Inc. National Employee Benefits Admin., Inc. Allmerica Financial Prescription Solutions Med Pay, Inc. Local 710 Health & Welfare Fund Continental Grain Co. Atlantic Wood Industries, Inc. Administrative Services of Indiana Professional Claims Mgmt. Services Advanced Data Solutions Jefferson Apparel United Healthcare United Ins. of America Affordable Benefit Admin. Atlanticare Health Systems Masterpiece Housing Allmerica Financial Benefit Coordinators Corp. Cigna Pacific Source Health Plan Superior Telecommunications Somers-Pardue Agency Code no longer valid Medco Health Solutions/Provantage Pruden Risk Mgmt. Allmerica Financial BCBS NC Code no longer vaild

Address PO Box 6244 ZZZZZZZZZZZZZZZZZZZZZZZZZZ PO Box 2896 PO Box 280 Prospect at Glen PO Box 1043 711 Executive Place, Suite 301 PO Box 13307 4416 Groomtown Road 8720 Georgia Ave., Suite 304 PO Box 160126 1920 N. Florida Mango PO Box 107 PO Box 6037 PO Box 10909 4217 S. Halsted St. PO Box 278 PO Box 1608 PO Box 6245 4845 Fulton Drive North West 1995 N. PARK PLACE SE, SUITE 150 PO Box 235 PO Box 740800 12115 Lackland Rd PO Box 10787 PO Box 1071 2000 Sterling Dr. 440 Lincoln Street 111 Ryan Court Suite 300 PO Box 10447 PO Box 7068 150 Interstate N Pkwy., Ste. 300 PO Box 939 zzzzzzzzzzzzzz PO Box 14713 PO Box 648 333 W. Pierce Rd. # 310 PO BOX 35 zzzzzzzzzzzzzzzzzzzz Updated: December 8, 2009

City Charlotte ZZZZZZZZ Jacksonville Dillsboro Peoria Jackson Fayetteville Lexington Greensboro Silver Springs Sacramento W. Palm Beach Howell Cypress Springfield Chicago Tarboro Savannah South Bend Canton Atlanta Jefferson Atlanta St Louis Burbank Hammonton Albemarle Worcester Pittsburgh Des Moines Eugene Atlanta Burlington zzzzzzzzzz Lexington Daulton Itasca DURHAM zzzzzzzzzzzzzz

State NC ZZ FL NC IL MS NC KY NC MD CA FL MI CA MO IL NC GA IN OH GA NC GA MO CA NJ NC MA PA IA OR GA NC ZZ KY GA IL NC ZZ

Zipcode 28207 00000-0000 32232-2896 28725 61614-6498 39215-1043 28305 40583-3307 27407 20910 95816-0128 33409 48843 90630 65808 60609 27886 31402-1608 46660-6245 44718 30339 28640 30374 6314691570-0787 08037 28001 01653 152051324 50306-0447 97401-2224 30339-2101 27216 00000-0000 4051230722 60143-3150 2770200000-0000

Phone1 Phone2 (704) 542-8131

7045865501 8007232624 6019323704 9194851171 6062236043 9192996043 3015856804 9164429071 4074780095 8004315197 8007979791 8007779087 3122542500 9196414788 8046549462 8006784005 2192725168 (330) 493-7278 8007425246 9109822114 (800) 741-8805 (800) 765-0550 (800) 777-1195 8003500148 8007729599 7049836464 8004236011 8006856100 8005527107 5416861242 7709843214 9102221866 (800) 882-8879 7062269121 6309633580 7089633580 (800) 445-7490 (276) 629-6000

Third Party Insurance Codes

Code CD0 CD1 CD2 CD3 CD4 CD5 CD6 CD7 CD8 CD9 CE1 CE2 CE3 CE4 CE5 CE6 CE7 CE8 CE9 CF0 CF1 CF2 CF3 CF4 CF5 CF6 CF7 CF8 CF9 CG0 CG1 CG2 CG3 CG4 CG5 CG6 CG7 CG8 CG9

CompanyName Code no longer vaild Charlotte Paint Company American Life Assurance Company Corporate Benefit Services of America United Healthcare United Healthcare Cigna Healthcare Catalyst (formerly Pharmacy Advantage Systems) Bankers Risk Management Services JFP Benefit Management, Inc. Benefit Solutions, Inc. United Healthcare Covenant Administrators O'Neill Consulting CHP Health America/Assurance Claims Management Services, Inc. Local 966 Health Fund Allen Medical Claims Administrators, Inc. Positive Care Unicare Health New England Resinall Corp. Code no longer valid. Hood Industries United Healthcare Reliastar Baker Furniture Company Board of Pensions Evangelical Lutheran Church Health Alliance Plan Alliance Health Plan George Washington University Health Plan National Linen Service Regency Employee Benefits Healthstar Impact Furniture Cigna Prudential Harrington Benefits/PSI

Address zzzzzzzzzzzzzzzzzzzz PO Box 765 7 Clayton Street 400 Highway 169 S Ste.800 PO BOX 740800 PO Box 2288 PO Box 28125 PO Box 1069 PO Box 33029 PO Box 189 PO Box 385 PO Box 740800 PO Box 105738 1560 Old York Road PO Box 15109 PO Box 7088 PO Box 10888 321 West 44th St., 10th Floor PO Box 978 PO Box 7930 PO Box 51180 One Monarch Place PO Box 195 zzzzzzzzzzzzzzzzzzzzzzzz PO Box 950 PO Box 169080 PO Box 5300 521 Milling Road 800 Marquette Ave., Ste. 1050 2850 W. Grand Blvd. 139 S. Tryon Rd 4550 Montgomery Ave., Ste. 800 W. PO Drawer 718 PO Box 610609 PO Box 66930 PO Box 2189 PO Box 28125 PO Box 2749 PO Box 730 Updated: December 8, 2009

City zzzzzzzzzzzzzz Mt. Holly Montgomery Minneapolis ATLANTA Brea Raleigh Rockville St. Petersburg Jackson Taylorsville Atlanta Atlanta Abington Albany London Green Bay New York Ft. Valley Shawnee Mission Indian Orchard Springfield Severn zzzzzzzzzzzz High Point Duluth Tacoma Mocksville Minneapolis Detroit Charlotte Bethesda Graham Port Huron Chicago Hickory Raleigh Jacksonville Pueblo

State ZZ NC AL MN GA CA NC MD FL MI NC GA GA PA NY KY WI NY GA KS MA MA NC ZZ NC MN WA NC MN MI NC MD NC MI IL NC NC FL CO

Zipcode 00000-0000 28120 36104-4089 55426-1141 3037492622-2288 276118125 20849-1069 33733-8029 49204 28681 303740800 30348 19001 12212-5109 40742-0000 54307-0888 10036 31030-0978 662070930 01151 011441006 27877 00000-0000 27261 558169080 98415 27028 55402-2885 48202 28202 20814 27253 48061-0609 60666-0930 28603 27611-8125 32231 81002-

Phone1 7048271391 3348321850 6125410444 8006311900 8006389599 (800) 949-9000 (888) 727-5560 8138944144 5177840535 (828) 632-4970 (800) 741-8805 (770) 239-3999 2156577400 5187988214 (800) 735-4404 8004727130 2125862617 8008255406 9134911570 (800) 288-8630 4137874000 9195851445

Phone2

8003237931 (218) 624-6500 8008511015 7046342138 8003622876 6123337651 8104234195 8002779476 7043730447 3019412000 9192280531 8109877711 (773) 693-7827 7043975551 8008499000 9043133711 8007825218

Third Party Insurance Codes

Code CH0 CH1 CH2 CH3 CH4 CH5 CH6 CH7 CH8 CH9 CI0 CI1 CI2 CI3 CI4 CI5 CI6 CI8 CI9 CJ0 CJ1 CJ2 CJ3 CJ4 CJ5 CJ6 CJ7 CJ8 CJ9 CK0 CK1 CK2 CK3 CK4 CK5 CK6 CK7 CK8 CK9

CompanyName Wellpath/Coventry Healthcare Prudential CRA Health Plan ESP Claims Department Healthcare Management Admin. Pilgrim Advantage HEALTHSCOPE BENEFITS/Medcost Kern Polymeric Products Tide Water Transit W.S. Babcock Pan American Life Insurance Health Plan Services Wellpath KSI-Cape Fear United Healthcare Cigna CNA Prudential Insurance Company Extended Benefits, Inc. Cigna Prudential Insurance Company Medco Health Solutions Inc. Unicare Insurnational-Nestle Company Standard Insurance Company Disney Worldwide Services, Inc. Group Ins. Gilbert-Magill Company Markel Underwriters UniCare Frank M. Vaccaro & Associates, Inc. Anthem Health & Life Ins. Co. United Healthcare Robinson, Julienne & Bailey Boyd Gaming Corp. - Central Reg. Emp. Ben. Plan Sedwick James of the Carolinas SelectCare Great West Life Laurel Health Care Co. - Empl. Ben. Plan ASO America

Address PO Box 7102 PO Box 5066 46 Austin Street PO Box 1370 PO Box 85008 PO BOX 699183 PO Box 25307 PO Box 2369 PO Box 189 PO Box 497 111 Westwood Place, Suite 110 PO Box 59330 PO BOX 7102 PO Box 329 PO Box 31426 PO Box 33668 PO Box 9064 PO Box 45096 1782 Catherine Court, Suite 2A PO Box 9317 PO Box 1086 PO Box 14713 PO Box 5005 PO Box 5043 PO Box 209 PO Box 10135 PO Box 410249 PO Box 2039 PO Box 5005 One Neshaminy Interplex, Ste. 206 1 Centennial Ave. PO Box 3030 PO Box 101 2950 S. Industrial Rd. PO Box 21804 PO Box 396 PO BOX 11111 PO Box 55210 PO Box 4582 Updated: December 8, 2009

City London Millville Newton Piscataway Bellevue Quincy Winston Salem Salisbury Kinston Mulberry Brentwood Orlando LONDON Leland Atlanta Charlotte Jericho Jacksonville Auburn Des Moines Saint Louis Lexington Bolingbrook Costa Mesa Portland Lake Buena Vista Kansas City Glen Allen Bolingbrook Trevose Piscataway Utica Jackson Las Vegas Columbia Troy FORT SCOTT Indianapolis Houston

State KY NJ MA NJ WA MA NC NC NC FL TN FL KY NC GA NC NY FL AL IA MO KY IL CA OR FL MO VA IL PA NJ NY MS NV SC MI KS IN TX

Zipcode 40742083325066 02160 08855 98015-5008 02269-9176 2711428145 28501 33860 37027 32859-3330 4074228451 303740802 28233-3668 11753 32232 36830 50306 631881086 4051260440 92628-5043 97207-0209 32830 64141-0249 23058-2039 60440 19053 08855 13504 39205 89109-1100 29221 48099 6670146205 77210-4582

Phone1 (800) 889-1947 8006456661 8006772459 8002213231 8008697093 8004433950 5012251551 7046371190 9195234103 9414257562 6153738373 8002277464 (800) 935-7284 9103714283 (770) 937-5500 8002572702 8002421991 (800) 778-8857 8003339636 8002352840 (314) 579-6100 8008828879 (800) 404-3377 8003153440 8005479515 4078246000 8005222460 8045272700 8004043377 2156383682 8002213231 8003466340 6019494141 8005560711 8006223248 8106376790 (800) 663-8081 3178480529 8007584427

Phone2

2064621000 6177451003

8164743535

7027927373

5207971771

Third Party Insurance Codes

Code CL1 CL2 CL3 CL4 CL5 CL6 CL7 CL8 CL9 CM1 CM2 CM3 CM4 CM5 CM6 CM7 CM8 CM9 CN0 CN1 CN2 CN3 CN4 CN5 CN6 CN7 CN8 CN9 CP0 CP1 CP2 CP3 CP4 CP5 CP6 CP7 CP8 CP9 CQ0

CompanyName Southern Concrete Guaranteed Trust Life Ins. Co. Wayne Steel, Inc. Camper Products Precise Benefits Administrators Ltd. Chicago Graphic Arts Health & Welfare Fund Anthem BC/BS of Ohio US Behavioral Health Continental Life Insurance Coresource, Inc. Businessmen's Assurance Company of America Express Scripts Columbia Free State Health System ConnectiCare Anvil Knitwear, Inc. Consolidated Group Claims Cooper Tire Co. Allied Benefit System Cigna Blue Cross of Western New York, Inc. Altana Peoples Benefit Life Lumbee River Electric Membership Corp. United Healthcare Nylcare Epoch Group Insurance CLaim Service, Inc. Hunter Consulting Co. Express Scripts Laborer's Health & Welfare Fund Legal Security Life Insurance Co. Carolina Conference of Seventh Day Adventists Benefit Plan Administrators Preferred Health Partnership CBCA Managed Prescription Service Tyson Foods VenCor Benefits Plan Services

Address PO Box 33038 1275 Milwaukee Ave. PO Box 999 PO Box 1597 PO Box 9062 PO Box 11137 PO Box 37180 PO Box 23250 101 Continental Place 4940 Campbell Blvd., Ste. 200 PO Box 82520 PO BOX 390873 10455 Mill Run Circle 30 Batterson Park Rd. PO Box 1006 PO Box 2070 PO Box 170 208 S. LaSalle St. STE 1300 PO Box 5200 PO Box 80 60 Baylis Rd. ATTN: Customer Service 605 E. 4th Ave. PO Box 26304 PO Box 30769 PO Box 12170 PO Box 43350 PO Box 829 PO BOX 390873 11465 Cermak Rd. 6060 N. Central Expressway, Ste. 470 PO Box 560339 PO Box 776 PO Box 22987 PO Box 9387 9501 E Shea Blvd #2 PO Box 158 3300 Provident Center PO Box 30461 Updated: December 8, 2009

City Charlotte Glenview Wooster Henderson Jericho Chicago Louisville Oakland Brentwood Baltimore Lincoln BLOOMINGTON Owings Mill Farmington Mullins Nashua Tupelo Chicago SCRANTON Buffalo Melville Valley Forge Red Springs Greensboro Jamaica Overland Park Birmingham Wilmington BLOOMINGTON Westchester Dallas Charlotte Melville Knoxville Minneapolis Scottsdale Harmony Louisville Tampa

State NC IL OH NC NY IL KY CA TN MD NE MN MD CT SC NH MS IL PA NY NY PA NC NC NY KS AL OH MN IL TX NC NY TN MN AZ NC KY FL

Zipcode 28233 60025 44691 27536 11753-8962 60611-0137 402337180 94623 37027 21236 68501 55439-0873 21117 06032 29574030612070 38802 60604 18505-5200 14240-0080 11747 19493 28377 27438-6304 11430-0769 66282-2170 35243 45177 55439-0873 60154 75206 28256-0339 11747-0776 37922-0987 55440-9387 852606719 28634 40202 33630

Phone1 Phone2 7043942346 8476990600 3302648416 9194922111 8003312794 3126490444 (800) 435-7618 8008882998 6153771300 4109315060 8006277214 8007131983 4109978500 8002517722 (843) 464-0015 8008328333 6018422200 8002882078 8002572702 (800) 950-0051 (716) 884-0774 (800) 667-6914 9108434131 8009991147 (800) 851-0737 8007777614 9133620040 8002556065 8007418688 9373824168 8004516245 7085620200 8002295940 7045963200 8009294130 8002558109 8003358288 8007596959 7045462602 8008360410 8008269952

Third Party Insurance Codes

Code CQ1 CQ2 CQ3 CQ4 CQ5 CQ6 CQ7 CQ8 CQ9 CR0 CR1 CR2 CR4 CR5 CR6 CR7 CR9 CS1 CS3 CS4 CS5 CS6 CS7 CS8 CS9 CT0 CT1 CT2 CT3 CT4 CT5 CT6 CT7 CT8 CT9 CU0 CU1 CU2 CU3

CompanyName Diversified Pharmaceutical Services United Healthcare Joan Fabrics Cigna Principal Financial Group Benefit Assistance Corp. Trustmark Pro Vantage Attn: Pharmacy Services Value RX Med-Tac Claims Center Aetna Managed Prescription Service Great West Northwest Laborers - Employers ProAmerica Managed Care Arrow Trucking Co. national benefits administrator inc Trans General Insurance/ Himark Services Cigna Provident Good Health Plan of Oregon Rutherford EMC The New England RX Net Atlantic Planning RX America Stewart C. Miller & Company, Inc. United Healthcare of Florida National Teacher Associates National Uniform Services Thomas Cooper & Company United Healthcare BCBS of Kansas Regit Humana Aetna HealthCost Solutions/ William C. Beeler Co. Sheet Metal Workers National Health Fund Restat AON Group

Address Mail Route 2133, PO Box 4999 1110 N. Chase Parkway, Ste. 100 PO Box 2090 2000 Regency Executive Park PO Box 39710 PO Box 950 PO Box 9055 PO BOX 1662 PO Box 390873 PO Box 9110 PO Box 1630 9501 E Shea Blvd #2 PO Box 80817 PO Box 91002 PO Box 202049 PO Box 3097 po box 690903 PO Box 535061 PO Box 47068 PO Box 13160 PO Box 1569 PO Box 628063 6625 W. 78th St. 502 Hamburg Turnpike Ste. 206 221 N. CHARLES LINDBURGH DR. PO Box 5769 PO Box 740800 PO Box 802207 PO Box 718 PO Box 22557 PO Box 740800 PO Box 419169 PO Box 1085 PO Box 5620 PO Box 141145 PO Box 1439 PO Box 1449 PO Box 758 3565 Piedmont Rd., NE Bldg. 1, STE 700 Updated: December 8, 2009

City International Falls Marietta Hickory Charlotte Colorado Springs Hurrican Boardman WAUKESHA Bloomington Newtonville Columbus Scottsdale Indianapolis Seattle Arlington Tulsa charlotte Pittsburgh Charlotte Portland Forest City Orlando Minneapolis Wayne Salt Lake City Lafayette Atlanta Dallas Graham Charleston Atlanta Kansas City St. Louis Madison Irving Hendersonville Goodlettsville West Bend Atlanta

State MN GA NC NC CO WV OH WI MN MA OH AZ IN WA TX OK NC PA NC OR NC FL MN NJ UT IN GA TX NC SC GA MO MO WI TX TN TN WI GA

Zipcode 56649 30067 28603 28217 809493910 25526 445130055 53187-1662 55439-0873 02160 43216 852606719 46280-0817 98111-9102 76006-8049 74101 28227 1525328247 97213-0160 28043 32862-8063 554392604 07470-8446 8411647903-5769 3037475380 27253 29413 303740800 64141 63188-1085 53705 75014 37077 37070-1449 53095-0758 30305-

Phone1

Phone2

8005627079 7043264300 7046799109 8003312557 (304) 562-1913 (800) 544-7312 8007840881 8008799911 8003479355 8008330220 (800) 759-6959 8006854040 8008262102 8004350155 8007563003 (800) 482-6736 (704) 844-2966 (800) 624-0394 7045444368 8008784445 8005210920 8006541731 8007729599 8007708014 8005526550 8002506177 8008255682 9102280531 8008153314 (877) 222-4261 8004226804 8006106801 8005584444 8002554492 6158220483 8008314914 6158590131 8002481062 8003432648

Third Party Insurance Codes

Code CU4 CU5 CU6 CU7 CU8 CU9 CW0 CW2 CW3 CW4 CW5 CW6 CW7 CW8 CW9 CX0 CX1 CX2 CX3 CX4 CX5 CX6 CX7 CX8 CX9 CY0 CY1 CY2 CY3 CY4 CY5 CY6 CY7 CY8 CY9 CZ0 CZ1 CZ2 CZ3

CompanyName Norwegian National Insurance Benefit Administrators and Company Caremark/Pharmacare Indecs General American Code no Longer Valid City of Winston Salem Personnel Dept. Great Lakes Employer Association United Healthcare Prudential Insurance Co. Centennial Healthcare Corp. Code no longer valid Delta Dental Plan of Virginia Premier Health Systems, Inc. Caremark The Cambria Group, Inc. Code no Longer Valid Atlantic Life Insurance Co. Harvard Pilgram Healthcare Wells Fargo TPA Cincinnati Life Insurance Co. ReFabco Laborers Metropolitan Detroit Healthcare Fund The Guardian Jefferson Pilot Conagra Poultry Co. Cigna Aetna Healthplan Services, Inc. Optimum Choice of the Carolinas Allied National Inc. Prudential United Healthcare United Healthcare General American Benefix The Wellness Plan of North Carolina Serv-U Prescription Plan Donley-Horan & Associates

Address 825 3rd Ave. 17th Place PO Box 21308 695 George Washington Highway PO Box 668 716 Teaco Rd. zzzzzzzzzzzzzzzzzzzzzzzzzzz PO Box 2511 PO Box 19040 PO Box 30555 PO Box 44109 PO Box 468209 ZZZZZZZZZZZZZZZZZZZZZZ 4818 Starkey Road PO Box 1640 PO Box 52195 5300 Orange Ave., Ste. 221 ZZZZZZZZZZZZZZZZZZZZ PO Box 31450 PO Box 699180 PO BOX 3262 PO Box 145496 PO Box 5100 241 E. Saginaw St., Ste. 601 PO Box 8019 PO Box 26011 PO Box 7015 PO Box 1471 PO Box14586 PO Box 30367 PO Box 993 PO Box 419233 PO Box 45160 PO Box 2508 PO BOX 30555 716 Teaco Rd., Ste. B PO Box 19 PO Box 12980 PO Box 23237 6330 E. 75th St., Ste. 106 Updated: December 8, 2009

City New York Columbia Lincoln Lyndhurst Kennett zzzzzzzzzzzzz Winston-Salem Kalamazoo Salt Lake City Jacksonville Atlanta ZZZZZZZZZZZZZ Roanoke Columbia Phoenix Cypress ZZZZZZZZZZZZ Tampa Quincy CHARLESTON Cincinnati Charlotte E. Lansing Appleton Greensboro ElDorado Waterbury Lexington Tampa Frederick Kansas City Jacksonville Aurora SALT LAKE CITY Kennatt Memphis Charlotte Milwaukee Indianapolis

State NY SC RI NJ MO ZZ NC MI UT FL GA ZZ VA SC AZ CA ZZ FL MA WV OH NC MI WI NC AR CT KY FL MD MO FL IL UT MO TN NC WI IN

Zipcode 10022-7584 29221 02865070710668 638573749 00000-0000 27102 095703760 84130-0555 32231 31146 00000-0000 240144010 29202-1640 8507290630 00000-0000 33631-3450 02269-9180 25332-3262 45250 28225 48823 54912-8019 274206011 71731-7015 06721 40512-4586 33630-3367 217050993 64141-6233 32232-5160 60502 8413063857-3749 38101-0019 28220 53223-0237 46250

Phone1 Phone2 2124217333 8037390001 (800) 777-1023 (800) 837-9600 8002250324 (888) 989-9890 9107272895 6163432611 (800) 323-8520 8008613518 8008255406 8002376060 8002250892 (800) 772-2301 (800) 303-0187 7149953800 8002133905 8883334742 (617) 745-1000 (800) 624-8605 5138610700 7043722100 8002280048 8006246215 (336) 691-3918 5018631638 8002375536 2037544410 8004373666 8004468182 8883743343 (800) 331-2102 8008257531 (888) 989-9890 8007526638 8006213000 8889899890 8003855198 8007949355 8007593203 8003825220

Third Party Insurance Codes

Code CZ4 CZ5 CZ6 CZ7 CZ8 CZ9 D00 D01 D02 D03 D04 D05 D06 D07 D08 D09 D10 D11 D12 D14 D15 D16 D17 D19 D20 D21 D22 D23 D24 D25 D26 D27 D28 D29 D30 D31 D32 D33 D34

CompanyName Unicare Cigna Carday Associates SMI-Arkansas Total Plan Services, Inc. Caremark Cigna Westpoint Pepperell NY State Gov't Employee Ins. Program New York State Retired Teachers SFSC USA Eastern Inc. TR Paul, Inc. Pandick, Inc. Lancaster Glass Corporation Carolina VA Meat Cutters Health & Welfare Fund Health Maintenance Organization of Pennsylvania Pension & Group Services Inc. Claims Administrative Service Inc. NEXCALIBER Florida Health Network Mauney Hosiery Mills, Inc. BCBS of Iowa Conseco Outboard Marine Corporation Continental General Insurance Co. American Community Mutual Insurance Westport Benefits Perfection Gear AIG Life Insurance Company Unigard Security Insurance Co. Southern Group Administrators Bank of Boston Pioneer Life Insurance Co of IL Pillsbury Company Group Ins. Admin. Equitable Group & Health Insurance Oxford Life Brown Transport Colonial Benefit Administrators

Address PO Box 60004 PO Box 3006 4600 Powder Mill Rd. Ste.100 PO Box 1147 PO Box 36631 PO Box 52195 PO Box 5200 Hwy 125, PO Box 190 10 Corporate Woods Dr. 150 State Street PO Box 679 PO Box PRP 1185 Avenue of the Americas PO Box 70 5305 Va. Beach Blvd. PO Box 1109 5250 Lovers Lane 1250 W. Northwest Hwy. PO Box 13817 PO Box 560695 PO Box 1279 636 Gran Avenue PO Box 1957 PO Box 10 PO Box 247007 PO Box 3329 PO Box 66743 9 N. Bear Creek Rd. 600 King Street PO Box 90701 200 S. Marshall St. 100 Federal Street 304 N. Main Street PO Box 40 639 Layola Avenue, Suite 1360 195 Broadway PO Box 46518 3408 N. Graham Street PO Box 3770 Updated: December 8, 2009

City City of Industry Bourbonnais Beltsville Magnolia Dallas Phoenix Scranton Hamilton Albany Albany Sioux Falls Newton New York Lancaster Norfolk Blue Bell Kalamazoo Palatine Savannah Miami Kings Mountain Des Moines Carmel Burnsville Omaha Livonia St. Louis Asheville Wilmington Bellevue Winston-Salem Boston Rockford Minneapolis New Orleans New York Madison Charlotte Capitol Heights

State CA IL MD AR TX AZ PA NC NY NY SD CT NY OH VA PA MI IL GA FL NC IA IN NC NE MI MO NC DE WA NC MA IL MN LA NY WI NC MD

Zipcode 917160004 60914 2070571754 75235 8507218505-5200 27840 12201-2384 12207 571010679 06470 10036 43130 22502 19422 49002-1564 600671894 31416 33156 28086 50309 46082 28714 68124-7007 48152 63166 28806 19801 98009-0701 27101 02105 61101 55440 70113 10007 537446518 28206 207913770

Phone1 Phone2 8003333959 8006644288 (301) 937-9300 5012348703 2146384881 (800) 841-5550 (800) 303-0187 (800) 882-4462 9197984911 8004284292 5184650171 5184620715 6053396283 8002234276 2123915656 6146530311 7574618091 2155428900 6163820300 7088434800 9123527169 8003414367 7047393621 (800) 362-2218 (800) 541-2254 7046822131 4023973200 3135919000 (800) 548-2041 7042530000 3025942000 2066414321 9107247111 6174342465 8159875000 6123304966 3122916219 8007829355 (877) 469-3073 7043765555 3017318855

Third Party Insurance Codes

Code D35 D36 D37 D38 D39 D40 D41 D42 D43 D44 D45 D46 D47 D48 D49 D50 D51 D52 D53 D55 D56 D57 D58 D59 D60 D61 D62 D63 D65 D66 D67 D68 D69 D70 D71 D73 D74 D75 D76

CompanyName The Pillsbury Co. Health Plan Corporate Beneftis Service, Inc. Adams Millis Hosiery General American Life Insurance Co. Unicare Humana Health Care Plans Beneficial Standard Life Insurance Southern Life & Health Insurance Leggett & Platt, Inc. Ralph Wilson Plastics Co. Elastic Fabrics of America Mr. Casuals, Inc. Walmart Employee's Health Plan Maxicare Drexel Knitting c/o BCBS of NC Hussman Corporation Comprehensive Benefits Administrator The Equitalbe Group Benefits Office The Guardian US Administrators Equicor Health Plan CNA Insurance Companies OMC-Andrews Cigna Herald Printing Company, Inc. Woods and Grooms Ithaca Industies c/o Upstate Administrators Hickory Chair Sadie Mills, Inc. Humana Health Ins. of FL, Inc. (PPO) Metro-Health Plan Scotchman Stores Holt Hosiery Mills, Inc Duke Health Services/Wellpath Barry of Goldsboro Hammary Furniture Company Health Corporation of America Davie Tree Co. BCBS of Minnesota

Address PO Box 40 145 Scaleybard Rd., Ste. B PO Box 2650 719 Teaco Road PO Box 4458 PO Box 740063 3700 Whilshire Blvd 1550 Florence Blvd PO Box 657 PO Box 249 PO Box 21986 PO Box 10 922 W. Walnut Ste. A 1149 S. Broadway PO Box 2291 PO Box 638 PO Box 2365 PO Box 24009 PO Box 8007 PO Box 4000 PO Box 31353 PO Box 305181 1000 Hwy 19-129 West PO Box 28125 PO Box 520 PO BOX 2549 PO Box 6589 PO Box 2147 PO Box 397 PO Box 19080 F 9480 Priority Way, West Drive PO Box 4820 PO Box 38 PO BOX 7102 2201 S. John Street PO Box 760 1160 W. Swedesford Rd. 1500 N. Mantua Street PO Box 64338 Updated: December 8, 2009

City Minneapolis Charlotte High Point Kennatt Chicago Louisville Los Angeles Florence Carthage Fletcher Greensboro Troutdale Rogers Los Angeles Durham IndianTrail South Burlington Fresno Appleton Coraopolis Richmond Nashville Andrews Raleigh Roanoke Rapids Columbus Syracuse Hickory Kings Mountain Jacksonville Indianapolis Wilmington Willard LONDON Goldsboro Lenoir Berwyn Kent St. Paul

State MN NC NC MO IL KY CA AL MO NC NC VA AR CA NC NC VT CA WI PA VA TN NC NC NC IN NY NC NC FL IN NC NC KY NC NC PA OH MN

Zipcode 55440 28202 27261 638573749 60680-4458 402017463 90010 35630 64836 28732 27420 24378 72752-3206 900152213 27702 28079 05407-2365 93779 54912-8007 15108 23205 37230 28901 276118125 27870 47202 13217-6589 28603 28026 32245 46420 28406 28478 4074227530 28645 19312 44240 55164

Phone1 Phone2 6123304966 7043730447 7087473926 (800) 445-2158 (800) 333-3304 8003677587 2133878400 2057642731 4173588131 7046842351 9102759401 7036773611 5016212929 (213) 742-0900 7044371541 7048217655 8005258788 2092282828 8008734542 (920) 749-1924 8008722384 8042731100 8009990972 7048375311 (800) 849-9000 9195372505 8123729955 3154221533 7043281801 7047392597 8004574608 3172516474 9105924449 9192852136 (919) 493-1210 9197359541 7047283231 2156400300 2166739511 6124568000 (800) 382-2000

Third Party Insurance Codes

Code D77 D78 D79 D80 D81 D82 D83 D84 D85 D86 D87 D88 D89 D92 D93 D94 D95 D96 D97 D99 DA0 DA2 DA3 DA4 DA5 DA6 DA7 DA8 DA9 DB0 DB1 DB2 DB3 DB4 DB5 DB6 DB7 DB8 DB9

CompanyName Midwest Benefits Corp. Hillco, LTD Entrepreneur, Inc. ACS Consulting Services, Inc. West Point Pepperell Lebarnold, Inc. National Security Life & Accident Union Labor Life Insurance Co. Dun & Bradstreet, Inc. Nationwide/Provident Life Insurance Great Global Assurance Co. Employee Benefit Plan Administration Freedom Life Trend Line NGS America Acceleration Life Liquid Transporters, Inc. Code no longer valid Equitable Life Assurance Robinson Administration Service GIC Indemnity Plan Commonwealth Service Center Mailhandlers (Prescription Drugs Only) c/o PCS JM Family Enterprises Delta Dental Pan American Life Ins. Co. Hartford Accident and Health Claims Advanced Insurance Administration Aetna U.S. Healthcare Comprehensive Care Services code no longer valid Employee Benefit Management Services (EBMS) Managing Underwriters Richmond Bakery Workers Health & Welfare Ins. Fund Nyhart New York Lumbermen's Healthcare Cigna Vicare Administrative Services Cigna The Benefiot Group (TBG)

Address PO Box 200 PO Box 400 PO Box 3227 PO Box 2000 PO Box 71 4410 Industrial Park Rd. PO Box 15279 PO Box 61813 PO Box 30102 P O Box 182928 PO Box 1030 Drawer 2000 110 W. 7th St. Ste.300 PO Box 176 PO Box 7676 5400 North High Street 201 Black Satchel Drive ZZZZZZZZZZZZZZZZZZ PO Box 2-V 135 S. LaSalle Street, Suite 710 PO Box 9016 PO Box 8404 8019 Bayberry Rd. PO Box 8690 601 Poydras St. 4900 Seminary Rd. 1525 Merrill Dr., Ste. 2000 PO Box 150431 PO Box 64668 zzzzzzzzzzzzzzzzzzzz PO Box 14999 PO Box 171120 100 W. Franklin St. PO Box 80884 9600 Main St., Ste. 3 PO Box 182553 PO Box 100 PO Box 5200 10675 Bedford Ave Updated: December 8, 2009

City Southfield Kinston Wilmington Winston-Salem West Point Camp Hill Arlington King of Prussia Tampa Columbus Scottsdale Hampton Fort Worth Lincolnton St. Clair Shores Columbus Charlotte ZZZZZZZZZZZ Richmond Chicago Andover London Jacksonville St. Louis New Orleans Alexandria Little Rock Hartford Saint Paul zzzzzzzzzzzz Portland Nashville Richmond Indianapolis Clarence Chattanooga Suffolk SCRANTON Omaha

State MI NC NC NC GA PA TX PA FL OH AZ NH TX NC MI OH NC ZZ VA IL MA KY FL MO LA VA AR CT MN ZZ OR TN VA IN NY TN VA PA NE

Zipcode 48537 285020400 28406 27102-2000 31833 17011 76015 19406 33630-3120 43218-2928 85252 03842 76102 28092 48087 43214 28216 00000-0000 23205 60603 01810 4074232256 6312670130 22311 72211 06115-0431 55164 00000-0000 97214 37217 23220 462800884 14031-2092 37422 23439 18505-5200 68134

Phone1 Phone2 3135699700 (252) 523-1210 8006729230 8008495370 (336) 759-2013 4046454814 8002331111 7177613004 8174674911 (800) 579-7345 8008253867 (800) 688-5177 6029477744 6039264566 8005281057 7047348235 8104163000 8002825300 (704) 394-0809 8042881100 8006211917 8004429300 (800) 410-7778 8008920059 8003921167 5045663501 7039142400 8002345453 (800) 290-0640 8003652735 8003993267 6156500220 8043431611 8004287106 7167599606 8008438953 (877) 934-4403 8008747489 8003338602

Third Party Insurance Codes

Code DC0 DC1 DC2 DC3 DC5 DC6 DC7 DC8 DC9 DD0 DD1 DD2 DD3 DD5 DD6 DD7 DD8 DD9 DE0 DE1 DE2 DE3 DE4 DE5 DE6 DE7 DE8 DE9 DF0 DF2 DF3 DF4 DF5 DF6 DF7 DF8 DF9 DG0 DG1

CompanyName Code no longer Valid IBEW (Local 116) Employers Group Trust Fortis Benefits Benefit Consulting Services Midamerica Plan Administrators Delta Dental Plan SeaFarers Welfare Plan Group Insurance Service Ctr. Encompass Shaw Medical Claims Center Healthstar United Healthcare Great American Insurance Co. Premier Pharmacy Plan International Union of Operating Engineers Caremark -formerly Eckerd Health Services One Source Health Network G.E. Financial Assurance Co. Employer Services Group Carpenter Co./BCBS EV Benefit Management Corp. United Healthcare Caroliance Centra Principal Mutual Life Ins. Co. Dakota Truck Underwriters Administrative Systems Research Presidium Tricare Dental United Healthcare Alliance/Health Market Insurance Co Medcase Management, Inc. Trigon Administrators, Inc. United Healthcare Central Massachusetts Health Care Washington National USA Healthcare United Healthcare Code no longer valid

Address ZZZZZZZZZZZZZZZZZZZ 4040 McEwen Ste. 100 PO Box 37429 PO Box 3195 PO Box 2006 PO Box 2850 1 Delta Dr. PO Box 380 PO Box 9212 6000 Westown Pkwy # 350E Dept. 100 PO Box 468389 PO Box 31660 PO BOX 740800 PO Box 29509 PO Box 5824 PO Box 1700 PO Box 52195 PO Box 5190 PO Box 1477 4914 W. Marshall St., Mail Drop 81B PO Box 29916 PO Box 26303 PO Box 30374 PO Box 6000 PO Box 39710 PO Box 89310 PO Box 6392 PO Box 365 PO Box 898218 PO Box 740802 PO Box 934 3500 N. Causeway Blvd., Ste. 520 PO Box 27287 PO Box 740800 Mechanics Tower, Suite 300 PO Box 740 PO Box 160300, Dept. 7090 PO Box 740800 ZZZZZZZZZZZZZZZZZZZ Updated: December 8, 2009

City ZZZZZZZZZZZ Dallas Raleigh Milwaukee Belmont Rockford Mechanicsburg Piney Point Marshfield West Des Moines Atlanta Independence ATLANTA Raleigh Spartanburg Briar Cliff Manor Phoenix Tampa Greenfield Richmond Columbus Greensboro Tampa Duncan Colorado Springs Sioux Falls Grand Rapids Parsippany Camp Hill Atlanta Frederick Metairie Richmond Atlanta Worchester Whitewater Austin Atlanta ZZZZZZZZZ

State ZZ TX NC WI CA IL PA MD MA IA GA OH GA NC SC NY AZ FL MA VA OH NC FL OK CO MN MI NJ PA GA MD LA VA GA MA WI TX GA ZZ

Zipcode 00000-0000 75234 27627-7429 53201-3195 94002 61132-2850 1705520674 02050 502667771 31146-8389 44131-0660 3037427626 29304 10510 85072336755190 01302 23230 43229-0916 27438-6303 36630 735346000 809499710 57109-1008 49516 07054 17089-8218 303740802 217050934 70002 232617287 303740800 016081449 53190 78716-0300 30374-0800 00000-0000

Phone1

Phone2

8004423815 8002379134 (800) 444-6254 8004776452 8152820622 8009320783 8002524674 8002424472 8005113389 8003211855 8004236011 8002419964 8006542138 8002474526 9147621268 (800) 222-3383 (800) 841-5550 8004512513 8043590800 8002399088 6148954000 8009991147 9105455090 8008736464 8008520914 (800) 247-4695 (888) 476-8663 8007321486 6169571751 8003544225 8008668499 (770) 937-5500 (800) 733-1110 8007435665 (800) 523-6796 (877) 222-4261 5087541870 8009470319 8007684387 8007418805

Third Party Insurance Codes

Code DG2 DG3 DG4 DG5 DG6 DG7 DG8 DG9 DH1 DH2 DH4 DH5 DH6 DH7 DH8 DH9 DI0 DI1 DI2 DI3 DI4 DI5 DI6 DI7 DI8 DI9 DJ0 DJ1 DJ2 DJ3 DJ4 DJ5 DJ6 DJ7 DJ8 DJ9 DK0 DK1 DK2

CompanyName Dean Care Radiator Specialty Medco Health Solutions Inc AHP (Advantage Health Plan) Chicopee, Inc. Employee Resource Network Healthnet Excel Lowe's Customer Service Unit Coresource Cigna NCAS-Midwest Kaiser Permanente TPA CONSECO SERVICES LLC Met Life UnoCal United Healthcare Southeast Medical Alliance Healthplan AAGI, Inc. Eagle Managed Care Diamond Home Services Cigna Uniform Medical Plan Lynches River Electrical Cooperative Unicare Cigna Code no longer valid Aetna U.S. Healthcare Midwest Security Administrators, Inc. South Georgia Health Partners United Healthcare Morganton Eye Physicians, P.A., Employee Group Unicare Doug Young Group American Maritime Officers Medical Plan Halifax EMC, Benefits Administrator Delta USA New York Life Preferred Health Care System

Address PO Box 56099 PO Box 12980 PO Box 14713 PO Box 267 PO Box 6125 3200 Collingsworth Street 2300 Main St., Ste. 700 PO Box 188007 PO Box 8215 PO Box 35266 PO BOX 4000 PO Box 500489 PO Box 7045 PO BOX 2034 PO Box 8740 2929 E. Imperial Hwy. PO Box 30551 111 Veterans Mem. Blvd., Ste. 500 PO Box 802422 PO Box 546 222 E. Church Street PO Box 3000 PO Box 34850 PO Box 308 PO Box 7605 PO BOX 188007 ZZZZZZZZZZZZZZZZZZ PO Box 26107 2700 Midwest Drive PO Box 1939 PO Box 30555 335 E. Parker Road PO Box 51130 PO Box 17786 PO Box 35 PO Box 667 PO Box 222 3316 Sarnam Street 620 Howard Avenue Updated: December 8, 2009

City Madison Charlotte Lexington Baldwinsville Greenville Ft. Worth Kansas City Chattanooga Little Rock Charlotte SOUTHFIELD Atlanta Rockford CARMEL Dayton Brea Salt Lake City Metairie Dallas Camp Hill Woodstock Atlanta Seattle Pageland Schaumburg CHATTANOOGA ZZZZZZZZZZ Greensboro Onalaska Thomasville Salt Lake City Morganton Springfield Raleigh Dania Enfield Parsippany Omaha Altoona

State WI NC KY NY SC TX MO TN AR NC MI GA IL IN OH CA UT LA TX PA IL GA WA SC IL TN ZZ NC WI GA UT NC MA NC FL NC NJ NE PA

Zipcode 53705 83301 4051213027 29606 76107 64108 37422 72221-8215 28235-5266 4803731150 61125-7045 46082-2034 45401 92882 84130-0551 70005 75380-2422 17001-0546 60098-3315 30359 98124-1850 29728 60168 3742200000-0000 27402-6107 54650-8764 31799 841300555 28655 011515130 27619 33004-0035 27823 07054 66175 16601-4899

Phone1 8002791301 8007949355 (800) 882-8879 8008521090 8009928088 8003250755 8004681442 8005424296 8886049397 8006498503 8008762270 8002212131 8008478184 8009470319 8008420854 8002250161 8019443722 8002597370 8006252631 8005455591 8153342437 8005267431 8007626004 8036726111 8004576813 8005521706

Phone2

8162218400 5012219905

8004572197

(800) 942-5210 8002368672 6087837130 8003416216 9122262079 (800) 566-7273 7044331000 8006884870 8003263284 8003486515 3059204247 8003465377 8009955991 8002832524

Third Party Insurance Codes

Code DK3 DK4 DK5 DK6 DK7 DK8 DK9 DL0 DL1 DL2 DL3 DL4 DL6 DL7 DL8 DL9 DM0 DM1 DM2 DM3 DM4 DM5 DM6 DM7 DM8 DM9 DN0 DN1 DN2 DN3 DN4 DN5 DN6 DN7 DN8 DN9 DP0 DP1 DP2

CompanyName Loris Industries/LLC GMP Retiree Trust Continental Pharmacy Caremark-formerly Eckerds Health Services U.S. Life Insurance Company British Caymanian/Hyatt General Prescription Programs, Inc. Security Life Insurance Company Cigna Cigna Trustmark Unicare Alliance Carolina Tool & Mold Co.Benefit Mgmt Services Fortis Benefits Prudential CNA United Healthcare Centra c/o NPPN for Barnes & Noble Sun Healthcare Group, Inc. Unicare Gerber Childrenswear, Inc. MercyCare Select Capital Security Insurance Insurance Administrator of America, Inc. Medical Mutual of Ohio Strategic Resource Co. Cigna Olin Direct Claims Service Provide Plus Medical Plan Benicomp, Inc. CoreSource Continental Grain Unicare Alagap Data Systems, Inc. Worldwide Insurance & Claim Service Benescript (Rx only), ATTN: Claims Medco Health Solutions, Inc. Code no longer valid Harvest Life Insurance

Address PO Box A E 5245 Big Pineway S.E. PO Box 94863 PO Box 52195 PO Box 268810 PO Box 3175 PO Box 1460 PO Box 3506 PO BOX 188007 PO Box 10447 PO Box 1467 PO box 51180 PO Box 1178 6600 France Ave. S., Ste. 300 PO Box 5469 PO Box 2985 PO Box 1115 407 E. Main Street PO Box 93098 PO Box 51180 PO Box 2126 PO Box 329 PO Box 472 PO Box 60308 PO Box 6018 PO Box 23759 PO Box 2048 PO Box 4500 One Wall Street 10419 Leo Road PO Box 2920 PO Box 383 PO Box 4046 PO Drawer 800107 4675 South Holland PO Box 921229 PO Box 14713 zzzzzzzzzzzzzzzzz PO Box 956003 Updated: December 8, 2009

City Patterson Fort Myers Cleveland Phoneix Oklahoma City Scottsdale Newark Hopkins CHATTANOOGA Des Moines SouthBend Springfield Matthews Minneapolis Los Angeles Little Rock Minneapolis Middletown Albuquerque Springfield Greenville Little Chute Cheraw Los Angeles Cleveland Columbia Gastonia Norwalk Ravenswood Fort Wayne Clinton Dobson Schaumburg La Grange Springfield Norcross Lexington zzzzzzzzzzzz Lake Mary

State NJ FL OH AZ OK AZ NJ MN TN IA IN MA NC MN CA AR MN NY NM MA NC WI SC CA OH SC NC CT IN IN IA NC IL GA MO GA KY ZZ FL

Zipcode 07509 33907 44101-4863 8507273126 85271-3175 0710155343 3742250306-0447 466241467 01151 2810655435-1895 90054-0469 72203 55440-1115 10940 87199-3098 01151 29602 54140-0329 29520 90060 44101-1018 29224 28052 068564500 26164 46825 52733-2920 27017 60168-4046 30241 65810 30010 4051200000-0000 32795-6003

Phone1 9736841600 9419366242 8005683388 8002223383 8004464711 3459498699 8003412234 8137999188 (800) 542-4294 8003670524 8005378275 (877) 864-2273 (800) 228-1803 8003258385 2139543740 8008265818 (800) 999-1147 8007995335 8007593098 (877) 864-2273 8649875472 8008952421 8035373002 8002832524 8003627100 (803) 333-1000 (800) 542-4294 8002377820 8008420490 8008377400 8002532107 3363868151 8004543262 8004105805 4178828100 8003453189 (800) 882-8879 8002530856

Phone2

(704) 684-7831

2166877444 (803) 736-6463

Third Party Insurance Codes

Code DP3 DP4 DP5 DP6 DP7 DP8 DP9 DQ0 DQ1 DQ2 DQ3 DQ4 DQ5 DQ6 DQ7 DQ8 DQ9 DR0 DR1 DR2 DR3 DR4 DR5 DR6 DR7 DR8 DR9 DS0 DS1 DS2 DS3 DS4 DS5 DS6 DS7 DS8 DT0 DT1 DT3

CompanyName Precise Benefits Administrators/TPA Intergroup of Arizona Cariten Insurance Company Promark Claims Manager CNA Health Partners Kansas City Life Insurance Co. CBC, Inc. Administrative Solutions, Inc. Matthew Thornton Health Plan Allis Chalmers Retiree' Health Plan Cigna Division 1181 Benefit Concepts UFCW Local 347 Employee Benefits Corporation Alternative Insurance Resources Cigna Pharmacy Data Management Cigna Reliance Standard Life Insurance Code no longer Valid Automated Benefit Services American Administrative Group The New England Benefit Plan United Administrative Services Code No Longer Valid Ameri-Life Conseco Health Insurance (Pioneer Life) Mid-America Plan Administrators Pekin Life Ins. Co. Medco Health Solutions, Inc. Prudential Medical Security Card Co. RX Div. W.H. Shepherd Companies Key Benefit Administrators United Physicians Pharma Link Free State Health Plan Administrative Consultants, Inc.

Address PO Box 9062 PO Box 18050 PO Box 22987 PO Box 3697 PO Box 3876 PO Box 419325 1800 Walt Whitman Road PO Box 2490 PO Box 9518 11270 West Park Place PO Box 8903 101-49 Woodhaven Blvd. PO Box C-5009-0580 412 Tennessee Ave., Ste. 200 4815 North Prospect Road PO Box 660787 PO Box 5200 940 Windham Court, Suite 1 701 Corporate Center Drive PO Box 82510 zzzzzzzzzzzzzzzzzzzz PO Box 37506 PO Box 268810 PO Box 190019 PO Box 5057 zzzzzzzzzzzzzzzzzzzzz 9607 Northeast Pkwy PO Box 2034 PO Box 2850 2505 Court St. PO Box 14713 PO Box 45096 PO Box 31178 2868 Aeton Rd., Ste. 206 118 East Ludwig, Ste. 100 PO BOX 1070 PO Box 412735 10455 Mill Run Circle PO Box 1471 Updated: December 8, 2009

City Jericho Tuscon Knoxville Peace Little Rock Kansas City Melville Alpharetta Manchester Milwaukee Bristol Ozone Park Warminster Charleston Peoria Birmingham SCRANTON Boardman Raleigh Lincoln zzzzzzzzzzz Oak Park Oklahoma City Charleston San Jose zzzzzzzzzzz Matthews Carmel Rockford Pekin Lexington Jacksonville Tucson Birmingham Fort Wayne BUFFALO Kansas City Owings Mills Waterbury

State NY AZ TN RI AR MO NY GA NH WI TN NY PA WV IL AL PA OH NC NE ZZ MI OK SC CA ZZ NC IN IL IL KY FL AZ AL IN NY MO MD CT

Zipcode 11753-8962 85731 37933 028830394 72203 64141-6325 11747 300232490 03108 53224 37621-8903 11416 18974 25302 61614-6470 35266-0787 18505-5200 44512 27607 68501-2510 00000-0000 48237-0506 73126 29419-9019 95150-5057 00000-0000 28105-5883 46082-2034 61132-2850 61558 4051232232 85751 35243 46825 14226-7070 641412735 21117 06721

Phone1 Phone2 8007972296 (800) 289-2818 (800) 284-0042 (865) 470-7470 8002135640 8005069665 8008745254 8002317269 (800) 708-1628 8005448333 8006190621 8004265366 7188455800 8008832000 3043437682 8006459972 8004514318 8009869650 8007674226 9198548100 8004977044 8006459978 8004464711 8004087681 4082867663 7045685900 (800) 280-5563 (800) 541-2254 (800) 947-0319 8007470622 8004470122 (800) 882-8879 8006433609 8007003957 8007228477 8004467261 8007479995 (913) 262-5920 8004456036 8004589594

Third Party Insurance Codes

Code DT4 DT5 DT6 DT8 DT9 DU0 DU1 DU2 DU3 DU4 DU5 DU6 DU7 DU8 DU9 DW0 DW1 DW2 DW3 DW4 DW5 DW6 DW7 DW8 DW9 DX0 DX1 DX2 DX3 DX4 DX5 DX6 DX7 DX8 DX9 DY0 DY1 DY2 DY3

CompanyName HAP Plan Administrator Staley Benefits United Insurance Claims Mutual of Omaha HIP/Health Plan of Florida Consultec Caremark-formerly Eckerd's Health Services United Healthcare Atlantic Medical Insurance, LTD Wellpath Boston Mutual Ins. Co. GE Pensioner Benefit Claim Center Aetna/U.S. Healthcare Wellpoint Pharmacy Management/Prose Unicare Optima Healthplan TROA Medi-plus Claims Aetna/U.S. Healthcare Consolidated Assoc. of Railroad Emp. One Source COVENTRY HEALTHCARE Healthcare, Inc. Health Plan Services Physicians Health Plan, Inc. Cigna Point of Service United Healthcare Benefit, Inc. Signature Care, Inc. Cigna American Benefit Adminstrators Administrative Services Only Integrity Health Plan of Mississipp NJ CAR Travelers Protective Association Aetna/U.S. Healthcare Generations Family Health Plan Italian Catholic Federation Lawrence Lewis County School Employees

Address PO Box 3020 PO Box 5769 PO Box 3956 PO Box 9 PO Box 819006 9040 Roswell Rd., Ste. 700 PO Box 52195 PO Box 363501 PO Box SS-5915 PO BOX 7102 PO Box 30461 PO Box 740801 PO Box 14079 PO Box 4165 PO Box 51180 4417 Corporation Lane PO Box 9126 PO Box 129058 PO Box 6130 PO Box 5190 PO BOX 7715 PO Box 5348 PO Box 2085 PO Box 26623 PO Box 188007 PO Box 45-3219 PO Box 30304 PO Box 3020 PO Box 5548 PO Box 5200 PO Box 469 PO Box 419325 PO Box 382406 PO Box 7510 3755 Lindell Blvd. PO Box 14079 6330 Quadrangle Dr., Ste. 100 675 Hegenberger Rd., Ste. 110 PO Box 300 Updated: December 8, 2009

City San Carlos Lafayette Wilmington Woodward Hollywood Atlanta Phoenix San Juan Nassau, Bahamas LONDON Tampa Atlanta Lexington Woodland Hills Springfield Virginia Beach Des Moines San Diego Temple Tampa LONDON Bellingham Nashua Richmond CHATTANOOGA Miami Salt Lake City San Carlos Fort Wayne Scranton Biloxi Kansas City Birmingham Trenton St. Louis Lexington Chapel Hill Oakland Richville

State CA IN NC OK FL GA AZ PR KY FL GA KY CA MA VA IA CA TX FL KY WA NH VA TN FL UT CA IN PA MS MO AL NJ MO KY NC CA NY

Zipcode 94070 47903-5769 28406 73802 33081-9009 30350 85072009363501 4074233630-3461 30374 40512-4079 91365 01151 23462 50306-9126 92112 76503 33675 40742982275348 030612085 23261 37422 33345-3219 84130 94070 46896 18505-5200 39533-0469 64141-6325 35238 08628 63108 40512-4079 27514 94621 13681

Phone1 8004776452 8005526550 8009996685 8004622877

Phone2

8003582381 (800) 377-1693 (888) 645-9303 7877295623 2423938671 8009357284 8002371276 8008488406 3368542050 8007002541 (866) 595-9848 (877) 864-2273 8002571153 8002472192 8002453899 8003341331 8008527040 (800) 889-1457 8006454585 8005294344 8005427258 8003579189 8004415501 8008090453 8002522148 8002740225 (800) 251-0669 8004688249 8008745254 8008108985 8003565232 3143710533 8004470680 8882565563 8314754407 8003563128

Third Party Insurance Codes

Code DY4 DY5 DY6 DY7 DY8 DY9 DZ0 DZ1 DZ2 DZ3 DZ4 DZ5 DZ6 DZ7 DZ8 DZ9 E00 E01 E03 E05 E06 E07 E08 E09 E10 E12 E13 E14 E15 E16 E17 E18 E19 E20 E21 E22 E23 E24 E26

CompanyName Cardinal IPA/NCMM Northern New Jersey Teamsters Benef Westport Benefits Cigna Healthcare Compare Masters Mates & Pilots Health & Ben Unified Group Services Boddie Noell Enterprises Seaboard Claims CF&I Voluntary Employee Benefit Ass BCBS of Florida Healthplan Services, Inc. Harrington Benefit Services Code no Longer Valid VYTRA Corp. Center (Suffolk Co. Hea Health Administration Services, Inc Fieldcrest Mills REGENTS LIFE & HEALTH NorthWest Administration Inc. Hamilton Beach, Inc. Royal Development Company Mature American Insurance Co. UFCW of the Carolinas & Employers Health Benefits Laborer's District Council Health & Welfare Trust Facet Purolator Pee Dee Electric Cooperative Inc. Textilease/Carefirst Lea Lumber & Plywood Co. Local 43, NY Welfare Assurant Health Insurance Co. IBEX Benefits, Inc. Systems Manufacturing Cigna Kaiser Permanente Bell South Dedicated Service Center Mahasco Upholstered Furniture Corp. Eagle Snacks US Shelter Corportion Retired Federal Employees

Address 107 Edinburgh South, Ste. 216 One Cardinal Dr. PO Box 66743 PO Box 3058 PO Box 10085 5700 Hammonds Ferry Rd. PO Box 10 PO Box 25987 PO Box 2066 5 Gateway Ctr. #620 8400 N.W. 33rd St. PO Box 2085 PO Box 3660 zzzzzzzzzzzzzzzzzzzzzzzz 395 N. Service Rd. 100 Glenborough Dr. # 450 PO Box 218 PO BOX 1071 2323 East Lake Ave. PO Box 1158 325 Kettering Rd. 734 15th St., NW, Suite 500 1800 Phoenix Blvd. 8720 Georgia Ave., Suite 304 2 Warren Place, 6120 S. Yale PO Box 491 PO Box 1196 Rt 3 Box 57 3235 Kennedy Blvd. PO Box 981602 PO Box 37627 PO Box 559 PO Box 28087 PO Box 4069 PO Box C 279 PO Box 409 PO Box 535 PO Box 1089 PO Box 30167 Updated: December 8, 2009

City Cary Little Falls St. Louis Bourbonnais Scotsdale Linthicum Height Pendleton Winston-Salem Nashua Pittsburgh Miami Nashua Joplin zzzzzzzzzzzzzz Melville Houston Laurel Hill PORTLAND Seattle Washington High Point Washington Atlanta Silver Springs Tulsa Darlington Baltimore Windsor Jersey City El Paso Raleigh Henderson Raleigh Raleigh Birmingham Clinton Robersonville Greenville Tampa

State NC NJ MO IL AZ MD IN NC OH PA FL NH MO ZZ NY TX NC OR WA NC NC DC GA MD OK SC MD NC NJ TX NC NC NC NC AL NC NC SC FL

Zipcode 27511 07424 63166 60914 85271 21090 46064 27114 03061 152221214 33122-1932 030612085 64803-3660 00000-0000 11747-3127 77087-3610 28351 9720798102 27889 27263 20005 30349 20910 74136 29532 21297 27983 07300 79998-1602 27627 27536 27611-8087 27629 35283 23328 27878 29602 33630

Phone1 Phone2 9194626664 8887851123 8005482041 8004568700 8004181757 4108508611 8002915837 (336) 774-4400 8002530217 8882468792 8009553589 8005294344 8882336724 8004265880 8008655440 9194622141 (800) 909-6069 2063294900 9199757800 9108892569 2023936600 8002413473 3015856157 8008720086 8036654070 (800) 423-9791 9197943151 (800) 553-7654 8003224239 9198334239 9194929595 8008499000 9194601230 9193193070 8002928802 9195925181 9107955141 8032391023 8002223862

Third Party Insurance Codes

Code E27 E28 E29 E30 E31 E32 E33 E34 E35 E36 E37 E39 E40 E41 E42 E43 E44 E45 E46 E47 E48 E49 E50 E51 E52 E53 E54 E55 E56 E57 E58 E59 E60 E61 E62 E63 E64 E65 E66

CompanyName Carolina Hosiery Mills Employers Health Insurance Invalid Code (o/Bus) Masterpiece Stanly Memorial Hospital National Fruit Product Co. Robert Bosch Corporation Westchester Co. NY Health Benefits Dept. The FL Automobile Dealers Ind. RKI Group Plans C-Square Corporation R.E. Harrington, Inc. Highland Mills Equitable Group & Health Reg. Benefit Ctr. Medical Claims Management Cigar Supply Company Bost Bakery Anderson Health Plan Health Economics Corporation National Twist & Drill Armtex Partners National Health Plan/ Customer Service Center Eveready Battery Company Pierpoint Sportswear Michelle Palmer, Inc. BCBS of Tennessee LaHood and Associates, Inc. Highmark Blue Cross/Blue Shield Meadowbrook Terrace Employers Health Insurance Saint Joe Container Co. Code no Longer Valid The Hastings Company Elizabethtown Plants Utah Public Empl. Health Program JA-BE Distributors, Inc. First Health Allright Parking Company Northern State Power Company European International Services

Address PO Box 850 1100 Employers Blvd. PO Box 926 PO Box 1489 PO Box 916 100 Bosch Blvd. Michaelian Office Bldg., R-730 3107 Hallandale Beach Blvd. 14325 Willard Rd. 335 Archdale Drive PO Box 16789 PO Box 33775 PO Box 182015 PO Box 12995 PO Box 2337 1022 Randolph St. 800 N. Fant Street PO Box 569640 PO Box 595 PO Box 2399 PO Box 17509 PO Box 849 Highway 90 PO Box 1100 PO Box 180150 PO Box 12170 PO Box 2700 PO Box 987 1100 Employers Blvd. PO Box 7248 zzzzzzzzzzzzzzzz 255 Pilot View Drive PO Box 697 540 East 200 South PO Box 14429 15710 John F. Kennedy Blvd. 129 West Trade St., Suite 720 414 Nicollet Mall 2631 S. W. 27th Street Updated: December 8, 2009

City Burlington Green Bay Morganton Albemarle Lincolnton New Bern White Plains Hallandale Chantilly Charlotte Columbus Charlotte Columbus Charlotte Sanford Thomasville Anderson Dallas Maxton Gastonia Winston-Salem Asheboro Taylorsville Greenville Chattanooga Overland Pittsburgh Clemmons Greenbay Charlotte zzzzzzzz King Elizabethtown Salt Lake City Augusta Houston Charlotte Minneapolis Miami

State NC WI NC NC NC NC NY FL VA NC OH NC OH NC NC NC SC TX NC NC NC NC NC NC TN KS PA NC WI NC ZZ NC NC UT GA TX NC MN FL

Zipcode 27215 54344 28655 28001 28092 28560 10601 33009 22021-2199 28217 43216 28233 43218 28220-2951 27330 27360 28621 75356-9640 28364 28053 27116-7509 27203 28681 27834 37401 66212 15230 27012 54344-0001 28241 00000-0000 27021-9181 28387 84102 30919 77032-2347 28202 55401 33133

Phone1 9102265581 8002323040 (000) 000-0000 7049835111 7047352531 9196334133 9143281858 3059636885 8003363316 7045295400 8008482664 7043753333 8004680108 (800) 334-0609 9197764124 (800) 334-0609 8032611686 8004926398 9198442600 7048612600 8009425695 9196724515 7046327053 9197563111 (800) 924-7141 8002556065 (800) 346-1593 9197669186 8002323040 7045881550 9109835101 9198622053 8013553885 4047386609 8008335914 7043335411 6123305500 3058589940

Phone2 4143361100

(704) 525-1473 (910) 476-6101

9107604822

(901) 544-2111

Third Party Insurance Codes

Code E67 E68 E69 E70 E71 E72 E73 E74 E75 E76 E77 E78 E79 E80 E81 E82 E83 E84 E85 E86 E87 E88 E89 E90 E91 E92 E93 E94 E95 E96 E97 E98 E99 EA0 EA1 EA2 EA3 EA4 EA5

CompanyName Pharmafair, Inc. Fidelity Security Life Koch Ind. Employee Benefit Trust Swing Transport Benefit Plan Adams Millis Hosiery Kolcraft Diston, Inc. Principal Financial WF Cox Supply Co. Franklin Reginal Medical Center Nobel SJA Brokerage Mid-Atlantic Wood Products, Inc. Quinet/Life of Indiana CELTIC LIFE INSURANCE Hechingers Insurance Smithfield Foods Thomasville Furniture Company J.W. Carroll Adminstrators United Furniture Workers Inc. Chatham Mills Peoples Security Field Controls Company Global Insurance Teledyne Allvac Chaircraft BCBS of Virgin Island Program Humana Health Plan Stedman Corporation Spring Valley Bank & Trust Co. United Medical Resources Fleetwood Mobile Homes c/o Principal Gowen Oldsmobile Pension Hospitilization Celtic Life Insurance Co. Big Star Grand Union Co. Specialized Plans Insurance Reliance Standard Insurance Co. Cannon & Powell TPA

Address PO Box 1088 3130 Broadway PO Box 2256 Route 17, Box 312 PO Box 2650 1724 Highway 211-E PO Box 3000 PO Box 39710 PO Box 495 PO Box 609 PO Box 330 PO Box 809059 PO Box 1088 PO Box 40964 PO BOX 8073 3500 Penny Drive PO Box 1580 PO Box 339 PO Box 1984 PO Box 100037 PO Box 616 PO Box 4007 2308 Airport Rd. PO Box 1123 PO Box 5030 PO Box 3466 PO Box 11359 PO BOX 14603 1709 Industrial Pike PO Box 830 2343 Auburn Ave. 4021 S 700 E, Ste. 500 7501 South Boulevard 158-11 Harry Van Arsdale Dr. PO Box 7130 201 Willowbrook Blvd. PO Box 40132 PO Box 82510 PO Box 71908 Updated: December 8, 2009

City Williamston Kansas City Wichita Salisbury High Point Aberdeen Danville Colorado Springs Tabor City Louisburg Cannonsburg Dallas Taylorsville Indianapolis CHICAGO Landover Smithfield Thomasville Nashville Nashville Pittsboro Danville Kinston Wadesboro Monroe Hickory St. Thomas LEXINGTON Gastonia Jasper Cincinnati Salt Lake City Charlotte Flushing Rosemont Wayne Ft. Wayne Lincoln Albany

State NC NC KS NC NC NC VA CO NC NC PA TX NC IN IL MD VA NC TN TN NC VA NC NC NC NC VI KY NC IN OH UT NC NY IL NJ IN NE GA

Zipcode 27892 64011 672012256 28144 27261 28315 24543 809493910 28463 27549 15317 75380-9059 28681 46240 60680-8073 20785 23430 27360 37202 37210 27312 24540 28501 28170 28110 28601 00801 4051228052 47546 45190-2815 84107 28217 11368 60018 07470 46804 68501 31708-1908

Phone1 9197926333 8008217303 8008351053 7046333567 9198897071 8004430829 (800) 847-4695 9196533143 8002218490 2143853077 7046327000 8004288400 3013410916 8043573131 (336) 472-4000 6153670462 6158898601 9195423142 8047973812 9195223031 7046949321 7042894511 7044958291 (340) 774-2888 8008529554 7048659596 8126341010 5136513737 7045516220 7185912000 8004777870 2018906500 8004361441 8004977044 8006282040

Phone2

Third Party Insurance Codes

Code EA6 EA7 EA8 EA9 EB0 EB1 EB2 EB3 EB4 EB5 EB6 EB7 EB8 EB9 EC0 EC1 EC2 EC3 EC4 EC5 EC6 EC8 EC9 ED0 ED1 ED2 ED3 ED4 ED5 ED6 ED7 ED8 EE0 EE1 EE2 EE3 EE4 EE5 EE6

CompanyName Mail Handlers Harrington Benefit Service Physicians Plus Insurance Corp. Anthem RX Pharmacy/Wellpoint Net Rx Aetna Pharmacy Management Associated Doctors Health & Life In Aetna/US Healthcare Rush Prudential Prairie States Enterprises Screen Actors Guild Producers Healt Nylcare Healthpartners Aetna U.S. Healthcare First Health AFBA Care Benchmarrk Iron Workers Dist. Council of South Code no longer valid Code no longer valid Choice Plus Claims TRICARE NORTH REGION SERVICES Umthum Trucking Company Klais and Company Food Lion(RX only) /Express Scripts HCH Administration Health Advantage Neighborhood Health Partnership Ironworkers Local 17 Insurance Benefit Plan Prudential MDO Aetna U.S. Healthcare Cigna Medco Health Solutions, Inc. Administrative Solutions United Healthcare Cigna Aetna U. S. Healthcare United Healthcare AMSCO, Inc. Wellness Plan of North Carolina

Address PO Box 8402 PO Box 1391 PO Box 8085 PO Box 145433 PO Box 36185 500 E. Beacon Pkwy,PO Box 10487 PO Box 2245 PO Box 5597 PO Box 23 PO Box 7830 PO Box 1090 PO Box 1289 PO Box 150431 PO Box 671088 PO Box 450 PO Box 4158 PO Box 398 zzzzzzzzzzzzzzzzzzzz ZZZZZZZZZZZZZZZZ PO Box 1289 PO Box 870141 PO Box 166 PO Box 5190 PO Box 390873 PO Box 1986 PO box 8069 7600 Cooperate Center 1564 E. 23rd St. PO Box 44065 PO Box 31538 PO BOX 5200 PO Box 14713 PO Box 257 PO Box 59048 PO Box 5200 PO Box 27098 PO Box 30555 PO Box 1770 PO Box 12980 Updated: December 8, 2009

City London Dayton Wausau Cincinnati Minneapolis Birmingham Blue Bell Chicago Sheboygan Burbank Louisville Minneapolis Hartford Houston Taylor Rockford Dayton zzzzzzzzzzzz ZZZZZZZZZZ Minneapolis SURFSIDE BEACH Eagle Grove Tampa Bloomington Peoria Little Rock Miami Cleveland Jacksonville Tampa SCRANTON Lexington Norcross Minneapolis Scranton Greensboro Salt Lake City Clemmons Charlotte

State KY OH WI OH MN AL PA IL WI CA KY MN CT TX PA IL OH ZZ ZZ MN SC IA FL MN IL AR FL OH FL FL PA KY GA MN PA NC UT NC NC

Zipcode 4074245401-1391 54402-8085 4522055435 35289 19422-8265 60680 53082-0023 91510-7830 40201 55440-1289 061150431 772671088 18517 61101-0658 45401-0398 00000-0000 00000-0000 55440-1289 29587-9740 50533 3367555439-0873 6165672203-8069 3312644114-4292 32231-4065 33631-3538 18505-5200 405123009155459-0048 18505-5200 274208413027012-1770 28220-2980

Phone1 Phone2 (800) 410-7778 8002222733 8002367742 (866) 595-9848 (800) 662-0210 8887928742 8008777792 8008479017 8882347747 8006157020 8007774013 8008548206 8008832177 8008820452 (800) 833-5914 8002352322 8888319632 8003314277

6128835555 8008515700 (877) 874-2273 5154484707 (800) 525-8548 (800) 760-3740 (704) 633-8250 (309) 673-7330 (800) 843-1329 (035) 715-2200 (800) 241-9379 (800) 471-0351 (800) 542-4294 (800) 882-8879 (770) 263-7720 (800) 345-8563 (800) 882-4648 (800) 942-5210 (801) 393-0843 (336) 766-0328 (800) 794-9355

Third Party Insurance Codes

Code EE7 EE8 EE9 EF0 EF1 EF2 EF3 EF4 EF5 EF6 EF7 EF8 EF9 EG0 EG1 EG2 EG3 EG4 EG5 EG6 EG7 EG8 EG9 EH0 EH1 EH2 EH3 EH4 EH5 EH6 EH7 EH8 EH9 EI0 EI1 EI2 EI3 EI4 EI5

CompanyName Culp, Inc. Empire Blue Cross/Blue Shield Roanoke Electric Co-op Blue Cross Blue Shield of Florida Virginia Health Network Star HRG Aetna U. S. Healthcare Delta Dental Insurance Co. London Health Administrators, Ltd. Cigna United Healthcare Aetna U. S. Healthcare Wausau Insurance Co. TPC Health Administrators Cigna Star Administrative Services CAN Health Partners, Inc. Peoples Benefit Life Aetna U. S. Healthcare Professional Benefit Administrators (PBA) Unicare ProServe Cigna Chatwins Healthcare Administrators Consociate Group Consolidated Benefits Prudential Pharmacy Management Martin Sprockett and Gear New England Financial Cigna Caremark/Advance PCS Cigna MidWest National Life Insurance Co. of Tennessee Choice One AUSA of NY Cigna Cigna Dental Intercare Health Plans Guardian Resources, Inc.

Address PO Box 2686 PO Box 5047 PO Box 440 PO Box 44028 7400 Beaufont Springs Dr., Ste. 505 PO Box 55270 PO Box 14586 PO Box 1809 40 Commercial Way PO Box 171841 PO Box 740800 PO Box 2523 PO Box 8092 PO Box 5045 PO BOX 5200 PO Box 55270 PO Box 8002 Attn: Claims Service PO Box 1630 PO Box 4687 PO Box 4458 PO Box 9085 PO Box 5200 300 Weyman Plaza Ste. 305 PO Box 1068 PO Box 24889 PO BOX 390864 PO Box 19447 PO BOX 11111 PO BOX 5200 PO Box 52195 PO Box 188002 PO Box 982017 PO Box 121999 PO Box 17480 PO BOX 5200 PO Box 188045 PO Box 3559 PO Box 3767 Updated: December 8, 2009

City High Point Middletown Rich Square Jacksonville Richmond Phoenix Lexington Alpharetta E. Providence Memphis Atlanta Fort Wayne Wausau Monroe Scranton Phoenix Little Rock Valley Forge Columbus Oakbrook Chicago Oxnard SCRANTON Pittsburgh Decateur Columbia MINNEAPOLIS Charlotte FORT SCOTT SCRANTON Phoenix Chattanooga N. Richland Hills Fort Worth Baltimore SCRANTON Chattanooga Englewood Holiday

State NC NY NC FL VA AZ KY GA RI TN GA IN WI NC PA AZ AR PA OH IL IL CA PA PA IL SC MN NC KS PA AZ TN TX TX MD PA TN CO FL

Zipcode 27261-2686 10940-9047 2786932231-4028 2322585078-5270 40512 30023-1809 0291438187-1841 30374-0880 46801-0871 544028092 2811118505-5200 85078-5270 72203-8002 19493-3333 43216-1630 60522-4687 6068093031-9085 18505-5200 1523662525-1068 2922455439282196670118505850723742276182-8017 76121-1999 21298-9012 18505-5200 37422-8003 80155-3559 34690-

Phone1 (336) 889-5161 (800) 635-2184 (252) 539-2236 (800) 297-4991 (336) 759-2013 (800) 762-2727 (888) 632-3862 (800) 521-2651 (800) 343-2236 (800) 363-2434 (877) 842-3210 (800) 531-9878 (888) 459-3013 (704) 292-1813 (800) 882-4462 (602) 997-8400 (800) 972-3025 (800) 356-6271 (800) 833-0220 (800) 435-5694 (877) 864-2273 (800) 962-7378 (800) 621-2159 (800) 230-8069 (800) 798-2422 (803) 736-5088 (606) 271-5986 (704) 394-9111 (800) 723-6991 (800) 244-6224 (800) 841-5550 (800) 251-0669 (800) 733-1110 (800) 670-1172 (800) 957-3195 (800) 251-0669 (800) 355-5965 (800) 426-7453 (800) 552-0455

Phone2

(800) 989-3837 (800) 308-5948

(800) 344-4791

(800) 244-6224

Third Party Insurance Codes

Code EI6 EI7 EI8 EI9 EJ0 EJ1 EJ2 EJ3 EJ4 EJ5 EJ6 EJ7 EJ8 EJ9 EK0 EK1 EK2 EK3 EK4 EK5 EK6 EK7 EK8 EK9 EL0 EL1 EL2 EL3 EL4 EL5 EL6 EL7 EL8 EL9 EM0 EM1 EM2 EM3 EM4

CompanyName Fortis Benefits Great West Insurance Co. Group and Pension Administrators Motion Picture Industry Health Plan Kirk-Van Orsdel, Inc. Cigna Aetna U. S. Healthcare MAMSI Pennsylvania Physicians Care Empire Blue Cross Blue Shield Cigna NPPN Mega Life & Health MediCo Aetna U. S. Healthcare Med Impact-RX Highmark Adm./BCBS of Western Pennsylvania Aetna U. S. Healthcare Cigna Healthcare MediClaim AmeriHealth Cigna Healthcare Loomis Company - VF Corp Healthcare Plan HealthFirst TPA AmeriHealth Administrators Cigna Principal Financial Group Healthsouth Medical Plan Administrators Delta Dental of Rhode Island Enterprise Group Planning, Inc. Dental Health Administrative & Consulting Services, Inc. Great West Life Insurance Co. Unicare Code no longer Valid Lyf-Tym Special Insurance Services Housing Benefits Plan Prudential Healthcare POS Anthem Blue Cross Blue Shield

Address PO Box 7146 PO Box 10188 300 Municipal Drive PO Box 1999 PO Box 1086 PO Box 5200 PO Box 52122 PO Box 993 651 E Park Drive PO Box 1407 PO Box 8012 407 E. Main St. PO Box 982009 1515 S. 75th Street PO Box 5572 10680 Treena Street PO Box 535052 PO Box 3932 PO Box 5200 PO Box 4007 PO Box 41574 PO Box 188008 PO Box 13815 PO Box 130187 720 Blair Mill Road PO Box 8833 1 International Plaza st.100 PO Box 382617 PO Box 1517 5910 Harper Road PO Box 9500 PO Box 5011 PO Box 9125 ZZZZZZZZZZZZZZZZZ 3820 N. Davidson Street PO Box 250349 PO Box 542077 PO Box 4722 PO Box 37010 Updated: December 8, 2009

City london Glendale Richardson Studio City Saint Louis SCRANTON Minneapolis Fredrick Harrisburg New York Plainville Middletown North Richland Hills Omaha Akron San Diego Pittsburgh Allentown Scranton Danville Philadelphia Chattanooga Reading Tyler Horsham Bristol Philadelphia Birmingham Providence Cleveland Downers Grove Fort Scott Oxnard ZZZZZZZZZZ Charlotte Plano Dallas Houston Louisville

State KY CA TX CA MO PA MN MD PA NY CT NY TX NE OH CA PA PA PA IL PA TN PA TX PA TN PA AL RI OH IL KS CA ZZ NC TX TX TX KY

Zipcode 40742-7146 9120975080916146318818505-5200 5540221705-0993 1711110008-1434 060621094076182-8009 68124443349213115253-5052 181060932 18505-5200 61834-4007 1910137422-8008 19612-3815 75713-0187 19044-0975 37621191133523802901-1517 44139-1835 605156570193031-9125 00000-0000 2820575025 75354-2077 77210-4722 40233-

Phone1 Phone2 (800) 553-7654 (972) 238-7900 (818) 769-0007 (800) 257-4208 (800) 334-5362 (800) 238-6221 (800) 257-6458 (717) 561-7890 (800) 261-5962 (800) 462-7486 (800) 283-2524 (800) 527-5504 (402) 391-6900 (800) 448-2791 (866) 847-8279 (800) 245-2763 (800) 331-2363 (800) 645-7300 (217) 443-2812 (888) 732-5555 (800) 251-0670 (877) 461-3918 (800) 477-2287 (800) 480-5031 (800) 887-2174 (000) 000-0000 (877) 893-9294 (800) 843-3582 (800) 229-2210 (800) 552-2043 (800) 663-8081 (800) 288-8630

(800) 331-2102

(800) 788-2949 (800) 829-1918

(440) 349-2210

(704) 372-1534 (800) 767-6811 (972) 788-0699 (800) 937-2036 (800) 578-2826 (502) 426-8423

Third Party Insurance Codes

Code EM5 EM6 EM7 EM8 EM9 EN0 EN1 EN2 EN3 EN4 EN5 EN6 EN7 EN8 EN9 EP0 EP1 EP2 EP3 EP4 EP5 EP6 EP7 EP8 EP9 EQ0 EQ1 EQ2 EQ3 EQ4 EQ5 EQ6 EQ7 EQ8 EQ9 ER0 ER1 ER2 ER3

CompanyName Ingles Distribution c/o BMS Aetna U.S. Healthcare Preferred Plus Medco Health Solutions, Inc. General Electric Financial Assurance Co. Cigna Prudential HMO Conseco Health Insurance Benefit Administrators Standard Life Insurance Co. Pyramid Life Insurance Co. Kohler Group Medical Benefits Intergroup of Arizona Member Insurance Program Prudential Healthcare Cigna Nishikawa Standard Co. Aetna U. S. Healthcare Cigna Met Life Dental Claims Center Cigna Healthcare Devon Health Services American Benefits Management National Medical Health Card Carolina Healthcare/Medcost Benefit Servces Samaritans Purse Countrywide Care Benefit Trust Core Administrative Services Cigna Governmental Employees Hospital Association Mississippi Administrative Service PMA Insurance Group Reliant Building Products c/o Administrative Concepts Community Health Plan of Ohio National Asbestos Workers Medical Fund Aetna U.S. Healthcare Lions Industries for the Blind Medical Service Corp. Cigna

Address PO Box 1178 PO Box 129001 PO Box 49318 PO BOX 14713 PO Box 8021 PO Box 182525 PO Box 44163 PO Box 1957 PO Box 10868 PO Box 1800 210 Euclid Avenue 444 Highland Dr. PO Box 19017 203 Jandus Road PO Box 45126 PO Box 188002 2808 Adams Center PO Box 182756 PO Box 5200 PO Box 981282 PO BOX 188030 1100 1st Ave. Ste. 100 PO Box 145804 PO Box 1170 PO Box 25987 PO Box 25987 100 B. Church St. PO Box 90 PO Box 16531 PO Box 4665 PO Drawer 1400 PO Box 25250 PO Box 2020 1915 Tamarack Road 4600 Powder Mill Road PO Box 1125 2600 W. Vernon Ave. PO Box 3048 PO Box 5200 Updated: December 8, 2009

City Matthews San Diego Wichita LEXINGTON San Rafael Columbus Jacksonville Carmel Springfield Galveston Allenhurst Kohler Tuscon Cary Jacksonville Chattanooga Fort Wayne Columbus SCRANTON El Paso CHATTANOOGA King of Prussia Cincinnati Port Washington Winston-Salem Winston-Salem Millersburg Macon Columbus Independence Oxford Lehigh Valley Rockwall Newark Beltsville Blue Bell Kinston Spokane SCRANTON

State NC CA KS KY CA OH FL IN MO TX NJ WI AZ IL FL TN IN OH PA TX TN PA OH NY NC NC PA GA OH MO MS PA TX OH MD PA NC WA PA

Zipcode 28106 92112-9001 67201-9318 4051294912432183223146082-1957 6580577553077111211 53044-1544 857316001332232-5126 374224680343218-2756 18505-5200 799983742219406452505804 1105027114-5987 27114-5987 1706131202-0090 4321664051-4665 3865518002-2520 7508043055-1300 2070519422285019922018505-5200

Phone1 Phone2 (704) 845-5608 (800) 843-9126 (800) 660-8114 (800) 882-8879 (800) 456-7766 (800) 541-7526 (800) 628-3801 (800) 541-1225 (800) 375-8913 (800) 827-2524 (800) 456-1675 (800) 977-7484 (800) 323-0131 (800) 528-9825 (800) 542-4296 (219) 493-7938 (800) 356-6285 (800) 240-4648 (888) 328-2158 (800) 284-4512 (800) 213-6300 (800) 645-3332 (800) 324-2200 (800) 795-1023 (704) 444-3004 (800) 795-1023 (800) 293-3480 (888) 741-2673 (800) 722-7535 (800) 821-6136 (601) 236-2117 (610) 439-1541 (888) 311-7274 (800) 806-2756 (301) 937-9300 (800) 624-0756 (252) 523-1019 (800) 835-3510 (800) 247-0355

Third Party Insurance Codes

Code ER4 ER5 ER6 ER7 ER8 ER9 ES0 ES1 ES2 ES3 ES4 ES5 ES6 ES7 ES8 ES9 ET0 ET1 ET2 ET3 ET4 ET5 ET6 ET7 ET8 ET9 EU0 EU1 EU2 EU3 EU4 EU5 EU6 EU7 EU8 EU9 EW0 EW1 EW2

Address CompanyName Underwriters Safety & Claims Inc. PO Box 23507 Cigna PO Box 182565 Cigna PO Box 33668 GE Life and Annuity PO Box 276901 Kaiser PO BOX 490 Resource Partner Benefit Plan PO Box 189 Fortis Insurance Co. PO Box 2940 Ohio Graphics Arts Health Fund 11 Triangle Park Dr. CoreSource PO Box 6118 Prudential Insurance Co. PO Box 44259 Coresource 4210 Shawnee Mission Rd. Ste. 302a Carpenters Local 225 & Millwrights Local 1263 Hlth & Welfare F PO Box 1449 Aetna U.S. Healthcare PO Box 1125 Total Claims Administrator PO Box 21128 Qual Med Oregon 12901 SE 99th Ave. Cigna PO Box 5200 Certified Systems, Inc. 3218 Hwy. 67, Suite 218 Patient Advocates PO Box 8236 Athens Area Health Plan Select, Inc. PO Box 382767 Unicare Pharmacy Access PO Box 3010 Federated Benefits PO Box 850958 United Healthcare PO Box 26404 NCAS Northwest Inc. PO Box 91010 Olympic Health Management PO Box 5348 Southwire @ Affiliates Employee Benefit Plan PO Box 2278 ACMG, Inc. 2570 Technical Drive Regional Medical Administrators PO Box 4128 Aetna U.S. Healthcare PO Box 660239 Provident Claims PO Box 31499 Highmark Blue Cross Blue Shield PO Box 1210 Continental General Ins. /United Chambers Insurance Co. PO Box 29136 Anthem Health and Life 10000 N. Central Expressway Ste.800 Mid-South Insurance Co. PO Box 2558 Medcom Services, Inc. PO Box 10269 Highmark Blue Cross Blue Shield PO Box 2700 Directors Guild of America(DGA) - Producers Health Plan PO Box 48127 John D. Hollingsworth PO Box 516 Managed Health Care Administrators PMB #303 (MHCA) 8206-1200 Providence Rd. North American Admin (Formerly Meritain Health) PO Box 853921 Updated: December 8, 2009

City Louisville Chattanooga Charlotte Richmond LATHAM Cincinnati Clinton Cincinnati Westerville Jacksonville Shawnee Mission Goodlettsville Blue Bell Fort Lauderdale Clackamus SCRANTON Mesquite Portland Birmingham Andover Richardson Greensboro Seattle Bellingham Carrollton Miamisburg Glen Raven Dallas Tampa Pittsburgh Shawnee Mission Dallas Omaha Jacksonville Pittsburgh Los Angeles Greenville Charlotte Richardson

State KY TN NC VA NY OH IA OH OH FL KS TN PA FL OR PA TX ME AL MA TX NC WA WA GA OH NC TX FL PA KS TX NE FL PA CA SC NC TX

Zipcode 402233742228233-3668 23261 12110-0490 43216 5273345246 430866118 322314259 66204 370701449 19422 33335 97015 18505-5200 75150 04104 352382767 01810 75085-0958 27404 981119110 982275348 30117 4534227215 75266 336313499 15230 66201 75231 681032558 322470269 15230 90048 29602 28277 75085-3921

Phone1 (800) 678-1536 (800) 541-6984 (800) 257-2702 (800) 635-8056 (800) 221-2131 (800) 848-6181 (800) 325-8385 (800) 771-3206 (800) 282-3920 (800) 220-5470 (800) 545-1769 (800) 831-4914 (800) 323-9930 (954) 468-8044 (888) 802-7001 (800) 244-6224 (800) 878-3157 (800) 290-8559 (706) 549-0549 (800) 822-4542 (800) 337-2363 (888) 244-8761 (800) 338-7971 (800) 688-0010 (770) 832-4003 (800) 476-4458 (800) 711-1507 (800) 424-4047

Phone2

(800) 547-4770

(615) 859-0131

(336) 226-7950

(800) 346-1593 (800) 284-2898 (800) 242-6922 (800) 324-1288 (888) 208-3526 (800) 523-7542 (800) 571-5710 (800) 421-3122 (213) 653-2991 (864) 297-1000 (704) 844-6421 (800) 828-6922

Third Party Insurance Codes

Code EW3 EW4 EW5 EW6 EW7 EW8 EW9 EX0 EX1 EX2 EX3 EX4 EX5 EX6 EX7 EX8 EX9 EY0 EY1 EY2 EY3 EY4 EY5 EY6 EY7 EY8 EY9 EZ0 EZ2 EZ3 EZ4 EZ5 EZ6 EZ8 EZ9 F00 F01 F03 F04

CompanyName Cigna Amalgamated Life Insurance Co. Phoenix Group Services Benefit Concepts Corporate Benefit Services Express Scripts Humana Health Plan Conseco Health Insurance Wohlers, Seabury and Smith Pacific Life Insurance Company Assured Benefit Administrators Allen J. Flood Co. (The) Union Bankers Corporate Benefit Services of America (CBSA) FMH Benefit Services Humana Cigna Aetna US Healthcare Great West Health Service Tyson Foods Select Care Harrington Benefit Services Sheffield, Olson, McQueen, Inc. Cook Group Health Plan Piedmont Community Health Plan Coventry Healthplan of the Carolinas Pnunafil Corp. Cigna Code no longer valid Mutual Healthcare Solutions Inc (MHSI) HealthComp Blue Cross Blue Shield Of South Carolina Code no longer valid Administrative Services Tricare For Life (TFL) Vision Net-Comprehensive Med. Plan Beatrice Foods Hickory Springs Manufacturing Co. Allison Manufacturing Co.

Address PO Box 24030 PO Box 1451 PO Box 150809 PO Box 60608 PO Box 12953 PO BOX 390873 1100 Employers Blvd. PO Box 1250 1440 N. Northwest Highway PO Box 33699 4100 Rio Bravo Suite 211 2 Madison Avenue P.O. Box 2555 P.O Box 27267 PO Box 25946 PO BOX 14601 PO Box 49350 PO Box 16432 1000 Great West Drive PO Box 7 PO Box 7036 130 W 2nd St. , Suite 400 2145 Ford Parkway Suite 300 PO Box 489 PO Box 14408 PO Box 7102 4401 Chesapeake Dr. PO Box 9313 ZZZZZZZZZZZZZZZZZZ PO Box 956217 PO Box 45018 PO Box 100300 ZZZZZZZZZZZZZZZZZZZZZ 2187 N. Lake Parkway Ste. 106 - Bldg 9 PO Box 7890 PO Box 2185 1030 Higgins St., Suite 200 235 2nd Ave., NW PO Box 1609 Updated: December 8, 2009

City Fresno New York Arlington King of Prussia Charlotte BLOOMINGTON Green Bay Rockford Parkridge Phoenix El Paso Larchmont Omaha Minneapolis Overland Park LEXINGTON Atlanta Pittsburgh Kennett Berlin Troy Dayton Saint Paul Bloomington Cincinnati London Charlotte Sherman ZZZZZZZZZZZZZZ Duluth Fresno Columbia ZZZZZZZZZZZZ Tucker Madison Brentwood Park Ridge Hickory Albemarle

State CA NY TX PA NC MN WI IL IL AZ TX NY NE MN KS KY GA PA MO MD MI OH MN IN OH KY NC TX ZZ GA CA SC ZZ GA WI TN IL NC NC

Zipcode 93779 10116 78015 19406 28220 55439-0873 54344 61105 600681400 850673699 79902 10538 681032555 554270267 662255946 40512-4601 30359 15242 63857-3749 21811 480077036 45402-1547 551161862 47402 45250 4074228297 75091 00000-0000 30095 9371829202 00000-0000 30084 53707-7890 37027 60068 28601 28002

Phone1 (800) 247-7691 (800) 543-4723 (800) 397-6241 (610) 337-2600 (704) 373-0447 (800) 892-5119 (800) 558-4444 (815) 987-0409 (800) 503-9228 (800) 733-3227 (915) 532-2100 (800) 972-7629 (888) 781-9555 (800) 925-2272 (800) 990-9058 (800) 367-7587 (800) 438-3970 (800) 962-6842 (800) 663-8081 (410) 641-1221 (888) 302-4767 (800) 848-2664 (888) 330-8406 (800) 593-2080 (888) 674-3368 (800) 889-1947 (704) 399-7441 (800) 590-2233

Phone2

(913) 685-4740

(248) 637-8090 (651) 695-2555 (812) 339-2235

(770) 717-2510 (888) 249-7880 (800) 960-7247 (559) 499-2450 (800) 868-2500

(866) 773-0404 8004231277 6152927667 7086927020 7043282201 7049834161

Third Party Insurance Codes

Code F05 F08 F09 F10 F12 F13 F14 F15 F16 F17 F18 F19 F20 F21 F22 F23 F24 F25 F26 F27 F28 F29 F30 F31 F32 F33 F34 F35 F36 F37 F38 F39 F40 F41 F42 F43 F45 F47 F48

CompanyName Woodmark Originals, Inc. Medi-Plan Bruce Foods Corporation City of Durham W.F. Mickey Body Co. Carolina By-Products Journal Communications SKY Chef IVAC Corporation Health Plan Worsley Oil Company West Jefferson Wood Products Lenox China Foster Forbes Brookfield Administrative Service Templon Spinning Mills Wal-Mart Prescription Plan American Youth, Inc. Health Claim Services Dixie Trucking Employee Benefit Eaton Benefits c/o First Health PPG Industries Regence Blue Shield Air-A-Plane Corporation Carolina Mirror Corporation Allred Metal Stamping Works, Inc. BCBS of Northwest Ohio Dixie National Life Insurance Co. Boren Clay Products Nordic Warehouse Intermountain Health Care Plan BCBS of Nebraska Hudson Foods/Farms, Inc. BCBS of Maine Liggett & Myers Company Maxicare Fruit of the Loom/Clevemont Mills/Farley Ind. Eastern Benefit Systems SGO, Inc. Parkdale Mills, Inc.

Address PO Box 2448 502 Valley Rd. PO Box 2067 200 E Main St. PO Box 2044 PO Box 20687 PO Box 661 PO Box 671207 100 IVAC Way PO Box 3227 PO Box 389 PO Box 987 PO Box 1757 1030 Higgins, Suite 200 PO Box 480 702 South West 8th Street 1937 N. 17th Ave. PO Box 9615 3606 N. Graham Street PO Box 8402 Route 4 PO Box 21267 PO Box 609 PO Box 548 901 Old Thomasville Rd. PO Box 943 855 S. Pear Orchard Rd., Ste. 305 PO Box 368 4875 New Centre Drive Suite A PO Box 3818 PO Box 3248 PO Box 777 2 Gannett Drive PO Box 1886 1149 S. Broadway 501 York Rd. 200 Freeway Drive, East PO Box 840 #1 Miller Street Updated: December 8, 2009

City High Point Wayne Wilson Durham High Point Greensboro Milwaukee Houston Creedmoor Wilmington West Jefferson Oxford Wilson Park Ridge Mooresville Bentonville Melrose Park Deerfield Beach Charlotte London Shelby Seattle Elm City North Wilkesboro High Point Toledo Ridgeland PleasantG arden Wilmington Missoula Omaha Rogers South Portland Durham Los Angeles Kings Mountain East Orange New Brunswick Belmont

State NC NJ NC NC NC NC MI TX NC NC NC MC NC IL NC AR IL FL NC KY NC WA NC NC NC OH MS NC NC MT NE AR ME NC CA NC NJ NJ NC

Zipcode 27261 07470 27894 27701 27261 27420 53201 77267-1207 27522 27889-0227 28694 27565 27893 60068 28115 72716 60160 33442-9615 28206 4074228150 98111-3267 27822 28659 27260 43656 39157-5114 27313 28403 5980668180-0001 72757-0777 04106 27702 900152213 28086 07018 089030840 28012

Phone1 Phone2 9198414900 9736963111 (252) 237-5476 9195607900 9108826806 9192723121 8006349437 9195281861 8006786677 9192467121

4044517550

9192911500 7086927020 7046641041 (800) 972-0943 (800) 972-8088 3123660702 8002223560 8002225794 (412) 269-1178 (800) 420-7411 7044342261 (800) 345-6784 9192364011 9198382151 9108865221 4194737100 6019783590 9197995293 8015385065 8003563485 5016361100 2078227272 9196839000 (213) 742-0900 7047396443 8005240227 2018460700 7048273161

Third Party Insurance Codes

Code F49 F50 F51 F52 F53 F54 F55 F57 F58 F60 F61 F62 F63 F64 F65 F66 F67 F68 F69 F70 F71 F72 F73 F74 F75 F76 F77 F78 F79 F81 F82 F83 F84 F85 F86 F87 F89 F90 F91

CompanyName Benefit Management Services, Inc. Indiana Carpenter's Welfare Fund Healthways Great Dane Trailers Mutual Savings Life Insurance Co. Jones, Hill & Mercer, Inc. Operating Enginners Trust Fund National Labor Union Health & Welfare Fund Hatteras Yachts Claims, Inc. Cigna Arnold Corporation Bon Homme Manufacturing First Benefit Corporation Irvin Industries, Inc. National Financial Aetna Casualty and Surety Company Latvian Relief Fund of America, Inc. Patrician Furniture Company NMU Pension & Welfare Plan Piedmont American Life Logo, Inc. Federal Paper Board BCBS of Utah National Health Insurance Co. Hills Group Health Plan Vulcan Materials Co. Southern Clay National Religious Broadcasters Piccadilly Cafeterias, Inc. Glen Raven Mills First Health Baldor Electric Co. Davis-Garvin Agency, Inc. Arrow International Unicare Blue Shield of Northeastern NY Advanced Insurance Services Church of God in Christ

Address PO Box 1178 3311 Shelby Street 485 A US Route 1 PO Box 67 PO Box 2222 PO Box 10527 PO Box 7063 PO Box 37502 110 N. Glenburnie Rd. 2277 West, Hwy 36, Suite 316 PO Box 7100 PO Box 1369 PO Box 697 PO Box 879 PO Box 1358 777 Main St., Ste. 900 PO Box 14079 PO Box 8857 PO Box 2353 360 West 31st Street 1100 Carr Road PO Box 15089 PO Box 57 PO Box 30270 PO Box 619999 15 Dan Road PO Box 530187 PO Box 515 2001 Marcus Ave. PO Box 2467 1831 N. Park Ave. PO Box 945030 2499 Deerfield Dr. PO Box 21627 200 Commerce Place PO Box 5005 PO Box 15013 600 Jefferson Ave. 5739 Sellger Drive Updated: December 8, 2009

City Matthews Indiannapolis Iselin Savannah Decatur Savannah Pasadena Oak Park New Bern Roseville Gastonia Kings Mountain Kinston Anderson Roxboro Fort Worth Lexington Philadelphia High Point New York Wilmington Lumberton Riegelwood Salt Lake City Dallas/Ft. Worth Canton Birmingham Maricopa Lake Success Baton Rouge Glen Raven Maitland Fort Mill Columbia Randleman Bolingbrook Albany Memphis Norfolk

State NC IN NJ GA AL GA CA MI NC MN NC NC NC IN NC TX KY PA NC NY DE NC NC UT TX MA AL CA NY LA NC FL SC SC NC IL NY TN VA

Zipcode 28106 46227 08830 31420 35602 31412 91109 48237-0502 28560 55113 28052 28086 28501 46015 27573 76102-5313 40512-4079 19117 27260 10001 19809 28359 28456 84130 752619999 02021 35253 93252 11042 70821 27217 32794-5030 2971529221 27317 60440-5000 12212 381010019 23502

Phone1 Phone2 7048455608 3177812345 2016366200 9122324471 2055527011 9122361551 8183561000 8005211321 9196333101 6126311113 8008581854 7047398101 9195220771 3176421199 9195998329 8007251407 7043717581 2156354137 9108896186 212374900 3027925900 9107393201 (910) 655-2211 (800) 624-6519 (800) 237-1900 6178211000 2058773000 8057698261 8008317783 5042939440 (800) 711-1507 8005544954 4044916411 (803) 548-3624 8008453163 9194984153 8004043377 8008881238 8044661444

Third Party Insurance Codes

Code F92 F93 F94 F96 F97 F98 F99 FA0 FA1 FA2 FA3 FA4 FA5 FA6 FA7 FA8 FA9 FB0 FB1 FB2 FB3 FB4 FB5 FB6 FB7 FB8 FB9 FC0 FC1 FC2 FC3 FC4 FC5 FC6 FC7 FC8 FC9 FD0 FD1

CompanyName Harriss-Covington Hosiery Mill Fontaine Fifth Wheel Company Rice Hosiery Corporation Holiday Inn National Mt. Airy Furniture Company The Dean Company/CCI Admin. HIP/Health Insurance Plan Group Resources America's Choice Healthplan Local 138 Christian Brothers Employee Benefit Trust Unisys SRS Administrators Crown, Cork and Seal Co. The Capella Group/ Private Health Systems Principal Financial Group Unicare Blue Cross Blue Shield of Kansas City Medica Northeast Health John Alden Life Insurance Co. Wausau Insurance Co. Union Bankers Life Insurance Co. Florida Benefit Administrators Code no longer Valid United Healthcare Pharmacy Plan/EXPRESS SCRIPTS United Church of Christ Benefit Plan Coventry Healthcare Code no Longer Valid Express Scripts Vision Service Plan USI Administrators Cigna NCA Carolina Summit Healthcare, Inc. Cascade Corporation Employee Benefits Priority Health First Carolina Care Code no longer valid

Address 1250 HICKORY CHAPEL RD. PO Box 1118 PO Box 2112 I-40 at New Page Road PO Box 867 PO Box 7152 PO BOX 2845 PO Box 100043 PO Box 922043 PO Box 206 1205 Windham Parkway PO Box 9102 PO Box 202 l Crown Way PO Box 200368 PO BOX 39710 PO Box 833835 PO Box 419169 PO Box 9310 2212 BURDETT AVE PO Box 1599 PO Box 8079 PO Box 655433 13080 S. Belcher Rd., Ste. A ZZZZZZZZZZZZZZZZZZZ PO BOX 390873 475 Riverside Drive PO Box 7711 zzzzzzzzzzzzzzzzzzz PO Box 390873 PO Box 997105 PO Box 8911 PO Box 5200 377 Oak Street PO Box 14669 2501 Sheridan Avenue PO Box 232 PO Box 381686 ZZZZZZZZZZZZZZ Updated: December 8, 2009

City High Point Rocky Mount High Point RTP Mt. Airy Dublin New York Duluth Houston Farmingdale Romeoville Summerville Palmyra Philadelphia Arlington COLORADO SPRINGS Richardson Kansas City Minneapolis TROY Boise Wausau Dallas Largo ZZZZZZZZz BLOOMINGTON New York London zzzzzzzzz Bloomington Sacramento Melville SCRANTON Garden City Cincinnati Springfield Grand Rapids Birmingham ZZZZZZZZZ

State NC NC NC NC NC OH NY GA TX NY IL MA NJ PA TX CO TX MO MN NY ID WI TX FL ZZ MN NY KY ZZ MN CA NY PA NY OH OH MI AL ZZ

Zipcode 27260-7187 27801 272612112 27709 27030 43017 10116-2845 300969343 77292-2043 11735 604461694 02145 08065 191544599 76006 8094975083 641416149 554409310 1218083701 544028079 752655433 33773 00000-0000 55439-0873 10115 4074200000-0000 55439-0873 95899 117478911 18505-5200 11530 45250 45505 495010232 35238 00000-0000

Phone1 9108826811 9194467124 9198412161 9199416000 9193745001 6147647600 8004478255 (800) 749-9963 (877) 224-3627 (516) 694-2140 (800) 545-2858

Phone2

7188264300 (770) 813-8474 (800) 633-4226 (800) 807-0100

(800) 777-2677 (800) 507-2359 (888) 411-3888 (888) 421-2917 (800) 689-2690 (800) 566-8443 (800) 952-3455 (800) 269-9579 (800) 328-4316 (800) 523-3578 (800) 789-6364 (214) 954-7800 (800) 571-4144 (800) 842-2038 (800) 642-6543 (800) 395-2545 (800) 955-4879 (888) 877-4426 (800) 392-9373 (800) 284-4512 (800) 969-2524 (877) 278-6481 (877) 745-8415 (937) 399-6034 (800) 956-1954 (616) 958-1954 (800) 811-3298

Third Party Insurance Codes

Code FD2 FD3 FD4 FD5 FD6 FD7 FD8 FD9 FE0 FE1 FE2 FE3 FE4 FE5 FE6 FE7 FE8 FE9 FF0 FF1 FF2 FF3 FF4 FF5 FF6 FF7 FF8 FF9 FG0 FG1 FG2 FG3 FG4 FG5 FG7 FG8 FG9 FH0 FH1

CompanyName Arthur J. Gallagher Intergroup Services Corp. Elberta Crate Mountain State Administrative Services Chromcraft Revington Claims Unit Capitol Administrators Aetna US Healthcare Unicare Life and Health Insurance CO. Wells Fargo UICI Administrators United Healthcare Plus Claims Dept. US Health and Life Aetna US Healthcare Code no longer valid PIA Penn Treaty Network American Insurance Co. AH & L Medcost Preferred/Static Control Components EPS CORESOURCE (WAS:Corestar) MBS ARM, LTD. Continental Casualty Eaton Benefits Empire Pharmacy Management Coventry Healthcare Dillon Yarn Health Plan Express Scripts Unicare Aetna U.S. Healthcare United Healthcare of IL. Great West Life Insurance Co. Reliastar Express Scripts Code no longer Valid Oxford Life Cigna Healthcare Custom Design Benefits, Inc. Protective Life Insurance Co.

Address PO Box 14997 Valleybrook 3 Suite 150 P.O. Box 795 P>O> Box 32709 PO Box 100184 PO Box 346 Po Box 26107 PO Box 4068 PO Box 2857 PO Box 619034 P.O. Box 1378 PO Box 1378 PO Box 981107 ZZZZZZZZZZZZZZZZ PO Box 5004 3440 Lehigh St. PO Box 10188 PO Box 25987 PO Box 720460 146 Industrial Park PO Box 25987 111 W. Campbell St. Suite 400 PO Box 3020 PO Box 2900 PO Box 5099 PO Box 7715 PO Box AE PO Box 390873 PO Box 5036 PO Box 14079 PO BOX 659748 1000 Great West Dr PO Box 20593 PO BOX 390873 zzzzzzzzzzzzzzz PO Box 46518 PO Box 36125 PO Box 94808 PO Box 385012 Updated: December 8, 2009

City Jackson Malvern Bainbridge Tucson Columbia Alpharetta Greensboro Schaumburg Fayetteville Dallas Troy Troy El Paso ZZZZZZZZZZ Thousand Oaks Allentown Glendale Winston-Salem Oklahoma City Jackson Winston-Salem Arlington Heights San Carolos Coraopolis Middletown London Patterson Bloomington Bolingbrook Lexington SAN ANTONIO Kennett Indianapolis BLOOMINGTON zzzzzzzzzzz Madison Charlotte Cleveland Birmingham

State MS PA GA AZ SC GA NC IL NC TX MI MI TX ZZ CA PA CA NC OK MN NC IL CA PA NY KY NJ MN IL KY TX MO IN MN ZZ WI NC OH AL

Zipcode 392364997 19355 317190795 857512709 292023184 300090346 274026107 60173 28311 75261-9034 48099 48099 79998-1107 00000-0000 913595004 18103 91209 271145987 73172-0460 561439511 271145987 60005 94070 15108 10941 40747 07509 554390873 60440 40512-4079 78265-9748 63857-3749 46220 55439-0873 00000-0000 537446518 28233 441014808 352385012

Phone1 Phone2 (800) 866-4142 (601) 956-3307 (800) 228-7374 (912) 246-2266 (800) 866-4731 (800) 991-7401 (888) 650-6566 (800) 942-5210 (800) 454-3262 (888) 406-2232 (910) 480-3100 (800) 315-3440 (810) 274-1220 (810) 274-1220 (800) 467-2006 (800) 468-4343 (800) 222-3469 (800) 601-8524 (336) 774-4400 (800) 749-2631 (405) 755-2929 (800) 274-6965 (336) 774-4400 (800) 392-1770 (800) 252-2148 (412) 269-1178 (800) 839-8442 (800) 889-1947 (973) 684-1600 (800) 772-3980 (800) 232-0117 (888) 632-3862 (877) 301-5040 (800) 645-9656 (800) 663-8081 (317) 251-2009 (800) 235-4357 (877) 469-3073 (800) 371-0196 (800) 346-3141 (800) 409-2595 (800) 866-3555

Third Party Insurance Codes

Code FH2 FH3 FH4 FH5 FH6 FH7 FH8 FH9 FI0 FI1 FI2 FI3 FI4 FI5 FI6 FI7 FI8 FI9 FJ0 FJ1 FJ2 FJ3 FJ4 FJ5 FJ6 FJ7 FJ8 FJ9 FK0 FK1 FK2 FK3 FK4 FK5 FK6 FK7 FK8 FK9 FL0

Address CompanyName Prudential Healthcare HMO PO Box 4347 TPA, INC. PO Box 300 Alta Health and Life PO Box 8530 NCADA: Health Track Association PO Box 12167 Long's Claim Service 4747 Lincoln Mall Dr. Ste. 305 AmeriBen Solutions PO Box 7186 Cigna Healthcare PO Box 5200 Commerce Benefits Group PO Box 900 Operating Engineers Local 465 5901 Harford Road Aetna U.S. Healthcare PO Box 163038 W. T. McCreary Corp. 700 Central Parkway Highmark Services PO Box 535078 AON Select (Dental-Novant Health Plan) PO Box 15 Local Union #74 Service Employees Intern'l Union 24-09 38th Ave. Community Health Plan of Washington 1100 Olive Way, Ste. 200 SAI Med 1803 Research Blvd. Ste204 Harden and Company PO Box 268810 Select Benefits, Inc. PO Box 440 Care First Administrators PO Box 13303 Care First Administrators PO Box 1196 California Field Ironworkers 131 N. El Molino Ste 330 Unicare PO Box 1500 Benefit Services (Local Union 475- Elect. Wrkrs.) 1601 Market St. Ste 1575 TBG Administrators (The Boller Group) PO Box 1724 Group Health Managers 26205 Five Mile Road Ochsner Health Plan of Louisiana One Galleria Blvd. Ste. 1224 Cigna PO Box 5200 Opticare PO Box 7548 HealthComp PO Box 30070 Dupont Employers Medical Care Plan (RX Drugs ONLY) c/o Ae4050 Piedmont Parkway Coresource PO Box 168 CONSECO PO Box 5151 Express Scripts PO BOX 390873 Michelin North America (Rx drugs only) PO Box 19001 Pacific Life and Annuity PO Box 2890 Trustmark PO Box 9055 Carolina Instrumentation PO Box 25987 Intergroup of Arizona (RX drugs only) 930 North Finance Center Dr. Sound Benefit Administrators PO Box 440 Updated: December 8, 2009

City Houston Pueblo Kansas City Raleigh Matteson Boise SCRANTON Elyria Baltimore Columbus Stewart Pittsburgh Winston-Salem Long Island Seattle Rockville OKLAHOMA CITY Ashland Baltimore Baltimore Pasadena Maumee Philadelphia Wausau Redford Metairie SCRANTON Rocky Mount Reno High Point Madison Jamesville BLOOMINGTON Greenville Newport Beach Boardman Winston-Salem Tuscon Ashland

State TX CO MO NC IL ID PA OH MD OH FL PA NC NY WA MD OK WI MD MD CA OH PA WI MI LA PA NC NV NC WI WI MN SC CA OH NC AZ WI

Zipcode 77210 81002 641140530 27605 60443 837071186 18505-5200 44036 21214 43216 34994 152535078 27102 11101 98101 208503155 731268810 54806 21203 21297 911011629 43537 19103 544021724 48238 70001 18505-5200 27084 89520 27265 604430168 535475151 55439-0873 29602 926589010 445139055 271145987 85710 54806

Phone1 Phone2 (000) 000-0000 (000) 000-0000 (800) 543-9073 (800) 807-2805 (888) 406-2232 (708) 747-4079 (800) 786-7930 (800) 222-5026 (800) 222-5026 (416) 254-9595 (800) 268-2201 (800) 431-2221 (800) 279-2624 (800) 368-3804 (718) 991-4290 (800) 440-1561 (301) 251-7850 (213) 386-3324 (800) 497-3699 (800) 423-9791 (800) 423-9791 (800) 527-4613 (800) 454-3262 (800) 330-9340 (800) 826-0012 (800) 992-2508 (888) 882-9806 (800) 368-6740 (800) 960-7247 (800) 445-7175 (800) 848-3012 (800) 950-0084 (877) 435-7868 (949) 219-6100 (800) 544-7312 (800) 795-1023 (800) 497-3699 (715) 682-5990

Third Party Insurance Codes

Code FL1 FL2 FL3 FL4 FL5 FL6 FL7 FL8 FL9 FM0 FM1 FM2 FM3 FM4 FM5 FM6 FM7 FM8 FM9 FN0 FN1 FN2 FN3 FN4 FN5 FN6 FN7 FN8 FN9 FP0 FP1 FP2 FP3 FP4 FP5 FP6 FP7 FP8 FP9

CompanyName TPA, Inc. Cigna Healthcare United Teachers Association Excellus Benefit Services, Inc. Delta Dental Plan Lincoln Financial Group American Health Group Strategic Outsourcing, Inc. c/o Key Partners, Inc. MetLife Dental Aetna U.S. Healthcare Blue Cross Blue Shield of Alabama Aetna U.S. Healthcare Beroth Tire & Automotive, Inc. Cigna Healthcare Prudential Greater Health Service Golden Rule Insurance Co. Blue Cross of California Aetna U.S. Healthcare Reliance Insurance Plumbers & Pipefitters Local No. 421 Health & Welfare Fund Millennium Dental Service Organization Vision Service Plan World Insurance Cigna Teamsters Local 617/Magnacare Primecare Compcare/Blue Code no longer Valid Prudential Cigna Benefit Coordinators Corp. Delta Dental Plan of Wisconsin Benefit Management Corp. (BMC) Cigna Cigna Cigna Cigna Cigna

Address PO Box 1127 PO Box 5200 PO Box 30010 PO Box 22999 PO Box 9695 PO Box 2640 PO Box 1500 PO BOX 241508 PO Box 14093 PO Box 91522 PO Box 2294 PO Box 3930 731 E. Mountain St. PO Box 15554 PO Box 4579 PO Box 690903 712 Eleventh St. PO Box 7168 PO Box 24103 PO Box 2996 PO Box 840 PO Box 70006 PO Box 997100 PO Box 2558 PO Box 8014 587 Bergen Blvd. 10701 W. Research Dr. 401 W. Michigan Ave. ZZZZZZZZZZZZZZZZZZZZZZ 11675 Great Oaks Way PO Box 188013 514 W. 3rd Ave. PO Box 828 PO Box 269000 PO Box 188003 PO Box 182558 PO Box 188004 PO Box 188005 PO Box 188023 Updated: December 8, 2009

City Blue Bell SCRANTON Austin Rochester Boston Omaha Maumee CHARLOTTE Lexington Arlington Birmingham Allentown Kernersville Wilmington Jacksonville Charlotte Lawrenceville San Francisco Fresno Parkersburg Macon Louisville Sacramento Omaha Plainville Ridgefield Milwaukee Milwaukee ZZZZZZZZZZZ Alpheretta Chattanooga Warren Stevens Point Weston Chattanooga Chattanooga Chattanooga Chattanooga Chattanooga

State PA PA TX NY MA NE OH NC KY TX AL PA NC DE FL NC IL CA CA WV GA KY CA NE CT NJ WI WI ZZ GA TN PA WI FL TN TN TN TN TN

Zipcode 19422 18505-5200 787553010 1469202114 681032640 43537 28224-1508 405124093 760150022 352890001 181060930 27018 19850 322310038 282277016 624392395 9412093779 261022996 312020840 402700006 95899-7100 681032558 06062 076572025 532260649 53201 00000-0000 30022 374228013 16365 54481 333269000 374228003 37422 37422 37422 37422

Phone1 (800) 443-6430 (800) 335-6278 (800) 867-8986 (800) 803-5773 (800) 872-0500 (800) 842-3729 (800) 861-5770 (888) 836-7764 (877) 638-3379 (888) 633-1908 (800) 517-6425 (800) 232-8825 (336) 996-2033 (800) 441-7150 (800) 643-3609 (877) 244-3337 (618) 943-5465 (800) 258-3091 (800) 221-7371 (800) 451-7929 (888) 741-2673 (800) 233-1043 (800) 877-7196

Phone2 (215) 646-7000

(800) 548-6428 (617) 886-1234 (419) 891-1820 (800) 424-8081

(205) 988-2213

(912) 741-3521

(800) 462-7486 (201) 941-7290 (800) 879-0071 (414) 443-4000 (888) 336-3882 (414) 226-6600

(423) 321-4400 (800) 486-9707 (800) 236-3712 (715) 344-6087 (800) 262-9175 (800) 251-0670 (800) 251-0670 (800) 845-7822 (800) 423-3341 (800) 720-1970

Third Party Insurance Codes

Code FQ0 FQ1 FQ2 FQ3 FQ4 FQ5 FQ6 FQ7 FQ8 FQ9 FR0 FR1 FR2 FR3 FR4 FR5 FR6 FR7 FR8 FR9 FS0 FS1 FS2 FS3 FS4 FS5 FS6 FS7 FS8 FS9 FT0 FT1 FT2 FT3 FT4 FT5 FT6 FT7 FT8

CompanyName Cigna Cigna Cigna Cigna Great West Life One Health Plan/Great West Spectara - Claims Dept. Trustmark Dental Unicare Unicare Tufts Healthplan Unicare VisionCare Wellpoint Dental AH & L Cigna New York Life Insurance Co. Aetna Pharmacy Management PCN Wellmark Administrators Capitol Administrators Kobe Copper Products Inc./co MBS Boston Mutual Life Ins. Co. AON Select SC Standard Corporation Summit Insurance Co. First Carolina Care Cigna All American Bottling Co. National I.A.M. Benefit Trust Fund Alternative Benefit Plan, Inc. Unicare Spectrum Risk Management UPMC Health Plan Services Unicare First Health Network APA Partners Code no longer valid Cigna

Address PO Box 5200 PO Box 28048 PO Box 7100 PO Box 8500 245 Perimeter Center Place 7th Fl. 1000 Great West PO BOX 30978 PO Box 1020 PO Box 2570 3820 American Dr. PO Box 9163 PO Box 9178 1421 Washington Ave. PO Box 9125 PO Box 6861 PO Box 188026 3316 Farnam St. PO Box 14024 9343 Tech Center Dr., Ste. 200 PO Box 9900 PO Box 346 PO Box 25987 PO Box 830626 PO Box 2438 PO Box 460 550 Summit Ave. Ste. 101 PO Box 381686 PO Box 9360 15 N. Robinson Ste. 1201 1300 Conn Ave. NW #300 2920 Brandywine Rd. Ste. 106 PO Box 4005 6 Executive Dr. Ste. 1 PO Box 2999 Chatham Center Ste 88 PO Box 4063 PO Box 11855 PO BOX 1506 ZZZZZZZZZZZZ PO Box 80000 Updated: December 8, 2009

City Scranton Gastonia Gastonia Gastonia Atlanta Kennett Salt Lake City Freefort Dearborn Plano Watertown Oxnard Racine Oxnard Piscattaway Chattanooga Omaha Lexington Sacramento Sioux City Alpharetta Winston-Salem Birmingham Florence Leland Troy Birmingham Sherman Oklahoma City Washington Atlanta Schaumburg Fairview Heights Pittsburgh Schaumburg Tucson Latham ZZZZZZZZZ Atlanta

State PA NC NC NC GA MO UT IL MI TX MA CA WI CA NJ TN NE KY CA IO GA NC AL SC NC OH AL TX OK DC GA IL IL PA IL AZ NY ZZ GA

Zipcode 18505-5200 28053 28053 28053 30096 63857-3749 8413061032 48123 75075 02471 93031 53403 93031 08855 374228026 681753150 40512958262563 51102 200090346 271145987 35283 29503 28451 45373 35238 75091 73102 200361703 30341 60168-4005 62208 152302999 60173 857343070 12110 00000-0000 30359

Phone1 Phone2 (800) 882-4462 (800) 255-7476 (800) 255-7476 (800) 255-7476 (800) 663-8081 (800) 663-8081 (800) 355-4706 (800) 638-3120 (800) 618-3384 (800) 223-2590 (800) 843-7489 (800) 442-0422 (800) 234-9778 (800) 820-3132 (800) 794-0966 (800) 463-2509 (800) 253-7057 (800) 995-5991 (800) 238-6279 (888) 632-3862 (800) 777-0074 (800) 526-5710 (888) 650-6566 (336) 774-4400 (800) 678-4079 (888) 722-1668 (803) 771-6785 (937) 332-8400 (800) 811-3298 (800) 280-7651 (405) 232-1158 (800) 317-7594 (770) 457-8030 (888) 209-7982 (618) 632-8539 (888) 876-2756 (800) 311-6548 (800) 321-0297 (800) 833-3650 (800) 335-8244

Third Party Insurance Codes

Code FT9 FU0 FU1 FU2 FU3 FU4 FU5 FU6 FU7 FU8 FU9 FW0 FW1 FW2 FW3 FW4 FW5 FW6 FW7 FW8 FW9 FX0 FX1 FX2 FX3 FX4 FX5 FX6 FX7 FX8 FX9 FY0 FY1 FY2 FY3 FY4 FY5 FY6 FY7

CompanyName Kanawha Insurance Mayo Health Plan First Health RX Delta USA Blue Cross Blue Shield of Alabama Pittman and Associates Painters Union Pension Fund Total Benefit Services Blue Cross Blue Shield of Pennsylvania (65 Special) Hewitt, Coleman and Associates United Healthcare Eye Care Plan of America Healthcare Resources Aetna U.S. Healthcare State of Maryland Retirement & Pension System McConachie Financial Services Health Risk Management, Inc. Allied Services Division Welfare Fund Benefit Plan Administrators Unicare Inland Empire Electrical Workers Trust United Chemi-Con Health Plan Sioux Valley Health Plan Southern California Pipe Trade Trust Fund United Provider Services Conseco Health Insurance Cigna BC/BS of NC - DENTAL ONLY Conseco EBMS MPI Ferguson Copeland, LTD Health Plan Rutherford EMC Globe Life and Accident Insurance Co. Blue Cross Blue Shield of Oregon Kaiser Woodbury & Company (Corbett Medical Plan) CAROLINA CARE PLAN Association Plan Administrators, Inc.

Address PO Box 1000 4168 S. Point LA Pkwy Ste. 102 PO Box 85042 PO Box 59238 PO Box 360508 PO Box 111047 26877 N. Western Highway Ste. 100 PO Box 30444 PO Box 898845 PO Box 6528 PO Box 659741 PO Box 51810 PO Box 177 PO Box 182843 301 W. Preston St. PO Box 859 PO Box 751 53 W. Seegers Road PO Box 2339 PO Box 4458 PO Box 5433 c/o PO Box 25987 PO Box 91110 501 Shatto Place 5th floor Po Box 820277 PO Box 359 PO Box 2305 PO Box 2100 399 Market Dr. PO Box 21367 PO Box 81913 PO Box 25987 186 Hudlow Road PO Box 8080 PO Box 900 500 NE Multnomah St. Ste. 100 PO Drawer 270 PO BOX 100234 2858 W. Market St. #N Updated: December 8, 2009

City Lancaster Jacksonville Richmond Minneapolis Birmingham Memphis Southfield New Orleans Camp Hill Greensville San Antonio Phoenix South Bend Columbus Baltimore Park Ridge Minneapolis Arlington Heights Fargo Chicago Spokane Winston-Salem Sioux Falls Los Angeles Fort Worth Whitewater Southfield Winston Salem Philadelphia Billings Rochester Winston-Salem Forest City McKinney Portland Portland Wilmington COLUMBIA Akron

State SC FL VA MN AL TN MI LA PA SC TX AZ IN OH MD IL MN IL ND IL WA NC SD CA TX WI MI NC PA MT MI NC NC TX OR OR NC SC OH

Zipcode 29721 32216 232615042 55459 352360508 381110047 48034 70190 17089 29606 782659741 85076 46624 432182843 21201 60068 554400751 60005 58108 60680-4458 992050433 271145987 57109 90020 76182 53190 48037 2710219181 59104 483081913 271145987 28043 750708080 97207 97232 28402 2920244333

Phone1 Phone2 (800) 822-1274 (800) 476-5150 (904) 279-2646 (800) 225-4423 (800) 448-3815 (800) 334-9041 (800) 238-1344 (248) 358-3340 (800) 596-3150 (504) 596-3155 (800) 367-9378 (864) 240-5840 (800) 999-1147 (800) 843-3272 (800) 283-0505 (800) 245-0655 (800) 367-1440 (847) 297-3640 (800) 713-1068 (847) 981-0491 (800) 554-3951 (800) 454-3262 (847) 706-4050 (800) 872-8979 (509) 534-0600 (336) 774-4400 (800) 752-5863 (213) 385-6161 (800) 519-8374 (262) 473-7505 (800) 523-4626 (800) 305-6638 (877) 877-8052 (406) 245-3575 (800) 293-8322 (336) 774-4400 (828) 245-1621 (972) 540-6986 (800) 278-5331 (800) 813-2000 (910) 763-3431 (800) 747-9995 (800) 624-2564

Third Party Insurance Codes

Code FY8 FY9 FZ0 FZ2 FZ3 FZ4 FZ5 FZ6 FZ7 FZ8 FZ9 G00 G02 G03 G04 G05 G06 G07 G08 G09 G10 G11 G12 G13 G14 G15 G16 G17 G18 G19 G20 G21 G22 G23 G26 G27 G29 G30 G31

CompanyName Health Plan Administrators, Inc. Delmarva Health Plan American Healthcare Alliance Advanced Benefit Administration The Beacon Company Cole Vision Care South Central Preferred Atlantic Blue Cross Midwest National Life Insurance Co. Anthem Blue Cross Blue Shield Fortis Family Insurance American Cyanamid Company VFCW of Carolina and Virgina P.E.I.A. Centra Benefit Services HTB Contemporary Design American Trial Lawyer's Ass./ATLA Engineered Controls Intl., Inc. Prudential Insurance Co. Batus Unisys Felker Benefit Services The Lilly Company CNA Code no longer Valid Cigna Lincoln National Insurance Co. RWDSU Fund Office Frit Industries Group Health Plan R.L. Stowe Mills, Inc. Amway Distributers United Healthcare Arvin Service Center/BCBS of IN Select Benefit Adminstrators Sentara Colonial Insurance Company Aetna U. S. Healthcare Charlotte Aircraft TPA, Inc.

Address PO Box 2638 7172 Columbia Gateway Dr. STE. E PO Box 8530 6420 SW Macadam Ave. Ste. 380 PO Box 12097 PO BOX 8056 PO Box 2347 PO Box 220 PO Box 982017 PO Box 37690 PO Box 19061 PO Box 509 5305 Virginia Beach Blvd. Bldg. 5, Rm 1001, 1900 Kanawah Blvd. E. PO Box 869041 - Dept. 198 PO Box 729 1255 23rd St., NW Suite 300 PO Box 247 PO Box 27718 PO Box 35090 PO Box 9102 PO Box 8955 PO Box 2358 PO Box 305181 ZZZZZZZZZZZZZZZZZZ PO Box 5200 3875 Hopyard Rd. PO Box 55728 PO Box 569 PO Box 351 PO Box 791428 PO Box 105312 PO Box 6082 PO Box 8339 4417 Corporation Lane 310 Park Building PO Box 182756 PO Box 25555 PO Box N Updated: December 8, 2009

City Rockford Columbia Kansas City Portland New Bern TWINSBURG York Moncton, New Brunswick N. Richland Hills Louisville Greenville Wayne Norfolk Charleston Plano Conover Washington Elon College Houston Louisville Summerville St. Louis High Point Nashville ZZZZZZZZZZZ SCRANTON Pleasanton Birmingham Bridgeton Belmont Dallas Atlanta Indianapolis Des Moines Virginia Beach Cleveland Columbus Charlotte Ludlow

State IL MD MO OR NC OH PA CN TX KY SC NJ VA WV TX NC DC NC TX KY MA MO NC TN ZZ PA CA AL NC NC TX GA IN IA VA OH OH NC MA

Zipcode 611322638 21046 641140530 97201 285612097 4408717405 E1C8L3 76182 40233 29602 074740489 23502 25362 75086-9041 28613 20037 27244 77227 40232 02145 63102 27261 37230 00000-0000 18505-5200 94566 35255-5728 28519 28012 75379 30348 46206-6082 50301 23462 44114 43218-2756 28229-5335 01058

Phone1 Phone2 (815) 633-5800 (410) 639-7612 (800) 317-2324 (800) 443-6531 (800) 242-1510 (800) 334-7591 (717) 561-9932 (800) 563-4444 (800) 527-5504 (800) 858-4948 (800) 835-8953 8002626111 8006784656 3045587850 8006546208 7043229131 8004249883 9194497707 8002250161 5025688269 (859) 223-3208 8002558215 9198892157 8002624725 8002629247 5152239622 (800) 223-9601 4158477200 8006338906 9196382675 7048255314 8008423210 2142337062 8008262211 8006348638 5152864400 7575527410 2168615970 (800) 645-5677 7045370212 4135989501

Third Party Insurance Codes

Code G32 G33 G34 G35 G37 G38 G39 G40 G41 G42 G43 G44 G45 G46 G47 G48 G49 G50 G51 G52 G54 G55 G56 G57 G58 G59 G60 G61 G62 G63 G65 G66 G67 G68 G69 G70 G71 G72 G73

CompanyName Benefit Plan Adminstrators Municipal Adminstrators Corp. United Healthcare/GE Medical Benefits The Michelson Group Cuddy Farms c/o EBS W.H. Shepherd Company Unum Flexible Benefits Plan Pioneer Management Fredrickson Motor Express American Commerical Barge Lines Poly-Tech, Inc. Central Reserve Life Ward Tank Corporation Code no longer Valid Unicare Golden Poultry Benefit Management Services Network Mangement, Inc. Code no longer valid Bali Company Prudential Insurance Co. United Healthcare Ceco Buildings Divison Carolina Benefit Administrators Perfection Hy-Test Kewaunee Scientific Corp. Pilgrim Health Applications, Inc. United Healthcare Old Surety Life of Texas United Behavioral Philadelphia American Life Ins. Johnson Administrators Aetna Life Insurance Co. Dinner Bell Foods, Inc. Confed Administration Services JM Family Enterprises Providential Life Insurance Hardwood Dimension, Inc. Centra Benefit Services

Address PO Box 11746 2717 National Drive, Suite 217 PO Box 740801 PO Box 220789 PO BOX 1929 300 Cahaba Park Circle, Suite 206 2211 Congress Street PO box 1400 PO Box 5369 PO Box 610 PO Box 369 17800 Royalton Rd. PO Box 560066 zzzzzzzzzzzzzzz PO Box 733 PO Box 3668 PO Box 1178 PO Box 9004 ZZZZZZZZZZZZZ PO Box 219 PO Box 2840 PO Box 30555 PO Drawer 2387 PO Box 25566 PO Box 1078 PO Box 5400 75 Technology Drive PO Box 105509 PO Box 54407 PO Box 659745 4625 Washington Ave. PO Box 248 PO Box 5569 PO Box 2362 PO Box 29419-03 8019 Bayberry Road PO Box 66967 PO Box 1429 PO Box 869043 Updated: December 8, 2009

City Roanoke Raleigh Atlanta Charlotte FORT MILL Birmingham Portland Holyoke Charlotte Jeffersonville Battleboro Strongsville Charlotte zzzzzzzzzzz Franklin Sanford Matthews Mercer Island ZZZZZZZZZZ Gastonia Jacksonville Salt Lake City Rocky Mount Winston-Salem Graham Statesville Lowell Atlanta Oklahoma City San Antonio Racine Newton Akron Ft. Wayne N. Charlston Jacksonville Chicago Dunn Plano

State VA NC GA NC SC AL ME MA NC IN NC OH NC ZZ VA NC NC WA ZZ NC FL UT NC NC NC NC MA GA OK TX WI PA OH IN SC FL IL NC TX

Zipcode 24022 27612 3037428222 2971635242 04122010411400 28225 47130 27809 44136 28256-0066 00000-0000 23851 27330 28106 98040-9004 00000-0000 28053 32231 8413027802-2387 271145566 27253 28677 018512728 30348 73154 7826553405 18940 44334 46801 29419-9003 32256 60666-9913 28335 75086-9043

Phone1 Phone2 (800) 277-8973 (703) 345-2721 9197829201 8005523232 7043654685 8002421510 2059912817 (800) 693-4988 (800) 466-7600 (413) 539-9900 8004269190 8005487689 9199779038 (800) 321-3997 7045683001 8006802267 9197747333 8002281803 8006476400

9043914096 (800) 842-6563 9199772131 (336) 765-0297 9192265501 7048732284 8003430832 8004266404 8002725466 6152984815 (800) 713-4680 8005212755 8006261987 8003484954 8004411172 9047374020 3178174075 8006821141 8006546208

Third Party Insurance Codes

Code G74 G75 G76 G77 G78 G79 G80 G81 G82 G83 G84 G85 G86 G87 G88 G89 G90 G91 G92 G93 G94 G95 G96 G97 G98 G99 GA1 GA2 GA3 GA4 GA6 GA7 GA8 GA9 GB0 GB1 GB2 GB3 GB4

CompanyName Consolidated Benefits, Inc./MEDCOST United Coatings Columbia Health Services National Benefits Corp. Memorex Telex Catawba-Charlab, Inc. STANLEY FURNITURE/UNITED HEALTHCARE The New England Care Health Plan Group Insurance Service Center, Inc. Jefferson Smurfit Corp. Equicor Union Plan Adminstrators Triton Management Company Harper-Collins Publishers c/o Aetna William C. Reynolds Co. CIGNA American Family Insurance Auto Zone Benefits Dept. Equicor Regional Benefits Office CIGNA Insurance Co. Pen-Wel, Inc. NCAS United Healthcare Westpoint Pepperell Meadowbrook Manor of Shelby Chesterfield Resources, Inc. Edward Price Company FuturePoint Administrative Services American Sterling Insurance Service Mutual Healthcare Solutions, Inc. Vision Service Plan Employer Plan Services, Inc. Reliance Insurance ECI Health and Welfare Plan American Group Administrators, Inc. Cigna ERN Administrators IMA CBCA Administrators Inc

Address PO BOX 25307 1011 Woodward Ave. PO Box 2989 110 Gibralter Rd. PO Box 27648 PO Box 240497 PO BOX 740800 PO Box 11111 9201 E. Bloomington Frwy., Suite JJ PO Box 3124 PO Box 2328 2nd & Franklin Street PO Box 14986 3541 Winchester Rd PO Box 1993 PO Box 6185, Station B 3099 E. Washington Ave. 3030 Poplar Ave., DP 8204-2 PO Box 12500 PO Box 5200 730 Holiday Drive PO Box 220367 PO Box 740800 PO Box 388, Scotland Plant 1101 N. Mangum Street PO Box 1884 6834 Mission Street 215 Center Park Dr. Ste. 1600 10975 Grandview Dr. 3025 Breckenridge Blvd. 3333 Quality Dr. 2180 N. Loop West Ste. 400 PO Box 2996 PO Box 14277 260W. MAIN STREET, STE 215 PO Box 190024 6000 Western Place 1325 Barkshell Blvd. Ste. 300 PO Box 100300 Updated: December 8, 2009

City WINSTON-SALEM Charlotte Van Couver Horsham Salt Lake City Charlotte ATLANTA Fort Scott Bloomington Wilson Pittsburgh Richmond Greensboro Allentown Hickory Greenville Madison Memphis Fresno SCRANTON Pittsburgh Charlotte Atlanta Wagram Shelby Akron Daly City Knoxville Overland Park Duluth Rancho Cordova Houston Parkersburg Milwaukee Hendersonville Charleston Fort Worth Bossier City Columbia

State NC NC WA PA UT NC GA KS MN NC PA VA NC PA NC SC WI TN CA PA PA NC GA NC NC OH CA TN KS GA CA TX WV WI TN WV TX LA SC

Zipcode 2711428206 98668 19044 84127 28234 30374-0800 66701 55420 27895 152302328 23219 27415 18195-0501 28603 29606 53783 03811 93778-2500 18505-5200 15220 28222 303740800 28396 28150 44309 94014 37922 66210 3009695670 77018 261022996 53214 37075294199024 76107 71111 29202-

Phone1 (803) 736-5088 7043740111 8004439540 8004575555 8002473844 7045234242 (800) 272-8970 (800) 355-4706 6128847604 9192377121 4125622851 8046484158 (336) 275-5475 8007843982 7043279915 (800) 244-6224 6082492111 9013254600 8002235674 8159394566 8006244566 7043643865 (877) 222-4261 9193694307 7044825396 8003210935 (800) 362-5247 (800) 449-9137 (877) 292-6037 (770) 717-2510 (800) 877-7195 (800) 447-6588 (800) 451-7929 (800) 338-5291 (800) 346-6509 (800) 720-3150 (800) 252-4698 (318) 747-0577 (888) 446-5710

Phone2

8008287622

(865) 671-3411

(713) 932-8917 (414) 778-0246

Third Party Insurance Codes

Code GB5 GB6 GB7 GB8 GB9 GC0 GC1 GC2 GC3 GC4 GC5 GC6 GC7 GC8 GC9 GD0 GD1 GD2 GD3 GD4 GD5 GD6 GD7 GD8 GD9 GE0 GE1 GE2 GE3 GE4 GE5 GE6 GE7 GE8 GE9 GF0 GF1 GF2 GF3

CompanyName Code no longer Valid Avemco Insurance Co. AssureCare Medica Choice (Medical) Wellmark BC/BS John Deere Healthplan Cigna Epoch Group Western Grower Assurance Trust Acclaim Medical Services Humana Cigna Aetna U.S. Healthcare Caterpillar Precision Seals Cigna Aetna U.S. Healthcare Performax First Health Seabury & Smith Benefit Plan Management IDA Aetna US Healthcare Agency Services, Inc. TLNA Group Health Care Plan Family Heritage Life Insurance Co. Cherokee Insurance Co. Aetna US Healthcare United Cotton Organization General Prescriptions Humana Aetna US Healthcare Z. V. Pate Group Self Insurance Fund United Healthcare/Caterpillar Cigna Blue Cross of Washington and Alaska Capital Administrators IBEW (NECA) LOCAL #0676 Peoples Benefit Services Code no longer Valid

Address zzzzzzzzzzzzzzzz 411 Aviation Way 340 Quadrangle Dr. PO Box 30990 1601 W. Madison Ave. 3800 23rd Ave. Ste. 200 Po Box 5019 5317 Highgate Dr. Ste 114 PO Box 7240 808 Varsity Dr. PO Box 14603 3 Huntington Quadrangle PO Box 28904 517 Industrial park Road PO Box 5200 PO Box 3933 PO Box 853921 PO Box 23817 PO Box 1088 PO Box 536 PO Box 875 PO Box 353 PO Box 17237 PO Box 10170, Dept. 188 3 Summit Park Drive PO Box 159 PO Box 14079 PO Box 25987 305 Madison Ave. Ste. 1166 B PO Box 14603 PO Box 981107 PO Box 159 PO Box 740800 PO Box 5200 PO Box 327 PO Box 346 2120 Hubbard Ave. PO Box 78761 zzzzzzzzzzzzz Updated: December 8, 2009

City zzzzzzzzz Frederick Bolingbrook Salt Lake City Sioux Falls Moline Visalia Durham Newport Beach Tupelo LEXINGTON Melville San Antonio Franklin SCRANTON Allentown Richardson Tuscon Saint Louis Rockland Oakland Grand Rapids Memphis Phoenix Cleveland Warren Lexington Winston-Salem New York Lexington El Paso Laurel Hill Atlanta SCRANTON Seattle Alpharetta Decatur Phoenix zzzzzzz

State ZZ MD IL UT SD IL CA NC CA MS KY NY TX NC PA PA TX AZ MO MA NJ MI TN AZ OH MI KY NC NY KY TX NC GA PA WA GA IL AZ ZZ

Zipcode 00000-0000 217014756 604403448 8413057104 61265 93278 27713 926587240 38801 405124603 117474602 782280904 287347921 18505-5200 18106 75085-3921 85734-3817 831881088 02370 07436 49501 381870237 85064 44131 28090 40512-4079 271145987 10165 405124603 79998-1107

Phone1

Phone2

(301) 694-5700 (800) 759-7422 (800) 952-3455 (800) 774-0384 (800) 527-4390 (800) 252-2091 (800) 377-0555 (800) 777-7898 (800) 317-2324 (800) 638-2639 (800) 335-8244 (800) 587-3496 (828) 349-8400 (800) 880-4973 (800) 752-0246 (716) 319-5399 (800) 334-3342 (800) 323-7344 (877) 642-7500 (800) 225-1345 (877) 368-6605 (800) 777-0988 (800) 552-6550 (216) 520-2800 (800) 201-0450 (800) 445-7175 (800) 795-1023 (800) 341-2234 (859) 221-8340 (800) 245-6738 (910) 462-2122 30374-0800 (866) 228-4215 18505-5200 (800) 840-1899 981110327 (800) 345-6784 30009 (888) 650-6566 62526 (800) 765-4239 85062 (800) 667-6914 00000-0000

(800) 458-5512

(800) 872-3862

(877) 777-6076

(800) 759-6944

(206) 670-5900

Third Party Insurance Codes

Code GF4 GF5 GF6 GF7 GF8 GF9 GG0 GG1 GG2 GG3 GG4 GG5 GG6 GG7 GG8 GG9 GH0 GH1 GH2 GH3 GH4 GH5 GH6 GH7 GH8 GH9 GI0 GI1 GI2 GI3 GI4 GI5 GI6 GI7 GI8 GI9 GJ0 GJ1 GJ2

CompanyName Aetna U.S. Healthcare Code no longer valid Cigna Healthcare Employer Benefit Services Health Administrators, Inc. USI Administrators Aetna U.S. Healthcare K & K Insurance Corporate Benefit Services of America (CBSA) Morton Buildings, Inc. Employee's Health Plan Clayton County Board of Commissioners Self-Funded Plan Consolidated Health Plans Aetna US Healthcare Foundation One Security The Guardian Capital Investors Life Insurance Co. Aetna US Healthcare Benesight Trigon Blue Cross Blue Shield Seabury & Smith Starmark Student Insurance/United Healthcare Foremost Insurance Co. Blue Cross Blue Shield of New York Managed Pharmacy Benefits (MBP) Highmark Blue Cross Blue Shield Medtrack Services (RX drugs) Blue Cross Blue Shield of Wisconsin Caremark/Advance PCS UMR Jardine Cigna Insurance Administrator of America/Equity One Employer Benefit Services Cigna United Healthcare Fidelity Benefit Administrators, Inc. Doctors Direct Express Scripts

Address PO Box 14027 zzzzzzzzzzzzzzz PO Box 24022 PO Box 2568 PO Box 7011 PO Box 9888 PO Box 15046 PO Box 2338 PO Box 10100 PO Box 232 PO Box 607 195 Stafford St. PO Box 44128 2601 Network Blvd Ste 107 PO Box 9129 PO Box 57007 PO Box 14094 PO Box 121212 555 Middle Creek Parkway MS425 2 West 2nd St. Ste. 1750 PO Box 2942 PO Box 809025 PO Box 1659 PO Box 3598 Church St. Station 1100 N. Lindbergh PO Box 2085 6400 Glenwood Ste. 104 PO Box 1582 PO Box 52195 PO Box 8300 PO Box 2209 PO BOX 183 PO Box 5082 PO Box 70100 PO Box 46270 PO Box 740801 201 International Circle 4th Floor Po Box 14669 PO BOX 390873 Updated: December 8, 2009

City LEXINGTON zzzzzzzzz Fresno Mansfield Wyomissing Savannah Albany Fort Wayne Tampa Morton Jonesboro Springfield Jacksonville Frisco Norwell Salt Lake City Lexington Marietta Colorado Springs Tulsa Clinton Dallas Portland New York Saint Louis Pittsburgh Overland Park Milwaukee Phoenix London Schenectady Southfield Mount Laurel Shreveport Eden Prairie Atlanta Hunt Valley Cincinnati BLOOMINGTON

State CT ZZ CA OH PA GA NY IN FL IL GA MA FL TX MA UT KY GA CO OK IA TX OR NY MO PA KS WI AZ KY NY MI NJ LA MN GA MD OH MN

Zipcode 40512-4027 00000-0000 937790422 44906 19610-6011 31412 12212 46801 336790100 615500232 30237 01104 322314128 75034020619129 84157 40512 300060092 80921 741033121 527332942 753809025 97207 10008 63132 15230 66202 53201 8507240742-8300 123012209 48086 08054 71137 553446270 303740801 21030 45250 55439-0873

Phone1 Phone2 (860) 952-5527 (800) 921-3366 (800) 456-5615 (877) 634-9814 (800) 631-3441 (800) 843-3661 (219) 459-5000 (888) 259-7022 (888) 801-1907 (800) 852-0049 (800) 633-7867 (877) 580-5021 (877) 712-4004 (800) 685-4542 (801) 264-1060 (800) 872-3862 (800) 562-7079 (800) 453-3622 (800) 949-5845 (800) 522-1246 (800) 767-0700 (800) 847-8217 (212) 476-7888 (800) 672-9540 (412) 544-7000 (800) 771-4648 (800) 242-9035 (888) 693-7750 (877) 884-5294 (800) 729-1227 (800) 523-4626 (888) 599-1515 (318) 424-1987 (800) 462-2135 (800) 552-3232 (410) 329-1800 (877) 507-7360 (800) 647-9135

(972) 712-4004

(800) 451-7715

(800) 446-7741 (414) 226-5000 (800) 303-0187

Third Party Insurance Codes

Code GJ3 GJ4 GJ5 GJ6 GJ7 GJ8 GJ9 GK0 GK1 GK2 GK3 GK4 GK5 GK6 GK7 GK8 GK9 GL0 GL1 GL2 GL3 GL4 GL5 GL6 GL7 GL8 GL9 GM0 GM1 GM2 GM3 GM4 GM5 GM6 GM7 GM8 GM9 GN0 GN1

CompanyName Cigna Tel-Drug Pharmacy Platinum Safety and Claims Services Benesight Lee Iron & Metal/co MBS United Healthcare Cigna Unicare Union Fidelity United Healthcare Companion Healthcare EB RX Inc. Code no longer valid AAO/TPA American General Life and Accident USI Administrators, Inc. Strategic Outsourcing, Inc. UICI Administrators AC Corporation/ co MBS Blue Cross Blue Shield of Massachusetts Wellpoint Cigna Blue Cross Blue Shield of Texas GE Vision Care Unicare Aetna US Healthcare Trustmark Dental Cigna Prudential Prudential Wellpoint Humana Trustmark Prudential-Aetna Humana Aetna US Healthcare Aetna US Healthcare Cigna Three Rivers Benefit Corp. Anthem Blue Cross Blue Shield

Address PO Box 1020 PO Box 6367 PO Box 330 PO Box 25987 PO Box 654738 PO Box 182223 PO Box 51180 PO Box 10841 PO Box 740803 PO Box 6170 PO Box 509075 zzzzzzzzzzzzzzzzzz 401 N. Lindbergh Blvd. PO Box 10845 PO Box 3357 PO Box 241508 PO Box 5102 PO Box 25987 PO Box 9198 PO Box 9085 PO Box 188024 PO Box 660044 PO Box 1440 PO Box 9201 PO Box 14094 PO Box 420 PO Box 188017 PO Box 45082 PO Box 4016 PO Box 9080 PO Box 14610 PO Box 3440 PO Box 14586 PO Box 14610 PO Box 14110 PO box 52120 PO Box 5200 PO Box 3440 370 Bassett Road Updated: December 8, 2009

City Horsham Tyler Pueblo Winston Salem San Antonio Chattanooga Springfield Clearwater Atlanta Columbia San Diego zzzzzzzzz Saint Louis Clearwater Fort Worth Charlotte Costa Mesa Winston Salem North Quincy Oxnard Chattanooga Dallas Latham Oxnard Lexington Freeport Chattanooga Jacksonville Millville Oxnard Lexington Boardman Lexington Lexington Lexington Minneapolis SCRANTON Sioux City North Haven

State PA TX CO NC TX TN MA FL GA SC CA ZZ MO FL TX NC CA NC MA CA TN TX NY CA KY IL TN FL NJ CA KY OH KY KY KY MN PA IA CT

Zipcode 19044 75711 81002 271145987 783659738 37422 01151 337578841 303740803 292606170 92150-9075 00000-0000 63141 337578845 761133357 28224 926285102 271145987 02171 93031 37422 752660044 12110 93031 40512-4094 61032 37422 32232 08332 930319080 40612-4610 44513 40512-4586 40512-4610 405124110 554025120 18505-5200 51102 064734201

Phone1 Phone2 (800) 285-4812 (903) 561-4242 (800) 362-1116 (800) 795-1023 (800) 239-3214 (800) 251-0670 (877) 864-2273 (877) 825-9336 (800) 334-4515 (800) 327-3183 (800) 233-3872 (800) 424-2841 (800) 871-0260 (800) 759-0101 (888) 836-7764 (800) 288-0926 (800) 795-1023 (800) 348-7921 (888) 218-4844 (800) 874-7489 (800) 451-0287 (800) 433-9375 (800) 288-8630 (877) 277-3368 (800) 618-3384 (800) 344-6323 (800) 422-7399 (800) 808-7277 (800) 962-7378 (866) 427-7478 (800) 544-7312 (800) 808-7277 (800) 992-0678 (877) 440-4708 (800) 443-7486 (800) 541-7526 (712) 258-1525 (800) 676-2583 (314) 993-1700

(800) 457-4708

(800) 367-7587

(203) 239-4961

Third Party Insurance Codes

Code GN2 GN3 GN4 GN5 GN6 GN7 GN8 GN9 GP0 GP1 GP2 GP3 GP4 GP5 GP6 GP7 GP8 GP9 GQ0 GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9 GR0 GR1 GR2 GR3 GR4 GR5 GR7 GR8 GR9 GS0 GS1

CompanyName Harrington Benefit Services Blue Cross Blue Shield of Delaware Benesight United Insurance Company of America Cigna BC/BS of Rochester Pipeline Industry Benefit Fund Employee Benefit Management Services Aetna U.S. Healthcare Quad/Med Claims United Healthcare Annuity Board of The Southern Baptist Convention Coventry Health/Sunblet Beverage Coastal Administrative Services, Inc Conseco Medical Insurance Company GLOBAL HEALTH CARE INSURANCE The Health Plan of Upper Ohio Valley, Inc. Star Human Resource Insurance Piedmont Benefits Management Benefits Administrative Services Code no longer valid Advance PCS United Concordia Companies, Inc. Great-West Life & Annuity Co. Americorps Northern Hospital of Surry County NCAS BCBS of Michigan aetna Optimum Choice of NC BMS Inteq Group ILGWU National Retirement Fund First Health - Pricing Co MasterBrand Cabinets Employee Benefits Trust Gulf South Risk Services Jefferson Pilot Financial/Lincoln Financial Group Trigon Healthkeepers Unicare

Address PO Box 30367 PO Box 8830 PO Box 320 PO Box 26400 PO Box 9300 165 Court Street PO Box 470950 PO Box 21367 PO Box 15080 W224 N3322 Duplinville Rd. PO Box 30996 PO Box 1086 PO Box 8400 PO Box 897 PO Box 1250 PO BOX 8672 New Zealand 52160 National Road East 2222 W. Dunlap Ave., Suite 350 PO Box 349 PO Box 4509 ZZZZZZZZZZZZZ 2700 Milan Ct PO Box 69421 719 Teaco Road PO Box 33757 PO Box 25987 PO Box 221209 PO Box 2500 po box 14079 627 Davis Drive Suite 100 PO Box 1317 PO Box 820159 275 7th Ave 11th Floor PO Box 5190 PO Box 305242 PO Box 3857 Dental Claims PO Box 2640 PO Box 26623 PO Box 4458 Updated: December 8, 2009

City Tampa Wilmington Pueblo Oklahoma City Sherman Rochester Tulsa Billings Albany Pewaukee Salt Lake City Saint Louis London Bellingham Rockford Aukland Saint Clairsville Phoenix Hickory Rockford ZZZZZZZZZ Birmingham Harrisburg Kennett Indianapolis Winston-Salem Charlotte Detroit Lexington Morrisville Matthews Dallas New York Tampa Nashville Houma Omaha Richmond chicago

State FL DE CO OK TX NY OK MT NY WI UT MO KY WA IL NZ OH AZ NC IL ZZ AL PA MO IN NC NC MI KY NC NC TX NY FL TN LA NE VA IL

Zipcode 336303367 19899 81003 73126 75091 14647 741470950 591041367 12212 53072 84130 631881086 40742982270897 61105 1001 43950 85021286030843 611104509 00000-0000 35211 17106 638573749 462030757 271145987 28222 482313015 40512-4079 27560 28106 753820159 10001 336755190 372305242 70361 68103-2640 23261 60680-4458

Phone1 Phone2 (800) 446-8182 (800) 633-2563 (888) 348-7421 (972) 529-5085 (800) 832-3211 (800) 942-4254 (918) 280-4800 (406) 869-5555 (800) 282-0555 (800) 937-2230 (800) 848-8406 (800) 323-7384 (800) 447-2471 (800) 870-1831 (815) 987-0409 (800) 339-1655 (800) 624-6961 (602) 956-4200 (800) 276-5786 (800) 249-7947 (888) 291-6372 (800) 433-9906 (800) 332-0366 (800) 854-7309 (800) 847-8217 (800) 795-1023 (800) 364-3865 (800) 482-3146 (800) 344-8525 (888) 632-3862 (800) 347-1965 (800) 821-4398 (800) 324-2200 (212) 691-4400 (800) 226-5116 (800) 255-8109 (800) 256-4776 (800) 842-3729 (800) 423-2765 (800) 533-5592 (800) 992-2037

Third Party Insurance Codes

Code GS2 GS3 GS4 GS5 GS6 GS7 GS8 GS9 GT0 GT1 GT2 GT3 GT4 GT5 GT6 GT7 GT8 GT9 GU0 GU1 GU2 GU3 GU4 GU5 GU6 GU7 GU8 GU9 GW0 GW1 GW2 GW3 GW4 GW5 GW6 GW7 GW8 GW9 GX0

CompanyName AETNA Blue Cross Puerto Rico Genesco Health Insurance First Health Delta Dental Plan of North Carolina Code no longer valid Wellcare PreferredOne Administrative Services Willis of Kansas, Inc. Illinois Central Hospital Association Cigna Healthcare Eaton Benefits c/o Coventry Code no Longer Valid Code no Longer Valid TRICARE NORTH REGION SERVICES PHA Insurance Services Starbridge Administrative Services AETNA Direct CareAmerica Sanders Employee Benefit Plan Cigna Dental Humana Health Plan Delta Dental of Illinois American Heartland Health Administrators Belding Hausman, Inc. Physicians Care Network Code no longer valid Blue Care Network Superior Vision Plan Code no longer valid United Healthcare Dental Claims United Healthcare Employee Claims Community Health Plan First Health Secure Horizons Direct Cigna Appalachian Benefit Administrators Mutual of Omaha Omaha Health Care Svc Ctr Aetna US Healthcare

Address PO Box 981109 PO Box 366068 PO Box 201177 PO Box 11925 343 Six Forks Road, Ste 180 zzzzzzzzzzzzzzzzzzzzz PO BOX 4438 PO Box 59212 PO Box 2697 2024 Hickory Road PO BOX 5200 PO Box 8400 ZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZ PO BOX 870140 PO Box 620123 PO Box 55270 PO Box 14066 PO Box 1489 PO Drawer 707 PO Box 15558 PO Box 14611 PO Box 5402 PO Box 218967 2130 E. Main Street PO Box 101111 ZZZZZZZZZZZZZZZZZZ PO Box 68710 PO Box 967 ZZZZZZZZZZZZZZZZZ PO BOX 30567 Route 2904 PO Box 65972 801 Faraon Street PO Box 247002 PO Box 400055 PO Box 5200 PO Box 1449 Mutual of Omaha Plaza PO Box 14079 Updated: December 8, 2009

City El Paso San Juan Arlington Coraopolis Raleigh zzzzzzzzzz SCRANTON Minneapolis Wichita Homewood SCRANTON London ZZZZZZZZZ ZZZZZZZZZ SURFSIDE BEACH Orlando Phoenix Lexington Stow Troy Wilmington Lexington Lisle Houston Lincolnton Columbia ZZZZZZZZZZ GRAND RAPIDS Rancho Cordova ZZZZZZZZZ SALT LAKE CITY San Antonio St. Joseph Omaha San Antonio Scranton Canton Omaha Lexington

State TX PR TX PA NC ZZ PA MN KS IL PA KY ZZ ZZ SC FL AZ KY OH AL DE KY IL TX NC SC ZZ MI CA ZZ UT TX MO NE TX PA NC NE KY

Zipcode 7998 00936 76006 151086928 27609 00000-0000 18505554590212 67201 604302199 18505-5200 4704200000-0000 00000-0000 29587-9740 328620123 850785270 40512 44224 36081 198505558 405124611 60532 772188967 280923921 292111111 00000-0000 4951695741 00000-0000 84130782659752 64501 68124 78229 185055200 28716 681755300 40512

Phone1 Phone2 (877) 453-4037 (888) 632-3862 (800) 676-2583 (800) 937-2277 (800) 237-6302 (800) 662-8856 (866) 235-2770 (800) 997-1750 (316) 268-4775 (708) 957-1700 (800) 344-6323 (800) 891-6506

(877) 874-2273 (800) 776-6070 (800) 308-5948 (800) 843-3661 (844) 706-8776 (800) 472-7130 (800) 392-1530 (800) 441-7150 (800) 558-4444 (800) 398-7203 (218) 298-7770 (800) 350-2353 (704) 735-2581 (877) 840-0936 (803) 791-0236 (800) 662-6667 (800) 507-3800 (877) 816-3596 (800) 999-1147 (800) 990-9247 (800) 321-3997 (800) 950-9355 (800) 251-0669 (828) 235-2404 (800) 327-8870 (888) 632-3862 (800) 942-5210

Third Party Insurance Codes

Code GX1 GX2 GX3 GX4 GX5 GX6 GX7 GX8 GX9 GY0 GY1 GY2 GY3 GY4 GY5 GY6 GY7 GY8 GY9 GZ0 GZ1 GZ2 GZ3 GZ4 GZ5 GZ6 GZ7 GZ8 GZ9 GZR H00 H01 H02 H03 H04 H05 H06 H07 H09

CompanyName First Guard Qualcare Primary Select/Doc First Capp Care The Plan Handlers,Inc UMR Cigna Western Southern Life OPERATING ENGINEERS Aetna US Healthcare Pipe Fitters Welfare Fund Local 597 WellPath Select, Inc Charleston Hoisery, Inc. Aetna US Healthcare Cigna Healthcare Empire Blue Cross Blue Shield Pittman & Associate, Inc Aetna Aetna US Healthcare Aetna US Healthcare AETNA US HEALTHCARE BANKERS LIFE AND CASUALTY CIGNA CIGNA Security Life/Dental & Davis Vision EYE CARE PLAN OF AMERICA NEIGHBORHOOD HEALTHPLAN Catalyst Rx (Formerly Pharmacy Advantage Solutions) VISION SERVICE PLAN CIGNA Medical Claims Service, Inc. Warren Steinborn Associates First Health French Broad Electric Membership Co. Allied-Signal Claim Center Code no longer Valid Admin. Systems of Tennessee, Inc. Gerrard Tire Company Mercer Administrators

Address 3801 Blue Pkwy PO Box 249 PO Box 17098 PO Box 6240 11545 W. Bernardo Ct. Suite 101 PO Box 30541 PO Box 188033 PO Box 5735 400 Broadway St PO BOX 23980 PO Box 14089 45 N Ogden Ave C/O Coventry Health Care PO Box 7102 PO Box 2190 PO Box 14091 PO Box 64143 PO Box 5075 PO Box 111969 PO Box 981106 PO Box 16423 PO Box 91533 PO BOX 981107 PO BOX 66927 PO BOX 12047 PO BOX 5200 PO BOX 1527 PO BOX 498488 253 SUMMER ST PO Box 1069 PO BOX 997105 PO BOX 5200 PO Box 513 111 Congressional Blvd. 10700 W. Higgins Rd. PO Box 9 PO Box 978 zzzzzzzzzzzzzzzzzzzz PO Box 3070 420 W. Sixth Street 701 Market St. Ste 1350 Updated: December 8, 2009

City Kansas City Piscataway Owlings Mills Newport Beach San Diego Salt Lake City Chattanooga Cincinnati OAKLAND Lexington Chicago London Cleveland Lexington St Paul Middletown Memphis El Paso Pittsburgh Arlington EL PASO CHICAGO CHATTANOOGA SCRANTON LATHAM CINCINNATI BOSTON Rockville SACRAMENTO SCRANTON Quincy Carmel Rosemont Marshall Bristol zzzzzzzzz Knoxville Charlotte Saint Louis

State MO NJ MD CA CA UT TN OH CA KY IL KY TN KY MN NY TN TX PA TX TX IL TN PA NY OH MA MD CA PA MA IN IL NC CT ZZ TN NC MO

Zipcode 641302807 088550249 211177098 92658 92127 8413037422 450215735 946230980 4051260607 40742 373202190 40512 551640143 109409075 38111 799981106 152420423 760150000 799980000 606660927 374010000 18505-5200 12110452490000 022100000 20849-1069 958997105 18505-5200 02269-0513 46032 60018 28753 06011 00000-0000 37917 28202 63101-

Phone1 (816) 922-7200 (800) 992-6613 (800) 815-8240 (800) 538-5512 (800) 538-5512 (866) 881-0800 (800) 251-0669 (513) 629-1800 (510) 271-0222 (800) 827-3986 (312) 829-4191 (866) 533-5155 (423) 472-5095 (800) 843-3088 (900) 365-4651 (877) 378-2449 (800) 238-1344 (800) 247-5482 (800) 962-6842 (800) 628-8793 (800) 544-0526 (800) 654-3072 (800) 244-6224

Phone2

(877) 561-0722

(800) 935-7284

(800) 292-9902

(800) 300-9566 (800) 999-5431 (800) 843-3272 (800) 433-5556 (888) 727-5560 (800) 877-7195 (800) 622-7444 (800) 244-6224 6174268893 3178481290 8472969625 7046492051 8006457300 6155251844 7043349789 8008687526

Third Party Insurance Codes

Code H10 H11 H12 H13 H14 H15 H17 H18 H19 H20 H21 H22 H23 H24 H25 H27 H28 H29 H30 H31 H33 H34 H35 H36 H38 H39 H40 H41 H42 H43 H44 H45 H46 H47 H48 H49 H50 H51 H52

CompanyName American Thread Company Union Memorial Hospital Thaxton Management, Inc. Reserve National Insurance Co. Pacific Mutual Aetna Aetna U.S. Healthcare Marine Engineers Benefit Assoc. Aetna U.S. Healthcare Cigna United Healthcare Equicor Employee Benefit Services TPA (Total Program Administrators) Southern Administrative Services Line Construction Benefit Fund ecu physicians Georgia-Pacific Cameron and Barkley Life of America Liberty Mutual Employee Benefit Management Corp. Sammons Cooperative Services Monument Builders of North America Cigna Unicare Davidson and Jones Equicor Cigna Primary Physician Care United Healthcare CCI Adminstrators, Inc. Aetna Life & Casualty Co. United Healthcare JW Didion & Associates Code no longer Valid Royal Crown Bottling Co. Third Party Administrators American Service Life Insurance Co.

Address PO Box 368 PO Box 5003 PO Box 1069 6100 Grand Blvd. PO Box 34799 PO Box 14100 PO Box 981107 635 Fourth Ave. PO Box 26190 PO Box 5200 PO Box 30430 PO Box 34336 PO Box 1929 PO Box C32011 PO Box 8069 2000 Springer Dr. PO Box 403 PO Box 64459 Wortham Tower, 6th Floor 2875 Brownsbridge Rd. 4789 Rings Rd. PO Box 655235 1612 Central Street PO BOX 5200 PO Box 51180 PO Box 19067 PO Box 182014 PO Box 188014 PO Box 11088 PO Box 740800 PO Box 7152 PO Box 31450 PO Box 740800 229 Huber Village Blvd. ZZZZZZZZZZZZZZZZZ PO Box 11146 PO Box 3098 200 Bailey Ave. Updated: December 8, 2009

City Marion Monroe Lancaster Oklahoma City Phoenix Lexington El Paso Brooklyn Greensboro SCRANTON Tampa Charlotte Fort Mill Richmond Columbus Lombard Murfreesboro Fayetteville Houston Gainesville Dublin Dallas Evanston SCRANTON Springfield Raleigh Columbus Chattanooga Charlotte ATLANTA Dublin Tampa Atlanta Westerville ZZZZZZZZZZ Norfolk Naperville Fort Worth

State NC NC SC OK AZ KY TX NY NC PA FL NC SC VA GA IL NC NC TX GA OH TX IL PA MA NC OH TN NC GA OH FL GA OH ZZ VA IL TX

Zipcode 28752 28110 29720 73118 85067-4799 40512-4100 79998-1107 11232 274026190 18505-5200 33630-3343 28234 29716 23261 31908-8069 60148 27855 28306-0459 77019 30504 43017-1599 75265 60201 18505-5200 01151 27619 43218 374228014 282201088 30374-0800 43017 33631-3450 30374-0800 43081 00000-0000 23517 60563 76107

Phone1 7042833100 7042833100 4058487931 8003228384 (877) 580-5018 (800) 278-3106 7189656766 (800) 942-5210

Phone2

8006387452 7045419581 (800) 242-1510 8043424070 8002228271 8004268803 8003237268 9193983926 9103230303 8006699030 8002419911 8005520455 2146709700 7088692031 8003446323 (877) 864-2273 9198286260 8003676116 (800) 335-6278 (800) 472-5001 (800) 732-1086 6147647600 8008435869 8006387392 9148900070 8046251668 8008745693 8178702303

Third Party Insurance Codes

Code H53 H54 H55 H56 H57 H58 H59 H60 H61 H62 H63 H64 H65 H66 H67 H69 H70 H72 H73 H75 H76 H77 H78 H79 H80 H81 H82 H83 H84 H85 H86 H87 H88 H89 H90 H91 H92 H93 H94

CompanyName First Citizens Bank Prudential Insurance Company Delta Dental Plan of Arkansas, Inc. First Service Administrators GEFA Employer Services Group Lincoln National Insurane Co. Thomas Built Buses Lincoln National Life Insurance Co. American Exchange Life Insurance Co. Cigna Cigna Jockey International Prudential Insurance Co. Cigna Elixie Industries Aetna Health Plans BCBS of Central New York Code no longer Valid Code no longer valid Aetna Life Insurance Y.C. Ballenger, Inc. Plan Services Lynne Hosiery Mills, Inc. Hickory Craft Principal Mutual Aetna Life Insurance Wright Machine & Tool Co., Ins. CANDLE CORPORATION Prudential Insurance Principal Mutual Life Insurance Co. Florida East Coast Railways Planned Administrators Winn Dixie Delta Dental Plan of Michigan Self-Funded Plans, Inc. Penn General United Healthcare Transport Drivers, Inc. Self Funding Admin.

Address PO Box 5004 PO Box 2020 PO Box 15965 3035 Lakeland Hills Blvd PO Box 677 PO Box 19103 PO Box 2450 1100 Employers Blvd. PO Box 1530 PO Box 5200 PO Box 8015 PO BOX 11648 PO Box 4711 PO Box 5200 1203 Freeway Dr. PO Box 129107 PO Box 4809 zzzzzzzzzzzzzzzzzzzzzz ZZZZZZZZZZZZZZZZZZZZZZ PO Box 2170 PO Drawer 3508 PO Box 30466 PO Box 987 PO Box 1733 PO Box 39710 PO Box 35890 101 Jim's Branch Rd. 430 GENTRY RD. PO Box 15055 9428 Bay Meadows Road, Suite 360 PO Drawer 1048 PO Box 6927 PO Box 411208 PO Box 9086 1432 Hamilton Ave. PO Box 5007, Suite 500 PO Box 740800 611 N. Route 83, Suite 300 PO Box 6596 Updated: December 8, 2009

City Monroe Millville North Little Rock Lakeland Greenfield Raleigh High Point Greenbay Dallas SCRANTON Plainville TUCSON Houston SCRANTON Reidsville San Diego Syracuse zzzzzzzzzzzz ZZZZZZZZZZ Columbus Spartansburg Tampa Mt. Airy Hickory Colorado Springs Louisville Swannanoa Elkin Albany Jacksonville St. Augustine Columbia Charlotte Farmington Hills Cleveland Southfield Atlanta Bensenville Annapolis

State NC NJ AR FL MA NC NC WI TX PA CT AZ TX PA NC CA NY ZZ ZZ OH SC FL NC NC CO KY NC NC NY FL FL SC NC MI OH MI GA IL MD

Zipcode 28111 083329004 722316450 3380501302 27619 27261 54344-0001 75221 18505-5200 06062 85734-1648 77210 18505-5200 27320 92112-9107 38001 00000-0000 00000-0000 43216-2170 29304 33630 27030 28603 80949-3910 40232 28778 28621-9241 12212-5055 32256 32085-1048 29260 28241 483389086 44114 48036 303740800 60106 21401

Phone1 7042837461 (800) 645-6661 5018353400 (863) 293-0785 8004512513 8008683539 9198894871 8002323040 2145201450 8006332231 8007220443 (800) 962-7215 8004260623 8047477410 9193422353 8008489993 8006345204

Phone2

(800) 226-3155 9197823061

5152239600 2033452721

(800) 248-9236 8035994747 8006541731 9197864134 7043225995 (719) 548-4000 (502) 429-7620 7042988440 9198356020 5184521900 8002474695 9048293421 8007684387 7045874127 3034892240 8007227374 8005309010 (800) 741-8805 3127662721 8004248611

Third Party Insurance Codes

Code H95 H97 H98 H99 HA0 HA1 HA2 HA3 HA4 HA5 HA6 HA7 HA8 HA9 HB0 HB1 HB2 HB3 HB4 HB5 HB6 HB7 HB8 HB9 HC0 HC1 HC2 HC3 HC4 HC7 HD1 HD3 HD4 HD5 HD6 HD7 HD8 HD9 HE0

CompanyName United Healthcare The Buddy Crump Insurance Agency Worthington Tractor Parts Medcost Fiserv Health HEARTLAND HEALTH PLAN SCHALLER ANDERSON MOUNTAIN HEALTHCARE CIGNA/FED-EX AMERICAN DENTAL PLAN OF NC GE FINANICIAL ASSURANCE SOUTHERN HEALTH SERVICES, INC PRINCIPAL LIFE INSURANCE OHIO CONF. OF PLASTERERS & CEMENT MASONS FFI RX MANAGED CARE PRINCIPAL LIFE INSURANCE CO MULTIPLAN/WPPN UNITED HEALTHCARE NOVENT HEALTH DENTAL PLAN WALGREEN'S HEALTH INITIATIVE UNITED HEALTHCARE CIGNA PROHEALTH USI ADMINISTRATORS HARRINGTON BENEFIT SERVICES CAMBRIDGE INTEGRATED SERVICES SACKNER SOUTHEAST Code no Longer Valid CENTRUS Catalyst Rx CELTIC INDIVIDUAL HEALTH Alliance Health Network ( Health America) DELTA DENTAL PLAN OF CALIFORNIA BENESIGHT BENEFITSOURCE, INC ALTIUS HEALTH PLANS AAI FIRST CAROLINA CARE, INC CHOICE RX HPS / PARADIGM

Address PO Box 30555 PO Box 3749 1010 2nd Ave., Suite 2 PO Box 25987 PO BOX 8077 PO BOX 61958 2 HENDERSONVILLE #C PO BOX 5200 130 EDINBURGH SOUTH SUITE 107 PO BOX 10821 PO BOX 7704 PO BOX 39710 PO BOX 230 8536 CROW DR. STE 105 PO BOX 10826 PO BOX 6090 PO BOX 659741 PO BOX 15 2275 HALFDAY DR. STE 250 PO BOX 7408027 PO BOX 5200 PO BOX 13757 PO BOX 776 250 DEBARTOLO PL STE 3800 PO BOX 9004 166 ORBIT RD zzzzzzzzzzzzzzzz 23 BRITISH AMERICA BLVD PO Box 100759 PO BOX 33839 PO Box 318 PO BOX 537007 PO BOX 395 PO BOX 8128 10421 SOUTH JORDAN GATEWAY STE 400 PO BOX 2580 PO BOX 909 6202 S. LEWIS STE K PO BOX 27120 Updated: December 8, 2009

City Salt Lake City Bristol Worthington Winson Salem Wausau PHOENIX ASHEVILLE SCRANTON CARY CLEARWATER LONDON COLORADO SPRINGS NILES MACEDONIA CLEARWATER DEPERE SAN ANTONIO WINSTON SALEM BANNOCKBURN ATLANTA SCRANTON SAVANNAH MELVILLE YOUNGSTOWN London STATESVILLE zzzzzzzzzzz LATHAM Fort Lauderdale Indianapolis Erie SACRAMENTO PUEBLO GRAND RAPIDS SOUTH JORDAN PORTLAND PINEHURST TULSA MACON

State UT TN MN NC WI AZ NC PA NC FL KY CO OH OH FL WI TX NC IL GA PA GA NY OH KY NC ZZ NY FL IN PA CA CO MI UT OR NC OK GA

Zipcode 841300555 37625 56187 27114-5987 54402-8077 85082 28803 18505-5200 27511 337578821 40742 80949-3910 44446 44056 337578826 541156090 78265 27102 60015 303740802 18505-5200 31416 11747 44512 40742-9004 28677 00000-0000 12110 3331046203-0839 16512-0318 95853-7007 81002495188409597208283707413631221-

Phone1 Phone2 (800) 654-0079 6157644191 5073722900 8008527040 (800) 826-9781 (877) 233-1800 (405) 239-2030 (800) 438-3970 (877) 825-9337 (800) 627-4872 (800) 533-5044 (800) 435-2388 (800) 699-7857 (800) 871-2335 (800) 999-1147 (800) 368-3804 (800) 207-2568 (800) 832-3211 (800) 836-8991 (877) 889-3715 (800) 551-2022 (800) 368-3804 (704) 873-1086 (800) 227-7269 (800) 331-7108 (800) 997-3784 (800) 477-7870 (800) 752-4165 (888) 336-3260 (877) 780-1995 (800) 377-4161 (800) 770-6672 (910) 215-1572 (918) 742-1720 (888) 483-4492

Third Party Insurance Codes

Code HE1 HE2 HE3 HE4 HE5 HE6 HE7 HE8 HE9 HF0 HF1 HF2 HF3 HF4 HF5 HF6 HF7 HF8 HF9 HG0 HG1 HG2 HG3 HG4 HG5 HG6 HG7 HG8 HG9 HH0 HH1 HH2 HH3 HH4 HH5 HH6 HH7 HH8 HH9

CompanyName PERDUE / CIGNA HEALTHCARE CTI ADMINISTARTORS EMPLOYERS DIRECT HEALTH COMMUNITY EYECARE DELTA DENTAL DELTA DENTAL PLAN OF KENTUCKY STATE FARM AETNA PHARMACY MGMT ARGUS AETNA WAUSAU PHARMACY BENEFITS BCBS OF ALABAMA Catalyst Rx MANAGEMENT HEALTH NETWORK NEW JERSEY ADMINISTRATORS HORIZON BCBS OF NJ HOOTS HOSPITAL MARSH ADVANTAGE AMERICA THE KEMPTON COMPANY, INC A NEW DEMENSION RISK MANAGEMENT INC Caremark/Advance PCS BARCOLOUNGER CLAIMS UNIT BENESIGHT/MCDONALDS CORP PHYSICIANS HEALTH PLAN NATIONAL PHARMACEUTICAL SERVICES PREDENT PLAN FOR DENTAL CARE KANAWHA NATIONAL MEDICAL HEALTH CARD-Attn: Pharmacy Claims MEDTRAK GREAT WEST CIGNA CIGNA DENTAL PARTNERS BCBS OF MINNESOTA GUARDIAN LIFE INSURANCE ANTHEM PRESCRIPTION MGT/Wellpoint Net Rx TDI CIGNA DENTAL

Address PO BOX 188007 100 COURT AVE STE 306 5050 SPRING VALLEY RD 2359 PERIMETER POINTE PKWY, STE 150 PO BOX 15965 PO BOX 242810 PO BOX 2700 ATTN GM ID PO BOX 14024 PO BOX 419019 DEPT 173 PO BOX 14586 PO BOX 8046 PO BOX 2294 PO Box 1069 1600 LOS GAMOS DR STE 300 PO BOX 570 PO BOX 1219 PO BOX 25987 145 N CHURCH ST STE 200 PO BOX 54889 PO BOX 2000-405 PO BOX 14177 PO BOX 52195 PO BOX 100184 PO BOX 395 201 EXECUTIVE CENTER DR STE 300 PO BOX 407 PO BOX 2936 PO BOX 25307 PO BOX 1170 6310 LAMAR AVE STE 230 1000 GREAT WEST DR PO BOX 5200 PO BOX 188040 PO BOX 17268 PO BOX 64338 PO BOX 8007 PO BOX 145433 100 DELTA DR PO BOX 5030 Updated: December 8, 2009

City CHATTANOOGA DES MOINES DALLAS CHARLOTTE NORTH LITTLE ROCK LOUISVILLE BLOOMINGTON Lexington KANSAS CITY Lexington WAUSAU BIRMINGHAM Rockville SAN RAFAEL WEST PATTERSON NEWARK WINSTON SALEM SPARTANBURG OKLAHOMA CITY MISSION VIEJO BATON ROUGE Phoenix COLUMBIA PUEBLO COLUMBIA BOYSTOWN CHICAGO WINSTON-SALEM Port Washington OVERLAND PARK KENNETT1 SCRANTON CHATTANOOGA WINSTON-SALEM ST PAUL Appleton CINCINNATI PITTSBURGH VISALIA

State TN IA TX NC AR KY IL KY MO KY WI AL MD CA NJ NJ NC SC OK CA LA AZ SC CO SC NE IL NC NY KS MO PA TN NC MN WI OH PA CA

Zipcode 374225030976244-3909 282087223140224-2810 61702-2700 405126414140512-4586 5440235295-2294 20849-1069 94903074240711027114-5987 29306731549269270898-4177 85072-2196 29202-3184 8100229210-8438 68010608002711411050662026385718505-5200 3742227116-7268 55184-0560 54912452501523893278-

Phone1 Phone2 (800) 240-4648 (800) 245-8813 (800) 550-8009 (888) 254-4290 (800) 955-2030 (866) 855-1212 (800) 238-6279 (888) 632-3862 (800) 522-7487 (866) 211-9459

(800) 517-6425 (888) 783-5743 (800) 997-3784 (415) 491-7200 (973) 812-8618 (866) 805-9195 (800) 795-1023 (864) 585-4338 (800) 324-9396 (888) 814-3776 (800) 843-0931 (800) 841-5550 (800) 303-0187 (800) 874-5693 (803) 750-7400 (800) 546-5677 (888) 255-1178 (800) 822-1275 (800) 880-1188 (800) 771-4648 (800) 633-4671 (800) 251-0670 (888) 722-5505 (800) 942-5695 (866) 870-0411 (800) 873-4542 (800) 695-4542 (866) 595-9848 (800) 662-0210 (800) 645-9303 (888) 919-5225

Third Party Insurance Codes

Code HI0 HI1 HI2 HI3 HI4 HI5 HI6 HI7 HI8 HI9 HJ0 HJ1 HJ2 HJ3 HJ4 HJ5 HJ6 HJ7 HJ8 HJ9 HK0 HK1 HK2 HK3 HK4 HK5 HK6 HK7 HK8 HK9 HL0 HL1 HL2 HL3 HL5 HL7 HL8 HL9 HM0

CompanyName DAVIS VISION WELLPOINT UNICARE WELLPOINT DENTAL DANA CORP AETNA Medcost EMPLOYERS DIRECT/MEDCOST EMPLOYEE BENEFIT SERVICES,INC ANTHEM BCBS OF VIRGINIA Coventry BCBS OF TEXAS JSL ADMINISTRATORS COVENTRY HEALTHCARE OF GA HUMANA/MEDCOST NAVISTAR INTERNATIONAL SOUTHEASTERN IRON WORKERS HEALTH CARE PLAN ZENITH ADMINISTRATORS AMERICAN HEALTH HOLDINGS/MEDCOST UNICARE ELLIS HOISERY MILL, INC THE MAIL HANDLERS BENEFIT PLAN SOUTHERN FOODS/MEDCOST AVESIS INC. AMERICA CHOICE HEALTH RETAIL PHARMACY PROGRAM CONNETICUT GENERAL LIFE INSURANCE CO-Rx MEDCOST BENEFIT SERVICES LLC TORPEDO SPECIALTY/MEDCOST UNION LABOR LIFE NATIONAL BENEFIT ADMINISTRATORS COMMUNITY EYE CARE MEDCOST SCOTT & WHITE HEALTH PLAN FCHN HEALTH DESIGN PLUS JOHN HANCOCK LIFE REASSURE AMERICA ITPE/HEALTH WELFARE

Address PO BOX 1527 PO BOX 9081 PO BOX 4054 PO BOX 9066 2900 NW BLVD PO BOX 14100 PO BOX 25307 PO BOX 25307 PO BOX 241108 PO BOX 27401 PO BOX 8400 PO BOX 650204 PO BOX 71489 PO BOX 7711 PO BOX 25307 PO BOX 2557 PO BOX 266166 PO BOX 313 PO BOX 25307 PO BOX 51180 PO BOX 1088 PO Box 8402 PO BOX 25307 PO BOX 7777 7083 GRAND NATIONAL DR. #104 PO BOX 52057 PO BOX 3598 PO BOX 25987 PO BOX 25987 111 MASSACHUSETTE AVE. NW 140 LITTLETON RD SUITE 310 2359 PERIMETER POINTE PKWY, STE 150 PO BOX 25307 2401 S 31ST ST 511 RUIN CREEK RD STE B-1 PO BOX 5085 ATTN: CLAIMS PO BOX 111 PO BOX 749014 PO BOX 13817 Updated: December 8, 2009

City LATHAM OXNARD SCHAUMBURG OXNARD GASTONIA LEXINGTON WINSTON-SALEM WINSTON-SALEM CHARLOTTE ROANOKE London DALLAS NEWMAN LONDON WINSTON SALEM FT WAYNE HOUSTON MINNEAPOLIS WINSTON SALEM INDIAN ORCHARD HICKORY London WINSTON SALEM PHOENIX ORLANDO PHOENIX SCRANTON WINSTON SALEM WINSTON SALEM WASHINGTON PARSIPPANY CHARLOTTE WINSTON SALEM TEMPLE HENDERSON FINDLAY BOSTON DALLAS SAVANNAH

State NY CA IL CA NC KY NC NC NC VA KY TX GA KY NC IN TX MN NC MA NC KY NC AZ FL AZ PA NC NC DC NJ NC NC TX NC OH MA TX GA

Zipcode 121109303160168930312805240512-4100 271142711428217232794074275265-0204 302714074227114-5307 46801-2557 77207-6166 55440271140115128603-1088 407422711485011194068507218505-0598 27114-5987 2711420001070542820827114765082753645839-5085 0211775374-9014 31416-0817

Phone1 Phone2 (800) 632-0011 (800) 962-7378 (800) 692-5563 (888) 209-7852 (704) 864-6711 (877) 580-5018 (800) 872-9934 (800) 242-1510 (877) 676-0814 (800) 451-0361 (800) 493-4570 (800) 521-2227 (770) 683-1050 (800) 395-2545 (800) 558-4444 (800) 435-2969 (877) 993-6872 (612) 835-7035 (800) 641-5566 (800) 814-0041 (828) 322-1010 (800) 410-7778 (800) 809-5916 (800) 952-6674 (800) 624-5060 (800) 795-1023 (877) 366-5110 (800) 795-1023 (800) 443-8087 (800) 258-0103 (888) 254-4290 (800) 872-9934 (800) 321-7947 (800) 965-1032 (800) 877-5762 (877) 286-3559 (800) 231-6969 (800) 743-0122 (800) 327-5926 (912) 352-7169

Third Party Insurance Codes

Code HM1 HM2 HM3 HM4 HM5 HM6 HM7 HM8 HM9 HN0 HN1 HN2 HN3 HN4 HN5 HN6 HN7 HN8 HN9 HO0 HO1 HO2 HO3 HO5 HO6 HO7 HO8 HO9 HP0 HP1 HP2 HP3 HP4 HP5 HP6 HP7 HP8 HP9 HQ0

CompanyName SUMMACARE HEALTH PLAN FRANK HELLER ASSOC ALL RISK ADMIN MANAGED CARE STRATEGIES United Healthcare ULTRA BENEFITS RIVERSIDE COUNTY FOUNDATION AMERICAN ROLLER BEARING CO. HEALTHCARE PLAN CBA ADMINISTRATORS EMPLOYEE BENEFIT ADMINISTRATORS CIGNA TYSON FOODS HEALTH COMP CIGNA HYGEIA HEALTHSMART PREFERRED CARE, INC NJ CARPENTERS HEALTH FUND STATE FARM INS CO PARTNERS RX PLAN BLUGRASS FAMILY HEALTH CANNON CORCHAN MGMT SVCS ADVENTIST RISK MGMT CIGNA CANADA LIFE GROUP DENTAL AMERICAN PUBLIC LIFE INSURANCE CO MANDALAY RESORT GR INS ADMIN GEISINGER HEALTH PLAN KAISER PERMANENTE CAROLINA CARE PLAN, INC UNION ADMINISTRATORS, INC Delta Dental Plan of Kansas City Optima Hlthcare CIGNA DENTAL CIGNA HEALTHCARE HEALTH GUARD MGT SVCS NEWALLIANCE HEALTH PLAN QUALCHOICE VISION BENEFITS OF AMERICA CONSECO HEALTH INSURANCE CO

Address PO BOX 3620 8228 MAYFIELD RD STE 5-B PO BOX 66237 ONE E UWCHLAN AVE STE 401 PO BOX 740800 PO BOX 763 PO BOX 2667 P0 BOX 117 PO BOX 520 424 N FIRST AVE PO BOX 5200 ATTN: COBRA PO BOX 2020 PO BOX 45018 PO BOX 182223 PO BOX 223 2545 E. SUNRISE BLVD PO BOX 53010 RARITAN PLAZA II PO BOX 7818 PO BOX 3070 1717 W. NORTHERN STE. 200 PO BOX 22889 PO BOX 1430 PO BOX 4759 PO BOX 5200 PO BOX 1379 PO BOX 925 PO BOX 17700 PO BOX 8200 PO BOX 6233 PO BOX 100234 120 EAGLE ROCK AVE. STE 125 PO Box 49198 PO BOX 5028 PO BOX 188037 PO BOX 5200 280 GRANITE RUN DR STE 105 PO BOX 318 6000 PARKLAND BLVD 300 WEYMAN PLAZA STE. 400 PO BOX 66904 Updated: December 8, 2009

City AKRON CHESTERLAND ST PETE BEACH EXTON Atlanta WESTBORO RIVERSIDE HIDDENITE ROCK FALLS ARCADIA Scranton SPRINGDALE FRESNO CHATTANOOGA FT LAUDEDALE LUBBOCK EDISON NEWARK PHOENIX LEXINGTON DANVILLE SILVER SPRING Scranton BUFFALO JACKSON LAS VEGAS DANVILLE ROCKVILLE COLUMBIA EAST HANOVER Wichita TROY CHATTANOOGA SCRANTON LANCASTER ERIE CLEVELAND PITTSBURG CHICAGO

State OH OH FL PA GA MA CA NC IL CA PA AR CA TN FL TX NJ OH AZ KY IL MD PA NY MS NV PA MD SC NJ KS MI TN PA PA PA OH PA IL

Zipcode 44309-3620 440263373619341303740158192516286366107191006-2804 18505-5200 727659371837422-7223 3330579453-3010 08818-7818 43058-3070 8502140522-2738 61834-1430 20914-4759 18505-5200 14240-1379 39205-0925 89114-7700 1782120849-6233 29202-3234 079366720148007-5028 3742218505-5200 17601-6801 16512441241523660666-0904

Phone1 Phone2 (800) 996-8701 (800) 222-2184 (800) 338-4485 (800) 566-5663 (877) 842-3210 (866) 858-7223 (800) 458-5710 (803) 736-5088 (815) 626-3445 (800) 826-3724 (800) 832-3211 (800) 882-4462 (479) 290-4361 (800) 442-7247 (800) 244-6224 (866) 755-6400 (972) 943-9559 (800) 624-3096 (866) 855-1212 (800) 659-4112 (800) 787-2680 (800) 634-3506 (800) 638-0589 (800) 554-4026 (800) 256-8606 (800) 356-2180 (800) 447-4000 (800) 868-6734 (800) 490-1770 (800) 234-3375 (800) 229-8822 (800) 244-6224 (800) 822-0350 (800) 752-4165 (800) 206-7279 (800) 432-4966 (800) 541-2254

Third Party Insurance Codes

Code HQ1 HQ2 HQ3 HQ4 HQ5 HQ6 HQ7 HQ8 HQ9 HR0 HR1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HS0 HS1 HS2 HS3 HS4 HS5 HS6 HS7 HS8 HS9 HT0 HT1 HT2 HT3 HT4 HT5 HT6 HT7 HT8 HT9

CompanyName EMPIRE BCBS CONTINENTAL AMERICAN HEDRICK GRAVEL AND BAND BEHAVIORAL HEALTH RESOURCES MEDOCST PERFERRED PROVIDER-GUARDIAN NEW YORK BUS SERVICE SECURITY LIFE HEALTH PLAN MGT COCHRANE FURNITURE CLAIMS NAPP MAHONEY BENEFITS HARRINGTON BENEFIT SERVICES BSI/EMPLOYEE BENEFIT CLAIMS OF WISCONSIN HEALTH NETWORK AMERICA-PANAMA PARTNERS RX MANAGEMENT INDEPENDENT HEALTH ANTHEM BCBS Code no longer valid BCBS OF CA/WELLPOINT TRINESYS PROVIDER STRATEGIES INC. Meritain Health MUTUAL ASSURANCE ADMINISTRATORS MEDICAL SERVICES OF AMERICA INC. MEDICAL SERVICES OF AMERICA INC./DENTAL GREAT WEST LIFE & ANNUITY/MEDCOST PARTNERS RX INDIANA STATE DISTRICT COUNCIL OF LABORERS & HOD SAVE-RX Code no longer valid MEDICAL BENEFITS COMPANIES PSERS HEALTH ADMINISTRATION UNIT First Health RX HSR ADMINISTRATORS MagnaCare/MagnaPreferred Direct CIGNA DENTAL WAUSAU DENTAL ADMINISTRATORS TWIN CITY PIPE TRADERS WELFARE FUND CNR CONSULTING

Address PO BOX 5068 2801 DEVINE ST PO BOX 418 3333 SILAS CREEK PARKWAY PO BOX 25307 INTERSTATE 95 AT EXIT 13 PO BOX 5002 101 WAUKEGAN RD #700 PO BOX 100184 10333 HARWIN DR. STE 225 PO BOX 850358 PO BOX 268902 PO BOX 11020 PO Box 398 PO BOX 12119 PO BOX 9066 PO BOX 14046 ZZZZZZZZZZZZZZ PO BOX 4109 PO BOX 11878 PO BOX 330070 300 Corporate Parkway PO BOX 42096 PO BOX 1928 PO BOX 1745 PO BOX 25307 47 POSTAL PARKWAY PO BOX 1587 224 NORTH PARK AVENUE zzzzzzzzzzzzzzzzz PO BOX 1099 PO BOX 1764 PO Box 23815 6730 ROOSAVELT AVE. SUITE 304 825 EAST GATE BLVD., PO BOX DP-1001 PO BOX 188036 PO BOX 8014 700 TRANSFER ROAD 1501 BROADWAY SUITE 1724 Updated: December 8, 2009

City MIDDLETOWN COLUMBIA LILESVILLE WINSTON SALEM WINSTON SALEM BRONX SCHENECTADY LAKE BLUFF COLUMBIA HOUSTON RICHARDSON OKLAHOMA CITY ALBUQUERQUE WEST LONG BRANCH scottsdale BUFFALO ROANOKE ZZZZZZZZZZ WOODLAND HILLS CHARLOTTE FORT WORTH Amherst OKLAHOMA CITY LEXINGTON LEXINGTON WINSTON-SALEM NEWNAN TERRE HAUTE FREMONT zzzzzzzzzzzzz NEWARK LANCASTER Tuscon FRANKLIN GARDEN CITY CHATTANOOGA WAUSAU ST. PAUL NEW YORK

State NY SC NC NC NC NY NY IL SC TX TX OK NM NJ AZ NY VA ZZ CA NC TX NY OK SC SC NC GA IN NE ZZ OH PA AZ OH NY TN WI MN NY

Zipcode 10940-9068 29205280912710327714-5307 1047512309600442920277036750857312687192-0020 0776485260142312403800000-0000 9136528220761631422673123-2096 29071-1928 2907127114-5307 30263478086820500000-0000 4305317608-1764 85734450051153037422-8036 54402-8014 5511410036-

Phone1 Phone2 (877) 378-2448 (803) 256-6265 (800) 266-6167 (800) 824-7406 (718) 994-5500 (847) 234-0271 (800) 991-7401 (888) 498-6664 (800) 848-2025 (800) 274-5533 (732) 222-2229 (800) 659-4112 (800) 501-3439 (800) 553-3164 (800) 234-0111 (704) 676-0400 (866) 774-7766 (800) 397-2122 (716) 319-5399 (800) 825-3540 (803) 957-0500 (803) 957-0500 (800) 624-8605 (800) 659-4112 (800) 962-3158 (812) 238-2551 (800) 228-3108 (800) 423-3151 (800) 773-7725 (800) 627-4759 (800) 573-0009 (800) 352-6465 (800) 244-6224 (800) 515-2818 (612) 645-4540 (866) 320-3807

Third Party Insurance Codes

Code HU0 HU1 HU2 HU3 HU4 HU5 HU6 HU7 HU8 HU9 HW0 HW1 HW2 HW3 HW4 HW5 HW6 HW7 HW8 HW9 HX0 HX1 HX2 HX3 HX4 HX6 HX7 HX8 HX9 HY0 HY1 HY2 HY3 HY4 HY5 HY6 HY7 HY8 HY9

CompanyName SHENANDOAH DENTAL HEWITT COLEMAN AND ASSOCIATES AETNA RX HOME DELIVERY CLARITY VISION AMERICORP c/o SRC MOHAWK INDUSTRIES c/o ACORDIA NATIONAL GRAPHICS COMMUNICATIONS IPA OF NORTH CAROLINA JLT SERVICES CORPORATION FLRX PHARMACY Prime Therapeutics/GOLDNET MEDCOST PREFERRED/ACORDIA NATIONAL PROFESSIONAL BENEFIT ADMINISTRATORS BCBS of SC DIRECT REIMBURSEMENT - DENTAL BIG LOTS ASSOCIATE BENEFIT PLAN COMP BENEFITS / VISION CARE United Health Care/BCBS OF CA MAMSI LIFE - PHARMACY / DENTAL CLAIMS ONLY FIRST HEALTH - CMC STEEL GROUP MHF INSURANCE ADMINISTRATORS, INC. INTERNATIONAL PAPER c/o Wausau Benefits AMERICAN CHIROPRACTIC NETWORK Pacificare PPO 2507 WALGREEN HEALTH INITIATIVE THE WELLNESS PLAN NCAS DENTAL Express Scripts COMBINED INSURANCE OF AMERICA BLUEGRASS FAMILY HEALTH-RX ONLY OEA CHOICE TRUST ODS NCAS Central States Health & Welfare - RX ONLY Central States Health & Welfare - DENTAL ONLY Dan River Inc. JSL ADMINISTRATORS LUMENOS LOCAL 246 Central States Health & Welfare - Vision Only

Address PO BOX 11807 PO BOX 6708 PO BOX 417019 PO BOX 890500 PO BOX 23907 PO BOX 2621 PO BOX 607 PO BOX 3127 PO BOX 2239 PO BOX 41965 PO BOX 64812 PO BOX 25307 2040 FRONT STREET PO BOX 71519 PO BOX 9071 ATTN: CLAIMS, PO BOX 30349 PO BOX 30568 PO BOX 940 PO BOX 11549 PO BOX 47777 PO BOX 8032 5620 SMETANA DRIVE, SUITE 225 Pacificare Medical Claims PO Box 6099 PO BOX 545 PO BOX 02577 PO BOX 1227 PO BOX 66773 PO BOX 638 651 PERIMETER DR., SUITE 300 PO BOX 23600 601 SOUTHWEST 2nd AVENUE PO BOX 10136 PO Box 5106 PO Box 5104 Attn: Tracy Brandon; PO Box 261 PO BOX 72749 PO BOX 69309 PO BOX 8022 PO Box 5105 Updated: December 8, 2009

City ROANOKE GREENVILLE KANSAS CITY CAMP HILL COLUMBIA CHARLESTON JONESBORO ELMONTE SCHENECTADY ROCHESTER ST. PAUL WINSTON-SALEM CUYAHOGA FALLS NEWNAN DUBLIN TAMPA SALT LAKE CITY FREDERICK TUCSON JACKSONVILLE WAUSAU MINNETONKA Cypress DEERFIELD DETROIT FAIRFAX ST. LOUIS BELLINGHAM LEXINGTON TIGERARD PORTLAND FAIRFAX Des Plaines Des Plaines Danville NEWNAN HARRISBURG COCKEYSVILLE Des Plaines

State VA SC MO PA SC WV GA CA NY NY MN NC OH GA OH FL UT MD AZ FL WI MN CA IL MI VA MO WA KY OR OR VA IL IL VA GA PA MD IL

Zipcode 24022296066417917089-0500 2922425329302379173312301-2239 146045516427114-5307 442213027143017-0971 3363084130-0568 217058573432247-7777 54402-8032 55343-9611 9063060015482022203063166-6773 9822740517972819720722030-0136 6001760017245433027117106-9309 2103060017-

Phone1 Phone2 (800) 444-1153 (888) 298-6828 (866) 612-3862 (800) 541-2039 (803) 736-6463 (866) 281-5751 (800) 852-0049 (800) 350-6294 (800) 793-3773 (800) 552-0053 (800) 858-0723 (800) 624-8605 (800) 996-4640 (800) 794-4668 (877) 254-2363 (800) 749-5855 (877) 816-3596 (800) 331-2102 (800) 337-7460 (866) 631-5013 (800) 343-2737 (888) 350-5614 (800) 624-8822 (800) 207-2568 (800) 875-9355 (800) 888-6227 (888) 434-8533 (800) 544-5531 (800) 788-2949 (800) 787-2680 (800) 452-0914 (800) 452-1058 (800) 452-0914 (704) 364-3865 (800) 323-2190 (800) 323-2190 (434) 799-7000 (770) 683-1050 (877) 554-8969 (800) 730-2241 (800) 323-2190

Third Party Insurance Codes

Code HZ0 HZ1 HZ2 HZ3 HZ4 HZ5 HZ6 HZ7 HZ8 HZ9 I00 I01 I03 I04 I05 I06 I07 I08 I09 I10 I11 I12 I13 I14 I15 I16 I17 I19 I20 I21 I22 I23 I24 I25 I27 I28 I29 I30 I31

CompanyName AETNA DENTAL Winston-Salem Healthcare Pharmacy American Adminstrative Group Cigna DENTAL NETWORK OF AMERICA VISION INSURANCE PLAN NATIONAL SERVICE CENTRE METLIFE DENTAL CLAIMS HUMANA CLAIMS OFFICE PBP HEALTH PLAN Florida Steel Drum Co. Clyde Pearson Company PM Group Benefits W.J. Jones Administrative Services Unicare Cigna Prudential Insurance Company Charlotte Pipe & Foundry/CIGNA TPA American Fast Print Central Transport, Inc. Georgia-Pacific Andrex Indusries Aetna Life & Casualty Unit 75 United Healthcare Cigna Lundy Packing Company Aetna U.S. Healthcare Norrick Brothers, Inc. Corporate Claims Services, Inc. Klais & Company Fruit of the Loom/Richmond Apparel Aetna U.S. Healthcare Benefit Claims Administrators FCE Health and Welfare Fund Wrangler, Inc. Georgia-Pacific Highland House Furniture Jordan Lumber & Supply Company

Address PO BOX 14094 3995 Hummingbird Lane PO Box 268906 PO Box 5200 PO BOX 23060 PO BOX 44077 582 KING EDWARD ST WINNIPEG PO BOX 981282 PO BOX 14602 PO BOX 782369 PO Box 249 PO Box 2838 PO Box 33699 1979 Marcus Ave. PO Box 833933 PO BOX 5200 PO Box 1609 PO BOX 1929 PO Box 901066 PO Box 5765 PO Box 7007 PO Box 348 PO Box 6470 3541 Winchester Road PO Box 740800 PO Box 29000 PO Box 49 PO Box 2250 PO Box 12073 PO Box 528 1867 W. Market Street PO Box 1847 PO Box 26107 PO Box 1776 4615 Walzem Road, Ste 300 PO Box 2648 PO Box 549 PO Box 2467 PO Box 98 Updated: December 8, 2009

City LEXINGTON Winston-Salem Oklahoma City SCRANTON BELLEVILLE MILWAUKEE MB R3H OPI EL PASO LEXINGTON SAN ANTONIO Harrisburg High Point Phoenix Lake Success Richardson SCRANTON Newark FORT MILL Fort Worth Spartanburg High Point Conway Asheville Allentown Atlanta Atlanta Clinton Blue Bell Oklahoma City Columbus Akron Rockingham Greensboro Toledo San Antonio Wilson Enfield Hickory Mt.Gilead

State KY NC OK PA IL WI TX KY TX NC NC AZ NY TX PA NJ SC TX SC NC NC NC PA GA GA NC PA OK OH OH NC NC OH TX NC NC NC NC

Zipcode 40512271077312618505-5200 62223-0060 5321479998-1282 405127827828075 27261 85067-3699 11042 75083-3933 18505-5200 071011609 29716761012066 29304 27264 27820 28816 18195-0521 303740800 30359 28328 19422-8250 73157 43216-0528 44313 28379 27402-6107 43603 78218-1608 27894 27823 28603 27306

Phone1 Phone2 (888) 442-9886 (336) 718-1044 (888) 619-2332 (800) 456-8700 (800) 820-9994 (414) 475-1875 (800) 883-5747 (800) 893-7587 (888) 328-2158 (502) 580-8075 (800) 544-7111 7044552111 9198828135 6029903510 8008317783 8003333304 9038928167 2105058151 7045221855 (800) 432-5925 8035782020 9104319186 9194319186 7042530445 8003312363 (877) 222-4261 4049340370 9195922104 8002451206 8006242514 8004489776 6144881666 (330) 867-8443 (910) 997-6471 3362737706 4192551400 (210) 349-9801 9192376101 9194453131 7043238600 9194396121

Third Party Insurance Codes

Code I32 I33 I34 I36 I37 I38 I39 I40 I41 I43 I44 I45 I46 I47 I48 I49 I50 I51 I52 I53 I54 I55 I57 I58 I59 I60 I61 I62 I63 I64 I65 I67 I68 I69 I70 I71 I72 I73 I74

CompanyName Mass. Mutual Life Insurance South Coast Claims Armtex, Inc. United Healthcare Evangelical Lutheran Church of America Great-West Life Insurance Ithaca Industies c/o Upstate Administrators United Healthcare Regal Industries United Healthcare Ladd Furniture Spectrum Glass Products Caremark-formerly Eckerd Corporation Hamilton Beach/Proctor Silex Cigna Southeastern Container Southern Engineering Sisco EBC Mid-America Group Resources Reliastar Stonecutter Mills Corporation United Technologies Automotive Family Dollar Stores c/o Cigna Golden Peanut Company CIGNA IFH Company SanFatex Dixie Yarns Code no longer Valid CIGNA Adams Millis Aetna U.S. Healthcare EDSF Welfare & Pension Trust Fund (Local 27) Weldon Veneer Company, Inc. Golden Valley Plant Nash Finch Company Cigna

Address 4747 Lincoln Mall Drive PO Box 2178 PO Box 546 PO Box 740800 800 Marquetta Ave., Suite 1050 PO BOX 11111 PO Box 6589 PO Box 30555 PO Box 509 PO Box 30555 PO Box 7405 PO Box 408 PO Box 52195 561 Hay Street PO Box 807 PO Box 34609 PO Box 34609 PO Box 389 9200 Shelbyville Rd. PO Box 100043 7830 E. Broadway 300 Dallas Street 511 Hay Street PO Box 34335 PO Box 279 PO Box 5200 PO Drawer 2947 PO Box 588 PO Box 400 ZZZZZZZZZZZZZZZZ PO BOX 5200 PO Box 626 PO Box 7012 PO Box 796069 27 Union Square West PO Box 586 Route 2, Hwy 226 7600 France Ave. S PO Box 9005 Updated: December 8, 2009

City Matteson Costa Mesa Pilot Mountain ATLANTA Minneapolis FORT SCOTT Syracuse Salt Lake City Hope Mills Salt Lake City Greensboro Clinton Phoenix Mt. Airy Hunt Valley Enka Charlotte Dubuque Louisville Duluth Tucson Spindale Mt. Airy Charlotte Aulander SCRANTON Hickory Red Springs Tarboro ZZZZZZZZZZ SCRANTON Kernersville Dover Dallas New York Weldon Bostic Edina Jericho

State IL CA NC GA MN KS NY UT NC UT NC NC AZ NC MD NC NC IA KY GA AZ NC NC NC NC PA NC NC NC ZZ PA NC DE TX NY NC NC MN NY

Zipcode 60443 92628 27041 30374 55402 6670113217-6589 041300555 28348 8413027417 28328 8507227030 21030 28728 28234 52052 4022230096 85710 28160 27030 28234 27805 18505-5200 28603 28377 27886 00000-0000 18505-5200 27285 19903-1512 75379-6069 10003 27890 28018 55435 11753-8905

Phone1 7087473000 8004217735 9193685511

Phone2

6123337651 (800) 663-8081 3154221533 (800) 654-0079 9194258162 (800) 323-8520 (336) 294-5233 9195927101 (800) 222-3383 (800) 841-5550 9196927676 4107856800 7043998331 (800) 457-4726 (31) 958-3734 (502) 423-0505 (770) 623-8383 8008887202 7042862341 9107862127 7048476961 9193451661 (800) 338-7691 7043285301 9108432033 9198233191 8002355707 9109965858 8003387807 2146057550 2129243666 9195363143 7042482050 6128320534 5164967840

(302) 857-4800

Third Party Insurance Codes

Code I75 I76 I77 I78 I79 I80 I81 I82 I83 I84 I85 I86 I87 I88 I89 I90 I91 I92 I93 I95 I96 I97 I98 I99 IA0 IA1 IA2 IA3 IA4 IA5 IA6 IA7 IA8 IA9 J00 J01 J02 J04 J05

CompanyName Seabury & Smith Principal Financial Prudential Insurance Company Fulenwider Enterprises Mucor Steel Service Charles F. Cates & Sons, Inc. Lincoln Natl. Life Thonet Williamettte Industries, Inc. M.R. Williams, Inc. Hartford Insurance Group Libbey Owens Ford United Healthcare Myrick Construction, Inc. Sheraton of New Orleans Cigna NORTH AMERICAN HEALTH INS National Linen Service Oxford Industries United Healthcare Aetna Life & Casualty Principal Mutual Diversified Group Brokerage Pacific Health & Life Ins. Co. code no longer valid HOLDEN & COMPANY CIGNA DENTAL Freeway Foods ACEC Healthplan Services BF&M INSURANCE GROUP Group Benefit Adminstrators CAREPLUS Royal Development Co. c/o Medcost Managed Benefit Plans, INC Simon Askew Insurance Agency Rasmussen Agency, Inc. Pierce County Medical Bureau Aetna U. S. Healthcare AB Emblems

Address PO Box 2545 PO Box 39710 PO Box 537 PO Drawer 2166 PO Box 525 PO Box 35 200 Galleria Pkwy., Ste. 1500 PO Box 5900 PO Box 230 PO Box 728 PO Box 888820 PO Box 969 PO BOX 740800 PO Box 728 2150 Veterans Blvd. PO Box 5200 PO BOX 853921 PO Box 1149 PO Box 1206 PO Box 740122 PO Box 14079 711 High Street PO Box 299 PO Box 7709 zzzzzzzzzzzzzzzzzzzz PO BOX 10411 PO BOX 16782 PO Box 14945 PO Box 44109 PO BOX HM1007, CITY OF HAMILTON PO Box 30749 PO BOX 31286 PO Box 25307 1035 Strader Drive, Suite 100 PO Box 364 PO Box 786 PO Box 2915 PO Box 26190 PO Box 695 Updated: December 8, 2009

City Nashville Colorado Springs Matteson Morganton Darlington Durham Atlanta Statesville Moncure Henderson Atlanta Laurinburg ATLANTA Biscoe Kenner SCRANTON RICHARDSON Fayetteville Burgaw Atlanta Lexington Des Moines Marborough Bend zzzzzzzzzzzz SAVANNAH COLUMBUS Greensboro Las Vegas HDMX, BERMUDA Salt Lake City TAMPA Winston-Salem Lexington Elm City East Orange Tacoma Greensboro Weaverville

State TN CO IL NC SC NC GA NC NC NC GA NC GA NC LA PA TX NC NC GA KY IA CT OR ZZ GA OH NC NV UT FL NC KY NC NJ WA NC NC

Zipcode 37219 809493910 60443-0537 28655 29532 27702 30339 28677 27559 27536 30356 28353 3037427209 70062 18505-5200 75085-3921 28302 28425 3037440512-4079 50309 06447-0299 97708-7709 00000-0000 31412432162741589116-

Phone1 Phone2 6152698036 (800) 247-4695 (800) 826-1820 8004451796 7044378000 8033935841 8002225028 7709526066 7048782222 9195422311 9194388104 8002825855 9192772116 8003310265 9194282106 5045252500 8004622135 3142418665 9104830428 9192595794 (800) 842-5252 (888) 238-6277 3083894368 (860) 295-0238 8004238297

(912) 231-1040 (800) 722-7535 (704) 676-0400 (888) 813-7099 (441) 295-5566 84130(800) 972-1177 33613(800) 794-5907 27114(336) 889-2569 40505(800) 645-1006 (888) 684-7600 27822 9192379154 070180786 2016753940 98402 2065976500 27402-6190 (800) 942-5210 28787 8004384285

Third Party Insurance Codes

Code J06 J07 J08 J09 J10 J11 J12 J13 J15 J16 J17 J18 J20 J21 J22 J23 J24 J25 J26 J27 J28 J29 J30 J31 J32 J33 J34 J35 J36 J37 J38 J39 J40 J41 J42 J43 J44 J45 J46

CompanyName Great West Care Health Plan Equifax MegaLife & Health IBA, Inc. (Insurex Benefits Adm.) Selman & Company Great West Life Insurance Co. Benefit Management Corporation Great West Health Care Plan Weyco, Inc., Benefit Management Local #3 EHD Administrators, Inc. AAC (Advanced Administrative Co.) United Healthcare Glenn Manfacturing Company Universal Packaging Corp. Georgia-Pacific Bassett-Walker, Inc. Cigna Summit Comm. Group, Inc. Aetna Life Insurance Company NCAS Hickory Business Furniture Baker, Knapp & Tubbs Reynolds Aluminum Recycling Company Aetna Life Insurance Company Boren Clay Products General American Life Insurance Co. Sandusky Founding Health & Welfare Code no longer valid Gunmar Machine Corporation Berwanger, Overmeyer & Associates Tyson Foods Advanced Drainage (ADS) Benefit Systems & Services, Inc. Central States Regency Home Fashions American Efird Mills Benefit American Trust Allmerica Financial

Address PO Box 11111 PO Box 6000 PO Box 982009 PO Box 41779 24400 Chagrin Blvd. 7700 Bonhomme Rd., Suite 550 PO Box 269000 PO Box 11111 PO Box 30132 158-11 Harry Van Arsdale, Jr. Ave. PO Box 3080 16010 Barkers Point Lane, Suite 265 PO Box 30555 PO Box 83 PO Box 32 PO Box 589 PO Box 5423 PO Box 5046 115 Perimeter Center Place 1150 PO Box 2295 PO Box 220887 PO Box 8 2219 Shore Drive 4435 Waterfront Dr., Suite 108 PO Box 18040 PO Box 518 719 Teaco Rd. #B PO Box 5012 ZZZZZZZZZZZZZZZZZ 310 Hines Street PO Box 20945 PO Box 965 PO Box 367 760 Pasquinelli Dr., Suite 320 PO Box 5116 PO Box 878 PO Box 1178 PO Box 1365 400 Lincoln St. Updated: December 8, 2009

City Fort Scott Duncan North Richland Hills Memphis Cleveland Clayton WESTON Fort Scott Lansing Flushing Lancaster Houston Salt Lake City Morven Lumberton Whiteville Martinsville Southfield Atlanta Fort Wayne Charlotte Hickory High Point Glen Allen Columbus Roseboro Kennett Sandusky ZZZZZZZZZ Lumberton Columbus Monroe Rowland Westmont Des Plaines Newton Gastonia Columbia Worcester

State KS OK TX TN OH MO FL KS MI NY PA TX UT NC NC NC VA MI GA IN NC NC NC VA OH NC MO OH ZZ NC OH NC NC IL IL NC NC SC MA

Zipcode 667017111 73534-6000 761828009 38174-1779 44122-5608 63105 333266670148909 11365 17603 77079 841300555 28119 28359 28472 24115-5423 48086 30346 46801-2295 28222 28603 27263 23060 43218 28382 63857-3749 44871-8012 00000-0000 28358 43220 28111 28383 60559 60017-5103 28658 28053 29202 01653-

Phone1 Phone2 (800) 663-8081 8008520914 (800) 527-2845 9017256400 8007356262 8002743761 3053841000 (800) 663-8081 5173497010 7185912000 8005447292 7135319503 (800) 323-8520 7048519311 9196425041 9196425041 7036325601 8005234626 4043940707 2194805400 (704) 364-3865 7043282064 9103282064 8042814528 8003349776 9195254128 (888) 989-9890 4196265343 9107386295 8004414557 7042837571 9194223303 7087892082 8003235000 (800) 323-2190 7044640152 7048673664 8037315555 (800) 423-6011

Third Party Insurance Codes

Code J47 J48 J49 J51 J52 J53 J54 J55 J56 J57 J58 J59 J60 J62 J63 J65 J66 J67 J68 J69 J70 J71 J72 J73 J74 J75 J76 J77 J78 J79 J80 J81 J83 J84 J85 J86 J87 J88 J89

CompanyName Spray Cotton Mills (Spray Plan) Richard Falcone & Associates Jenelco Health Options of Jacksonville FL United Healthcare Teamsters Joint Council (Local 83) Anthem Life Insurance Co. United Healthcare Aetna Life Insurance Company Western Fidelity Insurance Co. IIT Research Institute International Union of Operating Engineers Benefit Services, Inc. Rose Furniture Company POMCO IdeaLife Insurance Co. Insurnational Anderson Truck Line, Inc. Paradigm Care Plan Health Plan Services The Sunderbruch Corporation Massachusetts Mutual Life Ins. Co. Southern Benefits Jet Research Center HDR Employee Benefit Administration Georgia Boot, Inc. Benefit Support, Inc. Prudential Insurance Company United Healthcare Cigna Group Benefits Fleetwood Homes/Principal Financial American EFird Georgia-Pacific Krantz America Will Wear Scrivner, Inc. Consumer's United Insurance Company American Crane Corporation CIGNA

Address PO Box 3207 377 E. Butterfield Rd., Suite 375 1600 S. Brentwood, Suite 500 8665 Baypine Rd., Suite 300 PO Box 10066 8814 Fargo Rd., Suite 200 PO Box 101511 PO Box 30555 PO Box 26599 PO Box 901010 185 Admiral Cochrane Dr. 166 W. Kelly PO Box 4138 916 Finch Avenue PO Box 6329 PO Box 9100 PO Box 5043 PO Box 1196 PO Box 1268 PO Box 30367 1034 S. Brentwood Blvd. PO Box 90130 5305 Virginia Beach Blvd. 2001 South I-35 Box 5150 PO Box 610 PO Box 2977 PO Box 5378 9797 Springsboro Pike PO Box 3310-Station D 4021 S. 700 E., Ste. 500 PO Box 759 PO Box 309 PO Box 240212 PO Box 1009 PO Box 565 2100 M. Street, NW 202 Raleigh Street PO Box 10485 Updated: December 8, 2009

City Eden Lombard St. Louis Jacksonville Augusta Richmond San Antonio Salt Lake City Milwaukee Fort Worth Annapolis Metuchen Akron High Point Syracuse Clearwater Costa Mesa Lenoir Tifton Tampa St. Louis City of Industry Norfolk Alvarado Greenville Blairsville Gainsville Matteson Dayton Albuquerque Salt Lake City Gastonia Skippers Charlotte Marion Warsaw Washington Wilmington Des Moines

State NC IL MO FL GA VA TX UT WI TX MD NJ OH NC NY FL CA NC GA FL MO CA VA TX SC GA GA IL OH NM UT NC VA NC NC NC DC NC IA

Zipcode 27288 60148 63144 32256 30999 23229 78201 841300555 53226 767101 21401 088402952 44321 27263 13217 34618 92628-5043 28645 31793 33630-3367 63117 917150130 23502 76009-9775 29606 30512 30503 60443-0537 45470 87190-3310 84107 28053 23879 28224 28752 28398 20063 28403 50306

Phone1 9196239181 7087194848 8007772040 9047317967 4048551386 8042823131 8008888024 (801) 393-0843 8005580860 8174517200 3015737000 9085489118 8003673762 9198866050 8006955170 8137911369 8003153440 7047289236 9123861751 8132891000 3147263838 8003883075 8003448412 8177835111 8004765150 4047452145 8007774782 8005536000 5138596100 8002336229 8002474695 7048677271 8046343300 7045882780 7046523355 9192937821 8004249711 9103958500 8006332231

Phone2

2166660337

8032356474 4045322690

Third Party Insurance Codes

Code J90 J91 J93 J94 J95 J96 J97 J98 J99 JA1 JA2 JA3 JA4 JA5 JA6 JA7 JA8 JA9 JB1 JB2 JB3 JB4 JB5 JB6 JB7 JB8 JB9 JC1 JC2 JC3 JC4 JC5 JC6 JC7 JC8 JC9 JD1 JD2 JD3

CompanyName Ladd Furniture, Inc. Brown Wooten Mills code no loger valid Unicare Prudential Insurance Company Buckeye Employee Benefit Services Principal Financial Universal Furniture Industries, Inc. The Shores Group Cigna (Vision) HORIZON BLUE CROSS BLUE SHIELD OF NJ Aetna US Healthcare GLOBAL RISK MANAGEMENT OCUCARE SYSTEMS Regence Blue Shield of Idaho Delta Care Horizon BCBS of NJ Phillips Administrative Services Country Wide Care Kanawha Insurance Company American Republic Insurance Company PHCS (Private Health Care Systems) Vytra PPO Code no longer valid Great Plains Energy Mylan Health Benefits Mail Handlers Alaska Electrical Health & Welfare Fund United Group Programs Inc United Benefits Inc/Royal Development Wisconsin Laborer's Health Fund Mountain Claims Management HMAA Claims (Hawaii Mgmt Alliance Association) fsamet c/o hunt insurance Protective Life Insurance Co. HealthPlus of Michigan IBEW Local 1249 Insurance Fund Guarantee Association Life Investors UMR

Address One Plaza Ctr., Box HP3 PO Box 1046 zzzzzzzzzzzzzzzzzzzzzzzzzzzzzz PO Box 833933 PO Box 9315 PO Box 18245 PO Box 39710 2622 Uwharrie Road 1770 Indian Trail Rd. PO Box 3053 PO BOX 247, DEPT V PO Box 981204 PO BOX 97547 9040 W. STATE ROAD PO Box 1106 12898 Towne Center Drive PO Box 1184 PO Box 218 PO Box 674 PO Box 2000 601 6th Avenue PO Box 1607 ZZZZZZZZZZZZZZZZZz PO Box 412021 PO Box 4740 15400 Calhoun Place 2600 Denali, Suite 200 Corp Press Plaza, 902 Clint Moore Road #100 PO Box 730561 2801 Coho Street, Suite 300 PO Box 1008 PO Box 32580 po box 12969 PO Box 3129 PO Box 1700 PO Box 301 PO Box 7217 PO Box 36580 PO Box 30530 Updated: December 8, 2009

City High Point Mt. Airy zzzzzzzzzzz Richardson Van Nuys Columbus Colorado Springs High Point Norcross Bourbonnais NEWARK El Paso RALEIGH FT LAUDERDALE Lewiston Cerritos Newark Albany Parkridge Lancaster Des Moines Des Plaines ZZZZZ Kansas City Star City Rockville Anchorage Boca Raton ORMOND Madison Fruitland Honolulu tallahassee Brentwood Flint East Syracuse Deerfield Louisville Salt Lake City

State NC NC ZZ TX CA OH CO NC GA IL NJ TX NC FL ID CA NJ OR IL SC IA IL ZZ MO WV MD AK FL FL WI ID HI FL TN MI NY IL KY UT

Zipcode 27261 27030 00000-0000 750833933 91409 43218 80949 27263 30093 6091407101-0247 799982762433324835019070307101-1184 973216006829721-2000 5033460017-1607 00000-0000 64141-2021 26504-4740 2085099503-2782 3348732173-0561 53713-4513 8361996803-2580 32317-2969 3702448501-1700 13057-0301 6001540233-6580 84130-0530

Phone1 9198890333 9107868379

Phone2

(800) 333-3304 8189922000 6144886786 (800) 247-4695 (800) 533-5044 9108617200 4049232100 (800) 921-3366 (800) 624-4758 (800) 355-2583 (888) 632-3862 (800) 992-5020 (877) 577-4188 (800) 632-2022 (800) 422-4234 (888) 276-4299 (800) 356-9822 (800) 293-3480 (877) 378-1505 (800) 640-9016 (800) 426-5880 (816) 556-2515 (800) 848-0296 (888) 767-6738 (800) 478-1246 (907) 276-1246 (561) 997-9892 (336) 889-2569 (800) 397-3373 (608) 274-4773 (866) 952-7979 (800) 621-6998 (800) 763-4868 (800) 866-3808 (800) 942-8816 (315) 656-8390 (847) 940-1930 (866) 242-2806 (800) 446-8182

Third Party Insurance Codes

Code JD4 JD5 JD6 JD7 JD8 JD9 JE1 JE2 JE3 JE4 JE5 JE6 JE7 JE8 JE9 JF1 JF2 JF3 JF4 JF5 JF6 JF7 JF8 JF9 JG1 JG2 JG3 JG4 JG5 JG6 JG7 JG8 JG9 JH1 JH2 JH3 JH4 JH5 JH6

CompanyName Employee Benefit Management Corp (EBMC) Code no longer valid American Underwriters Life Ins. McCrew Care Central H.E.R.E. IV WELFARE PENSION FUND United States Ins. Company BCBS OF IL PRES. DRUG PROGRAM GOLDNET Caremark/formerly/PharmaCare Guardian MMS (GE Group Admin) Fortis Health Ins. Co. American Heritage Life Insurance SRT Administrators Inc IUIIW (Internt'l Union of Indust & Indepen Workers CAROLINA CARE PLAN Caremark HORIZON HEALTHCARE DELTA DENTAL FIRST HEALTH FEDEX FREIGHT HEALTH FIRST HEALTH GENERAL PRESCRIPTION PROGRAM Insurance Services of Lubbock Hartford Insurance BCBS of New Jersey Life of the South Ins. Co. G E Group Administrators Wausau Benefits The Loomis Co/SKFUSA Innoviant code no longer valid Benefit Administrators HealthAmerica PSU Healhtpass National Association for Self Employed Professional Benefit Administrators Complete Benefit Solutions Anthem BCBS APPALACHIAN BENEFIT ADMINISTRATORS

Address PO Box 5001 ZZZZZZZZZZZZZZ PO Box 9510 PO Box 30888 PO BOX 6020 PO BOX 1581 PO BOX 9082 1020 DISCOVERY ROAD, SUITE 100 PO Box 52010 PO Box 8017 PO Box 22389 PO Box 025521 PO Box 10811 PO Box 25160 PO Box 5470 201 EXECUTIVE CENTER DRIVE PO BOX 52196 PO BOX 79 PO BOX 9085 PO BOX 24160 PO BOX 5007 PO BOX 23400 305 MEDICINE AVE, STE 1166B 4601 66th Street, Suite C 500 Bielenberg Drive PO Box 820 PO Box 45237 PO Box 150809 PO Box 8013 PO Box 13845 PO Box 8082 zzzzzzzzzzzzzzz PO Box 1957 PO Box 7089 PO Box 982009 15 Spinning Wheel Road, STE 210 PO Box 3649 PO Box 18197 PO BOX 780 Updated: December 8, 2009

City New Port Richey ZZZZZZZZ Wichita Phoenix AURORA NEPTUNE OXNARD EAGAN Phoenix Appleton Nashville Miami Clearwater Scottsdale Beaumont COLUMBIA Phoenix NEWARK FARMINGTON HILLS TUCSON HARRISON TUCSON NEW YORK Lubbock Woodbury Newark Jacksonville Ft Worth Wausau Reading Wausau zzzzzzzzzz Beattyville London N Richland Hills Hindsdale Greenville Columbus WAYNESVILLE

State FL ZZ KS AZ IL NJ CA MN AZ WI TN FL FL AZ TX SC AZ NJ MI AZ AZ AZ NY TX MN NJ FL TX WI PA WI ZZ KY KY TX IL SC OH NC

Zipcode 3465600000-0000 672778507860598-0020 07754-1581 93031-9082 5512185072-2010 1000337203-2389 33102-5521 3375785255-0102 7772629210-8430 85072-2196 0710148333-9085 85734-4160 72601857341016579414551250710132232-5237 7618554402-8013 19612-3845 54402-8082 00000-0000 413114074276182-8009 605212960843218-0197 28786-0780

Phone1 Phone2 (877) 304-0761 (316) 794-2200 (800) 300-9409 (800) 841-3380 (630) 236-5100 (800) 221-3480 (800) 348-6908 (800) 753-3620 (800) 858-0723 (888) 645-9303 (800) 238-7828 (800) 624-4050 (800) 397-9241 (800) 305-2413 (800) 780-3724 (888) 690-2020 (888) 488-0548 (803) 750-7400 (866) 805-9195 (800) 524-0149 (800) 995-2126 (800) 546-1900 (800) 633-6645 (800) 341-2234 (800) 840-2161 (800) 833-5575 (800) 624-1110 (800) 661-6385 (800) 397-6241 (800) 756-6938 (866) 225-6090 (610) 374-4040 (877) 559-2955 (877) 840-0936 (800) 366-6433 (800) 527-5504 (888) 757-0703 (866) 758-9999 (630) 655-3755 (866) 270-2316 (800) 533-5240 (800) 676-2583 (828) 926-4040

Third Party Insurance Codes

Code JH7 JH8 JH9 JJ1 JJ2 JJ3 JJ4 JJ5 JJ6 JJ7 JJ8 JJ9 JK1 JK2 JK3 JK4 JK5 JK6 JK7 JK8 JK9 JM1 JM2 JM3 JM4 JM5 JM6 JM7 JM8 JM9 JN1 JN2 JN3 JN4 JN5 JN6 JN7 JN8 JN9

CompanyName TRIDENT PLAN ADMINISTRATORS MAXOR PLUS MEDICAL EYE SERVICES MAJOR LEAGUE BASEBALL PLAYERS BENESYS INC DENTEMAX STATE FARM-Health Operations ADVANCED BENEFITS RESOURCES DENTAL BLUE/BCBSNC CLAIMS UNIT EY MED HEALTH CONNECTICUT PPO, GROUP 101P11 BENEFIT SOURCE PAN AMERICAN LIFE INS/CLAIMS Code no longer valid METLIFE C/O KANAWHA HLTHCARE SOLUTION DELTA DENTAL OF SD WELLMARK BLUE DENTAL MASS BRICKLAYER & MASONS HLTH & WELFARE MNU CLAIMS DEPT/CARECORPS ALLIANT HEALTH PLANS INC ACORDIA NATIONAL ST JOHNS CLAIMS ADMINISTRATOR VISTA SOUTH FLORIDA DELTA DENTAL PLAN OF CA DELTA DENTAL OF OKLAHOMA UHC SERVICES INC CATALYST RX Educators Mutual Ins Assoc of Utah UNIVRA HEALTH CARE CBCA ADMINISTRATORS FLORIDA COMBINED PEARCE ADMINISTRATORS MERCY HEALTH PLANS TRUSTMARK INSURANCE CO ACS/Health Net Unicare United Health Care Nationwide Health Plans Butler Benefit Service Inc (BBSI)

Address 3825 N. 24TH STREET 320 S. POLK, SUITE 200 PO BOX 25209 200 PUBLIC SQUARE STE 900 PO BOX 81189 PO BOX 7003 PO BOX 3070 PO BOX 350 PO BOX 2100 PO BOX 8504 PO BOX 5006 PO BOX 240 PO BOX 61070 ZZZZZZZZZZZZZZZZZZZZZZZZZZZ PO BOX 8050 PO BOX 1157 PO BOX 9354 645 MORRISSEY BLVD PO BOX 863 PO BOX 89454 PO BOX 2451 PO BOX 14230 PO BOX 453279 PO BOX 997330 PO BOX 548809 PO BOX 958447 PO BOX 1069 852 E. Arrowhead Lane PO BOX 23000 PO BOX 902 PO BOX 100135 PO BOX 2439 PO BOX 4568 PO BOX 2942 PO Box 14700 PO Box 2700 PO Box 740813 PO Box 15016 PO Box 3310 Updated: December 8, 2009

City PHOENIX AMARILLO SANTA ANA CLEVELAND LAFAYETTE PARKERSBURG Newark WOODBURY WINSTON SALEM MASON WALLINGFORD MONROE NEW ORLEANS ZZZZZZZZZZZZ LANCASTER PIERRE DES MOINES BOSTON INDIANAPOLIS CLEVELAND CHARLESTON SPRINGFIELD SUNRISE SACRAMENTO OKLAHOMA CITY LAKE MARY ROCKVILLE Murray Rochester BEATTYVILLE COLUMBIA FLORENCE SPRINGFIELD CLINTON Lexington Bedford Park Atlanta Sacramento Davenport

State AZ TX CA OH LA WV OH NY NC OH CT MI LA ZZ SC SD IA MA IN OH WV MO FL CA OK FL MD UT NY KY SC SC MO IA KY IL GA CA IA

Zipcode 85016-6512 79101927994411470598-1189 26102-7003 43058-3070 1179727102-2100 4504006492-7506 48161-0240 70161-1070 00000-0000 2972157501503060212246206-0863 44101-6454 25329-2451 65814-0230 33345-3219 95899-7330 73154-8809 32795-8447 20849-1069 84107-5298 1469241311-0902 29202-3135 2950365818-4568 52733-2942 4051260499-2700 30374-0813 95851-1016 52808-3310

Phone1 Phone2 (602) 240-2404 (800) 687-0707 (800) 877-6372 (800) 669-2255 (800) 356-6799 (337) 235-7964 (800) 752-1547 (800) 669-2255 (614) 775-2162 (866) 742-9210 (800) 305-6638 (800) 521-3605 (800) 972-1627 (800) 742-4441 (866) 668-6299 (800) 287-2434 (800) 627-3961 (877) 333-0164 (617) 436-5500 (317) 262-2132 (800) 811-4793 (800) 332-4732 (417) 841-3825 (800) 441-5501 (888) 335-8227 (800) 522-0188 (800) 989-4481 (888) 727-5560 (800) 662-5851 (866) 265-5983 (800) 337-3338 (800) 722-0498 (877) 203-9921 (888) 722-1668 (800) 327-0763 (800) 544-7312 (800) 438-7886 (800) 438-6105 (877) 842-3210 (877) 234-2727 (563) 327-2280

Third Party Insurance Codes

Code JP1 JP2 JP3 JP4 JP5 JP6 JP7 JP8 JP9 JQ1 JQ2 JQ3 JQ4 JQ5 JQ6 JQ7 JQ8 JQ9 JR1 JR2 JR3 JR4 JR6 JR7 JR8 JR9 JS1 JS3 JT1 JT2 JT3 JT4 JT5 JT6 JT7 JT8 JU1 JU2 JU3

CompanyName Wausau Benefits Inc AMERICAN-AMICABLE LIFE INS CO AMERICAN HEALTHCARE NATIONAL FINANCIAL INSURANCE CO PREFERRED ADMINISTRATIVE SERVICES NATIONAL CLAIMS ADMIN SER (NCAS) WELFARE FUND OF LOCAL 293 CONSUMER HEALTH SOLUTIONS UNITED HEALTHCARE G E FINANCIAL CONTINENTAL AMERICAN INSURANCE CO NABN/BCE EMEGRIS MISSISSIPPI HEALTH CONNECTIONS NEW MARKET DIMENSIONS RETIRED MACHINEST HEALTH PLAN Coordinated Vision Care PACIFIC DENTAL BENEFTIS INDEPENDENCE BCBS/PERSONAL CHOICE HARRINGTON BENEFIT SERVICES CIGNA PHARMACY OPERATIONS CHOICE NET ALLEGIS GROUP AETNA NATIONWIDE/CHCS SERVICES DENTAL SERVICES BCBS FISERR HEALTH - KANSAS Healthscope Benefits WORKSITE RX Zenith Administrators Nova Healthcare Star HRG/Walmart First Health First Health Mail Hamdlers/ Coventry Horizon Healthcare Dental Services Harrington Benefits Service St John's Claims Administrator The Rx Choice National Benefit Fund

Address PO Box 8086 PO BOX 2549 2217 Plaza Drive, Suite 100 801 CHERRY STREET, UNIT 33 259 MONROE AVENUE PO BOX 10153 5505 VALLEY BELT RD STE D PO BOX 3492 PO BOX 659744 PO BOX 100252 PO BOX 427 PO BOX 90603 301 HIGHLAND PARK COVE, STE B PO BOX 4339 1640 SOUTH LOOP ROAD 2209 Commerce Road 1445 NORTH LOOP WEST, STE 500 PO BOX 69352 PO BOX 720 PO BOX 3598 PO BOX 76149 7301 PARKWAY DRIVE PO BOX 14027 PO BOX 12467 PO BOX 9201 PO BOX 520 PO BOX 619059 PO BOX 707 po box 2246 PO Box 9010 PO Box 54150 PO Box 23978 PO Box 11619 PO Box 8402 PO Box 1938 PO Box 725 PO Box 14409 1540 H. Wade Hampton Blvd. PO Box 1007 Updated: December 8, 2009

City Wausau WACO Rocklin FT WORTH ROCHESTER FAIRFAX INDEPENDENCE SPARTANBURG SAN ANTONIO COLUMBIA COLUMBIA ARLINGTON RIDGELAND HOUSTON ALAMEDA Forest Hill HOUSTON Harrisburg PUEBLO SCRANTON COLORADO SPRINGS HANOVER LEXINGTON PENSACOLA OXNARD PUEBLO Dallas TIFTON seattle Buffalo Phoenix Tucson Tucson London Newark Pueblo Springfield Greenville New York

State WI TX CA TX NY VA OH SC TX SC SC TX MS TX CA MD TX PA CO PA CO MD KY FL CA CO TX GA WA NY AZ AZ AZ KY NJ CO MO SC NY

Zipcode 54402-8014 76702-2549 957657610214607220384413129304-3492 78265-9744 29202-3252 29202-0427 760063915977210945022105077008171068100218505-0598 80970-6149 2170640512-4027 32591-2467 9302181002-0520 75261-9059 3179398112-246 1423185078-4150 85734857344074207101-1938 81002-0725 658142960910036-

Phone1 Phone2 (800) 842-6475 (800) 736-7311 (800) 872-8276 (817) 878-3304 (800) 999-3920 (800) 873-6227 (216) 739-9489 (877) 573-9541 (877) 842-3210 (888) 344-7220 (800) 433-3036 (800) 801-1500 (800) 888-0311 (800) 972-7038 (800) 662-0738 (877) 426-9300 (800) 252-0972 (800) 275-2583 (215) 636-9559 (800) 446-8182 (800) 882-4462 (887) 321-4412 (410) 579-4219 (800) 238-6200 (888) 803-1780 (800) 627-0004 (800) 235-7160 (800) 333-5711 (866) 386-9779 (877) 256-6160 (800) 333-3195 (800) 288-1474 (800) 382-6411 (800) 382-6411 (800) 410-7778 (800) 433-6825 (800) 446-8182 (877) 875-7700 (888) 208-1154 (800) 575-7771

Third Party Insurance Codes

Code JU4 JU5 JU6 JU7 JU8 JU9 JV1 JV2 JV3 JV4 JV5 JV6 JV7 JV8 JV9 JW1 JW2 JW3 JW4 JW5 JW6 JW7 JW8 JW9 JX1 JX2 JX3 JX4 JX5 JX6 JX7 JX8 JX9 JY1 JY2 JY3 JY4 JY5 JY6

CompanyName Definity Healthcare Cigna Cigna United Healthcare WESTERN CAROLINA WELL CARE Lutheran Preferred Progeny Marketing Innovations Cigna Healthcare EMPIRE BLUE CROSS BLUE SHIELD WASHINGTON WHOLESALERS EASTERN LIFE & HEALTH INSURANCE CO STANDARD INSURANCE COMPANY (DENTAL) CAPITAL DISTRICT PHYSICIANS HLTH PLAN AMERICAN HERITAGE BENEFITS IN A CARD CCN Tricare for Life FIDELIS CARE NEW YORK BEECHSTREET CORP BCBSxx Prime Therapeutics (Wal Mart) National Motor Club of America Unicare Epic - Prescription Plan Managed Benefit Administrators Crossroad Healthcare Mgmt Stonebridge Life Insurance Co. Key Benefit Administrators Elder Plan Jordan Holman Lumbe Co Polaris Benefit Administrators Plan Administrators Incorporation Harrington Benefit Services Brown & Brown Benefits Central Reserve Life Ins. Co. Southwire Insurance Contract Freighters - First Health Coresource Envision RX DELTA DENTAL OF COLORADO Accordia National Ins./Prudue/Wellfargo

Address PO Box 740810 PO Box 5008 PO Box 5200 PO Box 981502 PO BOX 6927 PO Box 580 PO Box 40606 PO Box 32894 PO BOX 5076 7130 Columbia Gateway Dr Ste A PO BOX 83888 PO BOX 82622 PO BOX 66602 1776 AMERICAN HERITAGE LIFE DRIVE PO BOX 5190 PO BOX 7890 PO BOX 845 PO BOX 853925 PO Box 64812 PO Box 809110 Box 4050 PO Box 15024 PO Box 873 P O Box 090540 2700 West Plano Parkway PO Box 1279 PO Box 199100 PO Box 436 PO Box 2010 PO Box 6702 PO Box 765 P O BOX 2480 P O BOX 29190 P O Box 345 P O Box 23339 PO Box 2920 P O Box 1298 P O BOX 173803 P O Box 2801 Updated: December 8, 2009

City Atlanta Visalia SCRANTON El Paso COLUMBIA Brownsburg Nashville Charlotte MIDDLETOWN Columbia LANCASTER LINCOLN ALBANY JACKSONVILLE TAMPA Madison AMHERST RICHARDSON St Paul Dallas Schaumburg Albany Scramento Staten Island Plano Ft Mill Brooklyn Granite Falls Westerville Columbia Pueblo Daytona Beach Shawanee Mission Pueblo Tucson Clinton Twinsburg DENVER Charleston

State GA CA PA TX SC IN TN NC NY MD PA NE NY FL FL WI NY TX MN TX IL NY CA NY TX SC NY NC OH SC CO FL KS CO AZ IA OH CO WV

Zipcode 303749327818505-5200 79998-1502 2926046112-0580 37204-0606 28232-2894 10940-9076 2104617608-3888 68501-2622 12206-6602 3222433675-5190 5370714226-0845 75085-3928 5516475380-9110 60168-4050 1221295812103097507529716-1279 11219286304308629260-6702 81002-0765 32115-2480 66201-9190 8100285734-3339 52733-2920 4408780217-3803 25330-2801

Phone1 Phone2 (866) 333-4648 (800) 782-2603 (800) 244-6224 (800) 244-6224 (877) 842-3210 (866) 653-0338 (800) 258-0974 (800) 477-6452 (800) 245-1066 (866) 219-8692 (800) 845-8518 (800) 233-0307 (717) 397-2751 (800) 547-9515 (800) 937-7039 (800) 749-1422 (866) 773-0404 (888) 343-3547 (800) 327-5926 (800) 423-1973 (800) 523-4582 (877) 864-2273 (800) 332-3742 (800) 888-1801 (800) 323-3165 (800) 622-2923 (866) 867-6883 (718) 921-2979 (800) 489-8179 (800) 755-2200 (888) 645-6410 (800) 768-4375 (800) 654-6208 (800) 323-4890 (800) 945-8554 (770) 832-4054 (800) 679-1918 (800) 223-3943 (800) 327-5462 (800) 361-4542 (303) 741-9300 (866) 869-5597

Third Party Insurance Codes

Code JY7 JY8 JY9 K01 K02 K04 K05 K06 K07 K08 K09 K11 K12 K13 K14 K15 K16 K17 K18 K19 K20 K21 K23 K24 K25 K26 K27 K28 K29 K30 K31 K32 K33 K34 K35 K36 K37 K38 K39

CompanyName US Plan Administrators USPA Allied Benefit System Long Term Care Partners Jockey Group Health Plan Star Aministrative Services - The Pantry Inc. Mutual Benefit Life Insurance Co. The Hartford Syracuse Health Consolidated Employee Benefits, Inc. Empire Blue Cross/Blue Shield Burk and Assoicates Western Ohio Health Care Consolidates Group Services Health-Net code no longer valid Tuscarora Yarns Cigna Glen Raven Mills Managed Healthcare Concepts Cotter and Company Prudential Insurance Company Employee Benefit Claims Asplundh Tree Expert Co. SIBS Swift-Eckrich Claim Division The New England Employee Benefit Group Health Plan Code no longer valid Value RX Pharmacy Program Boilermaker's National Health & Welfare Fund Panhandle Eastern Corporation United Healthcare Fleetwood Homes/Principal Financial Quality Health Services Prudential Insurance Company Self-Insured Benefit Administrators Prudential-Aetna Insurance Company SRC Services, Ins. Unicare Management Services, Inc. Health & Welfare Benefit Systems, Inc. Kal-Kan Foods, Inc.

Address P O Box 42044 P O Box 909786 100 Arbortum Drive PO BOX 11648 PO Box 55270 1950 Spectrum Circle, Suite B100 PO Box 4925 2300 W. Park Place, Suite 114 PO Box 11800 11330 IH 10 West Street, Suite 5170 PO Box 591208 PO Box 9191 PO Box 9103 ZZZZZZZZZZZZZZZZ PO Box 3209 PO Box 85455 PO Box 518 PO Box 77436 PO Box 1655 PO Box 1759 PO Box 884 Blair Mill Rd. 1030 Higgins, Suite 200 PO Box 30466 zzzzzzzzzzzzzzzzzz 30445 Nortwest Hwy. Ste. 300 754 Minnesota Ave., Suite 522 PO Box 1642 PO Box 30555 4021 S. 700 E., Ste. 500 7810 Ballantyne Commons Pkwy., Ste. 300 PO Box 537 PO Box 47338 PO Box 14586 PO Box 23759 2727 Paces Ferry Ste. 600 115 N. Neil St., Suite 409 PO Box 21109 PO Box 28146 Updated: December 8, 2009

City Houston Chicago Portsmouth TUCSON Phoenix Marietta Syracuse Stone Mountain Albany San Antonio Dayton Framingham Van Nuys ZZZZZZZZ Kinston San Diego Norlina Atlanta Henderson Cincinnati Appleton Willow Grove Park Ridge Tampa zzzzzzzz Farmington Hills Kansas City Houston Salt Lake City Salt Lake City Charlotte Matteson St. Petersburg Lexington Columbia Atlanta Champagne Roanoke Columbus

State TX IL NH AZ AZ GA NY GA NY TX OH MA CA ZZ NC CA NC GA NC OH WI PA IL FL ZZ MI KS TX UT UT NC IL FL KY SC GA IL VA OH

Zipcode 77242-2044 6069003801-7833 85734-1648 85078-5270 30067 13221 30087 12211-0800 78249 45459-8028 01701 91409 00000-0000 28501 92186 27563 3035727536 45201-1759 54912 19090-1701 60068 33630 00000-0000 48334 66101-2766 77251-1642 84130 84107 28277 60443-0537 33743 40512-4586 29224-3759 303396148 61820 2401843228

Phone1 Phone2 (800) 888-0332 (312) 906-8080 (603) 433-4588 8009627215 8004767574 (800) 308-5948 4049511586 8004485813 8002325244 5184479166 5126973120 8003438868 7148968746 9195274127 8002271277 9194564141 8007369059 9194921110 5137847500 4147315333 2157844345 3127148750 8006541731 5086201000 7148968633

7148962656 4048734395

8003478777 (913) 342-6555 (281) 627-6350 (800) 323-8520 8002474695 7043192277 7087476444 8133470082 8008087277 8008690808 8005261028 8004430829 8002834927 7039820206 6148787241

Third Party Insurance Codes

Code K40 K42 K43 K44 K45 K46 K47 K48 K49 K50 K51 K52 K53 K54 K55 K56 K57 K58 K59 K60 K61 K62 K63 K64 K65 K67 K68 K69 K70 K71 K72 K73 K74 K75 K76 K77 K78 K79 K80

CompanyName K-T Feldspar Corporation Kaiser Permanente GMP Employers Retiree Trust Code no longer valid American Advantage Co. The Guardian Life Insurance Co. Bussman Industries Electrical Welfare Trust Fund (IBEW Local 26) Ameritas Life Insurance Company United Healthcare Transus Freight Inc. Remington Apparel Silver Knit Industries Lee Apparel Company PM Group Benefits Deseret Health Care Plan Highlands Country Club National Telephone Cooperative Association Great West Life Insurance American Travelers Engineers Joint Welfare Fund Timber Stand Improvement Underwriters Life Insurance Company United Healthcare Whitley Products Inc. Modern Globe, Inc. Central Reserve Life Kolortex Legionnaire Insurance Trust Health Plus Nyhart Company Gravely Aetna U.S. Healthcare Employee Plans, Inc. TRANSAMERICA/AEGON USA NPA (National Prescription Administrators) ASO North America DBL Services, Inc. Coresource

Address PO Box 309 PO Box 41916 5245 Big Pine Way, SE ZZZZZZZZZZZZZZZZZZ PO Box 505 PO Box 2450 210 Dixie Trail 4601 Presidents Dr., Suite 300 PO Box 82520 PO Box 105380 PO Box 6944 1217 S. 13th Street PO Box 2676 Highway 19, 129 E PO Box 34799 PO Box 45530 PO Box 220 ONE WEST PACK SQUARE STE 600 455 Market St., Suite 2000 3220 Tillman Drive 4325 S. Salina Street PO Box 98 6210 Campbell Rd., Suite 200 PO Box 740800 66 Van Raalte Street 501-505 Elkin Rd. 17800 Royalton Rd. PO BOx 19034 PO Box 21908 7601 Ora Glen Drive, Suite 200 9320 Priority Way West Dr. One Gravely Lane PO Box 150437 PO Box 2362 PO Box 8063 400 Market Street 110 Cypress Station Dr. Ste 160 PO Box 66714 PO Box 1195 Updated: December 8, 2009

City Spruce Pine Los Angeles Fort Myers ZZZZZZZZZZ Waynesville Spokane Goldsboro Lanham Lincoln Atlanta Atlanta Wilmington High Point Andrews Phoenix Salt Lake City Highlands Asheville San Francisco Bensalem Syracuse Mt. Gilead Dallas Atlanta Franklin North Wilkesboro Strongsville Charlotte Santa Barbara Greenbelt Indianapolis Clemmons Hartford Fort Wayne Little Rock Philadelphia Houston St. Louis Minneapolis

State NC CA FL ZZ NC WA NC MD NE GA GA NC NC NC AZ UT NC NC CA PA NY NC TX GA NC NC OH NC CA MD IN NC CT IN AR PA TX MO MN

Zipcode 28777 090040916 33907-5998 00000-0000 28786 99210-2450 27530 20706 68501 30348-5380 30315 28401 27261 28901 85067-3699 84145 28741 28801 94105 19020 13205 27306 75248-1363 30374 28734 28659 44136 28219 93121-1908 20770 462800884 27012 06115-0437 46801 72203 19106770901637 63166-6714 55440-

Phone1 7047659621 8139366242

Phone2

7044525437 8003341332 9197343900 3017311050 8004875553 7709353000 8002412458 9107636543 9108414333 7043214111 6029903510 8015753622 7045262181 (828) 252-9776 8008216210 8004413978 3154921796 9194396121 2147334955 8008426563 7043696682 8003467842 8003213997 7043598700 8002356943 8006353121 (317) 803-7700 9197664721 (800) 290-0640 8009347475 2194361616 (800) 322-0426 (800) 467-2006 7136900044 8007270362 (800) 444-6965

Third Party Insurance Codes

Code K81 K82 K83 K84 K85 K86 K87 K88 K89 K90 K91 K92 K93 K94 K95 K96 K97 K98 K99 KA2 KA3 KA4 KA6 KA7 KA8 KA9 KB1 KB2 KB3 KB4 KB5 KB6 KB7 KB8 KB9 KC1 KC2 KC3 KC4

CompanyName United Healthcare Peoples Life Insurance Company The Fellowship The Caraway Company Cigna Sentara Health Plan BCBS of Ohio FIRST ADMINISTRATORS Principal Mutual Southern Council of Industrial Workers CoreSource Fountainhead Administrators Cigna Bernhardt Furniture Company Athens Furniture Company Tanner Company Rocky Mount Cord Company Boling Company Textile Prints Healthscope Benefits Group Health Plan Foundation Benefits Administrators National Employee Benefits Company Fresenius Medical Care Scriptrax US Now Claims Department Smith Administrators Evercare ( Formerly United Health Group) Transhealth Wausau Benefits First Administators Inc. AAA- Life Insurance Company Delta USA Mid-South Management-NC INC Unicare/Cargill KPS Health Plans First Health/ConAgra Inc. Allied EyeCare Harrington/Healthchoice

Address PO Box 30555 PO Box 2668 PO Box 17726 PO Box 459 PO Box 30151 4417 Corporation Lane 1351 William Howard Taft Rd. PO Box 9900 PO Box 39710 PO Box 1984 400 Field Dr PO Box 161870 PO Box 2048 PO Box 740 PO Box 431 PO Box 1139 PO Drawer 4304 311 NE Church Rd. PO Box 1620 P O Box 2860 P O Box 7374 6300 Bridgepoint Parkway, Bldg.3 Ste.400 144 Metro Center Blvd. Ste.100 401 Park Drive;Mail Stop 01-06 255 Charlois Blvd 8350 N Central Expressway; Ste.650A P O BOX 161125 PO Box 31362 910 Ridgebrook Road P O Box 450 P O Box 5091 17250 Newburgh Road P O Box 1435 P O BOX 1634 p o box 4061 P O Box 339 P O Box 8507 3290 P O Box 24870 Updated: December 8, 2009

City Salt Lake City Greenville Greenville Sophia Lansing Virginia Beach Cincinnati SIOUX CITY Colorado Springs Nashville Lakeforest Austin Gastonia Lenoir Statesville Rutherfordton Rocky Mount Mount Olive Rocky Mount Little Rock London Austin Warwick Boston Winston Salem Dallas Fort Worth Salt Lake City Sparks Pueblo Sioux Falls Livonia Minneapolis Spartanburg Schaumburg Bremerton London Oklahoma City

State UT SC SC NC MI VA OH IA CO TN IL TX NC NC NC MC NC NC NC AR KY TX RI MA NC TX TX UT MD CO SD MI MN SC IL WA KY OK

Zipcode 8413029609 29606 27350 48909-7651 23462 45206 51102-0479 809493910 37202 60045787161870 28052 28645 28677 28139 27801 283658690 27804 7220340742787300288602215-3326 2710375206761618413121152-9390 81002-0450 57117-5091 4815255440-1435 29304-1634 601689833740742-8507 73124-

Phone1 Phone2 (800) 323-8520 8032926886 8032770986 9196814169 8002844512 8044660742 5138728100 (800) 206-0827 (800) 247-4695 6153567126 (800) 223-3943 (888) 397-2554 7047589811 7048736312 7042874205 9199779130 9196584947 9199770923 (800) 884-0307 (800) 755-3901 (866) 868-8035 (800) 242-1991 (704) 376-3892 (877) 774-8729 (800) 694-9888 (800) 867-2582 (800) 362-0655 (800) 454-5909 (800) 944-5184 (800) 627-6118 (877) 434-1141 (877) 616-4587 (864) 583-2907 (800) 304-7258 (800) 552-7114 (800) 872-2257

(800) 972-3025

(800) 393-0993

(651) 406-5922

(360) 377-5576

(405) 499-4920 (800) 752-9475

Third Party Insurance Codes

Code KC5 KC6 KC7 KC8 KC9 KD1 KD2 KD3 KD4 KD5 KD6 KD7 KD8 KD9 KE2 KE3 KE4 KE5 KE6 KE7 KE8 KF1 KF2 KF3 KF4 KF5 KF6 KF7 KF8 KF9 KG2 KG3 KG4 KG5 KG6 KG7 KG8 KG9 KH3

Address CompanyName AmericaHealth Care (PBM) 2217 Plaza Drive, Ste 100 The Guardian P O Box 8024 Premera Blue Cross P O Box 91059 Fallon Community Health Plan P O Box 15121 POMCO P O Box 186 Anthem BCBS Dental P O Box 9274 Assurant Dental P O Box 2941 Spectera - United Healthcare Dental P O Box 2618 Securian Dental Plans P O Box 9385 Assurant Health P O Box 42033 Unum Life Insurance Company of America 10700 N.W Freeway Benefit Services, Inc. P O Box 1544 Loyal American Life Insurance P O Box 559004 Horizon Hlthcare Local 298 825 East Gate Blvd. Ste. 102 Premier Club Benefits/Medcost PO Box 25307 Sterling Life Insurance PO Box 69314 Assurity Security Group At Work PO Box 80926 APS Healthcare PO Box 1458 Pioneer Management System Inc. P O Box 9040 CNA Continental Casualty Company P O BOX 946760 USDOS/ACS HEALTHCARE SOLUTIONS PO BOX 33729 Invalid - don't use number 1 NC State Employees Health (PPO PLAN) c/o BCBS NC PO Box 2291 PO MEDCO HLTH SOLUTIONS NC STATE EMPLOYEES HLTH PP BOX 14713 International Managed Care Services 7205 NW 19 Street PRUDENTIAL ISNURANCE COMPANY OF AMERICA PO BOX 8519 Partners RX Management PO Box 12119 Heavy General Laborers' Fund 700 Raymond Blvd. Mailhandlers Medical Claims Only PO Box 8402 Federated Mutual Insurance PO Box 50487 AVIA PARTNERS (RX ONLY) 20427 N. 27TH AVE. Washington Employers Trust PO Box 850898 New York Life Insurance Company - LTC 6200 Bridgepoint Pkwy Suite 400 Finger Lake RX PO Box 22999 Pyramid Insurance PO Box 12922 SANDFORD HEALTH PLAN PO BOX 5074 MERITAIN HEALTH PO BOX 853921 Florida League of Cities, Health Claims Center PO Box 538140 PrimeTherapeutics PO Box 650041 Updated: December 8, 2009

City Rocklin Appleton Seattle Worcester Syracuse Oxnard Clinton Baltimore Minneapolis Hazelwood Houston Salem Austin Garden City Winston Salem Harrisburg Lincoln Rockville West Springfield Maitland INDIANAPOLIS Durham LEXINGTON Miami PHILADELPHIA Scottsdale NEWARK London Indianapolis PHOENIX Richardson Austin Rochester Pensacola Sioux Falls RICHARDSON Orlando Dallas

State CA WI WA MA NY CA IA MD MN MO TX VA TX NY NC PA NE MD MA FL IN NC KY FL PA AZ NJ KY IN AZ TX TX NY FL SD TX FL TX

Zipcode 9576554912-8024 98111-9159 016151320693031-9274 5273321215-0003 55440-9385 6304277092241537875511530271141710668501208490109032794-6760 462032770240512331261917185260071054074246250850277508578730-5006 1469232591-2922 5711775085-3921 32853-8140 75265-0041

Phone1 Phone2 (800) 872-8276 (800) 873-4542 (920) 749-9200 (800) 676-1411 (866) 275-3247 (866) 834-4765 (800) 453-3622 (800) 442-7742 (410) 265-6033 (800) 234-9009 (800) 800-2412 (800) 669-9030 (800) 777-9175 (800) 633-6752 (516) 872-6690 (888) 532-3467 (888) 858-8551 (866) 289-7337 (877) 239-1458 (866) 653-2542 (800) 528-4582 (800) 299-8742 (000) 000-0000 (888) 234-2416 (800) 336-5933 (305) 463-9696 (800) 732-0416 (800) 659-4112 (201) 589-5050 (800) 410-7778 (877) 412-4477 (800) 273-9166 (800) 783-8606 (800) 224-4582 (800) 724-5033 (800) 444-0321 (877) 629-2999 (800) 828-6922 (800) 233-8065 (800) 423-1973

Third Party Insurance Codes

Code KH4 KH5 KH6 KH7 KH8 KH9 KJ3 KJ4 KJ5 KJ6 KJ7 KJ8 KJ9 KK2 KK3 KK4 KK5 KK6 KK7 KK8 KK9 KL3 KL4 KL5 KL6 KL7 KL8 KL9 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KN3 KN4 KN5

CompanyName Genworth Life & Health Insurance Company Nationwide Health Plan (NHP) Anthem Blue Cross and Blue Sheild Futurescripts Sure Health Plans Health Plans, Inc. Manatee Health Network Blue Cross Blue Shield of California SaveRx ALLSTATE HEALTH INSURANCE Humana Insurance of Puerto Rico Inc American Medical Life Insurance Cross America Health Plan Cresent - TPA Exchange Nationwide Specialty Health Ozark National Life Insurance Company Delta Dental Shaw Medical Claims - Wells Fargo Mutual of Omaha/United World Life Ins American Heritage Life Insurance Company Mechanics' Local 701 Welfare Fund UMR-Dental Denex Dental CAIC Cigna -Vision Carolina Care RX Administrative Concepts Inc Primary Physician Care Executive Medical Claims/United HealthCare Molina Healthcare of Washington Inc Integrity Benefits Inc Blue Cross Blue Shield of GA PPO Plus, LLC LUME BlueCross BlueShield of IL Reliant Standard Ranissance Passport Dental Mercycare Insurance Company BCBS- Dental Blue

Address PO Box 40011 PO Box 8006 PO Box 14882 PO Box 419019, Dept 0382 PO Box 15398 PO Box 5199 PO Box 530 PO Box 60007 PO Box 8 PO BOX 853916 PO Box 192059 PO Box 1235 PO Box 5778 PO Box 4363 PO Box 420 500 East 9th Street PO Box 1609 PO Box 11522 3316 Farman Street PO Box 853916 500 W. Plainfield Road PO Box 30541 PO Box 10949 PO Box 6080-179 PO Box 997561 PO Box 31691 994 Old Eagle School Rd Ste 1005 PO Box 11088 PO Box 30431 PO Box 1469 PO Box 4537 PO Box 535314 PO Box 90802 PO Box 805107 505 South Lanola Ste 231 PO Box 17250 PO Box 2770 PO Box 986005 Updated: December 8, 2009

City Lynchburg Dublin St Louis Kansas City Plantation Westborough St Augustine Los Angeles Freemont RICHARDSON San Juan Frederick Parsippany St Augustine Springfield Kansas City Minneapolis Charleston Omaha Richardson Countryside Salt Lake City Rockville Mission Veijo Sacramento Charlotte Wayne Charlotte Salt Lake City Bothell Marietta Atlanta Lubbock Chicago Moorestown Indianapolis Janesville Boston

State VA OH MO MO FL MA FL CA NE TX PR MD NJ FL MA MO MN WV NE TX IL UT MD CA CA NC PA NC UT WA GA GA TX IL NJ IN WI MA

Zipcode 245064301663178-4882 64141333180158132085900606802675085-3916 00919-2059 217020705432085-4363 0110164106-2627 55440-1609 25339-1522 6817575085-3916 6052584130-0541 2084992690-6080 9589928231-1691 19087-1802 2822084130-0431 98041300613035379408-8802 60680-4112 080574621753547-2770 02298-

Phone1 Phone2 (800) 451-2513 (800) 635-6585 (800) 490-6145 (888) 678-7012 (800) 337-1421 (866) 615-8366 (941) 741-2960 (800) 677-6669 (888) 887-8955 (866) 233-4239 (800) 937-7039 (877) 486-2627 (888) 264-1512 (866) 302-7332 (877) 224-8061 (800) 635-6585 (816) 842-6300 (800) 662-8856 (800) 321-1855 (877) 617-5587 (800) 937-7639 (800) 704-6270 (800) 842-6475 (866) 533-6391 (888) 524-8778 (877) 478-7557 (866) 697-6800 (800) 452-5772 (704) 523-2758 (800) 472-5001 (800) 861-8417 (800) 869-7165 (770) 428-1604 (888) 206-4697 (888) 965-1180 (800) 730-8434 (866) 375-0775 (800) 866-3908 (800) 895-2421 (800) 882-1178

Third Party Insurance Codes

Code KN6 KN7 KN8 KN9 KP3 KP4 KP5 KP6 KP7 KP8 KP9 KQ3 KQ4 KQ5 KQ6 KQ7 KQ8 KQ9 KR3 KR4 KR5 KR6 KR7 KR8 KR9 KT3 KT4 KT5 KT6 KT7 KT9 KU3 KU4 KU5 KU6 KU7 KU9 KV3 KV4

CompanyName Carefirst-BCBS McLaren Health Plan The Guardian-Dental Ameritas-Dental United Healthcare-Student Resources CareFirst BlueCross BlueShield NCAS GEM Group-Vision and Dental DocFirst-LBA Health Plan Medco Health Solutions Allstate Financial Workforce Division GE Healthcare Preferred/BCBS of AL Express Scripts Health Partners Baldor/Usable Admin Homeland Health Care AIG Domestic Claims Magna Care Medical Life Insurance Company P & A Group Highmark Blue Sheild Central Pennsylvania Teamster Health & Welfare Fund Bravo Health UMR Family Heritage Life Insurance Co of America Div 1181 ATU NY Welfare Fund Health Options Program- HOP AARP Medicare RX Multiplan/Local 1964 Health Ins Sun RX Healthplex-Local 1964 Dental Jefferson Pilot Financial/ Lincoln Finance Group Anthem RX Pharmacare Central Benefits Walgreens Alaska USA- Risk Benefits Mgmt Services Express Scripts Inc Wellmark BCBS Vanbreda International

Address PO Box 14116 PO Box 1511 PO Box 473 PO Box 82520 PO Box 809027 PO Box 10104 1200 Three Gateway Center PO Box 981801 PO Box 14713 PO Box 43067 PO Box 2208 PO Box 66583 PO Box 1289 PO Box 1460 PO Box 3726 PO Box 2017 PO Box 1001 PO Box 14604 17 Court St Ste 500 PO Box 890173 PO Box 15224 PO Box 4433 PO Box 30530 PO Box 470608 101-49 Woodhaven Blvd PO Box 2921 PO Box 6083 11Teaneck Rd 6 Executive Campus Ste 600 11Teaneck Rd PO Box 2616 PO Box 54159 PO Box 619055 PO Box 619055 PO Box 269 PO Box 241569 21653 Network Place PO Box 9291 Station 39 PO Box 69.2140 Updated: December 8, 2009

City Lexington Flint Newton Square Lincola Dallas Fairfax Pittsburgh El Paso Lexington Jacksonville Birmingham St Louis Minneapolis Little Rock Seattle Jersey City Garden City Rochester Bufflo Camp Hill Reading Baltimore Salt Lake City Cleveland Ozone Park Clinton Cypress Ridgefield Park Cherry Hill Ridgefield Park Omaha Los Angeles Phoenix Dallas Deerfield Anchorage Chicago Des Moines Antwerpen

State KY MI PA NE TX VA PA TX KY FL AL MO MN AR WA NJ NJ NY NY PA PA MD UT OH NY IA CA NJ NJ NJ NE CA AZ TX IL AK IL IA BE

Zipcode 40512-4116 4850119073-0473 68501-2520 75380-9027 22038-8004 15222799984051232203-3067 352016316655440-1289 72203-1460 9812407303-2017 11530146041420217089-0173 19612-5224 2122384130441471141652733-2921 90630-0083 07660080020766068103-2616 900548507275261-9055 6001599524-1569 60673-1216 5030600000-0000

Phone1 (800) 842-5975 (888) 327-0671 (888) 600-9200 (800) 487-5553 (888) 251-6160 (866) 607-6272 (866) 607-6272 (800) 360-4817 (800) 711-0917 (800) 521-3535 (888) 217-5224 (800) 892-5119 (952) 883-6000 (866) 278-2402 (877) 503-9095 (800) 428-2422 (888) 242-6446 (800) 544-0327 (800) 688-2611 (800) 988-0668 (800) 331-0420 (800) 556-1570 (800) 446-8182 (440) 922-5200 (718) 845-5800 (800) 773-7725 (888) 867-5575 (800) 437-1964 (800) 786-1791 (800) 468-0600 (800) 842-3729 (866) 452-4479 (866) 475-0056 (877) 616-7424 (800) 207-2568 (888) 743-7998 (800) 516-6000 (323) 217-6846

Phone2

(866) 464-0701

(201) 440-6523

(907) 743-7998

Third Party Insurance Codes

Code KV5 KV6 KV7 KV8 KV9 KW4 KW5 KW6 KW7 KW8 KW9 KX4 KX5 KX6 KX7 KX8 KX9 KY4 KY5 KY6 KY7 KY8 KY9 KZ4 KZ5 KZ6 L00 L01 L02 L03 L04 L05 L06 L07 L08 L09 L10 L11 L12

CompanyName Unified Life Insurance Co Green Shield of Canada Sun Life Financial CompBenefits American Admin. Group-First Health Health Assurance/Health America Trusted Plan Service Corp Assurant Health OneNet (Pricing Company) Thrivent-Medicare Supplement HIP Health Plan of New York Excellus BCBS Inclusive Health PTRx Pharmacy Services Global Benefits Group Advantra Freedom NALC Prescription Drug Program Insurance Admin Service-IAS Express Scripts Cinergy Health Alliance Medical Plan Champ VA-Spina Bifida Pyramid Life Insurance Co US Scripts Pharmacy New England Healthcare-Medicare Supplement Comphensive Benefits-Medicare Supplemental Coverage Noland Company, Inc. Cigna Fujicone Amalgamated Life ILA Welfare Fund One Price Clothing Adminstrative Services, Inc. Loomis Company Wallace Computer Services Tyson Foods, Inc. Employee Benefits America Aetna Life Insurance Cigna

Address PO Box 25326 PO Box 1606 (zipcode N9A6W1) PO Box 3425 Station D ( zipcode K1P1G9) PO Box 87581 PO Box 96570 PO Box 7088 PO Box 1894 PO Box 624 PO Box 934 4321 N Ballard Rd PO Box 2803 PO Box 22999 PO Box 2920 PO Box 6286 26000 Town Center Dr Ste 130 PO Box 7154 PO Box 52192 PO Box 96 13736 Riverport Drive 1844 N Nob Hill Rd ste 623 PO Box 6003 PO Box 65025 PO Box 391885 2425 West Shaw Ave 77 Huyshope Avenue PO Box 9009 Hwy. 301 North PO Box 5200 PO Box 349 730 Broadway St PO Box 1116 PO Box 2487 1000 N. Ashley Dr., Suite 1020 175 Admiral Cochrane Dr. 1900 Charleston Street Route 1, Box 200 1717 Dixie Highway, Suite 7100 PO Box 2520 PO BOX 5200 Updated: December 8, 2009

City Overland Park Windsor Ottawa Chicago Lubbock London Tacoma Milwaukee Frederick Appleton New York Rochester Clinton San Antonio Foothill Ranch London Phoenix Minneapolis Maryland Heights Plantation Urbana Denver Cambridge Fresno Hartford Melville Wilson SCRANTON Clinton New York Wilmington Spartanburg Miami Annapolis Wilson Creswell FortWright Tyler SCRANTON

State KS ON ON IL TX KY WA WI MD WI NY NY IA TX CA KY AZ MN MO FL IL CO MA CA CT NY NC PA NC NY NC SC FL MD NC NC KY TX PA

Zipcode 66225-5326 00000-0000 00000-0000 60680-0581 78493-3570 40742984015320121705-0934 54919-0001 10116-2803 1469252733-2920 78209926104074285072-2192 5544063043333226180180206-9025 0213993711061061174727893 18505-5200 28328 10003 28402 29304 33602 21401-7316 27893 27928 41011-2789 75710 18505-5200

Phone1 (866) 846-9993 (888) 711-1119 (800) 268-2893 (800) 342-5209 (800) 538-5222 (800) 788-6445 (253) 564-5611 (800) 800-1212 (800) 257-6458 (800) 847-4836 (800) 447-8255 (800) 810-2583 (866) 665-2117 (877) 469-7879 (877) 916-7920 (800) 711-1607 (800) 933-6252 (800) 533-3499 (800) 451-6245 (800) 847-1148 (800) 851-3379 (888) 820-1726 (800) 444-0321 (800) 460-8988 (800) 227-4744 (866) 914-3768 9192436146 8009486759 9195920181 2124735700 9197638577 8034396666 8132231348 4102242995 9192430337 9197974123 6063319300 8002554492 8003457507

Phone2

(866) 447-9717 (800) 548-6428 (800) 480-6658 (210) 564-2220

(860) 728-1100

8009486759

Third Party Insurance Codes

Code L13 L14 L15 L16 L17 L18 L19 L20 L21 L22 L24 L25 L26 L27 L28 L29 L30 L31 L32 L33 L34 L36 L37 L38 L39 L40 L41 L42 L43 L44 L45 L46 L47 L48 L49 L50 L52 L53 L54

CompanyName Garden State Hospitalization Plan Georgia-Pacific E.J. Snyder and Co. Medco Health Solutions Inc. United Healthcare Spartan Express United Healthcare Prudential Insurance Company Golden State Mutual Life Insurance Aetna U.S. Healthcare Newton Transportation Company Bartlett Milling Company Health Special Risk Accident Underwriters Trustmark Caterpillar, Inc. The Stolle Corporation Graphic Communications Ezzell Trucking, Inc. Good Samaritan Program Space Savers, Inc. Culinary Insurance Administrative Service Consultants Eli Lilly & Co/Anthem BCBS Employer Services, Inc. Confederate Administrative Services Cigna Wilkerson Fuel Company Code no longer Valid Southern National Bank Coors Brewing Company Cone Mills American Chambers Insurance Wade Manufacturing Company Hawaii Medical Service Association Sentara Health Plan Central Carolina Warehouses Claims Group Administrators, Inc. Strickland Realty and Insurance Co. Epoch Group

Address PO Box 1850 PO Box 308 PO Box 670 PO Box 14713 PO Box 740800 PO Box 1089 PO Box 7579 PO Box 24549 1999 W Adams Blvd PO Box 981107 PO Box 678 701 S. Center Street HSR PLAZA 4001 N. Josey Lane PO Box 2942 Benefit Payments LD 1400 2633 Campbell Rd. 2310 Minnesota Ave., SE PO Box 67 PO BOX 90 PO Box 5458 1933 Las Vegas Blvd., S. 3301 E. Royalton Rd. PO Box 6199 PO Box 619022 PO Box 29419-03 PO BOx 964 PO Box 2835 ZZZZZZZZZZZZZZZZZZZZ PO Box 1489 NS-220 Group Health Services PO Box 1168 PO Box 3048 PO Box 32 PO Box 860 4416 Corporation Lane PO Box 20107 PO Box 52387 PO Box 2027 10795 Watson Road Updated: December 8, 2009

City Perth Amboy Dudley Albemarle Lexington Atlanta Greer Greensboro Creve Coeur Los Angeles EL PASO Lenoir Statesville Carrollton Clinton East Peoria Sidney Washington Harrells NEW PALESTINE Winston-Salem Las Vegas Cleveland Indianapolis Dallas N. Charleston Bristol Rock Hill ZZZZZZZZZZ Lumberton Golden Thomasville Naperville Wadesboro Honolulu Virginia Beach Greensboro Knoxville Goldsboro Saint Louis

State NJ NC NC KY GA SC NC MO CA TX NC NC TX IA IL OH DC NC IN NC NV OH IN TX SC CT SC ZZ NC CO NC IL NC HI VA NC TN NC MO

Zipcode 08861 28333 28002 40512303740800 29652 27417 63141-0549 9001879998-1107 28645 28677 75007 52733-2942 61630 45365 20020 28444 4616327113 89104 44147 46206-6199 75261-9022 29419-9003 06010 29731 00000-0000 28359 80401 27360 60566 28170 96808 23462 27420 37950-2387 27530 631271011

Phone1 Phone2 9084424313 9197364385 7049829105 (800) 882-8879 (877) 222-4261 8007727826 8003342400 3144324005 (800) 225-5476 (800) 531-9878 7047268062 7048729581 2142339787 8005447312 8157296271 8004476434 5134921111 2025823131 9195324101 (800) 953-9150 9197228989 7027339938 2165262730 (866) 814-3739 (800) 428-4411 8006883885 8003258264 8002433280 8033244050 9196712261 3032772535 (336) 472-8500 7085053100 7046942131 8089421111 8045527110 9192733465 6155849456 9197511520 (314) 821-3957

Third Party Insurance Codes

Code L55 L56 L57 L58 L59 L60 L61 L62 L63 L64 L65 L67 L68 L69 L70 L72 L73 L74 L75 L76 L77 L78 L79 L80 L81 L82 L83 L84 L85 L86 L87 L88 L89 L90 L91 L92 L93 L94 L95

CompanyName Quality Molded Products Great West Life Insurance Company American Youth, Inc. Key Benefit Administrators Mid State Paper Box Company Auto Zone (Dept. 8028) Eldorado Claims Services, Inc. Arizona Preferred Providers/CEBA Trust Automated Group Administrators Amalgamated Life Insurance Company Diamond Rug and Carpet Mills, Inc. Systel Office Automation PFL Life Insurance Co. Reliastar Unifi Total Health First Health The Mutual Group Prudential Insurance Company Catalyst RX Stone Container Company Kenan Transport Company CIGNA Hamilton Beach/Proctor Silex Inc. Aetna US Healthcare Florida Rock Group Health Trust Aetna Life Insurance Co. Tuscarora Yarns Frigidaire Company S&G Concrete Company Modern Globe, Inc. Cigna Federated Mutual Insurance Intermarine USA Prudential Insurance Company INVALID CODE Pilgrim Insurance Company Lenox China Zickgraf, Inc.

Address PO Box 725 PO Box 18165 211 E. Illinois Street PO Box 55210 PO Box 627 PO Box 2198 PO Box 55237 6464 E. Grant Rd. PO Box 15568 1505 Eutaw Place PO Box 46 PO Box 35910 PO Box 982009 146 Industrial Park PO Box 1437 1010 Northern Blvd. PO Box 30120 PO Box 2085 PO Box 45160 PO Box 1069 PO Box 1086 PO Box 2729 PO Box 9341 261 Yadkin Road PO Box 1858 PO Box 4667 PO Box 871 PO Box 3209 4411 W. Vernon Ave. 2209 Monroe Street PO Box 1298 PO Box 171806 PO Box 31716 301 N. Lathrop Ave. PO Box 470475 PO Box 207 1800 Dobbs Farm Road PO Box 1149 Updated: December 8, 2009

City Siler City Columbus Wheaton Indianapolis Randleman Memphis Phoenix Tuscon Fort Wayne Baltimore Eton Fayetteville N. Richland Hill Jackson Reidsville Great Neck Salt Lake City Nashua Jacksonville Rockville Lexington Chapel Hill Sherman Southern Pines Bismark Jacksonville Fort Wayne Kinston Kinston Wilmington Franklin Memphis Tampa Savannah Tulsa Folcroft Kinston Franklin

State NC OH IL IN NC TN AZ AZ IN MD GA NC TX MN NC NY VT NH FL MD NC NC TX NC ND FL IN NC NC NC NC TN FL GA OK PA NC NC

Zipcode 27344-0725 43218 60187 46205 27317 38101-9842 85078-5237 85715 46885 21217 30724 28303 761828009 56143 27323 11021 84130-0120 030612085 32232-5160 20849-1069 27293 27515-2729 75091-9341 28387 58502 32201 46801-0871 28501 28501 28401 28734 38187-1806 33631-3716 31402 74147 19032 28502 28734

Phone1 Phone2 9194833185 8008269956 8002720702 3172553822 9194982631 9013254600 8008457046 8006222444 8008886472 8006385785 4046959446 9104837114 8005275504 8002255548 9193423361 8004686825 8009226674 8004267425 8002419379 (919) 876-4642 7042499966 9199678221 8003829797 9106927676 8002350123 9043551781 2194805400 9195274127 9195275100 9195923188 7045249966 8008457822 (800) 237-8292 (813) 496-8100 9122346579 9186244700 (000) 000-0000 2155348800 9195235555 7045242131

Third Party Insurance Codes

Code L96 L97 L98 L99 LA1 LA2 LA3 LA4 LA5 LA6 LA7 LA8 LA9 LU4 LU5 LW4 LW5 LW6 LW7 LW8 LW9 M00 M01 M02 M03 M04 M05 M06 M07 M08 M09 M10 M11 M12 M13 M14 M15 M16 M17

CompanyName The Mutual Group Specialty Oil Company Prudential Life Insurance ASO North America American Benefits Plan Adminstrators Texas International Life I nsurance Co. Caroline Care RX Insurance Management Services Oxford Hlth Plan/The First Hlth Network Celtics NHP Group Limited Benefits Claims Code no longer valid Los Angelos Fireman Release Association America Fidelity Assurance Co/WEB-TPA CDS Group Health First Care Maxor Plus-Rx Claims Regence Prescription Mgt. -BCBS of UT American Fidelity Assurance Co/WEB-TPA Delta Dental-Washington Dental Service Lockard & Williams Insurance Services Protective Life Insurance Company The New England Aetna Life and Casualty Ball-Incon Glass Packaging Monumental General Life Insurance United Healthcare Atwood and Morrill Patch Rubber Company Noland Company Group Insurance Services Code no longer valid Mutual Distributing Company Principal Financial Clyde A. Short Company Med-Pay, Inc. Rose Brothers Paving Company Anthem BCBS Alma Industries

Address 13890 Bishops Dr. Ste. 300 PO Box 6860 PO Box 45040 PO Box 4582 P O Box 6720 P O Box 11007 P O Box 691569 P O Box 15688 P O Box 2083 P O Box 46338 PO Box 46338 ZZZZZZZZZZZZZ PO Box 619059 PO Box 99906 PO Box 50190 12940 N. Hwy 183 320 Southpolk St Ste 200 PO Box 12625 PO Box 99906 PO Box 75983 PO Box 1688 PO Box 3051 517 Route 1, S. Woodbridge Pl. PO Box 129002 One Glass Place PO Box 97 PO Box 740800 PO Box 490 PO Box H 2700 Warwick Blvd. PO Box 2291 ZZZZZZZZZZZZZZZZ PO Box 26446 PO Box 39710 4205 E. Dixon Blvd. PO Box 10909 PO Box 806 PO Box 37180 PO Box 2250 Updated: December 8, 2009

City Brookfield Shreveport Jacksonville Houston Portland Winston Salem Orlando Amarillo Nashua Madison Madison ZZZZZZZZ DALLAS Grapevine Sparks Austin Amarillo Salem Grapevine Seattle Pascagoula Naperville Iselin San Diego Port Allegany Scranton Atlanta Washington Roanoke Rapids Newport News Durham ZZZZZZZZZZ Raleigh Colorado Springs Shelby Springfield Ahoskie Louisville High Point

State WI LA FL TX OR NC FL TX NH WI WI ZZ TX TX NV TX TX OR TX WA MS IL NJ CA PA PA GA NC NC VA NC ZZ NC CO NC MO NC KY NC

Zipcode 530056611 71136 322325040 77210 972282711632819-7819 79105-5688 03061-2083 537445374400000-0000 7526176099-9706 89435-0190 787507910197309-0625 76099-9706 98175-0983 39568-1688 60566-3051 08830 92112 16743 18504 30374-0800 27889 27870 23607 27702 00000-0000 27611 809493910 28150 65808 27910 40233-7180 27261

Phone1 Phone2 4147975000 3186834314 (800) 643-3609 8007338467 (800) 888-0346 (866) 307-4711 (866) 697-6800 (800) 687-5944 (212) 726-6000 (800) 766-2525 (800) 766-2525 (213) 280-3022 (888) 908-2432 (775) 352-6900 (800) 455-4236 (800) 884-4901 (877) 829-9961 (800) 345-6784 (800) 953-1942 (800) 654-8489 (800) 554-1907 (228) 762-2500 8003233529 8002331427 8008489993 8136422521 8004239369 (877) 842-3210 9199467763 9195362574 8042448441 9194904391 9198283842 (800) 247-4695 7044829591 8007779087 9193984126 8003675894 9108854101

Third Party Insurance Codes

Code M18 M19 M20 M21 M22 M23 M24 M25 M26 M27 M28 M29 M30 M31 M32 M33 M34 M35 M36 M37 M38 M39 M40 M41 M42 M43 M44 M45 M46 M48 M49 M50 M51 M52 M53 M54 M55 M56 M57

CompanyName United Healthcare Kentucky Laborers Dist. Council Health & Welfare Tubular Textiles Cigna Eaton Corporation c/o First Health Unicare Employee Benefit Claims, Inc. Hunt and Taylor, Inc. Aetna U.S. Healthcare Cigna Cotter Member Insurance Clover Yarns, Inc. National Welders Supply Co., Inc. Wagner/Hampton PacifiCare Metro Machine Corporation Cunningham Brick Company Boilermakers National Health & Welfare Fund Cigna Carolina Tractor & Equipment Co. Aetna Life Insurance Company International Assurance Company Alpha Data Systems Davis Water and Waste Ind. Southern Electrical Health Fund Rappahonnock Wire Company Unicare E.F. Craven Company RMSCO, Inc. Prudential Insurance Company Willamette Industries International Jensen c/o Aetna Local 144 Hospital Welfare Fund Techni-Car Total Group Services, Inc. TPA of Arizona Unicare Hospital Benefits, Inc. Boon-Chapman Benefits

Address PO Box 30015 1996 Bypass South PO Box 2097 PO Box 5200 PO Box 2900 PO Box 60004 820 Parish Street PO Box 291927 PO Box 150409 1241 Volunteer Parkway 203 Jandus Rd. 401 Guinn Street PO Box 31007 2513 58th Street PO Box 6006 PO Box 1860 Route 2 754 Minnesota Ave., Ste. 522 PO Box 15408 PO Box 1095 PO Box 12244 PO Box 9304 PO Box 811728 PO Box 1419 3928 Volunteer Drive PO Box 3 PO Box 60866 PO Box 20807 PO Box 6309 PO Box 45040 452 Lakeshore Parkway PO Box 1630 233 West 49th Street 450 Gim Gong Road PO Box 1687 PO Box 52100 PO Box 51180 PO Box 162148 PO Box 9201 Updated: December 8, 2009

City Tampa Lawrenceburg Lexington SCRANTON Coraopolis City of Industry Pittsburgh Nashville Hartford Bristol Cary Clover Charlotte Hampton Cypress Norfolk Thomasville Kansas City Wilmington Charlotte Oklahoma City Mobile Dallas Thomasville Chattanooga Andrews Los Angeles Greensboro Syracuse Jacksonville Rock Hill Columbus New York Oldsmar Grand Rapids Phoenix Springfield Altamonte Spring Austin

State FL KY NC PA PA CA PA TN CT TN IL SC NC VA CA VA NC KS DE NC OK AL TX GA TN SC CA NC NY FL SC OH NY FL MI AZ MA FL TX

Zipcode 33630 40342-9754 27293-2097 18505-5200 151086923 91716-0004 15220 37212 06115-0409 37620 60013 29710 28231 23661 90630 23501 27360 66101-2766 19850-5408 28201 73157-2244 36691 75381 31799 37416 29510 90060 27420 13217-6309 322325040 29730 43216 10019 34677 49501 85072 01151 327162148 78766

Phone1 8003344515 5028398166 7049566444 (800) 828-7622 (422) 691-1178 (800) 333-3759 8009224966 8004892974 (800) 290-0640 (423) 968-7541 8003230131 8032227111 7043335475 8048270064 8006248822 8045436801 9194726181 9133426555 8004417150 7045968880 8885628111 2053802211 2149348278 9122265733 6158992593 8032645275 2133801200 8008883499 3154748200 (800) 643-3609 8033283838 (800) 833-0220 2125419150 8008860022 8007669780 8002235228 (877) 864-2273 4078620311 8002529653

Phone2

(910) 727-1104

3154489029

6018752261 5124542681

Third Party Insurance Codes

Code M59 M60 M61 M62 M63 M64 M65 M66 M68 M69 M70 M71 M72 M73 M74 M75 M77 M78 M79 M80 M81 M82 M83 M84 M85 M86 M87 M88 M89 M90 M91 M92 M93 M94 M95 M96 M97 M98 M99

CompanyName Washington National Insurance Medical Administrators Motel 6 Sunnyside Eggs Carolina Mills Aetna Life Insurance Company Kirke-Van Orsdel, Inc. Federal Paper Board North Carolina Carpenters Fund United Commericial Travelers Georgia-Pacific Corporation Athens Furniture, Inc. Principal Financial Insurance Co. NCAS Pennsylvania Empire Blue Cross Blue Shield of NY Cigna Brenco, Inc. Caro Knit The Presbyterian Home of High Point Baxter Healthcare Corporation Terminex Services Webb Furniture, Inc. Code no longer valid Corning, Inc. PARAGON BENEFITS Candle Corporation of America Cleveland-Bakers Local 19 The Synthetic Group Finishing Principal Mutual Life Insurance Insignia Financial Group National Claims Administrative Services Massachusetts Mutual Life Insurance Indpendent Health American SelfCare Corporation First Health APW Central Schools BCBS of Utica-Watertown, Inc. Prudential-Aetna Insurance Company First Chicago Corporation

Address 2929 N. Central Ave. 407 E. Main St., #1 PO Box 809092 PO Box 1946 PO Box 157 PO Box 2295 400 Locust 200 Tabor Rd. PO Box 13487 PO Box 159019 Route 1, Box 500 PO Box 929 PO Box 39710 Dept. 778974 PO Box 5012 PO Box 15408 PO Box 389 PO Box 366 201 Greensboro Rd., Box 500 PO Box 800 1019 Seventh Ave., East PO Box 1277 ZZZZZZZZZZZZZZZZZZ 310 N. College Road PO Box 12288 627 Bayshore Drive 1870 E. 19th Street PO Box 2141 PO Box 39710 PO Box 1089 PO Box 220887 24650 Center Ridge Rd., Suite 310 511 Farber Lakes Dr. 233 12th Street PO Box 945480 PO Box 97 12 Rhoads Drive PO Box 14586 1 N. State St., Ste. 0002 Updated: December 8, 2009

City Phoenix Middletown Dallas Greenville Maiden Fort Wayne Des Moines East Flat Rock Roanoke Columbus Bowdens Athens Colorado Springs Harrisburg Middletown Wilmington Petersburg Jefferson High Point Lincolnshire Hendersonville Galax ZZZZZZZZZZ Wilmington Columbus Oshkosh Cleveland Hickory Colorado Springs Greenville Charlotte Westlake Buffalo Columbus Maitland Parish Utica Lexington Chicago

State AZ NY TX NC NC IN IA NC VA OH NC TN CO PA NY DE VA SC NC IL NC VA ZZ NC GA WI OH NC CO SC NC OH NY GA FL NY NY KY IL

Zipcode 85012 10940-2515 75380-9092 27834 28605 46801 50398 28726 24034 43215 28398 37303 80949 17177-8974 10940 19850-5408 23804 29718 27260 60069 28739 24333 00000-0000 28405 31907 54901 44114 28602 809493910 29602 28222 44145 14221 31901 32794 13131 13502 40512-4586 60670-0002

Phone1 Phone2 6022647451 9143432100 2147025920 9197564187 7044289911 8004331594 8002477988 7046926254 7033457735 8008480123 9192933113 6157452441 (800) 247-4695 (800) 533-5044 8006358832 (800) 238-6597 8004417150 8047320202 8036583451 9198839111 8008246349 7046920301 (800) 522-6812 7032362984 9103957200 (800) 277-9218 (706) 327-9218 4142319620 2167816870 7043285522 (800) 826-1820 8032391023 8006956227 8004372277 7166318701 8002412045 (800) 321-8388 3156257478 3157984200 (800) 645-6661 3124075410

Third Party Insurance Codes

Code MA3 MA4 MA5 MA6 MA7 MA8 MA9 MB3 MB4 MB5 MB6 MB7 MB8 MB9 MC3 MC4 MC5 MC6 MC7 MC8 MC9 MD2 MD3 MD4 MD5 MD6 N00 N01 N02 N03 N04 N05 N06 N07 N08 N09 N10 N11 N12

CompanyName NAHGA-National Accident & Health General TPA Exchange Independence Administrators Anthem BCBS Doral Dental Aetna Global Benefits BCBS Of IN- Anthem Harrington Health OPTUM Health Mertain Health Cigna PPO-Voluntary International Union of Bricklayers and Allied Craftworkers Cinergy Health Insurance Med Sure Service Ltd Benefits in A Card Caremark-Arizona Triple S-Salud/BCBS of Puerto Rico Core Health Plans Service BCBS of FL Lincoln Heritage NC Comprehensive Major Medical MyRightChoice Affinity Health Plan Washington National Insurance Co First Choice Health/ UEBT 4Most Claims Ploof Trucklines Telamon Corporation Health America Caraway Furniture - c/o Washington Inc. Group Benefit Plan First National Life Insurance Lincoln National Life Insurance Dobbs Houses, Inc. Epic Life Insurance Company American Medical Security Company Delta Dental Plan of Nebraska Nestaway Maury, Donnelly and Parr, Inc. Morganite, Inc.

Address PO Box 189 PO Box 1043 PO Box 1010 PO Box 5747 12121 North Corporate Pkwy PO Box 981543 PO Box 37010 PO Box 30544 PO Box 30978 PO Box 27267 PO Box 5909 620 F Street NW 1844 N Nob Hill Rd # 623 1206 Liberty Square Bldg E 12th 208 Silom Rd 300 E McBee Ave Ste 300 PO Box 52116 PO Box 70299 PO Box 610190 PO Box 44160 PO Box 10843 PO Box 30111 1831 Chestnut St PO Box 811 PO Box 64739 PO Box 8130 PO Box 13519 PO Box 26949 PO Box 33315 2601 Market Place Street 6496 Redland Sarepta Rd. 7 Clayton Street PO Box 5620 5100 Poplar Ave. 6801 Southtown Dr. PO Box 19032 7807 Creek Ridge Circle 214 Armory Road Commerce and Water Street 1 Morganite Drive Updated: December 8, 2009

City Bridgton Matthews Horsham Denver Mequon EL Paso Louisville Salt Lake City Salt Lake City Minneapolis Scranton Washington Plantation Bangkok Greenville Phoenix San Juan Dallas Jacksonville Clearwater Durham St. Louis New York St Paul Tacoma Charleston Jacksonville Raleigh Harrisburg Houlka Montgomery Madison Memphis Madison Green Bay Minneapolis Clinton Baltimore Dunn

State ME NC PA CO WI TX KY UT UT MN PA DC FL TH SC AZ PR TX FL FL NC MO NY MN WA WV FL NC PA MS AL WI TN WI WI MN NC MD NC

Zipcode 0400928106-1043 1904480217-5747 5309579998-1543 4035384130-0544 8413055427185052000433322195002906185072-2116 00936-8299 75261-0190 3223133757-8843 27702-3111 6310310028-0082 55164984192536032226 27636 17110 38850 36104 53705 38137 53713-1500 54307-9032 55440 28328 21202 28334

Phone1 (800) 952-4320 (877) 224-8061 (888) 356-7899 (800) 542-9402 (800) 936-0913 (800) 247-5482 (800) 876-2533 (800) 785-3420 (800) 638-3120 (800) 226-5116 (800) 859-0086 (800) 581-4222 (800) 847-1148 (086) 329-2246 (800) 908-1702 (800) 898-5698 (787) 774-6060 (800) 279-2290 (800) 926-6565 (800) 287-7319 (800) 422-4658 (800) 365-9036 (866) 247-5678 (877) 450-5824 (800) 223-2449 (888) 258-6477 9043538641 9198517611 7177639313 2058321850 8002323040 9017663641 8005517263 (800) 232-5432 8003281188 9195929244 4106854625 9198928081

Phone2

(202) 783-3788

(888) 586-8810 (866) 643-7094

Third Party Insurance Codes

Code N13 N14 N15 N16 N17 N18 N19 N20 N21 N22 N24 N25 N26 N27 N28 N29 N30 N31 N32 N33 N35 N36 N38 N39 N40 N41 N42 N43 N44 N45 N46 N47 N48 N49 N50 N51 N52 N53 N54

CompanyName United Technology Automotive Kentec, Inc. Powder Metal Products Software Hosiery Fisher Nut Company Bowater Inc./Carolina Division Ithaca Industies c/o Upstate Administrators The New England Benefit Plan Unicare Pan-American Life Insurance Company Benefit Solutions, Inc. Service America CIGNA National Insurance Services Winn Dixie c/o American Heritage Aetna Life Insurance Company Asheville Dye and Finishing Fortis Benefits Insurance Company Cigna Aetna U.S. Healthcare Pacific Mutual Insurance Company Aetna U.S. Healthcare Mansion Homes Champion International Beer Import Company Dora Yarn Bost Bakery Waste Management, Inc. ITT Hartford Western Fidelity Insurance Company ITT Hartford Prudential Insurance Company Home Life Insurance Company Code no longer valid Ruff-Hewn Lustar Dyeing and Finishing Hargetts Telephone Contractors, Inc. Carolina Drilling and Blasting Co. ARS Benefits, Inc.

Address PO Box 630 4610 Braxton Rd PO Box 248 PO Box 738 185 Peanut Drive PO Box 7 PO Box 6589 115 Perimeter Place, Ste. 465W 5171 VERDUGO WAY PO Box 19032 PO Box 385, 577 NC 16 S, Suite A 2236 Southern Ave. PO Box 850 PO Box 30324 1776 American Heritage Dr. PO Box 2907, Loop Station PO Box 337 PO Box 64582 PO Box 2005 PO Box 31450 PO Box 34799 PO Box 26107 PO Box 39 PO Box 580 PO Box 286 PO Box 9000 PO Drawer 1150 2615 Davis Street PO Box 400 PO Box 901010 90 Woodbridge Center Dr. PO Box 207005 PO Box 1370 ZZZZZZZZZZZZZZZZZZZ 827 Herman Court PO Box 5533 PO Box 3310 PO Box 343 PO Box 1553 Updated: December 8, 2009

City Bennettsville Grifton Aberdeen Biscoe Edenton Catawba Syracuse Atlanta CAMARILLO Green Bay Taylorsville Fayetteville Jamaica Tampa Jacksonville Minneapolis Swannonoa St. Paul Farmington Tampa Phoenix Greensboro Robbins Roanoke Rapids Vauxhall Shelby Shelby San Leandro Shawnee Mission Ft. Worth Woodbridge Stockton Piscataway ZZZZZZZZZZZZZ High Point Asheville Rock Hill Mocksville Smyrna

State SC NC NC NC NC SC NY GA CA WI NC NC NY FL FL MN NC MN CT FL AZ NC NC NC NJ NC NC CA KS TX NJ CA NJ ZZ NC NC SC NC GA

Zipcode 29512 28530 28315 27209 27932 29704 13217-6589 30346 9301254307-9032 28681-0385 28304 11430 33630-3324 32224 55402 28778 5516406032 3363185067-4799 27402-6107 27325 27870 07088 28151-9000 28151 94577 66201 76101 07095 95267-9505 08855 00000-0000 27261 28813 29731 27028 30081-1553

Phone1 8034796214 9195245171 9199447603 9194281242 9194827461 8033296600 3154221533 8004564981 (800) 626-7469 6019483733 7048726611 9194848157 8009623368 8006665550 (800) 524-0716 6123405250 7042982280 6127384000 8008882033 8138706670 8007333225 3362737706 9199482141 9195376011 9086860880 7044872032 7044872032 5106382302 9134512324 8174517200 9088551113 2099564444 8002213231 9198617000 8033663131 7046342961 8008888003

Phone2 9195226642

(828) 632-4970

2037474591

5105321400

2094748992

4049801980

Third Party Insurance Codes

Code N55 N57 N58 N59 N60 N61 N62 N63 N64 N65 N66 N67 N68 N69 N70 N71 N72 N73 N75 N76 N77 N78 N79 N80 N81 N82 N84 N85 N86 N87 N88 N89 N90 N91 N92 N93 N94 N95 N96

CompanyName Union Mutual Medical Fund Piece Goods Company Barnhardt Manufacturing Company CIGNA United Chambers Insured Plan Corporate Systems Administration US Healthcare Vision Service Plan Cigna Principal Mutual Life Stewart Sandwiches, Inc. Palm Harbor Homes Mountain State BCBS BCBS of South Dakota NTDRA Group Trust Georgia-Pacific Plan Administrator Geogria-Pacific Unicare Motorola Benefits Aetna U.S. Healthcare Union National Life Insurance Co. Central Virginia UFCW Asheville Citizen Times Cigna Bluebonnet Administrators Dow Corning Group Health Plan Quinn Company White's Furniture Company United Teacher Insurance Company Digicon Employee Benefit Plan Phoenix Mutual Life Insurance Life Insurance Company of Georgia Coastal Lumber Company National Group Life Insurance Co. United Healthcare UPS Health Program Rocky Mountian UFCW Health Benefit Watkins Associated Industries

Address 270 Sylvan Ave. PO Box 5437 PO Box 34276 PO Box 5200 PO Box 727, Red Banks Road PO Box 4985 CRS PO Box 3013 PO Box 2487 PO Box 5200 3300 North 117th Street PO Box 120119 Highway 421 North PO Box 7026 PO Box 1677 5272 River Road, Ste. 700 PO Drawer D 734 15th Street NW, Suite 500 PO Box 97 PO Box 795180 PO Box 29005 PO Box 150409 PO Box 1131 7206 Hull Street Road, Suite 216 PO Box 2090 PO Box 188013 PO Box 98018 PO Box 0995 PO Box 565 PO Box 1600 PO Box 26580 3701 Kirby Drive, Suite 112 PO Box 1477 PO Box 105006 PO Box 829 PO Box 1250 PO Box 6101 359 E. Park Drive PO Box 157 PO Box 1738 Updated: December 8, 2009

City Englewood Cliffs Winston-Salem Charlotte SCRANTON Pembroke Johnson City Blue Bell Columbus Scranton Omaha Norfolk Siler City Wheeling Sioux City Bethesda Emporia Washington Mufreesboro San Antonio Phoenix Hartford Natchez Richmond Asheville Chattanooga Baton Rouge Midland Warsaw High Point Austin Houston Greenfield Atlanta Weldon Rockford Auburn Harrisburg Westminster Atlanta

State NJ NC NC PA NC TN PA OH PA NE VA NC WV IA MD VA DC NC TX AZ CT MS VA NC TN LA MI NC NC TX TX MA Ga NC IL NY PA CO GA

Zipcode 07632 27113 28234 18505-5200 28372 37602-4985 19422 43216 1850568154 23502-1119 27344 26003 51102 2081623847 20005 27855 7827985038 061150409 39121 23235 28802 374228013 70898 48685-0995 28398 27261-1600 78755-0580 77098 01302 30348-5006 27890 611051250 13021 17111 80030-0157 30301-1738

Phone1 2018718400 9197683930 7043347321 9038928167 9195218648 4232823420 8002451206 (800) 877-7195 8006644288 8003319443 8044669200 9196632182 8006545028 8008314818 (301) 320-2400 8046345123 2023936600 9193984121 9726996500 8002289737 8602730123 6014422069 (800) 638-2972 7042525611 (800) 423-3341 8005258301 5174964054 9192937821 9108851200 5124512224 7136304092 4137724000 4049805100 9195364211 (815) 987-5000 8005537360 7175583064 8005271647 (404) 872-3841

Phone2

8006547414

(800) 880-8824

7175583068

Third Party Insurance Codes

Code N97 N98 N99 P00 P01 P02 P03 P04 P05 P06 P08 P09 P10 P11 P12 P14 P15 P16 P17 P18 P19 P20 P21 P22 P23 P24 P25 P26 P27 P28 P29 P30 P31 P32 P33 P34 P35 P36 P37

CompanyName Munsingwear AmeriHealth/Crown, Cork and Seal Bakers Commercial Life Insurance Co. William Barnett and Son, Inc. United Healthcare Code no longer valid Willis Corroon Corp. of KS Commonwealth National Insurance Muskegon Plumbers and Pipefitters Pierce and Pierce Insurance Company United Healthcare United Healthcare ABCO 100, INC. Protective Life Insurance Co. Code no longer valid Health & Life Ins. of America Southern Bag Company Security Health Plan Oscar Mayer Foods Corporation Cigna Insurance Company Sheet Metal Workers National Health Trust Fund Control Data Benefit Services Basic Care Insurance Program Carpenters Health and Welfare Plan Carrolls Corporation Teamsters Health & Welfare Pension Fund Royals, Inc. Century Planners Fortis Benefits Insurance Life of Virginia Millett Administrators Hillhouse Associates United Healthcare Coats American Georgia-Pacific Corporation Cigna New York Life Insurance Company Settlers Life Insurance Company W.C. Bradley Company

Address Rt. 4, Box 10A One Crown Way 5720 LBJ Freeway, Suite 200 PO Box 3449 PO Box 2919 ZZZZZZZZZZZZZZZZZZ PO Box 2697 PO Box 1560 2111 West Lincoln Hwy. PO Drawer 2270 PO Box 650403 5214 Maryland Way, Suite 207 7 Terrance Way Ste. C PO Box 2606 ZZZZZZZZZZZZZZZZZZZZ PO Box 100 PO Box 1149 PO Box 8000 PO Box 7188 PO Box 5038 601 N. Fairfax St., Suite 500 PO Box 869027 PO Box 1326 10054 I-10 Service Rd., East Bldg. 1 PO Box 6969 Fourth and Cherry Streets PO Box 1267 PO Box 16610 PO Box 3195 PO Box 806093 PO Box 1228 PO Box 201359 PO Box 30555 PO Box 269 PO Box 907 PO Box 5200 PO Box 30769 1969 Lee Hwy., PO Box 8600 PO Box 671 Updated: December 8, 2009

City Fairmont Philadelphia Dallas Kinston Overland Park ZZZZZZZZZZZZ Witchita Cleveland Morrillville Florence Dallas Brentwood Greensboro Brimingham ZZZZZZZZZZZ Rockford Hamlet Marshfield Madison Visalia Alexandria Plano Ft. Worth New Orleans Syracuse Philadelphia High Point St. Louis Milwaukee Chicago Pascagoula Austin Salt Lake City Marble Ahoskie SCRANTON Jamaica Bristol Columbus

State NC PA TX NC KS ZZ KS MS IN SC TX TN NC AL ZZ IL NC WI WI CA VA TX TX LA NY PA NC MO WI IL MS TX UT NC NC PA NY VA GA

Zipcode 28340 28704 75240-6334 28501 66201 00000-0000 67201 38732 46410 29503 75265-0403 37027 27403-3666 35202 00000-0000 61105-0100 28345 544498000 53707-7188 93278 22314 75086-9027 76101 70127-1888 13217 19106 27263 63105 532013195 60680-4122 39568 78720 841300555 28905 27910 18505-5200 11430 24203-8600 31993

Phone1 9196280971 7046842311 2149801151 9195222418 8008428147 8002357160 6018439091 8005526550 8036699846 8008423710 6153733207 8002225780 8004569194 8159697100 9195821842 (800) 545-1224 8004226950 8003440557 7037397000 8005826737 8007590101 8006881834 3154240513 2159236300 9108850195 3147212452 (800) 553-7654 (630) 681-0430 6017628282 8007235555 (800) 566-7273 7048375171 9193323197 (800) 526-7431 8007776140 8005232650 4045717000

Phone2

Third Party Insurance Codes

Code P38 P39 P40 P41 P43 P44 P45 P46 P48 P49 P50 P51 P53 P54 P55 P56 P57 P58 P59 P60 P61 P62 P63 P64 P65 P66 P67 P68 P69 P70 P71 P72 P73 P74 P75 P76 P77 P78 P79

CompanyName Aetna Life Insurance Company Ilco Unican Corporation Hexagon Honeycomb Corporation Spring Industries, Inc. Starmark Southern Concrete Caremark formerly Advance PCS Cigna United Metal Recyclers CIGNA Independence Blue Cross Douglas Battery Company Steelcase, Inc. Hickory Springs Mfg. Company Code no longer valid Golden State Foods Office Depot Hillcrest Foods, Inc. Detroit Millmen's Health & Welfare Fund Dixie Yarns; Piedmont Processing United Healthcare United States Life Insurance Co. Ithaca Industies c/o Upstate Administrators Code no longer valid CC Systems SteamFitters Joint Fund Local 438 Venture Furniture Company Appalachian Life Insurance Company Health Risk Management Corning Inc. / UNITED HEALTHCARE East Coast Millwork Distribution Printing Industry Association of the South First Health Georgia-Pacific Croft Metals Standard Products Lowe's Companies Thomasville Furniture Ind. R.G. Shannon Admst. Inc.

Address PO Box 14586 400 Jeffries Rd. 7980 Clayton Rd., Suite 201 Route 1, Hwy 79 PO Box 7922 500 North Richland Street PO Box 52195 7 W. 7th St. #1401 PO Box 159 PO BOX 188007 1901 Market St. 575 N. Broad Street PO Box 1389 PO Box 556 ZZZZZZZZZZZZZZZZ PO Box 35447 85 Tunnel Road 4500 Sawmill Drive 2075 Big Beaver Road, Ste. 700 PO Box 1006 PO Box 30985 PO Box 35844 PO Box 6589 ZZZZZZZZZZZZZZZZ PO Box 64668 6650 Bel Air Rd., Suite 1 PO Box 849 1124 Fourth Ave. PO Box 580470 PO BOX 740800 2000 West 1st St., Ste. 210 PO Box 290249 PO Box 2900 PO Box 1565 PO Drawer 90 1040 Dozier Road PO Box 12466 PO Box 788 2810 W. Charleston Blvd., Suite H77 Updated: December 8, 2009

City Lexington Rocky Mount St. Louis Laurel Hill Lake Forest Waynesville Phoenix Cincinnati Kernersville CHATTANOOGA Philadelphia Winston-Salem Fletcher Pinetops ZZZZZZZZZZ Greensboro Asheville Suwanee Troy Belmont Salt Lake City Dallas Syracuse ZZZZZZZZZZZ St. Paul Baltimore Conover Huntington Minneapolis ALANTA Winston-Salem Nashville Coraopolis Suffolk Lumberbridge Rocky Mount NewBern West Jefferson Las Vegas

State KY NC MO NC IL NC AZ OH NC TN PA NC NC NC ZZ NC NC GA MI NC UT TX NY ZZ MN MD NC WV MN GA NC TN PA VA NC NC NC NC NV

Zipcode 40512-4586 27804 63117 28351 60045-7922 28787 8507245202-2417 27285-0159 3742219103 27101 28732 27864 00000-0000 27425 28805 30174 480843446 28012 84130 75235-0844 13217-6589 00000-0000 55164 21206 28613 25707 55458-0470 3037427102 37229 151086923 23434 28357 27804 28560 28694 89102

Phone1 Phone2 8004335302 9194463321 3146470701 9194623948 7086151313 7042536421 (480) 391-4600 8003327691 9109962241 8004267640 9107224107 7046874668 9198275133 9106680011 7042588238 4049321137 (248) 822-4152 7048255131 8015236446 2146312422 3154221533 8003652735 3012544800 7043229131 3045294181 8007520932 (877) 644-4334 9198355976 6153661094 4122691178 8045393491 9198433391 9196332030 9109372400 9192467148 7028701960

Third Party Insurance Codes

Code P80 P81 P82 P83 P84 P85 P86 P87 P88 P89 P90 P91 P92 P93 P94 P95 P96 P97 P98 P99 Q00 Q01 Q02 Q03 Q04 Q05 Q06 Q07 Q08 Q09 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18

CompanyName Tuckaseigee Mills, Inc. Catawba Sox Corportion Luxfer Employers Health Insurance United Healthcare Employee Benefit Consultants United Healthcare Prudential Texas Municipal League First Health North American Administration Inc. Farval Industries Cleveland Gear Primary Physician Care Pacific Health Administrators Administrative Enterprises United Healthcare NCAS McKee Group Insurance Insurance Company of North America Reliastar Pizza Hut Medical Service Air Service, Inc. Benefit Administration Systems Blue Care Network Osterneck Cigna Health Plan of Florida, Inc. Medi-Plan Modern Globe Franchise Enterprise, Inc. United Healthcare Aetna U.S. Healthcare United Healthcare Willamette Industries, Inc. South Florida AV-Med Cigna Health Plan First National Life Insurance Co. Stronghaven, Inc. Alliance PPO United Healthcare

Address PO Box 849 PO Box 517 235 Riverbend Road PO Box 5620 PO Box 105312 PO Box 928 PO Box 2062 PO Box 5400 PO Box 2015 100 S. Charles Street PO Box 9501 2501 Airport Road PO Box 11499 PO Box 1550 PO BOX 55270 PO Box 7045 PO Box 220887 PO Box 2078 PO Box 1326 PO Box 1195 PO Box 23759 PO Box 8227 17475 Jovanna Dr., # 1B PO Box 68767 East US 74 PO Box 49180 17-17 Route 208, Dept. H-D PO Box 1276 1313 Hardees Blvd. 116 Washington Ave. PO Box 91555 PO BOX 740800 PO Box 1353 PO Box 569000 500 N. Brand Blvd. PO Box 130 PO Box 1300 PO Box 993 PO Box 740800 Updated: December 8, 2009

City Bryson City Conover Graham Madison Atlanta Findlay Nashua Millville Austin Baltimore Amherst Kinston Charlotte Huntington Beach Phoenix Rockford Charlotte Collegedale Fort Worth Minneapolis Columbia Greensboro Homewood Grand Rapids Lumberton Atlanta Fairlawn Gastonia Rocky Mount North Haven Arlington Atlanta Matthews Miami Glendale Pensacola Matthews Frederick Atlanta

State NC NC NC WI GA OH NH NJ TX MD NY NC NC CA AZ IL NC TN TX MN SC NC IL MI NC GA NJ NC NC CT TX GA NC FL CA FL NC MD GA

Zipcode 28713 28613 27253 53705 30348-5312 45839 030612062 083320100 78768-2015 21201-2762 14226-9501 28501 28220-1499 926471550 85078-5270 61126 28222 37315 76101 55440 29224-3759 27419 60430 49516-8767 28358 30359 7410 28053 27802 06473 76015-0055 3037428106 33256-9000 91209 32591-0130 28106 217050993 303740800

Phone1 Phone2 7044889218 7044641690 9195784515 6082385841 8008262211 8005235789 4194233823 8008328333 8005825331 5123201325 3015390411 7164465500 9195276001 (704) 523-2758 8007622727 (800) 648-4480 7043643865 6152387111 8007590101 8004446965 6125696400 8008690808 9196680481 7087997400 (800) 662-6667 9197382416 8004470463 2016963111 7048611319 8002255548 9199770950 8009928354 2032341614 8008723862 8008262211 7043330115 8002280660 8003440557 9044321700 7048477743 (800) 331-2102 (877) 222-4261

Third Party Insurance Codes

Code Q19 Q20 Q21 Q22 Q23 Q24 Q25 Q26 Q28 Q29 Q31 Q32 Q33 Q34 Q35 Q36 Q37 Q38 Q39 Q40 Q41 Q42 Q43 Q44 Q46 Q47 Q49 Q50 Q52 Q54 Q55 Q56 Q57 Q58 Q59 Q60 Q62 Q64 Q65

CompanyName International Home Furnishings Center Corporate Health Administrators Oxford Printing and Finishing Co. Williamette Industries c/o Regence Life Naomi Knitting Mills Peck Manufacturing Company Rock-Tenn National Linen Service China Grove Textiles C.S. Henry Transfer, Inc. Wix Corporation Cement Mason's Union The Principal Financial Group North American Benefits Preferred Health Care Ltd. Standard Corporation Pacific Mutual Benefits Code no Longer Valid Plan Services Polygram, Inc. AVMA Weldon Coca Cola Banco Saw Mills Super Sagless Healthcare Administrative Services CIGNA Thomas McNaulty Company The Lewer Agency City of Fayetteville Coats American c/o Aetna Crown Leisure Cal-Maine Foods, Inc. Willamette Industries Kraft Seaboard CAC Ramsey Health Plan Florida Health Choice Great West Carolina Steel Company The New England

Address PO Box 828 5313 Campbells Run Road 604 W. Industry Dr. PO Box 1071 PO Box 889 500 Harper Street PO Box 399 PO Box 5575 308 E. Thom St. PO Drawer 2306 PO Box 1967 PO 295 330 N. 117th Street 19800 Detroit Road PO Box 7203 PO Box 59 PO Box 95009 ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ PO Box 470 PO Box 400 PO Box 909720 PO Box 667 Main Street PO Box 2647 3000 Troy-Schenectady Road PO Box 3310, Station D 5434 W. Saint Charles Rd. 4534 Wornall Rd. PO Box D PO Box 26190 Route 2, Box 66 PO Box 729 PO Box 636 Highway 301 North 2850 Douglas Road 5300 W. Atlantic Ave., Suite 302 1000 Great West Drive PO Box 20888 PO Box 7500 Updated: December 8, 2009

City High Point Pittsburgh Oxford Portland Zebulon Warrenton Marshville Asheville China Grove Rocky Mount Gastonia Minneapolis Omaha Cleveland Wilton Hope Mills Auburn ZZZZZZZZZZZ Shawnee Mission Grover Chicago Weldon Burnsville Hickory Schenectady Albuquerque Berkeley Kansas City Fayetteville Greensboro Maxton Albemarle Bennettsville Rocky Mount Coral Gables Delrey Beach Kennett Greensboro Corapolis

State NC PA NC OR NC NC NC NC NC NC NC MN NE OH CT NC WA ZZ KS NC IL NC NC NC NY NM IL MO NC NC NC NC SC NC FL FL MO NC PA

Zipcode 27261 15205 27565 972071071 27589 27589 28103 28813 28023 27801 28053 5544068154 44116 068977203 08348 98701-9509 00000-0000 662010470 28073 60690-9720 27890 28714 28601 12309 87190-3310 60163 64111-3236 28302-1746 27402-6190 28364 28001 29512 27801 33134 33484 63857-3749 27420 15108

Phone1 Phone2 9198883700 8009626842 9196936111 (800) 874-6149 9192697461 9192573191 7042334024 7042747941 7048578442 9194461902 7048646711 (952) 835-7035 8005474695 (440) 356-8212 2031620993 9196781492 8007333223

7044344100 8006216360 9195363611 7046822187 7043226235 8008333650 8002336229 7085475882 8008217715 9108229522 7048624215 9198443011 7049833194 8034793002 9199777000 3054411140 4076600202 (800) 663-8081 8006320286 8002849763

Third Party Insurance Codes

Code Q66 Q67 Q68 Q70 Q71 Q72 Q73 Q74 Q75 Q76 Q77 Q78 Q79 Q80 Q81 Q82 Q83 Q84 Q85 Q86 Q87 Q88 Q89 Q90 Q91 Q92 Q93 Q94 Q95 Q96 Q97 Q98 Q99 R00 R02 R03 R04 R05 R06

CompanyName UFCW Union & Food Employer Joint Trust Fund Delta Dental Plan of Kentucky Norandal USA c/o Aetna United Healthcare ABI Administrative Services Corp. Lloyds of London Union Labor Life Insurance Company Shelby Star MDIPA Hamrick's Inc. Employee Benefit Plan TFE/PDS c/o CNA Reliastar Anthem Life Insurance Company PruCare of California HIP/Health Insurance Plan Central Security Life Insurance Co. Kaiser Permanente LaSalle Deithch ITT Hartford United Healthcare Pacific Review Services SIHO Coordinated Care Network Plan Eand E. Benefit Plans Kaiser Permanente Coastal Bend Health Plan Inter-County Hospitalization Plan Barnhardt Industries Connecticut Carpenters Health Plan Liberty Life Assurance Co. of Boston Aetna Life Insurance Company TRISM Claim Management Group Pre-Paid Dental Plan of America Simmons Hosiery Mill, Inc. Internaitonal Medical Group Medco Health Solutions, Inc. Weiman Company Stanton-Cooper, LTD Frame Builders Industrial, Inc. Allen Canning Company

Address PO Box 6010 9901 Linn Station PO Box 26102 PO BOX 65971 10159 Wayzata Blvd. 11704 Wilshire Blvd., Suite 210 PO BOX 61593 315 E. Graham St. PO Box 75223 742 Peachoid Rd. PO Box 2985 146 Industrial Park PO Box 4435 PO Box 85805 55 Water St PO Box 833879 3495 Piedmont Rd., Bldg. 9 PO Box 98 PO Box 11910 PO Box 9448 PO Box 848 PO Box 1787 PO Box 18340 1011 North Capital St., NE 555 N. Carancahua St., Ste. 500 720 Blair Mill Rd. PO Box 2029 10 Broadway St. PO Box 5000 PO Box 14552 PO Box 88 PO Box 15249 391 10th Ave., NE 135 N. Pennsylvania Ave., Ste. 1730 PO Box 14713 PO Box 217 PO Box 282 PO Box 636 Hwy 24 East Updated: December 8, 2009

City Cypress Louisville Greensboro SAN ANTONIO Minnetonka Los Angeles King of Prussia Shelby Baltimore Gaffney Little Rock Jackson Houston San Diego New York Richardson Atlanta Elkhart Alexandria New Haven Cypress Columbus Columbus Washington Corpus Christi Horsham Shelby Hamden NewCastle Lexington Joplin Chattanooga Hickory Indianapolis Lexington Ramseur High Point Thomasville Turkey

State CA KY NC TX MN CA PA NC MD SC AR MN TX CA NY TX GA IN VA CT CA IN OH DC TX PA NC CT PA KY MO TN NC IN KY NC NC NC NC

Zipcode 90630 40223 27402-6102 78265-9741 55343 90025 19406 28150 21275 29341 72203 56143 77210-4435 92186 10041-8190 75083-3879 30305 46515 22312 6535 90630 47202 43218-0340 20002 78478 19044 28150 06518 16105-5000 40512-4552 64802-0088 37415 28601 46204 4051227316 27261 27361 28393

Phone1 Phone2 7142202297 5024269000 8009425210 (800) 999-1147 6125410444 3108205657 8004239525 7044847000 8034896095 8008265818 8002255548 7136306300 6194574337 (800) 447-8275 (212) 620-5000 2146992770 4042612590 2192936536 8003683653 8006345500 8002334276 8123787070 8003527427 2028985100 5128870101 8004922385 7044874366 2032815511 8002451284 (503) 937-0500 8002838768 8006333442 6158704931 7043223761 8006284664 (800) 882-8879 9198242324 9198896944 9104758173 9195925161

Third Party Insurance Codes

Code R07 R08 R09 R10 R11 R13 R14 R15 R16 R17 R18 R19 R20 R21 R22 R23 R24 R25 R26 R27 R28 R29 R30 R31 R32 R33 R34 R35 R36 R37 R38 R39 R40 R41 R42 R43 R44 R45 R46

CompanyName Doxey Furniture Tyson Foods southwest car Textilease Corporation John Alden Life Insurance Company CIGNA United Healthcare Bibb Company United Healthcare Willis Corroon Administrative Services Asheville Transit BCBS of Georgia EMPIRE BCBS Central Carolina Warehouses Great West Care Health Plan TPA Kepple & Company, Inc. Georgia Pacific Bill's Hosiery Concord Telephone Company Mid-America Insurance Co. Aetna Life Insurance Company Sandoz Chemicals Genuine Parts Company Trustmark Elizabeth Weaving Company CIGNA Alta RX Prescription Drug Program Delta Airlines Toledo Firefighters Health Plan Medical Protective Corporation Crown Craft, Inc. Student Plans, Inc. Mestek, Inc. Toastmaster, Inc. Home Life Insurance Company C.S. Henry Transfer Benefit Concepts - Claims First Health

Address PO Box 277 PO Box 88 PO Box 690450 800 S John St Dept. 99 PO Box 10447 PO Box 740800 PO Box 1100 PO Box 27448 PO Box 305154 360 W. Haywood PO BOX 9907 PO BOX 5047 PO Box 20107 115 Perimeter Ctr. Place, Ste. 460W PO Box 121212 PO Box 1986 PO Box 340 Route 1 PO Box 227 1801 West Coutry Rd. PO Box 5569 4000 Monroe Street PO Box 5167 PO Box 7905 PO Box 15 PO Box 16682 PO Box 30081 Hartsfield-Atlanta International 714 Washington Street 2000 Regency Parkway Suite 230 PO Box 1662 PO Box 1390 PO Drawer 809 PO Box 1609 PO Box 956353 PO Drawer 2306 PO Box C 5009 PO Box 671008 Updated: December 8, 2009

City Aberdeen Wilkesboro San Antonio Goldsboro Cincinnati Des Moines Atlanta Roanoke Rapids Albuquerque Nashville Asheville COLUMBUS MIDDLETOWN Greensboro Atlanta Marietta Peoria Marion Denton Concord Roseville Akron Charlotte High Point Lake Forest Grover Columbus Salt Lake City Atlanta Toledo Cary Roxboro Wheaton Farmville Laurinburg Duluth Rocky Mount Waroninster Houston

State NC NC TX NC OH IA GA NC NM TN NC GA NY NC GA GA IL NC NC NC MN OH NC NC IL NC OH UT GA OH NC NC IL NC NC GA NC PA TX

Zipcode 28315 28697-0088 7826927530 45274-0099 50306-0447 303740800 27870 87125 37230 28801 319081094027420 30346 30067-0092 61656-1986 28752 27239 28026 55113 44334 28205 27265 60045-7905 28073 43216 84130-0081 30320 43624 27511 27573 60189 27828 28352 30136 27801 18974 772671008

Phone1 Phone2 9199447101 (336) 838-2171 (800) 292-5386 9197345341 8003284316 8005527107 (800) 741-8805 9195374171 8007829883 8002777110 7042535692 (800) 441-2273 (800) 713-4173 9192733465 8006853030 4043940243 7709375500 8004473227 7046526868 9198694529 7047860271 6126311075 8006261987 7043317000 9198854081 7082345900 8039367676 6148477148 8009927763 4047156572 4192555314 9194678370 9195973142 8003381938 9197535323 9192763101 8002418813 9194461902 2154427000 (800) 833-5913

Third Party Insurance Codes

Code R47 R48 R50 R51 R52 R53 R54 R55 R56 R57 R58 R59 R60 R61 R62 R63 R64 R65 R66 R67 R68 R69 R70 R71 R72 R73 R74 R75 R76 R77 R78 R79 R80 R81 R82 R83 R84 R85 R86

CompanyName Vanguard Supreme First Health ITT-Teves New Cherokee Corporation Southeastern Benefit Plan Prudential Insurance Company CIGNA American Benefit Corporation Ironworkers Local 79 Health Fund New York Life Employees Benefit Association (EBA) SAMBA Tultex Corporation Group Administrators Davis Furniture Industries, Inc. Employee Benefit Plans, Inc. Surratt Hosiery United Healthcare Warp Technologies, Inc. Triad, Inc. Trustmark Gilbert Engineering Company Halifax County Hosiery Mills Prudential Insurance Co. of America Waste Management, Inc. Hormel, Inc. First Benefits Agency Blue Cross of N. Eastern Pennsylvania Prudential Turnamics, Inc. Roses Health Benefit Plan T and S Hardwood Express Scripts Associated Prescription Services Heritage Consultants Safety-Kleen Corporation Cigna Administration Systems Research Douglas Battery

Address PO Box 5000 PO Box 2900 400 Ridgefield Court PO Box 217 335 Archdale Drive PO Box 411340 PO Box 10365 PO Box 2687 5305 Vrigina Beach Blvd. PO Box 3247 620 S.E. Madison 11301 Old Georgetown Rd. 104 E. Rossevelt 450 Remingotn Road PO Box 2065 435 Ford Road, Suite 500 Highway 8 PO Box 740122 PO Box 500 115 Glastonbury Blvd. PO Box 9055 PO Box 828 PO Box 367 PO Box 44059 PO Box 6317 PO Box 800 125 Strafford Ave., Ste. 350 70 N. Main Street PO Box 54769 PO Box 6429 PO Drawer 440 PO Box 1004 PO BOX 390873 104 Church Lane # 200 PO Box 1730 777 Big Timber Rd. PO Box 7100 PO Box 6392 PO Box 12159 Updated: December 8, 2009

City Monroe Corapolis Asheville Spindale Charlotte St. Louis Des Moines Huntington Norfolk Tampa Topeka North Bethesda Mayodan Schaumburg High Point Minneapolis Denton Atlanta Holly Springs Glastonbury Boardman Statesville Scotland Neck Jacksonville Chesapeake Austin Wayne Wilkes Barre Los Angeles Asheville Henderson Sylva BLOOMINGTON Baltimore Auburndale Elgin Gastonia Grand Rapids Winston-Salem

State NC PA NC NC NC MO I WV VA FL KS MD NC IL NC MN NC GA NC CT OH NC NC FL VA MN PA PA CA NC NC NC MN MD FL IL NC MI NC

Zipcode 28111 15108 28806 28806 28217-4246 63141 50306 25726-2687 23502 33601 66601-9990 20852 27027 60173-4540 27261 55426 27239 30374 27540 060334403 445130055 28687 27874 32231 23323 55912 19087-3318 18711 900540769 28816 27536 28779 55439-0873 21208-3734 33823 60123 28052 495166392 27117

Phone1 7042838171 4122691178 7046654100 7042863491 7045295400 3145796100 8002470355 3045250331 8044618091 8002372020 8009920241 3019841424 9194275131 8003231683 9198892009 8004413115 7048694584 9195522311 8606524400 8005447312 7048720986 9198264131

Phone2

3019891440

8044855700 5074375397 2159719001 7178298500 (800) 456-5510 7042541059 9194302600 7045864044 8004516245 4106023339 (863) 967-4139 7086978460 8006357749 7043444600 8009682449 9106507000

Third Party Insurance Codes

Code R87 R88 R89 R90 R91 R92 R93 R94 R95 R96 R97 R98 R99 T00 T01 T02 T03 T04 T05 T06 T07 T08 T09 T10 T11 T12 T13 T14 T15 T16 T17 T18 T19 T20 T21 T22 T23 T24 T25

CompanyName Federal Paper Board CUNA Mutual Insurance Society English Construction Company Delta Dentalplan of Tennessee Guaranteed Mutual Life Insurance Co Aetna Life Insurance Company Core Source Plastic Ingenuity International Group Services Texas Medical Association Centra Benefit Services Maine Health Plan, Inc. InsurNational ASI Empire Blue Cross Blue Shield Agency Rent-A-Car Hertz Claim Management Universal Bedroom Furniture Company First Health Industrial Battery Delta Dental Plan of Arizona Dow Chemical/Cigna Morton International, Inc. Standard Register MDIPA Liberty Life Assurance Company Hill Country Life Insurance Company United Healthcare Benefit Adm.of New England Benefit Administators Inc. E and E Benefit Plans IHC Health Plan Alpha Cellulose Nucor Bearing Products Insurance Design Administrators Mecklenburg Co. Personnel Dept. PCA Health Plan BCBS of Missouri Ohio Electric Motors, Inc.

Address 2221 J.R. Kennedy Dr. PO Box 2995 PO Box 191 240 Venture Circle 8801 Indian Hills Drive PO Box 16516 PO Box 633 113 Certainteed Dr. 10530 Rosehaven Street, Suite 350 PO Box 1707 PO Box 869042 PO Box 3859 PO Box 5043 PO BOX 2510 PO Box 5078 30000 Aurora Rd. PO Box 726 PO Box 1660 PO Box GG PO Box 560978 PO Box 43000 PO Box 5200 150 Andover Street PO Box 1167 PO Box 75223 PO Box 1500 PO Box 200225 PO Box 740800 PO Box 557 PO Box 10585 PO Box 18197 PO BOx 11670 PO Box 1305 PO Box 370 PO Box 875 600 E. Fourth Street PO Box 9420 1831 Chestnut St. PO Box 168 Updated: December 8, 2009

City Wilmington Madison Altavista Nashville Omaha Columbus Matteson Oxford Fairfax Austin Plano Portland Costa Mesa Rockville Middletown Solon Park Ridge Marion Boise Charlotte Phoenix Scranton Danvers Dayton Baltimore Smithtown Austin Atlanta Rockland Knoxville Columbus Salt Lake City Lumberton Wilson Oakland Charlotte Austin St. Louis Barnardsville

State NC WI VA TN NE OH IL NC VA TX TX ME CA MD NY OH NJ NC ID NC AZ PA MA OH MD NY TX GA MA TN OH UT NC NC NJ NC TX MO NC

Zipcode 28405 537012995 24517 37228 68114 43216 60443 27565 22030 78767-1707 75086-9042 041043859 926285043 20847 10940-9035 44139 076560726 28752 83707 28256 85080 18505-5200 01923 45401 21275 11787 78720-0225 303740800 02370 37919 43218-0197 841479956 28359 27893 07436 28202-2836 78766 631032231 28709

Phone1 9197632921 8002330367 8043247241 6152553175 4023907300 (800) 356-6285 8008483012 9196932009 8003942500 8008808181 8006546208 (207) 879-1069 7149669131 3018160045 (800) 713-4173 8002218666 8003544225 7046522112 2083423513 7045977330 8003526132 (800) 244-6224 5087509192 5134431074 8003426164 8006455178 5123453200 (877) 222-4261 6179821881 615584661 8005448908 8005385038 9107384201 9192378181 2013370555 7043364767 8006770812 8008482625 7046262901

Phone2

2163491000

3012945053

(314) 923-4444

Third Party Insurance Codes

Code T27 T28 T29 T30 T31 T32 T33 T35 T36 T37 T38 T39 T40 T41 T42 T43 T44 T46 T47 T48 T49 T50 T51 T52 T53 T54 T55 T56 T57 T60 T62 T64 T65 T66 T67 T68 T69 T70 T71

CompanyName CIGNA Catawba Valley Hosiery Health Association NC Conference-Pentecostal Holiness Church Admar Corporation Insurance Management Administrators Reynolds Metal Co. Employee Healthcare Centennial Life Insurance CIGNA GoldKist, Inc. Timber Products Manufacturers Trust High Ridge Electronics Company Physicians Life Insurance Company Ithaca Industies c/o Upstate Administrators First Health United Healthcare Inc./TPA United Healthcare CHP/ Healthshield Holy Cross Shared Services, Inc. Aetna U.S. Healthcare Beneficial Health Insurance Group Day International Asheville New Era Life Insurance Company ITT Hartford Atco Rubber Company Mannington Wood Floors United Healthcare Crown Central Petroleum IMB Benefits Dept/ International Mission Board Mid-Atlantic Health Group, Inc. Christian Fidelity Life Insurance Scholastic Insurers Mennonite Mutual Aid Association Tindall Concrete Georgia, Inc. General American Life Insurance Prudential Insurance Co. Christian Brothers Employee Benefit Trust Island Creek Health Program BC Moore and Sons, Inc. Georgia Power Company

Address PO Box 15538 PO Box 2114 PO Box 59 PO Box 478 PO Box 71120 PO Box C-32029 PO Box 470 PO BOX 10397 PO Box M PO Box 5434 PO Box 196 PO Box 3272 PO Box 6589 PO Box 671088 PO Box 29050 PO Box 30555 160 Union Street Po Box 3898 PO Box 14079 PO Box 5437 PO Box 1077 PO Box 4884 PO Box 2999 7101 Gumm Lane 1327 Lincoln Drive PO Box 473500 1 North Charles St. PO Box 6767 PO Box 8848 2001 Bates Drive PO Box 3194 PO Box 483 PO Box 280 719 Teaco Road PO Box 44097 1205 Windham Parkway PO Box 59332 PO Box 72 PO Box 4545 Updated: December 8, 2009

City Wilmington Hickory Falcon Santa Anna Bossier City Richmond Shawnee Mission DES MOINES Ellijay Spokane High Ridge Omaha Syracuse Houston Phoenix SALT LAKE CITY Poughkeepsie South Bend Lexington Winston-Salem Arden Houston Hartford Fort Worth High Point Charlotte Baltimore Richmond Red Bank Waxahachie Johnson City Goshen Conley Kennett Jacksonville Romeoville Minneapolis Wadesboro Atlanta

State DE NC NC CA LA VA KS IA GA WA MO NE NY TX AZ UT NY IN KY NC NC TX CT TX NC NC MD VA NJ TX TN IN GA MO FL IL MN NC GA

Zipcode 19850-5538 28603 28342-0059 92702 711111120 23261 66201 50306-0397 30540 99205 63049 28172-0053 13217-6589 77267-1088 85038-9050 841300555 12601 466190898 40512-4079 27103 28704 77210-4884 061042999 76118-7098 27260 28247 21203 23230 07701 75165 37601 46526 30027 638573749 32231 60446-1694 55459-0332 28170 30302

Phone1 8002822471 7043222727 9198229522 5173516616 (318) 747-0577 8042812138 8004233754 (800) 669-1897 7066354991 5093280300 8006270687 4026331111 3154221533 8008335914 6029065000 8008420116 8008884504 8003482616 3362737706 9107683930 7046872485 8005527879 (800) 678-6702 8175952894 9198845600 7045443500 4105397400 (804) 219-1522 9088420808 2149374420 6159287381 8003487468 4043666270 (800) 541-3234 (800) 778-7857 (800) 807-0100 8003281472 7046942171 8002486708

Phone2

9198229525

8042813308

3146773377

9144712800

7134680600

(804) 353-0151

(800) 545-2858

Third Party Insurance Codes

Code T72 T73 T74 T75 T76 T77 T78 T79 T80 T81 T82 T83 T84 T85 T86 T87 T88 T89 T90 T91 T92 T93 T94 T96 T97 T98 T99 V00 V01 V02 V03 V04 V05 V06 V07 V08 V09 V10 V12

CompanyName The Loomis Company Cigna Operating Engineers Local 324 Healthcare Plan Columbia Forest Products Alternative Health Delivery Systems Great West Life Insurance Company United Healthcare Mutual Medical Plans, Inc. USA Corporate Care Network America Life Insurance Co. City of Greensboro Janesville Products Cigna United Healthcare John Alden Life Insurance Company Willamette Industries, Inc. North American Life Plan Admin. Ingram Industries Health Strategies, Inc Caremark Express Scripts Stony Creek Knitting Mills Gahhagher Bassett Benefit Administrators Laborers Health & Welfare Fund for S. California Shuford Mills/Employee Benefit Services Pacific Mutual WRLA Employee Benefit Trust AB Carter, Inc. AH & L Benefits Mannington Ceramic Tile United Healthcare Adams Millis QC Apparel Aetna Life and Casualty High Point Chemical Corp. Kanawha National Starch and Chemical Ind. Partners Health Plan of Alabama Aetna Life Insurance Company

Address PO Box 7011 PO Box 5200 37450 Schoolcraft Rd. Ste. 130 PO Box 518 PO Box 23705 PO BOX 11111 PO Box 21466 PO Box 291 PO Box 3942 3440 Lehigh St. PO Box 26120 PO Box 349 PO Box 5200 PO Box 363501 PO Box 9398 PO Box 408 734 15th Street NW, Suite 500 PO Box 23049 PO Box 830636 PO Box 52195 PO BOX 390873 525 Paul Street PO Box 2906 PO Box 8024 PO Box 241108 PO Box 34799 PO Box 97 PO Box 518 PO Box 190019 PO Box 1777 PO Box 30985 838 S. Main Street Route 1, Box 43 PO Box 26053 PO Box 2316 PO Box 610 PO Box 6500 PO Box 830602 66 Sigourney Street Updated: December 8, 2009

City Wyomissing SCRANTON Livonia Thomasville Louisville FORT SCOTT Seattle Peoria St. Petersburg Allentown Greensboro Norwalk SCRANTON San Juan Minneapolis Newton Washington Nashville Birmingham Phoenix BLOOMINGTON Rocky Mount Glen Ellyn El Monte Charlotte Phoenix Mequon Gastonia Charleston Lexington Salt Lake City Mt. Airy Sylva Greensboro High Point Lancaster Bridgewater Birmingham Hartford

State PA PA MI NC KY KS WA IL FL PA NC OH PA PR MN NC DC TN AL AZ MN NC IL CA NC AZ WI NC SC NC UT NC NC NC NC SC NJ AL CT

Zipcode 19610-7011 18505-5200 48150 27361 40223 6670198111-3346 61650 33731 18103 27402-6120 44857 18505-5200 009363501 554409398 28658 20005 37202 35283-0636 8507255439-0873 27803 60138-2906 91734-2324 2822485067-4799 53092-0097 28053 29419 27292 84130-0985 27030 28779 27420 26261 29720 088070500 352830602 06160

Phone1 Phone2 8007820392 (800) 235-5707 3134623660 9104763660 5024258324 8006854030 8005439073 3096740888 8004864525 8006283417 9103732504 (419) 668-4474 (800) 887-2174 8097295600 (800) 328-4316 7044643841 6152988200 8003542871 2059912797 (800) 841-5550 (800) 303-0187 (800) 713-1983 9194429111 (630) 932-3400 8184425300 (828) 325-5111 (704) 322-2706 6022300680 4142381220 7048651201 (800) 303-6323 7042493931 8008425252 9107865157 7045865663 8002370575 9108842214 (800) 849-0274 9086585146 (205) 968-1000 2036367682

Third Party Insurance Codes

Code V13 V14 V15 V16 V17 V18 V19 V20 V21 V22 V23 V25 V26 V27 V28 V29 V30 V31 V32 V33 V34 V35 V36 V37 V38 V39 V40 V41 V42 V43 V44 V45 V46 V47 V48 V49 V50 V51 V52

CompanyName One Source Health Advantage NOVA Health Administrators A&E of Forest City Gardner Mirror Company Lone Star Container Company Security Storage Co. of Washington CDC United Trans. Union Ins. Assoc. Empire Blue Cross Blue Shield Celtic Life Insurance Company Optimum Choice Horizon/MoHawk Local 318 Health & Welfare Trust Fund PACC/Physicians Assoc. of Clackamus Co. Mount Olive Sportswear California Dental Health Plan Morris Assoicates, Inc. Ass. Administrators and Consultants Columbia Forest Products Rives Industries, Inc. Travelers Plan Admin. of Fort Worth/TPA First Service Insurance Arkansas Best Corporation Shelter Insurance Companies HRBA Benefit Consultant Services Protective Life Insurance Company Gates Inc. Health Care Clinic First Health Seabury and Smith, Inc. Craftsman Printing Company Group Health Cooperative CIGNA Grainger Division Great West Care Health Plan Waste Management of NW Louisiana Goody's Local 67 Health and Welfare Fund Glenn McCledon Trucking Company

Address 922 W. Walnut St. #A 2680 Grand Island Blvd. PO Box 250 PO Box 1570 PO Box 177357 1701 Florida Ave., NW 1575 San Ignacio Rd. 14600 Detroit Ave. PO Box 5577 P O Box 33839 PO Box 75223 PO Box 12069 3048 Linden Place PO Box 286 PO Box 627 14471 Chambers Road PO Box 50440 PO Box 19570 PO Box 3768 1510 South Third St. PO Box 901068 PO Box 6150 PO Box 48 1817 W. Broadway 6021 S. Syracuse Way, Ste. 302 PO Drawer 12569 PO Box 830626 PO Box 5887 PO Box 2900 PO Box 1520 PO Box 7000 PO Box 34585 PO Box 5200 333 Knightsbridge Parkway PO Box 31139 6910 Industrial Loop PO Box 22000 6196 Oxon Hill Rd., Suite 500 PO Drawer 641 Updated: December 8, 2009

City Rogers Grand Island Forest City North Wilkesboro Irving Washington Coral Gables Cleveland New York Indianapolis Baltimore Calhoun Flushing Clackamas Mount Olive Tustin Indianapolis Irvine Portland Wilmington Fort Worth Suffolk Fort Smith Columbia Englewood Norfolk Birmingham Denver Coraopolis Iowa City Charlotte Seattle Scranton Lincolnshire Tampa Shreveport Knoxville Oxon Hill Lafayette

State AR NY NC NC TX DC FL OH NY IN MD GA NY OR NC CA IN CA OR NC TX VA AZ MO CO VA AL CO PA IA NC WA PA IL FL LA TN MD AL

Zipcode 727563540 14072 28043 28659 75017 20009 33146 44117 10163-5577 46203-0839 21275 30703 11354 97015 28365 92680 46250-0440 92713 97208-3768 28401 76101-2068 23433 72902 65218 80111 23502 35283-0626 80217 151086923 52244 28241-8800 98124-1585 18505-5200 60069-8333 33631-3139 71129 37933-2000 20745 36862

Phone1 Phone2 (501) 621-2929 8003333195 7042451281 9198382111 8005526937 2022345600 3052847484 2162289400 3123325401 (800) 342-6141 8003347287 7189613400 8005685628 9196585028 8002283384 8009506789 8008540491 8008827526 9107639391 8003380327 8044834100 5014516907 3144458441 8007424722 8048558061 8008665050 8007770595 (412) 269-1178 8005624023 7045882120 2063263360 (800) 882-4462 7089138333 8003335251 3186877420 6159662000 8004242707 8002836965

(301) 360-8053

7147316133

5032233220

3018398800

Third Party Insurance Codes

Code V54 V55 V56 V58 V59 V60 V61 V62 V63 V64 V65 V66 V67 V68 V69 V70 V71 V72 V73 V74 V75 V76 V77 V78 V79 V82 V83 V84 V85 V86 V87 V88 V89 V90 V91 V92 V93 V94 V95

CompanyName Preferred Health Plan American Foreign Service Protective Association Employers Health Plan New York Life Wade Precision Plastics, Inc. Georgia-Pacific Corporation Dart Management Corporation The Guardian The Guardian Administrative Services United Medical Resources Guilford Fibers Heritage Insurance Managers CFS Wake Stone Corporation Connecticut Pipe Trades Health Fund/Local 39 Great West Life Insurance Company Principal Mutual Lida, Inc. State Farm Insurance Company I.E. Shaeffer United Healthcare BCBS of Massachusettes Prudential Insurance Company Bi-Lo ARS/Waste Management Employee Benefits America Code no longer valid National Health Laboratories Teamster & Motor Carrier Health & Welfare Fund Kanawha Insurance Company B.B. Walker Company Aetna Life Insurane Company Aon Group Christian Hospitilization Aid Halliburton Company Employees Trust Benefit Administrators, Inc. ELMCO Galey and Lord

Address PO Box 437017 1716 North St. NW 103 S. Pine St. 180 Sheree Blvd., Ste. 1400 PO Box 1808 PO Box 66 PO Box 318 PO Box 8007 PO Box 8007 PO Box 5825 PO Box 145804 PO Box 789 PO Box 17339 100 S. Charles Street, Tower II PO Box 190 PO Box 5817 PO Box 1690 3025 W. College St. 2222 South Blvd. PO Box 3070 840 Bear Tavern CN01028 PO Box 740800 PO Box 986025 PO Box 8000 PO Box 99 625 Airport Rd. 100 W. Clarendon, Suite 2000 ZZZZZZZZZZZZZZZZ 2540 Empire Drive 10312 Remington Dr. PO Box 610 PO Box 1167 PO Box 1900 8880 Cal Center Dr. Ste. 450 PO Box 336 PO Box 6000 PO Box 6827 215 E. CHURCH STREET, SUITE 304 PO Box 250 Updated: December 8, 2009

City Louisville Washington Spartanburg Exton Asheboro Catawba Mason Appleton Appleton Daytona Beach Cincinnati Fuquay-Varina San Antonio Baltimore Knightdale Wallingford Denver Grand Island Charlotte Newark West Trenton Atlanta BOSTON Linwood Mauldin New Bern Phoenix ZZZZZZZZZZZ Winston-Salem Haggerstown Lancaster Asheboro Orange Sacramento Montezuma Duncan Dothan Elmira Marion

State KY DC SC PA NC SC MI WI WI FL OH NC TX MD NC CT CO NE NC OH NJ GA MA NJ SC NC AZ ZZ NC MD SC NC CA CA KS OK AL NY NC

Zipcode 40253-7017 00036 29302 19341-1278 27204 29704 48854-0318 54912-8007 54912-8007 32118 452505804 27526 78217-7339 21201-2725 27545 06492 80201 68803-1706 28203 43058-3070 08628 30374 0229808221 29662 28526 85013 00000-0000 27103 21740 297210610 27204-1167 92668-0900 9582667867 73534-6000 36302 14901 28752

Phone1 Phone2 5023397500 5023397904 2028334910 8007824146 8035851831 6105241290 9194982654 8033241100 8002480457 8008734542 (800) 873-4542 9042558331 (800) 950-4867 9195525667 5128297467 4106832299 9192669266 2032697741 8005372033 3083892600 7043765609 (866) 855-1212 8007923666 (877) 222-4261 (800) 413-4123 8008268151 8007662456 9196336330 8005271482 9107604620 3017332602 (800) 822-1275 9106251380 8183852600 (916) 369-4800 3168462286 8008520914 4052513760 2057932284 (607) 734-5773 7046523448

Third Party Insurance Codes

Code V97 V98 V99 W00 W01 W02 W03 W04 W05 W06 W07 W08 W09 W10 W12 W13 W14 W15 W16 W17 W18 W19 W20 W21 W22 W23 W24 W25 W26 W27 W28 W29 W30 W31 W32 W33 W34 W35 W36

CompanyName Principal Financial Group Unilife Insurance Company Water Well Employee's Benefit Trust Medspan Sanus Texas Health Plan, Inc. Prestage Farms, Inc. Omega Benefits Services Mutual of Omaha Insurance Co. PrideCare Mohawk Industries Motion Industries, Inc. Farmland Industries, Inc. Associated Health Plans, Inc. of Louisiana The Guardian Ormond Shops, Inc. Health Benefits Teamsters Local 445 Markham, Gray and Dennis, Inc. Paragon Benefits, Inc. Principal Financial Group Capital Care, Inc. Watauga Medical Center, Inc. West Brothers Super America Group, Inc. Oakwood Homes c/o EB Services Conbraco Industries, Inc. Cigna New York Life Insurance Company Carolina Glove Company Farm Fresh, Inc. Atantic Southeast Airlines United Healthcare Wilmington Transit Authority Les Schawab Tire Company AHPC Employee Benefits Pension Associates, Inc. Intl. Union of Operating Engineers - Local 841 Industrial Truck Sales Donovan Benefit Systems, Inc. Staten Island Medical Group

Address PO BOX 39710 PO Box 659531 PO Box 768 PO Box 340725 4500 Fuller Drive PO Box 438 1702 N. Collins Blvd., Suite 110 Mutual of Omaha Plaza PO Box 989 PO Box 12069 PO Box 1477 PO Box 7305 PO Box 8570 700 Longwater Drive 7300 West Side Ave. PO Box 2572 PO Box 6159 PO BOX 12288 6160 Summit Drive, Suite 440 550 12th St., SW PO Box 2600, Deerfield Road PO Box 6365 4901 E. Main Street PO BOX 1929 PO Box 125 PO Box 5200 100 N. Tryon St., Suite 300 PO Box 176 PO Box 1289 100 Hartsfield Centre Pkwy., Ste. 802 PO Box 30555 1110 Castle Street PO Box 667 685 3rd Avenue 10795 Watson Rd. PO Box 1445 PO Box 3174 440 Louisiana St., Suite 1600 4771 Hyland Blvd. - Cove Road Updated: December 8, 2009

City COLORADO SPRINGS San Antonio Geneva Hartford Irving Clinton Richardson Omaha Youngstown Calhoun Birmingham Kansas City Metairie Norwell NorthBergen Newburgh Kinston COLUMBUS Brooklyn Center Washington Boone Raleigh Columbus FORT MILL Pageland SCRANTON Charlotte Wilkesboro Norfolk Atlanta SALT LAKE CITY Wilmington Prineville New York St. Louis TerreHaute Greensboro Houston Staten Island

State CO TX IL CT TX NC TX NE OH GA AL MO LA MA NJ NY NC GA MN DC NC NC OH SC SC PA NC NC VA GA UT NC OR NY MO IN NC TX NY

Zipcode 8094978265-9531 60134 061340725 75038-6597 28328 75080 68131 44501-0989 30703 35201 64116 70011-8570 020611674 07047 12550 28502-6159 31917-2288 55430 20065 28607 27628 43213 2971629728 18505-5200 28202 28697 23501 30354-1356 841300555 28401 97754 10017 63127 47808 27402 77002 10312

Phone1 Phone2 (888) 421-2917 8004441153 7082320770 8006481449 8004863040 9105925771 2149079794 8003344661 8006862559 7066297721 2059511139 8008218000 8008279723 5048409723 8003411023 6178714890 2018615800 9145645297 8006761182 4045221501 8002474695 8002965555 7042624100 9198788411 6148636864 (800) 242-1510 8036726161 7045419550 7043718500 9196677187 8044806836 4047661400 8008420116 9103430106 5054478216 2128785000 8003659036 8122324384 9192759121 7132249483 7189998200

Third Party Insurance Codes

Code W37 W38 W39 W40 W41 W42 W43 W44 W45 W48 W49 W50 W51 W52 W53 W54 W55 W56 W57 W58 W59 W60 W61 W62 W64 W66 W67 W68 W69 W70 W71 W72 W73 W74 W75 W76 W77 W78 W79

CompanyName Companion Life Risk Management Services Baldor Electric Company IAC (Insureres Admin. Corporation) CGA Insurance Plans Health and Welfare Fund/Local 218 US ABLE Life Insurance Aetna Sheet Metal Workers-Local 85/SBA Welfare Fund CSX Corporation Delta Benefit Plans Extended Benefits, Inc CoreSource, Inc. American Administrative Managed Health Resources Morton International Norand Corporation Mega Life and Health Tultex MEDICA First United Insurance Company Gerber Life Insurance Company United Healthcare Savannah Foods DENTA-Chek/Employee Security Total Plan Administrators Emro Marketing Amex Life Assurance Co. Healthcare Advantage GPS Services ACLIC Claims Administrator Code no longer valid Code no longer Valid ACS Healthnet of Northeast Hampshire Hosiery Lane Upholstery Principal Mutual Insurance Company South Insulation Bes-Pac, Inc.

Address PO Box 100102 PO Box 4088 PO Box 2400 PO Box 39119 PO Box 97 PO Box 115027 PO Box 1650 PO Box 129055 2300 Henderson Mill Rd. NE PO Box 44044 PO Box 80 171 Franklin Turnpike PO 83301 5810 E. Skelly Dr. 1st Floor PO Box 30742 100 N. Riverside Plaza 550 2nd St. SE PO Box 982017 PO Box 1445 PO Box 1587 PO Box 3125 PO Box 2088 PO Box 8740 PO Box 339 5565 Sterrett Place, Ste. 300 PO Box 127 PO Box 6200 1650 Los Gamos Dr. PO Box 51629 PO Box 2291 540 Lakek Cook Road ZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZ PO Box 14700 PO Box 528 PO Box 849 PO BOX 39710 PO Box 1745 PO Box 2049 Updated: December 8, 2009

City Columbia Silver Springs Fort Smith Phoenix Scanton Atlanta Little Rock San Diego Goodlettsville Jacksonville Stockton Waldick Lancaster Tulsa Charlotte Chicago Grand Rapids North Richland Hills Rockingham Minneapolis Syracuse Grand Rapids Dayton Savannah Columbia Newark Springfield San Rafael New Orleans Durham Deerfield ZZZZZZZZZZ ZZZZZZZZZZZZ Lexington Spruce Pine Conover COLORADO SPRINGS Wilson Easley

State SC MD AR AZ PA GA AR CA TN FL CA NJ PA OK NC IL IA TX NC MN NY MI OH GA MD NJ OH CA LA NC MI ZZ ZZ KY NC NC CO NC SC

Zipcode 29202-3133 20914 72902 85069-9119 18504 30310-8027 72203 92112-9055 37070-1449 32231 95201-3080 07463 17608-3301 74135 28230 60606 52401 761828017 28345 55440-1587 13220-3125 4950145401-8740 31402 21044 011011027 45501 94903 70151-1629 27702 60015-5290 00000-0000 00000-0000 4051228777 28613 8094927893 29641

Phone1 Phone2 (803) 735-1251 8004475002 5016464711 6028701400 8009824367 4047555665 8006480271 8008489993 8008314914 6158590131 9046525400 2099488483 2016525400 7172959201 9188354008 7043555200 3128072361 8005535971 8007338880 9109973363 8009523455 6129458000 3154512544 (000) 000-0000 9374398961 9126515007 4109973300 8003388615 8005262414 9194904391 7089406440

8006854542 7047659011 7043229131 8002474695 9192375486

8006854542

Third Party Insurance Codes

Code W80 W81 W83 W84 W85 W86 W87 W88 W89 W90 W91 W92 W93 W94 W95 W96 W97 W98 W99 X00 X01 X02 X03 X04 X05 X06 X07 X08 X09 X10 X11 X12 X13 X14 X15 X16 X17 X18 X19

CompanyName Florida Health Alliance Oakwood Homes c/o EB Services Invalid Code - Pricing Company Only Chubb Life America Rutland Plastic KAO Corporation of America CNA Case Farms Texas Pipe Trades Liberty Mutual Lippert Components Plan Data Boardman Petroleum, Inc. National Benefit Administrators ODS Health Plan Jeld-Wen Health Benefit Plan Cigna Dental Health Plan Trustmark Morrison Textile Machinery Company State Mutual Insurance Company United Healthcare Maine Municipal Employees Midwest Operating Engineers Preferred Care Plumbers & Pipefitters Health & Welfare Fund Local 572 Dunn and Associates Toledo Plumbers & Pipefitters Local Welfare Fund Arch Mineral Corporation and Subsidaries St. Joe Container Company Operating Engineers (Local 825) Fund Svc. Facility Holt Hosiery Mills, Inc. Iowa Benefits United Chambers Insured Plan BCBS of North Dakota Granger Mutual Insurance Deseret Mutual Benefit Admin. CIGNA Alternatives, Inc. First Health

Address 1061 Riverside Avenue PO BOX 1929 PO Box 328 PO Box 339 PO Box 145444 26 Century Blvd. PO Box 729 11910 Greenville Ave. # 210 PO Box 5000 PO Box 205 PO Box 719 1804 Gordon Highway PO Box 690903 PO Box 40384 PO BOX 1747 PO Box 189062 PO Box 9055 PO Drawer 1 1100 31st Street PO Box 30555 37 Community Drive 6150 Joliet Road PO Box 16610 225 Ben Allen Road #101 PO Box 2369 5050 Bennett Road PO Box 59345 PO Box 6247 1100 McCarter Highway PO Box 1757 PO Box 707 PO Box 3048 4510 13th Avenue, SW 650 S. Front St. PO Box 45530 PO Box 33683 PO Box 338 PO Box 2900 Updated: December 8, 2009

City Jackson FORT MILL Parsippany Pineville Cincinnati Nashville Troutman Dallas New Castle Harrisburg Union Augusta Charlotte Portland REDMOND Plantation Boardman Fort Lawn Downers Grove Salt Lake City Augusta Countryside Saint Louis Nashville Columbus Toledo Minneapolis Chesapeake Newark Burlington Ames Naperville Fargo Columbus Salt Lake City Charlotte Sommerville Coraopolis

State FL SC NJ NC OH TN NC TX PA NC NJ GA NC OR OR FL OH SC IL UT ME IL MO TN IN OH MN VA NJ NC IA IL ND OH UT NC NJ PA

Zipcode 32204 2971607054 29134 45250 37214 2816625243 16105-5000 28075 07083 30914-3366 2822797240 9775633318-9062 445130055 29714 60451 841300555 043309486 60523-3994 63105 372073032 47202 43619 55459-5345 23323 07102 27215 50010 60566 58121 43206 84145 28233-3683 088760338 151086923

Phone1 Phone2 9043548104 (800) 242-1510 2014551400 5136327757 6159026200 (888) 536-5060 (703) 438-6900 8063742895 8002451284 7044552151 9083523456 4042426100 8007362734 2052656673 8008525192 5033851461 3054235800 8005447312 8002421510 8003233359 (800) 548-8947 2076238428 7084827300 6186542371 6152629191 8123789960 4194768851 8002450886 8044872506 2016221282 9102271431 5152328585 7085053121 8003424718 6144452900 8007773622 9086851444 8008480938

Third Party Insurance Codes

Code X20 X21 X22 X23 X24 X25 X26 X27 X28 X29 X30 X31 X32 X33 X34 X35 X36 X37 X38 X39 X40 X41 X42 X43 X44 X45 X46 X47 X48 X49 X50 X51 X52 X53 X54 X55 X56 X57 X58

CompanyName Erin Group Administrators Professional Claims Management Services BCBS of Wyoming The Selmar Company Superior Modular Products Custom Foam and Fiber Roadway Service, Inc. Self Funded Group Insurance Acordia National Healthstar Complete Pharmacy Network Employee Benefit Plans, Inc. Employee Benefit Plans, Inc.(EBP) Calmaine Food Textilease Fund OFC Co-Med HMO-Cigna Farmers Insurance CareMark Laid Law Environmental Services Cigna Mountain State BC/BS American Trust Administrators Benefit Systems, Inc. Durham Life Kaiser Permanente Great West Care Health Plan City of Springfield Claims HBD Industries Cooper Vision Healthmark Celotex Corporation Health Economics Corporation Harrington Benefit Services Perform Cost Management Cigna Healthcare Allmerica Financial Aetna Insurance Company CoreSource

Address PO Box 7777 PO Box 35276 4000 House Ave. PO Box 310 130 Buckeye Cove PO Box 9233 PO Box 88 PO Box 51719 PO Box 11064 4807 Rockside Rd., # 510 3637 Medina Road, Suite 325 3109 W. 41st Street, Suite 103 PO Box 10699 PO Box 649 PO Box 3485 911 RidgeBrook Road 7400 Carmel Executive Park PO Box 918 PO Box 52195 208 Watlington Industrial Rd. PO Box 5200 PO Box 1388 PO Box 87 PO Box 80447 PO Box 51436 500 NE Multnomah St., Ste. 100 PO Box 7000 PO Box 26453 9 Nesbitt Dr. 200 Willowbrook Office Park PO Box 561300 PO Box 2086 PO Box 569640 PO Box 909772 PO Box 421150 PO Box 31353 440 Lincoln St. PO Box 12340 PO Box 879 Updated: December 8, 2009

City Lancaster Canton Cheyenne Elkhart Swannanoa Hickory Akron Kalamazoo Charleston Independence Medina Sioux Falls Scotsdale Louisburg Wilmington Sparks Charlotte Farmington Hill Phoenix Reidsville SCRANTON Parkersburg Shawnee Mission Indianapolis NewBerlin Portland Coraopolis Minneapolis Inman Fairport Charlotte Goldsboro Dallas Chicago Plymouth Richmond Worcester Fresno Anderson

State PA OH WY IN NC NC OH MI WV OH OH SD AZ NC NC MD NC MI AZ NC PA WV KS IN WI OR PA MN SC NY NC NC TX IL MN VA MA CA IN

Zipcode 17604 44735 82001 46515 28778 28603 44309-0088 49005-1719 25339-1064 44131 44256 57105 85271-0699 27549 28406 2115228226 48333 8507227320 18505-5200 26102 66201 46280-0447 53151-0436 97232-2099 15108 55426 29349 14450 28256 27530 75356-9640 60690-0772 55442-0150 23294 0165393765 46015

Phone1 7172991201 (800) 541-7846 3076344780 2196745933 7042982260 7043289111 2163842344 8003361340 8004354351 8006348816 8003278276 8003253408 8003255408 9194965121 9107630184 8003423289 8004626633 8104882070 8008415550 9103426106 (704) 879-9109 8006886568 9134514900 3175732004 4147842630 5033316500 8003338583 8004625821 8035782725 8005387824 7043643865 9197367520 8004926398 3127148750 8005331708 (800) 423-6011 8002537207 8005827140

Phone2 (330) 493-7278

2166423450

(800) 303-0187

Third Party Insurance Codes

Code X59 X60 X61 X63 X64 X65 X66 X67 X68 X69 X70 X71 X72 X73 X74 X75 X76 X78 X79 X80 X81 X82 X83 X84 X85 X86 X87 X88 X89 X90 X91 X92 X93 X94 X95 X96 X97 X98 X99

CompanyName Healthcare Innovations General American Piedmont News Co., Inc. INSURANCE SERVICES/Washinton National Executive Risk Consultants, Inc. Medical Claims Service, Inc Harrington Benefit Services Group Mutual Administrators Cigna GIS, Inc. Code no longer valid Shaw Industries, Inc. American Benefits Management Commonwealth Dealers Life New England Electrical Workers Benefit Fund Great West Care Health Plan Brunswick Electric Membership Corp. North American Administrators United Healthcare UFCW Great West Care Health Plan Grier Brothers Corporation National Elevator Industries Separation Technologies Bell South Dedicated Service Center Phillip Lehaman Company Mayo Management Services Diversified Pharmaceutical Services United Investors Life Insurance American Union Insurance Mutual of Omaha Claims The New England Employee Benefits CoreSource SIEBA LTD. Standard Mineral Company, Inc. Washington National Insurance Co. United Healthcare Midwest Security Administrators Reliastar

Address PO Box 5381 PO Box 180901 PO Box 25367 PO BOX 8120 PO Box 916580 1 Wall Street PO Box 3810 PO Box 1837 PO Box 188007 PO Box 4687 ZZZZZZZZZZZZZZZZZZ 201 Victory Circle 6520 Whipple Ave., NW PO Box 12099 PO Box 1213 PO Box 5004 PO Box 826 PO Box 1984 PO Box 740800 4858 N. Sheridan Rd. PO Box 31251 1701 N. Graham PO Box 477 118 Mackenan Dr. PO Box 830279 1375 Route 23 S. 21st. Street, SW, Suite 401-B PO Box 169052 PO Box 10207 303 E. Washington St. PO Box 668329 PO Box 5004 PO Box 8002 PO Box 5000 PO Box 279 PO Box 359 PO Box 740800 PO Box 19035 146 Industrial Park Updated: December 8, 2009

City Brentwood St. Louis Winston-Salem FORT WASHINGTON Longwood Ravenswood Joplin Las Vegas CHATTANOOGA Oak Brook ZZZZZZZZZZ Ellijay Canton Tallahassee Manchester Des Plaines Shallotte Nashville Atlanta Chicago Tampa Charlotte Newtown Square Cary Birmingham Butler Rochester Duluth Birmingham Bloomington Charlotte Des Plaines Little Rock Endicott Robbins Whitewater Atlanta Green Bay Jackson

State TN MO NC PA FL WV MO NV TN IL ZZ GA OH FL CT IL NC TN GA IL FL NC PA NC AL NJ MN MN AL IL NC IL AR NY NC WI GA WI MN

Zipcode 37027 63118-8901 27114 19034-8120 32791-6580 26164-1714 64803 89125-1837 37422 60522 00000-0000 305403720 44720 32317-2099 06045 60017-5004 28459 37202 303740800 60640 33631 28206 19073 27511 35283-0279 07405 55902 55816-8220 35202 61701 28266 60017-5004 72203 13761-5000 27325 53190 30374-0800 54307-9035 56143

Phone1

Phone2

9107681165 8008437705 8008834000 8882250522 8008266912 7023869997 8002557476 8003236898 8003211855 8004564002 8006977890 8008326538 (800) 284-7332 9107544391 6152563561 (888) 525-2083 8006215133 8003335251 7043333152 8005234702 9194819936 8002928802 8002271810 5072843943 8003443896 2053254300 3098291061 (800) 634-0069 (800) 284-7332 8009723025 8002524624 9109482266 8008841576 4049828901 8002362515 8002255548

2159534800

6155469373

4042763883 2169665500 2036468403 7089867000

(800) 638-8432

8006345500

Third Party Insurance Codes

Code Y00 Y01 Y02 Y03 Y04 Y05 Y06 Y07 Y08 Y09 Y10 Y11 Y12 Y13 Y14 Y15 Y16 Y17 Y18 Y19 Y20 Y21 Y22 Y23 Y24 Y25 Y26 Y28 Y29 Y30 Y31 Y32 Y33 Y34 Y35 Y36 Y37 Y38 Y39

CompanyName Candor Hosiery/NCAS Anthem Group Services Cigna Unicare CoreSource Philadelphia National Benefit Administrators Delta Dental Plan Kaiser Permanente Kaiser Permanente Producers Exchange Benefits Service United Healthcare Keystone Healthplan East First Benefits Agency FHP/Family Health Plan Citizens Security Life Insurance Co Central United Life Insurance Co. International Brotherhood of Electrical Workers Murrow's Transfer, Inc. Fortis Benefits Planned Administrators United Healthcare Spanco Industries Louisianna State Empl Group Benefit Prudential Aetna U.S. Healthcare Value RX/Empire Plan Prescription Drug Program Constitution Healthcare Cigna Humana Healthcare Qualchoice Prudential Insurance Co. of America Protective Life Insurance Massachusetts Mutual Life Ins. Co. United Healthcare Healthplus BCBS of CA Healthlink, Inc. Alumax Extrusions, Inc. Group and Pension Administrators

Address PO Box 221209 PO Box 2568 PO Box 188002 PO Box 26713 PO Box 6994 PO Box 1747 PO Box 7736, MS14I 1800 Harrison St. 10th Floor 450 N. Lake Ave. 14665 Midway Rd., Suite 110 PO Box 2258 PO Box 8339 PO Box 4310 3515 Harbor Blvd. PO Box 436149 2727 Allen Parkway 6th Floor 170 Hamilton Ave. PO Box 4095 PO Box 419876 PO Box 6927 PO Box 740800 PO Box 547 PO Box 44036 PO Box 27718 PO Box 52122 433 River Street, Suite 800 PO Box 500 PO Box 5200 2350 Fairlane Dr., Suite 120 2000 W 1st St., Ste. 210 PO Box 565 PO Box 57018 1320 Willow Pass Rd., Ste. 300 PO Box 1525 PO Box 355 PO Box 70000 PO Box 419104 PO Box 100 300 Municipal Dr Updated: December 8, 2009

City Charlotte Jacksonville Chattanooga Greensboro Wayne Monroe San Francisco Oakland Pasadena Dallas Brea Philadelphia Akron Costa Mesa Louisville Houston White Plains High Point Kansas City Columbia Atlanta Raeford Baton Rouge Houston Minneapolis Troy North Haven SCRANTON Montgomery Winston-Salem Matteson Oklahoma City Concord Dover Greenbelt Van Nuys St. Louis Catawba Richardson

State NC FL TN NC PA NC CA CA CA TX CA PA OH CA KY TX NY NC MO SC GA NC LA TX MN NY CT PA AL NC IL OK CA NH MD CA MO NC TX

Zipcode 2822232203-2568 374228002 27417-6713 19087-6994 28111-1747 94120 94612 91101 75244 92622 19101-8339 44321 92626 40253-6149 77019 10601 27263 64141 29260 303740800 28376 70804 77227 55402-5122 12180-9864 064730500 18505-5200 36116 27102 60443 73157 94520-5280 038201525 20768 9147063141-9104 28609 75080

Phone1 (800) 364-3865 9043907100 (800) 251-0669 (800) 288-8630 8003451166 8003695358 4159728300 5109873040 8004644000 9727741100 8007321086 8002273114 8008374097 7145136100 8002421515 7135290045 9149493739 9104756101 8004514531 (800) 768-4387 (800) 741-8805 9108753711 5049256625 8002250161 (800) 238-6221 8006266270 2032342011 (800) 338-7691 2052705542 8008160911 8004451796 8008735772 8003332280 6037492600 8006351600 (800) 444-2726 8162637932 7042413301 2142387900

Phone2 (910) 576-3565

(800) 232-0116

8164742770 (800) 768-4375

3014411600

Third Party Insurance Codes

Code Y40 Y41 Y42 Y43 Y44 Y45 Y46 Y47 Y48 Y49 Y50 Y51 Y52 Y53 Y54 Y55 Y56 Y57 Y58 Y59 Y60 Y61 Y62 Y63 Y64 Y65 Y66 Y67 Y68 Y69 Y70 Y71 Y72 Y73 Y75 Y76 Y77 Y78 Y79

CompanyName AVX Corporation BCBS of Georgia Fleetwood Homes Sealed Air Corporation Aaron Rents John Alden Life Insurance Co Fulfex of NC Penn Engineering & Manufacturing United Healthcare Redman Homes Inc. Anvil Knitwear Metlife Fox-Everett Inc. Scotland Manufacturing Highmark BlueCross BlueShield Cigna Lykes Brothers Inc. Group Health Plan Southeastern Packaging Company United Medical Resources Exposaic Industries Inc. of NC Buehler Products Inc. Kroger Health Benefits Office c/o Prudential Supreme Murphy Truck Bodies Co. Carris Reels Physicians Health Services Outside Electrical Welfare Fund Employee Benefits Trust United Healthcare ChampVA Kingsdown Inc. Aberdeen Tricot Byrd Food Store Ball Metal Container Division USA For HealthCare Employee Welfare Plan Dakota Care Design United Healthcare Flynt Fabrics Candor Hosiery Consolidated Group Claims Inc.

Address 17th Avenue S. PO BOX 9907 PO Box 1187 Highway 90 W 309 E. Paces Ferry Rd. NE PO Box 1599 PO Box 409 PO Box 1000 PO Box 7045 16620 Airbase Rd. PO Box 488 PO Box 9007 PO Box 23096 PO Box 1067 PO Box 3355 PO Box 182508 PO Box 1690 PO Box 429 PO Box 145804 4101 Greesboro 303 Gregson Dr. PO Box 2949 PO Box 2009 PO Box 5518 PO Box 981 PO Box 2967 PO Box 8788 PO Box 740800 PO Box 65024 126 W. Holt St PO Box 1036 1232 Chapel Hill Rd. 8935 Pocahontas Trail PO Box 200908 1323 S Minnesota Ave PO Box 740800 PO Box 1499 PO Box 249 PO Box 2062 Updated: December 8, 2009

City Myrtle Beach COLUMBUS Lumberton Lenoir Atlanta Boise Scotland Neck Danboro Rockford Maxton Kings Mountain St. Louis Jackson Laurinburg Pittsburgh Chattanooga Tampa Harrisburg Cincinnati Charlotte Cary Cincinnati Wilson Statesville Bridgeport Huntington Wilmington Atlanta Denver Mebane Aberdeen Burlington Williamsburg Arlington Sioux Falls Atlanta Hillsborough Robbins Nashua

State SC GA NC NC GA ID NC PA IL NC NC MO MS NC PA TN FL NC OH NC NC OH NC NC CT WV DE GA CO NC NC NC VA TX SD GA NC NC NE

Zipcode 29577 31908-6007 28359 28645 30305 837011599 27874 18916 61126 28364 28086 63101 39225-3096 28353 15230 37422-7530 33601 28075-0429 45250-5804 28206 27511 45201-2949 27894 28687 066010981 25729 19899 303740800 80206-9024 27302 28315 27215 23185-6249 76006-4908 57105 30374 27278 27325 030612062

Phone1 Phone2 8003332770 8008333033 9106714999 2017916000 4042310011 (208) 368-7770 9198263132 2157668853 8006484480 9108445055 7047395463 3146210040 6013645255 9108443956 8002452763 (800) 547-3627 6154993400 8132233981 7044553000 (800) 950-4867 7043721080 9194698522 8005436700 9192912191 7048720981 8008484747 3045250331 8007522677 3024262816 (800) 741-8805 8007338387 9195633531 9109447136 9102271411 8048872061 8002371900 6053344000 8003433743 9197321600 7049483600 8008424019

Third Party Insurance Codes

Code Y80 Y81 Y82 Y83 Y84 Y85 Y86 Y87 Y88 Y89 Y91 Y92 Y93 Y94 Y95 Y96 Y97 Y98 Y99

CompanyName HCHP Cascade Fibers Principal Financial Group Gaston County Dyeing Machine Co. Equitable Insurance Prudential United Pharmacy Network Williamson-Dickie Manufacturings Co. Medical Benefits Management Inc. Voluntary Benefits International Unicare MD Healthplan Richard M. Lewis Company Central and Southwest Services Principal Financial Group Writer's Guild Industry Health Fund The Irwin Co. New Cherokee Corp. Associates Healthcare Delta Dental Plan Massachusetts

Address PO Box 15516 PO Box 1350 PO Box 550920 PO Box 308 PO Box 37 PO Box 15049 PO Box 2740 PO Box 1779 PO Box 36269 PO Box 830626 PO Box 51180 6 Devine St PO Box 1027 PO Box 21928 4050 River Ridge Dr. NE 1015 N Hollywood Way PO Box 829 100 Spindale St. PO Box 9104

City Boston Sanford Jacksonville Stanley Middlefield Albany N. Canton Fort Worth Canton Birmingham Springfield North Haven Charleston Tulsa Cedar Rapids Burbank Wilmington Spindale Medford

State MA NC FL NC OH NY OH TX OH AL MA CT WV OK IA CA OH NC MA

Zipcode 02215 27331 32255-0920 28164 44062 122125049 44720 76101 44735 35283-0626 01151 064732174 25324 74121-1928 52402 91505 45177 28160 021559104

Phone1 6177396161 9197741300 8009863343 7042636000 8006211826 (518) 452-1900 2164971816 8003367201 8006332383 8008762840 (877) 864-2273 8003459272 3049261240 8002792779 8002474695 8188461015 5133824168 7042863491 6173931234

Phone2

2164925932 8006784079 2037765759

5133828914 8008720500

Updated: December 8, 2009

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