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					REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE     1
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
S56     A AND H ADMINISTRATORS INC                               P O BOX 10223             MILWAUKEE              WI    53223
Q19     A E STALEY MFG CO                                        P O BOX 151               DECATUR                IL    62525
RZ*     A H AND L                      PO BOX 88260                                        ATLANTA                GA    30356
UB*     A H AND L                      P O BOX 11111                                       FORT SCOTT             KS    66701
E85     A I G LIFE INSURANCE           ACCIDENT AND HEALTH CLAIM PO BOX 15701              WILMINGTON             DE    19850-5701
S82     A R G I S                                                P O BOX 802516            DALLAS                 TX    75380
BJ7     AAA COOPER TRANSPORT           P. O. BOX 6827                                      DOTHAN                 AL    36302
C8*     AAA GROUP HOSPITAL INDEMNI     AAA NEW MEXICO DIVISION   2201A SAN PEDRO BLVD NE   ALBUQUERQUE            NM    87110
U40     AAA OF WASHINGTON              GROUP INSURANCE CO        222 NO MISSION            WENATCHIE              WA    98801
X95     AAC INC                        16010 BARKERS PT LN 265                             HOUSTON                TX    77079
FI*     AARP HEALTHCARE OPTIONS        UNITED HEALTHCARE CLAIMS P O BOX 740819             ATLANTA                GA    30374-0819
CG8     ABAS                           AMER BENEFIT ADMIN SER    1733 PARK ST STE 300      NAPERVILLE             IL    60564
J47     ABC ADVANTAGE PLAN             P O BOX 2546                                        SHERMAN                TX    75090
F99     ABC BENEFITS OF ARK            1500 RIVERFRONT DR        P O BOX 3198              LITTLE ROCK            AR    72203
S26     ABC INSURANCE                                            P O BOX 3148              BALLWIN                MO    63022
Q93     ABC INSURANCE TRUST                                      729 15TH ST. NW           WASHINGTON             DC    20005
BX7     ABC INSURANCE TRUST FUND       KAM TECH INC              1300 N 17TH ST 8TH FLOOR ROSSLYN                 VA    22209
V94     ABI ADMINISTRATIVE             SERVICES INC              14482 MCCORMICK DR        TAMPA                  FL    33626
K97     ABI ADMINISTRATIVE SERVICE     CORP                      10159 WAYZAT BOULEVARD    MINNETONKA             MN    55343
FV5     ABP ADMINISTRATION                                       PO BOX 82060              ROCHESTER              MI    48308
RL*     ACADEMY INSURANCE GROUP                                  P O BOX 3074              SOUTHEASTERN           PA    19398
HF7     ACCESS ADMINISTRTORS           7430 REMCON CIRCLE        BLDG C                    EL PASO                TX    79912
BE5     ACCORDIA                                                 PO BOX 11111              FORT SCOTT             KS    66701-7111
B88     ACCORDIA BENEFIT OF TX         P O BOX 130217                                      TYLER                  TX    75713
AM9     ACCORDIA BUSINESS BENEFITS     P.O. BOX 419                                        EVANSVILLE             IN    47703
FU3     ACCORDIA NATIONAL                                        P O BOX 2621              CHARLESTON             WV    25329
M64     ACCORDIA NATIONAL              P O BOX 3262                                        CHARLESTON             WV    25326-3262
P20     ACCORDIA OF LEXINGTON          EAGLES ADMINISTRATORS     P O BOX 13307             LEXINGTON              KY    40583
CI3     ACCOUNTABLE HEALTH PLAN        600 SIX FLAGS DR SUITE200                           ARLINGTON              TX    76011
AR8     ACORDIA BUSINESS BENEFITS      P.O. BOX 957                                        EVANSVILLE             IN    47706
DN4     ACORDIA OF CENTRAL INDIANA                               P O BOX 567               GREENWOOD              IN    46142
EZ2     ACORDIA OF LEXINGTON                                     P O BOX 14061             LEXINGTON              KY    40512-4061
RK*     ACORDIA SENIOR OF THE SW                                 P O BOX 37710             LOUISVILLE             KY    40233-7710
GV3     ACS BENEFIT SERVICES                                     PO BOX 2000               WINSTON SALEM          NC    27102-2000
BV6     ACTION LANE                    P O BOX A                                           PONTOTOC               MS    38863
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE     2
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EH8     ADAMS LAND COMPANY             HEALTH FUND               P O BOX 49                LEACHVILLE             AR    72438
V95     ADJUSTCO INC                                             P O BOX 945005            MAITLAND               FL    32794
BK*     ADMIN AND CONSULTANTS          FOODCRAFT EQUIP CO        P O BOX 4925              LANCASTER              PA    17604
FK3     ADMIN ONE CORPORATION                                    PO BOX 2619               ROGERS                 AR    72757
H7*     ADMIN SERVICES OF INDIANA                                P O BOX 6245              SOUTH BEND             IN    46660
BQ3     ADMINASTAR SOLUTIONS           P O BOX 40509                                       INDIANAPOLIS           IN    46240-0509
L87     ADMINICORP CO                  P O BOX 938                                         SAN JOSE               CA    95108-0938
Z47     ADMINISTRATIVE BENEF SVCS      1255 LYNNFIELD RD         SUITE 140                 MEMPHIS                TN    38119
H75     ADMINISTRATIVE BENEFITS        CONSOLIDATED FREIGHTWAYS PO BOX 3988                PORTLAND               OR    97208
DP2     ADMINISTRATIVE CONCEPTS                                  P O BOX 1749              ROCKWALL               TX    75087
W87     ADMINISTRATIVE ENTERPRISES     3404 WEST CHERYL DRIVE    SUITE 281                 PHOENIX                AZ    85051
M66     ADMINISTRATIVE SERVICE         3301 E ROYALTON ROAD                                CLEVELAND              OH    44147
P59     ADMINISTRATIVE SERVICES        P O BOX 839000                                      MIAMI                  FL    33283-9000
AE9     ADMINISTRATIVE SERVICES        P.O. BOX 219325                                     KANSAS CITY            MO    64121-9325
Q26     ADMINISTRATIVE SYSTEMS         1310 MECER ST             SUITE 200                 SEATTLE                WA    98109
EQ2     ADMINITRON INC                                           P O BOX 5095              BRENTWOOD              TN    37024-5095
HU5     ADMIRAL LIFE INSRUANCE         COMPANY OF AMERICA        PO BOX 10861              CLEARWATER             FL    33757-8861
Z82     ADVANCE INSURANCE ADMIN        1525 MERRILL DRIVE        SUITE 2000                LITTLE ROCK            AR    72211
FY7     ADVANCE PCS INC                                          9501 EAST SHEA BOULEVARD SCOTTSDALE              AZ    85260-6719
B59     ADVANCED INSURANCE SERVICE                               P O BOX 19                MEMPHIS                TN    38101
AR3     ADVANCED PRESCRIPTION          909 E COLLINS BLVD        P O BOX 853901            RICHARDSON             TX    75085-3901
FU8     ADVANCEPCS PHARMACY CLAIM      WALMART CLAIM ADMIN       922 W WALNUT STE A        ROGERS                 AR    72756-3540
AF8     ADVANTAGE BENEFITS CO          ADMAR CORP                P.O. BOX 4067             SANTA ANA              CA    92701
HN2     ADVANTAGE HEALTH SOLUTIONS                               PO BOX 502530             INDIANAPOLIS           IN    46209
HN1     ADVANTRA                                                 PO BOX 7154               LONDON                 KY    40742-7154
DO1     ADVENTIST RISK MGE             CHRISTIAN RECORD SERVICE P O BOX 8007               RIVERSIDE              CA    92515
K37     AEROQUIP                       RR 2 BOX IDD                                        MOUNTAIN HOME          AR    72653
GY*     AETNA                                                    P O BOX 5696              LONGVIEW               TX    75604
IY*     AETNA                          REVERE COPPER BRASS       HWY 67 NORTH              NEWPORT                AR    72112
FO2     AETNA                                                    PO BOX 14089              LEXINGTON              KY    40512-4089
FZ3     AETNA                                                    PO BOX 981109             EL PASO                TX    79998-1109
FZ2     AETNA                                                    4630 WOODLANDS CORPORATE TAMPA                   FL    33614-2415
FZ4     AETNA                                                    PO BOX 3935               ALLENTOWN              PA    18106-0935
GM8     AETNA                          P O BOX 1837                                        MARYLAND HEIGHTS       MO    63043
GK9     AETNA                          4050 PIEDMONT PARKWAY                               HIGH POINT             NC    27262
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE     3
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GG4     AETNA                                                    PO BOX 14094              LEXINGTON              KY    40512-4094
ET1     AETNA                                                    P O BOX 795083            SAN ANTONIO            TX    78279-5083
EQ5     AETNA                          P O BOX 209010            18004355597               AUSTIN                 TX    78720
E91     AETNA                          DALLAS MARKET CENTER      2100 STEMMONS FRWY 80     DALLAS                 TX    75207
EN2     AETNA                          P O BOX 14586             18003459908               LEXINGTON              KY    40512-4586
S99     AETNA                                                    P O BOX 11000             ORANGE                 CA    92668-8100
SV*     AETNA                                                    151 NORTH MAIN ST         WICHITA                KS    67202
T31     AETNA                          C/O ACC                   1300 W OAK ST             INDEPENDENCE           KS    67301
ZH*     AETNA                          1001 ESE LOOP 323 STE 300 P O BOX 2520              TYLER                  TX    75710
Z48     AETNA                          EMPLOYEE BENEFIT DIVISION P.O. BOX 129122           SAN DIEGO              CA    92112-9122
XJ*     AETNA                                                    P O BOX 120               GRAND RAPIDS           MI    49501
AO7     AETNA                                                    PO BOX 85079              RICHMOND               VA    23285-5079
DE9     AETNA                                                    PO BOX 3907               ALLENTOWN              PA    18106
DT7     AETNA                          P O BOX 23285                                       RICHMOND               VA    23285
DZ1     AETNA                                                    PO BOX 6259               PEORIA                 IL    61601-6259
CC8     AETNA                          P O BOX 1211                                        TEWKSBURY              MA    01876
B21     AETNA                          PO BOX 1058                                         MACON                  GA    31298
BP4     AETNA HEALTH PLAN              8023 E 63RD PLACE STE 310                           TULSA                  OK    74133
EA2     AETNA HEALTH PLAN                                        P O BOX 5367              ROCKFORD               IL    61125
FB9     AETNA HEALTH PLAN              10459 MOUNTAIN VIEW AVE                             LOMA LINDA             CA    92354
EW8     AETNA HEALTH PLAN                                        P O BOX 7064              DOVER                  DE    19903-1512
FB3     AETNA HEALTH PLANS             LOOP STATION              P O BOX 2949              MINNEAPOLIS            MN    55402-0949
D59     AETNA HEALTH PLANS             3541 WINCHESTER RD        UNIT 73                   ALLENTOWN              PA    18195-0519
ED8     AETNA HEALTH PLANS                                       P O BOX 12122             OKLAHOMA CITY          OK    73157-2122
EI6     AETNA HEALTH PLANS                                       P O BOX 3903              ALLENTOWN              PA    18106-0903
EI1     AETNA HEALTH PLANS             DELTA BEVERAGE CLAIMS     P O BOX 26125             GREENSBORO             NC    27402
BG7     AETNA HEALTH PLANS                                       P O BOX 35890             LOUISVILLE             KY    40232-5890
CE4     AETNA HEALTH PLANS             P O BOX 21645                                       SEATTLE                WA    98111
CI2     AETNA HEALTH PLANS             P O BOX 91411                                       ARLINGTON              TX    76015
AC7     AETNA HEALTH PLANS             CLAIMS OFFICE             P.O. BOX 91533            ARLINGTON              TX    76015
X57     AETNA HEALTH PLANS                                       P O BOX 1630              COLUMBUS               OH    43216
Z27     AETNA HEALTH PLANS             P.O. BOX 26190                                      GREENSBORO             NC    27402-6190
X96     AETNA HEALTH PLANS             UPS UNIT 52F              PO BOX 26053              GREENSBORO             NC    27420
Q65     AETNA HEALTH PLANS             PO BOX 7012                                         DOVER                  DE    19903
V66     AETNA HEALTH PLANS OF          TENN INC                  P O BOX 141176            IRVING                 TX    75014-1176
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE     4
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
CA3     AETNA HEALTH PLANS OF CA       P.O. BOX 50035                                      SAN BERNARDINO         CA    92412
X97     AETNA HEALTH SERVICE           400 E SPRING STR                                    BLUFTON                TN    46714
FC8     AETNA HEALTHCARE                                         P O BOX 1816              MACON                  GA    31202
K24     AETNA HEALTHCARE                                         P O BOX 150417            HARTFORD               CT    06115-0417
H98     AETNA INSURANCE CO                                       P O BOX 26107             GREENSBORO             NC    27402-6107
V41     AETNA INSURANCE CO                                       P O BOX 709               WINDSOR                CT    06095-0709
BD4     AETNA INSURANCE CO             C/O BOB EVANS             3776 S. HIGH ST           COLUMBUS               OH    43207
MV*     AETNA LIFE AND CAASUALTY       GROUP CLAIMS              P O BOX 12340             FRESNO                 CA    93765
KX*     AETNA LIFE AND CASUALTY        GLEN HILL N BLDG 8        800 ROOSEVELT RD          GLEN ELLYN             IL    60137
JW*     AETNA LIFE AND CASUALTY                                  P O BOX 2117              FALL RIVER             MA    02722
G77     AETNA LIFE AND CASUALTY                                  435 CAPTAIN THOMAS BLVD   WEST HAVEN             CT    06516
D62     AETNA LIFE AND CASUALTY        P O BOX 6519                                        JACKSONVILLE           FL    32236
VS*     AETNA LIFE AND CASUALTY                                  P O BOX 26200             NEW ORLEANS            LA    70186
R42     AETNA LIFE AND CASUALTY                                  150 4TH AVE N             NASHVILLE              AR    37219
QI*     AETNA LIFE AND CASUALTY        CIVIL SERVICE RETIREMENT                            WASHINGTON             DC    20415
WQ*     AETNA LIFE AND CASUALTY        GULF MEDICAL PYMNT UNIT   900 CHATHAM CNTR OFC BLDG PITTSBURGH             PA    15259
AL5     AETNA LIFE AND CASUALTY        P.O. BOX 795982                                     SAN ANTONIO            TX    78279-5082
V52     AETNA LIFE AND CAUSALTY                                  301 INDUSTRIAL PARK       MARKED TREE            AR    72365
F56     AETNA LIFE INS                                           POBOX DRAWER 11000        RUSTON                 LA    71270
F81     AETNA LIFE INS CO                                        PO BOX 795080             SAN ANTONIO            TX    78279-5080
H58     AETNA LIFE INS CO              P.O. BOX 31450                                      TAMPA                  FL    33631-3450
EF6     AETNA LIFE INS CO              P O BOX 578800                                      OKLAHOMA CITY          OK    73157-8800
ED4     AETNA LIFE INS CO              COCA COLA CLAIMS          166 16TH ST N W           ATLANTA                GA    30318
A64     AETNA LIFE INS CO              LOOP STATION              P O BOX 2907              MINNEAPOLIS            MN    55402
CT4     AETNA LIFE INS CO              P O BOX 91511                                       ARLINGTON              TX    76015
AT*     AETNA LIFE INS CO CLM DEPT     EMPLOYEE BENEFITS DIV     P O BOX 5060              ARLINGTON              TX    76011
DE2     AETNA LIFE INSURANCE                                     P O BOX 2523              FORT WAYNE             IN    46801-0871
C28     AETNA LIFE INSURANCE           P O BOX 59180                                       BIRMINGHAM             AL    35259
DR6     AETNA LIFE INSURANCE                                     P O BOX 26117             GREENSBORO             NC    27402
DR5     AETNA LIFE INSURANCE                                     P O BOX 28902             SAN ANTONIO            TX    78228
DR4     AETNA LIFE INSURANCE                                     P O BOX 3000              GRAND RAPIDS           MI    49501
DK8     AETNA LIFE INSURANCE                                     P O BOX 3901              ALLENTOWN              PA    18106-0901
DF5     AETNA LIFE INSURANCE           2677 NORTH MAIN ST        SUITE 600                 SANTA ANA              CA    92701
DG1     AETNA LIFE INSURANCE           2365 NORTHSIDE DRIVE                                SAN DIEGO              CA    97207
DF9     AETNA LIFE INSURANCE                                     P O BOX 16516             COLUMBUS               OH    43216
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE     5
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
DG2     AETNA LIFE INSURANCE                                     P O BOX 871               FORT WAYNE             IN    46801
D82     AETNA LIFE INSURANCE           P O BOX 26279                                       MILWAUKEE              WI    53226
E90     AETNA LIFE INSURANCE                                     P O BOX 300               PORTLAND               OR    97207
E65     AETNA LIFE INSURANCE           LOOP STATION              P O BOX 2947              MINNEAPOLIS            MN    55402
DI6     AETNA LIFE INSURANCE CO                                  P O BOX 91522             ARLINGTON              TX    76015-0022
DI2     AETNA LIFE INSURANCE CO                                  P O BOX 7027              ROCKFORD               IL    61126-7027
DV2     AETNA LIFE INSURANCE CO                                  P O BOX 50065             SAN BERNARDINO         CA    92412
BW5     AETNA LIFE INSURANCE CO        P O BOX 9070                                        TYLER                  TX    75711
WX*     AETNA LIFE INSURANCE CO                                  P O BOX 2539              HOUSTON                TX    77001
X56     AETNA LIFE INSURANCE CO        350 SRPINGSIDE DRIVE      P O BOX 5569              AKRON                  OH    44340-5690
X98     AETNA LIFE INSURANCE CO        PO BOX 5048                                         ROCKFORD               IL    61125
X58     AETNA LIFE INSURANCE CO                                  P O BOX 18040             COLUMBUS               OH    43218
OF*     AETNA LIFE INSURANCE CO                                  P O BOX 2369              FORT WORTH             TX    76113
N5*     AETNA LIFE INSURANCE CO        PO BOX 129107                                       SAN DIEGO              CA    92112-9107
FY4     AETNA PHARMACY MANAGEMENT      AETRX    SUITE 400        11100 WAYZATA BLVD        MINNETONKA             MN    55305
FJ7     AETNA PPO                                                PO BOX 44128              JACKSONVILLE           FL    32231
AP3     AETNA PPO                      P O BOX 981107                                      EL PASO                TX    79988-1107
HT1     AETNA RX MANAGEMENT            PO BOX 14024                                        LEXINGTON              KY    40512
HE9     AETNA U S HEALTHCARE           P O BOX 12626                                       FRESNO                 CA    93778
FD8     AETNA U S HEALTHCARE           PEPSICO CLAIMS            P O BOX 52117             MINNEAPOLIS            MN    55402-5117
CW8     AETNA U S HEALTHCARE                                     P O BOX 14079             LEXINGTON              KY    40512-4079
DC7     AETNA U S HEALTHCARE           P O BOX 981107            18004482180               EL PASO                TX    79998
AH8     AETNA US HEALTHCARE            PO BOX 91533                                        ARLINGTON              TX    76015-0033
A59     AETNA US HEALTHCARE                                      P O BOX 182082            COLUMBUS               OH    43218-2082
AX8     AETNA US HEALTHCARE                                      PO BOX 578802             OKLAHOMA CITY          OK    73157-8802
NO*     AETNA US HEALTHCARE            HOME DEPOT                P O BOX 26106             GREENSBORO             NC    27402-6106
OE*     AETNA US HEALTHCARE                                      P O BOX 52120             MINNEAPOLIS            MN    55402-5120
N55     AETNA US HEALTHCARE                                      P O BOX 91544             ARLINGTON              TX    76015-0044
QJ*     AETNA US HEALTHCARE            GROUP CLAIMS              P O BOX 26102             GREENSBORO             NC    27402-6102
PI*     AETNA US HEALTHCARE                                      P O BOX 150409            HARTFORD               CT    06115-0409
UP*     AETNA US HEALTHCARE            4151 EXECUTIVE PKWY       SUITE 105                 WESTERVILLE            OH    43081
ZN*     AETNA US HEALTHCARE            PO BOX 44128                                        JACKSONVILLE           AR    32231-4128
XX*     AETNA US HEALTHCARE            EMPLOYEE BENEFIT DIV      PO BOX 2295               FORT WAYNE             IN    46801
CA4     AETNA US HEALTHCARE                                      PO BOX 14110              LEXINGTON              KY    40512
BM*     AETNA US HEALTHCARE                                      P O BOX 24024             FRESNO                 CA    93765
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE     6
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
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DW8     AETNA US HEALTHCARE                                       PO BOX 353                GRAND RAPIDS          MI    49501
DK*     AETNA US HEALTHCARE                                       P O BOX 2265              BLUE BELL             PA    19422
DH9     AETNA US HEALTHCARE                                       PO BOX 129219             SAN DIEGO             CA    92112-9219
FE1     AETNA US HEALTHCARE                                       P O BOX 182756            COLUMBUS              OH    43218-2756
FF4     AETNA US HEALTHCARE                                       PO BOX 981106             EL PASO               TX    79998-1106
FF3     AETNA US HEALTHCARE                                       PO BOX 3924               ALLENTOWN             PA    18106-3924
E26     AETNA US HEALTHCARE            LOOP STATION               P O BOX 2909              MINNEAPOLIS           MN    55402
EZ8     AETNA US HEALTHCARE                                       P O BOX 30555             SALT LAKE CITY        UT    84130-0555
EU*     AETNA US HEALTHCARE                                       P O BOX 2301              BLUE BELL             PA    19422-2301
EC1     AETNA US HEALTHCARE                                       7400 W CAMPUS ROAD        NEW ALBANY            OH    43054
EM9     AETNA US HEALTHCARE                                       PO BO X52119              MINNEAPOLIS           MN    55402
EK8     AETNA US HEALTHCARE                                       P O BOX 2954              HARTFORD              CT    06143-2954
EO5     AETNA US HEALTHCARE                                       P O BOX 2170              COLUMBUS              OH    43216-2170
EQ*     AETNA US HEALTHCARE                                       P O BOX 2250              BLUE BELL             PA    19422-8250
EP7     AETNA US HEALTHCARE            LOCKHEED MARTIN BENEFITS P O BOX 12495               OKLAHOMA CITY         OK    73157
IV*     AETNA US HEALTHCARE                                       P O BOX 2095              BISMARCK              ND    58504
KE*     AETNA US HEALTHCARE            CENTIMARK CLAIMS           P O BOX 16423             PITTSBURG             PA    15242-0423
MQ*     AETNA US HEALTHCARE                                       P O BOX 660239            DALLAS                TX    75266
LA*     AETNA US HEALTHCARE                                       P O BOX 916               BISMARCK              ND    58502-0916
FJ1     AETNA US HEALTHCARE                                       PO BOX 14100              LEXINGTON             KY    40512-4100
FN7     AETNA US HEALTHCARE                                       PO BOX 54159              LOS ANGELES           CA    90054
FY*     AETNA US HEALTHCARE                                       P O BOX 3909              ALLENTOWN             PA    18106-0909
FV2     AETNA US HEALTHCARE                                       PO BOX 14066              LEXINGTON             KY    40512
FS3     AETNA US HEALTHCARE                                       PO BOX 981204             EL PASO               TX    79998
FP9     AETNA US HEALTHCARE                                       PO BOX 9160               VANNUYS               CA    91410-0160
FO7     AETNA US HEALTHCARE                                       PO BOX 4266               BISMARCK              ND    93765
F43     AETNA US HEALTHCARE                                       PO BOX 91555              ARLINGTON             TX    76015-0033
GD4     AETNA US HEALTHCARE                                       4400 NW LOOP 410          SAN ANTONIO           TX    78229
GD3     AETNA US HEALTHCARE                                       PO BOX 1125               BLUE BELL             PA    19422
GC2     AETNA US HEALTHCARE                                       PO BOX 14091              LEXINGTON             KY    40512-4091
AO8     AFCO METALS                    HEALTH CARE                P.O. BOX 6026             FT SMITH              AR    72906
T48     AFCO METALS                                               P O BOX 95010             LITTLE ROCK           AR    72209
V14     AFCO STEEL HEALTH CARE         P O BOX 231                                          LITTLE ROCK           AR    72203
K23     AFFILATED FOOD STORES          P O BOX 802516                                       DALLAS                TX    75380
Y52     AFFILIATED FOOD STORE          EMPLOYEES INS PLAN         P.O. BOX 3627             LITTLE ROCK           AR    72203
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE     7
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
RU*     AFG INDUSTRIES INC                                       P O BOX 929               KINGSPORT              TN    37662
ZB*     AFGE INSURANCE DEPT            1325 MASSACHUSETTS AVE NW                           WASHINGTON             DC    20005
R36     AFLAC                          AMERICAN FAMILY LIFE      1932 WEYNNTON RD          COLUMBUS               GA    31999
EX4     AFLAC                          P O BOX 715                                         TEXARKANA              TX    75503
V31     AG PROCESSING INC                                        P O BOX 9120              DES MOINE              IA    50306
BS1     AGA                            AUTOMATED GROUP ADMIN     PO BOX 15568              FORT WAYNE             IN    46885-5568
P89     AGENCY RENT A CAR              30000 AURORA RD                                     SOLON                  OH    44139
K52     AGENCY SERVICE INC                                       P.O. BOX 17237            MEMPHIS                TN    38187-0237
T98     AHA CARE                                                 P O BOX 809               RIDGELAND              MS    39158-0809
EE3     AIA INSURANCE                                            P O BOX 2198              SHAWNEE MISSION        KS    66201
AR1     AIA UNIVERSE                   P.O. BOX 538                                        LEWISTON               ID    83501
KF*     AID ASSOCIATION FOR            LUTHERANS                 4321 N BALLARD ROAD       APPLETON               WI    54919
HK6     AIG CLAIMS SERVICE             P O BOX 44139                                       LAS VEGAS              NV    89116
JO1     AIG DOMESTIC CLAIMS            A AND H CLAIMS DEPARTMENT PO BOX 25987              SHAWNEE MISSION        KS    66225
F60     AIR LOGISTICS                                            POBOX 53178               LAFAYETTE              LA    70505
X25     AIR PRODUCTS AND CHEMICALS                               P O BOX 252               FT SMITH               AR    72902
AD*     AIRTHERM PRODUCTS              INSURANCE DEPT            P O BOX 1895              FORREST CITY           AR    72335
CE6     ALADDIN INDUSTRIES INC         703 MURFREESBORO RD                                 NASHVILLE              TN    37210
E73     ALAN WHITE CO                  P O BOX 249                                         STAMPS                 AR    71860
HV7     ALCOHOL DRUG ABUSE PREVENT     305 SOUTH PALM STREET                               LITTLE ROCK            AR    72205
A10     ALL AMERICAN LIFE INSUR CO     8501 WEST HIGGINS ROAD                              CHICAGO                IL    60631
HN3     ALLEGIANCE BENEFIT PLAN MA     PO BOX 3018                                         MISSOULA               MT    59806
CI9     ALLIANCE BLUE CROSS BLUE S     P O BOX 14882                                       ST LOUIS               MO    63178-4882
CB7     ALLIANZE LIFE INS CO           CITICORP INS              P O BOX 7055              DOVER                  DE    19903-7055
V98     ALLIED ADMINISTRATORS                                    P O BOX 419257            KANSAS CITY            MO    64141
M89     ALLIED BENEFIT SYSTEMS                                   P O BOX 909786            CHICAGO                IL    60690
BS6     ALLMERICA FINANCE              P O BOX 79059                                       HOUSTON                TX    77279-9059
BV1     ALLMERICA FINANCIAL            440 LINCOLN STREET        BOX 1014                  WORCESTER              MA    01653-1014
CD5     ALLMERICA FINANCIAL            EMPLOYEE BENEFIT CLAIMS   440 LINCOLN ST BOX 1018   WORCESTER              MA    01605-1959
DX5     ALLMERICA FINANCIAL            333 PIERCE RD             SUITE 310                 ITASCA                 IL    60143-3116
EJ8     ALLMERICA FINANCIAL                                      P O BOX 105893            ATLANTA                GA    30348-5893
ER6     ALLMERICA FINANCIAL            440 LINCOLN ST            BOX 3844                  WORCESTER              MA    01653-3844
E13     ALLSTATE                       3090 W MARKER ST                                    FAIRLAWN               OH    44313
J95     ALLSTATE                       1510 A AIRPORT ROAD                                 HOT SPRINGS            AR    71913
A65     ALLSTATE                       PO BOX 26743                                        AUSTIN                 TX    78731
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE     8
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
UW*     ALLSTATE                       5500 INTERSTATE N PARKWAY                           ATLANTA                GA    30328
SO*     ALLSTATE                       1230 RAYMOND RD           P O BOX 2031              JACKSON                MS    39205
I32     ALLSTATE INS CO                                          2330 GRAVEL ROAD          FORTH WORTH            TX    76118
V45     ALLSTATE INSURANCE                                       3996 FRONTAGE RD          FAYETTEVILLE           AR    72703
Q77     ALLSTATE INSURANCE                                       201 EXECUTIVE COURT       LITTLE ROCK            AR    72205
AR2     ALLSTATE INSURANCE CO          P.O. BOX 30447                                      TAMPA                  FL    33630-3447
AT5     ALLSTATE INSURANCE COMPANY     PO BOX 800                                          DEERFIELD              IL    60015
EH5     ALLSTATE LIFE INS                                        P O BOX 3580              AKRON                  OH    44309-3580
EZ3     ALLSTATE LIFE INSURANCE CO                               P O BOX 3063              NORTHBROOK             IL    60065-3063
AR9     ALLTRISTA                      BENEFIT DEPARTMENT        8307 BALL ROAD            FORT SMITH             AR    72903
G81     ALPHA DATA SYSTEMS                                       PO BOX 791428             DALLAS                 TX    56742
PN*     ALTA                           P O BOX 11111                                       FORT SCOTT KS                66701
FK4     ALTERNATIVE INS RESOURCE                                 PO BOX 660787             BIRMINGHAM             AL    35266-0787
GR1     ALTIUS                                                   P O BOX 7147              LONDON                 KY    40742
B41     ALTON PKGING CORP              THRU AETNA INSURANCE      PO BOX 276                ALTON                  IL    62002
N73     ALUMACRAFT GROUP MEDICAL       P O BOX 189                                         ARKADELPHIA            AR    71923
HP7     ALWAYSCARE BENEFITS            P O BOX 14389                                       BATON ROUGE            LA    70898-4389
AM8     AMALGAMATED CLOTHING           AND TEXTILE WORKERS UNION 33 W. 14TH STREET         NEW YORK               NY    10011
SB*     AMALGAMATED INSURANCE          AGENCY                    8550 WEST BRYN MAWR AVE   CHICAGO                IL    60631
N7*     AMALGAMATED LABOR LIFE INS                               7380 N LINCOLN AVE        LINCOLNWOOD            IL    60646
0B*     AMALGAMATED LIFE INS CO        730 BROADWAY              P O BOX 1451              NEW YORK               NY    10116-1451
CK9     AMCO                                                     PO BOX 691030             SAN ANTONIO            TX    78269-1030
CK8     AMCO                                                     PO BOX 22118              LITTLE ROCK            AR    72221-2118
FO9     AMCO REPRICING                 P O BOX 1979                                        SEARCY                 AR    72145
DO2     AMCO REPRICING DEPT                                      PO BOX 8219               LITTLE ROCK            AR    72221-8219
B35     AMER CONSUMERS ASSOC ADMIN     PO BOX GA                                           CORONA DEL MAR         CA    92625
N38     AMERAPLAN INC                  22500 METROPOLITAN PKWY   SUITE 100                 CLINTON TOWNSHIP       MI    48035
BA3     AMERCO MEDICAL PLAN            2721 NORTH CENTRAL AVENUE                           PHOENIX                AZ    85004-1120
BZ5     AMERI PLUS IDEAL INS           P O BOX 9100                                        CLEARWATER             FL    34618
GT2     AMERIBEN                                                 PO BOX 7186               BOISE                  ID    83707
GU8     AMERICAN ADMINISTRATIVE        GROUP INC                 PO BOX 619012             DALLAS                 TX    75261-9012
MR*     AMERICAN ADMINISTRATIVE        GROUP INC                 P O BOX 268900            OKLAHOMA CITY          OK    73216
N60     AMERICAN ADMINISTRATORS        4200 CORPORATE DR STE 114 P O BOX 65887             WEST DES MOINES        IA    50265
BT9     AMERICAN ADMINSTRATIVE SER                               2626 S. SHERIDAN STE 100 TULSA                   OK    74129
B24     AMERICAN AMICABLE LIFE INS     PO BOX 1849                                         WACO                   TX    76703
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE     9
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
N66     AMERICAN BAPTIST CHURCH        MEDICAL PLAN              475 RIVERSIDE ROOM 1700   NEW YORK               NY    10115
EQ7     AMERICAN BEHAVIORAL            7540 LBJ FREEWAY          STE 800                   DALLAS                 TX    75251
DF4     AMERICAN BENEFIT                                         7301 N BROADWAY           OKLAHOMA CITY          OK    73116-9061
QL*     AMERICAN BENEFIT CORP                                    222 SOUTH PROSPECT        PARK RIDGE             IL    60068
RH*     AMERICAN BENEFIT PLAN          ADMINISTRATORS            3785 SOUTH 700 EAST       SALT LAKE CITY         UT    84106
U59     AMERICAN BENEFIT PLAN          ADMINISTRATORS INC        4040 MCEWEN, STE 100      DALLAS                 TX    75244-5018
BT1     AMERICAN BENEFIT PLAN          SOUTHWESTERN TEAMSTER     1430 E MISSOURI B 155     PHOENIX                AZ    85014
A2*     AMERICAN CAPITOL INSURANCE     P O BOX 42814                                       HOUSTON                TX    77242
Y72     AMERICAN COMMERCIAL LINES      P.O. BOX 610                                        JEFFERSONVILLE         IN    47130
N27     AMERICAN COMMUNITY INSURAN     39201 SEVEN MILE ROAD                               LIVONIA                MI    48152
HM2     AMERICAN CONTINENTAL INS C     P O BOX 2368                                        BRENTWOOD              TN    37024-2368
G20     AMERICAN CONTINENTAL LIFE                                POBOX 413636              KANSAS CITY            MO    64141
VM*     AMERICAN CYANAMID COMPANY      EMPLOYEE BENEFITS         30 ROCKERFELLER PLAZA     NEW YORK               NY    10000
Q85     AMERICAN DENTAL PROVIDERS                                P O BOX 34045             LITTLE ROCK            AR    72201
DB1     AMERICAN EXCHANGE LIFE INS                               P O BOX 1530              DALLAS                 TX    75221-1530
BQ5     AMERICAN EXPRESS               ATTN GROUP BENEFITS T7111 IDS TOWER 10              MINNEAPOLIS            MN    55440
P38     AMERICAN FAMILY INS CO         2804 EAST 26TH ST                                   SIOUX FALLS            SD    57103
AH9     AMERICAN FAMILY MUTUAL         INSURANCE COMPANY         P.O. BOX 7430             MADISON                WI    53783
AX*     AMERICAN FIDELITY ASSURANC     SUITE 605                                           LITTLE ROCK            AR    72205
GE*     AMERICAN FIDELTY               2000 CLASSEN CENTER       P O BOX 25160             OKLAHOMA CITY          OK    73125
H6*     AMERICAN FOREIGN SERVICE       1750 PENN AVE NW          SUITE 1305                WASHINGTON             DC    20006
0H6     AMERICAN FOREIGN SERVICE       1750 PENN AVE NW          SUITE 1305                WASHINGTON             DC    20006
Y92     AMERICAN FREIGHTWAYS           ATTN HEALTH CLAIMS DEPT   P.O. BOX 840              HARRISON               AR    72602-0840
BF*     AMERICAN GENERAL                                         PO BOX 10845              CLEARWATER             FL    33757-8845
IA4     AMERICAN GENERAL CENTER        P.O. BOX 305293                                     NASHVILLE              TN    37250
Y9*     AMERICAN GENRL LIFE AND AC     HEALTH CLAIMS             P O BOX 1500              NASHVILLE              TN    37202-1500
VP*     AMERICAN HEALTH ACCIDENT       LIFE INSURANCE COMPANY    P O BOX 490               ENNIS                  TX    75119
FX7     AMERICAN HEALTH ALLIANCE                                 PO BOX 8530               KANSAS CITY            MO    64114-0530
DU5     AMERICAN HEALTH AND            LIFE INS COMPANY          307 W 7TH STREET STE 400 FORT WORTH              TX    76113
ZC*     AMERICAN HEALTH AND LIFE                                 509 FIRST NATIONAL BLDG   EL DORADO              AR    71730
D49     AMERICAN HEALTH AND LIFE I     300 ST PAUL PLACE                                   BALTIMORE              MD    21202
DW6     AMERICAN HEALTH CARE                                     PO BOX 1659               MARILYN HEIGHTS        MO    63043
QU*     AMERICAN HEALTH GROUP INC      PO BOX 1500                                         MAUMEE                 OH    43537
L94     AMERICAN HEALTH NETWORK        198 COMMERCE                                        CONWAY                 AR    72032
K46     AMERICAN HEALTH TRUST          P O BOX 899                                         CLEARWATER             FL    34615
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    10
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
C90     AMERICAN HEALTHCARE PROVID     222 MERCHANDISE MART PLAZ SUITE 1450                CHICAGO                IL    60654-1299
FD9     AMERICAN HEALTHCARE TRUST                                P O BOX 3048              MEMPHIS                TN    38173
HD5     AMERICAN HERITAGE LIFE         INSURANCE COMPANY         P O BOX 853916            RICHARDSON             TX    75085-3916
RW*     AMERICAN HERITAGE LIFE         1776 HERITAGE LIFE DR                               JACKSONVILLE           FL    32224
X18     AMERICAN INCOME LIFE                                     P O BOX 3018              LITTLE ROCK            AR    72203
AN*     AMERICAN INCOME LIFE                                     P O BOX 2608              WACO                   TX    76797
CU4     AMERICAN INS CO OF TEXAS       777 MAIN ST SUITE 900                               FORT WORTH             TX    76102
T34     AMERICAN INS OF TEXAS                                    P O BOX 2650              WACO                   TX    76702
H2*     AMERICAN INST OF ARCHIT        18872 MCARTHUR BLVD       SUITE 400                 IRVINE                 CA    92715
YQ*     AMERICAN INSURANCE CO          PO BOX 660254                                       DALLAS                 TX    75266-0254
C29     AMERICAN INTEGRITY INSURAN     2 PENN PLAZA                                        PHILADELPHIA           PA    19102
J5*     AMERICAN INTERNATIONAL                                   P O BOX 200               TEXARKANA              TX    75501
M41     AMERICAN INVESTOR LIFE INS     FEWELL AND ASSOCIATES     P O BOX 8212              LITTLE ROCK            AR    72221
0IN     AMERICAN LANTERN GROUP         HIGHWAY 67 NORTH                                    NEWPORT                AR    72112
L50     AMERICAN LIBERTY LIFE INS      4962 FLORIDA BLVD SUITE   302 P O BOX 64626         BATON ROUGE            LA    70896
VU*     AMERICAN LIFE AND              ACCIDENT INSURANCE        P O BOX 1287              FORT WORTH             TX    76101
G89     AMERICAN LIFE AND ACCIDENT                               P O BOX 1600              DALLAS                 TX    76101
0M4     AMERICAN LIFE AND CASUALTY                               P O BOX 398               ROGERS                 AR    72756
CZ4     AMERICAN LIFE CARE             1100 POYDRAS STREET       SUITE 2600                NEW ORLEANS            LA    70163-2602
R8*     AMERICAN LIFE CASUALTY INS     P O BOX 2507                                        FARGO                  ND    58108
P32     AMERICAN LIFE INS CO           208 S LASALLE ST          SUITE 2070                CHICAGO                IL    60604-1177
GA5     AMERICAN LIFECARE                                        PO BOX 2843               WARMINSTER             PA    18974
0Q2     AMERICAN MAJ FED AGNCY         SERV IN                   P O BOX 17237             MEMPHIS                TN    38117
N8*     AMERICAN MEDICAL INTERNATI                               P O BOX 2178E             COSTA MESA             CA    92626
P94     AMERICAN MEDICAL SECURITY      PO BOX 19032                                        GREEN BAY              WI    54307-9032
S7*     AMERICAN MUTUAL LIFE INS       DEPT C1 A AND H GRP CLMS                            WAKEFIELD              MA    01880
DH6     AMERICAN NATIONAL INS CO                                 P O BOX 1790              GALVESTON              TX    77553
DD*     AMERICAN NATIONAL LIFE INS     HEALTH CLAIMS DEPT        P O BOX 1520              GALVESTON              TX    77553-1520
HF9     AMERICAN NATIONAL LIFE INS     ONE MOODY PLAZA                                     GALVESTON TEXAS              77550
HD2     AMERICAN PIONEER               P O BOX 399127                                      CAMBRIDGE              MA    02139-9127
LU*     AMERICAN PIONEER                                         P O BOX 130               PENSACOLA              FL    32591
CZ6     AMERICAN PIONEER LIFE INS                                P O BOX 3509              ORLANDO                FL    38202-3509
J62     AMERICAN PIONEERS              12596 W BAYARD SUITE 400                            LAKEWOOD               CO    80228
FV8     AMERICAN PPO                   1825 WALNUT HILL LANE     SUITE 120                 IRVING                 TX    75038
GH1     AMERICAN PPO                                             3500 PARKWAY LANE         NORCROSS               GA    30092
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    11
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FI6     AMERICAN PREFERRED PROVIDE     ORGANIZATION               8080 TRISTAR DR STE 100   IRVING                TX    75063-2823
G56     AMERICAN PROFFESSIONAL                                    POBOX 80441               INDIANAPOLIS          IN    46280
TT*     AMERICAN PUBLIC LIFE INS                                  P O BOX 925               JACKSON               MS    39205
SE*     AMERICAN REPUBLIC INS CO       ATTN CLAIMS                P O BOX 1                 DES MOINES            IA    50334-0010
FR7     AMERICAN REPUBLIC INS CO                                  PO BOX 2975               CLINTON               IA    52733-2975
XQ*     AMERICAN SECURITY LIFE                                    P O BOX 2341              SAN ANTONIO           TX    78298
E67     AMERICAN SERVICE LIFE INS                                 P O BOX 470768            FT WORTH              TX    76147-0768
L23     AMERICAN SMALL BUSINESSES                                 POBOX 612663              DALLAS                TX    75261-9990
MO*     AMERICAN STANDARD LIFE         AND ACCIDENT               P O DRAWER 3248           ENID                  OK    73702-3248
XS*     AMERICAN STATES INSURANCE      500 NORTH MERIDIAN STREET P O BOX 1636               INDIANAPOLIS          IN    46206-1636
T81     AMERICAN TRANSPORTATION                                   4210 SHAWNEE MISSION PKWY SHAWNEE MISSION       KS    66205
Q66     AMERICAN TRAVELERS LIFE                                   3220 TILLMAN DR           BENSALEM              PA    19020
A22     AMERICAN TRUST ADM             P O BOX 87                                           SHAWNEE MISSION       KS    60201
HW9     AMERICAN UNDERWRITERS INSU     6429 S TACOMA WAY                                    TACOMA                WA    98409
P88     AMERICAN UNITED LIFE           12377 MERIT DR                                       DALLAS                TX    75251
Q68     AMERICAN VETERINARY MED AS     55 E JACKSON BLVD 8TH FLR                            CHICAGO               IL    60604
U83     AMERICAN WORKERS POST          OFFICE UNION               P O BOX 967               SILVER SPRINGS        MD    20910
AA7     AMERICARE                      PO BOX 22118                                         LITTLE ROCK           AR    72221
L68     AMERICARE                      P O BOX 1                                            DES MOINES            IA    50334
HD6     AMERICAS CHOICE HEALTH PLA                                P O BOX 922043            HOUSTON               TX    77292
HS7     AMERICAS CHOICE HEALTH PLA                                PO BOX 55690              KING OF PRUSSIA       PA    19406
BX4     AMERICORPS                     FORMOST INSURANCE COMPANY PO BOX 1659                PORTLAND              OR    97207
DH3     AMERICORPS PROGRAMS                                       P O BOX 78308             INDIANAPOLIS          IN    46278-8308
ED9     AMERICORPS VISTA                                          PO BOX 33757              INDIANAPOLIS          IN    46203-0757
M75     AMERITAS LIFE INS                                         P O BOX 82520             LINCOLN               NE    68501
N71     AMERON JACKSON LIFE INS        P O BOX 9610                                         LITTLE ROCK           AR    72219
E89     AMEX LIFE ASSURANCE            P O BOX 2070                                         SAN RAFAEL            CA    94912
A56     AMOCO CORP STANDARD OIL OF     INDIANA PERSONNEL RECORDS P O BOX 5738               CHICAGO               IL    60680
S85     AMSTAR SUGAR CORP                                         316 KENT AVE              BROOKLYN              NY    11211
P56     AMW INDUSTRIES                                            PO BOX 8200               LITTLE ROCK           AR    72221
JV*     AMY K CRISSUP IRREVOCABLE      TRUST C/O C. TAB TURNER. 4702 W COMMERICAL, STE B3 NORTH LITTLE ROCK       AR    72116
K40     ANCHOR ACCESS                                                                       CHICAGO               IL    60617
N70     ANDREW JACKSON LIFE INS        2829 LAKELAND DR PLZ 2000 P O BOX 5025               JACKSON               MS    39296-5025
DS*     ANGONAL INSURANCE CO           250 MIDDLEFIELD ROAD                                 MENLO PARK            CA    94025
P83     ANNUITY BOARD SOUTHERN BAP                                1304 WALNUT HILL STE 220 IRVING                 TX    75038
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    12
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
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MA*     ANTHEM BC BS                                             P O BOX 37780             LOUISVILLE             KY    70233-7690
T38     ANTHEM BCBS                    COMMUNITY MUTUAL BCBS     P O BOX 425               WORTHINGTON            OH    43085
CV*     ANTHEM BCBS                                              P O BOX 220               INDIANAPOLIS           IN    46206
CO8     ANTHEM BCBS                    AUTOMOTIVE BUSINESS DIV   P O BOX 700               WORTHINGTON            OH    43085
MU*     ANTHEM BENEFIT ADM                                       P O BOX 18197             COLUMBUS               OH    43218-0197
V69     ANTHEM BENEFITS SERVICES       P O BOX 101511                                      SAN ANTONIO            TX    78201-9511
HQ3     ANTHEM BLUE CROSS                                        PO BOX 4458               CHICAGO                IL    60680-4458
HU8     ANTHEM BLUE CROSS                                        PO BOX 10888              GREEN BAY              WI    54307
H70     ANTHEM BLUE CROSS BLUE         SHIELD OF VIRGINIA        P.O. BOX 27401            RICHMOND               VA    23279-7401
EY3     ANTHEM BLUE CROSS BLUE SHI                               P O BOX 7051              INDIANAPOLIS           IN    46207-7051
CC4     ANTHEM BLUE CROSS BLUE SHI                               PO BOX 37180              LOUISVILLE             KY    47233
CI8     ANTHEM CLAIMS                  PO BOX 650342                                       DALLAS                 TX    75265-0342
GZ4     ANTHEM HEALTH                                            1188 FRANKLIN STREET      SAN FRANCISCO          CA    94109
J8*     ANTHEM HEALTH AND LIFE INS     OF NEW YORK               P O BOX 6848              PISCATAWAY             NJ    08855-6848
CR9     ANTHEM HEALTH CLAIMS                                     P O BOX 650342            DALLAS                 TX    75265-0342
0H*     ANTHEM HEALTH PARTNERS                                   P O BOX 3856              JACKSON                TN    38303-3856
BA*     ANTHEM LIFE AND HEALTH                                   P O BOX 536               PISCATAWAY             NJ    08855-0536
T83     ANTHEM LIFE AND HEALTH INS                               P O BOX 956353            DULUTH                 GA    30136
OZ*     ANTHEM LIFE AND HEALTH INS                               341 PONCE DE LEON AVE NE ATLANTA                 GA    30308
Q54     ANTHEM LIFE AND HEALTH INS                               PO BOX 11111              FORT SCOTT             KS    66701-7111
Q95     ANTHEM LIFE INS CO             425 CALIFORNIA ST         SUITE 1206                SAN FRANCISCO          CA    94104
Y10     ANTHEM LIFE INSURANCE CO       PO BOX 6146                                         INDIANAPOLIS           IN    46206
AI2     ANTHEM LIFE INSURANCE CO       828 W. TAFT AVENUE                                  ORANGE                 CA    92665-4232
HS0     ANTHEM PRESCRIPTION MANAGE                               PO BOX 145433             CINCINNATI             OH    45250
Y73     ANTHEN LIFE CO OF INDIANA      ACORDIA FINANCIAL IND BEN P.O. BOX 26929            INDIANAPOLIS           IN    46226-0929
DO8     AON CONSULTING                                           P O BOX 15                WINSTON SALEM          NC    27103
P23     AON SELECT                     110 GIBRALTAR RD          SUITE 116                 HORSHAM                PA    19044
GV*     APPALACHIAN LIFE                                         P O BOX 264F              KNOXVILLE              TN    37900
K63     APPALACHIAN NATIONAL                                     P O BOX 3232              L R                    AR    72201
GX5     APS HEALTHCARE                                           PO BOX 1246               ROCKVILLE              MD    20849
P97     APWU HEALTH PLAN               UNITED POSTAL WORKERS     PO BOX 1358               GLEN BURNIE            MD    21060
W84     APWUHP                                                   P O BOX340429             SACRAMENTO             CA    95834-0429
X2*     AR CARPENTERS HEALTH           AND WELFARE FUND          1000 BURR RIDGE PKWY      BURR RIDGE             IL    60527
EJ4     AR LIFE AND HEALTH GUARANT     ADMIN BY EOSHEALTH        PO BOX 27148              TEMPE                  AZ    85285-7148
W68     AR METHODIST HOSP EE           BENEFIT TRUST             P O BOX 40619             INDIANAPOLIS           IN    46240-0619
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    13
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
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X11     AR OKLAHOMA GAS CORP                                     P O BOX 17004             FORT SMITH             AR    72919
V53     AR PIPE TRADES HEALTH          AND WELFARE FUND          P O BOX 82987             OKLAHOMA CITY          OK    73148
V74     AR PREFERRED PROVIDER          ORGANIZATION              P O BOX 6608              PINE BLUFF             AR    71611
R38     AR SHEET METAL WORKERS         HEALTH AND WELFARE FUND   BOX 190315                LITTLE ROCK            AR    72219
PS*     AR STATE COUNCIL OF CARPEN     1501 N UNIVERSITY         SUITE 314                 LITTLE ROCK            AR    72207
QZ*     ARAMARK UNIFORM SERVICES                                 P O BOX 8826              PINE BLUFF             AR    71611
Z46     ARANON CORPORATION             285 W. 74TH PLACE                                   HIALEAH                FL    33014
HG5     ARCADIAN                       REGIONAL CLAIMS PROCESSIN PO BOX 484537             COVINA                 CA    91723
AC9     ARCHER DANIEL MIDLAND CO       P.O. BOX 1470                                       DECATUR                IL    62525
X12     ARETHUSA                       ZAPTA OFF SHORE CO        P O BOX 2085              HOUSTON                TX    77252
A15     ARGIS                          12103 INTERSTATE 30       310 EXECUTIVE COURT       LITTLE ROCK            AR    72209
FZ5     ARGUS                                                    PO BOX 419019             KANSAS CITY            MO    64141
GX2     ARGUS HEALTH SYSTEMS INC                                 P O BOX 416019            KANSAS CITY            MO    64141
L32     ARGUS HEALTH SYSTEMS INC       P O BOX 29177                                       SHAWNEE MISSION        KS    66201
XZ*     ARIZONA HEALTH PLAN                                      P O BOX 5000              PHOENIX                AZ    85002
C60     ARK BUILDERS AND CONTRACTO     P O BOX 3198                                        LITTLE ROCK            AR    72203
U38     ARK ELECTRIC COOPS INC                                   P O BOX 194208            LITTLE ROCK            AR    72219-4208
T80     ARK FOUNDATION FOR             MEDICAL CARE INC          P O BOX 2424              FT SMITH               AR    72902
F51     ARK GLASS CONTAINER            P O DRAWER 1717                                     JONESBORO              AR    72403
W85     ARK LA MISS LABORERS WEL       1 RIVERFRONT PLACE        SUITE 700                 NORTH LITTLE ROCK      AR    72114
TX*     ARK POULTRY FEDERATION                                   P O BOX 8212              LITTLE ROCK            AR    72221
CA8     ARKANASAS MANAGED CARE                                   PO BOX 8219               LITTLE ROCK            AR    72221
PY*     ARKANSAS BEST CORP             BENEFITS DEPT             P O BOX 10048             FORT SMITH             AR    72917-0048
HN4     ARKANSAS BLUE CROSS            BLUE SHIELD DENTAL        P O BOX 1206              ELK GROVE              IL    60009-1206
GR4     ARKANSAS COMMUNITY CARE                                  PO BOX 4946               COVINA                 CA    91723
D27     ARKANSAS FARMERS UNION         BOX 4309 ASHER STATION                              LITTLE ROCK            AR    72214
DW9     ARKANSAS FIRST SOURCE                                    P O BOX 2181              LITTLE ROCK            AR    72203
Y11     ARKANSAS FREIGHTWAYS INC       HEALTH INS CLAIMS DEPT    PO BOX 840                HARRISON               AR    72602-0840
H87     ARKANSAS HOSPITAL ASSOCIAT     P O BOX 16707                                       JACKSON                MS    39236-6707
ED5     ARKANSAS MANAGED CARE          FIRST ALLMERICA FINANCIAL P O BOX 23803             LITTLE ROCK            AR    72221-3803
HY9     ARKANSAS MUNICIPAL LEAGUE      P.O. BOX 38                                         NORTH LITTLE ROCK      AR    72115
H88     ARKANSAS NATIONAL LIFE         5800 WEST 12TH STREET                               LITTLE ROCK            AR    72204
X78     ARKANSAS STATE POLICE          HEALTH FUND               PO BOX 5901               LITTLE ROCK            AR    72215
T76     ARKANSAS STEEL ASSOCIATES      PRINCIPAL FINANCIAL       2803 VAN DYKE RD          NEWPORT                AR    72112
C4*     ARKANSAS VALLEY HEALTH         BENEFIT PLAN              3595 UPHAM SUITE 100      WHEAT RIDGE            CO    80033
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    14
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
B9*     ARKHOLA DIVISION                                         P O BOX 1627              FORT SMITH             AR    72902
K39     ARKLA PRODUCTS CO              P O BOX 1467                                        PARAGOULD              AR    72451-1467
AY6     ARM LTD NORTHWEST                                        8199 SW NUMBUS            BEAVERTON              OR    97008
W53     ARMCO MED SERVICE CENTER       DEPT WN 2 573             6740 NORTH HIGH ST        WORTHINGTON            OH    43085
HN*     ARMOUR AND COMPANY                                       P O BOX 258               MURFREESBORO           AR    71958
F33     ARMOUR COMPANY                                           PO BOX 22777              TEMPE                  AZ    85282
P55     AROMATIQUE INC                                           504 4TH                   HEBER                  AR    72543
CB3     ARQUEST                        P.O. BOX 3107                                       CAMDEN                 AR    71707
M77     ARROW AUTOMOTIVE                                         NO 1 ARROW DR             MORRILTON              AR    72110
Q10     ARROW INDUSTRIES               PO BOX 810489                                       DALLAS                 TX    75381
AD1     ARROW INDUSTRIES INC           P.O. BOX 166                                        PARIS                  AR    72855
R45     ARVEST HEALTH TRUST                                      P O BOX 809               ROGERS                 AR    72757
W36     ASARCO HEALTH PLAN                                       180 MAIDEN LANE           NEW YORK               NY    10038
X23     ASHGROVE CEMENT PLANT                                    P O BOX 130               FOREMAN                AR    71836
N56     ASHLAND MEDICAL PLANS          P O BOX 30430                                       TAMPA                  FL    33630
G38     ASHLEY LIFE INS CO                                                                 HAMBURG                AR    71646
JJ*     ASO NORTH AMERICA              1718 INDIAN WOOD CIRCLE   SUITE E                   MAUMEE                 OH    43537-4090
LT*     ASO NORTH AMERICA                                        P O BOX 1028              HOUSTON                TX    77251
Y38     ASO NORTH AMERICAN                                       P O BOX 4582              HOUSTON                TX    77210-4582
BP1     ASR                            ADMIN SYSTEMS RESEARCH CO P O BOX 6392              GRAND RAPID            MI    49516-6392
IB1     ASRM                           505 SOUTH LENOLA ROAD     SUITE 231                 MOORESTOWN             NJ    08057
IS*     ASSN OF ARKANSAS               COUNTIES                  314 S VICTORY             LITTLE ROCK            AR    72201
C81     ASSOC BLDRS AND CNTRCTRS       P O BOX 3198                                        LITTLE ROCK            AR    72203
EV8     ASSOCIATED BENEFITS CORP                                 P O BOX 71039             DES MOINES             IA    50325
AO9     ASSOCIATED BUILDERS            AND CONTRACTORS           P.O.BOX N                 GRAND RAPIDS           MI    49501
U63     ASSOCIATED DOCTORS             2504 MCCAIN PLACE         SUITE 119                 NO LITTLE ROCK         AR    72116
P92     ASSOCIATED DOCTORS HEALTH      400 UNIV TOWERS BLDG                                LITTLE ROCK            AR    72204
R65     ASSOCIATED LIFE                METROPOLITAN              11219 FINANCIAL CTR PKWY LITTLE ROCK             AR    72211
T77     ASSOCIATED LIFE INSURANCE                                401 N EXECUTIVE DR        BROOKFIELD             WI    53005
EM3     ASSOCIATED THIRD PARTY ADM     LOCAL ONE HEALTH BENEFITS P O BOX 4912              CHICAGO                IL    60680-4912
L95     ASSOCIATION COMBINED TRUST     13601 PRESTON ROAD AT LBJ                           DALLAS                 TX    75240
UF*     ASSOCIATION LIFE                                         P O BOX 2976              MILWAUKEE              WI    53201
C53     ASSOCIATION OF AR COUNTIES     COUNTY COURT HOUSE                                  BLYTHEVILLE            AR    72315
L34     ASSOCIATION PLAN               AIR SYSTEM                3721 PHYLLIS              NORTH LITTLE ROCK      AR    72118
HF2     ASSURANCE EMPLOYEE BENEFIT                               P O BOX 2940              CLINTON                IA    72733-2940
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    15
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HH2     ASSURANT HEALTH                PO BOX 981602                                       EL PASO                TX    79998
DO*     ASSURANT HEALTH                P.O. BOX 624              501 W MICHIGAN AVENUE     MILWAUKEE              WI    53201-0624
IB4     ASSURANT INSURANCE             P.O. BOX 2806                                       CLINTON                IA    52733-2806
FH2     ASSURE CARE OF ILLINOIS                                  340 QUADRANGEL DRIVE      BOLINGBURG             IL    60440
J41     ASSURED BENEFITS               ADMINISTRATORS            4100 RIO BRAVO SUITE 211 EL PASO                 TX    79902
L84     ATCO RUBBER PRODUCTS           GROUP BENEFIT PLAN        3007 CENTRAL DRIVE        PLANT CITY             FL    33567
FK9     ATENA US HEALTHCARE            P O BOX 1858                                        BISMARCK               ND    58502-1858
ZT*     ATKINS INSURANCE COMPANY                                 5TH AND LOUISIANA         LITTLE ROCK            AR    72203
L12     ATKINS PICKLE CO               602 SE FIRST STREET       P O BOX 158               ATKINS                 AR    72823
AO*     ATLANTA LIFE INS CO            148 AUBURN AVENUE NE                                ATLANTA                GA    30308
F9*     ATLANTA LIFE INSURANCE                                   P O BOX 289               MARSHALL               TX    75679
P4*     ATLANTIC AMERICAN LIFE         P O BOX 190750            4370 PEACHTREE RD NE      ATLANTA                GA    31119
U33     ATLANTIC HOME TRUST                                      P O BOX 1362              PISCATAWAY             NJ    08855
S30     ATLANTIC RESEARCH CORP                                   5390 CHEROKEE AVE         ALEXANDRIA             VA    22312
GK2     ATLAS ADMINISTRATORS                                     PO BOX 801234             DALLAS                 TX    75038
HL*     ATLAS LIFE INSURANCE                                     BOX 1919                  TULSA                  OK    74102
AP1     ATS INC                        P.O. BOX 36               9503 LAMAR                OLIVE BRANCH           MS    38654
Z86     AUDIO TECHNIA                  C/O WOODMAN ACCIDENT LIFE 1221 COMMERCE DR          STOW                   OH    44224
HS3     AULTCARE                                                 PO BOX 6910               CANTON                 OH    44706-0910
IB8     AUTOMATED BENEFIT SERVICES     8220 IRVING ROAD                                    STERLING HEIGHTS       MI    48312
BU1     AUTOMOTIVE PETROLEUM ALLIE     EMPLOYEE WELFARE FUND     300 S. GRAND STE 232      ST LOUIS               MO    63103
D38     AUTOMOTIVE WHOLESALERS OF      P O BOX 788                                         DALLAS                 TX    78767
T89     AUTOZONE BENEFITS DEPT                                   3030 POPLAR AVE           MEMPHIS                TN    38111
HO9     AUXIANT                                                  PO BOX 75008              CEDAR RAPIDS           IA    52407-5008
GE4     AV MED                                                   9400 SOUTH DADELAND BLVD MIAMI                   FL    33156
HL2     AVERA HEALTH PLAN              P.O. BOX 381506                                     BIRMINGHAM             AL    35238
HZ0     AVESIS THIRD PARTY ADMINIS                               PO BOX 7777               PHOENIX                AZ    85011-7777
GP4     AVMA GROUP HEALTH AND LIFE                               PO BOX 8789               SCOTTSDALE             AZ    85252-8789
F59     AVMA GROUP INS TRUST           55 E JACKSON BLVD                                   CHICAGO                IL    60604
VW*     AVON REP GROUP INSURANCE       2700 W PLANO PKY                                    PLANO                  TX    75075-8205
T59     AVONDALE GROUP INS                                       P O BOX 2230              NEW ORLEANS            LA    70176
E10     B C S INSURANCE                676 NORTH ST. CLAIR ST                              CHICAGO                IL    60611
I76     B M A                          B MA TOWER                P.O. BOX 419458           KANSAS CITY            MO    64141
I50     B M A                                                    BOX 1520                  IOWA CITY              IA    52244
FD3     B M S                          8725 W HIGGINS ROAD                                 CHICAGO                IL    60631
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    16
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
T61     BABB INC                                                 850 RIDGE AVE             PITTSBURG              PA    15212-6095
FI3     BAC                            BUSINESS ADMIN CONSULTANT P O BOX 107               REYNOLDSBURG           OH    43068-0107
BQ*     BAKERS UNION LOCAL 363         1828 L STREET NW                                    WASHINGTON             DC    20036
NK*     BAKERY AND CONFECTIONERY                                 10401 CONNECTICUT AVE     KENSINGTON             MD    20795
W97     BAKERY CONFECTIONERY AND       TOBACCO WKRS INT LOC 442 P O BOX 742                NO LITTLE ROCK         AR    72115
E79     BALDOR ELECTRIC CO             P O BOX 2400                                        FT SMITH               AR    72902
AF9     BALL CORPORATION               1200 CRUTCHER ST                                    SPRINGDALE             AR    72764-6421
VH*     BALTIMORE LIFE HMR             P O BOX 4082              DENTAL CLAIMS ONLY        KALAMAZOO              MI    48003-4082
BX5     BANK OF AMERICA GROUP          HEALTH PLAN               100 N TYRON STREET        CHARLOTTE              NC    28255
CX1     BANK OF ELMWOOD                ATTY MARK LEUCK TRUSTEE   2704 LAPHROP AVENUE       RACINE                 WI    53405
LD*     BANK OF YELLVILLE              JESSE ROBERTSON TRUST     CHURCH AND MADISON STS    YELLVILLE              AR    72687
A7*     BANKERS COMMERCIAL LIFE IN     5720 LBJ FREEWAY                                    DALLAS                 TX    75240-6334
NH*     BANKERS FIDELITY LIFE INS      4370 PEACHTREE DR NE      P O BOX 190240            ATLANTA                GA    31119-0240
0QK     BANKERS LIFE                   3347 PEARSON ROAD                                   MEMPHIS                TN    38118
EJ6     BANKERS LIFE                   DENTAL CLAIMS             P O BOX 66932             CHICAGO                IL    60666-0932
I18     BANKERS LIFE AND CASUALTY      2509 ELM STREET                                     DALLAS                 TX    75222
0D*     BANKERS LIFE AND CASUALTY      222 MERCHANDISE MART PLZA P O BOX 66927             CHICAGO                IL    60666-0927
N1*     BANKERS LIFE INS               CLAIM CNTR GATEWAY 1      8131 LBJ FREEWAY 300      DALLAS                 TX    75251
B51     BANKERS LIFE INSURANCE         P O BOX 908                                         SPRINGFIELD            MO    65801
D7*     BANKERS LIFE INSURANCE CO      2525 CUMBERLAND PARKWAY   SUITE 475                 ATLANTA                GA    30339
CJ*     BANKERS MULTIPLE LIFE INS      4810 NORTH KENNETH AVENUE                           CHICAGO                IL    60630
K51     BANKERS MULTIPLE LIFE INS      ATTN KATHRYN HENDRIX      308 MOCKINGBIRD COVE      JONESBORO              AR    72401
V56     BANKERS MULTIPLE LINE          INSURANCE                 P O BOX 5095              N SUBURBAN             IL    60197
W37     BANKERS UNITED LIFE            ASSURANCE CO              1020 W FOURTH ST          LITTLE ROCK            AR    72201
L70     BANKERS UNITED LIFE            P O BOX 8063                                        LITTLE ROCK            AR    72203
N6*     BANNER LIFE INS CO                                       1701 RESEARCH BLVD        ROCKVILLE              MD    20850
AC6     BANUS LIFE AND CASUALTY        222 MERCHANDISE MAIT                                CHICAGO                IL    60654
C33     BAPTIST AND PHYSICIANS         HEALTHMARK/HEALTHPOINT    P O BOX 381790            MEMPHIS                TN    38183-1790
P5*     BARNEY OSMENT SCHOOL INS                                 P O BOX 716               JONESBORO              AR    72403
W29     BAROID CLAIM DEPT                                        PO BOX 62107              DALLAS                 TX    77205
CM2     BARRON BARRON AND TUCKER P     TRUST FOR CYNTHIA ONEAL   212 CENTER STREET STE 600 LITTLE ROCK            AR    72201
CO4     BARRON BARRON TUCKER           REF SHAWN MEALLER         212 CENTER ST SUITE 600   LITTLE ROCK            AR    72201
R67     BASIC KARE                     777 MAIN ST               2200 CONTINENTAL PLAZA    FT WORTH               TX    76102
M71     BASLER ELECTRIC                ATTN INSURANCE DEPT       RT 67 BOX 368             CORNING                AR    72422
B77     BASS COMPANIES                 201 MAIN ST, STE 2700                               FT WORTH               TX    76102
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    17
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
I35     BASSETT UPHOLSTERY                                       P.O. BOX 47               NEWTON                 NC    28658-0047
K70     BATHENEY SONS INC              P O BOX 670602                                      DALLAS                 TX    75367
GA*     BAXTER TRAVENOL LABORATORY     PIDGEON CREEK RD                                    MOUNTAIN HOME          AR    72653
HK5     BCBS OF MONTANA                PO BOX 4309                                         HELENA                 MT    59604
H93     BCBS PREMIER                   PO BOX 91059                                        SEATTLE                WA    98111
FT5     BEECH STREET                                             PO BOX 14040              IRVINE                 CA    92623
FF6     BEECH STREET CORPORATION       P O BOX 70100             8002562657                SHREVEPORT             LA    71137
CM5     BEECH STREET CORPORATION                                 PO BOX 57015              IRVINE                 CA    92619-7015
GL2     BEECH STREET INSURANCE         PO BOX 853925                                       RICHARDSON             TX    75085-3925
NC*     BEECH STREET REPRICING                                   P O BOX 17719             IRVINE                 CA    92713-7719
CF8     BEHRENS INC                    P.O. BOX 2520                                       WACO                   TX    76702-0252
K76     BEKAERT CORP                   CORP CLAIMS CENTER        1867 W MARKET STREET      AKRON                  OH    44313-6901
KK*     BELDEN CORPORATION             TRUST                     2000 SO BATANIA AVE       GENEVA                 IL    60134
Y8*     BELL AND DENNY                 PO BOX 879                                          ANDERSON               IN    46015
I55     BELL ATLANTIC                                            P.O. BOX 7429             PHILADEPHIA            PA    19101
BQ9     BENACORP                       5285 W LAKEVIEW PKWY S DR                           INDIANAPOLIS           IN    46268
AW3     BENCHMARK INSURANCE CO                                   P O BOX 2648              SHAWNEE MISSION        KS    66201
ZE*     BENEFICIAL STANDARD LIFE                                 3700 WILSHIRE BLVD        LOS ANGELES            CA    90054
Z28     BENEFIT ADMIN OF NEW ENG       P.O. BOX 557              200 LEDGEWOOD PLACE       ROCKLAND               MA    02370
N59     BENEFIT ADMIN SERVICES LTD     4750 MCWILLIE SUITE 106   PO BOX 14208              JACKSON                MS    39236-4208
K16     BENEFIT ADMIN SYSTEM IND       43 ORLAN PARK SQUARE      SUITE 303                 ORLAND PARK            IL    60462
H01     BENEFIT ADMINISTRATIVE SER     PO BOX 2920                                         MILWAUKEE              WI    53201
GZ6     BENEFIT ADMINISTRATIVE SYS     17475 JOVANNA DRIVE       SUITE 1B                  HOMEWOOD               IL    60430-4623
MN*     BENEFIT ADMINISTRATORS                                   P O BOX 10868             SPRINGFIELD            MO    65808
Q91     BENEFIT ADMINISTRATORS                                   P O BOX 50101 SSS         SPRINGFIELD            MO    65805
CT3     BENEFIT ADMINISTRATORS                                   P O BOX 10585             KNOXVILLE              TN    37939
HN5     BENEFIT ADMINISTRAVIE SYST     17475 JOVANNA DRIVE       STE 1B                    HOMEWOOD               IL    60430
I57     BENEFIT AMERICA                                          P.O. BOX 1268             TIFTON                 GA    31793
T26     BENEFIT AMERICA                                          P O BOX 1365              COLUMBIA               SC    29202
Q75     BENEFIT CLAIMS PAYORS INC                                PO BOX 37400              PHOENIX                AZ    85069-7400
DP5     BENEFIT CONCEPTS INC           UNIVERSAL HEALTH SERV     P O BOX 61572             KING OF PRUSSIA        PA    19406
T18     BENEFIT CONSULTANTS INC        14500 S. 40 OUTER RD      SUITE 502                 CHESTERFIELD           MO    63017
DN7     BENEFIT GROUP                  11725 ARBOR ST                                      OMAHA                  NE    68114
DW1     BENEFIT MANAGEMENT                                       P O BOX 3767              BARTLESVILLE           OK    74006
H26     BENEFIT MANAGEMENT INC         1531 W 32ND STREET        PO BOX 3810               JOPLIN                 MO    64803
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    18
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HO4     BENEFIT MANAGEMENT SERVICE                               PO BOX 2058               MADISON                MS    39130
DK7     BENEFIT MGT SYSTEMS INC        PO BOX 809                                          RIDGELAND              MS    39157
DP1     BENEFIT PLAN ADM INC           10 SOUTH BROADWAY         SUITE 1400                ST LOUIS               MO    63102
Q15     BENEFIT PLAN ADMINISTRATOR     50 GLEN STREET                                      GLEN COVE              NY    11542
GN4     BENEFIT PLANNERS               P O BOX 250009                                      PLANO                  TX    75025
EP9     BENEFIT PLANNERS                                         P O BOX 1917              BOERNE                 TX    78006-1917
Q90     BENEFIT PLANNERS INC                                     P O BOX 690450            SAN ANTONIO            TX    78269-0450
FN2     BENEFIT SERVICES INC                                     PO BOX 4138               AKRON                  OH    44321
GL6     BENEFIT SOURCE INC             23 EAST FRONT STREET      PO BOX 240                MONROE                 MI    48161
GE2     BENEFIT SUPPORT INC                                      PO BOX 2977               GAINESVILLE            GA    30503
M20     BENEFIT SYSTEMS INC            P O BOX 80447                                       INDIANAPOLIS           IN    46280
Z52     BENEFIT SYSTEMS SVCS INC       BRAMBLES USA              760 PASQUINELLI DR STE320 WESTMONT               IL    60559
JR*     BENEFIT TRUST LIFE INS         10777 SUNSET OFFICE DR    SUITE 300                 ST LOUIS               MO    63127
EI*     BENEFITS MANAGEMENT INC        P.O. BOX 5989             628 BROADWAY              NORTH LITTLE ROCK      AR    72119
HR8     BENESCRIPT SERVICES                                      PO BOX 921229             NORCROSS               GA    30010
GU6     BENESIGHT                                                PO BOX 360                PUEBLO                 CO    81002
GD7     BENESIGHT                      317 NORTH MAIN STREET     PO BOX 320                PUEBLO                 CO    81002
FH4     BENESIGHT                                                PO BOX 385                PUEBLO                 CO    81002
CH4     BENESIGHT                                                PO BOX 340                PUEBLO                 CO    81002
BK2     BENESIGHT                                                PO BOX 300                PUEBLO                 CO    81002
GR6     BENESYS INC                                              PO BOX 81189              LAFAYETTE              LA    70598-1189
H65     BENICOMP INC                   8210 CLINTON PARK DR                                FORT WAYNE             IN    46825
CJ3     BENICORP INSURANCE COMPANY                               PO BOX 58917              INDIANAPOLIS           IN    46268
H37     BENMARK INCORPORATED                                     P O BOX 16767             JACKSON                MS    39236-0767
N75     BENTONVILLE CASTING CO         EMPLOYEE HEALTH BENEFITS P.O. BOX 1109              BENTONVILLE            AR    72712
AZ1     BERG INC                       P O BOX 70100                                       SHREVEPORT             LA    71137-0100
U52     BEST DIVERSIFIED PRODUCTS      BENEFITS SECTION          P O BOX 4017              JONESBORO              AR    72403
E20     BEST LIFE ASSURANCE CO         OF CALIFORNIA             P O BOX 19721             IRVINE                 CA    92713-9721
W27     BFI OF ARKANSAS                                          P O BOX 193120            LITTLE ROCK            AR    72219
GH5     BIG LOTS EMPLOYEE BENEFIT      PO BOX 9071                                         DUBLIN                 OH    43017
TH*     BLACK LUNG BENEFITS DIV OF     COAL MINE WORKERS         COMPENSATION              WASHINGTON             DC    20210
CV7     BLAIR MILL ADMINISTRATORS      720 BLAIR MILL RD                                   HORSHAM                PA    19077-0975
GO9     BLUE ADVANTAGE                 P O BOX 69413                                       HARRISBURG             PA    17106
HL9     BLUE ADVANTAGE                 DENTAL CLAIMS ADMINISTRAT P O BOX 1206              ELK GROVE VILLAGE      IL    60009-1206
N2*     BLUE ADVANTAGE ADMINISTRAT     FORMERLY USABLE           P O BOX 1460              LITTLE ROCK            AR    72203
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    19
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
XM*     BLUE BELL BENEFIT TRUST        PO BOX 605                                          BRENHAM                TX    77834-0605
BL2     BLUE BONNETT ADMIN             P. O. BOX 98018                                     BATON ROUE             LA    70898-8018
ET7     BLUE CARE NETWORK              OF SOUTHEAST MI           P O BOX 5043              SOUTHFIELD             MI    48086-5043
R61     BLUE CARE NETWORK                                        3624 SO WESTRIDGE         KALAMAZOO              MI    49008
GH4     BLUE CHOICE                    165 COURT STREET                                    ROCHESTER              NY    14647
T19     BLUE CHOICE CLAIMS                                       P O BOX 66834             ST LOUIS               MO    63166-6834
HY*     BLUE CROSS                                               1950 FRANKLIN STREET      OAKLAND                CA    94659
DN6     BLUE CROSS                     WASTE MGMT TECH           P O BOX 4204              WOODLAND HILLS         CA    91365
CD3     BLUE CROSS BLUE SHEILD         OF UNITED WISCONSIN       P O BOX 2025              MILWAUKEE              WI    53201-2025
GM6     BLUE CROSS BLUE SHEILD         OF MINNESOTA              PO BOX 64653              ST PAUL                MN    55164-0653
GD*     BLUE CROSS BLUE SHIELD         NATIONAL ACCOUNT SERV CTR P O BOX 1870              INDIANAPOLIS           IN    46206-1870
HH*     BLUE CROSS BLUE SHIELD         BELLSOUTH DEDICATED SERV P O BOX 830279             BIRMINGHAM             AL    35283-0279
GW5     BLUE CROSS BLUE SHIELD         DENTAL                    P O BOX 9201              OXNARD                 CA    93031-9201
HQ5     BLUE CROSS BLUE SHIELD         OF OKLAHOMA DENTAL CLAIMS PO BOX 23100              BELLEVILLE             IL    62223
HK*     BLUE CROSS BLUE SHIELD         OF OKLAHOMA               P O BOX 3283              TULSA                  OK    74102-3283
H12     BLUE CROSS BLUE SHIELD         P O BOX 2709              2400 MARKET SQUARE        YOUNGSTOWN             OH    44507
H8*     BLUE CROSS BLUE SHIELD         OF GEORGIA                P O BOX 9907              COLUMBUS               GA    31908-6007
H4*     BLUE CROSS BLUE SHIELD         OF COLORADO               700 BROADWAY              DENVER                 CO    80273
FT7     BLUE CROSS BLUE SHIELD         OF MICHIGAN               PO BOX 1528               DETROIT                MI    48231
FT6     BLUE CROSS BLUE SHIELD         OF TENNESSEE              PO BOX 182277             CHATTANOOGA            TN    37422-7277
FQ8     BLUE CROSS BLUE SHIELD                                   PO BOX 3001               LANCASTER              PA    17604-3001
GA2     BLUE CROSS BLUE SHIELD         OF OHIO                   13550 TRITON PARK BLVD    LOUISVILLE             KY    40223
GA1     BLUE CROSS BLUE SHIELD         OF NEVADA                 5252 S VIRGINIA STREET    RENO                   NV    89502
F96     BLUE CROSS BLUE SHIELD                                   P O BOX 210               MONTICELLO             AR    71655
F37     BLUE CROSS BLUE SHIELD         10455 RUN MILL CIRCLE                               OWINGS MILLS           MD    21117
FZ9     BLUE CROSS BLUE SHIELD         OF MASSACHUSETTS          100 HANCOCK STREET        NORTH QUINCY           MA    02171
FZ8     BLUE CROSS BLUE SHIELD         OF KENTUCKY               PO BOX 37690              LOUISVILLE             KY    40233-7690
FZ7     BLUE CROSS BLUE SHIELD         OF INDIANA                PO BOX 37010              LOUISVILLE             KY    40233
FE2     BLUE CROSS BLUE SHIELD         OF WESTERN PA             P O BOX 176               PITTSBURG              PA    15230
FB*     BLUE CROSS BLUE SHIELD         233 NORTH MICHIGAN AV     PO BOX 1220               CHICAGO                IL    60690-1220
E15     BLUE CROSS BLUE SHIELD         OF NEW JERSEY             THREE PENN PLAZA E        NEWARK                 NJ    07105-2247
FM7     BLUE CROSS BLUE SHIELD         OF MICHIGAN               PO BOX 2089               DETROIT                MI    48231
FL*     BLUE CROSS BLUE SHIELD                                   P O BOX 2141              MILWAUKEE              WI    53201
B82     BLUE CROSS BLUE SHIELD         OF MAINE                  TWO GANNETT DR            PORTLAND               ME    04106-6911
B80     BLUE CROSS BLUE SHIELD         P O BOX 64560                                       ST PAUL                MN    55164
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    20
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
BY9     BLUE CROSS BLUE SHIELD         OF CALIFORNIA              P O BOX 272540            CHICO                 CA    95927-2540
BY4     BLUE CROSS BLUE SHIELD         OF UTAH                    P O BOX 30270             SALT LAKE CITY        UT    84130-0270
BL6     BLUE CROSS BLUE SHIELD         OF CENTRAL NEW YORK        P O BOX 4809              SYRACUSE              NY    13221-4809
BL*     BLUE CROSS BLUE SHIELD         801 PINE STREET            P O BOX 180150            CHATTANOOGA           TN    37401-7150
BJ3     BLUE CROSS BLUE SHIELD         700 BROADWAY               P O BOX 173660            DENVER                CO    80273-0001
CT*     BLUE CROSS BLUE SHIELD         INDEPENDENCE BLUE CROSS    P O BOX 13400             PHILADELPHA           PA    19107
CI5     BLUE CROSS BLUE SHIELD         OF NORTHEASTERN PA         70 N MAIN ST              WILKES BARRE          PA    18703-0029
CF5     BLUE CROSS BLUE SHIELD         ATTN NASCO PROCESSING      P O BOX 13427             BIRMINGHAM            AL    35202-3427
C51     BLUE CROSS BLUE SHIELD         150 E MAIN                                           ROCHESTER             NY    14647
DH1     BLUE CROSS BLUE SHIELD         OF ILLINOIS                P O BOX 1220              CHICAGO               IL    60690
EB7     BLUE CROSS BLUE SHIELD         PREFERRED CARE             450 RIVERCHASE PKWY EAST BIRMINGHAM             AL    35205
EA9     BLUE CROSS BLUE SHIELD         NASCO SERVICE UNIT         P O BOX 2988              JACKSONVILLE          FL    32232-9925
EA8     BLUE CROSS BLUE SHIELD         OF TEXAS                   P O BOX 660152            DALLAS                TX    75266-2227
D30     BLUE CROSS BLUE SHIELD         NEW HAMPSHIRE AND VERMONT 2 PILLSBURY STRET          CONCORD               NH    03306
D19     BLUE CROSS BLUE SHIELD         3405 LIBERTY DRIVE                                   SPRINGFIELD           IL    62704
EW*     BLUE CROSS BLUE SHIELD         OF TEXAS                   P O BOX 833888            RICHARDSON            TX    75083-3888
EQ9     BLUE CROSS BLUE SHIELD         818 KEEAUMOKO ST           PO BOX 860                HONOLULU              HI    96814-2365
EP2     BLUE CROSS BLUE SHIELD         OF TEXAS                   P O BOX 655488            DALLAS                TX    75265
EP*     BLUE CROSS BLUE SHIELD         EMPLOYEE RETIREMENT SYSTE P O BOX 13207              AUSTIN                TX    78711-3207
EO8     BLUE CROSS BLUE SHIELD         KMART CLAIMS               P O BOX 33249             DETROIT               MI    48232
EO*     BLUE CROSS BLUE SHIELD         OF ALABAMA                 P O BOX 995               BIRMINGHAM            AL    35298
EN1     BLUE CROSS BLUE SHIELD         OF KENTUCKY                P O BOX 23300             LEXINGTON             KY    40223
EF9     BLUE CROSS BLUE SHIELD         OF MICHIGAN                PO BOX 2500               DETROIT               MI    48231
TU*     BLUE CROSS BLUE SHIELD         OF FLORIDA                 P O BOX 1798              JACKSONVILLE          FL    32231-0014
S62     BLUE CROSS BLUE SHIELD         OF TEXAS INC               P O BOX 655730            DALLAS                TX    75265-5730
XF*     BLUE CROSS BLUE SHIELD         OF NEW MEXICO              P O BOX 27630             ALBUQUERQUE           NM    87112-7630
W58     BLUE CROSS BLUE SHIELD         85 N DANNY THOMAS BLVD     P O BOX 98                MEMPHIS               TN    38101
WC*     BLUE CROSS BLUE SHIELD         OF NORTH DAKOTA            4510 13TH AVENUE SW       FARGO                 ND    58121-0001
V81     BLUE CROSS BLUE SHIELD         P O BOX 3850               GRAND CENTRAL STATION     NEW YORK              NY    10017
V67     BLUE CROSS BLUE SHIELD         OF CENTRAL NEW YORK        P O BOX 536               AUBURN                NY    13021-0536
VC*     BLUE CROSS BLUE SHIELD         MAIN STATION               P O BOX 3248              OMAHA                 NE    68180-0001
U73     BLUE CROSS BLUE SHIELD         THE NATIONAL CAPITAL AREA 550 12TH ST SW             WASHINGTON            DC    20065
UA*     BLUE CROSS BLUE SHIELD         OF KANSAS CITY             P O BOX 419169            KANSAS CITY           MO    64141-6169
T51     BLUE CROSS BLUE SHIELD                                    P O BOX 35                DURHAM                NC    27702
T32     BLUE CROSS BLUE SHIELD         OF WATERTOWN               12 RHOADS DR              UTICA                 NY    13502-6306
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    21
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
RO*     BLUE CROSS BLUE SHIELD         OF CONNECTICUT             P O BOX 504               NORTH HAVEN           CT    06473
QD*     BLUE CROSS BLUE SHIELD         CUSTOMER SERVICE           P O BOX 98029             BATON ROUGE           LA    70898-8029
S35     BLUE CROSS BLUE SHIELD         OF DELAWARE                P O BOX 1991              WILMINGTON            DE    19899-1991
S16     BLUE CROSS BLUE SHIELD         OF VERMONT                 P O BOX 186               MONTPELIER            VT    05602-0186
SN*     BLUE CROSS BLUE SHIELD         OF NATIONS CAPITAL         1021 14TH STREET NW       WASHINGTON            DC    20005
SG*     BLUE CROSS BLUE SHIELD         OF KANSAS                  P O BOX 239               TOPEKA                KS    66601-0239
NX*     BLUE CROSS BLUE SHIELD         OF MISSISSIPPI             P O BOX 23071             JACKSON               MS    39215-3071
N49     BLUE CROSS BLUE SHIELD         OF MICHIGAN                600 E LAFAYETTE BLVD      DETROIT               MI    48226-2998
PH*     BLUE CROSS BLUE SHIELD         OF ARIZONA                 P O BOX 13466             PHOENIX               AZ    85002
OT*     BLUE CROSS BLUE SHIELD         85 N DANNY THOMAS BLVD     P O BOX 79                MEMPHIS               TN    38101
J46     BLUE CROSS BLUE SHIELD         OF MASSACHUSETTS           P O BOX 1658              BOSTON                MA    02105
J32     BLUE CROSS BLUE SHIELD         OF RHODE ISLAND            444 WESTMINISTER ST       PROVIDENCE            RI    02903-3279
JS*     BLUE CROSS BLUE SHIELD         OF KANSAS                  P O BOX 419169            KANSAS CITY           MO    64141-6169
JO6     BLUE CROSS BLUE SHIELD         OF HAWAII                  PO BOX 13400              HONOLULU              HI    96801
I17     BLUE CROSS BLUE SHIELD         OF WESTERN PENNSYLVANIA    P O BOX 3355              PITTSBURGH            PA    15230
M22     BLUE CROSS BLUE SHIELD         4000 HOUSE AVENUE          P O BOX 2266              CHEYENNE              WY    82003
MK*     BLUE CROSS BLUE SHIELD         OF WASHINGTON ALASKA       P O BOX 327               SEATTLE               WA    98111-0327
ME*     BLUE CROSS BLUE SHIELD         OF WESTERN PA              P O BOX 19 UNIT 4004      PITTSBURGH            PA    15230
L73     BLUE CROSS BLUE SHIELD         OF SOUTH DAKOTA            1601 W MADISON            SIOUX FALLS           SD    57104-5710
L44     BLUE CROSS BLUE SHIELD         OF SOUTH CAROLINA          I 20 E AT ALPINE RD       COLUMBIA              SC    29219-0001
LJ*     BLUE CROSS BLUE SHIELD         OF MISSOURI                1831 CHESNUT STREET       ST LOUIS              MO    63103-2275
BG8     BLUE CROSS BLUE SHIELD         OF NEW HAMPSHIRE           3000 GOFFS FALL RD        MANCHESTER            NH    03111-0001
BF7     BLUE CROSS BLUE SHIELD         OF TEXAS CLAIMS DEPT       P O BOX 660044            DALLAS                TX    75266-0044
BD8     BLUE CROSS BLUE SHIELD         1901 MAIN ST               P. O. BOX 80              BUFFALO               NY    14240
AW1     BLUE CROSS BLUE SHIELD         OF GEORGIA                 P.O. BOX 4055             ATLANTA               GA    30302
AV9     BLUE CROSS BLUE SHIELD         8515 PHOENIX DR                                      MANASSAS              VA    22110
AV4     BLUE CROSS BLUE SHIELD         1901 MARKET STREET         P O BOX 13400             PHILADELPHIA          PA    19107
AK7     BLUE CROSS BLUE SHIELD         OMNI STAFF                 P.O. BOX 9144             MOBILE                AL    35591
AS5     BLUE CROSS BLUE SHIELD         OF ALABAMA                 PO BOX 830389             BIRMINGHAM            AL    35283-0389
AG1     BLUE CROSS BLUE SHIELD         OF IDAHO                   P O BOX 7408              BOISE                 ID    83707
AD2     BLUE CROSS BLUE SHIELD         1831 CHESTNUTT                                       ST LOUIS              MO    63103
AA5     BLUE CROSS BLUE SHIELD         C/O COBRA SVC NAT SVC CTR P.O. BOX 9061              CLEARWATER            FL    34616-9061
0C*     BLUE CROSS BLUE SHIELD         CUSTOMER SERVICE           P O BOX 2181              LITTLE ROCK           AR    72203-2181
Z29     BLUE CROSS BLUE SHIELD         OF CALIFORNIA              P.O. BOX 3090             RANCHO CORDOVA        CA    95741
Z22     BLUE CROSS BLUE SHIELD         OF SOUTH CAROLINA          P.O. BOX 6000             GREENVILLE            SC    29606
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    22
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
Y74     BLUE CROSS BLUE SHIELD         ACORDIA BENEFITS          3760 GUION ROAD           INDIANAPOLIS           IN    46222
Y13     BLUE CROSS BLUE SHIELD         3265 S NATIONAL SUITE 100                           SPRINGFIELD            MO    65807-7304
X80     BLUE CROSS BLUE SHIELD                                   6100 AUBURN ROAD          UTICA                  MI    48087
FG8     BLUE CROSS BLUE SHIELD FOR     FEDERAL EMPLOYEES         PO BOX 2181               LITTLE ROCK            AR    72203-2181
AF*     BLUE CROSS BLUE SHIELD OF      ATTN NATL SERV CTR B450   P O BOX 341               DETROIT                MI    48231
IC4     BLUE CROSS BLUE SHIELD TEN     FEDERAL EMPLOYEES         PO BOX 52610              KNOXVILLE              TN    37950-2610
H3*     BLUE CROSS E SYSTEM                                      7700 ARLINGTON BLVD       FALLS CHURCH           VA    22046
OK*     BLUE CROSS OF CA                                         P O BOX 4255              WOODLAND HILLS         CA    91365-4255
PM*     BLUE CROSS OF CALIFORNIA       PERSCARE                  P.O. BOX 4386             WOODLAND HILLS         CA    91365
AN3     BLUE CROSS OF CALIFORNIA                                 PO BOX 4217               WOODLAND HILLS         CA    91365
FM9     BLUE CROSS OF CALIFORNIA                                 PO BOX 4347               WOODLAND HILLS         CA    91365-4347
FU5     BLUE CROSS OF CALIFORNIA                                 PO BOX 60007              LOS ANGELES            CA    90060-0007
EE6     BLUE CROSS OF CALIFORNIA       NATIONAL ACCOUNTS         P O BOX 9271              VAN NUYS               CA    91409
DX9     BLUE CROSS OF CALIFORNIA                                 PO BOX 4239               WOODLAND HILLS         CA    91368
DL3     BLUE CROSS OF CALIFORNIA       PRUDENT BUYER PLAN        P O BOX 4124              WOODLAND HILLS         CA    91365
CX7     BLUE CROSS OF CALIFORNIA       PO BOX 9041                                         OXNARD                 CA    93031-9041
DB7     BLUE CROSS OF NEW JERSEY       33 WASHINGTON STREET                                NEWARK                 NJ    07102
AV3     BLUE SHIELD OF CALIFORNIA      PERSCARE                  SERVICE CENTER            RIVERBANK              CA    95390-0001
DB3     BLUE SHIELD OF CALIFORNIA                                P O BOX 4202              WOODLAND HILLS         CA    93165
BI8     BLUE SHIELD OF CALIFORNIA                                P O BOX 272570            CHICO                  CA    95927-2570
FY5     BLUE SHIELD OF CALIFORNIA                                4203 TOWN CENTER BLVD     EL DORADO HILLS        CA    95762
K5*     BLUE SHIELD OF IDAHO                                     BOX 1106                  LEWISTON               ID    83501
EE5     BLUE SHIELD OF PENNSYLVANI     VISION CLAIMS             P O BOX 890500            CAMP HILL              PA    17089-0500
EE4     BLUE SHIELD OF PENNSYLVANI     DENTAL CLAIMS             P O BOX 890400            CAMP HILL              PA    17089-0400
AS3     BLUE SHIELD OF PHILADELPHI                               P.O. BOX 890062           CAMP HILL              PA    17089-0062
PT*     BLUE SHIELD 65 PLUS            P O BOX 5014                                        WOODLAND HILLS         CA    91365-9623
HA9     BLUECARE DENTAL PPO                                      P.O. BOX 23059            BELLEVILLE             IL    62223-0059
FH3     BLUECROSS BLUESHIELD           OF ALABAMA                PO BOX 2208               BIRMINGHAM             AL    35201
GR7     BLUECROSS BLUESHIELD OF IL                               PO BOX 1364               CHICAGO                IL    60690-1364
DE4     BLUECROSS BLUESHIELD OF MI                               PO BOX 14882              ST LOUIS               MO    63178
ON*     BLUEGRASS FAMILY HEALTH                                  P O BOX 21970             LEXINGTON              KY    40522-1970
HI9     BMI HEALTHPLANS                PO BOX 9416                                         NORTH LITTLE ROCK      AR    72119
HF8     BMI HEALTHPLANS                PO BOX 9416                                         NORTH LITTLE ROCK      AR    72119
A6*     BOARD OF PENSIONS              U PRESBYTERIAN CHURCH     200 KRAMS AVENUE          PHILADELPHIA           PA    19127
Y14     BOARD OF TRUSTEES              GROUP BENEFITS PROGRAM    PO BOX 44036              BATTON ROUGE           LA    70804
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    23
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
M40     BOB HUNT TRUST ACCOUNT         OSCEOLA TIMES             P O BOX 408               OSCEOLA                AR    72370
TO*     BOILERMAKERS HEALTH            AND WELFARE               522 BROTHERHOOD BLDG      KANSAS CITY            KS    66101
VF*     BOILERMAKERS NAT HEALTH AN     ALFARE FUND NO HOSP RE UU 754 MINNESOTA AVE STE 522 KANSAS CITY            KS    66101-2766
GY3     BOILERMAKERS NATL HEALTH A     WELFARE FUND              P O BOX 23825             TUCSON                 AZ    85734
N47     BOISE CASCADE CORP GP          BENEFITS DEPT             P.O. BOX 61               BOISE                  ID    83707
HK8     BOLLINGER INC                                            PO BOX 706                SHORT HILLS            NJ    07078-0706
GP7     BOON CHAPMAN                   PAID DENTAL               PO BOX 9150               AUSTIN                 TX    78766
EQ6     BOON CHAPMAN                   HEALTH SMART              PO BOX 53010              LUBBOCK                TX    79453
HP5     BOON CHAPMAN                   PO BOX 9201                                         AUSTIN                 TX    78766
DG5     BOON CHAPMAN BENEFIT ADMIN     P O BOX 6269                                        FORT SMITH             AR    72906
Y53     BOONE RITTER INSURANCE         P.O. BOX 867              109 N SPRING              SPRINGDALE             AR    72764
M30     BORDEN HEALTH BENFITS          P O BOX 189                                         COLUMBUS               OH    43216
AD3     BORDER CITY FOODS              C/O TIME INS              P.O. BOX 1383             FORT SMITH             AR    72901
DD8     BOYLE VAUGHAN AND ASSC         PROTECTIVE LIFE INS       P O BOX 8628              COLUMBIA               SC    29202
AA6     BPS INCORPORATED               201 HENRY PLACE                                     SPARTANBURG            SC    29306
Z51     BRADEN MANUFACTURING           2100 WHEELER                                        FT SMITH               AR    72901
C52     BRANWOOD CORPORATION                                     P O BOX 550               WARREN                 AR    71671
CD9     BRAVELL CLAIMS MGMT            P O BOX 846                                         BROOKFIELD             WI    53008-0846
M18     BRENCO INCORP                  P O BOX 389                                         PETERSBURG             VA    23804
W94     BRENT TRANSPORTATION                                     P O BOX 5758              GREENVILLE             MS    38704
HL5     BRIDGESTONE AMERICAS HOLDI     P.O. BOX 247                                        SHELDON                IA    51201
TJ*     BRIDGESTONE FIRESTONE INC      PO BOX 29605                                        AKRON                  OH    44710
K33     BRITWELL COMPANY               CLEVELAND CO NURSING HOME P BOX 365                 RISON                  AR    71665
CU1     BROKER NATIONAL DENTAL INS     P O BOX 1028              18006534427               HOUSTON                TX    77251
F61     BROKERAGE CONCEPTS INC         PRESIPTION DRUGS PROGRAM POBOX 52115                PHOENIX                AR    00000
ED3     BROKERAGE SERVICES INC                                   P O BOX 11020             ALBUQUERQUE            NM    87192-0020
CC3     BROKERS NATIONAL LIFE ASSU     CLAIMS DEPT               P O BOX 659531            SAN ANTONIO            TX    78265-9531
R41     BROOKFIELD                     5440 N CUMBERLAND         SUITE 250                 CHICAGO                IL    60656
I63     BROOKFIELD ADMIN SERVICES                                1030 HIGGINS SUITE 200    PARKRIDGE              IL    60068
AD4     BROWN AUXILIARY GROUP          P.O. BOX 659                                        POCAHONTAS             AR    72455
D65     BROWN GROUP INC                BOX 354                                             ST LOUIS               MO    63166
D21     BROWN JORDAN GROUP             P O BOX 990                                         NEWPORT                AR    72112
U70     BROWN JORDAN GROUP HEALTH      PLAN                      3701 SO LINDBERGH         ST LOUIS               MO    63127
L16     BROWN ROOT                     P O BOX 3                                           HOUSTON                TX    77001-0003
A29     BROWN SHOE COMPANY                                       P O BOX 354               ST LOUIS               MO    63166-0354
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    24
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
Z30     BRUNER IVORY HANDLE CO         P.O. BOX 647              500 N. LAUREL             HOPE                   AR    71801
P48     BRYCE CORPORATION              500 S BENTON ST                                     SEARCY                 AR    72143
B69     BSC INSURANCE COMPANY          9330 LBJ FREEWAY STE 1050                           DALLAS                 TX    75243
VY*     BSP INSURANCE COMPANY          7575 EAST MAIN STREET     P O BOX 1030              SCOTTSDALE             AZ    85252
V11     BUHRMAN PHARR                  P O BOX 1818                                        TEXARKANA              AR    75502
F79     BUILDERS TRANSPORT             BENEFITS DEPARTMENT       P O BOX 7005              CAMDEN                 SC    29020-7005
H24     BUNGE CORPORATION              HWY 675                                             NEWPORT                AR    72115
AT8     BUREAU OF INDIAN AFFAIRS       P.O. BOX 948                                        TAHLEQUAH              OK    74465
F98     BURLINGTON NORTHERN EMPLOY     20 WASHINGTON AVE                                   MINNEAPOLIS            MN    55440
H28     BURNETT INSURANCE CO                                     2015 S BROADWAY           LITTLE ROCK            AR    72203
Z53     BURNS INTERNATL SCTY SVCS      HEALTH WELFARE TRUST FUND 39429 LIBERTY ST STE 260 FREEMONT                CA    94538
X3*     BURROUGHS HEALTH AND DRUG      13003 ECKLES ROAD                                   PLYMOUTH               MI    48170
R54     BUSINESS MENS ASSURANCE                                  20 MAGUIRE RD             LEXINGTON              MA    02173
DA*     BUSINESS MENS ASSURANCE        BMA TOWER                 P O BOX 419315            KANSAS CITY            MO    64141
V10     BUSINESS MENS INSURANCE        555MARRIOTT DRIVE         SUITE 305                 NASHVILLE              TN    37210
BO8     BUYERS HEALTH COOPERATIVE      PO BOX 150500                                       NASHVILLE              TN    37215
M60     C AND L ELECTRIC               P O DRAWER 9                                        STAR CITY              AR    71667
J42     C C SYSTEM A AND G OF LEXA     6 PINE STREET                                       LEXA                   AR    72355
Q38     C C SYSTEMS CORP               4660 S. HAGADORN          SUITE 210                 EAST LANSING           MI    48823-5353
J74     CAL FARM LIFE INSURANCE                                  PO BOX 1506               SACRAMENTO             CA    95851-1016
ZG*     CAL WEST HEALTH INSURANCE                                P O BOX 1953              SACRAMENTO             CA    95809
P69     CALDWELL CULVERT               PO BOX 1337                                         GREENVILLE             NC    38202
FB7     CALIFORNIA CARE                                          P O BOX 4089              WOODLAND HILLS         CA    91365
A27     CALIFORNIA DENTAL SERVICE      PO BOX 7736                                         SAN FRANCISCO          CA    94120
IP*     CALIFORNIA IRON WORKERS                                  221 EAST WALNUT STREET    PASADENA               CA    91103
M15     CALMAINE FOODS                 P O BOX 40                                          LINCOLN                AR    72744
AZ2     CALMINE FOODS                  BENEFITS SECTION          P.O. BOX 806              LAGRANGE               TX    78945
FQ9     CAMBRIDGE                                                PO BOX 1687               GRAND RAPIDS           MI    49501
J48     CAMDEN WIRE CO INC             731 JAMES STREET                                    SYRACUSE               NY    13203
S43     CAMPBELL AND COMPANY                                     P O BOX 1085              MAGNOLIA               AR    71753
DQ5     CAMPFIRE CHARCOAL CO           HEALTH CLAIMS             P O BOX 1389              JACKSONVILLE           TX    75766
FP5     CANADA LIFE                                              PO BOX 1379               BUFFALO                NY    14240-1379
EX1     CANNON COCHRAN                 MANAGEMENT SERVICES       P O BOX 1430              DANVILLE               IL    61834-1430
FA8     CAPCARE                        100 W CLARENDON           SUITE 2000                PHOENIX                AZ    85013
X37     CAPCO PIPE COMPANY                                       603 SOUTH 28TH            VAN BUREN              AR    72956
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    25
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FU2     CAPITAL BLUE CROSS                                       2500 ELMERTON AVENUE      HARRISBURG             PA    17110-9764
FB1     CAPITAL DISTRICT PHYSICIAN     HEALTH PLAN               5 WASHINGTON SQUARE       ALBANY                 NY    12205
M5*     CAPITOL AMERICAN LIFE INS                                1001 LAKE SIDE AVENUE     CLEVELAND              OH    44114
YL*     CAPITOL LIFE INSURANCE         8383 SLEMMONS             SUITE 217                 DALLAS                 TX    75247
BS5     CAPP CARE                      P O BOX 6240                                        NEWPORT BEACH          CA    92658
Z54     CAPPERS INSURANCE SVCS INC     CLAIM SERVICE BUREAU      1503 S,W, 42 ST           TOPEKA                 KS    66609-1265
BS8     CARE AMERICA                                             P O BOX 946               WOODLAND HILLS         CA    91365-0946
BX2     CARE CHOICE                    PO BOX 1407                                         CHATTANOOGA            TN    37401-1407
HJ4     CARE IMPROVEMENT PLUS          PO BOX 4347                                         SCRANTON               PA    18505
E24     CARE SCAN                      P O BOX 899                                         CLEARWATER             FL    34617
Y58     CARE SOURCE                    P.O. BOX 2305                                       MT CLEMENS             MI    48046-2305
HT6     CAREFIRST                      PO BOX B900                                         MERRIFIELD             VA    22116-3900
HV8     CAREFIRST ADMINISTRATORS       PO BOX 3800                                         MERRIFIELD             VA    27116
HR3     CAREMARK                       P O BOX 52116                                       PHOENIZ                AZ    85072-2116
HQ7     CAREMARK                                                 PO BOX 52196              PHOENIX                AZ    85072-2196
GY5     CAREMARK                                                 P O BOX 52154             PHOENIX                AZ    85072-2154
HI5     CAREMARK                       P O BOX 52136                                       PHOENIX                AZ    85072-2136
CG4     CAREMARK                       625 BERKLEY BLVD                                    LINCOLINSHIRE          IL    60069-4310
GR8     CAREMARK INC                   MEDICARE D CLAIM          PO BOX 686007             SAN ANTONIO            TX    78268
BM8     CAREMARK PRESCRIPTION SERV     7034 ALAMO DOWNS PARKWAY P.O. BOX 686005            SAN ANTONIO            TX    78238
QE*     CARITEN HEALTHCARE             PO BOX 22337                                        KNOXVILLE              TN    37933
HD3     CARITEN TPA SERVICES                                     PO BOX 22987              KNOXVILLE              TN    37933
U76     CAROLINA PREFERRED CARE                                  P O BOX 25307             WINSTON SALEM          NC    27114-5307
A93     CAROON AND BLACK BENEFITS      P O BOX 1280                                        NASHVILLE              TN    37202
E23     CARPENTERS HEALTH AND WELF     1401 HAMPTON AVE                                    ST LOUIS               MO    63139
F74     CARPENTERS HEALTH FUND         2233 WISCONSIN AVE NW     SUITE 216                 WASHINGTON             DC    20007
B14     CARPENTERS HLTH AND WELFAR     TRUST FOR SO CALIFORNIA   520 SOUTH VIRGIL AVE      LOS ANGELES            CA    90020
D16     CARPENTERS TRUST FUND          P O BOX 2380                                        OAKLAND                CA    94614
ED2     CARPENTERS WELFARE FUND                                  P O BOX 791               GENEVA                 IL    60134-0791
K67     CARPET CUSHION CO                                        P O BOX 156               HOPE                   AR    71801
P19     CARROLL ELECTRIC COOP          ATTN BENEFITS ADM         BOX 4000                  BERRYVILLE             AR    72616
C67     CARSON DOBBS HLTH CARE PLA     5100 POPLAR AVE                                     MEMPHIS                TN    38137
DC4     CASINO MAGIC                   100 BUSINESS PARK DRIVE   SUITE I                   JACKSON                MS    39213
GJ7     CATALYST RX                                              800 KING FARM BLVD 4TH FL ROCKVILLE              MD    20850
YD*     CATERPILLAR BENEFITS           600 W WASHINGTON          LD 1100                   EAST PEORIA            IL    61630
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE    26
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FH1     CATERPILLAR INC                                           PO BOX 62920              COLORADO SPRINGS      CO    80962-2920
G95     CATHOLIC DAUGHTERS OF AMER                                P O BOX 1140              FAIR FAX              VA    22030
ZS*     CATHOLIC KNIGHTS INS SOC       STAR PLAN DIVISION         11100 WEST WELLS STREET   MILWAUKEE             WI    53201
D51     CAULKINS                       P O BOX 458                                          INDIANTOWN            FL    33456
MY*     CBA                            COLONIAL BENEFIT ADM       P O BOX 3770              CAPITOL HEIGHTS       MD    78797-3770
X21     CBAGT AMIN                                                BOX 130                   PENSACOLA             FL    32591-0130
GC8     CBCA                                                      PO BOX 9007               LONDON                KY    40742
FU9     CBCA ADMINISTRATORS INC                                   PO BOX 1181               MINNEAPOLIS           MN    55440-1181
HU4     CBCA ADMINISTRATORS INC                                   PO BOX 1339               MINNEAPOLIS           MN    55440
A37     CC SYSTEMS CORPORATION         2001 KILLEBREW DRIVE       BLN OFFICE PARK STE 141   MINNEAPOLIS           MN    55420
DG8     CCEBT GROUP BENEFITS                                      P O BOX 1755              MINNEAPOLIS           MN    55440
EY7     CCI ADMINISTRATORS                                        P O BOX 7152              DUBLIN                OH    43017
CZ7     CCO INC                        2740 SOUTH GLENSTONE       SUITE 202                 SPRINGFIELD           MO    65804
GS8     CELTIC                                                    PO BOX 33839              INDIANAPOLIS          IN    46203
XY*     CELTIC INDIVIDUAL HEALTH       233 S WACKER DRIVE         SUITE 700                 CHICAGO               IL    60606
HE7     CELTIC INSURANCE COMPANY                                  P O BOX 46337             MADISON               WI    53744-6337
H18     CELTIC LIFE INS CO             SPECIAL HEALTH PRODUCTS    P O BOX 96386             CHICAGO               IL    60693
DV7     CEMARA HEALTH INC              CENTENNIAL LIFE INS        P O BOX 8902              WICHITA               KS    67208
DC3     CEMENT MASON HEALTH AND        WELFARE TRUST FUND         220 CAMPUS LANE           SUISUN                CA    94585
TN*     CEMENT MASONS HEALTH FUND      LBJ BUSINESS PK NO BLDG    2997 LBJ FREEWAY          DALLAS                TX    75234
W98     CENTENNIAL LIFE INS            CO PLAN SERV INC           P O BOX 30024             TAMPA                 FL    33630-3024
P28     CENTENNIAL LIFE INS CO         PO BOX 470                                           SHAWNEE MISSION       KS    66201
F13     CENTERAL LIFE INSURANCE        6401 CAMP BOWIE BLVD                                 FT WORTH              TX    76116
FL1     CENTRA                                                    PO BOX 34866              SEATTLE               WA    98124
Q80     CENTRA   TARGET STORES         BENEFIT SERVICES           P.O. BOX 869041 DEPT 198 PLANO                  TX    75086-9041
ES3     CENTRA BENEFIT SERVICE                                    P O BOX 5420              JACKSON               MS    39288
U61     CENTRA BENEFIT SERVICES                                   1255 WEST 15TH STREET     PLANO                 TX    75075
Y16     CENTRA BENEFIT SERVICES        PLAN ADMINISTRATOR         PO BOX 869043             PLANO                 TX    75086-9043
N44     CENTRA HEALTHCARE              CLAIMS DEPARTMENT          PO BOX 42820              HOUSTON               TX    77242-2820
Q13     CENTRA HEALTHCARE ADM SRV      1302 N HIGHWAY 81          P O BOX 6000              DUNCAN                OK    73534-6000
CK1     CENTRAL AR BENEFIT SER         P.O. BOX 5250                                        NORTH LITTLE ROCK     AR    72119
M59     CENTRAL AR DEVELOPMENT COU     425 WALNUTTER PLAZA        P O BOX 646               BENTON                AR    72015
HK7     CENTRAL ARK NURSING CENTER     FIRST DOLLAR PLAN          415 ROGER AVE             FT SMITH              AR    72901
HF1     CENTRAL BENEFITS                                          P O BOX 612900            DALLAS                TX    75261
I13     CENTRAL BENEFITS MUTUAL        BCBS OF CENTRAL OHIO       P O BOX 182042            COLUMBUS              OH    43218
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    27
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
T74     CENTRAL BENEFITS OF OHIO                                 P O BOX 16526             COLUMBUS               OH    43216-6526
HB4     CENTRAL COAST ALLIANCE FOR     375 ENCINAL STREET        SUITE A                   SANTA CRUZ             CA    95060
DU4     CENTRAL FREIGHT LINES                                    P O BOX 2638              WACO                   TX    76702
P91     CENTRAL HEALTH BENEFITS                                  PO BOX 149                CLINTON                AR    72031
B65     CENTRAL HLTH AND WELFARE F     6000 PATTERSON AVE        P O BOX 9338              LITTLE ROCK            AR    72219
J12     CENTRAL MOLONEY                                          200 E 11TH                PINE BLUFF             AR    71601
J52     CENTRAL NATIONAL LIFE INS                                5001 ROYAL LANE           IRVING                 TX    75063
R88     CENTRAL RESERVE LIFE           17800 ROYALTON ROAD                                 STRONGSVILLE           OH    44136
GY7     CENTRAL RESERVE LIFE INS C                               P O BOX 29190             SHAWNEE MISSION        KS    66201-9190
C5*     CENTRAL S W SYSTEMS MED PL                               P O BOX 21106             SHREVEPORT             LA    71156
OA*     CENTRAL SECURITY LIFE INS      P.O. BOX 833879                                     RICHARDSON             TX    75083-3879
LW*     CENTRAL STATE HEALTH           AND WELFARE               9377 W HIGGINS ROAD       ROSEMONT               IL    60018-4901
H97     CENTRAL STATE HEALTH AND       LIFE OF OMAHA             P.O. BOX 1139             HOT SPRINGS            AR    71902
I20     CENTRAL STATES                                           P O BOX 5103              DES PLAINES            IL    60017-5103
AI3     CENTRAL STATES HEALTH          AND WELFARE TEAMCARE      P.O. BOX 5116             DES PLAINES            IL    60017-5116
AK*     CENTRAL STATES HEALTH          AND LIFE CO OF OMAHA      P O BOX 34350             OMAHA                  NE    68134-0350
EZ4     CENTRAL STATES SE SW           AREAS HEALTH/WELFARE FUND P O BOX 5111              DES PLAINES            IL    60017-5111
Y60     CENTRAL STATES SE SW AREAS     TEAMSTERS LOCAL 604       300 SOUTH GRAND           ST LOUIS               MO    63103
E38     CENTRAL STATES SOUTHEAST A     SOUTHWEST AREAS HEALTH    P O BOX 5122              DES PLAINES            IL    60017-5122
B56     CENTRAL TEXAS HLTH PLAN        3307 NORTHLAND DRIVE      SUITE 300                 AUSTIN                 TX    78766
HA3     CENTRAL UNITED LIFE                                      P O BOX 925309            HOUSTON                TX    77292-5309
BU3     CENTRAL UNITED LIFE INS        WORTHAM TOWER 6TH FLOOR   2727 ALLEN PARKWAY        HOUSTON                TX    77019-2115
HT5     CENTURY HEALTHCARE             PO BOX 2256                                         GRAPEVINE              TX    76099
HR1     CENTURY LIFE INSURANCE                                   PO BOX 8025               STEVENS POINT          WI    54481
L79     CENTURY PLANNERS                                         9201 WATSON RD SUITE 350 ST LOUIS                MO    63126-1533
BA5     CENTURY TELEPHONE              ENTERPRISES               P.O. BOX 4065             MONROE                 LA    71211-4065
WF*     CERTIFIED LIFE INS                                       14724 VENTURA BLVD        SHERMAN OAKS           CA    91403
W51     CERTIFIED LIFE INS CO          CLAIM DEPT                4800 N KENNETH AVE        CHICAGO                IL    60630
D32     CERTIFIED LIFE INS CO          P O BOX 650209                                      DALLAS                 TX    75265-0209
LE*     CHAMPION PARTS                                           P O BOX 579               HOPE                   AR    70812
0E*     CHAMPUS CLAIMS PROCESSING      TRICARE PRIME/FHF         P O BOX 8999              MADISON                WI    53708-8999
GN9     CHAMPUS TRICARE                WPS TRICARE FOR LIFE      PO BOX 7890               MADISON                WI    53707-7890
CJ4     CHAMPUS TRICARE                                          PO BOX 7031               CAMDEN                 SC    29020
BR6     CHAMPVA CENTER                 ATTN CLAIMS               P O BOX 469064            DENVER                 CO    80246-9064
EW2     CHAMS                          CHILD HEALTH ALLIANCE     P O BOX 845               BRENTWOOD              TN    37027
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    28
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
T44     CHARTER BENEFIT                ADMINISTRATOR             P O BOX 1328              FRANKLIN               TN    37065-1328
TM*     CHARTER NATIONAL INSURANCE                               8301 MARYLAND AVENUE      ST LOUIS               MO    63105
EZ6     CHATWINS HEALTHCARE ADM        300 WEYMAN PLAZA          SUITE 305                 PITTSBURGH             PA    15236
BE8     CHER A BUMP ASSOC                                        P O BOX 18108             OKLAHOMA CITY          OK    73154
HQ0     CHEROKEE INSURANCE COMPANY     PO BOX 159                                          WARREN                 MI    48090
QH*     CHEROKEE NATION ENTERPRISE     PO BOX 3028                                         TULSA                  OK    74101
F1*     CHICAGO HEALTH AND WELFARE     FUND LOCAL 245            332 SOUTH MICHIGAN AVENUE CHICAGO                IL    60604
BO7     CHICAGO METALLIC CORP          CRESCO STEEL              PO DRAWER 1409            BENTON                 AR    72018
G47     CHIROPRACTIC BENEFITS TRUS     INSURANCE PROGRAM         PO BOX 1326               FORT WORTH             TX    76101
H03     CHOICE CARE                                              PO BOX 3188               CINCINNATI             OH    45201
BK3     CHOICE PLUS                    P. O. BOX 36007                                     MINNEAPOLIS            MN    55435-6007
L58     CHRISTIAN BROTHERS EMPLOYE     BENEFIT TRUST             1205 WINDHAM PARKWAY      ROMEOVILLE             IL    60446-1693
FS2     CHRISTIAN CARE MEDI SHARE      CCMS                      PO BOX 674                STERLING               IL    61081
HB5     CHRISTIAN FIDELITY INS CO                                P.O. BOX 44990            MADISON                WI    53744
ZZ*     CHRISTIAN FIDELITY LIFE        INSURANCE COMPANY         316 DALLAS HIGHWAY        WAXAHACHIE             TX    75165
T84     CHRISTIAN HOSPITALIZATION                                P O BOX 336               MONTEZUMA              KS    67867
M7*     CHRISTIAN ORGANIZATION         MEDICAL SOCIETY           P O BOX 18752             FORT WORTH             TX    76118
HP1     CHRISTUS DENTAL                PO BOX 1339                                         MINNEAPOLIS            MN    55440
Q72     CIBA GEIGY CORP                                          444 SAW MILL RIVER RD     ARDSLEY                NY    10502
SH*     CIGNA                          PO BOX 188002                                       CHATTANOOGA            TN    37422-8002
XL*     CIGNA                          PO BOX 188007                                       CHATTANOOGA            TN    37422-8007
HC4     CIGNA                          FEDEX PPO                 P.O. BOX 5909             SCRANTON               PA    18505
FZ6     CIGNA                          200 REGENCY EXECUTIVE     PARK DRIVE                CHARLOTTE              NC    28233
GC4     CIGNA                                                    PO BOX 188036             CHATTANOOGA            TN    37422
GC1     CIGNA                                                    PO BOX 188037             CHATTANOOGA            TN    37422
GL4     CIGNA                          PO BOX 3077                                         BOURBONNAIS            IL    60914
GJ4     CIGNA                                                    PO BOX 5200               SCRANTON               PA    18505
GD2     CIGNA                                                    PO BOX 1068               VISALIA                CA    93279
FX1     CIGNA                                                    PO BOX 1976               BOURBONNAIS            IL    60914-5003
FW9     CIGNA                                                    PO BOX 962                BRISTOL                CT    06011-0962
FW8     CIGNA                                                    PO BOX 10397              DES MOINES             IA    50306-0397
FW7     CIGNA                                                    PO BOX 8012               PLAINVILLE             CT    06062-8012
FW6     CIGNA                                                    PO BOX 182331             COLUMBUS               OH    43218-2331
FW5     CIGNA                                                    PO BOX 31353              RICHMOND               VA    23294-1353
FW4     CIGNA                                                    PO BOX 33638              CHARLOTTE              NC    28233-3638
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    29
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FW3     CIGNA                                                    4025 WEST MINERAL KING    VISALIA                CA    93277-1631
FW2     CIGNA                                                    PO BOX 15553              WILMINGTON             DE    19850
FW1     CIGNA                                                    PO BOX 16672              COLUMBUS               OH    43216-6672
FV9     CIGNA                                                    PO BOX 9018               SHERMAN                TX    75060-6018
FN4     CIGNA                          P O BOX 46270                                       EDEN PRAIRE            MN    55344
CS1     CIGNA                          P O BOX 68947             18003313287               INDIANAPOLIS           IN    46268
CS8     CIGNA                          P O BOX 188034            18003341033               CHATTANOOGA            TN    37422-8034
HL7     CIGNA DENTAL                                             PO BOX 188045             CHATTANOOGA            TN    37422
S79     CIGNA EQUICOR                  EAGLE WINGS IND           400 SHELHOUSE DR          RANTOUL                IL    61866
V18     CIGNA ETHIX MIDWEST            8500 MORMANDALE LAKE RD                             BLOOMINGTON            MN    55437
BI5     CIGNA HEALTH PLAN                                        P O BOX 2125              GLENDALE               CA    91209
BQ7     CIGNA HEALTHCARE                                         P O BOX 7100              WOOLRIDGE              IL    60517-7100
BG6     CIGNA HEALTHCARE                                         P O BOX 590               RICHMOND               VA    23205-0590
BG1     CIGNA HEALTHCARE               101 S WEBB ROAD           SUITE 200                 WICHITA                KS    67202
BE3     CIGNA HEALTHCARE                                         P O BOX 3050              EASTON                 PA    18043-3050
CO*     CIGNA HEALTHCARE                                         P O BOX 12001             CHATTANOOGA            TN    37401
CM9     CIGNA HEALTHCARE                                         PO BOX 978                BRISTOL                CT    06011
CM*     CIGNA HEALTHCARE                                         P O BOX 12830             WILMINGTON             DE    19850
CL2     CIGNA HEALTHCARE                                         P O BOX 8200              LONDON                 KY    40742-8200
CJ6     CIGNA HEALTHCARE                                         P O BOX 182352            COLUMBUS               OH    43218
CF4     CIGNA HEALTHCARE                                         P O BOX 219900            HOUSTON                TX    77218-9900
CA5     CIGNA HEALTHCARE                                         PO BOX 188031             CHATTANOOGA            TN    37422
B71     CIGNA HEALTHCARE                                         P O BOX 182546            COLUMBUS               OH    43218-2546
BU4     CIGNA HEALTHCARE                                         PO BOX 188023             CHATTANOOGA            TN    37422
BA6     CIGNA HEALTHCARE                                         P.O. BOX 10392            DES MOINES             IA    50306
BA4     CIGNA HEALTHCARE                                         P O BOX 9318              SHERMAN                TX    75091-9318
BA2     CIGNA HEALTHCARE                                         PO BOX 9304               SHERMAN                TX    75091
AX1     CIGNA HEALTHCARE               2502 ROCKY POINT RD       SUITE 400                 TAMPA                  FL    33607
A62     CIGNA HEALTHCARE                                         P O BOX 2307              PITTSBURGH             PA    15230-2307
A61     CIGNA HEALTHCARE                                         PO BOX 8014               PLAINSVILLE            CT    06062
AK3     CIGNA HEALTHCARE                                         PO BOX 188008             CHATTANOOGA            TN    37422-8006
AI1     CIGNA HEALTHCARE               PO BOX 188027                                       CHATTANOOGA            TN    37422-8027
AG8     CIGNA HEALTHCARE                                         P O BOX 7378              PHILADELPHIA           PA    19101
AV6     CIGNA HEALTHCARE                                         P O BOX 182544            COLUMBUS               OH    43218-2544
AU2     CIGNA HEALTHCARE                                         P O BOX 9013              SHERMAN                TX    75091-9310
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    30
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AT9     CIGNA HEALTHCARE               VISALIA CLAIMS            PO BOX 5034               VISALIA                CA    93278
AS2     CIGNA HEALTHCARE                                         P O BOX 9337              SHERMAN                TX    75091
AG2     CIGNA HEALTHCARE               UTC SERVICE CENTER        P O BOX 4010              FARMINGTON             CT    06034
AE7     CIGNA HEALTHCARE               BUNGE CORP                PO BOX 182565             CHATTANNOGA            TN    37422
AA8     CIGNA HEALTHCARE                                         P O BOX 77350             ATLANTA                GA    30309
AA3     CIGNA HEALTHCARE                                         P O BOX 10367             DES MOINES             IA    50306
X81     CIGNA HEALTHCARE                                         P O BOX 9076              MELVILLE               NY    11747-9076
X62     CIGNA HEALTHCARE               EQUITABLE                 P O BOX 34336             CHARLOTTE              NC    28234
X59     CIGNA HEALTHCARE                                         P O BOX 32876             CHARLOTTE              NC    28232
X49     CIGNA HEALTHCARE               CONNECTICUT GENERAL       P O BOX 3316 STATION D    ALBUQUERQUE            NM    87190
Y6*     CIGNA HEALTHCARE                                         P O BOX 32200             PHOENIX                AZ    85064
Y18     CIGNA HEALTHCARE               PO BOX 850                JFK AIRPORT STATION       JAMAICA                NY    11430
0A*     CIGNA HEALTHCARE                                         P O BOX 9341              SHERMAN                TX    75091-9341
Z83     CIGNA HEALTHCARE                                         P O BOX 3100              BOURBONNAIS            IL    60914
Z5*     CIGNA HEALTHCARE                                         PO BOX 10307              GREENSBORO             NC    27404
ZA*     CIGNA HEALTHCARE                                         P O BOX 29000             ATLANTA                GA    30359
Y95     CIGNA HEALTHCARE                                         P O BOX 2300              PITTSBURG              PA    15230-2300
Y81     CIGNA HEALTHCARE                                         PO BOX 188021             CHATTANOOGA            TN    37422-8021
U93     CIGNA HEALTHCARE                                         P O BOX 85903             SAN DIEGO              CA    92186-5903
U23     CIGNA HEALTHCARE                                         P O BOX 3025              BOURBONNAISE           IL    60914
W72     CIGNA HEALTHCARE                                         P O BOX 182014            COLUMBUS               OH    43218
S64     CIGNA HEALTHCARE               GROUP CLAIMS              P O BOX 15124             WILMINGTON             DE    19850-5124
T60     CIGNA HEALTHCARE               3M MEDICAL PLAN           P O BOX 64143             ST PAUL                MN    55164
T50     CIGNA HEALTHCARE               263 RT 17K                2ND FLOOR                 NEWBURGH               NY    12550
T27     CIGNA HEALTHCARE               CONNECTICUT GEN SERV CTR P O BOX 5038               VISALIA                CA    93278-5038
T12     CIGNA HEALTHCARE                                         P O BOX 2005              FARMINGTON             CT    06032
S81     CIGNA HEALTHCARE                                         P O BOX 9317              DES MOINES             IA    50306
R7*     CIGNA HEALTHCARE                                         P O BOX 968               BRISTOL                CT    06010
P76     CIGNA HEALTHCARE                                         P O BOX 2V                RICHMOND               VA    23205
Q97     CIGNA HEALTHCARE                                         P O BOX 419               CINCINNATI             OH    45202
Q92     CIGNA HEALTHCARE                                         P O BOX 50000             ATLANTA                GA    30359
LO*     CIGNA HEALTHCARE               NFL PLAYERS MEDICAL       P O BOX 34337             CHARLOTTE              NC    28234-4337
K12     CIGNA HEALTHCARE                                         P O BOX 24005             FRESNO                 CA    93779
KT*     CIGNA HEALTHCARE               DENTAL CLAIMS             P O BOX 15558             WILMINGTON             DE    19850
J96     CIGNA HEALTHCARE                                         P O BOX 10365             DES MOINES             IA    50306
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    31
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
J25     CIGNA HEALTHCARE               OF ARIZONA                P.O. BOX 9321             SHERMAN                TX    75091-9321
JF*     CIGNA HEALTHCARE               P O BOX 3310              STATION D                 ALBUQUERQUE            NM    87190
OJ*     CIGNA HEALTHCARE                                         P O BOX 182717            COLUMBUS               OH    43218-2717
MX*     CIGNA HEALTHCARE                                         P O BOX 3087              BOURBONNAIS            IL    60914
MG*     CIGNA HEALTHCARE                                         P O BOX 33683             CHARLOTTE              NC    28233
HC2     CIGNA HEALTHCARE                                         P.O. BOX 188006           CHATTANOOGA            TN    37422-8006
G28     CIGNA HEALTHCARE                                         P O BOX 2546              SHERMAN                TX    75090
GU9     CIGNA HEALTHCARE                                         PO BOX 1650               VISALIA                CA    93279
GO7     CIGNA HEALTHCARE               P O BOX 188020                                      CHATTANOOGA            TN    37422
GO1     CIGNA HEALTHCARE                                         P O BOX 15050             WILMINGTON             DE    19850
GL3     CIGNA HEALTHCARE               P O BOX 14621                                       LEXINGTON              KY    40512
F50     CIGNA HEALTHCARE               201 INTERNATIONAL CIRCLE SUITE 300                  HUNT VALLEY            MD    21030
FL5     CIGNA HEALTHCARE                                         PO BOX 188003             CHATTANOOGA            TN    37422
FL2     CIGNA HEALTHCARE                                         PO BOX 31552              CHARLOTTE              NC    28231
FK2     CIGNA HEALTHCARE               1 800 654 9631            P O BOX 5008              VISALIA                CA    93278-5008
FI8     CIGNA HEALTHCARE                                         PO BOX 5019               VISALIA                CA    93278
FH8     CIGNA HEALTHCARE                                         PO BOX 188033             CHATTANOOGA            TN    37422-8033
FH5     CIGNA HEALTHCARE                                         PO BOX 182223             CHATTANOOGA            TN    37422-7223
FF2     CIGNA HEALTHCARE                                         PO BOX 188030             CHATTANOOGA            TN    37422-8030
FE7     CIGNA HEALTHCARE               5005 LBJ FREEWAY          SUITE 830                 DALLAS                 TX    75244
FE*     CIGNA HEALTHCARE               RUAN TRANSPORTATION       P O BOX 30151             LANSING                MI    48909-7651
FV6     CIGNA HEALTHCARE               P O BOX 188017                                      CHATTANOOGA            TN    37422-8017
FS4     CIGNA HEALTHCARE                                         PO BOX 188018             CHATTANOOGA            TN    37422-8018
FR5     CIGNA HEALTHCARE                                         PO BOX 9339               SHERMAN                TX    75091-9339
FP2     CIGNA HEALTHCARE                                         PO BOX 188014             CHATTANOOGA            TN    37422
FP1     CIGNA HEALTHCARE                                         PO BOX 10447              DES MOINES             IA    50306
FO5     CIGNA HEALTHCARE                                         PO BOX 188004             CHATTANOOGA            TN    37422-8004
EY9     CIGNA HEALTHCARE                                         P O BOX 16782             COLUMBUS               OH    43216
EU7     CIGNA HEALTHCARE               CITY OF PHOENIX           P O BOX 9325              SHERMAN                TX    75091
ES4     CIGNA HEALTHCARE                                         P O BOX 3012              BOURBONNAIS            IL    60914
ES2     CIGNA HEALTHCARE                                         P O BOX 3099              BOURBONNAIS            IL    60914
EQ3     CIGNA HEALTHCARE                                         P O BOX 9313              SHERMAN                TX    75091-9313
EO2     CIGNA HEALTHCARE                                         P O BOX 129               ITASCA                 IL    60143
EN9     CIGNA HEALTHCARE               DENTAL CLAIMS             P O BOX 4029              FARMINGTON             CT    06034
CT8     CIGNA HEALTHCARE                                         P O BOX 800               UNIONVILLE             CT    06085
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE    32
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
CY8     CIGNA HEALTHCARE               KRAFT CLAIMS               P O BOX 10485             DES MOINES            IA    50306
CW7     CIGNA HEALTHCARE               DELTA AIRLINES CLAIMS      P O BOX 15538             WILMINGTON            DE    19850-5553
CP5     CIGNA HEALTHCARE               ATTN BETTY ELIG SERV C315 900 COTTAGE GROVE ROAD     HARTFORD              CT    06152
CO6     CIGNA HEALTHCARE                                          PO BOX 188029             CHATTANOOGA           TN    37422
DG4     CIGNA HEALTHCARE               5500 CENEX DRIVE           SUITE 100                 INVER GROVE           MN    55077
DG3     CIGNA HEALTHCARE                                          P O BOX 9155              DES MOINES            IA    50306
DE8     CIGNA HEALTHCARE               26877 NORTHWESTERN         SUUITE 350                SOUTHFIELD            MI    48034
DE7     CIGNA HEALTHCARE               1630 E SHAW AVE STE 106    P O BOX 24031             FRESNO                CA    93779-4031
DC1     CIGNA HEALTHCARE               60 CHARLES LINDBERGH BLVD                            MITCHEL FIELD         NY    11553
DB*     CIGNA HEALTHCARE                                          P O BOX 31066             CHARLOTTE             NC    28231
C83     CIGNA HEALTHCARE                                          P O BOX 4000              BOURBONNAISE          IL    60914
C64     CIGNA HEALTHCARE                                          P O BOX 5046              SOUTHFIELD            MI    48086
C41     CIGNA HEALTHCARE                                          P O BOX 10433             DES MOINES            IA    50306
C24     CIGNA HEALTHCARE               600 E LAS COLINAS BLVD     P O BOX 152036            IRVING                TX    75015
EE8     CIGNA HEALTHCARE               EQUICOR                    PO BOX 13011              MERRILLVILLE          IN    46411
EK3     CIGNA HEALTHCARE               2220 PARKLAKE DRIVE                                  ATLANTA               GA    30345
EK4     CIGNA HEALTHCARE                                          P O BOX 24867             NASHVILLE             TN    37202
EM6     CIGNA HEALTHCARE                                          P O BOX 34335             CHARLOTTE             NC    28234-4335
EL8     CIGNA HEALTHCARE               DANAHER CORP               P O BOX 15408             WILMINGTON            DE    19850-5408
EC9     CIGNA HEALTHCARE                                          P O BOX 12035             CHATTANOOGA           TN    37401
EB2     CIGNA HEALTHCARE               CONN GEN SERV CENTER       1001 B MENAUL BLVD NE     ALBUQUERQUE           NM    87107
D41     CIGNA HEALTHCARE               21 HERITAGE PLAZA          P O BOX 2100              BOURBONNAIS           IL    60914
D26     CIGNA HEALTHCARE                                          P O BOX 9361              SHERMAN               TX    75091-9361
D17     CIGNA HEALTHCARE               12160 ABRAMS               SUITE 211                 DALLAS                TX    75243
DS1     CIGNA HEALTHCARE               32 VALLEY ST               P O BOX 969               BRISTOL               CT    06010
DR9     CIGNA HEALTHCARE               1000 POLARIS PARKWAY                                 COLUMBUS              OH    43240-2005
DR8     CIGNA HEALTHCARE               600 TAYLOR ST                                        SHERMAN               TX    75090
DR7     CIGNA HEALTHCARE                                          P O BOX 8019              PLAINSVILLE           CT    06062
DQ1     CIGNA HEALTHCARE               BOEING CO                  P O BOX 85455             SAN DIEGO             CA    92186
DN2     CIGNA HEALTHSOURCE PROV                                   P O BOX 30298             LANSING               MI    48909-7798
DL9     CIGNA HEALTHSOURCE PROV                                   P O BOX 21189             LANSING               MI    48909
DJ4     CIGNA HEALTHSOURCE PROV        DENTAL CLAIMS              P O BOX 182559            CHATTANOOGA           TN    37422-7559
DX3     CIGNA HEALTHSOURCE PROV                                   P O BOX 188009            CHATTANOOGA           TN    37422-8009
DT5     CIGNA HEALTHSOURCE PROV        LEVI STRAUSS               P O BOX 180149            CHATTANOOGA           TN    37422-7537
DS9     CIGNA HEALTHSOURCE PROV                                   P O BOX 40 6300           CINCINNATI            OH    45240-6300
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    33
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EK7     CIGNA HEALTHSOURCE PROV                                  P O BOX 182571            CHATTANOOGA            TN    37421
EI9     CIGNA HEALTHSOURCE PROV                                  P O BOX 182575            CHATTANOOGA            TN    37422
EF8     CIGNA HEALTHSOURCE PROV                                  P O BOX 8911              BRISTOL                TN    37621-8911
C18     CIGNA HEALTHSOURCE PROV                                  P O BOX 2048              GASTONIA               NC    28053
CZ5     CIGNA HEALTHSOURCE PROV                                  P O BOX 188013            CHATTANOOGA            TN    37422
DC8     CIGNA HEALTHSOURCE PROV                                  P O BOX 5148 STATION B    GREENVILLE             SC    29606
CP2     CIGNA HEALTHSOURCE PROV        RUBBERMAID                2180 BARLOW RD            HUDSON                 OH    44224
FA4     CIGNA HEALTHSOURCE PROV                                  P O BOX 28125             RALEIGH                NC    27611-8125
S33     CIGNA HEALTHSOURCE PROV        1241 VOLUNTEER PARKWAY    P O BOX 8902              BRISTOL                TN    37620
S17     CIGNA HEALTHSOURCE PROV                                  P O BOX 30289             LANSING                MI    48909
S57     CIGNA HEALTHSOURCE PROV        PANHANDLE EASTERN CORP    P O BOX 182524            CHATTANOOGA            TN    37422
S73     CIGNA HEALTHSOURCE PROV                                  P O BOX 171806            MEMPHIS                TN    38117
V3*     CIGNA HEALTHSOURCE PROV                                  P.O. BOX 40 6323          CINCINNATI             OH    45240
U69     CIGNA HEALTHSOURCE PROV                                  P O BOX 182519            CHATTANOOGA            TN    37422-7519
Y65     CIGNA HEALTHSOURCE PROV        BFI CLAIMS                P O BOX 219788            HOUSTON                TX    77218
AL1     CIGNA HEALTHSOURCE PROV        BURLINGTON INDUSTRIES     P.O. BOX 9900             GASTONIA               NC    28053
AJ6     CIGNA HEALTHSOURCE PROV                                  P O BOX 6185 STATION B    GREENVILLE             SC    29606
AX6     CIGNA HEALTHSOURCE PROV        LOWES EMPLOYEE HEALTH PLA P.O. BOX 7500             GASTONIA               NC    28053
BD*     CIGNA HEALTHSOURCE PROV        CAMPBELL SOUP COMPANY     P O BOX 182530            CHATTANOOGA            TN    37422-7503
BJ6     CIGNA HEALTHSOURCE PROV                                  P O BOX 40 6200           CINCINNATI             OH    45240-6200
Z1*     CIGNA HLTH PLAN OF FLORIDA     2603 MAITLAND CENTER PKWY SUITE 204B                MAITLAND               FL    32751
HO5     CIMARRON HEALTH PLAN           8801 HORIZON BOULEVARD                              ALBUQUERQUE            NM    87113
EN7     CINTAS PARTNERS MEDICAL        BENEFIT PROGRAM           P O BOX 145801            CINCINNATI             OH    45250-5801
Y17     CITIZEN SECURITY LIFE INS      PO BOX 436149                                       LOUISVILLE             KY    40253-6149
BI9     CITIZENS BANK                                            100 W WASHINGTON          JONESBORO              AR    72401
BR5     CITIZENS BANK                  TRUST FUND                PO BOX 469                VAN BUREN              AR    72956
EU9     CITIZENS INSURANCE CO          OF AMERICA                P O BOX 149151            AUSTIN                 TX    78714
H36     CITIZENS SECURITY INS CO                                 P O BOX 3010              FRANKFORT              KY    40603
CL3     CITY OF BARLETT                6400 STAGE ROAD                                     BARLETT                TN    38134
BE1     CITY OF DALLAS                 EMPLOYEE BENEFITS         P O. BOX 15230            DALLAS                 TX    75201
DI1     CITY OF LAFAYETTE              GROUP INSURANCE           P O BOX 4017C             LAFAYETTE              LA    70502
W92     CITY OF LONGVIEW                                         300 W COTTON ST           LONGVIEW               TX    75601
P13     CITY OF SANTA FE EMP BENF      GLEN SLAUGHTER ASSC ADM P O BOX 9054                SANTA FE               NM    87504
BW6     CLAIM MANAGEMENT SERVICES      P O BOX 10888                                       GREEN BAY              WI    54307-0888
CZ2     CLAIMS ADMINISTRATIVE          SERVICES                  P O BOX 7500              TYLER                  TX    75711
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    34
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
NB*     CLAIMS ADMINISTRATIVE SERV     STUDENT INSURANCE         P O BOX 3968              BOCA RATON             FL    33427-3968
FA6     CLAIMS DEVELOPEMENT CORP       1575 SAN IGNACIO          SUITE 402                 CORAL GABLES           FL    33146
DT8     CLAIMSWARE MANAGEMED           SINGER RETIREE VEBA TRUST P O BOX 17264             GREENVILLE             SC    29606-8264
E71     CLALLAN COUNTY PHYSICIANS      P O BOX 1307                                        PORT ANGELES           WA    98362
Z55     CLAY CO ELECTRIC CO OP COR     BENEFIT SECTION           P.O. BOX 459              CORNING                AR    72422
CD1     CLEVELAND ELECTRIC COMPANY                               P O BOX 190458            LITTLE ROCK            AR    72219
CF6     CLUBB LIFE AMERICA                                       8638 MAIDEN LANE          KANSAS                 MO    64114
TR*     CMC STEEL GROUP                PO BOX 11549                                        TUCSON                 AZ    85734
DZ7     CNA                            MANAGED CARE CLAIMS       P O BOX 305201            NASHVILLE              TN    37230-5201
DW2     CNA                            C/O MUTUAL HEALTH AGENCY P O BOX 2888               LIVERPOOL              NY    13089-2888
CQ7     CNA                                                      P O BOX 58528             HOUSTON                TX    77258-8528
V9*     CNA                                                      P O BOX 34060             DALLAS                 TX    75234
U36     CNA                                                      P O BOX 2872              PITTSBURGH             PA    15230
SZ*     CNA                                                      BOX 13925                 ORLANDO                FL    32809
RD*     CNA                                                      C N A PLAZA               CHICAGO                IL    60605
HR4     CNA GROUP BENEFITS             P.O. BOX 946760                                     MAITLAND               FL    32794
Z56     CNA GROUP CLAIMS                                         P O BOX 25942             OVERLAND PARK          KS    66225
0T*     CNA HEALTH PARTNERS            WHITE RODGERS CLAIMS      P O BOX 2360              LITTLE ROCK            AR    72203
PL*     CNA HEALTH PARTNERS            WHIRLPOOL                 P O BOX 8071              LITTLE ROCK            AR    72203
GJ*     CNA HEALTH PARTNERS            ATTN/REPRICING DEPT       P O BOX 2061              LITTLE ROCK            AR    72203
BH3     CNA HEALTH PARTNERS            LENNOX INTERNATIONAL      PO BOX 8070               LITTLE ROCK            AR    72203
CW6     CNA HEALTH PARTNERS            P O BOX 2181                                        LITTLE ROCK            AR    72203
H44     CNA MANAGED CARE               2715 CHERRY RD                                      MEMPHIS                TN    72301
HF4     CNIC HEALTH SOLUTIONS                                    P O BOX 3559              ENGLEWOOD              CO    80155-3559
F82     COASTAL CORPORATION            310 MID CONTINENT PLAZA                             WEST MEMPHIS           AR    72301
WN*     COASTAL STATE HEALTH INS                                 P O BOX 56189             ATLANTA                GA    30343
M94     COBRA CONFED ADMIN SERVICE     P O BOX 2941903                                     NORTH CHARLESTON       SC    29419-9003
K79     COBRA INSURANCE                314 S VICTORY                                       LITTLE ROCK            AR    72201
FT9     COBRASERV NATIONAL SERVICE                               3201 34TH STREET SOUTH    ST PETERSBURG          FL    33711-3828
CV5     COBRASERVE NAT SER CNT         P O BOX 9061                                        CLEARWATER             FL    34618-9061
HC6     COLE MANAGED VISION                                      P.O. BOX 8504             MASON                  OH    45040-7111
DC2     COLE VISION                    18903 S MILES ROAD                                  WARRENSVILLE HTS       OH    44128
W50     COLEMAN DAIRY INC                                        P O BOX 4187              LITTLE ROCK            AR    72214
D52     COLLEGE LIFE INS COMPANY       OF AMERICA                P O BOX 68759             INDIANAPOLIS           IN    46268
D94     COLLEGE LIFE INSURANCE CO      OF AMERICA                P O BOX 1005              DELAWARE               OH    43301
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    35
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
E66     COLONIAL INSURANCE CO          P O BOX 4208                                        NORCROSS               GA    30091
VX*     COLONIAL LIFE AND ACCIDENT     INSURANCE COMPANY         PO BOX 1365               COLUMBIA               SC    29202-1365
R83     COLONIAL LIFE AND ACCIDENT     INSURANCE CO              2 FINANCIAL CENTER        LITTLE ROCK            AR    72211
VR*     COLONIAL LIFE INSURANCE        PALCO CONNECTOR INC       75 CENTER STREET          BRISTOL                CT    06010
HU6     COLONIAL LIFE INSURANCE                                  PO BOX 100195             COLUMBIA               SC    29202-3195
CA6     COLONIALPENN MATURITY CARE                               5 PENN CENTER PLAZA       PHILADELPHIA           PA    19185
ZR*     COLONY CHARTER LIFE                                      3243 WILSHIRE BLVD        LOS ANGELES            CA    90005
RV*     COLORADO LABORER               HEALTH FUND               838 GRANT STREET          PARACHUTE              CO    80201
L64     COLUMBIA CO AMBULANCE          629 WEST MAIN STREET                                MAGNOLIA               AR    71753
BT8     COLUMBIA FOREST PRODUCTS       ATTN CLAIMS DEPT          P O BOX 3768              PORTLAND               OR    97208
HK1     COLUMBIA INSURANCE GROUP       950 CARSON COVE SUITE 103                           CONWAY                 AR    72034
A78     COLUMBIA MUTUAL INSURANCE      PO BOX 618                                          COLUMBIA               MO    00000
W43     COLUMBUS HOSP HEALTH PLAN      1242 NO 28TH              SUITE 300 A               BILLINGS               MT    59101
XT*     COLUMBUS MUTUAL LIFE           INSURANCE                 BOX 900                   COLUMBUS               OH    43216
DG*     COMBINED INS CO OF AMERICA     HOME OFFICE               5050 BROADWAY             CHICAGO                IL    60640
E54     COMBINED INS OF AMERICA        4860 STREET ROAD                                    TREVOSE                PA    19047
GT4     COMBINED INSURANCE                                       PO BOX 638                BELLINGHAM             WA    98227-0638
SX*     COMBINED INSURANCE CO          SOUTHWEST SERVICE CENTER 3141 HOOD STREET           DALLAS                 TX    75219
B97     COMBINED INSURANCE CO          P O BOX 568                                         LANGHORNE              PA    19047
Z31     COMBINED INSURANCE SVCS        P.O. BOX 2438                                       OCALA                  FL    34478
Q5*     COMBINED UNDERWRITERS          INSURANCE COMPANY         P O BOX 149151            AUSTIN                 TX    78714-9151
P43     COMCAR INDUSTRIES INC          PO DRAWER 67                                        AUBURNDALE             FL    33823
B5*     COMMERCIAL INSURANCE COMPA                               P O BOX 2003              TEXARKANA              AR    75502
KN*     COMMERCIAL TRAVELERS MUTUA     SPECIAL RISKS DIVISION    COMMERICAL TRAVELERS BLDG UTICA                  NY    13502
R9*     COMMERCIAL UNION INSURANCE     10800 FINANICAL CTR PKWY                            LITTLE ROCK            AR    72211
F73     COMMONWEALTH                   GROUP CLAIMS CENTER       PO BOX 35310              LOUISVILLE             KY    40202
EU3     COMMONWEALTH HEALTH            ALLIANCE                  P O BOX 1323              CHARLOTTESVILLE        VA    22902
U87     COMMONWEALTH INS CO                                      BOX 240970                MEMPHIS                TN    38124
HV*     COMMONWEALTH LIFE AND ACCI                               7200 WEST MAIN STREET     BELLEVILLE             IL    62223
H60     COMMONWEALTH LIFE INS CO       200 BAILEY AVE                                      FORT WORTH             TX    76107
V91     COMMONWEALTH NATIONAL          LIFE INS                  P O BOX 1560              CLEVELAND              MS    38732
FM4     COMMUNITY CARE HMO             218 WEST 6TH STREET                                 TULSA                  OK    74119
GW6     COMMUNITY CARE LIFE AND HE                               P O BOX 176               TULSA                  OK    74101-0176
AB1     COMMUNITY HEALTH NETWORK       P.O. BOX 80159                                      BATON ROUGE            LA    70898
EU2     COMMUNITY HEALTH SYSTEMS                                 P O BOX 4582              HOUSTON                TX    77210
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    36
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GM2     COMMUNITY HELATH PLAN                                     PO BOX 3249               TULSA                 OK    74101-3249
IC1     COMP SERVICE INC               P O BOX 8861                                         CAMP HILL             PA    17001
DL4     COMPANION LIFE                 P O BOX 100133                                       COLUMBIA              SC    29202-3133
F88     COMPASS HEALTH MANAGEMENT      P O BOX 9507                                         SAVANNAH              GA    31412
GY9     COMPBENEFITS                                              P O BOX 30349             TAMPA                 FL    33630-3349
M98     COMPCARE                       401 W MICHIGAN                                       MILWAUKEE             WI    53201
EL5     COMPDENT                       STANDARD DENTAL PLAN       P O BOX 4605              CHICAGO               IL    60607
DS8     COMPMED                                                   P O BOX 4780              TULSA                 OK    74159
AI4     COMPRECARE                     P.O. BOX 171017                                      DENVER                CO    80217-1017
C57     COMPRECARE INC                 P O BOX 441170                                       AURORA                CO    80044
HQ2     COMPREHENSIVE CARE                                        PO BOX 64668              ST PAUL               MN    55164
BU6     COMPTON MANAGEMENT INC         P O BOX 15070 GMF                                    LITTLE ROCK           AR    72231
HG7     COMTECH                        PO BOX 15645                                         LAS VEGAS             NV    89114-5645
Y93     CONAGRA                        P.O. BOX 726                                         FARMERVILLE           LA    71241
A69     CONAGRA POULTRY CO             CLAIMS PROCESSING CTR      P.O. BOX 1758             EL DORADO             AR    71731-1758
Y49     CONAGRA POULTRY COMPANY        CLAIMS                     RT 5, BOX 311             MAGNOLIA              AR    71753
K77     CONCEPT ADMIN                  P O BOX 7090                                         SACRAMENTO            CA    95826
L26     CONCORDA HEALTH PLAN           1333 S KIRKWOOD ROAD       PO BOX 26668              ST LOUIS              MO    63122-6668
V57     CONFED ADMINISTRATION          SERVICES INC               P O BOX 2620              TULSA                 OK    74101
P80     CONFED ADMINISTRATIVE SERV     7410 N SIDE DR STE 202     PO BOX 2941903            N CHARLESTON          SC    29419-9003
U5*     CONFEDERATION LIFE             PO BOX 105103                                        ATLANTA               GA    30348
Q49     CONFEDERATION LIFE INS CO      PO BOX 38058                                         TUSCON                AZ    85740
P96     CONNECTICUT CARPENTERS HEA     10 BROADWAY                                          HAMDEN                CT    06518-2699
A38     CONNECTICUT GEN LIFE INSUR     ALLIED CLAIM CENTER        CALLER NUMBER 2           SYOSSET               NY    11791
B46     CONNECTICUT GEN LIFE INSUR     FALCON ATTN FLO NEWTON     PO BOX 70                 LEWISVILLE            AR    71845
Z58     CONNECTICUT GEN NAWRO SW R     COUNSEL GP MEDICAL PLAN    P.O. BOX 542814           DALLAS                TX    75354
HW1     CONNECTICUT GENERAL                                       PO BOX 55270              PHOENIX               AZ    85078
F15     CONNECTICUT GENERAL            600 GRANT ST, STE 1200                               PITTSBURGH            PA    15219
FI7     CONNECTICUT GENERAL                                       PO BOX 10397              DES MOINES            IA    50306
EX6     CONNECTICUT GENERAL LIFE       31 READS WAY                                         NEW CASTLE            DE    19720
GT*     CONNECTICUT GENERAL LIFE       425 MAIN STREET            ROOM 508                  RACINE                WI    53403
ZF*     CONNECTICUT GENERAL LIFE                                  2400 POPLAR               MEMPHIS               TN    38112
RP*     CONNECTICUT MEDICAL SERVIC                                221 WHITNEY AVENUE        NEW HAVEN             CT    06511
R32     CONNETICUT GENERAL LIFE IN                                P O BOX 6468              LAKELAND              FL    33807-6468
DM1     CONSECO COMPANIES              11815 N PENNSYLVANIA       P O BOX 2024              CARMEL                IN    46082-2024
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    37
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FW*     CONSECO DIRECT                 COLONIAL PENN             399 MARKET STREET         PHILADELPHIA           PA    19181-1250
FG7     CONSECO HEALTH INS CO                                    PO BOX 66909              CHICAGO                IL    60666
BD2     CONSECO MEDICAL INS CO         PIONEER LIFE MEDICAL      P O BOX 1250              ROCKFORD               IL    61105-1250
DI*     CONSECO PIONEER LIFE           MEDICARE SUPPLEMENT       P O BOX 100               ROCKFORD               IL    61105-0100
HL3     CONSECO SENIOR HEALTH                                    PO BOX 2002               CARMEL                 IN    46082
BX1     CONSECO VARIABLE INS CO                                  PO BOX 66967              CHICAGO                IL    60666
HV2     CONSOCIATE GROUP                                         PO BOX 1068               DECATUR                IL    62525
S87     CONSOLIDAED EMPLOYEE BENEF     PLAN                                                WISCONSIN RAPIDS       WI    54494
PE*     CONSOLIDATED ASSOC             OF RAILROAD EMPLOYEES     P O BOX 6130              TEMPLE                 TX    76503
CG6     CONSOLIDATED BENEFITS          P O BOX 23686                                       COLUMBIA               SC    29224
L93     CONSOLIDATED FREIGHT           P O BOX 3988                                        PORTLAND               OR    97208
CF2     CONSOLIDATED GROUP                                       P O BOX 248               BRATTLEBORO            VT    05302
BR1     CONSOLIDATED GROUP             P O BOX 1350                                        FREEMONT               OH    43420
AD9     CONSOLIDATED GROUP                                       P O BOX 2070              NASHUA                 NH    03060-2070
B16     CONSOLIDATED INS PLANS INC     FREEDOM TRUST             P O BOX 1739              MUFREESBORO            TN    37133-1739
H67     CONSOLIDATED MEDICAL           PENROD                    2200 THANKSGIVING TOWER   DALLAS                 TX    75201
AI5     CONSOLIDATED NATIONAL LIFE     INSURANCE COMPANY         P.O. BOX 349              TROY                   AL    36081-0349
G87     CONSOLIDATED PROPERTIES                                  P O BOX 5627              LITTLE ROCK            AR    72215
GU7     CONSTITUTION LIFE INS CO                                 PO BOX 130                PENSACOLA              FL    32591-0130
AR*     CONSTITUTION LIFE INS CO       325 WEST TRUDY AVENUE                               PARK RIDGE             IL    60068
B98     CONSTRUCTION INDUSTRY LABO     WELFARE FUND              116 COMMERCE DRIVE        JEFFERSON CITY         MO    65101
H10     CONSULTANTS AND ADMINISTRA                               P O BOX 720               DELAWARE               OH    43015
S86     CONSUMER BENEFIT ASSOCIATI                               P O BOX 130               PENSACOLA              FL    32591-0130
RJ*     CONTINENTAL AMERICAN           P O BOX 427                                         COLUMBIA               SC    29202-0427
HY8     CONTINENTAL AMERICAN INS C     CAIC                      P.O. BOX 427              COLUMIBA               SC    29202
QA*     CONTINENTAL AMERICAN LIFE                                714 MAIN STREET           FORT WORTH             TX    76102
QG*     CONTINENTAL AMERICAN LIFE      FOR SUPPLEMENTS SEE QG1   P O BOX 15850             WILMINGTON             DE    19850-5750
MZ*     CONTINENTAL ASSURANCE          C N A PLAZA                                         CHICAGO                IL    60685
P50     CONTINENTAL ASSURANCE CO       PO BOX 3200                                         ATLANTA                GA    30302
DP9     CONTINENTAL ASSURANCE CO       3404 W. CHERYL DR STE 281                           PHOENIX                AZ    85020-3900
CK2     CONTINENTAL CASUALTY CO        P.O. BOX 1326                                       FORT WORTH             TX    76101
FP*     CONTINENTAL CASUALTY CO        P O BOX 1134                                        CHICAGO                IL    60690
L57     CONTINENTAL EXPRESS            1701 S SHACKLEFORD                                  LITTLE ROCK            AR    72211
FG9     CONTINENTAL GENERAL                                      PO BOX 2997               PARKERSBURG            WV    26102
GB4     CONTINENTAL GENERAL                                      PO BOX 247031             OMAHA                  NE    68124
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    38
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
L31     CONTINENTAL GENERAL INS CO     PO BOX 2650                                         OMAHA                  NE    68103-2650
HX0     CONTINENTAL GENERAL INSURA     PO BOX 29136                                        SHAWNEE MISSION        KS    66201
H08     CONTINENTAL GENERAL INSURA                               PO BOX 30010              AUSTIN                 TX    78755
F86     CONTINENTAL GRAIN COMPANY      WAYNE FARMS               PO BOX 909                DANVILLE               AR    72833-0909
QB*     CONTINENTAL INSURANCE CNA      10810 EXECUTIVE CENTER DR SUITE 302                 LITTLE ROCK            AR    72211
ET3     CONTINENTAL LIFE ACCIDENT      P O BOX 1300                                        ROCKFORD               IL    61105-1300
P3*     CONTINENTAL LIFE AND           ACCIDENT CO               P O BOX 1599              BOISE                  ID    83701
S51     CONTINENTAL LIFE AND ACCID     C/O LEE TRANSPORTATION    P O BOX 628               STUTTGART              AR    72160
C93     CONTINENTAL LIFE AND ACCID     5100 GAMBLE DRIVE         P O BOX 9398              MINNEAPOLIS            MN    55440-9398
Q11     CONTINENTAL LIFE INS CO        101 CONTINENTAL PLACE     P O BOX 1188              BRENTWOOD              TN    37027-1188
Q28     CONTINENTAL LIFE INS CO        DIVISION OF FORESIGHT     PO BOX 1387               MENA                   AR    71953
M97     CONTINENTAL MEDICAL SYSTEM     P O BOX 1523                                        LANCASTER              PA    17603
G53     CONTINENTAL SYSTEMS VIP        POBOX 51005                                         SHREVEPORT             LA    70130
X61     CONTRA COSTA ELECT WORKERS     HEALTH WELFARE TRUST      RET LOCAL 302 P O BOX 668 PLEASANTON             CA    94566
H33     CONTRA COSTA HEALTH PLAN                                 3052 WILLOW PASS ROAD     CONCORD                CA    94519
Y75     CONTRACT FREIGHTERS INC        P.O. BOX 2547                                       JOPLIN                 MO    64803
HM8     CONVENTRY HEALTH INSURANCE     P.O. BOX 7109                                       LONDON                 KY    40742
ZV*     COOPER INDUSTRIAL              RUBBER COMPANY            166 COOPER LANE           EL DORADO              AR    71730
U39     COOPER INDUSTRIES INC                                    P O BOX 770               DUMAS                  AR    71639
U4*     COOPER MAJOR MEDICAL           3500 WASHINGTON STREET                              FINDLEY                OH    45840
H20     COOPER TIRE COMPANY                                      RT 2 BOX 252              TEXARKANA              AR    71854
HT2     COOPERATE SYSTEM ADMINISTR     PO BOX 4985                                         JOHNSON CITY           TN    37602-4985
Z87     COOPERATIVE BENEFIT ADMIN      P.O. BOX 6249                                       LINCOLN                NE    68506
DX8     COOPERATIVE BENEFIT ADMINS     NATURAL RURAL ELECTRIC    P O BOX 1000              SALEM                  AR    72576
F8*     COOPERATIVE HEALTH ASSOC       BENEFIT TRUST             P O BOX 7305              KANSAS CITY            MO    63105
B3*     COORS HEALTH CARE PLAN         DEPARTMENT 311                                      GOLDEN                 CO    80401
AZ3     CORE STAR                                                PO BOX 1195               MINNEAPOLIS            MN    55440
AP9     CORESOURCE                     RELIASTAR                 146 INDUSTRIAL PARK       JACKSON                MN    56143
BN9     CORESOURCE                     P O BOX 879                                         ANDERSON               IN    46015
BN3     CORESOURCE                     P O BOX 6179                                        WESTERFIELD            OH    43081
BM6     CORESOURCE                                               P O BOX 168               MATTESON               IL    60443
BD5     CORESOURCE                     P. O. BOX 83301                                     LANCASTER              PA    17608-3301
CY7     CORESOURCE                     6100 FAIRVIEW ROAD        SUITE 1000                CHARLOTTE              NC    28210
CN4     CORESOURCE                                               P O BOX 6994              WAYNE                  PA    19087
GM9     CORESOURCE                     P O BOX 22920                                       CLINTON                IA    52733
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    39
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GI1     CORESOURCE                     REPRICING DIVISION        PO BOX 2181               LITTLE ROCK            AR    72203-2181
FR3     CORESOURCE                                               PO BOX 8215               LITTLE ROCK            AR    72221
IB*     CORESOURCE                     RELISTAR                  BOX 1195                  MINNEAPOLIS            MN    55440
V24     CORESOURCE                     RELIASTAR                 P O BOX 29016             GLENDALE               CA    91209-9016
EV1     CORESOURCE FORMERLY            CORPORATE BENEFIT SOLUTIO P O BOX 8215              LITTLE ROCK            AR    72221
CX2     CORESOURCE INC                 4940 CAMPBELL BLVD        SUITE 200                 BALTIMORE              MD    21236
F67     CORKEN INTERNATIONAL CORP      P O BOX 12338                                       OKLAHOMA CITY          OK    73157
EF7     CORPORATE BENEFIT SERVICE      CBSA                      P O BOX 5367              HOPKINS                MN    55343-5367
DT4     CORPORATE BENEFIT SERVICES     10159 WAYZATA BLVD                                  MINNETONKA             MN    55305
CT7     CORPORATE BENEFIT SERVICES     CBSA                      P O BOX 738               HOPKINS                MN    55343
GJ3     CORPORATE BENEFIT SERVICES                               400 HWY 169 SOUTH         MINNEAPOLIS            MN    55426
GC3     CORPORATE BENEFITS SERV IN                               PO BOX 12953              CHARLOTTE              NC    28220-2953
W17     CORPORATE DIVERSIFIED          SERVICES INC              P O BOX 2835              OMAHA                  NE    68103-2835
K6*     CORPORATE GROUP SYSTEMS        HERTZ CLAIM MGMT CORP     P O BOX 5710              LIVONIA                MI    48151-5710
R44     CORPORATE GROUP SYSTEMS IN                               P O BOX 1470              BENTONVILLE            AR    72712-1470
CT1     CORPORATE HEALTH ADM           1800 E INTERSTATE AVE     P O BOX 1858              BISMARCK               ND    58502
GC7     CORPORATE HEALTH BENEFITS                                PO BOX 27267              MINNEAPOLIS            MN    55427
CX4     CORPORATE HEALTH INC           1300 SUMMIT AVENUE        SUITE 600                 FORT WORTH             TX    76102-4420
CK7     CORPORATE PLAN MGE             P O BOX 4651                                        TOPEKA                 KS    66604
D73     CORPORATION BENEFITS DIVIS     200 S LAMAS STREET        P O BOX 101               JACKSON                MS    39205-0101
AG3     CORRELL INC                    UNITED OF OMAHA           PO BOX 417                CHARLESTON             AR    72933
AJ5     CORVEL                         1701 CENTERVIEW DRIVE     SUITE 320                 LITTLE ROCK            AR    72211-4313
BC9     COST CARE   UNICARE                                      P O BOX 2006              ANDOVER                MA    01810-0106
F32     COST CARE INCORPORATED                                   17011 BEACH BOULEVARD     HUNTINGTON BEACH       CA    92647
BG2     COST MANAGEMENT TECHNOLOGI     4435 MAIN                 SUITE 810                 KANSAS CITY            MO    64111
CR5     COST MANAGEMENT TECHNOLOGI     PO BOX 29122                                        SHAWNEE MISSION        KS    66201-1422
G35     COTTER MEMBERS INSURANCE                                 203 JANDUS ROAD           CARY                   IL    60013
AU3     COTTON CLUB CASINO             P.O. BOX 1777                                       GREENVILLE             MS    38701-1777
K86     COUNTRY LIFE INS               COUNTRY COMPANIES         P O BOX 2000              BLOOMINGTON            IL    61701
R51     COUNTRY LIFE INS CO                                      900 HILLSBORO             EDWARDVILLE            IL    62025
GY6     COVENANT ADMINISTRATORS IN                               P O BOX 105738            ATLANTA                GA    30348-5738
HP2     COVENTRY HEALTH CARE           OF NEBRASKA               PO BOX 7705               LONDON                 KY    40742
GF8     COVENTRY HEALTH CARE                                     8301 E 21ST ST N STE 300 WICHITA                 KS    67206
GJ2     COVENTRY HEALTH CARE           2751 CENTERVILLE RD       STE 400                   WILMINGTON             DE    19808
GS2     COVENTRY HEALTHCARE                                      PO BOX 8400               LONDON                 KY    40742
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    40
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GX8     COVENTRY HEALTHCARE OF IOW                               P O BOX 7709              LONDON                 KY    40742
J75     COWLITZ MEDICAL SERVICE                                  PO BOX 2039               LONGVIEW               WA    98351
GG7     COX HEALTH PLAN                                          1443 N ROBBERSON STE 70   SPRINGFIELD            MO    65802
HP9     COX HEALTH SYSTEMS INSURAN     PO BOX 5750                                         SPRINGFIELD            MO    65801-5750
X53     CRAIGHEAD ELECTRIC CORP                                  P O BOX 7503              JONESBORO              AR    72403
X27     CRANE COMPANY                                            201 NORTH 8TH STREET      ROGERS                 AR    72756
CF3     CRANE KEMLITE                  C/O CIGNA                 8500 C W POST ROAD        JONESBORO              AR    72401
K62     CRAWFORD AGENCY                                          P O BOX 199               SEARCY                 AR    72143
L14     CRAWFORD COUNTY MEMORIAL       EAST MAIN 20TH STREETS                              VAN BUREN              AR    72956
AX7     CROUZET CORPORATION            ATTN GLENDA KATE          2445 MIDWAY ROAD          CARROLLTON             TX    75006-2503
R71     CROWN CORK AND SEAL CO         EMPLOYEE HEALTH PLAN      9300 ASHTON ROAD          PHILADELPHIA           PA    19136
DF*     CROWN GROUP INSURANCE          TORONTO                   CANADA M5R 2M7                                         00000
KU*     CROWN LIFE INS CO              SOUTHERN CAST PROD        5701 KRUEGER DR           JONESBORO              AR    72401
W1*     CROWN LIFE INS CO                                        546 STADIUM RD            PORT ARTHUR            TX    77642
D48     CROWN LIFE INSURANCE           P O BOX 8222                                        CHICAGO                IL    60680-8222
DZ*     CROWN LIFE INSURANCE           100 FM 1960W STE 109                                HOUSTON                TX    77090
FS*     CROWN LIFE INSURANCE CO                                  P O BOX 30138             TAMPA                  FL    33630
WZ*     CROWN LIFE INSURANCE CO        100 PINE STREET           TWENTY THIRD FLOOR        SAN FRANCISCO          CA    94111
WE*     CROWN LIFE INSURANCE CO                                  1601 PERIMETER CNTR EAST ATLANTA                 GA    30308
NG*     CROWN LIFE INSURANCE CO                                  11500 NO RODNEY PARHAM RD LITTLE ROCK            AR    72212
MI*     CRUMP BENEFITS                                           P O BOX 171377            MEMPHIS                TN    38117
X13     CSWS CLAIM PROCESSING          CENTRAL SOUTHWESTERN SERV P O BOX 21928             TULSA                  OK    74121-1928
DV8     CULINARY INS CO                INTERNATIONAL UNION W F   1901 LAS VEGAS BLVD SO    LAS VEGAS              NV    89104
G76     CUNA MUTUAL INS SOCIETY        CREDIT UNION MEMBERS INS                            MALVERN                PA    19355
B52     CUNA MUTUAL INSURANCE CORP     CU MEMBERS HOSP PLAN      ATTN CLAIMS DIVISION      VALLEY FORGE           PA    19494
FY1     CURASCRIPT                                               7101 TPC DRIVE SUITE 150 ORLANDO                 FL    32822
G46     CUSTOM SECURITY MUTUAL LIF     P O BOX 27247                                       AUSTIN                 TX    78755-2247
VL*     CYANAMID PERSONAL              PROTECTION                859 BERDAN AVENUE         WAYNE                  NJ    07406
BJ9     D CANALE CO                    P. O. BOX 1739                                      MEMPHIS                TN    38101-1739
L63     DAISY MANUFACTING                                        HWY 71                    ROGERS                 AR    72756
ES6     DAKOTA WESTERN HEALTH PLAN     BROTHERHOOD OF ELECT WKRS P O BOX 1951              FARGO                  ND    58107
FA9     DAKOTACARE                                               P O BOX 89310             SIOUX FALLS            SD    57109
A24     DALLAS NATIONAL CORP           PO BOX 809059                                       DALLAS                 TX    75380-9059
BT3     DAVID REES                     P O BOX 1573              2110 EAST MATTHEWS ST     JONESBORO              AR    72403-1573
N25     DAVID SMITH INS AGENCY         108 HERON                                           BRANDON                MS    39042
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    41
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
G23     DAVIS AND GARVIN                                         POBOX 21627               COLUMBIA               SC    29221
EJ5     DAVIS VISION                                             P O BOX 2270              SCHENECTADY            NY    12301
FF5     DBL NORTH AMERICAN             POB 853921 RICHARDSON TX PO BOX 9501                AMHERST                NY    14226-9501
V86     DBL SERVICES                   515 OLIVE STE 700         P O BOX 66714             ST LOUIS               MO    63166
M70     DCA HEALTHCARE MGT             13100 WAYZATTA BLVD                                 MINNETONKA             MN    55343
EC4     DEAN HEALTH PLAN                                         P O BOX 56099             MADISON                WI    53705
GT9     DEFINITY                       500 COLVIN WOODS PKWY                               TONAWANDA              LA    14150
GT8     DEFINITY HEALTH                1600 UTICA AVE S STE 900                            ST LOUIS PARK          MN    55416-1465
GS4     DEFINITY HEALTH                A UNITED HEALTH GROUP CO PO BOX 740810              ATLANTA                GA    30374-0810
GB6     DEFINITY HEALTH                P O BOX 9525                                        AMHERST                NY    14226-9525
HE6     DEFINITY HEALTH                EMPLOYERS HEALTH COALITIO P O BOX 250009            PLANO                  TX    75025
Q6*     DELAM AM HEALTH TRUST                                    P O BOX 899               CLEARWATER             FL    33517
BJ5     DELPHI GROUP                   PO BOX 3611                                         BARRINGTON             IL    60010
T75     DELTA AIR LINES                                          HARTSFIELD ATLANTA INTNL ATLANTA                 GA    30320
L67     DELTA BENEFIT PLANS            P O BOX 80                                          STOCKTON               CA    95201
H72     DELTA BEVERAGE GROUP INC       MINNEAPOLIS GRP CLA CT II P.O. BOX 1195             MINNEAPOLIS            MN    55440
HN9     DELTA DENTAL                                             PO BOX 789769             WICHITA                KS    67278-9769
GV4     DELTA DENTAL                                             PO BOX 1809               ALPHARETTA             GA    30023-1809
HC8     DELTA DENTAL                   P O BOX 8690                                        ST LOUIS               MO    63126
EA1     DELTA DENTAL                                             P O BOX 152140            IRVING                 TX    75015-2140
HD4     DELTA DENTAL OF                NORTH CAROLINA            343 SIX FORKS ROAD        RALEIGH                NC    27609
HW0     DELTA DENTAL OF CA                                       PO BOX 537007             SACRAMENTO             CA    95837-0078
CI6     DELTA DENTAL OF CA                                       P O BOX 269023            SACRAMENTO             CA    95826-9023
GV0     DELTA DENTAL OF CALIFORNIA                               PO BOX 537007             SACRAMENTO             CA    95853-7007
GZ9     DELTA DENTAL OF GEORGIA                                  PO BOX 1809               ALPHARETTA             GA    30023
HB1     DELTA DENTAL OF HAWAII         700 BISHOP STREET         SUITE 700                 HONOLULU               HI    96813
FJ8     DELTA DENTAL OF ILLINOIS                                 PO BOX 5402               LISLE                  IL    60532
FR9     DELTA DENTAL OF IOWA                                     PO BOX 919                ANKENY                 IA    50021-0919
CU6     DELTA DENTAL OF MA             465 MEDFORD STREET        PO BOX 9695               BOSTON                 MA    02114-9695
CL6     DELTA DENTAL OF MISSOURI                                 P O BOX 16921             ST LOUIS               MO    63105
HG4     DELTA DENTAL OF MISSOURI       C/O CUSTOMER SERVICES     P O BOX 8690              ST LOUIS               MO    63126-0690
DS4     DELTA DENTAL OF PA             ONE DELTA DRIVE                                     MECHANICSBURG          PA    17055
FK1     DELTA DENTAL OF WASHINGTON                               PO BOX 75983              SEATTLE                WA    98125
IA6     DELTA DENTAL OF WI                                       PO BOX 828                STEPHENS POINT         WI    54481
JO7     DELTA DENTAL PLAN              P O BOX 997330                                      SACRAMENTO             CA    95899-7330
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    42
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
DY8     DELTA DENTAL PLAN              OF ILLINOIS               P O BOX 9500              DOWNERS GROVE          IL    60515-9500
Z25     DELTA DENTAL PLAN                                        P O BOX 330               MINNEAPOLIS            MN    55440
N86     DELTA DENTAL PLAN OF           MICHIGAN                  P O BOX 9085              FARMINGTON HILLS       MI    48333-9085
CX9     DELTA DENTAL PLAN OF           NEW JERSEY                P O BOX 222               PARSIPPANY             NJ    07054
H92     DELTA DENTAL PLAN OF AR        P.O. BOX 15965                                      NORTH LITTLE ROCK      AR    72231
PC*     DELTA DENTAL PLAN OF CO                                  P O BOX 173803            DENVER                 CO    80217-3803
CU9     DELTA DENTAL PLAN OF KY        9901 LINN STATION ROAD                              LOUISVILLE             KY    40223
A47     DELTA DENTAL PLN OF TN         240 VENTURE CIRCLE                                  NASHVILLE              TN    37228
GU1     DELTA HEALTH SYSTEM            P O BOX 692350                                      STOCKTON               CA    95269-2350
HX2     DELTA HEALTH SYSTEMS           PO BOX 80                                           STOCKTON               CA    95201-3080
BK8     DELTA HEALTH SYSTEMS                                     PO BOX 12307              FRESNO                 CA    93777-2307
CC9     DELTA TRI CARE                 FAMILY MEDICAL DENTAL     P.O. BOX 9086             FARMINGTON HILLS       MI    48333-9086
FS6     DELTA USA                                                PO BOX 59238              MINNEAPOLIS            MN    55459
K59     DELTA WESTERN STATES                                     PO BOX 8082               FRESNO                 CA    93747
W16     DENT A MED CUSTOMER            SERVICE CENTER            P O BOX 1567              FAYETTEVILLE           AR    72702
BQ4     DENTICARE                      7112 S MINGO              SUITE 108                 TULSA                  OK    74133
CR2     DEPT OF VETERANS AFFAIRS       REGIONAL OFFICE           100 WEST CAPITOL STREET   JACKSON                MS    39269
EW6     DESERET MUTUAL BENEFIT         ADMINISTRATION            P O BOX 45530             SALT LAKE CITY         UT    84145
BN6     DIAGNOSTIC INCORPERATED        P O BOX 27870                                       ALBUQUERQUE            NM    87125
Q50     DIDION MID SOUTH CORPORATI     2216 DODSON AVE           SUITE A                   FORT SMITH             AR    72901
AL7     DIGICON                        EMPLOYEE BENEFIT PLAN     3701 KIRBY DR, NO. 1050   HOUSTON                TX    77098
L29     DILLON FOODS STORES                                      P O BOX 1266              HUTCHINSON             KS    67504-1266
CP6     DIVERSIFIED GROUP SERVICES     P O BOX 330                                         CANONSBURG             PA    15317
DD3     DIVERSIFIED PHARMACUTICALS     ROUTE 4029                P O BOX 169052            DULUTH                 MN    55816-8220
U43     DIXIE NATIONAL LIFE INS                                  P O BOX 22587             JACKSON                MS    39225-2587
EZ9     DMI INC                                                  P O BOX 65                GOODFIELD              IL    61742
BE9     DOCFIRST                       P O BOX 17098             1 800 793 9403            BALTIMORE              MD    21203
E11     DOLLAR GENERAL CORP            427 BEECH STREET          P O BOX 291927            SCOTTSVILLE            KY    42164
R76     DOLLAR GENERAL CORP                                      P O BOX 121228            NASHVILLE              TN    37212
CX6     DONOVAN BENEFIT SYSTEMS        440 LOUISIANA NO 1600                               HOUSTON                TX    77002
Q20     DONREY MEDIA GROUP             3600 WHEELER AVE          P O BOX 170117            FORT SMITH             AR    72917-7017
HR5     DORAL DENTAL                   P O BOX 45                                          GRAFTON                WI    53024
R46     DORTH COOMBS INSURANCE INC     EMPLOYEE GR BENEFIT PLAN 833 BEACHWOOD              FAYETTEVILLE           AR    72701
M19     DOW CHEMICAL COMPANY                                     PO BOX 2349               MIDLAND                MI    48667-2349
U79     DPS                            ROUTE 8071                P O BOX 1459              MINNEAPOLIS            MN    55440-1459
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    43
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AI6     DRAKE INSURANCE ADMIN          P.O. BOX 1253                                       COLTON                 CA    92354
CI7     DREYER HMO                     1877 W DOWNER PLACE                                 AURORA                 IL    60506-9659
DV6     DRUMMOND CITIZEN INS CO                                  201 PINE STREET           WEST MEMPHIS           AR    72301
K78     DUAL PLUS                      911 SLUDERBAKER ROAD      SUITE 250                 LONG BEACH             CA    90815
I99     DUMMOND CITIZENS INS CO                                  609 LOCUST                CONWAY                 AR    72032
G3*     DUNN AND BRADSTREET            P O BOX 30102                                       TAMPA                  FL    33630-3102
BE4     DUNN AND BRADSTREET            ONONDAGA CO BENEFIT PLAN P. O. BOX 4773             SYRACUSE               NY    13221-4773
BV9     DUTCH QUALITY HOUSE            5310 KENNON LANE                                    BOSSIER CITY           LA    71112
BV4     DYERSBURG FABRICS INC          P O BOX 767                                         DYERSBURG              TN    38025
J7*     E AND E BENEFIT PLANS                                    3501 JOHNSON STREET       HOLLYWOOD              FL    33320
WT*     E B A AND M CORPORATION        2393 TOWNSGATE ROAD       SUITE 204                 WESTLAKE VILLAGE       CA    91361
P37     E B C GULF LIFE                PO BOX 871                                          MERIDIAN               MS    39302
BW7     E I S BRAKE                    ATTN SHIRLEY              PO BOX 950                MANILA                 AR    72442
BY5     E SYSTEMS                      P O BOX 1567                                        HOUSTON                TX    77251
R75     EARLE INDUSTRIES INC                                     P O BOX 28                EARLE                  AR    72331
E57     EASTERN BENEFIT SYSTEM         200 FREEWAY DRIVE EAST                              EAST ORANGE            NJ    07018
FK8     EATON CORPORATION                                        PO BOX 23806              TUCSON                 AZ    85734
H40     EBAM                                                     PO BOX 2457               WEST HELENA            AR    72390
HA1     EBMS                                                     P O BOX 21367             BILLINGS               MT    59104-1367
BS9     EBP HEALTHPLANS                FIRST HEALTH              P O BOX 24007             FRESNO                 CA    97339
EE9     EBP US MARINE BAYLINER         TPA OF WA                 800 5TH AVE STE 2500      SEATTLE                WA    98104-3122
X22     EBPA HEALTHSOURCE                                        P O DRAWER 2000           HAMPTON                NH    03842
FK7     EBS HARRINGTON                 BENEFIT SERVICES          P O BOX 70100             SHREVEPORT             LA    71137-0100
BZ4     ECK ADAMS COMPANY              1300 RICHARD PREWITT DR                             OSCEOLA                AR    72370
J97     ECLIPSE INDUSTRIAL             3201 WEST 34TH                                      PINE BLUFF             AR    71603
CV1     EDMOND ADMINISTRATORS                                    P O BOX 419325            KANSAS CITY            KS    64141-6325
CT6     EDS HEALTH PLAN                                          P O BOX 796069            DALLAS                 TX    75379-0669
0X*     EDSA                                                     P O BOX 868               BALTIMORE              MD    21203-0868
DN1     EDUCATORS MUTAL LIFE                                     P O BOX 83888             LANCASTER              PA    17608-3888
L7*     ELDER CARE OF ARKANSAS                                   P O BOX 545               HOT SPRINGS            AR    71901
II*     ELECTRONIC BENEFIT ADM         7557 RAMBLER ROAD         SUITE 555                 DALLAS                 TX    75231
X82     ELITE LAMP INC                 ATTN HEALTH INS DEPT      PO BOX 936                WEST MEMPHIS           AR    72303
RN*     ELY WALKER SHIRT MFG                                     220 EAST PARK STREET      PARAGOULD              AR    72450
W28     EMPIRE BLUE CROSS              75 CRYSTAL RUN RD         P O BOX 5012              MIDDLETOWN             NY    10940-9012
EF3     EMPIRE BLUE CROSS              ATTN MILAN HABEL          P O BOX 170               NEW YORK               NY    10156-0170
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    44
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
DB8     EMPIRE BLUE CROSS BLUE         SHIELD                    P O BOX 11800             ALBANY                 NY    12211
BX3     EMPIRE BLUE CROSS BLUE SHI     ATTN NYNEX DED SERV CTR   P O BOX 5047              MIDDLETOWN             NY    10941-9047
CQ4     EMPIRE BLUE CROSS BLUE SHI     P O BOX 5071              1 800 223 7486            MIDDLETOWN             NY    10940
HQ*     EMPIRE BLUE CROSS BLUE SHI     622 THIRD AVENUE          P O BOX 345               NEW YORK               NY    10163-0345
Q88     EMPIRE BLUE CROSS BLUE SHI     GRAND CENTRAL STATION     P O BOX 3850              NEW YORK               NY    10163
X4*     EMPIRE TRUST GRP UNDERWRIT     2 PUBLIC SQUARE           PO BOX 6079               ELBERTON               GA    30635
W65     EMPLOYEE BENEFIT ADMIN         INC                       P O BOX 7965              OVERLAND PARK          KS    66207
CU5     EMPLOYEE BENEFIT ADMIN INC     P O BOX 425                                         MARSHFIELD             MA    02050
S78     EMPLOYEE BENEFIT CLAIMS                                  P O BOX 871               MERIDIAN               MS    39302
I87     EMPLOYEE BENEFIT FUND                                    8600 HILLCREST RD STE 1   KANSAS CITY            MO    64138
Z59     EMPLOYEE BENEFIT MGT CORP      4789 RINGS ROAD                                     DUBLIN                 OH    43017
V58     EMPLOYEE BENEFIT PLAN          ADMINISTRATORS INC        P O BOX 2000              HAMPTON                NH    03842
BS4     EMPLOYEE BENEFIT PLAN          P O BOX 392                                         EXTON                  PA    19341-0392
HB6     EMPLOYEE BENEFIT SERVICES      LOUISIANA, INC            P.O. BOX 94488            LUBBOCK                TX    79493-4488
A5*     EMPLOYEE BENEFIT SERVICES      601 SOUTH BLVD            P O BOX 3247              TAMPA                  FL    33601
DY1     EMPLOYEE BENEFIT SOLUTION                                PO BOX 691030             SAN ANTONIO            TX    78269
EL3     EMPLOYEE BENEFIT STRATEGIE     229 EAST MICHIGAN AVE     SUITE 235                 KALAMAZOO              MI    49007
X83     EMPLOYEE BENEFIT SVCS INC                                P O BOX 70100             SHREVEPORT             LA    71137-0100
F42     EMPLOYEE BENEFITS ADMINIST     10100 SANTE FE DR         POBOX 14970               SHAWNEE MISSION        KS    66215
M52     EMPLOYEE BENEFITS AMERICA      P O BOX C3500                                       FEDERAL WAY            WA    98003
A11     EMPLOYEE BENEFITS CONSULT      PO BOX 578                                          NORTH LITTLE ROCK      AR    00000
BR9     EMPLOYEE BENEFITS CORPORAT                               PO BOX 3618               PEORIA HEIGHTS         IL    61612
F49     EMPLOYEE BENEFITS DEPT                                   POBOX 189                 COLUMBUS               OH    43216
BE6     EMPLOYEE BENEFITS TRUST CO     P. O. BOX 8788                                      WILMINGTON             DE    19899
H96     EMPLOYEE FINANCIAL SERVICE     HEALTH CARE VISION CARE P.O. BOX 27003              RICHMOND               VA    23261
EB6     EMPLOYEE HEALTH BENEFIT                                  P O BOX 66922             ST LOUIS               MO    63166
G27     EMPLOYEE HEALTH CARE BENEF                               P O BOX 2749              WEST HELENA            AR    72390
FJ4     EMPLOYEE HEALTH PLAN                                     P.O.BOX 232               MORTON                 IL    61550-0232
E99     EMPLOYEE HEALTH PLAN           8900INDIAN CREEK PARKWAY BOX 25900                  OVERLAND PARK          KS    66225
BH2     EMPLOYEE HEALTH PLAN           P. O. BOX 70837                                     LAS VEGAS              NV    89170
DN3     EMPLOYEE PLANS INC                                       P O BOX 2362              FORT WAYNE             IN    46801-2362
E53     EMPLOYEES BENEFIT ASSOC        A T AND S F               P O BOX 1625              TOPEKA                 KS    66601-1625
AA9     EMPLOYEES BENEFIT PLANS        INC EBP                   435 FORD ROAD SUITE 500C MINNEAPOLIS             MN    55426
S75     EMPLOYEES BENEFITS SERVICE                               P O BOX 12477             CHARLOTTE              NC    28220
BP7     EMPLOYEES COOP IND TRUST       P O BOX 19884                                       INDIANAPOLIS           IN    46219
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    45
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AY1     EMPLOYEES GROUP INSURANCE      PROGRAM                   P.O. BOX 24870            OKLAHOMA CITY          OK    73124
YR*     EMPLOYEES MUTUAL               LIFE COMPANY              916 SHERWOOD DRIVE        LAKE BLUFF             IL    60044
Y94     EMPLOYEES MUTUAL WELFARE A                               3100 SYCAMORE DRIVE       DEKALB                 IL    60015
SA*     EMPLOYER HEALTH AND WELFAR     INTERNATL UNION OF OPERAT 1125 17TH STREET NW       WASHINGTON             DC    20036
AM7     EMPLOYER PLAN SERVICES                                   PO BOX 19776              HOUSTON                TX    77224-9776
FQ3     EMPLOYERS CHOICE HEALTH                                  1525 MERRILL DR STE 2000 LITTLE ROCK             AR    72211
EU6     EMPLOYERS CLAIM SERVICE                                  P O BOX 219010            DALLAS                 TX    75221
EE*     EMPLOYERS EQUITABLE LIFE I                               P O BOX 1417              LITTLE ROCK            AR    72203
DM6     EMPLOYERS HEALTH COALITION     4949 OLD GREENWOOD RD     SUITE 1                   FORT SMITH             AR    72903
B57     EMPLOYERS INS OF TEXAS                                   4107 HIGHWAY 75 NORTH     SHERMAN                TX    75090
H52     EMPLOYERS OPERATING ENGINE     HEALTH WELFARE PLAN       8 EXECUTIVE WOODS CT      BELLEVILLE             IL    62221
EU4     EMPLOYERS PERSONNEL SERVIC                               P O BOX 596               MONTICELLO             AR    71655
AP4     EMS ADMINISTRATIVE SVCS        1115 W. LANCASTER AVE     TRAC WORK INC             FORT WORTH             TX    76102
N64     ENCOMPASS HEALTH MGMT SYST     6000 WESTOWN PARKWAY      SUITE 350E DEPT 1000      W DES MOINES           IA    50266
I94     ENSCO INC                      AMERICAN OIL ROAD         P.O. BOX 1957             EL DORADO              AR    71731
P66     ENSERCH                        P O BOX 4271                                        HOUSTON                TX    77210
N84     ENTERCORP                      P.O. BOX 922013                                     HOUSTON                TX    77292-2013
DM9     EPIC LIFE INSURANCE CO                                   P O BOX 8924              MADISON                WI    53708
A41     EPOCH GROUP INC                PENSION ASSOCIATES INC    10795 WATSON RD           ST LOUIS               MO    63127
XI*     EPOCH GROUP INC                LAHOOD AND ASSOCIATES     P O BOX 12170             OVERLAND PARK          KS    66212
N95     EQUICOR                        3200 PARK LANE DRIVE                                PITTSBURG              PA    15275-1102
AN1     EQUICOR                        STUTTGART COOP BUYERS     PO BOX 10392              DES MOINES             IA    50300
R49     EQUICOR                                                  P O BOX 16795             COLUMBUS               OH    43216
R47     EQUICOR CO                                               850 RIDGE LAKE RD         MEMPHIS                TN    38120
L69     EQUICOR INS                    2 VANTAGE WAY             P O BOX 1465              NASHVILLE              TN    37202
RY*     EQUITABLE                                                P O BOX 3960              SAN FRANCISCO          CA    94119
T54     EQUITABLE                      WATERFALL GLEN REG BENE   P O BOX 549               LEMONT                 IL    60439
E63     EQUITABLE                      P O BOX 529                                         COLORADO SPRINGS       CO    80901
CZ*     EQUITABLE                      NORTH EIGHTH                                        ROGERS                 AR    72756
CB*     EQUITABLE                      5100 POPLAR AVENUE        SUITE 150C                MEMPHIS                TN    38137
WG*     EQUITABLE ASSUR SOCTY OF U     3077 W JEFFERSON ST       SUITE 101                 JOLIET                 IL    60435
F66     EQUITABLE GROUP HEALTH INS                               POBOX 24009               FRESNO                 CA    93779
B18     EQUITABLE INS CO               3210 WATLING STREET                                 EAST CHICAGO           IN    46312
K9*     EQUITABLE INSURANCE            GENERAL DELIVERY                                    GARDEN CITY            NY    11530
KP*     EQUITABLE LIFE AND CASUALT     EQUITABLE BLDG            P O BOX 2460              SALT LAKE CITY         UT    84110
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    46
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
R89     EQUITABLE LIFE AND CASUALT     LINDA MORRISON            P O BOX 132               HOT SPRINGS            AR    71902
WO*     EQUITABLE LIFE ASSURANCE       SOCIETY                   SOUTHERN SERVICE CENTER   CHARLOTTE              NC    28259
A8*     EQUITABLE LIFE ASSURANCE       P O BOX 885                                         TULSA                  OK    74102
BZ8     EQUITABLE LIFE ASSURANCE       4602 SUMMERHILL                                     TEXARKANA              TX    75503
E17     EQUITABLE LIFE ASSURANCE       P O BOX 1                                           CYPRESS GARDENS        FL    33880
GK*     EQUITABLE LIFE ASSURANCE       785 CROSSOVER OFFICE      SUITE 250                 MEMPHIS                TN    38117
E70     EQUITABLE LIFE ASSURANCE       P O BOX 4000                                        PICAYUNE               MS    39466
N4*     EQUITABLE LIFE ASSURANCE                                 4220 JOHNSON DRIVE        SHAWNEE MISSION        KS    66205
NJ*     EQUITABLE LIFE ASSURANCE                                 515 OLIVE STREET          ST LOUIS               MO    63101
P22     EQUITABLE LIFE ASSURANCE       SOCIETY OF THE US         208 OLD LANCASTER         DEVON                  PA    19333
CN*     EQUITABLE LIFE ASSURANCE S     FAIRVIEW OFF CTR ST 302   B4220 JOHNSON DRIVE       SHAWNEE MISSION        KS    66205
CC*     EQUITABLE LIFE GROUP           100 MORRIS AVENUE                                   SPRINGFIELD            NJ    07081
0F*     EQUITABLE LIFE INS CO                                    P O BOX 2481              NEW YORK               NY    10001
IE*     EQUITABLE LIFE INS CO          9 GREENWAY PLAZA          SUITE 2014                HOUSTON                TX    77406
PK*     EQUITABLE LIFE INSURANCE       GENERAL DELIVERY                                    TACOMA                 WA    93401
TQ*     EQUITABLE LIFE INSURANCE       15 SOUTH FIFTH STREET     1000 CHMBR OF CMRCE BLDG MINNEAPOLIS             MN    55400
HX*     EQUITABLE MAJOR MEDICAL        SERVICE CENTER            P O BOX 3000              LANCASTER              SC    29721-3000
K35     EQUITABLE PLAN SERVICES                                  P O BOX 770466            OKLAHOMA CITY          OK    73177
F29     EQUITY INTERNATIONAL LIFE                                1320 LAKE STREET          FORT WORTH             TX    76102
BG3     ERISCO                         P O BOX 4773                                        SYRACUSE               NY    13221
AL9     ERN ADMINISTRATORS INC                                   PO BOX 9137               FT WORTH               TX    76147
N24     ESCOBAR ADMINISTRATORS                                   PO BOX 5279               TORRANCE               CA    90510-5279
J9*     ESMARK INC HEALTH BENEFIT      PLAN                      P O BOX 665               HUNTSVILLE             AL    72740
T71     EUDORA GARMENT MFG             304 SUPERIOR DRIVE                                  EUDORA                 AR    71640
HV3     EVEREST ADMINISTRATORS         PO BOX 19002                                        PROVO                  UT    84605-9002
YZ*     EVOLUTIONS HEALTH CARE         ROCKLINE INDUSTRIES       PO BOX 5001               NEW PORT RICHEY        FL    31656
HV1     EXCELLUS BCBS                                            PO BOX 22999              ROCHESTER              NY    14692
FY6     EXPRESS PHARMACY                                         PO BOX 390873             BLOOMINGTON            MN    55439
CC2     EXPRESS SCRIPTS                                          PO BOX 66773              ST LOUIS               MO    63166-6773
IC8     EXPRESS SCRIPTS                                          PO BOX 390873             BLOOMINGTON            MN    55439-0873
GV9     EXPRESS SCRIPTS INC                                      PO BOX 66583              ST LOUIS               MO    63166
GB9     EXPRESS SCRIPTS INC                                      PO BOX 66518              ST LOUIS               MO    63166-6518
CY9     EYE CARE PLAN OF AMERICA                                 P O BOX 35859             PHOENIX                AZ    85069
GG1     EYE MED VISION CARE                                      PO BOX 8504               MASON                  OH    45249-5905
GU3     EYEMED VISION CARE             P O BOX 8504                                        MASON                  OH    45040-7111
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    47
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
H34     F H P INSURANCE CO                                       P O BOX 3697              SEAL BEACH             CA    90740
L37     FACET ENTERPRISES INC          TWO WARREN PLACE          61005 YALE AVENUE         TULSA                  OK    74136-1996
GH8     FALLON HEALTHCARE              10 CHESTNUT STREET        PO BOX 15121              WORCESTER              MA    01615
U25     FAMILY DOLLAR STORE                                      P O BOX 1017              CHARLOTTE              NC    00000
D75     FAMILY HEALTH PROGRAM          323 SOUTH 600 EAST                                  SALT LAKE CITY         UT    84103
GJ9     FAMILY HERITAGE LIFE INS                                 PO BOX 470608             CLEVELAND              OH    44147
FL8     FAMILY HERITAGE LIFE INS C     P O BOX 31420                                       CLEVELAND              OH    44131-0420
AW4     FANSTEEL WELLMAN DYNAMICS      HWY 34 EAST               P.O. BOX 147              CRESTON                IA    50801
HO3     FARA BENEFIT SERVICES          3838 N CAUSEWAY BLVD      SUITE 2400                METAIRIE               LA    70002
GO5     FARA HEALTHCARE MANAGEMENT     2360 FIFTH STREET                                   MANDEVILLE             LA    70471
GM4     FARM BUREAU INSURANCE                                    PO BOX 450                BENTONVILLE            AR    72712
BJ2     FARMERS AND MERCHANTS BANK                               P O BOX 108               REYNO                  AR    72462
M69     FARMERS BANK AND TRUST         TRUSTEE LARRY HOLMAN      P O BOX 288               CLARKSVILLE            AR    72830
EY5     FARMERS BANK AND TRUST         400 WEST MAIN ST          P O BOX 688               BLYTHEVILLE            AR    72316-0688
PA*     FARMERS ELEC CO OP             ATTN BENEFIT ADM          P O BOX 400               NEWPORT                AR    72112
FC*     FARMERS INSURANCE GROUP        4601 WILSHIRE BLVD        P O BOX 2478              LOS ANGELES            CA    90051-0478
CP3     FARMERS UNION COOPERATIVE                                PO BOX 625                CABOT                  AR    72023
AW5     FARMLAND INDUSTRIES INC        EMPLOYEE BENEFIT PLAN     P.O. BOX 7305             KANSAS CITY            MO    64116
T1*     FARMLAND INSURANCE             1963 BELL AVENUE                                    DES MOINES             IA    50315
DC9     FARNELL AND SMITH INC                                    P O BOX 650               SEAFORD                DE    19973
AL8     FEDERAL BLUE CROSS BLUE        SHIELD                    233 N. MICHIGAN AVENUE    CHICAGO                IL    60601
B40     FEDERAL EMPLOYEES HLTH BEN     1325 MASS AVE NW                                    WASHINGTON             DC    20005
Q32     FEDERAL LIFE AND CASUALTY      6277 SEA HARBOR DR                                  ORLANDO                FL    32887
P53     FEDERAL MOGUL CORPORATION      HEALTH CARE SYSTEMS       PO BOX 1999               DETROIT                MI    48235
J54     FEDERATED INSURANCE CO         501 WOODLANE                                        LITTLE ROCK            AR    72203
NW*     FEDERATED MUTUAL               129 EAST BROADWAY         P O BOX 328               OWATONNA               MN    55060
N15     FEDERATED MUTUAL INS           2701 NORTH ROCKYPOINT DR P O BOX 31716              TAMPA                  FL    33631
W20     FEDERATED MUTUAL INS                                     BOX 41944                 KANSAS CITY            MO    64141
DA7     FEDERATED MUTUAL INS CO                                  P O BOX 65509             WEST DES MOINES        IA    50265-0509
Y76     FEDERATED MUTUAL INSURANCE                               P.O. BOX 1548             HURST                  TX    76053-1548
AK4     FERGUSON ENTERPRISES           DELTA U.S.                4818 STARKEY ROAD SW      ROANOKE                VA    24014
AU*     FEWELL AND ASSOCIATES          P O BOX 8212                                        LITTLE ROCK            AR    72221-8212
CR7     FHP HEALTH CARE                P O BOX 441170                                      AURORA                 CO    80044
DG9     FHP TAKECARE                   2300 CLAYTON RD STE 1000 P O BOX 4059               CONCORD                CA    94524
U37     FIDELITY INS CO OF AM          GREENHILL AGENCY ASSOC    P O BOX 2426              JACKSON                MS    39205
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    48
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
C95     FIDELITY SECURITY              3130 BROADWAY                                       KANSAS CITY            MO    64111
D46     FIDELITY SECURITY LIFE         BOX 809059                                          DALLAS                 TX    75380-9059
G17     FINANCIAL SECURITY ASSURAN                               PO BOX 3156               LITTLE ROCK            AR    72202
XP*     FIREMANS FUND                  INSURANCE COMPANY         P O BOX 3650              SAN RAFAEL             CA    94902
XK*     FIREMANS FUND                  AMERICAN LIFE             P O BOX 40726             NASHVILLE              TN    37204
YA*     FIREMANS FUND                                            P O BOX 61005             DALLAS                 TX    75261
A51     FIREMANS FUND                  MEDICAL CLAIMS            P O BOX 1100              GREENBAY               WI    54344
CL*     FIRESTONE COMPANY              1200 FIRESTONE PARKWAY    P O BOX 26605             AKRON                  OH    44319
HC9     FIRST ADMINISTRATORS           512 MAIN ST SUITE 200     PO BOX 8150               RAPID CITY             SD    57709-8150
DZ5     FIRST ALLMERICA FINANCIAL                                P O BOX 107               HOWELL                 MI    48843
Y97     FIRST BENEFITS AGENCY INC      P.O. BOX 4138             3636 COPLEY ROAD          AKRON                  OH    44321
L65     FIRST BENEFITS INC             P.O. BOX 737                                        TOPEKA                 KS    66601
DJ1     FIRST CARE INC                                           P O BOX 70100             SHREVEPORT             LA    71137-0100
GA3     FIRST CHOICE HEALTH                                      PO BOX 85008              BELLEVUE               WA    98015
M96     FIRST CHOICE HEALTH INS        110GIBRALTA ROAD                                    WORSHAM                PA    19044
AK5     FIRST COMMERCIAL TRUST CO      SASHA WASHINGTON TRUST    400 WEST CAPITOL          LITTLE ROCK            AR    72201
L99     FIRST CONTINENTAL LIFE                                   P O BOX 27008             SALT LAKE CITY         UT    84127-0008
D57     FIRST ELECTRIC COOP            P O BOX 5018                                        JACKSONVILLE           AR    72076
F41     FIRST FAR WEST                 P O BOX 4107                                        PORTLAND               OR    97208
F34     FIRST HEALTH                                             PO BOX 26199              MILWAUKEE              WI    53226
FX8     FIRST HEALTH                   P O BOX 23550                                       TUCSON                 AZ    85734
FT1     FIRST HEALTH                                             PO BOX 23813              TUCSON                 AZ    85734
GZ7     FIRST HEALTH                                             P O BOX 9668              SCOTTSDALE             AZ    85252
GN6     FIRST HEALTH                   P O BOX 24220                                       TUCSON                 AZ    85734
GK3     FIRST HEALTH                                             PO BOX 23070              TUCSON                 AZ    85734
GI5     FIRST HEALTH                                             PO BOX 11807              TUCSON                 AZ    85734
GH7     FIRST HEALTH                   P O BOX 11420                                       TUCSON                 AZ    85734
GC9     FIRST HEALTH                                             PO BOX 11010              TUCSON                 AZ    85734
GA4     FIRST HEALTH                                             PO BOX 44242              JACKSONVILLE           FL    32231
N48     FIRST HEALTH                                             PO BOX 671248             HOUSTON                TX    77267-1248
HE4     FIRST HEALTH                   PO BOX 9668                                         SCOTTSDALE             AZ    85252
H80     FIRST HEALTH                                             P O BOX 7189              ST LOUIS               MO    63177
Y99     FIRST HEALTH                   P.O. BOX 17                                         BOISE                  ID    83707
Y98     FIRST HEALTH                   P.O. BOX 5500                                       CORAOPOLIS             PA    15108
AC5     FIRST HEALTH                                             P O BOX 30081             SALT LAKE CITY         UT    84130
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    49
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AB8     FIRST HEALTH                   PO BOX 11680                                        TUCSON                 AZ    85734
AA4     FIRST HEALTH                   CLAIMS DEPT               P O BOX 59185             MINNEAPOLIS            MN    55440
AA1     FIRST HEALTH                   P O BOX 9500              1 800 533 5044            CORAOPOLIS             PA    15108
X63     FIRST HEALTH                                             P O BOX 2067              MILWAUKEE              WI    53201
U74     FIRST HEALTH                                             P O BOX 450989            ATLANTA                GA    30345-0989
W35     FIRST HEALTH                   TERRA INTERNATIONAL INC   P O BOX 2500              CORAOPOLIS             PA    15108
W14     FIRST HEALTH                                             P O BOX GG                BOISE                  ID    83707
OM*     FIRST HEALTH                                             P O BOX 2700              CORAOPOLIS             PA    15108
Q41     FIRST HEALTH                   PO BOX 450450                                       ATLANTA                GA    30345
S74     FIRST HEALTH                   15710 JFK BLVD            SUITE 500                 HOUSTON                TX    77032
S24     FIRST HEALTH                   1650 W ALAMEDIA DR        P O BOX 22750             TEMPE                  AZ    85282
S13     FIRST HEALTH                                             P O BOX 2903              MILWAUKEE              WI    53201
DZ9     FIRST HEALTH                                             P O BOX 945392            MAITLAND               FL    32794-5392
D78     FIRST HEALTH                                             P O BOX 30906             SALT LAKE CITY         UT    84130
EK6     FIRST HEALTH                                             PO BOX 11339              SCOTTSDALE             AZ    85271-1339
EI4     FIRST HEALTH                                             P O BOX 7394              LONDON                 KY    40742-7394
FA7     FIRST HEALTH                                             P O BOX 8091              LONDON                 KY    40742-8091
EX5     FIRST HEALTH                                             P O BOX 8512              LONDON                 KY    87043
EW7     FIRST HEALTH                                             P O BOX 9000              CORAOPOLIS             PA    15108-0900
ES9     FIRST HEALTH                                             P O BOX 30092             SALT LAKE CITY         UT    84119
FS9     FIRST HEALTH                                             PO BOX 25050              WILMINGTON             DE    19899
FS1     FIRST HEALTH                                             PO BOX 23806              TUCSON                 AZ    85734
FI9     FIRST HEALTH                                             PO BOX 11549              TUCSON                 AZ    85734
AL6     FIRST HEALTH                                             P O BOX 17376             SALT LAKE CITY         UT    84117
AX4     FIRST HEALTH                   PO BOX 22890                                        TUCSON                 AZ    85734-2890
CZ9     FIRST HEALTH                                             P O BOX 945480            MAITLAND               FL    32794
CN7     FIRST HEALTH                                             PO BOX 11127              TUCSON                 AZ    85734
DK4     FIRST HEALTH                                             P O BOX 26247             SALT LAKE CITY         UT    84126
DY9     FIRST HEALTH                                             P O BOX 8507              LONDON                 KY    40742-8507
DT1     FIRST HEALTH                                             P O BOX 671088            HOUSTON                TX    77267-1088
C73     FIRST HEALTH                   740 EAST LANCASTER AVE    SUITE 200                 EXTON                  PA    19341-2876
DI9     FIRST HEALTH                                             PO BOX 23339              TUCSON                 AZ    85715
U10     FIRST HEALTH EBP HEALTH PL     2500 MAITLAND CENTER PKWY STE 203                   MAITLAND               FL    32751
QR*     FIRST HEALTH NETWORK           PO BOX 535900                                       PITTSBURGH             PA    15253-5900
X68     FIRST HEALTHARKANSAS           NUCOR STEEL               P O BOX 671128            HOUSTON                TX    77267-1128
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    50
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
F20     FIRST MARK STANDARD            P O BOX 27000                                       INDIANAPOLIS           IN    46227-7000
G49     FIRST NATIONAL BANK            WEST CROSS STREET                                   DEWITT                 AR    72042
H77     FIRST NATIONAL BANK            P.O. BOX 810                                        CLINTON                AR    72031
DC5     FIRST NATIONAL BANK            TIFFANY HUDMAN TRUST      200 WEST COURT            PARAGOULD              AR    72450
AQ9     FIRST NATIONAL BANK            OF EASTERN ARKANSAS       P O BOX 2019              FORREST CITY           AR    72335
EP6     FIRST NATIONAL BANK                                      P O BOX 809               BLYTHEVILLE            AR    72316
I67     FIRST NATIONAL BANK OF         EASTERN ARKANSAS          101 N WASHINGTON          FORREST CITY           AR    72335
R28     FIRST NATIONAL LIFE                                      P O BOX 130               PENSACOLA              FL    32591-0130
N9*     FIRST NATL LIFE OF ALABAMA                               7 CLAYTON STREET          MONTGOMERY             AL    36101
N22     FIRST OF AMERICA BANK          PENSION GROUP SERVICES    157 S KALAMAZOO MALL      KALMAZOO               MI    49007
EB*     FIRST PYRAMID LIFE             320 W CAPITOL             P O BOX 1151              LITTLE ROCK            AR    72203
F22     FIRST SOUTHEAST RISK MGMT      P O BOX 1268                                        TIFTON                 GA    31793
N65     FIRST STATE BANK               OF WARREN                 TRUST/ANNETTE TEMPLE      WARREN                 AR    71671
HR7     FISERV HEALTH                  12668 SILICON DRIVE                                 SAN ANTONIO            TX    78249
HK9     FISERV HEALTH                  PO BOX 740                                          PUEBLO                 CO    81002
HI7     FISERV HEALTH                  P O BOX 8024                                        WAUSAU                 WI    54402-8024
FS7     FISERV HEALTH                                            PO BOX 2697               WICHITA                KS    67201
KO*     FISERV HEALTH FORMERLY         WAUSAU BENEFITS           P O BOX 8013              WAUSAU                 WI    54402-8013
F65     FISHBACK MOORE INTERNATION     P O BOX 56490                                       DALLAS                 TX    75356-9490
YP*     FLAGSTORE                      DENNYS, HARDYS            203 E MAIN ST             SPARTANBURG            SC    29319
W54     FLEET RESERVE                  KIKE VANOISDEL INC        400 LOCUST ST             DES MOINES             IA    50398
AP5     FLEMING GUARDIAN INS           1991 CORPORATE AVENUE                               MEMPHIS                TN    38132
BP3     FLORIDA BENEFITS ADMIN         13080 S BELCHER RD                                  LARGO                  FL    34643
K3*     FLOUR ENGINEERS                AND CONSTRUCTORS          3333 MICHAELSON DRIVE     IRVINE                 CA    92730
BL8     FM CORPORATION                 P O BOX 1720                                        ROGERS                 AR    72756
FU*     FMH BENEFIT SERVICES                                     P O BOX 25946             OVERLAND PARK          KS    66225
EU1     FOOD EMPLOYERS AND BAKERY      CONFECTIONER WORKERS      2221 ROSECRANS STE 203    EL SEGUNDO             CA    90245-4911
U35     FOOTHILLS BENEFIT ADMIN                                  800 NORTH FANT ST         ANDERSON               SC    29621
ER2     FOREMOST PPO CLAIMS            1009 LENOX DRIVE          SUITE 107                 LAWRENCEVILLE          NJ    08648
DW7     FOREST T JONES CONSULT CO      645 E MISSOURI AVE        SUITE 370                 PHOENIX                AZ    85012
CE8     FORTIS                         P.O. BOX 64296                                      ST PAUL                MN    55164-0296
DF2     FORTIS BENEFITS                1950 SPECTRUM CIRCLE      SUITE B100                MARIETTA               GA    30067-6052
BP6     FORTIS BENEFITS                P O BOX 64442                                       ST PAUL                MN    55164-0442
BH6     FORTIS BENEFITS                2425 N CENTRAL EXWY 550                             RICHARDSON             TX    75080-2714
EO9     FORTIS BENEFITS                                          P O BOX 276442            KANSAS CITY            MO    64180
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    51
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FP8     FORTIS BENEFITS                                          PO BOX 2940               CLINTON                IA    52733
X66     FORTIS BENEFITS INS CO         KANSAS CITY GP BENEFI CTR P.O BOX 419876            KANSAS CITY            MO    64141
IJ*     FORTIS BENEFITS INS CO                                   P O BOX 3195              MILWAUKEE              WI    53201-3195
CD2     FORTIS DENTAL                  P.O. BOX 419227                                     KANSAS CITY            MO    64141
EG6     FORTIS SELF FUNDED             RIVERSIDE FURNITURE       P O BOX 2043              HOPKINS                MN    55343-2043
K89     FOSTER AND FOSTER              P O BOX 382               2510 E NETTLETON SUITE 8 JONESBORO               AR    72401
GS5     FOUNDATION BENEFITS ADMINI     6300 BRIDGEPOINR PARKWAY BLDG 3 SUITE 400           AUSTIN                 TX    78730
K49     FOUNDATION FINANCIAL SERVI     GROUP SGI AS 1190         P O BOX TAJ               HOPE                   AR    71801
AQ6     FOUNDATION HEALTH              41 MONTEBELLO ROAD        SUITE 300B                PUEBLO                 CO    81001
CO5     FOUNDATION HEALTH FEDERAL      ATTENTION REGION 6        P O BOX 60000             SAN FRANCISCO          CA    94160-2862
DJ7     FOUNDATION HEALTH NATIONAL     LIFE INSURANCE            P O BOX 1660              RANCHO CORDOVA         CA    95670
0O*     FOUNTAINHEAD ADMINISTRATOR                               P O BOX 2568              BIRMINGHAM             AL    35202-2568
BW4     FOUNTAINHEAD ADMINISTRATOR     HEALTHSOUTH EMPLOYEES     P O BOX 13188             BIRMINGHAM             AL    35202-2188
ES5     FOX EVERETT INC                                          P O BOX 23096             JACKSON                MS    39225-3096
EO4     FRA INSURANCE                  1776 WEST LAKES PARKWAY                             W DES MOINES           IA    50398
EJ1     FRA INSURANCE                                            P O BOX 4100              CAROL STREAM           IL    60197-4100
L52     FRANKLIN LIFE INS CO           P O BOX 3827                                        SPRINGFIELD            IL    62708
J63     FREEDOM LIFE INSURANCE         COMPANY OF AMERICA        110 W 7TH ST STE 300      FORT WORTH             TX    76102
E62     FRINGE BENEFIT PLANS INC       3811 GILBERT AVE                                    SHREVEPORT             LA    71104
HX8     FRINGE BENEFITS SERVICES       PO BOX 21240                                        DENVER                 CO    80221
F26     FRIT INDUSTRIES                PO 149                                              WALNUT RIDGE           AR    72476
CF7     FROLIC FOOTWEAR                                          PO OBX 428                WALNUT                 AR    72476
A92     FROLIC FOOTWEAR                PROVIDENT OF MEMPHIS      1020 AGGIE                JONESBORO              AR    72401
U97     FRONTIER NATIONAL LIFE         INS CO                    1300 E 9TH ST             CLEVELAND              OH    44114
D89     FUQUA INDUSTRIES INC           COLOR CRAFT CORP          2855 DIRECTORS COVE       MEMPHIS                TN    38131
D96     G I C INSURANCE COVERAGE       9100 I H 10 WEST                                    SAN ANTONIO            TX    78230
F6*     G M UNDERWRITERS                                         P O BOX 5004              ROCHESTER              MI    48308-5004
GG2     G M SOUTHWEST                  CLARENDON NATIONAL INS CO P O BOX 803422            DALLAS                 TX    75380-3422
IG*     GALBRAITH AND GREEN            5700 EAST PIMA STREET     SUITE 4                   TUCSON                 AZ    85712
FZ*     GALBRAITH AND GREEN INC        625 NO MILWAUKEE STREET   SUITE 250                 MILWAUKEE              WI    53201
CV9     GALLAGHER BASSETT                                        P O BOX 43                MINNEAPOLIS            MN    55440-0043
V43     GALLAGHER BASSETT BENEFITS                               PO BOX 34297              SAN ANTONIO            TX    78265-4297
Q12     GALLAGHER BASSETT SERV INC     PO BOX 8004                                         ITASCA                 IL    60143-8004
C38     GALLAGHER BENFIT ADMIN INC                               P O BOX 419397            KANSAS CITY            MO    64141-6397
X19     GARANS MFG                     2910 W COMMERCIAL ST                                OZARK                  AR    72949-3502
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    52
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
I21     GARDEN STATE LIFE INS          HALLMARK INS ADMIN        800 QUAIL RIDGE DRIVE     WESTMONT               IL    60559
H63     GARDNER AND WHITE                                        P O BOX 40619             INDIANAPOLIS           IN    46240-2456
DL7     GARY EUBANKS AND ASSOC         ATTORNEYS                 708 WEST SECOND ST        LITTLE ROCK            AR    72201
M39     GATES RUBBER CO                P O BOX 5887                                        DENVER                 CO    80217
HI2     GE CAPITAL LTC                 11000 PRAIRIE LAKES DRIVE                           EDEN PRAIRIE           MN    55344
GK6     GE FINANCIAL ASSURANCE         MEDICARE CLAIMS PROCESSIN PO BOX 10821              CLEARWATER             FL    33757-8821
AR4     GEHA                                                     PO BOX 4665               INDEPENDENCE           MO    64051-4665
HO6     GEISINGER HEALTH PLAN          100 NORTH ACADENY AVENUE                            DANVILLE               PA    17822
H32     GEM GROUP INS TRUST            GRANVILLE ROAD            2021 EAST DUBLIN          COLUMBUS               OH    43229
DA1     GEN CARE                                                 P O BOX 419080            ST LOUIS               MO    63141-9080
VK*     GENAM BENIFITS                 719 TEACO ROAD            18779367052               KENNETT                MO    63857
FB8     GENERAL ACCIDENT INSURANCE                               P O BOX 1776              NASHVILLE              TN    37202
FD7     GENERAL AMERICAN               719 TEACO ROAD                                      KENNETT                MO    63857-3749
F97     GENERAL AMERICAN               BROWN SHOE CO             P O BOX 307               DYER                   TN    38344
F53     GENERAL AMERICAN               EARLE INDUSTRIES INC      POBOX 28                  EARLE                  AR    72331
AT6     GENERAL AMERICAN               LIFE INSURANCE            P.O. BOX 5445             ROCKFORD               IL    61125-0445
BI6     GENERAL AMERICAN               JIM SESOW AUTO PAINT SUPP 1730 S BOSTON             TULSA                  OK    74119
BE2     GENERAL AMERICAN               275 W CAMPBELL SUITE 401 P O BOX 834102             RICHARDSON             TX    75083-4102
V13     GENERAL AMERICAN               P O BOX 335                                         BARVER SPRINGS         KS    66012
S29     GENERAL AMERICAN               1111 BAYHILL DR           STE 390                   SAN BRUNO              CA    94066
K47     GENERAL AMERICAN               3495 PIEDMONT RD, BLDG 11 SUITE 414                 ATLANTA                GA    30305
Y59     GENERAL AMERICAN               C/O HIGHLAND INDUST PARK P.O. BOX 3108              EAST CAMDEN            AR    71701
X52     GENERAL AMERICAN               PREFERRED ACCOUNT DEPT    P O BOX 66883             ST LOUIS               MO    63166
AG5     GENERAL AMERICAN               WENDYS                    PO BOX 66767              ST LOUIS               MO    63166
X76     GENERAL AMERICAN INS CO        1050 CROWN POINT PKWY     SUITE 840                 ATLANTA                GA    30338
B76     GENERAL AMERICAN INSURANCE     11251 NORTHWEST FREEWAY   STE 435                   HOUSTON                TX    77092
C10     GENERAL AMERICAN LIFE INS      5307 E MOCKINGBIRD LANE   SUITE 600                 DALLAS                 TX    75206
X84     GENERAL AMERICAN LIFE INS      HOME OFFICE ACCTS D2 20   PO BOX 66817              ST LOUIS               MO    63166
YB*     GENERAL AMERICAN LIFE INS                                8400 MARYLAND AVE         ST LOUIS               MO    63105
N99     GENERAL AMERICAN LIFE INS      CHICAGO CLAIM OFF 612     1 WESTBROOK CORP CTR 205 WESTCHESTER             IL    60153
V75     GENERAL AMERICAN LIFE INS      ANHEUSER BUSH INC         P O BOX 14476             ST LOUIS               MO    63178
X40     GENERAL COUNCIL OF THE         ASSEMBLY OF GOD           1445 BOONVILLE AVENUE     SPRINGFIELD            MO    65802
G44     GENERAL LIFE AND ACCIDENT                                P O BOX 11218             FORT WORTH             TX    76109
F94     GENERAL MEDS                   P O BOX 14014                                       ORANGE                 CA    92668
HV0     GENERAL PRESCRIPTION                                     685 BLOOMFIELD AVENUE     VERONA                 NJ    07044
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    53
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
B62     GENSTAR HEALTH PLAN            NEW SYSTEMS INC           P O BOX 42576             SAN FRANCISCO          CA    94142
CS2     GEO A HORMEL AND COMPANY       P O BOX 800               501 N E 16TH AVENUE       AUSTIN                 MN    55912
FP6     GEO CARE                                                 PO BOX 9060               PHOENIX                AZ    85068
CM4     GEORGE KOCH AND SONS           10 SOUTH ELEVENTH AVE                               EVANSVILLE             IN    47744
L83     GEORGES INC MEDICAL PLAN       P O DRAWER G                                        SPRINGDALE             AR    72765
OC*     GEORGIA INTERNATIONAL          LIFE INSURANCE            P O BOX 7325              ATLANTA                GA    30357
J70     GERBER LIFE INS CO                                       P O BOX 269042            SACRAMENTO             CA    95826-9042
XB*     GERBERS INSURANCE              66 CHURCH ST                                        WHITE PLAINS           NY    10601-1901
EX3     GIBRALTAR INSURANCE                                      P O BOX 3663              LITTLE ROCK            AR    72203
ET4     GILSBAR INC                    2100 CONVINGTON CTR       P O BOX 998               COVINGTON              LA    70434
V90     GILSTER MARY LEE CORP                                    HWY 61 SOUTH              WILSON                 AR    72395
Z32     GLIC ENVIRONMENTAL INC                                   2370 SCIENCE PARKWAY      OKEMOS                 MI    48864
EL4     GLITSCH INC                                              PO BOX 660053             DALLAS                 TX    75266-0053
Q3*     GLOBAL MARINE INC              HEALTH CARE               P O BOX 218969            HOUSTON                TX    77218
FM5     GLOBAL MATERIALS SERV LLC                                PO BOX 610                JEFFERSONVILLE         IN    47131
HC*     GLOBE LIFE AND ACCIDENT                                  P O BOX 17237             MEMPHIS                TN    38117
0G*     GLOBE LIFE AND ACCIDENT        GLOBE LIFE CENTER         PO BOX 26400              OKLAHOMA CITY          OK    73126
R12     GMP EMPLOYERS RETIREE TRUS     5245 BIG PINE WAY SE                                FT MYERS               FL    33907-5998
K96     GNB TECHNOLOGIES                                         4115 ZERO ST              FORT SMITH             AR    72903
BU2     GOLD KIST INC                  P O BOX 99                                          PORTLAND               OR    71663
FH7     GOLDEN RULE                                              PO BOX 6008               ARLINGTON              TX    76005-6008
E32     GOLDEN RULE INSURANCE          7440 WOODLAND DRIVE                                 INDIANAPOLIS           IN    46278
CO3     GOLDEN RULE INSURANCE CO       712 ELEVENTH STREET                                 LAWRENCEVILLE          IL    62439-2395
I25     GOLDEN STATE MUTUAL LIFE       INS CO TERMINAL ANNEX     P.O. BOX 2332             LOS ANGELES            CA    90051
I60     GOLF BAG ASSOCIATES                                      P.O. BOX 426              WALNUT RIDGE           AR    72476
Z10     GOOD SAMARITAN                 L.A.M. ASSOCIATES         P.O. BOX 279              BEECH GROVE            IN    46107
B27     GOODYEAR TIRE RUBBER           MEDICAL BENEFITS OFFICE   P O BOX 677               AKRON                  OH    44309-0677
JP*     GOVERNMENT EMPLOYEES           HOSPITAL ASSOCIATION      P O BOX 10304             KANSAS CITY            MO    64111
Z33     GRAND CASINO MS ASSOC HEAL     ATTN UHC MGT CO, INC      P.O. BOX 1459             MINNEAPOLIS            MN    55440-1459
BW9     GRATES HEALTH CARE             ATTN CLAIMS               PO BOX 5887               DENVER                 CO    80217-5887
E28     GRAYS HARBOR MEDICAL BUREA     421 W STATE STREET                                  ABERDEEN               WA    98500
D22     GREAT AMERICAN OF AMERICA      BOX G A                                             CORONA DEL MAR         CA    92625-0906
C32     GREAT AMERICAN RESERVE                                   P O BOX 1911              CARMEL                 IN    46032
EP4     GREAT COMMONWEALTH LIFE        7887 BELLEVIEW AVE                                  ENGLEWOOD              CO    80111
U96     GREAT LAKES CHEMICAL           CORP                      P O BOX 1878              EL DORADO              AR    71730
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    54
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
D1*     GREAT LAKES CHEMICAL CORP      BENEFITS ACCOUNT          P O BOX 2200              WEST LAFAYETTE         IN    47906
M45     GREAT PLAINS GAS               P O BOX 2067              1101 2ND AVENUE           CEDAR RAPIDS           IA    52406
L22     GREAT REPUBLIC INS             470 S PASTTERSON                                    SANTA BARBARA          CA    93111
SC*     GREAT SOUTHERN LIFE INS CO                               P O BOX 1977              HOUSTON                TX    77097
SK*     GREAT SOUTHWEST LIFE INS                                 P O BOX 53330             HOUSTON                TX    77052
M57     GREAT WEST CARE HEALTH PLA     115 PERIMETER CTR PLACE   SUITE 460 WEST            ATLANTA                GA    30326
P24     GREAT WEST ENTERPRISES         PO BOX 15929                                        IRVINE                 CA    92713
WS*     GREAT WEST HEALTHCARE                                    1000 GREAT WEST DRIVE     KENNETT                MO    63857-3749
T39     GREAT WEST LIFE                455 MARKET ST             STE 2000                  SAN FRANCISCO          CA    94105
T13     GREAT WEST LIFE                                          P O BOX 560049            DALLAS                 TX    75356-0049
SR*     GREAT WEST LIFE                                          P O BOX 11111             FORT SCOTT             KS    66701-7111
R81     GREAT WEST LIFE                                          P O BOX 97313             BELLEVUE               WA    98009
AI7     GREAT WEST LIFE                MORRIS CO. FINANCIAL CTR 5 SYLVAN WAY SUITE 220     PARSIPANNY             NJ    07054
AN2     GREAT WEST LIFE                P O BOX 963               1377 DUBLIN ROAD          COLUMBUS               OH    43216
CW3     GREAT WEST LIFE                                          P O BOX 8020              NORTH OLMSTED          OH    44070
CG7     GREAT WEST LIFE                                          P O BOX 5011              FORT SCOTT             KS    66701
BP8     GREAT WEST LIFE                P O BOX 190018                                      N CHARLESTON           SC    29419-9018
BF5     GREAT WEST LIFE                                          P O BOX 429               PORTLAND               OR    97207
G40     GREAT WEST LIFE                1401 DEAN ST                                        ROME                   GA    30161
G13     GREAT WEST LIFE                200 GIBRALTER RD STE 350 P O BOX 1000               HORSHMAN               PA    19044-1000
DX6     GREAT WEST LIFE                                          P O BOX 38088             TUCSON                 AZ    85740
E31     GREAT WEST LIFE                1300 VIRGINIA DR          SUITE 135                 FT WASHINGTON          PA    19034
U95     GREAT WEST LIFE AND            ANNUNITY                  PO BOX 9109               HINSDALE               IL    60522-9109
A81     GREAT WEST LIFE ASSURANCE                                P O BOX 1690              DENVER                 CO    80201
S88     GREAT WEST LIFE ASSURANCE      SUITE 2166                100 RENAISSANCE CENTRE    DETROIT                MI    48243
FB5     GREAT WEST LIFE ASSURANCE      8515 EAST ORCHARD RD                                ENGLEWOOD              CO    80111-5005
D81     GREAT WEST LIFE ASSURANCE      900 SECOND AVENUE SOUTH   SUITE 650                 MINNEAPOLIS            MN    55402-3341
BD3     GREAT WEST LIFE INS                                      P O BOX 5707              HOPKINS                MN    55343
DF3     GREAT WEST LIFE INS            517 RTE ONE S                                       ISELIN                 NJ    08830
Z34     GREAT WEST LIFE INS CO         P.O. BOX 10188                                      GLENDALE               CA    81209
P84     GREATER OREGON HEALTH SERV     PO BOX 4800 6                                       PORTLAND               OR    97208
K56     GREEN BAY FOODS                702 SE 1ST                                          ATKINS                 AR    72823
EG5     GREENTREE ADMINISTRATORS                                 P O BOX 7306              BEAUMONT               TX    77726-7306
B34     GREENVILLE MILL                ATTN SUE MORGAN           PO BOX 887                GREENVILLE             MS    38701
BP5     GREIF BROS CORP                230 W COLLEGE AVE                                   BATESVILLE             AR    72501
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    55
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
SI*     GREYHOUND AND AFFILIATED       COMPANIES                 GREYHOUND TOWER           PHOENIX                AZ    83077
G66     GREYHOUND LINE HEALTH AND      WELFARE TRUST             2607 W 22ND ST            OAKBROOK               IL    60521
N35     GRINNELL MUTUAL LIFE INS                                 P O BOX 790               GRINNELL               IA    50112-0790
CW9     GROTTOES OF NORTH AMERICA      HUMANATARION FOUNDATION   1696 BRICE RD             REYNOLDSBURG           OH    43068
D74     GROUP ADMINISTRATION SVCS      100 SOUTH CHARLES ST                                BALTIMORE              MD    21201
DN5     GROUP ADMINISTRATORS           1880 N ROSELLE RD         SUITE 214                 SCHAUMBURG             IL    60195
FE4     GROUP ADMINISTRATORS                                     P O BOX 780159            SAN ANTONIO            TX    78229
N16     GROUP ADMINISTRATORS INC       10440 N CENTRALEXPRESSWAY SUITE 300                 DALLAS                 TX    75231
M16     GROUP BENEFIT                  P O BOX 3199              500 W FIFTH STREET        WINSTON SALEM          NC    27102
TA*     GROUP BENEFIT SERVICE          1736 E SUNSHINE           STE 312                   SPRINGFIELD            MO    65804
GK1     GROUP BENEFIT SERVICES         EHC CLAIM CENTER          PO BOX 250009             PLANO                  TX    75025
BW2     GROUP BENEFIT SERVICES INC                               PO BOX 8219               LITTLE ROCK            AR    72221-8219
W6*     GROUP BENEFIT SYSTEMS INC      2350 VALLEY VIEW LANE     SUITE 440                 FARMERS BRANCH         TX    75234
EZ5     GROUP BENEFITS                                           P O BOX 44036             BATON ROUGE            LA    70804
Z63     GROUP HEALTH AND LIFE          P.O. BOX 2135                                       MEMPHIS                TN    38101
M44     GROUP HEALTH COOPERATIVE       20015TH AVENUE                                      SEATTLE                WA    98112
CB5     GROUP HEALTH INC               HEALTHPARTNERS            8100 34TH AVE SOUTH       MINNEAPOLIS            MN    55440-1289
DZ8     GROUP HEALTH INCORP            G H I                     PO BOX 2832               NEW YORK               NY    10116
Z62     GROUP HEALTH MGRS ADMIN        26205 FIVE MILE ROAD                                REDFORD                MI    48239
ER9     GROUP HEALTH PLAN              940 WEST PORT PLAZA DR    SUITE 300                 ST LOUIS               MO    63146
GD9     GROUP HEALTH PLAN                                        111 CORPORATE OFFICE DR   EARTH CITY             MO    63045
M8*     GROUP HOSPITALIZATION          MEDICAL SVC OF DC         550 12TH ST SW            WASHINGTON             DC    20024
Z11     GROUP INSURANCE CONSULTANT     2216 DODSON AVE SUITE A                             FORT SMITH             AR    72901
HU1     GROUP LINK INC                                           PO BOX 20593              INDIANAPOLIS           IN    46220
CS3     GROUP MANAGEMENT SERVICES                                P O BOX 510436            NEW BERLIN             WI    53151-0436
OS*     GROUP MARKETING SERVICES       INSURANCE TRUST           1729 H ST NW STE 100 WASHINGTON                  DC    20006
BI2     GROUP PENSION ADMIN            300 MUNCIPAL DRIVE        P O BOX 830827            RICHARDSON             TX    75083-0827
Z35     GROUP PENSION ADMIN            400 W CAPITOL SUITE 2310 P O BOX 3418               LITTLE ROCK            AR    72203-3418
U15     GROUP RESOURCES                                          PO BOX 100043             DULUTH                 GA    30096
DV1     GROUP SERVICES AND ADM         3113 N CLASSEN BLVD                                 OKLAHOMA CITY          OK    73118-3818
DK3     GROUP SERVICES INC                                       3066 VICTORIA DRIVE       BETTENDORF             IA    52722
IU*     GUARANTEE RESERVE LIFE         INSURANCE CO              128 STATE STREET          HAMMOND                IN    46320
EG*     GUARANTEE RESERVE LIFE         INSURANCE COMPANY         530 RIVER OAKS WEST       CALUMET CITY           IL    60409
P1*     GUARANTEE TRUST AND LIFE       STUDENT PLANS INC         211 EAST ILLINOIS ST      WHEATON                IL    60187
R66     GUARANTEE TRUST LIFE INS       1275 MILWAUKEE AVE        P O BOX 1144              GLENVIEW               IL    60025-2425
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    56
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
W40     GUARANTY NATIONAL INS CO                                 P O BOX 848               ASHDOWN                AR    71822
BA7     GUARDIAN                                                 P O BOX 2457              SPOKANE                WA    99210-2457
HK3     GUARDIAN                       THE DESTINY HEALTH PLAN   PO BOX 4628               OAK BROOK              IL    60523-4628
DO4     GUARDIAN                       DENTAL CLAIMS             P O BOX 26185             LEHIGH VALLEY          PA    18002-6185
DY2     GUARDIAN                       DENTALGUARD PREFERRED     P O BOX 2459              SPOKANE                WA    99210-2459
N45     GUARDIAN GROUP CLAIMS          P O BOX 8007                                        APPLETON               WI    54913
BB1     GUARDIAN LIFE                  P.O. BOX 2454                                       SPOKANE                WA    99210-2454
Y40     GUARDIAN LIFE                  HEALTHLINK                PO BOX 419104             ST LOUIS               MO    63141-9998
BO9     GUARDIAN LIFE INS              P O BOX 26020                                       LEE HIGH VALLEY        PA    18002-6020
U48     GUARDIAN LIFE INS CO                                     P O BOX 2458              SPOKANE                WA    99210-2458
DT2     GUARDIAN RESOURCES CORPORA     OPERATIONS OFFICE         PO BOX 3767               HOLIDAY                FL    34690
CA9     GUARDIN LIFE INS               4530 PARK RD SUITE 110                              CHARLOTTE              NC    28209
D84     GUARDSMAN CHEMICALS INS        EMPLOYEE BENEFITS DIVISIO P O BOX 6488              GRAND RAPIDS           MI    49516
YS*     GUIDEONE INSURANCE                                       PO BOX 4499               TULSA                  OK    74159
E75     GULF GUARANTY LIFE INSURAN                               P O BOX 14977             JACKSON                MS    39236-4977
A85     GULF LIFE INS CO               P O BOX 1018                                        FORREST CITY           AR    72335
G94     GULF LIFE INS CO ROCK TEN      DALLAS MILL               P O BOX 1291              DALLAS                 TX    75221
DX7     GULF SOUTH ADM                 BEECH STREET              P O BOX 17719             IRVINE                 CA    92713-7719
N67     GULF SOUTH ADMIN               5615 CORPORATE BLVD       SUITE 5A                  BATON ROUGE            LA    70808
FF1     GULF SOUTH ADMINISTRATORS                                PO BOX 14449              BATON ROUGE            LA    70898-4449
J68     GULF STREAM AEROSPACE          5001 N ROCKWELL                                     BETHANY                OK    73008
V89     GYPSUM MANAGEMENT AND          SUPPLY INC                P O BOX 15628             LENEXA                 KS    66285
Z13     H AND P MEDICAL PLAN                                     UTICA AT TWENTY FIRST     TULSA                  OK    74114
N58     H B ZACHRY                     P O BOX 21130                                       SAN ANTONIO            TX    78221
C42     H C A                          H C A PLAN ADM            P O BOX 171816            MEMPHIS                TN    38187-1116
FN8     H DAVID BLAIR                  BLAIR AND STOUD LAW FIRM P.O. BOX 2135              BATESVILLE             AR    72503
G70     H H ROBERTSON CO OF BATESV                               P O BOX 4370              BATESVILLE             AR    72503
H46     H M A COHEN BENEFIT GROUP      5100 NORTH FEDERAL HWY    SUITE 102                 FT LAUDERDELLE         FL    33308
I34     HAFFINGER INDUSTRIES INC                                 P.O. BOX 2457             WEST HELENA            AR    72390
SJ*     HALIBURTON                                               P O BOX 1431              DUNCAN                 OK    73536
D8*     HALLMARK ADMINISTRATION IN                               P O BOX 10009             AUSTIN                 TX    78766
FG6     HANEY GROUP SERVICES           12222 MERIT DRIVE,        SUITE 1350                DALLAS                 TX    75251
FG*     HARCO INSURANCE GROUP                                    P O DRAWER 8B             MILWAUKEE              WI    53201
Y61     HARDEES FOOD SYSTEMS INC       P.O. BOX 44058                                      JACKSONVILLE           FL    32231-4058
CL4     HARDEN AND COMPANY                                       P O BOX 4101              CONCORD                CA    94521
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    57
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
Q17     HARDING UNIVERSITY             STATION A                 P O BOX 873               SEARCY                 AR    72143
J66     HARDWICK CHEMICAL CORP         HEALTH BENEFIT PLAN       P O BOX 1008              WYNNE                  AR    72396
J84     HARLEYSVILLE MUTUAL INS        355 MAPLE AVENUE                                    HARLEYSVILLE           PA    19438
NA*     HARRINGTON BENEFIT SERVICE                               P O BOX 16789             COLUMBUS               OH    43216
TG*     HARRINGTON BENEFIT SERVICE     PO BOX 30219                                        TAMPA                  FL    33630-3219
A18     HARRINGTON BENEFIT SERVICE     BENEPLAN STRATEGIES INC   P.O. BOX 1391             DAYTON                 OH    45401-1391
DU6     HARRINGTON BENEFIT SERVICE                               P O BOX 3810              JOPLIN                 MO    64804
GS6     HARRINGTON BENEFIT SERVICE                               PO BOX 720                PUEBLO                 CO    81002-0720
BY3     HARRINGTON BENEFITS                                      P O BOX 3900              YOUNGSTOWN             OH    44513-3900
FN1     HARRINGTON BENEFITS SERVIC                               PO BOX 750                STOCKTON               CA    95201-0750
FS5     HARRINGTON BENIFIT SERVICE     P O BOX 3609                                        DAYTON                 OH    45401-3609
CN5     HARRINGTON BROOK FIELD         HBS GROUP                 PO BOX 909772             CHICAGO                IL    70790
HP8     HARRINGTON HEALTH              PO BOX 30544                                        SALT LAKE CITY         UT    84130
P30     HARRIS METHODIST HEALTH PL                               P O BOX 90100             ARLINGTON              TX    76004
DO7     HARRISON STEEL                                           P O BOX 60                ATTICA                 IN    47918
D4*     HARTFORD                                                 P O BOX 14847F            ST LOUIS               MO    63150
BL1     HARTFORD                       ITT CLAIMS                P. O. BOX 5003            BOLINGBROOK            IL    60440
PQ*     HARTFORD COMPANY                                         3033 WEST JEFFERSON       JOLIET                 IL    60435
SD*     HARTFORD GENERAL LIFE          HARTFORD PLAZA                                      HARTFORD               CT    06115
FU4     HARTFORD INSURANCE             ATTN ROBERT EXT 31040     P O BOX 47511             SAN ANTONIO            TX    78265-7511
A91     HARTFORD INSURANCE CO          WASHINGTON REG OFFICE     PO BOX 11910              ALEXANDRIA             VA    22312-0970
Q89     HARTFORD LIFE AND ACCIDENT     NATIONAL INSURANCE ADMIN. 1620 KIPLING              LAKEWOOD               CO    80215
N72     HARTS OF AR                    100 LEE DRIVE                                       CORNING                AR    72422
EY2     HARTSFIELD INSURANCE AGENC     P O BOX 8                                           RUSSELLVILLE           AR    72801
BO5     HARTZELL INDUSTRIES            EMPLOYEE BENEFIT PLAN     4789 RINGS ROAD           DUBLIN                 OH    43017
NZ*     HARVARD MEDICAL AND DENTAL     2502 N ROCKY PT RD        SUITE 960                 TAMPA                  FL    33607
N82     HARVEST LIFE INSURANCE CO      6277 SEA HARBOR DRIVE                               ORLANDO                FL    32877
HG3     HAWKINS INSURANCE              211 EAST CHURCH STREET                              MORRILTON              AR    72110
M73     HAYGOOD HEALTH BENEFIT         P O BOX 13203                                       MEMPHIS                TN    38113
VJ*     HBA LIFE INSURANCE                                       P O BOX 1272              PHOENIX                AZ    85001
FQ6     HCH ADMINISTRATION                                       PO BOX 1986               PEORIA                 IL    61656
Q47     HDR EMPLOYEE BENEFIT           PO BOX 5150                                         GREENVILLE             SC    29606-5150
HB8     HEALHT ASSURANCE               120 E KENSINGER DRIVE                               CRANBURY TWP           PA    16066
FO4     HEALTH ADMINISTRATORS INC                                PO BOX 7045               WYOMISSING             PA    19610
J80     HEALTH ADVANTAGE               26 CORPORATE HILL         P O BOX 8069              LITTLE ROCK            AR    72203
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    58
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EX8     HEALTH ALLIANCE MEDICAL PL                               P O BOX 6003              URBANA                 IL    61801
BF3     HEALTH ALLIANCE PLAN           2850 W GRAND BLVD                                   DETROIT                MI    48202
G67     HEALTH AND WELFARE FUND        CHICAGO LOCAL 458         332 S MICHIGAN AVE        CHICAGO                IL    60604
SP*     HEALTH BENEFIT ADMINISTRAT     901 MCCLAIN ROAD          SUITE 805                 BENTONVILLE AR               72712
CC5     HEALTH BENEFIT ALLIANCE        1734 GILSINN LANE                                   FENTON                 MO    63026
GR5     HEALTH BENEFIT CLAIM DEPT      FED EX FREIGHT EAST INC   PO BOX 5007               HARRISON               AR    72602-5007
D91     HEALTH BENEFITS MANAGEMENT     OF DALLAS                 P O BOX 152880            IRVING                 TX    75015-2880
BA8     HEALTH CARE ADMINISTRATORS     200 GARRISON AVENUE       P O BOX 10657             FORT SMITH             AR    72901
G83     HEALTH CARE ADMINISTRATORS     POBOX 30906                                         SALT LAKE CITY         UT    84130-0966
BZ1     HEALTH CARE ADVANTAGE          P O BOX 54549                                       NEW ORLEANS            LA    70156
U64     HEALTH CARE COMPARE                                      3200 HIGHLAND AVE         DOWNERS GROVE          IL    60515-1223
HI8     HEALTH CARE DISTRICT OF        PALM BEACH COUNTY         3777 N JOG RD, WPB        WEST PALM BEACH        FL    33411
R79     HEALTH CARE SOLUTIONS GROU                               P O BOX 1309              MUSKOGEE               OK    74402
S21     HEALTH CHOICE                                            P O BOX 40707             MEMPHIS                TN    38174
EF1     HEALTH CHOICE                  OKLAHOMA STATE EDU        PO BOX 850171             OKLAHOMA               OK    73185-0171
EC3     HEALTH CHOICE                                            P O BOX 24870             OKLAHOMA CITY          OK    73124
FX6     HEALTH CHOICE INC              93 SPRING STREET                                    NEWTON                 NJ    07860
Q30     HEALTH CLAIM SERVICES          GENERAL MILLS CLAIMS      P O BOX 1113              MINNEAPOLIS            MN    55440-1113
N31     HEALTH CLAIM SERVICES                                    P O BOX 273940            BOCA RATON             FL    33427-3940
B75     HEALTH CLAIMS ADMIN            20 EAST CASS                                        JOLIET                 IL    60431
AQ3     HEALTH COMP                                              PO BOX 45018              FRESNO                 CA    93718
AT4     HEALTH CORP OF TENNESSEE       735 BROAD STREET          900 JAMES BLDG            CHATTANOOGA            TN    37402
EM8     HEALTH COST SOLUTIONS          FORMERLY WM C BEELER      P O BOX 1439              HENDERSONVILLE         TN    37077
FU7     HEALTH DESIGN PLUS                                       PO BOX 5085               FINDLAY                OH    45839-5095
GB2     HEALTH DESIGN PLUS                                       PO BOX 5095               FINDLAY                OH    45835-5095
GQ1     HEALTH DESIGN PLUS             PO BOX 2584                                         HUDSON                 OH    44236
GK7     HEALTH DESIGNS PLUS                                      PO BOX 5060               FINDLAY                OH    45839-5060
CM7     HEALTH DIRECT                  P O BOX 1728                                        DES PLAINES            IL    60017-1728
AY2     HEALTH ECONOMICS CORP          625 PANORAMA TRL          BLDG 3                    ROCHESTER              NY    14625
PF*     HEALTH FIRST TPA                                         P O BOX 130217            TYLER                  TX    75713-0217
BH9     HEALTH LINK                    P. O. BOX 419104                                    ST LOUIS               MO    63141
U54     HEALTH MANAGEMENT              ASSOCIATION INC           P O 450989                ATLANTA                GA    30345-0989
HY2     HEALTH MARKETS                 9151 BLVD 26                                        RICHLAND HILLS         TX    76180-5605
BV2     HEALTH NET                     P O BOX 35                                          NASHVILLE              TN    37202-0035
CG2     HEALTH NET                     PO BOX 9103                                         VAN NUYS               CA    91409-9103
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    59
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
DH4     HEALTH NET                     650 E HOSPITALITY LANE    SUITE 200                 SAN BERNARDINO         CA    92408
FT2     HEALTH NET                                               PO BOX 10223              VAN NUYS               CA    91410-0223
FI1     HEALTH NET                                               PO BOX 10196              VAN NUYS               CA    91410-0196
EV2     HEALTH NETWORK AMERICA         187 MONMOUTH PARKWAY                                WEST LONG BRANCH       NJ    07764
N52     HEALTH NETWORK INC             1420 KENSINGTON STE 203   P O BOX 5105              OAK BROOK              IL    60521
HX4     HEALTH NEW ENGLAND             1 MONARCH PLACE SUIT 1500                           SPRINGFIELD            MA    01144
Y78     HEALTH OPTIONS                                           3191 MAGUIRE BLVD STE 200 ORLANDO                FL    35254-7912
GW4     HEALTH PARTNERS                                          PO BOX 3730               JACKSON                TN    38303-3730
HX6     HEALTH PARTNERS                PO BOX 1309                                         MINNEAPOLIS            MN    55440
FZ1     HEALTH PARTNERS                                          PO BOX 3490               JACKSON                TN    38303
DA5     HEALTH PLAN ADMINISTRATORS                               P O BOX 2638              ROCKFORD               IL    61132-2638
R91     HEALTH PLAN ADMINISTRATORS     INC BICOASTAL UNIT        P O BOX 3986              DONBURY                CT    06813-3986
GG5     HEALTH PLAN OF MICHIGAN                                  PO BOX 1700               FLINT                  MI    48501
HX5     HEALTH PLAN OF OHIO VALLEY     52160 NATIONAL RD EAST ST                           CLAIRSVILLE            OH    43950
CV6     HEALTH PLAN SERVICE            DUNN AND BRADSTREET       PO BOX 26220              OKLAHOMA CITY          OK    73120
CL9     HEALTH PLAN SERVICES           P O BOX 30075                                       TAMPA                  FL    33630-3075
DR1     HEALTH PLAN SERVICES           DARDEN RESTAURANTS        PO BOX 30367              TAMPA                  FL    33630
EP5     HEALTH PLAN SERVICES                                     P O BOX 30351             TAMPA                  FL    33630
EH2     HEALTH PLAN SERVICES                                     P O BOX 419               MARLBOROUGH            CT    06447
HT7     HEALTH PLAN SERVICES           PO BOX 3726                                         SEATTLE                WA    98124
GT1     HEALTH PLAN SERVICES                                     PO BOX 44109              LAS VEGAS              NV    89116
K83     HEALTH PLAN SERVICES                                     P O BOX 2085              NASHUA                 NH    03061-2085
Y1*     HEALTH PLAN SERVICES           CONSOLIDATED GROUP        P O BOX 2062              NASHUA                 NH    03061-2062
GE5     HEALTH PLAN SOUTHEAST                                    PO BOX 459011             SUNRISE                FL    33345-9011
CU7     HEALTH PLUS                    7601 ORA GLEN DR STE 200                            GREENBELT              MD    20770-3647
Q57     HEALTH PLUS                    PO BOX 30086                                        TAMPA                  FL    33630-3086
CX3     HEALTH PLUS OF LOUISIANA       P O BOX 32625                                       SHREVEPORT             LA    71130-2625
F63     HEALTH PLUS OF NEW MEXICO      P O BOX 27489                                       ALBUQUQUERQUE          NM    87125
AQ1     HEALTH POINT                   ADMIN BY SEABURY AND SMIT 2 WEST SECOND ST STE 1750 TULSA                  OK    74103-2131
FJ5     HEALTH RESOURCES INC           123 SOUTH GREEN RIVER RD P O BOX 15660              EVANSVILLE             IN    47716-0660
AR5     HEALTH RISK MANAGEMENT         P.O. BOX 1479                                       MINNEAPOLIS            MN    55440-1479
BM5     HEALTH RISK MANAGEMET          P. O. BOX 4022                                      KALAMAZOO              MI    49003-4022
FV3     HEALTH SMART                                             PO BOX 53025              LUBBOCK                TX    79453
DI8     HEALTH SPECIAL RISK            SCHOOL INS                16479 DALLAS PRKW ST 150 DALLAS                  TX    75248
DW5     HEALTH STAR                    1100 E 31 TH              PO BOX 1407               LAGRANGE PARK          IL    60525
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    60
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
V28     HEALTHCARE BENEFITS INC        1201S SHERMAN STE 200     P O BOX 833889            RICHARDSON             TX    75083-3889
CX5     HEALTHCARE INC                 P O BOX 38                                          GREENACRES             WA    99016
D40     HEALTHCARE PLUS                900 SHACKLEFORD RD        STE 509                   LITTLE ROCK            AR    72211
FL3     HEALTHCARE SOLUTIONS                                     PO BOX 471950             TULSA                  OK    74147-1950
HM7     HEALTHE EXHANGE                PO BOX 165750                                       KANSAS CITY            MO    64116
CK6     HEALTHGUARD OF LANCASTER I     280 GRANITE RUN DR ST 105                           LANCASTER              PA    17601-6810
GQ4     HEALTHLINK                                               PO BOX 411580             ST LOUIS               MO    63141
HJ2     HEALTHLINK MBS                 PO BOX 25987                                        WINSTONSALEM           NC    27114
HF6     HEALTHNET                      P O BOX 14130                                       LEXINGTON              KY    40512
T56     HEALTHNET                      9494 SOUTHWEST FWY        SUITE 300                 HOUSTON                TX    77074
CB1     HEALTHNET ALLIANCE             TWO PERSHING SQUARE       2300 MAIN ST SUITE 700    KANSAS CITY            MO    64108
GF9     HEALTHNET CA                                             PO BOX 14702              LEXINGTON              NY    40512
HW3     HEALTHNET NORTH EAST           PO BOX 14700                                        LEXINGTON              KY    40512
GF1     HEALTHNET NORTHEAST                                      PO BOX 904                SHELTON                CA    06484
HA5     HEALTHNET OF OREGON                                      13221 SW 68 PARKWAY       TIGARD                 OR    97223
HH1     HEALTHNOW NEW YORK INC         PO BOX 15013                                        ALBANY                 NY    12212-5013
BJ8     HEALTHPARTNERS MEDICAL CLA     8100 34TH AVE S           P O BOX 1289              MINNEAPOLIS            MN    55440-1289
GP8     HEALTHSCOPE BENEFIT INC        P O BOX 99006                                       LUBBOCK                TX    79490-9006
GP3     HEALTHSCOPE BENEFITS           P O BOX 619055                                      DALLAS                 TX    75261
GA9     HEALTHSCOPE BENEFITS                                     PO BOX 8071               LITTLE ROCK            AR    72203
AV5     HEALTHSCOPE BENEFITS           EMERSON ELECTRICS         PO BOX 2360               LITTLE ROCK            AR    72203
QP*     HEALTHSCOPE BENEFITS           FORMERLY CNA HEALTH PARTN PO BOX 8076               LITTLE ROCK            AR    72203
GW9     HEALTHSCOPE BENEFITS INC                                 P O BOX 853940            RICHARDSON             TX    75085-3940
Z84     HEALTHSCOPE BENEFITS INC       FORMERLY CNA HEALTH PARTN P O BOX 8002              LITTLE ROCK            AR    72203
DF7     HEALTHSCOPE BENEFITS INC                                 PO BOX 2459               LITTLE ROCK            AR    72203-2459
AW6     HEALTHSOURCE AR CIGNA CO       REGIONAL OPS CTR/HS AR    P O BOX 182503 7503       CHATTANOOGA            TN    37422-7503
OY*     HEALTHSOUTH MEDICAL PLAN       ADMINISTRATORS            P O BOX 382617            BIRMINGHAM             AL    35238
JO4     HEALTHTRANS LLC                8300 E MAPLEWOOD AVENUE   SUITE 100                 GREENWOOD VILLAGE      CO    80906
IC6     HEARTLAND NATIONAL LIFE IN                               PO BOX 2878               SALT LAKE CITY         UT    84110-2878
K57     HEEKIN CAN CO                  INSURANCE BENEFIT DEPT    PO BOX H                  SPRINGDALE             AR    72764
BY7     HELLER ASSOCIATES                                        2755 BRISTOL ST STE 250   COSTA MESA             CA    92626
AE*     HERALD LIFE INSURANCE                                    P O BOX 3058              LITTLE ROCK            AR    72203
TF*     HERALD LIFE INSURANCE CORP                               233 WEST DUVAL            JACKSONVILLE           FL    32201
FU6     HERITAGE CONSULTANTS                                     PO BOX 1730               AUBURNDALE             FL    33823
BZ3     HERITAGE HEALTH PLAN                                     2505 N HWY 360 STE 670    GRAND PRAIRIE          TX    75050
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    61
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
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Z36     HERITAGE NATIONAL HEALTH       973 FEATHERSTONE RD ST300                           ROCKFORD               IL    61107-5901
SY*     HERTZ                          PO BOX 365                                          PARSIPPANY             NJ    07054-0365
S22     HERZFELD HEALTH CARE                                     P O BOX 249               BENTON                 AR    72015
L3*     HEWITT COLEMAN ASSOCIATES                                P O BOX 3808              GREENVILLE             SC    29608
J71     HIGHLANDS INSURANCE                                      600 JEFFERSON ST          HOUSTON                TX    77002
TZ*     HIGHMARK BLUE CROSS BLUE       SHIELD                    P O BOX 1210              PITTSBURGH             PA    15230
G57     HILB ROGAL HAMILTON COMPAN                               PO BOX 530470             BIRMINGHAM             AL    35253-0470
Y20     HILL BROTHERS CONST CO INC     ATTN INSURANCE DEPT       PO BOX 131                FAULKNER               MS    38624-0131
J4*     HILL COUNTRY LIFE INS                                    P O BOX 200225            AUSTIN                 TX    78720-0225
D90     HILLHAVEN CORP                 HEALTH BENEFITS DEPT      CALLER SERVICE 2264       TACOMA                 WA    98401-2264
D66     HILLHOUSE ASSOCIATES           BOX 201359                                          AUSTIN                 TX    78720
N51     HILTON EMPLOYEES MHM           190 N EAST                                          FAYETTEVILLE           AR    72701
K31     HINDERLITER INDUSTRIES         CORHEN INTNL CORP         P O BOX 12338             OKLAHOMA CITY          OK    73157
HW8     HIP HEALTH PLAN NEW YORK       55 WATER STREET                                     NEW YORK               NY    10041-8190
GY2     HMBA                                                     P O BOX 535078            PITTSBURGH             PA    15253-5078
A74     HMO ARKANSAS                   26 CORPORATE HILL DRIVE                             LITTLE ROCK            AR    72205-4538
CJ5     HMO KAISER                     P O BOX 5398                                        CLEVELAND              OH    44101
DQ7     HMO OF VIRGINIA                P O BOX 26623                                       RICHMOND               VA    23261
BK1     HMO OREGON                     P. O. BOX 12625                                     SALEM                  OR    97309
G73     HOFFINGER INDUSTRIES INC                                 P O BOX 2457              WEST HELENA            AR    72390
EA3     HOLDEN AND COMPANY INC         20 EAST BAY STREET        P O BOX 9360              SAVANNAH               GA    31419
YM*     HOLY FAMILY SOCIETY OF USA                               ONE FAIRLANE DRIVE        JOLIET                 IL    60434
BR4     HOME LIFE FINANCIAL            NEWELL HORNER GUNER INC   P O DRAWER 22610          LITTLE ROCK            AR    72221-2610
R13     HOME LIFE INSURANCE                                      P O BOX 29005             GLENDALE               CA    91209
V76     HOME LIFE INSURANCE CO                                   P O BOX 85                HOLLANDALE             MS    38748
C89     HOMESTEADERS LIFE CO           GENERAL DELIVERY                                    DES MOINES             IA    50309
L9*     HORACE MANN                                              1 HORACE MANN PLAZA       SPRINGFIELD            IL    62715
FX4     HORIZON BLUE CROSS BLUE        SHIELD OF NEW JERSEY      PO BOX 247 DEPT V         NEWARK                 NJ    07101-0247
BO4     HORIZON HEALTH                 3841 W CHARLESTON BLVD    SUITE 203                 LAS VEGAS              NV    89102
FR8     HOSPICE CARE SERVICES                                    1501 S UNIVERSITY         LITTLE ROCK            AR    72207
LY*     HOSPITAL BENEFITS INC                                    P O BOX 162148            ALTAMONTE SPRINGS      FL    32716-2148
E18     HOSPITAL CASUALTY CO           720 N W 50TH BOX 18328                              OKLAHOMA CITY          OK    73154
M90     HOTEL EMPLOYEE INTL            UNION WELFARE FUND        1933 LAS VEGAS BLVD       LAS VEGAS              NV    89104
EW3     HOUSING BENEFIT PLAN                                     P O BOX 542077            DALLAS                 TX    75354-2077
Z50     HPA INC                        BICOASTAL DIVISION        P.O. BOX 3169             DANBURY                CT    06813
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    62
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
CP4     HRM CLAIM MANAGEMENT INC                                 PO BOX 9410               MINNEAPOLIS            MN    55440-9410
FM8     HRM CLAIM MGMT INC                                       PO BOX 1181               MINNEAPOLIS            MN    55440-1181
L46     HUGHES AIRCRAFT                P O BOX 3310                                        FULLERTON              CA    92634
R48     HUMANA CLAIMS OFFICE                                     P O BOX 14635             LEXINGTON              KY    40512-4635
CE9     HUMANA CLAIMS OFFICE                                     PO BOX 14601              LEXINGTON              KY    40512-4601
HU2     HUMANA DENTAL PLANS                                      PO BOX 14611              LEXINGTON              KY    40512-4611
D87     HUMANA EMPLOYERS HEALTH        1100 EMPLOYERS BLVD                                 GREEN BAY              WI    54344
CE2     HUMANA EMPLOYERS HEALTH                                  PO BOX 14610              LEXINGTON              KY    40512-4610
CJ1     HUMANA HEALTH CARE                                       PO BOX 14603              LEXINGTON              KY    40512-4603
CN3     HUMANA HEALTH CARE PLAN        222 S RIVERSIDE PLAZA     SUITE 1051                CHICAGO                IL    60606
T40     HUMANA HEALTH CARE PLANS                                 P O BOX 2180              LOUISVILLE             KY    40201-2180
D99     HUMANA HEALTH INSURANCE        CO OF FLORIDA              P O BOX 19080 F          JACKSONVILLE           FL    32245-9080
I61     HUNT AND TAYLOR                P O BOX 291927                                      NASHVILLE              TN    37229
UK*     HUNT DREADER ASSOC INC         DOLLAR GENERAL CORP       427 BEECH STREET          SCOTTSVILLE            KY    42164
H9*     HYATT CORP HOSPITAL            EXPENSE BENEFIT PLAN      939 RIDGELAKE BLVD        MEMPHIS                TN    38117
BT*     HYDE INSURANCE COMPANY         1991 CORPORATE AVENUE                               MEMPHIS                TN    38132
E39     HYTROL GROUP MEDICAL PLAN      2020 HYTROL DRIVE                                   JONESBORO              AR    72401
J72     I D S LIFE INSURANCE CO                                  PO BOX 499                MINNEAPOLIS            MN    55440
D55     I D S PLAN SERVICE             BOX 30086                                           TAMPA                  FL    33630-3086
I31     I R M C                                                  P.O. BOX 4705             MONROE                 LA    71211
AP6     IA CARE                                                  500 SW 7TH STE 201        DES MOINES             IA    74103-2131
Y21     IBA HEALTH LIFE ASSURANCE      106 FARMERS ALLEY STE 300 P O BOX 51100             KALAMAZOO              MI    49005-1100
W22     IBEW                           LOCAL UNION 9             7045 N WESTERN AVE        CHICAGO                IL    60645
Q83     IBEW NECA SOUTHWESTERN HEA     AND BENEFIT FUND          4040 MCEWEN, SUITE 100    DALLAS                 TX    75244-5092
T21     ICHA HEALTH CARE PLAN                                    2024 HICKORY RD           HOMEWOOD               IL    60430-2199
CD6     IEBC                           P O BOX 470                                         GENEVA                 IL    60134-0470
Y80     IGA GROUP                      EMPLOYMENT BENEFIT PROGRA 430 ORLAND SQ DR STE 303 ORLAND PARK             IL    60462
F35     ILLINOIS CENTRAL HOSP ASSC     2024 HICKORY ROAD                                   HOMEWOOD               IL    60430-2199
Z57     ILLINOIS MUTUAL LIFE CASUA     300 S.W. ADAMS                                      PEORIA                 IL    61634
Z88     IMA OF LOUISIANA               P.O. BOX 52868                                      SHREVEPORT             LA    71135
K38     IMASCO                         SUITE 300                 3RD FLOOR ONE WOODLAWN    CHARLOTTE              NC    28217
FR4     INCENTUS BENEFITS                                        PO BOX 8902               WICHITA                KS    67208
J56     INDEPENDENT ADMIN CO           10801 WAYZATA BLVD                                  MINNETONKA             MN    55343
EB8     INDEPENDENT INS AGENT                                    P O BOX 1326              FORT WORTH             TX    76101-1326
AV*     INDEPENDENT LIFE               AND ACCIDENT INS CO       ONE INDEPENDENT DRIVE     JACKSONVILLE           FL    32276
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    63
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
B66     INDEPENDENT LIFE INSURANCE     1610 WEST 3RD             PO BOX 1191               LITTLE ROCK            AR    72203
H69     INDIANA MANUF ASSOCIATES I     P.O. BOX 441280                                     INDIANAPOLIS           IN    46244-1280
FP7     INDIANAN HEALTH NETWORK                                  PO BOX 20490              INDIANAPOLIS           IN    46220
P33     INDREX QUARLES                 7633 E 63RD PLACE         SUITE 500                 TULSA                  OK    74133
G90     INDUSTRIAL LIFE INS CO         HERITAGE INS MANAGERS     P O BOX 790570            SAN ANTONIO            TX    78279
A83     INDUSTRIAL LIFE INS CO         ATTN CLAIMS DEPT          3815 MONTROSE             HOUSTON                TX    77006
G60     INFOLOB INS CO                                           POBOX 1309                CLARKSDALE             MS    38614
HS5     INFORMED RX                    26 HARBOR PARK DRIVE                                PORT WASHINGTON        NY    11050
Y22     INGERSOLL                      ATTN HEALTH INSURANCE SEC 707 FULTON AVENUE         ROCKFORD               IL    61103
I66     INGRAM INDUSTRIES INC                                    P.O. BOX 23049            NASHVILLE              TN    37202
VI*     INLAND LIFE INSURANCE CO                                 223 WEST JACKSON          CHICAGO                IL    60601
M56     INNOVATOR                      P O BOX 938                                         SAN JOSE               CA    95100-9380
GR2     INNOVIANT                                                PO BOX 8082               WAUSAU                 WI    54402
K1*     INS CO OF STATE OF             PENNSYLVANIA              102 MAIDEN LANE           NEW YORK               NY    10005
GE3     INSERVCO INSURANCE CO          ATTN MARY BETH ULP        P O BOX 3899              HARRISBURG             PA    17105-3899
J36     INSURANCE AND RISK MANAGEM                               P.O. BOX 414043           MAMI BEACH             FL    33141
N13     INSURANCE BENEFIT ADMIN        P O BOX41779                                        MEMPHIS                TN    38174
K93     INSURANCE BENEFITS SERVICE                               PO BOX 218969             HOUSTON                TX    77218-8969
T14     INSURANCE CLAIM SERVICE        LANCASTER HEALTH BENEFIT P O BOX 1307               MENA                   AR    71953
CB9     INSURANCE CLAIMS SERVICE I     P O BOX 43350                                       BIRMINGHAM             AL    35243
OL*     INSURANCE CO OF                NORTH AMERICA             1600 ARCH STREET          PHILADELPHIA           PA    19101
A31     INSURANCE COMPANY OF AMERI     406 WEST 34 STREET                                  KANSAS CITY            MO    64111
V2*     INSURANCE CONSULTING AND       CLAIMS SERVICE INC        100 E SOUTH ST SUITE 320 ARLINTON                TX    76010
L27     INSURANCE MANAGEMENT           ADMIN OF LOUISIANA INC    P O BOX 71120             BOSSIER CITY           LA    71171-1120
EO7     INSURANCE MANAGEMENT SVCS                                P O BOX 15688             AMARILLO               TX    79105
BV7     INSURANCE MARKETING RESOUR     P O BOX 65500                                       LUBBOCK                TX    79464
BM4     INSURANCE RISK MGMT                                      P. O. BOX 2362            FORT WAYNE             IN    46801-2362
N78     INSURANCE RISK MGT             P O BOX 2067                                        CEDAR RAPIDS           IA    52406
M85     INSURANCE SERVICE CENTER       11330 Z H 10 WEST         SUITE 2100                SANANTONIO             TX    78249
CH2     INSURANCE SERVICES AND BEN     3218 HWY 67 SUITE 218                               MESQUITE               TX    75150
G43     INSURANCE SERVICES INC         3015 E CENTRAL                                      WICHITA                KS    67214
AD7     INSURANCE SPECIALISTS INC      P.O. BOX 669              2407 LINWOOD DRIVE        PARAGOULD              AR    72451
M14     INSURANCE TRUST                P O BOX 65887                                       WEST DESMOINES         IA    50265
EG8     INSURER ADM CORPORATION        CONSUMER FOOD DRUG        PO BOX 35309              PHOENIX                AZ    85069
X85     INSURERS ADMINSTRATION CO      PO BOX 39119                                        PHOENIX                AZ    85069-9119
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    64
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
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M63     INSUREX BENEFIT ADMIN          P O BOX 41779              2158 UNION AVENUE         MEMPHIS               TN    38174
P93     INSURNATIONAL INCORPORATED     P O BOX 619070                                       DFW AIRPORT           TX    75261-9070
SF*     INTEGON                        FRIT INDUSTRIES INC        GENERAL DELIVERY          WALNUT RIDGE          AR    72476
VV*     INTEGON LIFE INS GROUP                                    P O BOX 18384             TAMPA                 FL    33679
Y4*     INTER CO HOSPITAL PLAN         PO BOX 7780 1292                                     PHILADELPHIA          PA    19182-2000
AV7     INTERACTIVE MEDICAL SYSTEM     5621 DEPARTURE DR STE 117 P.O. BOX 19108             RALEIGH               NC    27619
HL4     INTERAMERICANS INSURANCE       PO BOX 9510                                          WITCHITA              KS    67277
AI8     INTERCARE HEALTH PLANS         P.O. BOX 3559                                        ENGLEWOOD             CO    80155-3559
S3*     INTERCONTINENTAL LIFE INS                                 P O BOX 149138            AUSTIN                TX    78701-9138
BW8     INTERGROUP                     1010 N FINANCE CTR DRIVE SUITE 100                   TUCSON                AZ    85710-1361
SS*     INTERMOUNTAIN HEALTH CARE      36 SOUTH STATE             PO BOX 11670              SALT LAKE CITY        UT    84147-0670
CC1     INTERNATIONAL BENEFIT SERV     P O BOX 1326                                         FORT WORTH            TX    76101-1326
QS*     INTERNATIONAL CLAIM SVCS       5775 PEACHTREE DUNWOODY    BLDG G SUITE 550          ATLANTA               GA    30342
B8*     INTERNATIONAL GROUP INS        6620 WEST BROAD STREET     P O BOX 8287              RICHMOND              VA    23226
GW8     INTERNATIONAL MEDICAL GROU                                P O BOX 88500             INDIANAPOLIS          IN    46208-0500
F38     INTERNATIONAL MULTIFOODS       MULTIFOODS TOWER           BOX 2942                  MINNEAPOLIS           MN    55402-0942
OQ*     INTERSTATE                     EAST CEDAR                 P O BOX 405               EL DORADO             AR    71730
00H     INTERSTATE LIFE AND ACCIDE     PO BOX 69                                            LITTLE ROCK           AR    72203
TI*     INTERSTATE LIFE ASSURANCE      3750 DEERFIELD RD                                    RIVERWOODS            IL    60015-3541
E50     INTERSTATE UNIFORM             UNIFIRST CORP              15 OLYMPIA AVE            WOBURN                MA    01888
C25     INTRNTNL UNION OPER ENG PI     LN EMPLYRS HLTH WLFR FUND 4115 CHESAPEAKE ST NW      WASHINGTON            DC    20016
GK8     INVESTORS DIVERSIFIED SYND                                227 AXP FINANCIAL CENTER MINNEAPOLIS            MN    55474
TW*     INVESTORS INSURANCE CORP       P O BOX 23035                                        PORTLAND              OR    97223
D63     INVESTORS LIFE INSURANCE       P O BOX 1038                                         HURST                 TX    76053
I71     IOWA BENEFITS                                             P.O. BOX 707              AMES                  IA    50010
XN*     IOWA STATE TRAVELERS           MUTUAL ASSOCIATION         7136 HASKELL AVENUE       VAN NUYS              CA    91406
JD*     IRON WORKERS FIELD WELFARE     131 N EL MOLINO AVENUE     SUITE 330                 PASADENA              CA    91101
BD1     IRON WORKERS HEALTH            ST LOUIS DISTRICT COUNCIL 2160 S. FOSTER AVENUE      WHEELING              IL    60090
AZ4     IRON WORKERS HEALTH            AND WELFARE                2605 NONCONNAH STE 170    MEMPHIS               TN    38132
T52     ITA APPLE HMO                                             600 JEFFERSON AVE         MEMPHIS               TN    38101
J61     ITPE NMU WELFARE FUND          P O BOX 23679                                        SAVANNA               GA    31403
00T     IV D CHILD SUPPORT             TPL UNIT                   MEDICAL ASSISTANCE        O M S                 AR    72203
S44     J AND S TRUCKING                                          5415 S 31                 FT SMITH              AR    72906
W70     J CHRISTY CONSTRUCTION                                    P O BOX 66                EL DORADO             AR    71731-0066
P73     J F MOLLOY ASSOC INC                                      P O BOX 68947             INDIANAPOLIS          IN    46268
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    65
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
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R14     J M HUBER CORP                                           333 THORNALL ST           EDISON                 NJ    08818
GN7     J P FARLEY CORPORATION         P O BOX 458022                                      WESTLAKE               OH    44145
K95     J P PRICE LUMBER CO            P O BOX 536                                         MONTICELLO             AR    71655
P90     JACKSON GROUP CLAIM CENTER     146 INDUSTRIAL PARK                                 JACKSON                MN    56143
W86     JACKSON LONG AND ASSOC                                   P O BOX 168               MATTESON               IL    60443
Z37     JACUZZI EMPLOYEES MEDICAL      BENEFIT TRUST INTERNATL   P.O. BOX 619930           DFW AIRPORT            TX    75261-9930
B48     JAMES BENEFITS                 PO BOX 987                                          WHEAT RIDGE            CO    80034-0987
A97     JAMES BENEFITS                 350 GLENBOROUGH DR        SUITE 100                 HOUSTON                TX    77067-3699
R60     JAMES RIVER CORP                                         P O BOX 428               FT SMITH               AR    72902
T33     JAN RIDGE INSURANCE                                      33 W MISSISSIPPI          MARIANNA               AR    72360
Z64     JASON INCORPORATED             HEATH AND WELFARE PLAN    5199 NORTH MINGO RD       TULSA                  OK    74117
FY8     JAY N TOLLEY ATTORNEY          323 SPRING STREET         P O BOX 728               FAYETTEVILLE           AR    72702
GH3     JAY SCHOLTENS                  ATTORNEY AT LAW           P.O. BOX 1267             JONESBORO              AR    72403
NI*     JCPENNEY                       AETNA US HEALTH           P O BOX 91511             ARLINGTON              TX    76015
Z65     JE MERIT CONSTRUCTORS INC      P.O. BOX 80257                                      BATON ROUGE            LA    70898
UX*     JEFFERSON LIFE INSURANCE       9304 FORREST LANE NORTH   SUITE 256                 DALLAS                 TX    75243
GR3     JEFFERSON NATIONAL LIFE                                  PO BOX 2034               CARMEL                 IN    46082-2034
U65     JEFFERSON PILOT                                          PO BOX 26011              GREENSBORO             NC    27420
EA7     JEFFERSON PILOT                                          P O BOX 21008             GREENSBORO             NC    27420
EP1     JEFFERSON PILOT                                          P O BOX 268849            OKLAHOMA CITY          OK    73126-8849
AI9     JEFFERSON PILOT                5950 FAIRVIEW ROAD        SUITE 810                 CHARLOTTE              NC    28210
FC2     JEFFERSON PILOT INS CO         P O BOX 20727                                       GREENSBORO             NC    27420-0727
X64     JEFFERSON PILOT INSURANCE      GROUP CLAIMS DEPT         P O BOX 1561              LAKE CITY              FL    32056-1561
I24     JEFFERSON PILOT LIFE INS       5211 LINBAR DR SUITE 513                            NASHVILLE              TN    37211
EE1     JELD WEN HEALTH BENEFITS                                 P O BOX 5128              BEND                   OR    97708
I80     JERRY D LANCASTER AND ASSO                               4825 LBJ FREEWAY STE 190 DALLAS                  TX    75234
T78     JIM WEST ATTORNEY AT LAW                                 P O BOX 1446              FT SMITH               AR    72902-1446
CR1     JIMMY WILSON ATTORNEY          TRUST                     801 PERRY ST              HELENA                 AR    72342
S1*     JOHN ALDEN                     5100 GAMBLE DRIVE         P O BOX 9398              MINNEAPOLIS            MN    55440-9398
AU4     JOHN ALDEN                     P.O. BOX 1599                                       BOISE                  ID    83701
AS6     JOHN ALDEN                                               P.O. BOX 659002           SACRAMENTO             CA    95865-9002
AK6     JOHN ALDEN                     TRANSITANK CAR CORP       PO BOX 025241             MIAMI                  FL    33102
E97     JOHN ALDEN INSURANCE           P.O. BOX 020270           7600 CORP CENTER DR       MIAMI                  FL    33162
AB2     JOHN ALDEN INSURANCE CO        P.O. BOX 829504                                     SOUTH FLORIDA          FL    33082
G21     JOHN ALDEN LIFE INS                                      P O BOX 50090             PHOENIX                AZ    85076-0090
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    66
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
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EJ3     JOHN ALDEN LIFE INS                                      P O BOX 30308             TAMPA                  FL    33630
DP4     JOHN ALDEN LIFE INS            5500 GLENDON COURT        P O BOX 1804              DUBLIN                 OH    43017-1804
GY8     JOHN ALDEN LIFE INSURANCE                                P O BOX 42034             HAZELWOOD              MO    63042
GI4     JOHN BARTTELT                  ATTORNEY AT LAW           319 SOUTH CHURCH          JONESBORO              AR    72401
OR*     JOHN DEERE HEALTH CARE         3800 23RD AVE             SUITE 200                 MOLINE                 IL    61265
ES1     JOHN HANCOCK                   UNICARE                   P O BOX 7605              SCHAUMBERG             IL    60188
EH7     JOHN HANCOCK                   UNICARE                   P O BOX 801067            DALLAS                 TX    75380-1067
CL1     JOHN HANCOCK                   UNICARE                   P O BOX 3148              BALDWIN                MO    63022
CD4     JOHN HANCOCK UNICARE           WHIRLPOOL CORP            P O BOX 4052              SCHAUMBURG             IL    60168-4052
AW7     JOHN HANCOCK UNICARE           3200 GREENFIELD           P O BOX 6113              DEARBORN               MI    48120
Z8*     JOHN HANCOCK UNICARE                                     P O BOX 4046              SCHAUMBURG             IL    60168-4046
Z12     JOHN HANCOCK UNICARE           C/O GOLDEN POULTRY COMPAN P.O. BOX 919, MCNEAL DR   DOUGLAS                GA    31538
WW*     JOHN HANCOCK UNICARE           CLAYTON PLAZA BLDG        7700 CLAYTON RD STE 306   RICHMOND HEIGHTS       MO    63117
Y23     JOHN HANCOCK UNICARE           C/O LTV AEROSPCE          PO BOX 655907             DALLAS                 TX    75265
YO*     JOHN HANCOCK UNICARE                                     611 EAST WELLS STREET     MILWAUKEE              WI    53202
UQ*     JOHN HANCOCK UNICARE           720 SW WASHINGTON ST                                PORTLAND               OR    97205-3500
T2*     JOHN HANCOCK UNICARE           1661 GATEWAY BLVD         PO BOX 833835             RICHARDSON             TX    75083-3835
S47     JOHN HANCOCK UNICARE                                     P O BOX 26714             GREENSBORO             NC    27417-6714
WV*     JOHN HANCOCK UNICARE           TODD SHIPYARDS CORP       P O BOX 6158              NEW ORLEANS            LA    70114
WM*     JOHN HANCOCK UNICARE                                     P O BOX 6715              WAYNE                  PA    19087-8715
V79     JOHN HANCOCK UNICARE                                     P O BOX 4053              SCHAUMBERG             IL    60168-4053
V59     JOHN HANCOCK UNICARE                                     BOX 1000                  BRAIN TREE             MA    02184
V32     JOHN HANCOCK UNICARE                                     208 OLD LANCASTER RD      DEVON                  PA    19333
DY5     JOHN HANCOCK UNICARE                                     P O BOX 833823            RICHARDSON             TX    75083
EJ9     JOHN HANCOCK UNICARE           7900 XERXES AVE SOUTH     SUITE 2450                MINNEAPOLIS            MN    55431
DQ9     JOHN HANCOCK UNICARE           KELLOGGS CLAIMS UNIT      PO BOX 4055               SCHAUMBERG             IL    60168-4055
DJ*     JOHN HANCOCK UNICARE           110 VETERANS MEMORIAL HWY SUITE 347                 METAIRIE               LA    70005
DH8     JOHN HANCOCK UNICARE           1585 PAOLI PIKE C 2680                              WEST CHESTER           PA    19380
DH7     JOHN HANCOCK UNICARE           1585 PAOLI PIKE C 2684                              WEST CHESTER           PA    19380
DE6     JOHN HANCOCK UNICARE                                     P O BOX 68099             SCHAUMBERG             IL    60168
DE5     JOHN HANCOCK UNICARE                                     P O BOX 120               BALLWIN                MO    63022-0120
C69     JOHN HANCOCK UNICARE           200 HANOVER PARK DR                                 DUNWOODY               GA    30338
C55     JOHN HANCOCK UNICARE           2110 E STEVE OWENS                                  MIAMI                  OK    74354
C46     JOHN HANCOCK UNICARE           NUMBER 440                720 S W WASHINGTON        PORTLAND               OR    97205
C11     JOHN HANCOCK UNICARE                                     P O BOX 33930             DETROIT                MI    48232
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    67
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FD4     JOHN HANCOCK UNICARE                                     P O BOX 26038             GREENSBORO             NC    27420-6038
G31     JOHN HANCOCK UNICARE           13601 PRESTON ROAD        SUITE 201G                DALLAS                 TX    75240
L1*     JOHN HANCOCK UNICARE                                     3655 N W 87TH AVENUE      MIAMI                  FL    33178
HT*     JOHN HANCOCK UNICARE                                     P O BOX 111               BOSTON                 MA    02117
HG*     JOHN HANCOCK UNICARE           HICKORY SPRINGS MFG       P O BOX 26717             GREENSBORO             NC    27417
R52     JOHN HANCOCK UNICARE           GROUP CLAIMS OFFICE       P O BOX 2074              AURORA                 IL    60507-2074
R2*     JOHN HANCOCK UNICARE           SUNSTRAND CORP            P O BOX 4072              SCHAUMBURG             IL    60194-4072
Q86     JOHN HANCOCK UNICARE                                     P O BOX 5004              ROCHESTER              MI    48308
QF*     JOHN HANCOCK UNICARE           110 21ST AVE SOUTH                                  NASHVILLE              TN    37203
P49     JOHN P PEARL ASSOCIATES        1200 E GLEN AVE                                     PEORIA HEIGHTS         IL    61614-5348
C87     JOHN STROUD                                              2900 PERCY MACHIN DR      NORTH LITTLE ROCK      AR    72118
HD9     JOHNSON AND JOHNSON            PO BOX 221857                                       CHARLOTTE NC                 28222
X30     JOHNSON BROKERS ADM            2448 E 81ST STREET        SUITE 5000                TULSA                  OK    74137-4227
P29     JOHNSONS ADMINIISTRATORS       PO BOX 248                                          NEWTON                 PA    18940
U7*     JON W HALL ASSOCIATES INC      PO BOX 14868                                        SHAWNEE MISSION        KS    66215
CG3     JONES HILLS AND MERCER         EMPLOYEE BENEFITS INC     PO BOX 9888               SAVANNAH               GA    31412
E98     JONESBORO INST SUPPLY          PO BOX 105014                                       ATLANTA                GA    30310
V16     JOSEPH BEHR AND SONS           P O BOX 740                                         ROCKFORD               IL    61105
IB6     JP FARLEY                                                PO BOX 41779              MEMPHIS                TN    38174-1779
HQ9     JUST BENEFITS                  11111 RICHMOND AVE.       SUITE 2377                HOUSTON                TX    77082-6602
PV*     JUSTISS MEARS OIL CO                                     P O DRAWER N              JANA                   LA    71342
DP8     KAISER FOUNDATION              PO BOX 23448                                        SAN DIEGO              CA    92193-3448
TS*     KAISER FOUNDATION              260 INTERNATIONAL CIRCLE                            SAN JOSE               CA    95123
GI2     KAISER FOUNDATION HEALTH P     CALIFORNIA CLAIMS ADMIN   PO BOX 7004               DOWNEY                 CA    90242-7004
DD6     KAISER FOUNDATION HEALTHCA     EMERGENCY CLAIM SERV CTR P O BOX 90430              CITY OF INDUSTRY       CA    91716-0430
DA3     KAISER PERMANENTE              12720 HILLCREST           SUITE 600                 DALLAS                 TX    75230
CW*     KAISER PERMANENTE              500 NE MULTNOMAH          SUITE 100                 PORTLAND               OR    97232-2099
BN8     KAISER PERMANENTE              2500 S HAVANA                                       AURORA                 CO    80014
EN6     KAISER PERMANENTE              10561 BARKLEY             SUITE 200                 OVERLAND PARK          KS    66212
EG7     KAISER PERMANENTE                                        P O BOX 921010            FORT WORTH             TX    76121-9896
0S*     KAISER PERMANENTE                                        P O BOX 370898            DENVER                 CO    80237
ES7     KAISER PERMANENTE SOUTH                                  P O BOX 41920             LOS ANGELES            CA    90041-0920
EB5     KANAWHA BENEFIT SRVS           PO BOX 9050                                         LANCASTER              SC    29721-9050
Q9*     KANAWHA EMPLOYEE BENEFIT                                 P O BOX 5150              GREENSBORO             SC    29606-5150
HQ6     KANAWHA INSURANCE COMPANY      PO BOX 2000                                         LANCASTER              SC    29721
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    68
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
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Z89     KANSAS CITY CHIEFS                                       1 ARROWHEAD DRIVE         KANSAS CITY            MO    64129
K15     KANSAS CITY SOUTHERN RAILW     114 WEST 11TH STREET                                KANSAS CITY            MO    54105
G42     KEARNEY DIVISION               3660 S SCHOOL                                       FAYETTEVILLE           AR    72703
LI*     KELLY AND ASSOCIATES                                     P O BOX 82987             OKLAHOMA CITY          OK    73148
BO2     KELSEY NATIONAL CORP           3030 N BUNDY DRIVE                                  LOS ANGELES            CA    90066
0WB     KEMPER GROUP INSURANCE         1401 PEACHTREE ST NE                                ATLANTA                GA    30309
DV3     KEMPTON COMPANY                                          P O BOX 54889             OKLAHOMA CITY          OK    73154-1889
K92     KENTUCKY KARE SELECT           P O BOX 37450                                       LOUISVILLE             KY    40233
E1*     KERR MCGEE CORPORATION         BENEFIT SERVICES DIV      P O BOX 3823 DEPT 199     RICHARDSON             TX    75080
EN8     KEY BENEFIT ADMINISTRATORS     WASHINGTON NATL EMP BENEF P O BOX 55210             INDIANAPOLIS           IN    46205
GR9     KEY BENEFIT ADMINISTRATORS                               PO BOX 1279               FORT MILL              SC    29716-1279
V78     KEY HEALTH PLAN                                          333 N ALABAMA             INDIANAPOLIS           IN    46204
AS4     KEYSTONE EMPLOYEE BENEFITS     4815 NORTH PROSPECT ROAD                            PEORIA                 IL    61614-6470
L45     KEYSTONE FASTENERS                                       1407 S POWELL             SPRINGDALE             AR    72764
CP*     KEYSTONE INSURANCE COMPANY     1626 NORTH MAIN                                     ROCKFORD               IL    61103
KS*     KEYSTONE LIFE INS CO           BOX 892                                             CARROLLTON             TX    75006
GH2     KEYSTONE WEST                                            PO BOX 226                PITTSBURGH             PA    15230
HJ7     KHS                            PO BOX 1000                                         LANCASTER              SC    29721
BQ1     KIMBALL HEALTH CARE            SPRINGS VALLEY BANK TRUST P O BOX 830               JASPER                 IN    47547
AN5     KIMBERLY CLARK CORP            PREFERRED SERVICES        P.O. BOX 29800            ATLANTA                GA    30359
AN4     KIMBERLY CLARK CORP            PREFERRED SERVICES        P.O. BOX 29300            ATLANTA                GA    30359
W48     KIMBERLY D HOGAN TRUST         MERCHANTS NATIONAL BANK   P O BOX 17007             FT SMITH               AR    72917
BF6     KING CO MEDICAL BLUE SHIEL     P.O. BOX 21267                                      SEATTLE                WA    98111
DL6     KIRK VAN ORSDEL INC            1776 W LAKES PARKWAY                                DES MOINES             IA    50398
WR*     KIRKE VAN ORSDEL               PO BOX 1086                                         ST LOUIS               MO    63188
EM7     KIRKE VAN ORSDEL INC                                     P O BOX 9007              ST LOUIS               MO    63101-9007
V27     KLAIS AND COMPANY              1867 W MARKET ST                                    AKRON                  OH    44313
U11     KMART CORPORATION              DEPT 771153               P O BOX 77000             DETROIT                MI    48277-1153
C91     KNIGHTS OF COLUMBUS            P O BOX 9961                                        PROVIDENCE             RI    02940
N28     KOCH HEALTH PLAN               THE NYHART CO             P O BOX 1090              EVANSVILLE             IN    47706-1090
G78     KOHLER KONNECT MS 014          444 HIGHLAND              18004561675               KOHLER                 WI    53044
IB2     KROGER RX                      1014 VINE STREET                                    CINCINNATI             OH    45202
M48     KUNZLER COMPANY                P O BOX 1523                                        LANCASTER              PA    17603
EE2     KYZER INSURANCE                TEAMSTER LOCAL 856        1800 HARRISON ST          OAKLAND                CA    94612
E46     L T V CORPORATION              ASSOCIATION SERVICES GRP T 12 P O BOX 111           BOSTON                 MA    02117
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE    69
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
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ZM*     LA Z BOY CHAIR CO              PENSION GROUP SVCS         STE 400 161 E MICH AVE    KALAMAZOO             MI    49007
X16     LABARGE CORP                                              P O BOX 324               DALLAS                TX    75221
A4*     LABARGE INC HEALTH BENEFIT     P O BOX 311                                          FLIPPIN               AR    72634
EN3     LABORATORY CORP OF AMERICA     LABCORP CLAIMS UNIT        P O BOX 8200              BURLINGTON            NC    27216
N63     LABORER HEALTH AND WELFARE     SOUTHERN CA                P O BOX 8024              EL MONTE              CA    91734
RB*     LABORERS HEALTH AND            WELFARE PLAN               4501 WEST 61              LITTLE ROCK           AR    72209
HY4     LABORERS HEALTH CALIFORNIA     220 CAMPUS LANE                                      FAIRFIELD             CA    94534-1499
N33     LABORERS INSURANCE FUND        1541 1ST NATL BUILDING                               DETROIT               MI    48226
W77     LABORERS INTERNATIONAL         UNION OF NORTH AMERICA     220 CHAMPUS LN            SUISURE               CA    94585-1498
DM3     LABORERS INTERNATIONAL         UNION OF NO AMERICA        2841 EAST MYRTLE ST       STOCKTON              CA    95205
BW3     LABORERS NATIONAL HEALTH       111 MASSACHUSETTS AVENUE N W SUITE 100               WASHINGTON            DC    20001
UZ*     LABORERS WELFARE FUND          LOCAL 282                  116 COMMERCE DRIVE        JEFFERSON CITY        MO    65101
EY8     LABORS NATIONAL HEALTH         AND WELFARE FUND           P O BOX 1100              COLUMBIA              MD    21044
N12     LABORS PENSION FUND            11465 WEST CERMAK                                    WEST CHESTER          IL    60154
FE6     LAMAR LIFE INSURANCE                                      P O BOX 66978             CHICAGO               IL    60666
R80     LAMAR LIFE INSURANCE CO                                   P O BOX 880               JACKSON               MS    39205-0880
L78     LANCE INC                      8600 S BOULEVARD                                     CHARLOTTE             NC    28232
EH4     LANDMARK INC                   INSURANCE DEPT             P O BOX 478               PONTOTOC              MS    38863
H53     LANGSTON COMPANIES INC         P.O.BOX 60                                           MEMPHIS               TN    38101-0060
J90     LAQUINTA INNS                  P O BOX 790064                                       SAN ANTONIO           TX    78279-0064
Z66     LASALLE DEITCH CO INC          P.O. BOX 98                                          ELKHART               IN    46515
BH7     LAWRENCE HEALTH CARE           P.O. BOX 40022                                       FRESNO                CA    93755
DS3     LAWRENCE SMITH AND ASSOC       SCHOOL INSURANCE           P O BOX 411216            ST LOUIS              MO    63141
R96     LCS EMPLOYEE BENEFIT PLAN      ADMINISTRATIVE SERVICES    4747 LINCOLN MALL DR, 305 MATTESON              IL    60443
HM1     LDI PHARMACY BENEFIT MGMT      300 S GRAND BLVD                                     ST LOUIS              MO    63103
Y24     LEER MFG HEALTH PLAN           CLAIM MGT SERVICES         1043 S MAIN ST            WEST BEND             WI    53095
BO1     LEES TRUCKING INC              P O BOX 70100                                        SHREVEPORT            LA    71137
K58     LEGACY LIFE INSURANCE                                     100 AQUILA COURT          OMAHA                 NE    86102-2779
FQ*     LEGAL SECURITY                                            P O BOX 8476              DALLAS                TX    75205
V54     LEGAL SECURITY LIFE            INS CO                     P O BOX 851348            MESQUITE              TX    75185-1348
M62     LEGGETT AND PLATT GROUP        2806 BRYANT ROAD                                     VAN BUREN             AR    72956
R33     LEGIONNAIRE INSURANCE TRUS                                P O BOX 1146              SANTA BARBARA         CA    93102-1146
IZ*     LEGIONS INSURANCE              CLAIMS ADMINISTRATION      P O BOX 3968              BOCA RATON            FL    33427-3968
I12     LESTER SMITH TREML ARNEDT      P.O. BOX 9                                           WISCONSIN RAPIDS      WI    54494
U91     LEWER AGENCY                                              4534 WORNELL RD           KANSAS CITY           MO    64111-3211
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    70
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HS9     LIBERTY DENTAL PLAN OF CA                                PO BOX 26110              SANTA ANA              CA    92799
J20     LIBERTY LIFE                                             P.O. BOX 2817             GAINSVILLE             GA    30503
F23     LIBERTY LIFE ASSURANCE         3567 PARKWAY LANE         SUITE 200                 NORCROSS               GA    30092
WY*     LIBERTY LIFE INSURANCE CO      TEX ARK JOIST             P O BOX TAJ               HOPE                   AR    71801
C66     LIBERTY LIFE INSURANCE CO      P O BOX 789                                         GREENVILLE             SC    29602
RC*     LIBERTY MUTUAL                                           BOX 25708                 CHARLOTTE              NC    28212
P63     LIBERTY MUTUAL INS             P O BOX 730                                         MISHAWAKA              IN    46544
BE*     LIBERTY MUTUAL INS CO          100 NORTH UNIVERSITY DR                             FORT WORTH             TX    76107
C12     LIBERTY MUTUAL INSURANCE                                 P O BOX 168208            IRVING                 TX    75016-8208
WD*     LIBERTY NATIONAL LIFE INS                                P O BOX 728               BIRMINGHAM             AL    35201
RS*     LIBERTY NORTHWEST              PO BOX 5117                                         PORTLAND               OR    97208
AS8     LIFE AND CASUALTY CO OF TN                               LIFE AND CASUALTY TOWER   NASHVILLE              TN    37219
B84     LIFE AND HEALTH INS            CO OF AMERICA             2200 WALNUT ST            PHILADELPHIA           PA    19103
I49     LIFE GENERAL SECURITY INS                                P.O. BOX 432050           SOUTH MIAMI            FL    33243
I14     LIFE INS CO OF NORTH AMERI     EDUCATIONAL INSTITUTIONAL 120 S RIVERSIDE STE 2150 CHICAGO                 IL    60606
D15     LIFE INS CO OF NORTH AMERI     DOUG RUEDLINGER INC       BOX 2159                  TOPEKA                 KS    66601
OV*     LIFE INS CO OF THE SW          P O BOX 922001                                      HOUSTON                TX    77292-2001
A88     LIFE INS CO OF THE SW          PO BOX 47421                                        DALLAS                 TX    75247-0421
BB2     LIFE INSURANCE CO              OF AMERICA                P.O. BOX 23759            COLUMBIA               SC    29224-3759
CQ1     LIFE INSURANCE CO OF AL        POLICYHOLDER SERV DEPT    P O BOX 349               GADSDEN                AL    35902
LH*     LIFE INSURANCE COMPANY         OF AMERICA                P O BOX 105014            ATLANTA                GA    30308
HU3     LIFE INSURANCE COMPANY         OF ALABAMA                P O BOX 349               GADSON                 AL    35902
GS9     LIFE INVESTORS                                           PO BOX 36580              LOUISVILLE             KY    40233-6580
CX*     LIFE INVESTORS                 TRANSAMERICA              P O BOX 8063              LITTLE ROCK            AR    72203
CZ1     LIFE INVESTORS                 P O BOX 982012            9151 GRAPEVINE HWY        N RICHLAND HILLS       TX    76182-8012
C63     LIFE INVESTORS CO OF AMERI     4333 EDGEWOOD ROAD NE                               CEDAR RAPIDS           IA    52499
P54     LIFE OF AMERICA                P O BOX 3101                                        LITTLE ROCK            AR    72203
P42     LIFE OF AMERICA INS CO         INDIVIDUAL CLAIMS         PO BOX 25385              HOUSTON                TX    77265
J13     LIFE OF ARKANSAS               PREFERRED MEDIPAK         P.O. BOX 1861             LITTLE ROCK            AR    72203-1861
T3*     LIFE OF GEORGIA                ASSOCIATED DOCTORS SENIOR P O BOX 3013              LANGHORNE              PA    19047-9113
0I*     LIFE OF GEORGIA                5780 POWERS FERRY RD      P O BOX 105022            ATLANTA                GA    30308-5022
XO*     LIFE OF VIRGINIA                                         P O BOX 27601             RICHMOND               VA    23200
EK2     LIFE RE ADMINISTRATORS INC     P O BOX 950                                         FOLSOM                 CA    95763-0950
AZ8     LIFE RE INSURANCE CO                                     P O BOX 792070            SAN ANTONIO            TX    78279
M35     LIFEGUARD                      P O BOX 5506                                        SAN JOSE               CA    95150
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    71
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HM4     LIFESTYLES PLAN                                          PO BOX 71507              MADISON HEIGHTS        MI    48071
IB7     LIFESYNCH                      10816 EXECUTIVE CENTER    SUITE 206                 LITTLE ROCK            AR    72211
HX1     LIFEWISE PLAN OF ARIZONA       PO BOX 99134                                        SEATTLE                WA    98111
CR4     LIFT ALL                       102 S HEINTZELMAN ST      PO BOX 1030               MANHEIM                PA    17545
FM3     LILLY HEALTH PLAN                                        PO BOX 7164               INDIANAPOLIS           IN    46207-7164
U29     LINCOLN COMPOSITES             FORMERLY BRUNSWICK CORP   P O BOX 3316              EAST CAMDEN            AR    71701
HN8     LINCOLN HERITAGE                                         PO BOX 10843              CLEARWATER             FL    33757
AK8     LINCOLN NATIONAL               DISTRICT 9                12365 ST CHARLES ROCK RD BRIDGETON               MO    63044
F7*     LINCOLN NATIONAL LIFE INS      222 SOUTH CENTRAL DRIVE   SUITE 403                 CLAYTON                MO    63105
AH5     LINECO                         2000 SPRINGER DRIVE                                 LOMBARD                IL    60148-6419
R27     LIPMAN INSURANCE ADMIN         39420 LIBERTY ST          SUITE 260                 FREMONT                CA    94538
N54     LITTLE RIVER BANK                                                                  LEPANTO                AR    72354
IW*     LOCAL 176 HEALTH AND WELFA     1100 N I55 AT E FRONTAGE                            JOLIET                 IL    60434
AB3     LOCAL 46 UNION                 1620 S. MICHIGAN AVENUE                             CHICAGO                IL    60616
H55     LOCAL 520 UNION EMPLOYEES      ROUTE 159                 8 EXECUTION WOODS COURT   BELLEVILLE             IL    82221
BL3     LOCAL 731 IBT                  1100 E 31ST ST            P.O. BOX 1407             LAGRANGE PARK          IL    60525
GX9     LOCKARD AND WILLIAMS P A                                 P O BOX 1688              PASCAGOULA             MS    39568-1688
G2*     LOCKHEED SUPPORT SYSTEMS       1600 E PIONEER PKWY       SUITE 440                 ARLINGTON              TX    76010
E61     LONDON LIFE REINSURANCE CO                               P O BOX 1120              BLUE BELL              PA    19422-0319
YF*     LONE STAR INSURANCE CO         PO BOX 879010                                       DALLAS                 TX    75287-9010
A80     LONE STAR LIFE INSURANCE       GLOBE LIFE CENTER                                   OKLAHOMA CITY          OK    73102
AE1     LOUIS DREYFUS CORP             P.O. BOX 35                                         NEW MADRID             MO    63869
R16     LOUISIANA GENERAL SERVICES                               P O BOX 433               HARVEY                 LA    70059
T86     LOUISIANA LABORS HEALTH        3200 RIDGELAKE            SUITE 303                 METAIRIE               LA    70002
M21     LOUISIANA MUNICIPAL RISK M     P O BOX 14177                                       BATON ROUGE            LA    70898
AN6     LOVE BOX COMPANY               BENEFITS SECTION          833 BEECHWOOD             FAYETTEVILLE           AR    72701
GA6     LOVE BOX COMPANY                                         PO BOX 10170              PHOENIX                AZ    85064
FD5     LOVELACE HEALTH PLAN           5301 CENTRAL NE           SUITE 1600                ALBURQUERQUE           NM    87108
K71     LOWER AGENCY                   4534 WORDALL ROAD                                   KANSAS CITY            MO    64111
F4*     LOYAL AMERICAN LIFE INS CO                               P O BOX 6407              MOBILE                 AL    36660
Z38     LTV AEROSPACE AND DEFENSE      ATTN PERSONNEL            P.O. BOX 655907           DALLAS                 TX    75265
HH9     LUCENT TECHNOLOGY              P O BOX 57576                                       JACKSONVILLE           FL    32241
HE2     LUCENT TECHNOLOGY              PO BOX 0750                                         CAROL STREAMS          IL    60132-0750
AE2     LUFKIN INDUSTRIES INC          P.O. BOX 849                                        LUFKIN                 TX    75902
GL9     LUMENOS                                                  PO BOX 69309              HARRISBURG             PA    17106
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    72
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GN8     LUMENOS                        1801 N BEAUREGARD ST      SUITE 10 / PO BOX 11265   ALEXANDRIA             VA    22312
CE1     LYON FOLDER COMPANY            P O BOX 708                                         FORDYCE                AR    71742
BL5     M CARE ADMINSITRATION                                    PO BOX 130799             ANN ARBOR              MI    48113-0799
I96     M H A DIVERSIFIED SERVICES                               P.O. BOX 16707            JACKSON                MS    39236-6707
C72     M S CARRIERS OF MEMPHIS        3150 STARNES COVE                                   MEMPHIS                TN    38116
Q99     MAC KINNON CO INC                                        53 A DWIGHT PLACE         FAIRFIELD              NJ    07006
Y7*     MACMILLIAN BLOEDEL INC         6540 POWERS FERRY RD                                ATLANTA                GA    30339
HC3     MACORI ADMINISTRATION                                    P.O. BOX 2508             SPRING                 TX    77383-2508
HB3     MACORI ADMINISTRATION                                    P.O. BOX 2508             SPRING                 TX    77383-2508
X67     MAGEE COMPANY                                            P O BOX 507               POCAHONTAS             AR    72455
AB4     MAGNOLIA PRODUCTS              C/O AMERICAN NATIONAL     P.O. BOX 853              MAGNOLIA               AR    71753
YW*     MAIL HANDLERS                  POB 8402 LONDON KY 40742 P O BOX 44242              JACKSONVILLE           FL    32231-4242
GN5     MAIL HANDLERS BENEFIT          P O BOX 24503                                       TUCSON                 AZ    85734
CO7     MAKSIN MGE CORP                KEVON OFFICE CNT          2500 MCCELLAN SUITE 160   PENNSAUKEN             NJ    08109
J57     MALLOY GROUP INSURANCE         P O BOX 9436                                        MEMPHIS                TN    38109
EP8     MAMSI LIFE AND HEALTH          4 TAFT COURT                                        ROCKVILLE              MD    21771
BR7     MANAGED BENEFIT ADM            4604 S GARNETT            SUITE 501                 TULSA                  OK    74146
V73     MANAGED CARE ADMINISTRATOR                               P O BOX 269050            SAN DIEGO              CA    92196
CK4     MANAGED CARE OF AMERICA        FORMERLY EMPLOYEE BENEFIT 820 PARISH STREET         PITTSBURGH             PA    15220-3405
CS9     MANAGED HEALTH CARE INC        50 BRIAR HOLLOWLAND       STE 500                   HOUSTON                TX    77020
Q55     MANAGED HEALTH FUNDING INS     PO BOX 4221                                         WOODLAND HILLS         CA    91365-4221
FX2     MANAGED HEALTH NETWORK         3850 NORTH CAUSWAY BLVD   2 LAKEWAY CENTER STE 1140 METAIRE                LA    70002
A3*     MANAGED HEALTHCARE CONCEPT     125 NORTH MAIN                                      MEMPHIS                TN    38103
DV*     MANAGEMENT HEALTH FUNDING                                P O BOX 11448             JACKSONVILLE           FL    32239-1448
Q78     MANAGEMENT LIFE GROUP CLAI     TEAM 11                   P O BOX 2007              ARORA                  IL    60507-2007
F36     MANAGEMENT SERVICES                                      P O BOX 1430              DANVILLE               IL    61834-1430
F3*     MANFREDI MOTOR TRANSIT CO      FOR CCI ADMINISTRATORS    P O BOX 20267             COLUMBUS               OH    43220
BP9     MANGEMED                       PO BOX 6125                                         GREENVILLE             SC    29606
W79     MAPCO                                                    P O BOX 544               ARKADELPHIA            AR    71923
KM*     MAPC0                                                    P O BOX 21628             TULSA                  OK    74121-1628
X74     MARATHON OIL COMPANY           INSURED BENEFIT           539 SOUTH MAIN STREET     FINDLY                 OH    45840
CR3     MARILYN DEROO                  C/O 1776                  4360 GEORGETOWN SQ 8LL    DUNWOODY               GA    30338
K66     MARINE HANDLING FLEETING                                 222 NORTH LA SALLE ST     CHICAGO                IL    60601
NQ*     MARITIME ILA WELFARE FUND      4603 GULF FREEWAY         BOX 18374                 HOUSTON                TX    77023
SW*     MARK TWAIN INSURANCE CORP      4400 LINCOLN BLVD         P O BOX 548801            OKLAHOMA CITY          OK    73154-8801
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    73
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
Z42     MARSH ADVANTAGE AMERICA        FORMERLY SEABURY AND SMIT PO BOX 1520                IOWA CITY             IA    52244
HI6     MARSH ADVANTAGE AMERICA        ONE WEST THIRD STREET      SUITE 900                 TULSA                 OK    74103
HO7     MARSH AFFINITY GROUP SERVI                                PO BOX 5108               DES MOINES            IA    50306
EJ2     MARTIN RESOURCES                                          P O BOX 70100             SHREVEPORT            LA    71137
A72     MARTIN SPROCKET AND GEAR V     ATTENTION ORLAND CRAIL     1205 SOUTH THIRD AVENUE   PARAGOULD             AR    72450-5399
N23     MARTIN TRUMBO STERLING         FIRST SOUTH CENTER SUITE 400 280 N COLLEGE           FAYETTEVILLE          AR    72701
LL*     MARVELL INSURANCE AGENCY                                  P O BOX 215               MARVELL               AR    72366
H41     MARVELL PUBLIC EMPLOYEES       CITY OF MARVELL            PO BOX 837                MARVELL               AR    72366
QC*     MARYLAND CASUALTY                                         P O BOX 1228              BALTIMORE             MD    21203
J28     MASS INDM AND LIFE                                        3120 BRECKINRIDGE BLVD    DULUTH                GA    30199
AB5     MASTER CARE                    1900 MAIN NUMBER 216                                 NORTH LITTLE ROCK     AR    72114
T97     MAX FOOTE CONSTRUCTION                                    PO BOX 37387              SHERVEPORT            LA    71133
HL1     MAXOR NATIONAL                 320 S. POLK                SUITE 100                 AMARILLO              TX    79101
W76     MCC BEHAVIORAL CARE            11095 VIKING DR            STE 350                   EDEN PRAIRIE          MN    55344
S63     MCDONALD SUPPLY CO INC         BENEFIT PLAN               P O BOX 389               DUBUQUE               IA    00000
D36     MCDONNELL DOUGLAS HLTHYCAR     5301 BOLSA AVE             MAIL STATION A38 P53      HUNTINGTON BEACH      CA    92647-2048
AU6     MCDOWELL AGENCY INC            P.O. DRAWER 3088                                     GREENVILLE            SC    29602-3088
P57     MCGEE COMPANY                  P O BOX 55                                           PIGGOTT               AR    72454
I53     MCKEE BAKING COMPANY           GROUP HEALTH AND DENTAL    P.O. BOX 2078             COLLEGEDALE           TN    37315
P21     MCKESSON                                                  HWY 43                    HARRISON              AR    72601
IA5     MCLAREN                        P.O. BOX 1511                                        FLINT                 MI    48501-1511
K68     MD PHYSICIANS INSURANCE CO     P.O.BOX 51090                                        AMARILLO              TX    79159
W24     MEBA MEDICAL AND BENEFITS      PLAN                       1007 AVE                  BALTIMORE             MD    21202
I05     MED ADMIN SOLUTIONS            PO BOX 723097                                        ATLANTA               GA    31139
CL5     MED BENEFIT SYSTEMS INC                                   P O BOX 177               SOUTH BEND            IN    46624
GE6     MED IMPACT                                                10680 TREENA ST 5TH FL    SAN DIEGO             CA    92131
L38     MED INCOME CONTINENTAL         P O BOX 66388                                        HOUSTON               TX    77006
M31     MED KEY                                                   PO BOX 1119               FT SMITH              AR    72702
C88     MED PAY                        P O BOX 10909                                        SPRINGFIELD           MO    65801
W57     MEDALLION FOODS INC            EMPLOYEE BENEFIT PROGRAM 3636 MEDALLION AVE          NEWPORT               AR    72112
HV5     MEDBEN                                                    PO BOX 1009               NEWARK                OH    43058-1009
FK5     MEDCO                          P O BOX 747000                                       CINCINNOTI            OH    45274-7000
FX9     MEDCO HEALTH SOLUTIONS         399 JEFFERSON ROAD         MAIL STOP P15             PARSIPPANY            NJ    07054
GQ9     MEDCO HEALTH SOLUTIONS                                    PO BOX 2187               LEES SUMMIT           MO    64063-2187
GU2     MEDCO HEALTH SOLUTIONS INC     P O BOX 14711                                        LEXINGTON             KY    40512
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    74
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AY5     MEDCO LIFE                                               1515 SOUTH 75TH STREET    OMAHA                  NE    68124
CP9     MEDCOST PREFERRED              P O BOX 25307                                       WINSTON SALEM          NC    27114-5307
BB3     MEDI PLAN 17 17                RT 208 DEPT H D                                     FAIRLAWN               NJ    07410
HY6     MEDICA                                                   PO BOX 659752             SAN ANTONIO            TX    78265
L42     MEDICAL ADMINISTRATORS                                   217 BROADWAY              MONTCICELLO            NY    12201
HW7     MEDICAL ASSOCIATES HEALTH      1605 ASSOCIATES DRIVE     SUITE 101                 DUBUQUE                IA    52002
GQ6     MEDICAL BENEFITS ADMINISTR     3103 EMMERTON ROAD        PO BOX 1401               ABINGTON               MD    21009
V97     MEDICAL CARE REFERRAL          GROUP                     MELTON AVE                TRUMANN                AR    72472
I28     MEDICAL CARE REFERRAL GRP                                4100 RIO BRAVA STE 211    EL PASO                TX    79902
EG3     MEDICAL CLAIMS SERVICE                                   P O BOX 160               RAVENSWOOD             WV    26164
AJ1     MEDICAL CONTROL INC            9649 WEBB CHAPEL RD                                 DALLAS                 TX    75220
D11     MEDICAL EXPENSE TRUST 1016     INS CONSULTING AND CLAIM 100 E SOUTH ST STE320      ARLINGTON              TX    76010
BW*     MEDICAL MUTUAL OF OHIO         2060 EAST NINTH STREET    P O BOX 6018              CLEVELAND              OH    44101-1018
FG5     MEDICAL MUTUAL OF OHIO         1 800 641 2583            P O BOX 94917             CLEVELAND              OH    44101-4917
GV7     MEDICAL MUTUAL OF OHIO                                   PO BOX 94648              CLEVELAND              OH    44101
XG*     MEDICAL MUTUAL OF OHIO         BCBS OF OHIO              P O BOX 943               TOLEDO                 OH    43656-0001
C99     MEDICAL PLANS INC              P O BOX 5364                                        JACKSON                MS    39216
D77     MEDICAL PLANS LOUISIANA        3525 N CAUSEWAY BLVD      SUITE 1000                METAIRIE               LA    70002
BU*     MEDICAL RESOURCE                                         P O BOX 544 DEPT D11      MARLTON                NJ    08053
AC8     MEDICAL RESOURCE NET           PO BOX 724317                                       ATLANTA                GA    31139
BM2     MEDICAL SERVICE CORPORATIO     P O BOX 3048                                        SPOKANE                WA    99220-3048
CL8     MEDICAL SERVICES OF AMERIC     P O BOX 1928                                        LEXINGTON              SC    29071-1928
L25     MEDICAL TRUST ADMIN            215 N MAIN                P O BOX 540               CLARION                IA    50525
DM8     MEDICAL VALUE PLAN             405 MADISON AVENUE                                  TOLEDO                 OH    43604
K60     MEDICARE SERVICES                                        P O BOX 1418              LITTLE ROCK            AR    72203-1418
BH8     MEDICLAIM                      WALGREEN MEDICAL PLAN     P O BOX 4007              DANVILLE               IL    61834-4007
AF6     MEDIMET                        P.O. BOX 52011                                      PHOENIX                AZ    85072
0J*     MEDIPAK                        AR BLUE CROSS BLUE SHIELD P O BOX 2181              LITTLE ROCK            AR    72203
D76     MEDIQUIK OF ARKANSAS           2923 E NETTLETON                                    JONESBORO              AR    72401
BR3     MEDPLANS 2000                  P O BOX 1231                                        FORT SCOTT             KS    66701
W46     MEGA LIFE                                                P O BOX 18497             OKLAHOMA CITY          OK    73154
HV4     MEGA LIFE AND HEALTH INSUR     PO BOX 981606                                       EL PASO                TX    79998
N92     MEGA LIFE HEALTH INSURANCE                               PO BOX 982010             N RICHLAND HILLS       TX    76182-8010
FG4     MELTON BROTHERS                4215 S. STADIUM BLVD.     P. O. BOX 1367            JONESBORO              AR    72403-1066
N37     MEMBER SERVICE ADMINISTRAT     P O BOX 3028                                        TULSA                  OK    74102
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    75
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
BB4     MEMORIAL HEALTH NETWORK        9301 SW FREEWAY STE 5000 PO BOX 742567              HOUSTON                TX    77274
X9*     MEMPHIS LGHT GAS AND WATER     ATTN INSURANCE DEPT       P O BOX 430               MEMPHIS                TN    38101
S97     MENNONITE MUTUAL AID ASSOC     1110 NO MAIN ST           P O BOX 483               GOSHEN                 IN    46526
AG4     MENTAL HEALTH NETWORK          1600 LOSGAMOS DR STE 300 18009228015                SAN RAFAEL             CA    94903
HA7     MERCER ADMINISTRATION                                    P O BOX 4542              IOWA CITY              IA    52244-4542
HQ4     MERCY HEALTH PLAN                                        PO BOX 52089              PHOENIX                AZ    85072
AR7     MERCY HEALTH PLAN              1949 EAST SUNSHINE        SUITE 1220                SPRINGFIELD            MO    65804
GL8     MERCY HEALTH PLANS             14528 S OUTER 40 RD       PO BOX 4568               SPRINGFIELD            MO    65608
FU1     MERIDIAN BENEFIT                                         PO BOX 4747               WAYNE                  NJ    07474-4747
HV6     MERITAIN HEALTH                                          PO BOX 9501               AMHERST                NY    14226
MD*     MERO AMO MEDICAL PLAN                                    635 FOURTH AVENUE         BROOKLYN               NY    11232
GB7     MET LIFE                       P O BOX 981282                                      EL PASO                TX    79998-1282
K34     MET LIFE HMO                   SUITE 600                 4500 E. PACIFIC COAST HWY LONG BEACH             CA    90804
BV5     METHODIST HEALTH CHOICE                                  1930 S GERMANTOWN ROAD    GERMANTOWN             TN    38138
Q21     METHODIST HOSP OF JONESBOR     3024 STADIUM BLVD                                   JONESBORO              AR    72401
T57     METLIFE                        ALBUQUERQUE GROUP CLAIMS P O BOX 27448              ALBUQUERQUE            NM    87125-7448
KC*     METLIFE                        9797 SPRINGBORO PIKE      P O BOX 8740              DAYTON                 OH    45401-8740
LP*     METLIFE                        DENTAL CLAIMS             P O BOX 14093             LEXINGTON              KY    40512
BN1     METLIFE                        P. O. BOX 945630                                    MAITLAND               FL    32794-5630
DD2     METLIFE                        DENTAL CLAIMS             P O BOX 6109              UTICA                  NY    13504
DB6     METLIFE                        DENTAL CLAIMS             P O BOX 2078              AURORA                 IL    60507
CW1     METLIFE                        DENTAL CLAIMS             P O BOX 30276             TAMPA                  FL    33630
EM4     METLIFE                        VISION CLAIMS             P O BOX 3010              UTICA                  NY    13504
KH*     METRAHEALTH                                              P O BOX 2050              PITTSBURGH             PA    15230-2050
Y27     METROPLEX LIFE INSURANCE       PO BOX 911                DWYER ROAD                SEGUIN                 TX    78156
Z39     METROPOLITAN                   P.O. BOX 1477                                       BIRMINGHAM             AL    35201
WL*     METROPOLITAN                   DOWELL DIVISION           P O BOX 42335             HOUSTON                TX    77042
I65     METROPOLITAN                   12902 EAST 51ST ST                                  TULSA                  OK    74134
UN*     METROPOLITAN                   DOW CHEMICAL CORP                                   FREEPORT               TX    77541
V68     METROPOLITAN                                             P O BOX 9050              CLEARWATER             FL    34618-9050
GW*     METROPOLITAN                   SPERRY VICKERS            400 LINCOLN STREET        SEARCY                 AR    72143
DJ8     METROPOLITAN                                             P O BOX 740801            ATLANTA                GA    30374-0801
RF*     METROPOLITAN GROUP HEALTH      CLAIMS DIVISION           2929 EXPRESS DR NORTH     HAUPPAUGE              NY    11787
US*     METROPOLITAN INSURANCE                                   1201 L STREET             MODESTA                CA    95350
A52     METROPOLITAN INSURANCE         PO BOX 487                                          BELLEVUE               WA    98004
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    76
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
H83     METROPOLITAN INSURANCE         P.O. BOX 105181                                     ATLANTA                GA    30348
B36     METROPOLITAN INSURANCE CO      GROUP CLAIMS RIC UNIT     PO BOX 7688               SAN FRANCISCO          CA    94120
CY1     METROPOLITAN LIFE              DENTAL SERVICES           P O BOX 3015              UTICA                  NY    13504
C94     METROPOLITAN LIFE              NO AMERICAN PHILIPS LIGHT 2701 W ROOSEVELT          LITTLE ROCK            AR    72204
AJ2     METROPOLITAN LIFE              4200 COMMERCE CENTER                                LISLE                  IL    60532
GL*     METROPOLITAN LIFE              GEORGIA PACIFIC CO        P O BOX 277               STAMPS                 AR    71860
T69     METROPOLITAN LIFE                                        30 GLOBE AVE              TEXARKANA              AR    75502
U80     METROPOLITAN LIFE                                        P O BOX 6029              NEWARK                 DE    19714-6029
S60     METROPOLITAN LIFE                                        P O BOX 900               KENNETT                MO    63837
K43     METROPOLITAN LIFE              10816 EXECUTIVE CENTER DR                           LITTLE ROCK            AR    72211
K48     METROPOLITAN LIFE              C/O CHICOPEE              P O BOX 39                NORTH LITTLE ROCK      AR    72115
W21     METROPOLITAN LIFE                                        P O BOX 5515              FAIRLAWN               OH    44313
AC3     METROPOLITAN LIFE INS          30445 N. WESTERN HWY      SUITE 300                 FARMINGTON HILLS       MI    48334
EK1     METROPOLITAN LIFE INS                                    P O BOX 52011             PHOENIX                AZ    85072
EF2     METROPOLITAN LIFE INS                                    P O BOX 22026             ALBANY                 NY    12201
GR*     METROPOLITAN LIFE INS CO                                 P O BOX 30074             TAMPA                  FL    33630-3074
AP7     METROPOLITAN LIFE INS CO       GP HEALTH CLAIMS OFFICE   P.O. BOX 71928            CHARLESTON             SC    29415
BD9     METROPOLITAN LIFE INS CO       P. O. BOX 6124                                      UTICA                  NY    13504-6124
DF1     METROPOLITAN LIFE INS CO                                 P O BOX 27999             ALBUQUERUE             NM    87125
Z68     METROPOLITAN LIFE INS CO       P.O. BOX 30430                                      TAMPA                  FL    33630
Z90     METROPOLITAN LIFE INS CO       P.O. BOX 9330                                       PINE BLUFF             AR    71601
KZ*     METROPOLITAN LIFE INS CO       BASSETT UPHOLSTERY        PO BOX 627                DUMAS                  AR    71639
I93     METROPOLITAN LIFE INS CO                                 2701 W ROOSEVELT RD       LITTLE ROCK            AR    72204
R17     METROPOLITAN LIFE INS CO       C/O RAYLOC                P O BOX 9437              MEMPHIS                TN    38109
OW*     METROPOLITAN LIFE INS CO       1720 SOUTH CARAWAY ROAD   P O BOX 430               JONESBORO              AR    72401
V30     METROPOLITAN LIFE INS CO       700 QUAKE LANE            PO BOX 300                WARWICK                RI    02887-0300
VE*     METROPOLITAN LIFE INS CO                                 612 CHERRY STREET         HELENA                 AR    72342
C75     METROPOLITAN LIFE INSURANC     P O BOX 17000                                       GREENVILLE             SC    29606
BB5     METROPOLITAN LIFE INSURANC     DENTAL UNIT               P.O. BOX 19929            INDIANAPOLIS           IN    46219
HE1     METROPOLITAN LIFE INSURANC                               P O BOX 937               WESTPORT               CT    06881-0937
X7*     METROPOLITAN NATIONAL LIFE     STANDARD OIL PERSONNEL    PO BOX 5738               CHICAGO                IL    60680
F44     METROPOLITIAN LIFE             LIBBY ROUTE               P O BOX 392               HEBER SPRINGS          AR    72543
H76     MEYERS BAKERIES                P.O. BOX 687                                        HOPE                   AR    71801
BI1     MF BLOCK                                                 216 W EMERSON ST          PARAGOULD              AR    72450
Z14     MHA DIVERSIFIED SERVICES       C/O LION OIL              1000 MCHENRY              EL DORADO              AR    71730
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    77
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
0V*     MHC EMPLOYEE BENEFIT TRUST                                P O BOX 1110              ALEXANDRIA            LA    71309-1110
YX*     MIC LIFE INSURANCE CORP                                   P O BOX 60217             LOS ANGELES           CA    90060
ZO*     MICHAEL LANDERS ATTORNEY       200 N JEFFERSON SUITE 516 1 870 862 5433             EL DORADO             AR    71730
Z69     MICHIGAN CARPENTERS            HEALTH CARE                241 E. SAGINAW STE 601    EAST LANSING          MI    48823
A9*     MICHIGAN MUTUAL INS CO                                    28 WEST ADAMS             DETROIT               MI    48226
EV7     MICRO PLASTICS                 ATTN PAT GRIFFIN           P O BOX 149               FLIPPIN               AR    72634
L6*     MID AMERICA INSURANCE          324 WEST PERSHING          SUITE 11                  NO LITTLE ROCK        AR    72114
D88     MID AMERICA LUMBERMANS ASS     GROUP INS TRUST FUND       4510 BELLEVIEW AVE        KANSAS CITY           MO    64111
R18     MID AMERICAN BENEFITS ASSO     C/O HEALTH PLAN ADMIN      P O BOX 2638              ROCKFORD              IL    61132-2638
ER3     MID AMERICAN HOLDING                                      P O BOX 25946             OVERLAND PARK         KS    66225
PG*     MID CENTURY INSURANCE                                     6717 WEST 63RD ST         SHAWNEE MISSION       KS    66202
MT*     MID SOUTH BENEFIT PLAN                                    P O BOX 17208             NASHVILLE             TN    37217-0208
D53     MID SOUTH INSURANCE CO                                    P O BOX 2069              FAYETTEVILLE          NC    28302
V93     MID SOUTH IRON WORKERS         WELFARE FUND               P O BOX 82987             OKLAHOMA CITY         OK    73148
Z40     MID SOUTH MFG INC              P.O. BOX 278               301 INDUSTRIAL PARK       MARKED TREE           AR    72365
EW5     MID SOUTH TRANSPORATION        1370 LEVEE ROAD                                      MEMPHIS               TN    38108
BN7     MIDAMERICA CLAIMS PROCESSI     ATTN CBA ASSOCIATION CLAI P O BOX 24319              EDINA                 MN    55424
S18     MIDCONTINENT MEDICAL BENEF     TRUST PRO ADMIN GROUP      P O BOX 13390             OVERLAND PARK         KS    66212-3390
Z70     MIDLAND BENEFITS ADMIN         JEFFERSON PILOT            P O BOX 17126             MEMPHIS               TN    38187
C44     MIDLAND INSURANCE CO           1 MIDLAND PLAZA                                      SIOUX FALLS           SD    57101
HE3     MIDLANDS CHOICE                PO BOX 24701                                         OMAHA                 NE    68124
Y28     MIDSOUTH MFG INCORPORATED      301 INDUSTRIAL PARK                                  MARKED TREE           AR    72365
AQ2     MIDWEST ASSURANCE COMPANY      CLAIMS DEPARTMENT          P.O. BOX 1289             MINNEAPOLIS           MN    55440-1289
BB7     MIDWEST BENEFITS               P.O. BOX 2040                                        OMAHA                 NE    68103-0040
UR*     MIDWEST BENEFITS CORP          22255 GREENFIELD ROAD      SUITE 404                 SOUTHFIELD            MI    48075
E69     MIDWEST NATL LIFE INS          STUDENT INS DIVISION       P O BOX 809025            DALLAS                TX    75380-9025
M12     MIDWEST REGIONAL BENEFITS      SUITE 3600                 1 FINANCIAL PLACE         CHICAGO               IL    60605
HN6     MIDWEST SECURITY ADMIN         2700 MIDWEST DRIVE                                   ONALASKA              WI    54650
DT3     MIDWESTERN TEAMSTERS           H AND W FUND               2160 S FOSTER AVE         WHEELING              IL    60090
Y62     MIKE WHITMAN INSURANCE                                    3632 CENTRAL AVENUE       HOT SPRINGS           AR    71913
W55     MILICARE PLUS                                             400 LOCUST ST             DES MOINES            LA    50398
R19     MILK AND ICE CREAM EMPLOYE     WELFARE PLAN               P O BOX 9800              FRESNO                CA    93794
EM5     MILLER BURNS ASSOCIATES        1028 S SECOND STREET                                 SPRINGFIELD           IL    62704
C40     MILLERS GROUP                  P O BOX 2269                                         FORT WORTH            TX    76113
LS*     MINISTERS LIFE                                            P O BOX 910               MINNEAPOLIS           MN    55440
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    78
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
E2*     MISSION INSURANCE COMPANY                                P O BOX 7745              PHOENIX                AZ    85011
BZ7     MISSISSIPPI ADMIN SERVICES     P O BOX DRAWER 1400                                 OXFORD                 MS    38655
YC*     MISSISSIPPI RIVER              TRANSPORTATION CORP       9900 CLAYTON DRIVE        ST LOUIS               MO    63105
I7*     MISSOURI FOREST PRODUCTS       IXL MANUFACTURING CO      611 E CAPITOL             JRFFERSON CITY         MO    65101
EA5     MISSOURI KANSAS TEXAS RR       EMPLOYESS HOSP ASSN       P O BOX 340               DENISON                TX    75020
V6*     MISSOURI NATIONAL LIFE INS                               1006 GRAND AVENUE         KANSAS CITY            MO    64106
CB4     MISSOURI PACIFIC EMPLOYEES     11516 MIRACLE HILLS DRIVE SUITE 102                 OMAHA                  NE    68154
W78     MISSOURI STATE MEDICAL CAR                               P O BOX 104360            JEFFERSON CITY         MO    65110
CM6     MISSOURI VALLEY LIFE           P O BOX 419104                                      ST LOUIS               MO    63141-9998
GB8     MITCHELL BLACKTOCK BARNES      WAGONER IVERS AND SNEDDON P. O. BOX 1510            LITTLE ROCK            AR    72203-1510
W45     MLGW                                                     P O BOX 430               MEMPHIS                TN    38101
GX6     MMS                                                      P O BOX 22389             NASHVILLE              TN    37202-2389
E27     MODERN PIONEERS LIFE           P O BOX 691410                                      SAN ANTONIO            TX    78269-1410
L76     MOLEX INC                      2222 WELLINGTON                                     LISLE                  IL    60532
CO2     MONFORT INC                    HEALTH CARE BENEFITS      P O BOX 6533              ENGLEWOOD              CO    80155
GP*     MONTGOMERY WARD LFE INS        BENEFITS DEPT             P O BOX 5008              SCHAUMBERG             IL    60173-5008
J10     MONTGONERY WARD LIFE INS                                 P.O. BOX 5008             NORTH SURBURBAN        IL    60197-5008
M13     MONUMENT BUILDERS OF NORTH     1612 CENTRAL STREET                                 EVANSTON               IL    60201
DD5     MONUMENTAL GENERAL INS CO      1111 NORTH CHARLES ST                               BALTIMORE              MD    21201-5574
QG1     MONUMENTAL GENERAL INS GRO     P O BOX 97                                          SCRANTON               PA    18504-0097
N53     MONUMENTAL LIFE INS            ONE CITY CENTRE           515 N 6TH                 ST LOUIS               MO    63101-1877
GQ8     MONUMENTAL LIFE INS                                      PO BOX 17399              BALTIMORE              MD    21203
EK9     MONUMENTAL LIFE INS CO         5001 LBJ FWY              SUITE 200                 DALLAS                 TX    75244
P34     MOORE AND SONS INC             PO BOX 419458                                       KANSAS CITY            MO    64141
IA7     MORGAN WHITE ADMINISTRATOR     5722 I 55 NORTH                                     JACKSON                MS    39211-2638
BY8     MORRIS ASSOCIATES              P O BOX 50440                                       INDIANAPOLIS           IN    46250
B55     MOSERS MEDICAL CARE PLAN       PO BOX 2400                                         JEFFERSON CITY         MO    65102
DX1     MOTEL 6                        MEDICAL CLAIM SERVICE     P O BOX 809092            DALLAS                 TX    75380-9092
WK*     MOTION PICTURE HEALTH          AND WELFARE FUND          P O BOX 1999              STUDIO CITY            CA    91614-1999
E58     MOTOR CAR DEALERS ASSN         OF SOUTHERN CALIF STE 31 5757 W CENTURY BLVD        LOS ANGELES            CA    90045
BL9     MOTOROLA MEDICAL PLAN          P O BOX 29005                                       PHOENIX                AZ    85038-9005
V49     MOUNTAIN STATE                 BC BS                     P O BOX 7026              WHEELING               WV    26003
Q98     MOUNTAIN STATES ADMINISTRA     2530 SOUTH PARKER RD      SUITE 606                 AURORA                 CO    80014
HH6     MSAG                           PO BOX 830650                                       BIRMINGHAM             AL    35283-0650
S34     MSTA CLAIMS UNIT                                         1831 CHESTNUT STREET      ST LOUIS               MO    63103-2231
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    79
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
C16     MUELLER COMPANY PLAN           ADMINISTRATOR GROUP BENEF 500 W ELDORADO            DECATUR                IL    62525
CA7     MUNICIPAL HEALTH BENEFIT       FUND                      PO BOX 188                NORTH LITTLE ROCK      AR    72115
HD8     MURPHY HOFFMAN COMPANY         1524 N. CORRINGTON                                  KANSAS CITY MO               64120
G99     MURPHY OIL USA INC                                       200 PEACH ST              ELDORADO               AR    71730
J26     MUTUAL ADMINISTRATORS INC                                800 SOUTH 8TH STREET      LAS VEGAS              NV    89101
E49     MUTUAL ASSURANCE ADMNS         P O BOX 42096                                       OKLAHOMA CITY          OK    73123-3096
F40     MUTUAL BENEFIT LIFE            2425 N CENTRAL EXPY       SUITE 550                 RICHARDSON             TX    75080-2743
F11     MUTUAL BENEFIT LIFE            PO BOX 726                                          KANSAS CITY            MO    64141
HW*     MUTUAL BENEFIT LIFE INS                                  BOX 19596                 KANSAS CITY            MO    64141
UY*     MUTUAL BENEFIT LIFE INS        S AND W IRON COMPANY      1441 A TERMINAL AVE       SAN JOSE               CA    95112
AG6     MUTUAL GROUP                   US EMPLOYEE BENEFIT       401 N. EXECUTIVE DRIVE    BROOKFIELD             WI    53008
I68     MUTUAL LIFE INS CO                                       1235 NORTH 7TH            WEST MEMPHIS           AR    72301
RE*     MUTUAL OF NEW YORK                                       246 EAST JANATA BLVD      LOMBARD                IL    60148
NF*     MUTUAL OF OMAHA                51 MONROE STREET          P O BOX 6097              ROCKVILLE              MD    20850
GS7     MUTUAL OF OMAHA                                          PO BOX 3608               OMAHA                  NE    68103
GD6     MUTUAL OF OMAHA                                          S6 GCQA FARNAM STREET     OMAHA                  NE    68172
AE3     MUTUAL OF OMAHA                100 W CLARENDON           SUITE 1220                PHOENIX                AZ    85013
CK5     MUTUAL OF OMAHA                P.O. BOX 668329                                     CHARLOTTE              NC    28266-8329
R99     MUTUAL OF OMAHA                GROUP CLAIMS OFFICE       P O BOX 1332              MINNEAPOLIS            MN    55440
Z15     MUTUAL OF OMAHA                P.O. BOX 9                                          WOODWARD               OK    73802
0L*     MUTUAL OF OMAHA                MUTUAL OF OMAHA PLAZA     DODGE AT 33RD STREET      OMAHA                  NE    68175
GH*     MUTUAL PROTECTIVE INS CO       1515 S 75TH ST            P O BOX 3477              OMAHA                  NE    68103
L4*     MUTUAL SAVINGS                                           P O BOX 727               WINFIELD               AL    35594
L5*     MUTUAL SECURITY LIFE INS                                 3000 COLISEUM BLVD EAST   FORT WAYN              IN    46805
XD*     MUTUAL SERVICE INSURANCE                                 P O BOX 64035             ST PAUL                MN    55164-0035
EI5     MVP HEALTH                     111 LIBERTY STREET        P O BOX 2207              SCHENECTADY            NY    12301-2207
HS6     MVP HEALTHCARE                 220 ALEXANDER STREET                                ROCHESTER              NY    14607
M79     MYERS BAKERY                   P.O. BOX 687              HWY 67                    HOPE                   AR    71801
CH7     N J CAR                        PO BOX 7510                                         TRENTON                NJ    08628
E86     N L CLAIMS DEPT                P O BOX 62107                                       HOUSTON                TX    77205
NR*     N R T A INSURANCE PLANS                                  5 PENN CENTER PLAZA       PHILADELPHIA           PA    19103
U68     NALC BENEFIT PLAN                                        20547 WAVERLY CT          ASHBURN                VA    20149
Y19     NALC HEALTH BENEFIT PLAN       PO BOX340219                                        SACRAMENTO             CA    95834-0219
L19     NAPA GROUP INSURANCE INS S                               PO BOX 790                BLOOMINGDALE           IL    60108-0790
YJ*     NAPUS HEALTH BENEFIT PLAN                                550 TWELFTH STREET SW     WASHINGTON             DC    20024
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    80
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
Q39     NARFE INS PROGRAM              2135 WISCONSIN AVE                                  WASHINGTON             DC    20007
X31     NARFE SERVICES                                           P O BOX 85049             LOUISVILLE             KY    40285-5049
Y30     NASE MEGA LIFE AND HEALTH      THE INSURANCE CTR CLAIMS P O BOX 982009             N RICHLAND HILLS       TX    76182-8009
A44     NASHVILLE LIFE INSURANCE       1101 MAIN STREET                                    TEXARKANA              AR    75501
P25     NAT TELEPHONE COOP ASSOC       ASHEVILLE SERV CTR GHP CL BBT BUILDING    SUITE 600 ASHEVILLE              NC    28801-3459
CP7     NATHAN E ENYEART                                         308 E ELM STREET          ALPENA                 AR    72611
N36     NATIONAL ALUMINUM CORP         ROLLING DIVISION          HWY 67 NORTH              NEWPORT                AR    72112
M24     NATIONAL AMERICAN LIFE         P O BOX 8082                                        FRESNO                 CA    93747
XU*     NATIONAL ASBESTOS WORKERS      WELFARE FUND SUITE 200    8401 CORPORATE DRIVE      LANDOVER               MD    20785
W25     NATIONAL ASSOC OF PRIVATE      ENTERPRIZE                P O BOX 612147            DALLAS                 TX    75261-2147
W99     NATIONAL BANK OF COMMERCE      TRUST FOR ARMSTRONG       TRUSTEE C DUKE ALLISON    EL DORADO              AR    71730
F5*     NATIONAL BANKERS LIFE INS                                P O BOX 225433            DALLAS                 TX    75265
C58     NATIONAL BENEFIT ADMIN         P O BOX 905                                         EL CAJON               CA    92022
I22     NATIONAL BENEFIT ADMIN                                   P.O. BOX 9000             CARLE PLACE            NY    11514
BW1     NATIONAL BENEFIT ADMINISTR     P O BOX 39118                                       COLORADO SPRINGS       CO    80949-9118
B11     NATIONAL BENEFIT LIFE          PO BOX 814                                          NORRISTOWN             PA    19404
M6*     NATIONAL BENEFIT LIFE                                    P O BOX 11476             FORT WORTH             TX    76100
P58     NATIONAL BENEFIT LIFE INS      JAF BOX 2366                                        NEW YORK               NY    10116
UC*     NATIONAL BENEFIT LIFE INS      CENTRAL STATE SVC OFFICE 666 DUNDEE ROAD            NORTHBROOK             IL    60082
A40     NATIONAL BENEFIT LIFE INSU     TWO PARK AVENUE                                     NEW YORK               NY    10157-0041
I72     NATIONAL BENEFITS                                        9300 METCALF SUITE 230    OVERLAND PARK          KS    66212
K53     NATIONAL BENEFITS                                        P O BOX 13128             NORFOLK                VA    23506-0128
HG2     NATIONAL BENEFITS              P O BOX 263                                         PARSIPPANY             NJ    07054
P65     NATIONAL BENEFITS CONSULTA     P O BOX 19035                                       GREEN BAY              WI    54307-9035
J29     NATIONAL BUSINESS ASSN TRU                               332 WEST BROADWAY         LOUISVILLE             KY    40202
V85     NATIONAL CAPITAL ADMINISTR     525 NORTH WOODWARD SUITE 1050                       BLOOMFIELD HILLS       MI    48304
DI4     NATIONAL CARE INSURANCE        700 E 9TH                 SUITE 1D                  LITTLE ROCK            AR    72201
G8*     NATIONAL CASUALTY INSURANC     GENERAL DELIVERY                                    DETROIT                MI    48200
AU7     NATIONAL CLAIMS                ADMINISTRATORS            P.O. BOX 221169           CHARLOTTE              NC    28228-1169
M10     NATIONAL CONSUMERS ASSOCIA     3130 BROADWAY                                       KANSAS CITY            MO    64111
PR*     NATIONAL COUNCIL OF            SENIOR CITIZENS           925 15TH STREET           WASHINGTON             DC    20005
BY2     NATIONAL ELEVATOR INDUSTRY     HEALTH BENEFIT PLAN       19 CAMPUS BLVD STE 200    NEWTOWN SQUARE         PA    19073
J27     NATIONAL EMPLOYMENT BENEFI                               3855 PRESIDENTAL PARKWAY ATLANTA                 GA    30340
F95     NATIONAL FAMILY CARE LIFE      13530 INWOOD ROAD                                   DALLAS                 TX    75244
N46     NATIONAL FINANCIAL INS CO      P O BOX 2650                                        WACO                   TX    76702-2650
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE    81
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
ES*     NATIONAL FOUNDATION LIFE       3100 BURNETT PLAZA         801 CHERRY STREET UNIT 33 FORT WORTH            TX    76102
X32     NATIONAL FOUNDATION LIFE                                  11025 ANDERSON DRIVE      LITTLE ROCK           AR    72212
D43     NATIONAL GENERAL INSURANCE     3300 RIDERTRAIL S          P O BOX 66822             ST LOUIS              MO    63166
J53     NATIONAL GROUP INSURANCE C     P O BOX 2650                                         WACO                  TX    76102
BY*     NATIONAL HEALTH CARE CORP      BOX 51012E                 1341 WEST MOCKINGBIRD     DALLAS                TX    75247
U41     NATIONAL HEALTH CARE TRUST                                10159 WAYZATA BLVD        MINNETONKA            MN    55343
C27     NATIONAL HEALTH INS CO         P O BOX 619999                                       DFW AIRPORT           TX    75261-9999
R23     NATIONAL HEALTH SYSTEMS IN     9110 E NICHOLS AVE         SUITE 320                 ENGLEWOOD             CO    80112
DJ2     NATIONAL HEALTHCARE            ALLIANCE                   P O BOX 27358             HOUSTON               TX    77227-7358
AW2     NATIONAL HEALTHCORP            LIMITED PARTNERSHIP        PO BOX 1398               MURFREESBORO          TN    37130
EN*     NATIONAL HERITAGE INS CO       7800 SHOAL CREEK BLVD                                AUSTIN                TX    78771
EY*     NATIONAL HOME LIFE ASSURAN     211 EAST CAPITAL                                     JEFFERSON CITY        MO    65101
GQ*     NATIONAL HOME LIFE INS                                    20 MOORES ROAD            MALVEIN               PA    19355
Z6*     NATIONAL INS CO                P O BOX 1899 B                                       TAMPA                 FL    33679
W31     NATIONAL INS SERVICES INC                                 P O BOX 19032             GREEN BAY             WI    54307-9032
G30     NATIONAL INSUARANCE                                       POBOX 11147               MEMPHIS               TN    38111
X8*     NATIONAL INSURANCE SERVICE     PO BOX 18998                                         TAMPA                 FL    33679
N11     NATIONAL LEAGUE OF POSTMAS     1023 N ROYAL STREET        P O BOX 9428              ALEXANDRIA            VA    22314-1529
IA2     NATIONAL MEDICAL HEALTH CA     320 EXECUTIVE COURT                                  LITTLE ROCK           AR    72205
Y31     NATIONAL MEDICAL PROVIDERS     1005 W ORANGEBURG AVE B                              MODESTO               CA    95350
E87     NATIONAL MOTOR CLUB AMERIC     2711 CEDAR SPRINGS ROAD                              DALLAS                TX    75201
DP*     NATIONAL OLD LINE INS CO       P.O. BOX 2900              501 WOOD LANE             LITTLE ROCK           AR    72203-2900
K84     NATIONAL PLUMBING STORES       P O BOX 1050                                         COLUMBUS              OH    43216
FQ4     NATIONAL PREFERRED             PROVIDER NETWORK           419 MAIN STREET           MIDDLETON             NY    10940
AZ7     NATIONAL PRESCRIPTION SERV                                P O BOX 1981              EAST HANOVER          NJ    07936
C74     NATIONAL REPUBLIC LIFE         P O BOX 911                                          BELINGTON             TX    00000
M99     NATIONAL RESERVE INS CO        418 NW 5TH                                           OKLAHOMA CITY         OK    73102
VB*     NATIONAL RETIRED TEACHERS      ASSOCIATION                P O BOX 13907             PHILADELPHIA          PA    19101
BZ6     NATIONAL RURAL ELECTRIC        P O BOX 877                                          CAMDEN                AR    71701
FT*     NATIONAL RURAL ELECTRIC        COOPERATIVE ASSOC          4301 WILSON BLVD          ARLINGTON             VA    22203-1860
H21     NATIONAL RURAL ELECTRIC CO     AR VALLEY ELECTRIC COOP    1811 W COMMERCIAL         OZARK                 AR    72852
CU2     NATIONAL RURAL ELECTRIC CO     800 SCOTT HAMILTON DRIVE                             LITTLE ROCK           AR    72203
AC4     NATIONAL RX SERVICE            P O BOX 650322                                       DALLAS                TX    75265-0322
AF3     NATIONAL RX SERVICES           P O BOX 68385                                        HARRISBURG            PA    17601-9986
CE7     NATIONAL RX SERVICES           500 RESEARCH DR                                      WILMINGTON            MA    01887
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    82
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
BX8     NATIONAL SECURITY LIFE         AND ACCIDENT INS CO       100 E SOUTHMORE           PASADENA               TX    77502
H78     NATIONAL SELECTED MORTICIA     GROUP INS TRUST           POBOX 790                 BLOOMINGDALE           IL    60108
EX9     NATIONAL SENIOR CITIZENS                                 PO BOX 8126               FORT WASHINGTON        PA    19034-8126
N68     NATIONAL SERVICE INDUSTRIE     1180 PEACHTREE N E                                  ATLANTA                GA    30309
J85     NATIONAL SR CITIZENS GROUP     P O BOX 41532                                       PHILADELPHIA           PA    19101-1532
V8*     NATIONAL STATES INS CO         1830 CRAIG PARK COURT     P O BOX 46925             ST LOUIS               MO    63146-4146
EU5     NATIONAL STATES INSURANCE      545 42ND AVENUE 206                                 EAST MOLINE            IL    61244
N62     NATIONAL STUDENT SERVICES      P O BOX 783                                         WALNUT RIDGE           AR    72476
Z91     NATIONAL STUDENT SVCS INC      208 OLD LANCASTER ROAD                              DEVON                  PA    19333
M86     NATIONAL SWAGE                 P O BOX 906                                         JACKSONVILLE           AR    72076
R29     NATIONAL TELEPHONE COOPERA                               P O BOX 650               SUGARLAND              TX    77487-0650
VA*     NATIONAL TRAVEL CLUB INC       TRAVEL BUILDING                                     FLORAL PARK            NY    11001
J21     NATIONAL TRAVELERS LIFE CO     5700 WEST TOWN PKWY       P O BOX 9197              WEST DES MOINES        IA    50266
Z16     NATIONAL TRAVELERS LIFE IN                               6 VILLAGE TERRACE         WAKE VILLAGE           TX    75501
ED6     NATIONAL UNIFORM AND LINEN     SERVICE HEALTH BENEFITS   P O BOX 190060            LITTLE ROCK            AR    72219
Y63     NATIONAL UNIFORM SVCS                                    3235 E. MATTHEWS          JONESBORO              AR    72401
EI2     NATIONS BANK                                             P O BOX 2557              BATESVILLE             AR    72503
CC6     NATIONS BANK                   MARK WHITSON TRUST OFFICE P O BOX 1681              LITTLE ROCK            AR    72203
CB8     NATIONS BANK                   JIM SHENEP TRUSTEE OFFICE P O BOX 1681              LITTLE ROCK            AR    72203
FC9     NATIONSBANK GUARDIAN OF        HEATHER WHARTON,A MINOR   P O BOX 1681              LITTLE ROCK            AR    72203
MC*     NATIONWIDE INSURANCE                                     P O BOX 278               MEMPHIS                TN    38101-0278
ZQ*     NATIONWIDE INSURANCE           INDEPENDENT EMPLYMT TRUST 907 WEST TENTH            TOPEKA                 KS    66801
BB8     NATIONWIDE INSURANCE           C/O FOAM FABRICATORS      P.O. BOX 1737             FOREST CITY            AR    72335
AY3     NATIONWIDE INSURANCE CO        ATTN CAROLINAS SVC CTR    P.O. BOX 182364           COLUMBUS               OH    43218-2364
Q74     NATIONWIDE INSURANCE CO        INDIVIDUAL HEALTH CLAIMS P O BOX 16786              COLUMBUS               OH    43216-6786
MM*     NATIONWIDE INSURANCE CO        TEXAS SERVICE CENTER      P O BOX 182163            COLUMBUS               OH    43218-2163
HZ1     NATIONWIDE SPECIALTY HEALT                               PO BOC 420                SPRINGFIELD            MA    01101
K32     NATL BENEFIT ADMIN             CARLE PLACE               P O BOX 9000              NEW YORK               NY    11514
C84     NATL FEDRTION STNDT PRTN T     DOUG RUEDLINGER INC       P O BOX 2159              TOPEKA                 KS    66601
WP*     NATL FEDTN OF STDNT PROTEC     TRUST DWIGHT JONES AGNCY P O BOX 529                NASHVILLE              AR    71852
V5*     NATL RURAL ELEC COOP ASSOC     SOUTHWEST ARK ELEC CORP   P O BOX 1807              TEXARKANA              AR    75501
Q79     NATL RURAL ELECT COOPS ASS     C/O FIRST ELECTRIC        P O BOX 5018              JACKSONVILLE           AR    72076
K13     NATL RURAL ELECTRIC COOP       P O BOX 368                                         BERRYVILLE             AR    72616
JO3     NAVITUS RX                     PO BOX 999                                          APPLETON               WI    54912-0999
N69     NCAS                                                     P O BOX 1227              FAIRFAX                VA    22030
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    83
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
R50     NCAS                           NATL CLAIMS ADMIN SERVS   P O BOX 220887            CHARLOTTE              NC    28222
XA*     NCSC INSURANCE PLAN                                      76 NORTH BROADWAY         IRVINGTON              NY    10553
ER4     NEBA                           7950 N W 53RD ST          SUITE 202                 MIAMI                  FL    32166
HX3     NEIGHBORHOOD HEALTH PLAN       7600 CORPORATE CTR DRIVE                            MIAMI                  FL    33126-1216
CG1     NEISD                          NE INDEPENDENT SCHOOL DIS 8961 TESORO DR            SAN ANTONIO            TX    78217
V44     NETWORK ADMINISTRATION         11651 PLANO RD            STE 110 LB8               DALLAS                 TX    75355
HY7     NETWORK HEALTH                                           PO BOX 120                MENASHA                WI    54952
W32     NEW ENGLAND EMP BENEFITS G     STE 465 W                 115 PERIMETER CTR PLACE   ATLANTA                GA    30346
BK6     NEW ENGLAND HEALTH PLAN        P. O. BOX 9107                                      OAKBROOK               IL    60522-9107
DM4     NEW ENGLAND HEALTH PLAN        COMUS INTERNATIONAL       P O BOX 4015              ISELIN                 NJ    08830
DT6     NEW ENGLAND INS INV            HEALTH PLAN SERVICES INC P O BOX 30466              TAMPA                  FL    33630-3466
LG*     NEW ENGLAND MUTUAL LIFE                                  501 BOYLSTON ST           BOSTON                 MA    02117
E74     NEW ENGLAND MUTUAL LIFE        LAKEWOOD CENTER NORTH     14600 DETROIT AVE         LAKEWOOD               OH    44107
AH4     NEW ERA LIFE INSURANCE                                   P O BOX 4884              HOUSTON                TX    77210-4884
U46     NEW HAMPSHIRE HEALTH CHOIC     UNIVERSAL PACKING CORP    P O BOX 2000              HAMPTON                NH    03842
BB9     NEW YORK AUTO DEALERS          ASSOCIATION               P.O. BOX 7347             ALBANY                 NY    12224
AW8     NEW YORK LIFE                  P.O. BOX 6047                                       CAMARILLO              CA    93011
C35     NEW YORK LIFE                  GROUP OFFICE STE 212      6525 N MEREDIAN           OKLAHOMA CITY          OK    73116
DQ6     NEW YORK LIFE                  HEALTH PLANS              2425 WEST LOOP S STE 1000 HOUSTON                TX    77027-4208
DQ3     NEW YORK LIFE                  HEALTH PLANS              P O BOX 569               GREENBELT              MD    20770
P64     NEW YORK LIFE                  P O BOX 519                                         STILLWATER             OK    74076
Y69     NEW YORK LIFE                  P.O. BOX 1090                                       LOUISVILLE             KY    40201
DK1     NEW YORK LIFE INS                                        P O BOX 105095            ATLANTA                GA    30348
D44     NEW YORK LIFE INS CO           P O BOX 767                                         KANSAS CITY            MO    64141
Q61     NEW YORK LIFE INS CO           PO BOX 6924                                         VENTURA                CA    93006
E59     NEW YORK LIFE INS CO           P O BOX 1007                                        ST ANN                 MO    63074
H82     NEW YORK LIFE INS CO           P.O. BOX 5625                                       CHICAGO                IL    60680
U67     NEW YORK LIFE INSURANCE                                  P O BOX 30769             JAMAICA                NY    11430-0769
E34     NEW YORK LIFE INSURANCE        NILE CARE                 1818 H ST NW STE N105     WASHINGTON             DC    20433-0001
BN*     NEW YORK LIFE INSURANCE                                  51 MADISON AVENUE         NEW YORK               NY    10003
Y82     NEW YORK LIFE INSURANCE CO                               DODGE AT 3RD STREET       OMAHA                  NE    68175
H47     NEWBERRY TANKS INC                                       205 N WALKER              WEST MEMPHIS           AR    72301
E84     NEWPORT NEWS SHIPBUILDING      HEALTH CLAIMS DEPT        210 39TH STREET           NEWPORT NEWS           VA    23607
Z3*     NFC MARKETING INC LIFE         1301 BALD FORGE ROAD                                LITTLE ROCK            AR    00000
L33     NFPEDA                         10877 WATSON ROAD                                   ST LOUIS               MO    63127
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    84
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
V48     NGS AMERICAN                   NORTHERN GROUP SERVICES   P O BOX 7676              ST CLAIR SHORES        MI    48080
I02     NHP SPECIALTY HEALTH CLAIM     P.O. BOX 420                                        SPRINGFIELD            MO    01101
C54     NIBCO MEDICAL BENEFITS         P O BOX 497                                         AUGUSTA                AR    72006
Z17     NIBCO MEDICAL PLAN                                       P O BOX 1167              ELKHART                IN    46515-1167
J45     NITA                                                     P O BOX 30905             SALT LAKE CITY         UT    84130-0906
GU5     NMHC RX                                                  PO BOX 1170               PORT WASHINGTON        NY    11050
FI5     NMHC RX                        CLAIMS DEPARTMENT         PO BOX 23007              LITTLE ROCK            AR    72221-3007
J38     NN INVESTOR LIFE CO INC        2121 PRICINCUT LIVE ROAD P.O. BOX 1038              HURST                  TX    76053
JN*     NORAM ENERGY CORP              ARKLA INDUSTRIES          P O BOX 21734             SHREVEPORT             LA    71151
CG5     NORTH AMERICA BENEFITS NET     P O BOX 94928                                       CLEVELAND              OH    44101-4928
Z93     NORTH AMERICAN ADMIN           P.O. BOX 1984             1212 8TH AVE. SOUTH       NASHVILLE              TN    37202-1984
Z92     NORTH AMERICAN ADMIN           P.O. BOX 853921                                     RICHARDSON TX                75085
X33     NORTH AMERICAN HARDWOOD FL                               P O BOX 190               MELBOURNE              AR    72556-0190
R25     NORTH AMERICAN INSURANCE C                               P O BOX 4160              MADISON                WI    53711
F55     NORTH AMERICAN LIFE CASUAL     1750 HENNEPIN AVE                                   MINNEAPLOIS            MN    81628-9000
ND*     NORTH ARKANSAS ELECTRIC                                                            SALEM                  AR    72576
I4*     NORTH BROOK INC                                          1340 CHANNEL AVE          MEMPHIS                TN    38105
XH*     NORTH CAROLINA SENIOR          CITIZENS                  2100 M STREET             WASHINGTON             DC    20037
J34     NORTH WESTERN NATIONAL LIF                               2 CENTER PLAZA            BOSTON                 MS    02108
F62     NORTHBROOK LIFE INS CO                                   POBOX 30096               TAMPA                  FL    33630
D58     NORTHBROOK LIFE INS CO         SOUTHWESTERN AR DEVELOPME 2006 STATE LINE           TEXARKANA              AR    75502
H09     NORTHEAST DELTA DENTAL         PO BOX 2002                                         CONCORD                NH    03302
L90     NORTHERN AUTOMOTIVE CORP       P O BOX 24005                                       FRESNO                 CA    95779
J37     NORTHERN GROUP SERVICES                                  P.O. BOX 7676             ST CLAIRE              MI    48080
M11     NORTHERN WIRE CABLE            P O BOX 200                                         SOUTHFIELD             MI    48037
B39     NORTHWEST HLTH CARE PLAN       9275 SW PEYTON LANE                                 WILSONVILLE            OR    97070
V7*     NORTHWEST INVESTORS LIFE       INSURANCE CO INC          P O BOX 1038              HURST                  TX    76053
T93     NORTHWEST MUTUAL               DALLAS GROUP BENEFITS     1700 ALMA STE 500         PLANO                  TX    75075
AP8     NORTHWESTERN LIFE              ATTN INS HILLHAVEN        1149 MARKET STREET        TACOMA                 WA    98402
EM*     NORTHWESTERN NATIONAL          P.O. BOX 1195                                       MINNEAPOLIS            MN    55440
AK9     NORTHWESTERN NATIONAL          C/O NORTHWEST STEEL/WIRE I21 WALLACE                STERLING               IL    61081
AE4     NORTHWESTERN NATIONAL LIFE     1600 OAKBROOK DRIVE                                 NORCROSS               GA    30093
CP1     NORTHWESTERN NATIONAL LIFE     7830 E BROADWAY                                     TUCSON                 AZ    85710
C96     NORTHWESTERN NATL LIFE INS     CHICAGO GROUP CLAIM CENTE 25 E WASHINGTON STE 715   CHICAGO                IL    60602
J98     NORTHWESTERN NATL LIFE INS     RAZORBACK STEEL CORP      1450 STARKS BUILDING      LOUISVILLE             KY    40202-2513
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE    85
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
W80     NORTON ALCOA                                              5300 GERBER ROAD          FT SMITH              AR    72904
CE3     NORWEST FINANCIAL              ATTN PERSONNEL             206 EIGHTH STREET         DES MOINES            IA    50309
HT4     NOVA MEDICALCARE NETWORK       PO BOX 9010                                          BUFFALO               NY    14231
GH6     NOVASYS                                                   PO BOX 25310              LITTLE ROCK           AR    72221
HR2     NOVASYS HEALTH                 P O BOX 25224                                        LITTLE ROCK           AR    72221
HI3     NOVASYS HEALTH                 P O BOX 25330                                        LITTLE ROCK           AR    72221
FB4     NOVASYS HEALTH SYSTEM          REPRICING DEPT             P O BOX 25228             LITTLE ROCK           AR    72221
HA6     NPPN                           419 E MAIN STREET                                    MIDDLETOWN            NY    10940-2550
GY1     NPS                                                       P O BOX 407               BOYSTOWN              NE    68010
L47     NRA INSURANCE PLAN             400 LOCUST STREET                                    DES MOINES            IA    50398
AE5     NRECA                          P.O. BOX 194208                                      LITTLE ROCK           AR    72219
S48     NRECA                          CLAY CO ELECTRIC COOP      BOX 459                   CORNING               AR    72422
RT*     NRLCA ASSOCS HOSPITAL PLAN     1750 PENNSYLVANIA AVENUE SUITE 1302                  WASHINGTON            DC    20006
D31     NSM NATIONAL SELECTED          MORTICIANS INS CO          P O BOX 74205             CHICAGO               IL    60690-8205
X20     NUCOR                                                     P O BOX 1228              BLYTHEVILLE           AR    72316
B25     NURSES SERVICE ORGANIZATIO     PO BOX 1014                                          SOUTHEASTERN          PA    19398-1014
Z2*     NW NATIONAL LIFE INSURANCE     GENERAL DELIVERY                                     COLUMBUS              OH    00000
G06     NWA CHILDCARE INC                                         1104 B NORTH COLLEGE      HUNTSVILLE            AR    72740
GO6     NWA CHILDCARE INC              1104 B NORTH COLLEGE                                 HUNTSVILLE            AR    72740
AJ3     NWNL GROUP                     GLENDALE GROUP CLAIM CTR 730 FAIRMONT AVE STE 202 GLENDALE                 CA    91203
U58     NWNL PREMIER BENEFITS          NETWORK                    1427 WASHINGTON AVE       NEW ORLEANS           LA    70130
BB*     NWNL REGIONAL GROUP OFFICE     640 PLAZA WEST BLDG                                  LITTLE ROCK           AR    72205
CM3     NYHART CO INC                  P O BOX 1090                                         EVANSVILLE            IN    47706-1090
DN8     NYL CARE HEALTH PLANS          PREFERRED COMMUNITY CHOIC P O BOX 3270               TULSA                 OK    74159
B15     NYLCARE                        4500 FULLER DR                                       IRVING                TX    75038-6597
AB*     NYLCARE                        NEW YORK LIFE              P O BOX 660239            DALLAS                TX    75266
BP2     NYSAW HEALTH WELFARE TRUST     CIEBA LIMITED 5029         3206 VESTAL PRKWYEAST     VESTAL                NY    13850
P61     O P LINK HANDLE CO INC         SO MAIN STREET             P O BOX 350               SALEM                 IN    47167
C98     OAKLAND GROUP                  P O BOX 30128                                        OAKLAND               CA    94604
FF7     OBA MIDWEST LTD                                           8160 SOUTH CASS AVENUE    DARIEN                IL    60561-5013
VT*     OCCIDENTAL LIFE                                           P O BOX 22111             HOUSTON               TX    77027
LF*     OCCIDENTAL LIFE                                           2813 STATE LINE           TEXARKANA             TX    75503
BC1     OCCIDENTAL LIFE                P.O. BOX 10234                                       RALEIGH               NC    27605
DE*     OCCIDENTAL LIFE INSURANCE      COMPANY OF CALIFORNIA                                GREENSBORO            NC    27405
NS*     OCCIDENTAL LIFE INSURANCE      4054 MCKINNEY              SUITE 208                 DALLAS                TX    75204
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    86
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HA*     OCCIDENTAL LIFE OF CA          523 LOUISANA BANK BLDG    522 MARKET STREET         SHREVEPORT             LA    71101
X34     ODOMS TENNESSEE PRIDE SAUS                               4701 ASHER AVENUE         LITTLE ROCK            AR    72204
L89     ODS HEALTH PLAN                P O BOX 40384                                       PORTLAND               OR    97240
S4*     OHIO HERTIAGE                                            P O BOX 364               DAYTON                 OH    45401
Y83     OHIO MED                       STATE EMPLOYEE HEALTH CAR P.O. BOX 94776            CLEVELAND              OH    44101-4776
E35     OHIO STATE LIFE INSURANCE      P O BOX 910                                         COLUMBUS               OH    43216
0Q*     OHS                            DENTAL CLAIMS             P O BOX 830842            BIRMINGHAM             AL    35283
L97     OK INDUSTRIES                  P O BOX 1119                                        FORT SMITH             AR    72902
V60     OKLAHOMA STATE EDUCATION E     GROUP INS BOARD           BOX 24870                 OKLAHOMA CITY          OK    73124
P16     OKLAHOMER SMITH                P O BOX 1148                                        FORT SMITH             AR    72902
QX*     OLAN MILLS INC                 4325 AMNICOLA HIGHWAY     P O BOX 391               CHATTANOOGA            TN    37401
KG*     OLD AMERICAN INSURANCE CO      4900 OAK STREET           P O BOX 41873             KANSAS CITY            MO    64141
AI*     OLD EQUITY LIFE                                                                    EVANSTON               IL    60201
A55     OLD LINE LIFE INS CO           3535 N W 58TH STREET                                OKLAHOMA CITY          OK    73100
ZD*     OLD RELIANCE INS CO            P O BOX 13150                                       PHOENIX                AZ    85002
IF*     OLD SOUTHWEST INS CO                                     P O BOX 823               JACKSONVILLE           AR    72076
H94     OLD SURETY LIFE INS CO                                   P O BOX 54407             OKLAHOMA CITY          OK    73154
N19     OLIN CORPORATION                                         P O BOX 4500              NORWALK                CT    06856-4500
AB6     OMAHA CONSTRUCTION IND         HEALTH AND WELFARE PLAN   121 65TH W. CTR, STE 80   OMAHA                  NE    68144
BK4     OMEGA BENEFITS SVC INC         P. O. BOX 830979                                    RICHARDSON             TX    75083-0979
DU8     OMEGA CLAIM SERVICE                                      P O BOX 1100              MARRERO                LA    70073
M49     OMNI TRUST                     P O BOX 2207                                        BRENTWOOD              TN    37024
FL4     ONE HEALTH PLAN                                          PO BOX 11111              FORT SCOTT             KS    66701
R26     ONEOK GROUP LIFE AND HEALT                               201 E JENSEN RD           EL RENO                OK    73036
BI*     OPERATING ENGI TRUST FUND      4115 CHESAPEAKE ST NW                               WASHINGTON             DC    20016
JX*     OPERATING ENGINEERS            LOCAL 1139                17261 W APPLETON AVE      MILWAUKEE              WI    53216
T36     OPERATING ENGINEERS HEALTH                               P O BOX 7067              PASADENA               CA    91101
GW2     OPERATING ENGINEERS HEALTH     LOCAL 139                 PO BOX 160                PEWAUKEE               WI    53072-0160
E88     OPTIC ELECTRONIC CORP          3414 HERRMAN DRIVE                                  GARLAND                TX    75041
0K*     OPTIMA HEALTH PLAN             4417 CORPORATION LANE                               VIRGINIA BEACH         VA    23462-3114
HI0     OPTIMED HEALTH PLANS           4 TERRY DR, SUITE 1                                 NEWTOWN                PA    18940
GZ2     OPTIMED HEALTH PLANS           902 CLINT MOORE RD        SUITE 100                 BOCA RATON             FL    33487
IC2     OPTUMHEALTH VISION                                       PO BOX 30978              SALT LAKE CITY         UT    84130
M29     ORBIT VALVE CO                 ATTN INS CLAIMS           P O BOX 193520            LITTLE ROCK            AR    72219
FQ2     OREGON LABORERS EMPLOYERS                                PO BOX 6711               PORTLAND               OR    97228-6711
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    87
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
L77     OREGON PACIFIC STATES          P O BOX 190                                         PORTLAND               OR    97207
K80     OREGON SUPPLEMENTAL INS DI     P O BOX 2260                                        LITTLE ROCK            AR    72203
Q76     ORGAN TRANSPLANT FUND                                    1023 CAPITOL AVE          LITTLE ROCK            AR    72201
K88     ORKIN                          P O BOX 647                                         ATLANTA                GA    30301
DA6     OSCHNER SISTER OF CHARITY      HEALTH PLAN               ONE GALLERIA BVDSTE 1224 METAIRIE                LA    70001
GI8     OSF HEALTH PLANS               7915 NORTH HALE AVENUE    PO BOX 5128               PEORIA                 IL    61601-5128
C14     OSMOSE EMPLOYEE HEALTHCARE     REIMBURSEMENT DIVISION    M P O BOX 2120            NIAGARA FALLS          NY    14302
G52     OWATONNA FOOD CO               EMPLOYEE BENEFIT PLAN     2001 SO BENTON ST         SEARCY                 AR    72143
S38     OXFORD LIFE INSURANCE                                    2721 N CENTRAL AVE        PHOENIX                AZ    85004
DJ5     OZARK ELECTRIC COOP            3641 WEDINGTON DR                                   FAYETTEVILLE           AR    72701
HW2     OZARK MEDICAL CENTER           18 PARKWAY CENTER         PO BOX 1100               WEST PLAINS            MO    65775
CY*     OZARK NATIONAL LIFE INS CO     10201 WEST MARKHAM        SUITE 300                 LITTLE ROCK            AR    72205
F91     P C S INC                                                P O BOX 52115             PHOENIX                AZ    85072
P70     P F L LIFE INSURANCE           PO BOX 93014                                        HURST                  TX    76053
V71     P M GROUP BENEFIT                                        P O BOX 95009             AUBURN                 WA    98071
P75     PACC HEALTH PLANS              12901 SE 97 AVE                                     CLACKIMAS              OR    97105
L15     PACE                           P O BOX 286                                         CLACHAMOS              OR    97015
CS6     PACIFIC FOUNDATION             3033 CLEVELAND AVE                                  SANTA ROSA             CA    94928
YU*     PACIFIC GUARDIAN LIFE          INSURANCE COMPANY         P O BOX 2083              PHOENIX                AZ    85036
M55     PACIFIC HERITAGE INC           P O BOX 1020                                        PORTLAND               OR    97207
GF7     PACIFIC LIFE                                             2300 MAIN STREET          IRVINE                 CA    92614
ZL*     PACIFIC MUTUAL                 700 NEWPORT CENTER        P O BOX 9000              NEWPORT BEACH          CA    92680
CP8     PACIFIC MUTUAL                 P M GROUP NO 13085        P O BOX 33699             PHOENIX                AZ    85067-3699
BC*     PACIFIC MUTUAL                 P M GROUP                 P O BOX 34799             PHOENIX                AZ    85067-4799
M32     PACIFIC MUTUAL                 8144 WALNUT HILL LANE     SUITE 248                 DALLAS                 TX    75231
JA*     PACIFIC MUTUAL                 CRAIN INDS                5401 SOUTH ZERO           FORT SMITH             AR    72906
Q27     PACIFIC MUTUAL                 1717 DIXIE HWY            SUITE 700                 FT WRIGHT              KY    41011
R22     PACIFIC MUTUAL                                           33400 8TH AVE SO          FEDERAL WAY            WA    98003
E6*     PACIFIC MUTUAL GROUP BENEF     CARILLION TWR W SUITE 801 13601 PRESTON ROAD        DALLAS                 TX    75240
Q58     PACIFIC MUTUAL LIFE INS CO     PO BOX 105090                                       ATLANTA                GA    30348
OG*     PACIFIC MUTUAL LIFE INS CO     ONE MERCANTILE CENTER     SUITE 3100                ST LOUIS               MO    63101
TV*     PACIFIC SOURCE HEALTH PLAN     P O BOX 7068                                        EUGENE                 OR    97401
HX7     PACIFICARE                     PO BOX 30975                                        SALT LAKE CITY         UT    84130-0975
GC5     PACIFICARE                                               PO BOX 6099               CYPRESS                CA    90630
GJ5     PACIFICARE                                               PO BOX 6699               ENGLEWOOD              CO    80155-6770
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    88
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GT5     PACIFICARE                                               PO BOX 29127              SAN ANTONIO            TX    78229
EL*     PACIFICARE OF AZ               HMO CLAIMS                P O BOX 52078             PHOENIX                AZ    85072-2078
BM1     PACIFICARE OF CALIFORNIA       P O BOX 6006              MAIL STOP 6301            CYPRESS                CA    90630-6006
H35     PACIFICARE OF TEXAS                                      P O BOX 400055            SAN ANTONIO            TX    78229
HK4     PAI                            MCDONALDS INSURANCE       PO BOX 6702               COLUMBIA               SC    29260
A86     PAID PRESCRIPTIONS             190 POLLITT DRIVE         P O BOX 6121              FAIRLAWN               NJ    07410
W91     PAN AMERICAN                   245 WAGNER PLACE          STE 300                   MEMPHIS                TN    38100
Y84     PAN AMERICAN GP CLAIMS         8550 UNITED PLAZA BLVD    SUITE 801                 BATON ROUGE            LA    70809
Y33     PAN AMERICAN GROUP CLAIMS      PO BOX 4548                                         JACKSON                MS    39296
GU4     PAN AMERICAN INSURANCE                                   PO BOX 61070              NEW ORLEANS            LA    70160-1070
HM9     PAN AMERICAN LIFE              P.O. BOX 260957                                     PLANO                  TX    75026
EA4     PAN AMERICAN LIFE INS                                    P O BOX 30324             TAMPA                  FL    33630
I43     PAN AMERICAN LIFE INS CO                                 P.O. BOX 865              BRIDGE CITY            TX    77611
W26     PAN AMERICAN LIFE INS CO       HERCULES BUMPER INC       P O BOX 469               PELHAM                 GA    21779
CQ8     PAN AMERICAN LIFE INS CO       111 WESTWOOD PL           SUITE 110                 BRENTWOOD              TN    37027-5021
QW*     PAN AMERICAN LIFE INSURANC     PAN AMERICAN LIFE CENTER P O BOX 60219              NEW ORLEANS            LA    70130
EQ8     PAN PACIFIC BENEFIT ADM        1915 ASTON                SUITE 102                 CARLSBAD               CA    92008
CQ6     PAN PACIFIC BENEFIT ADM        P O BOX 851                                         SALINAS                CA    93902-0851
U57     PANHANDLE EASTERN CORP         GROUP MEDICAL             P O BOX 1642              HOUSTON                TX    77251-1642
CY3     PARADIGON CARE PLAN            P O BOX 1268                                        TIFTON                 GA    31793-1268
GP1     PARAMOUNT HEALTH PLANS         1901 INDIAN WOOD CIRCLE                             MAUMEE                 OH    43537
A76     PARAMOUNT INSURANCE CO         PO BOX 33999                                        SHREVEPORT             LA    71130
FX*     PARAMOUNT LIFE INSURANCE       11025 ANDERSON DR                                   LITTLE ROCK            AR    72212
BH5     PARTNERS HEALTH PLAN           5210 E WILLIAMS CIRCLE    SUITE 300                 TUCSON                 AZ    85711-7416
BS7     PARTNERS HEALTH PLAN           ONE MICHIGAN SQ           100 E WAYNE ST STE 502    SOUTH BEND             IN    46601
HS8     PARTNERS RX MANAGEMENT                                   PO BOX 12119              SCOTTSDALE             AZ    85260
Q16     PAT HANEY AND SONS             PO BOX 670602                                       DALLS                  TX    75367
AS7     PAUL M DAVIDSON                TRANSPORT COMPANNY        P.O. BOX 310              RUSTON                 LA    71273
GS*     PAUL REVERE INS CO                                       18 CHESTNUT STREET        WORCESTER              MA    01608
AZ6     PAYLESS CASHWAYS INC           CLAIMS CENTER             P.O. BOX 419973           KANSAS CITY            MO    64141
G6*     PAYLESS DRUG                   NORTHWEST INC             2920 WHITEMORE AVE        CERES                  CA    95307
W90     PCA HEALTH PLANS               OF TEXAS                  P O BOX 9420              AUSTIN                 TX    78766
L96     PCS                            P O BOX 52115                                       PHOENIX                AZ    85072-2115
Y85     PEERLESS CORPORATION           P.O. BOX 760                                        PARAGOULD              AR    72451
DU9     PEKIN INSURANCE CO             2505 COURT STREET                                   PEKIN                  IL    61558
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    89
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FB2     PEMISCOT HEALTH SYSTEM                                   PO BOX 489                HOYTI                  MO    63851
S55     PENN GEN SERV CORP SW                                    P O BOX 2977              AUSTIN                 TX    78768
H68     PENN GENERAL SER OF GEORGI     P.O. BOX 720677                                     ATLANTA                GA    30358
JO*     PENN MUTUAL                    BRANDON COMPANY                                     LITTLE ROCK            AR    72203
UV*     PENN MUTUAL INSURANCE CO       INDEPENDENCE SQUARE                                 PHILADELPHIA           PA    19172
Z41     PENN WESTERN BENEFITS INC      P.O. BOX 7834                                       GREENSBORO             NC    27417
HG1     PENNSYLVANIA EMPLOYEES BEN     150 SOUTH 43RD STREET     SUITE 1                   HARRISBURG PA                17111
GG*     PENNSYLVANIA LIFE              3130 WILSHIRE BLVD        P O BOX 1710              SANTA MONICA           CA    90406
G37     PENNSYLVANIA LIFE INS CO                                 PO BOX 820969             HOUSTON                TX    77282
CH5     PENNSYLVANIA LIFE INS CO       1001 WADE AVENUE          P O BOX 10234             RALIEGH                NC    27605
R58     PENSION AND GROUP SERVICES     157 SO KALAMAZOO MALL     STE 270                   KALAMAZOO              MI    49007-4812
BF4     PENSION FUND LOCAL 705                                   1645 W JACKSON            CHICAGO                IL    60612
A32     PENSION HOSP BENEFIT PLAN      OF ELECTRICAL INDUSTRIES 158 11 JEWEL AVE           FLUSHING               NY    11365
P60     PENSIONED OPERATING ENGINE     HEALTH AND WELFARE TRUST 642 HARRISON STREET        SAN FRANCISCO          CA    94107
XV*     PENSIONS AND GROUP             CONSULTANT                SIX EAST FOURTH STREET    CINCINNATI             OH    45202
S69     PENTECO                                                  1825 JEFFERSON PLACE NW   WASHINGTON             DC    00000
GK5     PEOPLES BENEFIT LIFE INS C                               ATTN CLAIMS               VALLEY FORGE           PA    19493
JO5     PEOPLES HEALTH NETWORK         3838 N CAUSEWAY BLVD      SUITE 2200                METAIRIE               LA    70002
ER7     PERCS                          2950 SO INDUSTRIAL RD                               LAS VEGAS              NV    89109
GZ3     PERFORMAX                                                P O BOX 1065              AMHERST                NY    14226-7065
E64     PERSONAL SERVICE INS CO        100 EAST GAY ST                                     COLUMBUS               OH    43216
EQ1     PERSONALCARE INSURANCE         510 DEVONSHIRE            SUITE G                   CHAMPAIGN              IL    61820
AH6     PERY EXPRESS SCRIPTS           P.O. BOX 27667                                      ST LOUIS               MO    63146
I29     PETERSON FARMS                                           P.O. BOX 248              DECATUR                AR    72722
OI*     PETIT JEAN ELECTRIC            ATTN CLAIMS               P O BOX 37                CLINTON                AR    72031
BC2     PETIT JEAN POULTRY             BENEFITS SECTION          P.O. BOX 70               DANVILLE               AR    72833
B78     PETTIT INSURANCE CO            431 WEST 2ND                                        CORNING                AR    72462
V62     PFL LIFE INS CO                                          P O BOX 469               BILOXI                 MS    39533-0469
X60     PFS INSURANCE GROUP            CONTINENTAL LIFE          P O BOX 1300              ROCKFORD               IL    61105
HJ3     PHARMA LINK                    PO BOX 412735                                       KANSAS CITY            MO    64141
GZ1     PHARMACARE                                               P O BOX 2860              PITTSBURGH             PA    15230-2860
GE7     PHARMACARE                                               695 GEORGE WASHINGTON HWY LINCOLN                RI    02865
HP4     PHARMACEUTICAL TECHNOLOGIE     13660 CALIFORNIA STREET                             OMAHA                  NE    68154
AY9     PHARMACY ASSOCIATES            P O BOX 23007                                       LITTLE ROCK            AR    72221
IA0     PHARMACY DATA MANAGEMENT                                 PO BOX 5300               POLAND                 OH    44514
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    90
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EL9     PHARMACY NETWORK NATL CORP     4000 OLD WAKE FOREST RD   SUITE 101                 RALEIGH                NC    27609
FY2     PHARMACY SERVICE                                         PO BOX 3598               SCRANTON               PA    18505-0598
FY3     PHARMATHERA HEALTH             P O BOX 510                                         PUEBLE                 CO    81002-0510
HA2     PHCN                           1510 MEADOW WOOD LANE                               RENO                   NV    89502
BY1     PHCS KVI                                                 PO BOX 1086               ST LOUIS               MO    63188
U12     PHIDELPHIA AMERICAN LIFE       PO BOX 2465                                         HOUSTON                TX    77252-2465
A90     PHILADELPHIA AMER LIFE INS     3701 DURAN AVE                                      RACINE                 WI    53405-4473
EF4     PHILADELPHIA AMERICA LIFE      INSURANCE COMPANY         PO BOX 4884               HOUSTON                TX    77210
C86     PHILLIPS COMPANY               REARICK AND LENIHAN       P O BOX 400073            DALLAS                 TX    75240
MF*     PHOENIX GROUP SERVICES         67 HUNT STREET            P O BOX 3005              AGAWAM                 MA    01001
DB9     PHOENIX HOME LIFE              MUTUAL INS COMPANY        100 BRIGHT MEADOWS BLVD   ENFIELD                CT    06083
E36     PHOENIX MUTUAL LIFE INSURA     GROUP MEDICAL CLAIMS      P O BOX 810               GREENFIELD             MA    01302-0810
BX9     PHP HEALTHCARE CORPORATION     WASHINGTON D C CLAIM CTR 5900 PRINCESS GARDEN PKWY LANTHAM                 NY    20706
HW5     PHP MID MICHIGAN               1400 EAST MICHIGAN AVENUE                           LANSING                MI    48912-2107
GZ5     PHYSICIAN DIRECT                                         P O BOX 23745             OKLAHOMA CITY          OK    73123
HU0     PHYSICIANS CARE                                          PO BOX 15165              SANTA ANA              CA    92735
H91     PHYSICIANS HEALTH PLAN PLU     77 WESTPONT SUITE 500     P O BOX 66867             ST LOUIS               MO    63166-6867
HY3     PHYSICIANS HEALTH SERVICES                               PO BOX 14700              LEXINGTON              KY    40572
AC*     PHYSICIANS MUTUAL              2600 DODGE                P O BOX 2018              OMAHA                  NE    68172
FO1     PHYSICIANS MUTUAL                                        PO BOX 3313               OMAHA                  NE    68103-2018
J24     PICKETT INDUSTRIES INC                                   P.O. BOX 70100            SHREVEPORT             LA    71137-0100
FT4     PIEDMONT ADMINISTRATORS                                  PO BOX 78030              GREENSBORO             NC    27427-8030
D33     PIEDMONT AMERICAN LIFE         INSURANCE COMPANY         BOX 11107                 WINSTON SALEM          NC    27116
S12     PILGRIM HEALTH APPLICATION                               P O BOX 25926             WINSTON SALEM          NC    27114-5926
ZI*     PILGRIM INDUSTRIES                                       P O BOX 1268              MT PLEASANT            TX    75455
AT7     PILGRIMS PRIDE                 P O BOX 3239                                        HUNTINGTON BEACH       CA    92647
DK9     PILLSBURY COMPANY                                        PO BOX 11925              CORAOPOLIS             PA    15108-6928
G9*     PILLSBURY COMPANY              CLAIMS DEPT               P O BOX 40                MINNEAPOLIS            MN    55440
AE6     PIONEER CONTRACT SVCS INC      C/O PACIFIC MUTUAL        P.O. BOX 58652            HOUSTON                TX    77258
AM3     PIONEER FINANCIAL SERVICE                                PO BOX 3204               MILWAUKEE              WI    53201-3204
Q96     PIONEER LIFE INS CO                                      P O BOX 1250              ROCKFORD               IL    61105-1250
HB7     PIONEER MANAGEMENT             P.O. BOX 9040                                       WEST SPRINGFIELD       MA    01090
X36     PIPELINE EMPLOYEES             HEALTH AND WELFARE FUND   4115 CHESAPEAKE STREET NW WASHINGTON             DC    20016
MW*     PIPELINE INDUSTRY              BENEFIT FUND              P O BOX 470950            TULSA                  OK    74147-0950
DK6     PITTMAN AND ASSOCIATES         PO BOX 22118                                        LITTLE ROCK            AR    72221-2118
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE    91
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
H71     PITTMAN AND ASSOCIATES INC                               P O BOX 111047            MEMPHIS                TN    38111
AN8     PLAN ADMINISTRATORS INC        1250 EAST DIELHL ROAD     SUITE 403                 NAPERVILLE             IL    60563
BV3     PLAN HANDLERS                  11545 W BERNARDO          SUITE 101                 SAN DIEGO              CA    92127
BC3     PLAN SERVICES INC              7655 MARKET ST            SUITE 3800                YOUNGSTOWN             OH    44512-6098
X69     PLAN SERVICES INC              P O BOX 470                                         SHAWNEE MISSON         KS    66201-0470
CJ7     PLANDATA                       P O BOX 719                                         UNION                  NJ    07083-0719
Z94     PLANNED ADMINSTRATORS INC      P.O. BOX 6927                                       COLUMBIA               SC    29260
W13     PLANTERS LIFESAVERS INC                                  4020 PLANTERS RD          FT SMITH               AR    72901
K4*     PLESSY PERIPHERAL              SYSTEMS INC               P O BOX 19616             IRVING                 CA    92714
G7*     PLUMBERS AND PIPEFITTERS       LOCAL 155                 4501 HOFFMAN RD           LITTLE ROCK            AR    72209
GO3     PLUMBERS AND PIPEFITTERS       LOCAL 430                 2908 N HARVARD AVE        TULSA                  OK    74115
E56     PLUMBERS AND PIPEFITTERS       LOCALS 454 AND 665        1900 HIGHWAY 70           HOT SPRINGS            AR    71901
DR2     PLUMBLEY INDUSTRIES            100 PLUMBLEY DR           P O BOX 758               PARIS                  TN    38242
GC*     PMAG                           CLAIMS ADMINSTRATORS      P O BOX 5769              LAFAYETTE              IN    47903
C17     POLAR STAINLESS HEALTH         ONE PLAZA WEST            SUITE 1100                MILWAUKEE              WI    53223
K82     POLISH NATIONAL ALLIANCE       GLOWNE BIURO              1002 PITTSTON AVE         CHICAGO                IL    60639
AJ4     POOLE COMPANY                  P.O. BOX 4271                                       HOUSTON                TX    77210-4271
AN9     POSITIVE CARE ADMINISTRATO     TRANSPORT DIST CO         PO BOX 7930               SHAWNEE MISSION        KS    66207
JY*     POSTMASTERS BENEFIT PLAN       1019 NO ROYAL ST                                    ALEXANDRIA             VA    22314
L72     PPO HEALTH INS                 BAPTIST HEALTH SER GROUP 920 MADISON                MEMPHIS                TN    38101
GG9     PPO PLUS LLC                                             PO BOX 90802              LUBBOCK                TX    79408
K26     PRADCO                         P O BOX 1587                                        FORTSMITH              AR    72902
Z4*     PRAIRIE STATE LIFE INC CO                                P O OBX 2730              RAPID CITY             SD    57709-2730
FE8     PRE DENT                       DENTAL CLAIMS             P O BOX 2935              CHICAGO                IL    60690
DY*     PRECISION METALS               801 ROBERTS                                         TEXARKANA              TX    75501
GP6     PREFERRED BENEFIT ADMINIST     P O BOX 916188                                      LONGWOOD               FL    32791-6188
EN4     PREFERRED CARE                 THIRD PARTY ADMINISTRATOR 6 NESHAMINY INTRPLX 205   TREVOSE                PA    19053
YY*     PREFERRED COMMUNITY CHOICE                               PO BOX 3270               TULSA                  OK    74101-3270
Y64     PREFERRED HEALTH               P.O. BOX 4548                                       JACKSON                MS    39296
GF2     PREFERRED HEALTH                                         8535 E 21ST STREET NORTH WICHITA                 KS    67206
YH*     PREFERRED HEALTH NETWORK                                 301 E OCEAN BLVD STE 900 LONG BEACH              CA    90802-4839
G79     PREFERRED HEALTH PROFESSIO                               P O BOX 25938             SHAWNEE MISSION        KS    66225-5938
EV9     PREFERRED PARTNERS             5943 STADIUM DRIVE                                  KALAMZOO               MI    49009-2005
AX2     PREFERRED PLUS OF KANSAS       PREFERRED HEALTHCARE      P O BOX 307C              WHICHITA               KS    67201
BZ2     PREFERRED WORKS INC            P O BOX 945005                                      MAITLAND               FL    32794
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    92
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HS4     PREMERA BLUE CROSS BLUE SH     7001 220TH ST SW                                    MOUNTAIN LAKE TERR     WA    98043-2124
IC9     PREMIER CARE                   P O BOX 11809                                       FORT WAYNE             IN    46860-1809
GQ2     PREMIER CARE                                             PO BOX 1627               ROGERS                 AR    72757
CN1     PREMIER CARE                                             PO BOX 1340               SPRINGDALE             AR    72765
CV2     PREMIER CARE                                             P O BOX 17006             FORT SMITH             AR    72917
AE8     PREMIER CARE                   P O BOX 749                                         SPRINGDALE             AR    72765-0749
XW*     PREMIER HEALTH PLANS           PO BOX 4528                                         SPRINGFIELD            MO    65808-4528
GP5     PRESBYTERIAN HEALTHCARE SE                               PO BOX 26666              ALBUQUERQUE            NM    87125
R30     PRESCOLITE                                               P O BOX 151               EL DORADO              AR    71731-0151
JO9     PRESCRIBA RX                                             PO BOX 39668              SOLON                  OH    44139
CE5     PRESCRIPTION BY MAIL           P.O. BOX 46775                                      CINCINNATI             OH    45246
GI9     PRESCRIPTION SOLUTIONS         MS LC07 190               PO BOX 6037               CYPRESS                CA    90630-0037
IC5     PRESCRIPTION SOLUTIONS                                   PO BOX 9040               CARLSBAD               CA    92108-9040
EV*     PRESIDENTIAL LIFE INSURANC                               P O BOX 12026             DALLAS                 TX    75225
LV*     PREVENTIVE HEALTH PROGRAMS     P O BOX 549                                         BARLING                AR    72923
Z7*     PREWAY INCORPORATED                                      ROUTE 1 BOX 1 A           PARAGOULD              AR    72450
P6*     PREWITT AND ASSOCIATES         5800 EVERGREEN            SUITE 101                 LITTLE ROCK            AR    72205
QM*     PRIER BRASS MFG CO             EMPLOYEE HEALTH CARE PLAN GENERAL DELIVERY          OVERLAND PARK          KS    66212
N41     PRIMARY CARE NETWORK           BAXTER HEALTHCARE         P O BOX 28986             MILWAUKEE              WI    53226
GP9     PRIMARY PHYSICIAN CARE INC                               PO BOX 11088              CHARLOTTE              NC    28220-1088
R20     PRIME HEALTH                                             6801 E 117TH ST           KANSAS CITY            MO    64134
GL1     PRIME THERAPEUTICS             PO BOX 64812                                        ST PAUL                MN    55164
BX6     PRINCIPAL FINANCE GROUP        REGIONAL GLAIMS CENTER    10210 NORTH 25TH AVE      PHOENIX                AZ    85021
CG*     PRINCIPAL FINANCIAL            2505 W SHAW AVENUE        SUITE 101                 FRESNO                 CA    93711
CM1     PRINCIPAL FINANCIAL            851 SW 6TH                SUITE 1200                PORTLAND               OR    97204
DD7     PRINCIPAL FINANCIAL GROUP      TAMPA REGIONAL CLAIMS CTR P O DRAWER 31298          TAMPA                  FL    33631-3298
E76     PRINCIPAL FINANCIAL GROUP      2525 CUMBERLAND PARKWAY                             ATLANTA                GA    30339
ED1     PRINCIPAL FINANCIAL GROUP      7330 SAN PEDRO STE 700    P O BOX 795014            SAN ANTONIO            TX    78279-5014
IA*     PRINCIPAL FINANCIAL GROUP      NONE PPO ONLY             P O BOX 39710             COLORADO SPRINGS       CO    80949-3910
J89     PRINCIPAL FINANCIAL GROUP      3817 NW ERP WLN SUITE 840                           OKLAHOMA CITY          OK    73112
P44     PRINCIPAL FINANCIAL GROUP      9428 BAYMEADOW RD ST 360 P O BOX 44206              JACKSONVILLE           FL    32256-0143
BM7     PRINCIPAL FINANCIAL GROUP      4021 S 700 E STE 500      P O BOX 57700             SALT LAKE CITY         UT    84107
BC4     PRINCIPAL FINANCIAL GROUP      3025 W COLLEGE                                      GRAND ISLAND           NE    68803-1706
AH3     PRINCIPAL FINANCIAL GROUP      4050 RIVER RIDGE DR. NE                             CEDAR RAPIDS           IA    52402-7587
AG7     PRINCIPAL FINANCIAL GROUP      3510 LINCOLN WAY                                    AMES                   IA    50010-7598
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE    93
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
S32     PRINCIPAL FINANCIAL GROUP                                 2185 LEMOINES             FT LEE                NJ    07024
T87     PRINCIPAL FINANCIAL GROUP      620 S GLENSTONE SUITE 300                            SPRINGFIELD           MO    65802
T62     PRINCIPAL FINANCIAL GROUP      6160 SUMMIT DR             SUITE 440                 BROOKLYN CENTER       MN    55430
Y86     PRINCIPAL FINANCIAL GROUP      330 N 117TH STREET                                   OMAHA                 NE    68154
Y34     PRINCIPAL FINANCIAL GROUP      5100 POPLAR SUITE 2400                               MEMPHIS               TN    38137
X46     PRINCIPAL FINANCIAL GROUP      1800 PACIFIC HWY SOUTH     TOWER 1, SUITE 700        SEATTLE               WA    98188
Z95     PRINCIPAL FINANCIAL GROUP      1755 TELSTAR DRIVE         SUITE 500                 COLORADO SPRINGS      CO    80920
BT4     PRINCIPAL HEALTH CARE                                     P O BOX 410976            KANSAS CITY           MO    64141
EO1     PRINCIPAL HEALTH CARE                                     P O BOX 419055            ST LOUIS              MO    63141
CU8     PRINCIPAL HEALTH CARE          OF IOWA                    P O BOX 71637             DES MOINES            IA    50325
CA2     PRINCIPAL HEALTH CARE INC      3421 N CAUSEWAY STE 600    P O BOX 8175              METAIRIE              LA    70011-8175
GB1     PRINCIPAL LIFE                                            PO BOX 10826              CLEARWATER            FL    33757-8826
FM2     PRINCIPAL LIFE                                            PO BOX 781320             INDIANAPOLIS          IN    46268
UM*     PRINCIPAL LIFE COAM LIFECA     PPO ONLY                   P O BOX 30749             NEW ORLEANS LA              70190-0749
HF3     PRINCIPAL LIFE INSURANCE                                  711 HIGH STREET           DES MOINES            IA    50392-0001
RX*     PRINCIPAL LIFE INSURANCE       PO BOX 2591                                          SPRINGFIELD           MO    65801
QT*     PRINCIPAL LIFE INSURANCE C     PO BOX 2596                                          SPRINGFIELD           MO    65801
W60     PRINTING INDUSTRIES ASSN       OF TEXAS BENEFIT TRUST     910 W MOCKINGBIRD LANE    DALLAS                TX    75247
IB3     PRIORITY HEALTH                1231 EAST BELTLINE NE                                GRAND RAPIDS          MI    49525-4501
CJ8     PRIORTY CARE HEALTH            VALUE CORE                 P.O. BOX 25790            FRESNO                CA    93729-5790
GA8     PRIVATE HEALTHCARE                                        310 S ST MARY STE 400     SAN ANTONIO           TX    78205
GN1     PRIVATE HEALTHCARE SYSTEMS     P O BOX 69510                                        HARRISBURG            PA    17106
GQ5     PRIVATE HEALTHCARE SYSTEMS                                PO BOX 39710              COLORADO SPRINGS      CO    80949
GQ3     PRIVATE HEALTHCARE SYSTEMS                                PO BOX 14230              SPRINGFIELD           MO    65814
DJ9     PRIVATE HEALTHCARE SYSTEMS                                PO BOX 30466              TAMPA                 FL    33630-3466
WI*     PRO AMERICA                    18008745254                P O BOX 90603             ARLINGTON             TX    76006
V34     PRO GROUP                                                 HOTZE RD                  POCAHONTAS            AR    72455
ER5     PRO PREFERRED PRESCRIPTION                                PO BOX 577                SOUTHFIELD            MI    48037
DI5     PRO VANTAGE PRES DRUG PLAN                                P O BOX 846               BROOKFIELD            WI    53008-0846
H90     PROAMERICA                     P.O. BOX 507                                         POCAHONTAS            AR    72455
U86     PROAMERICA REPRICING                                      P O BOX 202008            ARLINGTON             TX    76006
JO2     PROCARE RX                     309 PREMIERE PARKWAY       SUITE 100                 DULUTH                GA    30097
NU*     PRODUCERS EXCHANGE BENEFIT     SERVICES                   14665 MIDWAY STE 110      DALLAS                TX    75244
AZ5     PROFESSIONAL ADMINISTATORS                                PO BOX 140415             ORLANDO               FL    32814-0415
DE1     PROFESSIONAL ADMINISTRATIO     GROUP                      P O BOX 13390             OVERLAND PARK         KS    66212-3390
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    94
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EB3     PROFESSIONAL BENEFIT ADM                                 P O BOX 4687              OAKBROOK               IL    60522-4687
K81     PROFESSIONAL GOLFERS ASSOC     PROCARE                   P O BOX 41963             ROCHESTER              NY    14604
N80     PROFESSIONAL INS CORP                                    P O BOX 130016            RALEIGH                NC    27605-1016
HM6     PROFESSIONAL INSURANCE COM     P.O. BOX 80637                                      LINCOLN                NE    68501
D9*     PROFESSIONAL INVESTORS         LIFE INSURANCE            P O BOX 2888              TULSA                  OK    74101
U99     PROFESSIONAL RISK MANAGEME     P O BOX 1049                                        YOUNGSTOWN             OH    44501
E81     PROFESSIONAL SALES CORP        23501 MOUND ROAD                                    WARREN                 MI    48091
CR8     PROFFESSIONAL CLAIM ADMINI     THE ARAZE GROUP           8500 NORMANDALE LAKE 2050 BLOOMINGTON            MN    55437
R85     PROGRESSIVE CASUALTY INS C                               P O BOX 2931              AUSTIN                 TX    78768-2931
GA7     PRONET                                                   2741 MERCED DRIVE         RIVERSIDE              CA    92503
Q48     PROTECTIVE LIFE                PO BOX 57018                                        OKLAHOMA CITY          OK    73157
DM7     PROTECTIVE LIFE INS            8130 BAYMEADOWS WAY W 200 P O BOX 17577             JACKSONVILLE           FL    32245-7577
DZ6     PROTECTIVE LIFE INS                                      P O BOX 3129              BRENTWOOD              TN    37024-3129
A67     PROTECTIVE LIFE INS CO         5865 HYATT RIDGEWAY PKWAY                           MEMPHIS                TN    38119
S20     PROTECTIVE LIFE INSURANCE                                P O BOX 4040              JONESBORO              AR    72403
VN*     PROTECTIVE LIFE INSURANCE      P O BOX 830626                                      BIRMINGHAM             AL    35283-0626
DD9     PROTEIN TECHNOLOGIES           ATTN EMPLOYEE BENEFITS    4272 S MENDENHALL ROAD    MEMPHIS                TN    38141
V99     PROVIDENT AMERICAN             INS CO                    10501 N CENTRAL EXPWY     DALLAS                 TX    75231-2203
G92     PROVIDENT INDEMNITY INS CO                               P O BOX 511               NORRISTOWN             PA    19404-0511
H95     PROVIDENTIAL                   ELDER CARE                P.O. BOX 1139             HOT SPRINGS            AR    71902
A19     PROVIDENTIAL LIFE              525 SOUTH LOOP            SUITE D                   DENTON                 TX    76205-9998
L39     PROVIDENTIAL MAINTENACE EM     GROUP PLAN                P O BOX 97                DADE CITY              FL    33525
RQ*     PROVIDER NETWORKS OF AMERI     PO BOX 101387                                       FORT WORTH             TX    76185
FK*     PROVIDIAN LIFE                 NATIONAL HOME LIFE        P O BOX 1776              VALLEY FORGE           PA    19495
CL7     PROVIDIAN LIFE                 CLAIMS SERVICE DIV        P O BOX 484               VALLEY FORGE           PA    19493
G61     PROVIEW PLUS                                             PO BOX 6868               PINE BLUFF             AR    71603
B64     PRU CARE OF MEMPHIS            2620 THOUSAND OAKS BLVD   SUITE 4000                MEMPHIS                TN    38118-2461
CY2     PRUCARE OF CALIFORNIA          P O BOX 7590                                        SAN MATEO              CA    94402
W8*     PRUCARE OF OKLAHOMA            3330 NW 56TH SUITE 500                              OKLAHOMA               OK    73112
DA9     PRUCARE OF SAN ANTONIO                                   P O BOX 795030            SAN ANTONIO            TX    78279-5030
CW2     PRUDENTIAL                                               P O BOX 85479             SAN DIEGO              CA    92186
CV3     PRUDENTIAL                     P O BOX 15055                                       ALBANY                 NY    12212-5055
DY7     PRUDENTIAL                                               P O BOX 5352              CINCINNATI             OH    45201-5352
DQ4     PRUDENTIAL                                               P O BOX 45098             JACKSONVILLE           FL    32232-5098
EI8     PRUDENTIAL                                               P O BOX 4046              ISELIN                 NJ    08830
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE    95
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FD1     PRUDENTIAL                     6200 COURTNEY CAMPBELL    CAUSEWAY SUITE 200        TAMPA                  FL    33607
EX2     PRUDENTIAL                                               P O BOX 200831            HOUSTON                TX    77216
FE9     PRUDENTIAL                     LUCENT TECH CLAIMS        P O BOX 411340            ST LOUIS               MO    63141-1340
P99     PRUDENTIAL                     PO BOX 1567                                         HOUSTON                TX    77251-1567
PZ*     PRUDENTIAL                     CARROLL ELEC COOPERATIVE P O BOX 368                BERRYVILLE             AR    72616
ML*     PRUDENTIAL                     1875 CENTURY BLVD NE      SUITE 2A                  ATLANTA                GA    30345
JL*     PRUDENTIAL                     P O BOX 24549                                       ST LOUIS               MO    63141
KA*     PRUDENTIAL                                               P O BOX 2229              JACKSONVILLE           FL    32231
Z71     PRUDENTIAL                     P.O. BOX 7590                                       SAN MATEO              CA    94402
Z96     PRUDENTIAL                     P.O. BOX 7500                                       GASTONIA               NC    28053
V92     PRUDENTIAL                                               3592 TCHULAHOMA RD        MWMPHIS                TN    38118
V4*     PRUDENTIAL                                               P O BOX 10307             GREENSBORO             NC    27404
U85     PRUDENTIAL                                               1301 PONCE DELEON BLVD    CORAL GABLES           FL    00000
U34     PRUDENTIAL                     ATT CLAIMS                P O BOX 44123             JACKSONVILLE           FL    32231-4123
ST*     PRUDENTIAL                                               P O BOX 470475            OKLAHOMA CITY          OK    74147
S40     PRUDENTIAL                                               P O BOX 7020              MILLVILLE              NJ    08332-9044
UH*     PRUDENTIAL                     ST MARYS HOSPITAL         1808 WEST MAIN STREET     RUSSELLVILLE           AR    72203
R97     PRUDENTIAL                     ANDERSON HICKEY CO        RT 1, INDUSTRIAL RD       HALLS                  TN    38040
R73     PRUDENTIAL                                               P O BOX 12666             CREVE COEUR            MO    63141
BI7     PRUDENTIAL                     MORTON INTERNATIONAL      P. O. BOX 3089            GREENVILLE             SC    29602
BI4     PRUDENTIAL                                               P O BOX 5066              MILLVILLE              NJ    08332
AU8     PRUDENTIAL                     GROUP HEALTH DIVISION     P.O. BOX 45064            JACKSONVILLE           FL    32232
AJ7     PRUDENTIAL                     FRIGIDARE CO              PO BOX 10120              HIGH POINT             NC    27261
W56     PRUDENTIAL CUSTOM CARE         SBC MEDICAL CLAIMS        P O BOX 4723              HOUSTON                TX    77210-4723
DA4     PRUDENTIAL GROUP DENTAL        JC PENNEY CLAIMS          P O BOX 9250              LINWOOD                NJ    08221
TC*     PRUDENTIAL GROUP INSURANCE     HARRIS HOSPITAL           1205 MCLAIN STREET        NEWPORT                AR    72112
X86     PRUDENTIAL HEALTH CARE                                   P O BOX 54717             LOS ANGELES            CA    90054
EY6     PRUDENTIAL HEALTH CARE SYS     OF TAMPA                  P O BOX 2739              JACKSONVILLE           FL    32232-0053
FA*     PRUDENTIAL HEALTHCARE                                    P O BOX 54550             LOS ANGELES            CA    90054-0550
EB4     PRUDENTIAL HEALTHCARE          PO BOX 44163                                        JACKSONVILLE           FL    32231-4163
PD*     PRUDENTIAL HEALTHCARE          DENTAL CLAIMS             P O BOX 9065              VAN NUYS               CA    91409
R95     PRUDENTIAL HEALTHCARE                                    PO BOX 30008              LOS ANGELES            CA    90030-0008
BZ*     PRUDENTIAL HEALTHCARE                                    P O BOX 2018              MILLVILLE              NJ    08332-9002
BD7     PRUDENTIAL INS CO              HIGH POINT CLAIMS CENTER P. O. BOX 10100            HIGH POINT             NC    27261
H14     PRUDENTIAL INS CO              PLANTERS PEANUTS          4020 PLANTERS ROAD        FORT SMITH             AR    72917
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    96
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EC2     PRUDENTIAL INS CO              ATT MEDICAL PLAN          P O BOX 5060              MILLVILLE              NJ    08332
DS5     PRUDENTIAL INS CO                                        P O BOX 411006            ST LOUIS               MO    63141-3006
DR*     PRUDENTIAL INS CO              OF AMERICA                P O BOX 44059             JACKSONVILLE           FL    32231-4059
C92     PRUDENTIAL INS CO              7700 CHEVY CHASE DR       SUITE 300                 AUSTIN                 TX    78752-1558
DP6     PRUDENTIAL INS CO              U S INDUSTRIES            PO BOX 8850               LINWOOD                NJ    08221
DK5     PRUDENTIAL INS CO              IBM DEDICATED UNIT        P O BOX 5400              MILLVILLE              NJ    08332-0100
C26     PRUDENTIAL INS CO              P O BOX 949                                         HORSHAM                PA    19044-0949
KJ*     PRUDENTIAL INS CO OF AM        GROUP CLAIMS              P O BOX 9488              MINNEAPOLIS            MN    55440
V35     PRUDENTIAL INS CO OF AM        P O BOX 2588              201 UNIVERSITY AVE        LUBBOCK                TX    79408
R6*     PRUDENTIAL INS CO OF AMERI     P O BOX 4034              200 WOOD AVENUE SOUTH     ISELIN                 NJ    08830
0M*     PRUDENTIAL INS CO OF AMERI     2620 THOUSAND OAKS RD     SUITE 4000                MEMPHIS                TN    38118
BD6     PRUDENTIAL INS CO OF AMERI     P. O. BOX 566                                       MATTESON               IL    60443-0566
FG3     PRUDENTIAL INS CO OF AMERI                               PO BOX 4722               HOUSTON                TX    77210
GI*     PRUDENTIAL INS CO OF AMERI     JACKSONVILLE GRP CLAIMS   PO BOX 45097              JACKSONVILLE           FL    32232
E55     PRUDENTIAL INS CO OF AMERI     GROUP HEALTH CLAIM DIV    PO BOX 44058              JACKSONVILLE           FL    32231-4058
C36     PRUDENTIAL INS OF AMERICA      BENEFITS DEPT HARDEES     1233 N CHURCH ST          ROCKY MOUNT            NC    27801
C19     PRUDENTIAL INSURANCE           P O BOX 690                                         AKRON                  OH    44309-0690
E72     PRUDENTIAL INSURANCE           6209 EXECUTIVE BLVD                                 ROCKVILLE              MD    20852
BO*     PRUDENTIAL INSURANCE           3701 KIRBY DRIVE          P O BOX 1481              HOUSTON                TX    77098
AM1     PRUDENTIAL INSURANCE           DETROIT RESOURCE RECOVERY PO BOX 9032               ANDOVER                MA    01810
AB7     PRUDENTIAL INSURANCE CO        P.O. BOX 56428                                      HOUSTON                TX    77256
BP*     PRUDENTIAL INSURANCE CO                                  P O BOX C11928            SANTA ANNA             CA    92711
BF8     PRUDENTIAL INSURANCE CO        P. O. BOX 537                                       MATTESON               IL    60443
Z72     PRUDENTIAL INSURANCE CO        P.O. BOX 5100                                       ROCKAWAY               NJ    07866
X6*     PRUDENTIAL INSURANCE CO        2100 CENTRE CITY TOWER    650 SMITHFIELD STREET     PITTSBURGH             PA    15222
X39     PRUDENTIAL INSURANCE CO                                  P O BOX 200               MONROEVILLE            PA    15146
YI*     PRUDENTIAL INSURANCE CO        8055 W MANCHESTER BLVD    SUITE 205                 PLAYA DEL REY          CA    90291
V61     PRUDENTIAL INSURANCE CO        WMX TECH MEDICAL CLAIMS   P O BOX 565               MATTESON               IL    60443-0565
U30     PRUDENTIAL INSURANCE CO                                  P O BOX 629               LAWRENCE               MA    08142
VG*     PRUDENTIAL INSURANCE CO                                  6500 W LOOP SOUTH         BELLAIRE               TX    77401
ER1     PRUDENTIAL INSURANCE CO                                  P O BOX 100               MONROEVILLE            PA    15146
D3*     PRUDENTIAL INSURANCE CO        4601 SAUK TRAIL                                     RICKTON                IL    60471
EG2     PRUDENTIAL INSURANCE CO                                  P O BOX 26699             AUSTIN                 TX    78755-0699
D39     PRUDENTIAL INSURANCE CO        100 NO 56TH STREET        STE 310                   LINCOLN                NE    68504
CZ8     PRUDENTIAL INSURANCE CO                                  P O BOX 4250              LINWOOD                NJ    08221
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE    97
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
CH6     PRUDENTIAL INSURANCE CO                                  P O BOX 9315              VAN NUYS               CA    91410
DA8     PRUDENTIAL INSURANCE CO                                  P O BOX 2957              JACKSONVILLE           FL    32232
DE3     PRUDENTIAL INSURANCE CO        WMX TECH DENTAL CLAIMS    P O BOX 540               MATTESON               IL    60443-0540
J17     PRUDENTIAL INSURANCE CO        KENDAVIS HOLDING CO       7171 AIRWAYS BLVD         SOUTHAVEN              MS    38671
IX*     PRUDENTIAL INSURANCE CO        PINEWEST PLAZA 5          WASHINTON AVE EXTENSION   ALBANY                 NY    12205
NV*     PRUDENTIAL INSURANCE CO        6060 NO CENTRAL EXPWY     SUITE 238                 DALLAS                 TX    78945
PU*     PRUDENTIAL INSURANCE CO        P O BOX 2949              312 ELM STREET            CINCINNATI             OH    45201
PP*     PRUDENTIAL INSURANCE CO        SOUTHWEST DIE CASTING     P O BOX 281               FORT SMITH             AR    72901
PW*     PRUDENTIAL INSURANCE CO        STE 301 MARQUAM II BLDG   2611 S W THIRD AVENUE     PORTLAND               OR    97201
P98     PRUDENTIAL INSURANCE CO        PO BOX 5080                                         MILLVILLE              NJ    08332-5080
DH*     PRUDENTIAL INSURANCE CO OF     AMERICA                   GENERAL DELIVERY          NEWARK                 NJ    07103
A16     PRUDENTIAL INSURSANCE CO       PO BOX 26960              COLONIAL PARK             INDIANAPOLIS           IN    46226
R87     PRUDENTIAL JACKSONVILLE GR     HEALTH CLAIM DIVISION     P O BOX 45197             JACKSONVILLE           FL    32232
EK5     PRUDENTIAL LIFE INS                                      P O BOX 3699              AKRON                  OH    44309-3699
HT8     PRUDENTIAL LONG TERM CARE      2101 WELSH ROAD                                     DRESCHER               PA    19025
DL1     PRUDENTIAL MDO SOUTHWESTER     1 IMESON PARK BLVD        BUILDING 100              JACKSONVILLE           FL    32218-5696
BJ*     PRUDENTIAL PLUS                ATTN DENTAL CLAIMS        1701 CENTERVIEW STE210    LITTLE ROCK            AR    72211
DZ4     PRUDENTIAL PLUS                                          P O BOX 45100             JACKSONVILLE           FL    32231
P14     PRUDENTIAL PLUS                                          P O BOX 4804              HOUSTON                TX    77210-4804
AF1     PRUDENTIAL PLUS SELECT         P.O. BOX 27715                                      HOUSTON                TX    77227-7715
A28     PUBLIC EMPLOYEE HLTH PROGR     540 EAST 200 SOUTH                                  SALT LAKE CITY         UT    84102
AT2     PURINA BENEFIT ASSOCIATION     PROTEIN TECH INTERNATL    P O BOX 2048              PRYOR                  OK    74362
U28     PURINA MILLS BENEFIT ASSOC                               P O BOX 26199             MILWAUKEE              WI    53226-9714
GI7     PYRAMID                                                  PO BOX 12922              PENSACOLA              FL    32591-2922
AO5     PYRAMID BENEFIT                SERVICES                  P.O. BOX 1017             SOUTH BEND             IN    46624
HC5     PYRAMID LIFE INSURANCE         P.O. BOX 391885                                     CAMBRIDGE              MA    02139
0N*     PYRAMID LIFE INSURANCE         6201 JOHNSON DRIVE        P O BOX 772               SHAWNEE MISSION        KS    66202
IB0     PYRAMID LIFE INSURNCE                                    PO BOX 742568             HOUSTON                TX    77274
HY5     P5E HEALTH SERVICES INC                                  PO BOX 9554               SALT LAKE CITY         UT    84109-0554
X35     QSC FINISHING                                            3912 E PROGRESS           LITTLE ROCK            AR    72117
EH9     QUAD MED CLAIMS                                          DUPLAINVILLE RD           PEWAUKEE               WI    53072
L2*     QUAKER OATS COMPANY                                      P O BOX 830               ROCKFORD               IL    61105
DO9     QUAKER STATE ADMINISTRATIV     UNIT                      P O BOX 176               PITTSBURGH             PA    15230
BN4     QUALCHOICE QCA                 10825 FINANCIAL CTR PKWY SUITE 400                  LITTLE ROCK            AR    72211
I81     QUALITY ASSISTANCE CORP                                  P.O. BOX 861 HWY 34E      MT PLEASANT            IA    52641
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE    98
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
BK7     QUALMED PLANS FOR HEALTH       4800 SW MACADAM AV         STE 400                   PORTLAND              OR    97201
HF5     QUALSERV CORPORATION           1222 OZARK ROAD                                      NORTH KANSAS CITY     MO    64116
FL7     QUENTIN HARPER                 P O BOX 463                DUE TO SETTLEMENT 25K     ARKADELPHIA           AR    71923
R57     QUIKRETE MATERIALS INC         315 PHILLIPS RD            PO BOX 3209               N L R                 AR    72117
EL7     R H ADMINISTRATORS             6502 SLIDE ROAD            SUITE 300                 LUBBOCK               TX    79424
ER8     R H CLARKSON INSURANCE         ONE RIVERFRONT PLAZA       P O BOX 70529             LOUISVILLE            KY    40270
AY4     R L STOWE MILLS INC            85 EAST CATAWBA ST                                   BELMONT               NC    28012
FV7     R X PRIM                                                  P O BOX 780               HARTFORD              CT    06142-0780
X14     RAILROAD RETIREMENT BOARD                                 844 RUSH STREET           CHICAGO               IL    60611
G93     RAINBOW FOODS                                             112 SOUTH LELIA           TEXARKANA             TX    75501
D42     RALSTON PURINA BENEFIT ASS     CHECKERBOARD SQUARE                                  ST LOUIS              MO    63164
I91     RANDALL TEXTRON                                           P.O. BOX 1048             BLYTHEVILLE           AR    72315
P81     RANDS HEALTH FUND              1200 PIKE AVE                                        N LITTLE ROCK         AR    72114
Q37     RANDS IGA INC                  PO BOX 630                                           LITTLE ROCK           AR    72209
U94     RASMUSSEN AGENCY INC                                      P O BOX 2515              EAST ORANGE           NJ    07018
H22     RATHER BEYER HARPER                                       362 PROSPECT BUILDING     LITTLE ROCK           AR    72207-5290
FX5     RAYMOND EASTERWOOD JR                                     221 W SECOND ST SUITE 923 LITTLE ROCK           AR    72201
HE5     RBMS LLC                       PO BOX 241569                                        ANCHORAGE             AK    99524-1569
BQ2     RCKY MTN UFCW UNION EMP        HEALTH BENEFIT PLAN        P O BOX 157               WESTMINSTER           CO    80030-0157
L80     RE GROUP INS                   16565 SOUTH STATE STREET                             SOUTH HOLLAND         IL    60473
Q4*     READING AND BATES CORP                                    2200 MID CONTINENT TOWER TULSA                  OK    74103
D18     REARICK AND LENIHAN            ADMINISTRATIVE SRVC DIV    P O BOX 400023            DALLAS                TX    75240
M38     REASSURE AMERICA               MODERN AMERICAN LIFE       P O BOX 1147              JACKSONVILLE          IL    62651-1147
C43     REBSAMEN INSURANCE CO          HEALTH MNG NETWORK         P O BOX 110845            NASHVILLE             TN    37222
XE*     REBSAMEN INSURANCE CO          P O BOX 3198               1500 RIVERFRONT DRIVE     LITTLE ROCK           AR    72203
Z24     REBSAMEN INSURANCE COMPANY     ATTN HOLLY SCHIEBER        P O BOX 3398              LITTLE ROCK           AR    72203-3398
J87     RECO INTERNATIONAL INC         5680 EAST HOUSTON                                    SAN ANTONIO           TX    78220
FI2     REES LAW FIRM                  P O BOX 1573               2110 E MATTHEWS ST        JONESBORO             AR    72403-1573
ZW*     REGENCE BLUE CROSS             BLUE SHIELD OF OREGON      P O BOX 1271              PORTLAND              OR    97207-1271
FF9     REGENCE BLUE SHIELD OF IDA                                PO BOX 31602              SALT LAKE CITY        UT    84131-0603
DL*     REGENCE GROUP HEALTH                                      P O BOX 1071              PORTLAND              OR    97207-1071
Z19     REGENCY MEDICAL                P.O. BOX 610609                                      PORT HURON            MI    48061
N32     REGIONAL BENEFITS CENTER       P O BOX 10365                                        DES MOINES            IA    50306
DN*     RELIABLE INSURANCE             UNITED INSURANCE           P O BOX 1735              FORREST CITY          AR    72336
EF*     RELIABLE INSURANCE             UNITED INSURANCE           P O BOX 1096              TEXARKANA             AR    75504
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE    99
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EA*     RELIABLE INSURANCE             UNITED INSURANCE          P O BOX 56320             LITTLE ROCK            AR    72215
CK*     RELIABLE INSURANCE COMPANY     231 WEST LOCKWOOD AVE                               SAINT LOUIS            MO    63119
BU5     RELIABLE LIFE INSURANCE CO                               PO BOX 4325               BATON ROUGE            LA    70821-4325
J6*     RELIANCE LIFE CASUALTY                                   P O BOX 16025             PHOENIX                AZ    85016
HM3     RELIANCE STANDARD INSURANC     509 LENOA RD              BUILDING 2                MOORSETOWN             NJ    08057
LN*     REPUBLIC NATIONAL LIFE                                   P O BOX 6210              DALLAS                 TX    75204
AZ*     REPUBLIC NATIONAL LIFE         P O BOX 1280                                        NASHVILLE              TN    37202
G63     RESERVE INSURED TRUST FOR                                PO BOX 791428             DALLAS                 TX    75379
DY3     RESERVE NATIONAL                                         PO BOX 26620              OKLAHOMA CITY          OK    73126
0P*     RESERVE NATIONAL INS CO        6100 NW GRAND BLVD        P O BOX 18448             OKLAHOMA CITY          OK    73154-0448
Q62     REST INSURANCE CO              9111 E DOUGLAS            PO BOX 428                WICHITA                KS    67201
AK2     RESTAT                         P.O. BOX 758                                        WEST BEND              WI    53095-0758
K91     RETAIL CLERKS UNION            P O BOX 1808                                        BAKERSFIELD            CA    93303
Q51     RETIRED ENLISTED ASSOC         PO BOX 50584                                        WASHINGTON             DC    20004
U27     RETIRED OFFICERS ASSOC                                   400 LOCUST ST             DES MOINES             IA    50398
U89     RETIREMENT FUND TR OF THE      PLUMB HEATING PIPING IND 501 SHATTO PLACE 5TH FL    LOS ANGELES            CA    90020
HB*     REYNOLDS METALS CO             ATT INSURANCE DEPT        P O BOX 1155              HOT SPRINGS            AR    71901
J78     REYNOLDS METALS CO             EMPLOYEE HEALTH CARE MEDI POBOX C 32029             RICHMOND               VA    23261
J65     REYNOLDS METALS CO RETIREE     PERSONNEL DEPT P O BOX 97                           BAUXITE                AR    72015
U56     RH MOORE CO INC                                          P O BOX 830               MURRELLS INLETT        SC    29576
D60     RHEEM MANUFACTURING CO         5600 OLD GREENWOOD RD     PO BOX 17010              FT SMITH               AR    72903
AME     RICAN GENERAL LIFE             P.O. BOX 550                                        JONESBORO              AR    72401
I82     RICHARD V REESE AND ASSOCA     CARPENTARS LOCAL          3100 BROADWAY 511         KANSAS CITY            MO    64111
MH*     RINGIER AMERICA INC                                      P O BOX 129               ITASCA                 IL    60143
CZ3     RISK MANAGEMENT                                          P O BOX 8007              RIVERSIDE              CA    92515-8007
YN*     RISK MANAGEMENT RESOURCES                                PO BOX 251770             LITTLE ROCK            AR    72205
G54     RMSCO INC                                                115 CONTINUUM DRIVE       LIVERPOOL              NY    13088-4387
GG8     RMSCO INC                                                PO BOX 6309               SYRACUSE               NY    13217-6309
M36     ROBERT A YOUNG FARMS           P O BOX 48                                          FORT SMITH             AR    72902
M68     ROBERTSON AND ASSOCIATES       P O BOX DRAWER C                                    BENTON                 AR    72015
DA2     ROBINSON AND JULIENNE          BAILEY AND COMPANY        P O BOX 101               JACKSON                MS    39205-0101
X70     ROCK TENN COMPANY                                        198 COMMERCE ROAD         CONWAY                 AR    72032
EB9     ROCKFORD HEALTH PLANS          HMO PRODUCT CLINICARE     3401 PERRYVILLE RD        ROCKFORD               IL    61114
C48     ROCKWELL INTERNATIONAL         600 GRANT ST              STE 4747                  PITTSBURG              PA    15219
M88     ROGER TOOL WORK                1602 E CENTRAL                                      ROGERS                 AR    72756
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   100
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
V80     ROGERS GROUP INC                                         P O BOX 2545              NASHVILLE              TN    37219
DN9     ROGERS MACHINERY FAMILY        HEALTHCARE PLAN           PO BOX 25775              PORTLAND               OR    97225-0775
BC5     ROLLINS LEASING CORP           EMPLOYEE BENEFITS TRUST   P.O. BOX 8788             WILMINGTON             DE    19899
TY*     ROSS LOOS HEALTH PLAN          GENERAL DELIVERY                                    INGLEWOOD              CA    90301
N74     ROWLAND GROUP SERVICES         SUITE 1302A               4210 SHAWNEE MISSION PKWY SHAWNEE MISSION        KS    66205
HO8     ROYAL NEIGHBORS OF AMERICA                               PO BOX 10850              CLEARWATER             FL    33757-8850
U45     ROYAL OAK ENTERPRISES                                    P O BOX 1517              BRANSON                MO    65616
HI1     RSL SPECIALITY PRODUCTS AD     505 SOUTH LENOLA RD       SUITE 231                 MOORESTOWN             NJ    08057
T4*     RURAL CARRIER BENEFIT PLAN                               PO BOX 7404               LONDON                 KY    40742
J23     RURAL SECURITY LIFE                                      P.O. BOX 5535             MADISON                WI    53705
Y36     RWDSU INTERNATIONAL UNION      FUND OFFICE               PO BOX 55728              BIRMINGHAM             AL    35255-0509
HG8     RX AMERICA                     221 N CHARLES LINDBERGH                             SALT LAKE CITY         UT    84116
GM3     RX OPTIONS                                               2181 EAST AURORA ROAD     TWINSBURG              OH    44087
DJ3     RX PRIME                                                 RTG 1 121                 HARTFORD               CT    06152-1121
A42     RYDER SYSTEMS INC              P O BOX 020816                                      MIAMI                  FL    33102
L18     S B HOWARD CO                                            PO BOX 1627               ROGERS                 AR    72757
X89     S B POWER TOOL                                           ROUTE 2 BOX 438           WALNUT RIDGE           AR    72476
F71     S L M A                        P E BARNES LUMBER CO      P O BOX 2527              WEST HELENA            AR    72390
W59     S R OF ARKANSAS                                          68 UNION AVE              WILSON                 AR    72395
E42     SAFECO                         BOX1214                                             STONE MOUNTAIN         GA    30086-1214
VZ*     SAFECO LIFE INSURANCE          SAFECO PLAZA              GENERAL DELIVERY          SEATTLE                WA    98185
I04     SAFEHEALTH LIFE INSURANCE      P O BOX 30930                                       LAGUNA HILLS           CA    92654
AQ5     SAFEWAY GROUP INSURANCE        P.O. BOX 2099                                       OAKLAND                CA    94604
AB9     SAFEWAY INC GROUP INS          2950 MERCED STREET                                  SAN LEANDRO            CA    94577
FB6     SAGAMORE HEALTH NETWORK        11555 N MERIDAN ST        SUITE 400                 CARMAL                 IN    46032
HR6     SAINT MARYS HELATH PLANS       1510 MEADOW WOOD LANE                               RENO                   NV    89502
T11     SALLEE BROTHERS                409 SO MCDONALD           P O BOX 190               POCAHONTAS             AR    72455
L92     SALVATION ARMY                 P O BOX 1884                                        AKRON                  OH    44309
F48     SAMBA                          6209 EXECUTIVE BLVD                                 ROCKVILLE              MD    43216
HJ9     SANDFORD HEALTH PLAN           5300 BROADBAND LANE       STE 300                   SIOUX FALLS            SD    57104
Y66     SANUS HEALTH PLAN                                        P.O. BOX 56228            HOUSTON                TX    77256
A57     SANYO MANUFACTURING CO         C/0 GENERAL AMERICAN      3333 SANYO RD             FORREST CITY           AR    72335
J76     SCHUMACHER FINANCIAL SERVI     P O BOX 549                                         SIKESTON               MO    63801
E22     SCOTT WHITE HEALTH PLAN        2401 SOUTH 31ST ST                                  TEMPLE                 TX    76508
BG5     SCRIPT CARE INC                155 IH 10 NORTH           SUITE 5                   BEAUMONT               TX    77707
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   101
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HX9     SCRIPT WORLD                   250 NORTH REDWOOD ROAD    SUIT 210                  N SALT LAKE CITY       UT    84054
R94     SE AND SW HEALTH AND           WELFARE                   P O BOX 5103              DES PLAINES            IA    60017
D29     SEA FARERS WELFARE PLAN        5201 AUTH WAY                                       CAMP SPRINGS           MD    20746
CN8     SEACOR MARINE INC              P O BOX 2291                                        MORGAN CITY            LA    70380
HK2     SEARS LIFE INSURANCE           3001 MEACHAM BLVE. STE200 PO BOX 901009             FT WORTH               TX    76101-2009
X5*     SECURE CARE 65                 NATIONAL HOME LIFE        P O BOX 1776              VALLEY FORGE           PA    19493
HH8     SECURE HORIZONS DIRECT         P O BOX 4169                                        SCRANTON               PA    18505
GX3     SECURE HORIZONS DIRECT                                   PO BOX 659787             SAN ANTONIO            TX    78265-9787
DL5     SECURITY LIFE                  TOTAL PLAN SECURITIES     P O BOX 36631             DALLAS                 TX    75235
P52     SECURITY LIFE                                            10159 WAYZATA BLVD        MINNETONKA             MN    65343
R78     SEDRICK NOBLE LOWNDES                                    P O BOX C5009             WARMINSTER             PA    18974
H57     SEIBELS BRUCET CO              P.O. BOX 1                                          COLUMBIA               SC    29202
HY1     SEIU 1199 DENTAL               330 WEST 42ND STREET                                NEW YORK               NY    10036-6977
T15     SELECT BENEFIT                 ADMINISTRATORS            P O BOX 8339              DES MOINES             IA    50301
BT5     SELECT BENEFIT ADMINISTRAT     OF AMERICA                PO BOX 440                ASHLAND                WI    54806
GT6     SELECT HEALTH                                            PO BOX 30192              SALT LAKE CITY         UT    84130-0192
BA9     SELECT MED                                               P O BOX 11670             SALT LAKE CITY         UT    84147-1670
U31     SELECTCARE PRO                                           P O BOX 7036              TROY                   MI    48077-7036
N20     SELF FUNDED PLANS              1432 HAMILTON AVENUE                                CLEVELAND              OH    44114
BU8     SELF FUNDED PLANS INC          401 W STATE ST                                      GENEVA                 IL    60134
M2*     SELF INSURED SERVICES CO       SISCO                     P O BOX 389               DUBUQUE                IA    52004-0389
YE*     SELF INSURERS BENEFIT SVC                                222 SOUTH PROSPECT        PARK RIDGE             IL    60068
P36     SENIOR CARE                    METHODIST HOSPITAL        3024 STADIUM BLVD         JONESBORO              AR    72401
IC7     SENTARA HEALTHCARE             6015 POPLAR HALL DRIVE                              NORFOLK                VA    23502
BS3     SENTARA POINT OF SERVICE       4417 CORPORATION LANE                               VIRGINIA BEACH         VA    23462
BR*     SENTRY INSURANCE                                         P O BOX 35728             RICHMOND               VA    23235
E94     SENTRY LIFE                    PO BOX 17237                                        MEMPHIS                TN    38187
P46     SENTRY LIFE HEALTH INS         PO BOX 8888                                         STEVENS POINT          WI    54481
JG*     SENTRY LIFE INS CO                                       P O BOX 105047            ATLANTA                GA    30348
UT*     SENTRY SELECT                  P O BOX 1387              18005384693               ST LOUIS MO                  63188
CQ2     SERV U PRESCRIPTION PLAN       P O BOX 23237                                       MILWAUKEE              WI    53223-0237
J49     SERVCO INS AGENCY              501 FALL BLVD                                       WYNNE                  AR    72396
IB5     SEVEN CORNERS                  ATTN CLAIMS               P O BOX 3430              CARMEL                 IN    46082-3420
A73     SFA                            125 WEST CENTRAL          SUITE 319                 BENTONVILLE            AR    72712
GB5     SHARP INC                                                PO BOX 690450             SAN ANTONIO            TX    78269-0450
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E     X I X                                 PAGE   102
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1             ADDRESS LINE 2            CITY                STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
DB2     SHARP INC                      CLAIMS DEPT                P O BOX 7097              JONESBORO             AR    72403
FP4     SHASTA ADMIN SERV                                         PO BOX 1747               REDMOND               OR    97756
Q59     SHAW INDUSTRIES INC            PO DRAWER 2128                                       DALTON                GA    30722-2128
T42     SHEET METAL LOCAL 249                                     3721 PHILLIS              NO LITTLE ROCK        AR    72118
W64     SHEET METAL WORKERS FUND       LOCAL 265                  1065 SCHANLE RD           CAROL STREAM          IL    00000
B92     SHEET METAL WORKERS FUND       601 N FAIRFAX STREET       SUITE 500                 ALEXANDRIA            VA    22314
DI7     SHEET METAL WORKERS FUND                                  P O BOX 10067             MANHATTAN BEACH       CA    90266-8567
J81     SHEET METAL WORKERS LOCAL      H W FUND                   P O BOX 50440             INDIANAPOLIS          IN    46250
AG*     SHELTER INSURANCE CO                                      1817 W BROADWAY           COLUMBIA              MO    65218
U21     SHELTER LIFE INSURANCE CO                                 508 W PLEASURE            SEARCY                AR    72143
GY4     SHENANDOAH LIFE GROUP          DENTAL CLAIMS              P O BOX 8112              PARK RIDGE            IL    60068
G08     SHENANDOAH LIFE INSURANCE      P O BOX 11807                                        ROANOKE               VA    24022
FQ7     SHIPPERS RENTAL COMPANY                                   PO BOX 3156               QUINCY                IL    62305-3156
H64     SHIPPING SYSTEMS EMP HEALT                                                          GREEN BAY             WI    54344
BN5     SHIRLEY TILLEY TRUSTEE FOR     MELISSA TILLEY             GEN DEL                   REYNO                 AR    72462
K10     SHOEMAKERS EMPLOYEES BENEF     P O BOX 690450                                       SAN ANTONIO           TX    78269-0450
ZJ*     SHONEYS SOUTH INC              2158 UNION AVENUE          P O BOX 41379             MEMPHIS               TN    38104
S91     SHONEYS TPA                                               P O BOX 290489            NASHVILLE             TN    37229
K74     SIBS                           222 SO PROSPECT                                      PARK RIDGE            IL    60068
Z73     SIDACO INC                     17314 FM 249               SUITE 105                 HOUSTON               TX    77064
AU9     SIERRA HEALTH AND LIFE                                    P.O. BOX 18408            LAS VEGAS             NV    89114
GN*     SIERRA HEALTHCARE OPTIONS                                 P O BOX 15392             LAS VEGAS             NV    89114-5392
FE3     SILVER DOLLAR CITY INC         BENEFITS ADMINISTRATOR     HC 1 BOX 791              BRANSON               MO    65616
GS1     SILVER SCRIPT                                             PO BOX 280200             NASHVILLE             TN    37228
GS3     SILVER SCRIPT                                             PO BOX 52092              PHOENIX               AZ    85072-2092
EC6     SILVER STATE MEDICAL ADM       2059 E SAHARA AVE                                    LAS VEGAS             NV    89104
QQ*     SIMMONS                        PO DRAWER V                                          VAN BUREN             AR    72956
A36     SIMMONS INDUSTRIES             PO BOX 430                                           SILOAM SPRINGS        AR    72761
L53     SIMPLEK TIME RECORDER          1509 MART DRIVE                                      LITTLE ROCK           AR    72202
W30     SISTERS OF CHARITY CLAIMS      PO BOX 922013              2600 NO LOOP WEST DR SUIT HOUSTON               TX    77292-2013
Z43     SJA BROKERAGE INC                                         PO BOX 101627             FORT WORTH            TX    76185-1627
I73     SKIL CORPORATION                                          2 BOLTON SULLIUAN HWY 110 HEBER SPRINGS         AR    72543
ZK*     SKILL INSURANCE CORP           HIGHWAY 67 NORTH           P O BOX 689               WALNUT RIDGE          AR    72476
S15     SLOAN VALVE COMPANY            PRUDENTIAL                 HWY 33 SOUTH              AUGUSTA               AR    72006
V22     SLOANS LAKE MANAGED CARE       MASSACHUSETTS MUTUAL       1355 S COLORADO STE 902   DENVER                CO    80222
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   103
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AQ4     SMC INC                        P.O. BOX 1979                                       SEARCY                 AR    72143
BM9     SMI JOIST                      P O BOX 2000                                        HOPE                   AR    71802-2000
Q44     SMI STEEL                      UNITED HEALTHCARE         P O BOX 1147              MAGNOLIA               AR    71753
U14     SMITH FIBERGLASS                                         2700 W. 65TH STREET       LITTLE ROCK            AR    72209
BT2     SNOHOMISH CTY PHYS SVC         SCPC                      P O BOX 91050             SEATTLE                WA    98111-9150
H48     SO CALIFORNIA RETAIL CLERK     LOS FELIZ STATION         P O BOX 27920             LOS ANGELES            CA    90027
FG2     SO CENT UNITED FOOD COMM W     UNION AND EMPL AND HEALTH 9550SKILLMAN ST SUITE 410 DALLAS                 TX    75243
CB6     SO CENTRAL REGIONAL LABORE     HEALTH AND WELFARE FUND   PO BOX 1449               GOODLETTSVILLE         TN    37070-1449
R63     SO CENTRAL UNITED FOOD AND     COMMERCIAL WORKERS        3218 E HIGHWAY 67         MESQUITE               TX    75150
V19     SO WESTERN HEALTH AND WELF     4040 MCEWEN               SUITE 100                 DALLAS                 TX    75244
N81     SONOCO                         P O BOX 3336                                        EAST CAMDEN            AR    71701
C1*     SOUTH ARKANSAS DISTRICT        CHURCH OF THE NAZARENE    8621 CHICOT ROAD          LITTLE ROCK            AR    72209
C7*     SOUTH COAST CLAIMS MANAGEM                               P O BOX 2178              COSTA MESA             CA    92626
FR1     SOUTH REGIONAL LABORERS                                  PO BOX 1449               GOODLETTSVILLE         TN    37070
Q81     SOUTHEAST HEALTH PLAN                                    P O BOX 830636            BIRMINGHAM             AL    35283-0636
CA1     SOUTHEAST MEDICAL ALLIANCE     ETHIXOX 920               P O BOX 920               DUBLIN                 OH    43017
LC*     SOUTHEASTERN BROKERS           AND ADMINISTRATORS        P O BOX 1268              TIFTON                 GA    31794
Y88     SOUTHEASTERN INDIANA           HEALTH OPERATIONS INC     P.O. BOX 1787             COLUMBUS               IN    47202-1787
Z75     SOUTHERN BENEFITS SERVICE      P.O. BOX 2568                                       BIRMINGHAM             AL    35202-2568
CD7     SOUTHERN CA PIPETRADES TRU     501 SHATTO PLACE          5TH FLOOR                 LOS ANGELES            CA    90020
X51     SOUTHERN COUNCIL               INDUSTRIAL WORKERS        P O BOX 249               STAMPS                 AR    71860
IM*     SOUTHERN COUNCIL OF IND        P O BOX 1984              1212 8TH AVE SOUTH        NASHVILLE              TN    37202
DL2     SOUTHERN COUNCIL OF IND        WKRS HEALTH WELFARE FUND 333 WEST VINE ST STE 600 LEXINGTON                KY    40507-1627
CH8     SOUTHERN COUNCIL OF IND WO     P.O. BOX 3262                                       CHARLESTON             WV    25332
BM3     SOUTHERN ELECTRICAL HEALTH     3928 VOLUNTEER DRIVE                                CHATTANOOGA            TN    37416
CH9     SOUTHERN FARM BUREAU LIFE                                P O BOX 78                JACKSON                MS    39205
D71     SOUTHERN FARMERS ASSOC         310 EXECUTIVE COURT                                 LITTLE ROCK            AR    72205
N76     SOUTHERN GUARANTY IN CO        P O BOX 235004                                      MONTGOMERY             AL    36123-5004
EW9     SOUTHERN HEALTH PLAN           MEDICAL CLAIMS            P O BOX 97                MEMPHIS                TN    38101-0097
H38     SOUTHERN HEALTH PLAN INC       DENTAL CLAIMS             P O BOX 120               MEMPHIS                TN    38101
U88     SOUTHERN INS MGMT              ASSOCIATION               P O BOX 2469              TUSCALOOSA             AL    35403
F12     SOUTHERN INSURANCE AGENCY      PO BOX 32784                                        SAN ANTONIO            TX    78216
F16     SOUTHERN LIFE AND HEALTH I     P O BOX 671                                         BIRMINGHAM             AL    35201
H1*     SOUTHERN LIFE HEALTH                                     269 NORTH FREESTATE BLVD SHREVEPORT              LA    71107
0P2     SOUTHERN MILK SALES INC        TRUST                     P O BOX 32784             SAN ANTONIO            TX    78216
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   104
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
HL6     SOUTHERN NATIONAL LIFE         P.O. BOX 98044                                      BATON ROUGE LA               70989-9044
R37     SOUTHLAND LIFE INC                                       P O BOX 105006            ATLANTA                GA    30348-5006
AC1     SOUTHWEST ADMINISTRATORS                                 P O BOX 1121              ALHAMBRA               CA    91802-1121
R70     SOUTHWEST AR RURAL             ELECTRIC COOP             P O BOX 1807              TEXARKANA              AR    75504
ZX*     SOUTHWEST BENEFIT HEALTH       P O BOX 458               18003327772               WEST LONG BRANCH       NJ    07764
RA*     SOUTHWEST CO LIFE INS          2600 CITADEL DRIVE        SUITE 106                 HOUSTON                TX    77008
EH3     SOUTHWEST EMPLOYEE BENEFIT     DENTAL CLAIMS             P O BOX 30668             ALBUQUERQUE            NM    87190-0668
J33     SOUTHWEST ENERGY CO            BENEFITS SECTION          P.O. BOX 1408             FAYETTEVILLE           AR    72702
AM2     SOUTHWEST NAHRO MEDICAL        PLAN                      P.O. BOX 542814           DALLAS                 TX    75354
N34     SOUTHWEST PARTNERS HEALTH      3310 LIVE OAK SUITE 300                             DALLAS                 TX    75204
GV6     SOUTHWEST SERVICE ADMINIST     4775 INDIAN SCHOOL RD NE SUITE 105                  ALBUQUERQUE            NM    87110
CN9     SOUTHWESTERN ELECTRIC POWE     INSURANCE DEPT            BOX 21106                 SHREVEPORT             LA    71156
H39     SOUTHWESTERN GLASS                                       DRAWER Z                  VAN BUREN              AR    72956
YT*     SOUTHWESTERN LIFE              INSURANCE COMPANY         P O BOX 2699              DALLAS                 TX    75221
CI1     SOUTHWIRE AND AFFILIATES       EMPLOYEES BENEFIT PLAN    1400 SOUTHWIRE DRIVE      OSCEOLA                AR    72370
DM2     SOUTHWIRE CO                                             P O BOX 1000              CARROLLTON             GA    30119-0001
B4*     SOUTHWIRE SPECIALTIES          MEDICAL BENEFITS OFFICE   P O BOX 643               OSCEOLA                AR    72370
FO8     SPARKS PRIMARY CARE                                      PO BOX 17006              FORT SMITH             AR    72917-7006
AZ9     SPECIALTY BENEFITS             7830 STATE LINE ROAD      SUITE 201                 PRAIRIE VILLAGE        KS    66208
F72     SPECIALTY OIL CO INC           P O BOX 8098                                        SHREVEPORT             LA    71148
HJ5     SPECTERA VISION CLAIMS         P O BOX 30978                                       SALT LAKE CITY         UT    84130
FT3     SPECTRUM RISK MGMT SERV                                  6 EXECUTIVE DR SUITE 1    FAIRVIEW HEIGHTS       IL    62208
L75     SPERRY VICKERS                 400 LINCOLN                                         SEARCY                 AR    72143
HH7     SPX                            BENEFITS SERVICE CENTER   PO BOX 57325              JACKSONVILLE           FL    32241-7325
FL6     SRC AMERICORPS                                           PO BOX 23907              COLUMBIA               SC    29224-3907
M37     SRC SERVICES INC               P O BOX 23759                                       COLUMBIA               SC    29224
FK6     SRT ADMINISTRATORS INC                                   PO BOX 25160              SCOTTSDALE             AZ    85255-0102
L91     ST EDWARDS HOSPITAL            7301 ROGERS                                         FORT SMITH             AR    72903
BO3     ST FRANCIS HOSPITAL            GROUP HEALTH DEPT         P O BOX 706161            TULSA                  OK    74170-6161
BC6     ST JOHN MEDICAL CENTER         C/O COMPMED               1923 SOUTH UTICA          TULSA                  OK    74104
GI6     ST JOHNS HEALTH CLAIMS ADM     P O BOX 14409                                       SPRINGFIELD            MO    65814
FH9     ST MARYS HEALTH FIRST                                    1155 WEST 4TH STE 121     RENO                   NV    89503
HI*     ST PAUL FIRE MARINE INS                                  385 WASHINGTON ST         ST PAUL                MN    55102
B20     ST PAUL MERCURY INS CO         108 NORTH SHACKLEFORD                               LITTLE ROCK            AR    72211
TP*     ST PAUL PROPERTY LIABILITY     ALLISON INSURANCE         P O BOX 15018             NORTH LITTLE ROCK      AR    72116
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   105
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EA6     STANDARD INSURANCE CO          GROUP DENTAL INS          P O BOX 209               PORTLAND               OR    97207-0209
I88     STANDARD LIFE AND ACCIDENT                               P O BOX 1800              GALVESTON              TX    77553-1800
V25     STANDARD MOTOR PROD            3718 NORTHERN BLVD        DEPT F 10                 LONG ISLAND            NY    11101
N87     STANDARD WELDERS SUPPLY        EMPOLYEE HEALTH CARE PLAN 363 WALNUT POBOX 490      MEMPHIS                TN    38101
DP7     STAR ADMINISTRATIVE SERVIC                               P O BOX 55270             PHOENIX                AZ    85078-5270
DH5     STAR ADMINISTRATIVE SERVIC                               PO BOX 30870              PHOENIX                AZ    85046
DW4     STAR BRIDGE SICKNESS           AND ACCIDENT              3404 W CHERYL DR STE 281 PHOENIX                 AZ    85051
HA4     STAR HRG                                                 P O BOX 54150             PHOENIX                AZ    85078
FC7     STARMARK                                                 P O BOX 787               BRENTWOOD              TN    37024
FA1     STARMARK                       VOLUNTARY DENTAL PLAN     P O BOX 420               FREEPORT               IL    61032
FN9     STARMARK                                                 PO BOX 2942               CLINTON                IA    52733-2942
AY8     STARMARK INSURANCE                                       P O BOX 7922              LAKE FOREST            IL    60045-7922
HL8     STARMOUNT LIFE INS CO          7800 OFFICE PARK BLVD     PO BOX 98100              BATON ROUGE            LA    70898-9100
K19     STATE FARM                     2917 KING                                           JONESBORO              AR    72401
K11     STATE FARM                     P O BOX 1432                                        FAYETTEVILLE           AR    72702
X47     STATE FARM                                               P O BOX 10279             SCOTTDALE              AZ    85271-0279
AN7     STATE FARM                     8900 AMBERGLEN            15129184862               AUSTIN                 TX    78729
OP*     STATE FARM                                               2429 WEST 28TH STREET     PINE BLUFF             AR    71602
Q43     STATE FARM                     1796 N FALLS BLVD                                   WYNNE                  AR    72396
P87     STATE FARM                     PO BOX 516                                          FORDYCE                AR    71742
K20     STATE FARM                     P O BOX 556                                         ARKADELPHIA            AR    71923
T8*     STATE FARM                     515 N MISSOURI            P O BOX 1456              WEST MEMPHIS           AR    72301
T64     STATE FARM                                               218 PINE BLUFF ST         MALVERN                AR    72104
S27     STATE FARM                                               P O BOX 275               MCGEHEE                AR    71654
E12     STATE FARM                     4121 JFK BLVD                                       NORTH LITTLE ROCK      AR    72116
Q94     STATE FARM HEALTH INS                                    P O BOX 820               MOUNTAIN HOME          AR    72653
Q56     STATE FARM HEALTH INS          103 W MAIN ST                                       PRESCOTT               AR    71857
J91     STATE FARM HEALTH INS          P O BOX 490                                         GREENWOOD              AR    72936
F46     STATE FARM INS                                           POBOX 1062                BENTON                 AR    72015
UD*     STATE FARM INS                 MID SOUTH OFFICE          22 STATE FARM DRIVE       MONROE                 LA    71208
DM5     STATE FARM INS                 JIM BOYETTE AGENT         P O BOX 774               CAMDEN                 AR    71701
BK5     STATE FARM INS                 P. O. BOX 87                                        DANVILLE               AR    72833
A58     STATE FARM INS CO                                        P O BOX 569               HEBER SPRINGS          AR    72543
DW*     STATE FARM INS CO              205 PINE                                            CROSSETT               AR    71635
Z99     STATE FARM INS CO              1305 ARKANSAS BOULEVARD   SUITE 101                 TEXARKANA              AR    75502
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E     X I X                                  PAGE   106
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AF4     STATE FARM INS CO              MID SOUTH OFFICE          P O BOX 1221              HOT SPRINGS            AR    71902
NE*     STATE FARM INSURANCE           GROUP MEDICAL DIVISION    P O BOX 2700              BLOOMINGTON            IL    61702-2700
FN6     STATE FARM INSURANCE                                     PO BOX 2978               CLINTON                IA    52733-2978
DC6     STATE FARM INSURANCE                                     PO BOX 11107              FORT SMITH             AR    72917-1107
B68     STATE FARM INSURANCE           5 LAKE SHORE DRIVE                                  LAKE VILLAGE           AR    71653
B13     STATE FARM INSURANCE CO        COURT HOUSE SQUARE                                  TRENTON                GA    30752
S10     STATE FARM INSURANCE CO                                  P O BOX 546               EL DORADO              AR    00000
Z9*     STATE FARM INSURANCE CO        PO BOX 1471                                         HOPE                   AR    71801
JQ*     STATE FARM MUTUAL                                        1327 AIRPORT RD           HOT SPRINGS            AR    71901
B33     STATE FARM MUTUAL              GENERAL DELIVERY                                    VAN BUREN              AR    72956
B67     STATE FARM MUTUAL              PO BOX 2696                                         WEST HELENA            AR    72390
FO3     STATE FARM MUTUAL AUTOMOBI     INSURANCE COMPANY         PO BOX 339403             GREELEY                CO    80633-8403
L13     STATE FARM NOEL WILLIAMS                                 WALKER STREET             GREENVILLE             MS    38701
BO6     STATE GENERAL LIFE INSURAN     115 W 7TH STREET                                    FORT WORTH             TX    76102
A82     STATE MERIT SYSTEMS            HEALTH BENEFIT SERVICE    PO BOX 38342              ATLANTA                GA    30334
C21     STATE MUTUAL                   ONE STATE MUTUAL DR       P O BOX 153               ROME                   GA    30162-0153
FI4     STATE MUTUAL CLAIMS PROCES     1 877 872 5500            P O BOX 10811             CLEARWATER             FL    33757-8811
A60     STATE MUTUAL INSURANCE CO      4828 LOOP CENTRAL DRIVE   SUITE 560                 HOUSTON                TX    77081
FJ3     STATE MUTUAL INSURANCE COM                               PO BOX 10811              CLEARWATER             FL    33757-8811
F2*     STATE MUTUAL LIFE              ASSURANCE CO OF AMERICA                             WORCESTER              MA    01600
K2*     STATE MUTUAL LIFE              ASSURANCE                 P O BOX 13029             ST PETERSBURG          FL    33733
I33     STATE MUTUAL LIFE ASSURANC     GROUP CLAIM ADMIN         1030 15TH ST NW STE200    WASHINGTON             DC    20005
G1*     STATE MUTUAL UNIFORM           PRINTING SUPPLY           7460 NORTH LEHIGH AVE     NILES                  IL    60648
ZU*     STATE OF LOUISIANA             GROUP INSURANCE SECTION   BOX 44036                 BATON ROUGE            LA    70804
E4*     STATE OF NORTH CAROLINA        COMPREHENSIVE HEALTH      BENEFIT                   RALEIGH                NC    27600
G34     STATE OF OKLAHOMA              GROUP INSURANCE           PO BOX 24870              OKLAHOMA CITY          OK    73124
DL8     STATELINE TPA INC                                        P O BOX 1777              TOLEDO                 OH    43603-1777
C80     STATESMAN NATL INS CO          4701 W GATE BLVD STE A102                           AUSTIN                 TX    78745-1479
Y89     STATESMANS LIFE INSURANCE      P.O. BOX 2526                                       MONROE                 LA    71207
UL*     STEAMFITTER LOCAL              UNION 614                 3746 JACKSON AVE          MEMPHIS AVENUE         TN    38108
BQ8     STEDMAN INSURANCE GROUP        COOPER CLINIC HEALTH CARE 1360 WHITFIELD AVE        SARASOTA               FL    34243
HC7     STERLING INVESTORS LIFE IN                               P.O. BOX 10844            CLEARWATER             FL    33757-8844
GM5     STERLING OPTION ONE            P O BOX 69314                                       HARRISBURG             PA    17106
FA2     STERLING PREMIER                                         PO BOX 5348               BELLINGHAM             WA    98227
CN2     STEVENS INDUSTRIES INC         1734 GELSINN LANE                                   FENTON                 MO    63026
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   107
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
AW9     STEWART AND STEVENSON          ATTN INSURANCE CLAIMS     4516 HARRISBURG BLVD      HOUSTON                TX    77011
T63     STEWART KANE INS INC                                     11300 N RODNEY PARHAM 222 LITTLE ROCK            AR    72212
HU7     STONEBRIDGE                    PO BOX 30567                                        SALT LAKE CITY         UT    84130-0567
BN2     STONEBRIDGE LIFE INS CO        2700 W PLANO PARKWAY      PO BOX 869090             PLANO                  TX    75086
J93     STORAGE TEK                    CLORADO GROUP             P O BOX 378710            DENVER                 CO    80237
H05     STOWE ASSOCIATES               2951 FLOWERS RD           STE 217                   ATLANTA                GA    30341
BH4     STOWE ASSOCIATES               3084 MERCURY AVE STE 210                            ATLANTA                GA    30341
GE1     STRATEGIC OUTSOURCING INC                                PO BOX 241508             CHARLOTTE              NC    27224
BY6     STRATEGIC RESOURCE CO          PIZZA HUT CLAIMS          P O BOX 23759             COLUMBIA               SC    29224-3759
FQ1     STUDENT ASSURANCE SERVICE      P O BOX 196                                         STILLWATER             MN    55082
HD7     STUDENT INSURANCE              P O BOX 809027                                      DALLAS                 TX    75380-9027
CQ3     STUDENT PLANS INC              P O BOX 1390                                        WHEATON                IL    60189-1390
N77     SUBURBAN TEAMSTERS OF          NORTHERN IL WELFARE FUND 1000 NE 1 55 FRONTAGE      JOLIET                 IL    60435
GL7     SUMMACARE                                                PO BOX 3620               AKRON                  OH    44309
CI4     SUN HEALTH GROUP               5131 MOSTHEAD NE                                    ALBUQUERQUE            NM    87109
AH7     SUNBEAN OUTDOOR PRODUCTS       1600 JONES ROAD                                     PARAGOULD              AR    72450
E80     SUNDERBRUCH CORP               SUITE 1850                1034 S BRENTWOOD BLVD     ST LOUIS               MO    63117
HT0     SUNLIFE FINANCIAL              PO BOX 81633                                        WELLESLEY HILLS        MA    02481
F70     SUNMARK INC                    ONE FINANCIAL CTR STE 141 650 S SHACKLEFORD RD      LITTLE ROCK            AR    72211
G68     SUNNYFRESH INS CO                                        P O BOX 40                LINCOLN                AR    72744
E44     SUNSTRAND COPR GROUP BENEF     3007 HARRISON AVE                                   ROCKFORD               IL    61102
HN7     SUPERIEN HEALTH NETWORK                                  PO BOX 2388               STOW                   OH    44224
K14     SUPERIOR                       7800 WOODLEY AVENUE                                 VAN NUYS               CA    91406
DO3     SUPERIOR FEDERAL BANK          TRUST FOR DESIREA BARTLET 1104 BROADWAY             VAN BUREN              AR    72956
BJ1     SUPERIOR FEDERAL BANK                                    P O BOX 17012             FORT SMITH             AR    72917
X48     SUPERIOR GRAPHITE CO           CNA                       3225 DOW DR               RUSSELLVILLE           AR    72801
V17     SUPERIOR GRAPHITE CO           120 SOUTH RIVERSIDE PLAZA                           CHICAGO                IL    60606
GN2     SUPERIOR HELATH PLAN           PO BOX 3003                                         FARMINGTON             MO    63640
I85     SUPERIOR INDUSTRIES            INTERNATIONAL INC         7800 WOODLEY AVE          VAN NUYS               CA    91406
Z76     SUPERIOR INSURANCE             FORMERLY TAYSON INS ADMIN 3741 MERCED DR STE K      RIVERSIDE              CA    92503
UJ*     SUPERIOR INSURANCE CO          3741 MERCED DRIVE SUITE K                           RIVERSIDE              CA    92503-4974
J99     SUPERIOR SURGICAL MFG          100 2ND AVE SOUTH 11TH FL                           ST PETERSBURG          FL    33701
HP3     SUPERIOR VISION                PO BOX 967                                          RANCHO CORDOVA         CA    95741
U55     SUPERMARKET EMPLOYEES          BENEFIT PLAN              P O BOX 14970             SHAWNEE MISSION        KS    66215
T10     SUSQUEHANNA ADMIN INC                                    P O BOX 1523              LANCASTER              PA    17603
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   108
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
S52     SUTTER PREFERRED HEALTH                                  P O BOX 162287            SACRAMENT              CA    95816
U8*     SW GENERAL LIFE INSURANCE      PO BOX 10575                                        LYNCHBURG              VA    24506-0575
M95     SWADC                          P O BOX 450                                         TEXARKANA              TX    75504
N14     SWEPCO                         P O BOX 1328                                        FAYETTEVILLE           AR    72702
H04     SXC HEALTH SOLUTIONS CORP      2441 WARRENVILLE ROAD     SUITE 610                 LISLE                  IL    60532-3101
H02     SYMETRA SELECT BENEFIT ADM     PO BOX 440                                          ASHLAND                WI    54806
G51     SYNCOR ADMINISTRATIVE SERV     3000 WEST DUNDEE ROAD     PO BOX 1327               NORTHBROOK             IL    60065
YK*     SYNERGY GROUP                                            175 PRICE PARKWAY         FARMINGDALE            NY    11735
DU7     SYSTEM ELECTR INC              SOUTHWEST MOBILE SEI      BOX 196 THORNBG/MCDANIEL WEST PLAINS             MO    65775
A68     SYSTEMATIC HEALTH CARE PLA     4001 N RODNEY PARHAM RD                             LITTLE ROCK            AR    72212
J18     T AND D METAL PRODUCTS INC                               EAST WALNUT STREET        WATSEKA                IL    60970
DR3     T H ROGERS LUMBER CO                                     P O BOX 5770              EDMUND                 OK    73083-5770
N96     T L JAMES CO                   P O BOX 1260                                        RUSTON                 LA    71273-1260
DY4     T M G LIFE INS CO              2800 DAUPHIN ST           P O BOX 6548              MOBILE                 AL    36606-0548
L82     T N ELECTRIC CO                5800 EVERGREEN            SUITE 101                 LITTLE ROCK            AR    72205
Q46     TABER BROKERAGE SERV INC       519 NW 9TH STREET                                   OKLAHOMA CITY          OK    73102
L17     TANDYCRAFTS INC                P O BOX 2903                                        FORT WORTH             TX    76113
E92     TANG INDUSTRIES                1965 PRATT BLVD                                     ELK GROVE VILLAGE      IL    60007
AO2     TARGET BENEFIT SERVICES        P.O. BOX 869041           DEPT 198                  PLANO                  TX    75086
AJ*     TBG USA INC                                              P O BOX 5383              PARSIPPANY             NJ    07054
DD4     TDI MANAGED CARE                                         P O BOX 2860              PITTSBURG              PA    15230
D80     TEACHERS RETIREMENT SYSTEM     OF KENTUCKY               216 W MAIN ST             FRANKFORT              KY    40601
HH3     TEAM ELECTRIC INC              1455 SOUTH LIPAN STREET                             DENVER                 CO    80223-3005
AS9     TEAMSTER UNION                 LOCAL 815                 467 SYLVAN AVENUE         ENGLEWOOD CLIFFS       NJ    06632
M78     TEAMSTERS JOINT COUNCIL        8814 FARGO ROAD                                     RICHMOND               VA    23229
F18     TEAMSTERS LOCAL 627            4201 TEAMSTERS DRIVE                                PEORIA                 IL    61614
D54     TEAMSTERS MEDICARE TRUST       300 SOUTH GRAND                                     ST LOUIS               MO    63103
J2*     TEAMSTERS 667                                            796 EAST BROOKS AVENUE    MEMPHIS                TN    38116
C37     TEMPLE EASTEX                  540 EAST BARTON ST                                  WEST MEMPHIS           AR    72301
J3*     TENNECO AUTOMOTIVE BENEFIT     PROGRAM                   4625 WASHINGTON AVE       RACINE                 WI    53405
U75     TENNESSEE HEALTH CARE NETW     51 STONEBRIDGE BLVD                                 JACKSON                TN    38305
BL4     TENNESSEE HEALTH PARTNERS                                PO BOX 3490               JACKSON                TN    38303-3490
C62     TENNESSEE NATIONAL             1201 W 8TH                                          LITTLE ROCK            AR    72203
M50     TERRA INTERNATIONAL INC        600 4TH STREET                                      SIOUX CITY             IA    51101
FC6     TETCO EMPLOYEE BENEFIT PLA                               P O BOX 171720            SAN ANTONIO            TX    78217
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE   109
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
L11     TEXANA TANK CAR MFG INC        P O BOX 550                                         NASH                   TX    75569
M61     TEXAS GAS TRANSMISSION COR     P O BOX 1160                                        OWENSBORO              KY    43302
FM6     TEXAS IMPERIAL LIFE INSURA                               PO BOX 42813              HOUSTON                TX    77242-2813
HJ8     TEXAS INTERNATINAL LIFE IN     CITIZENS NATIONAL LIFE IN PO BOX 11007              WINSTON SALEM          NC    27116
I92     TEXAS NATIONAL GROUP ADMIN                               P.O. BOX 820923           HOUSTON                TX    77282-0929
Q22     TEXAS NEW MEXICO POWER CO      PO BOX 433                                          FORT WORTH             TX    76634
I36     TEXAS OIL MARKETERS ASSC       TRUST AND WELFARE PLAN    701 WEST 15TH STREET      AUSTIN                 TX    78701
Q82     TEXAS PIPE TRADE HEALTH        BENEFIT FUND, SUITE 210   11910 GREENVILLE AV       DALLAS                 TX    75243
UE*     TEXAS PIPE TRADES HEALTH       BENFIT FUND               P O BOX 860037            PLANO                  TX    75086-0037
HP6     TEXAS TRUE CHOICE                                        PO BOX 250089             PLANO                  TX    75025
M26     TEXTRON                        P O BOX 38813                                       AUGUSTA                GA    30913
AX5     TFE MEDICAL SYSTEMS            3665 WHEELER RD           SUITE 101                 AUGUSTA                GA    30909-6510
IB9     THE BRAD HENDRICKS LAW FIR     500 C PLESANT VALLEY DR                             LITTLE ROCK            AR    72227
TD*     THE BRINKLEY COMPANY           P O BOX 80817                                       INDIANAPOLIS           IN    46280
TE*     THE EATON BENEFITS OFFICE      P O BOX 2900                                        CORAOPOLIS             PA    15108
TB*     THE GATE GROUP                 P O BOX 8219                                        LITTLE ROCK            AR    72221
HB9     THE HEALTH PLAN GROUP          M PLAN                    8802 NORTH MERIDAN ST     INDIANAPOLIS           IN    46260
AQ7     THE INSURANCE CENTER           321 EAST 4TH                                        JOSLIN                 MO    64801
I03     THE LINCOLN NATIONAL LIFE      DENTAL CLAIMS INPUT CTR   P O BOX 2640              OMAHA                  NE    68103-2640
GO2     THE LOOMIS COMPANY                                       PO BOX 13814              READING                PA    19612
GM7     THE LOOMIS COMPANY             P O BOX 7011                                        WYOMISSING             PA    19610-6011
GX4     THE MAIL HANDLERS BENEFIT                                P O BOX 8402              LONDON                 KY    40742
FN3     THE ONE BENEFIT SOURCE                                   PO BOX 2775               ELKHART                IN    46515
D2*     THIRD PARTY ADMINISTRATORS     1919 S SHILOH             SUITE 500                 GARLAND                TX    75042
EL2     THIRD PARTY CLAIM MGMT                                   P O BOX 268814            OKLAHOMA CITY          OK    73126-8814
EL1     THIRD PARTY CLAIM MGMT                                   P O BOX 268820            OKLAHOMA CITY          OK    73126-8820
AM4     THORNAPPLE VALLEY INC          26999 CENTRAL PARK BLVD   SUITE 300                 SOUTHFIELD             MI    48076
HR9     THREE RIVERS BENEFIT CORP                                PO BOX 3440               SIOUX CITY             IA    57101
DX4     THURSTON CO BLUE SHIELD                                  P O BOX 91048             SEATTLE                WA    98111
K8*     TIDELANDS LIFE INS CO                                    P O BOX 2991              FORT WORTH             TX    76100
X24     TIGG                                                     2549 PANGBURN ROAD        HEBER SPRINGS          AR    72543
GP2     TIME INSURANCE COMPANY         FOR ASSURANT HEALTH       PO BOX 42033              HAZELWOOD              MO    63042
V26     TOLLIE FREIGHTWAYS INC         1020 SUNSHINE RD                                    KANSA CITY             KS    66115
P85     TOMA TRUST                     701W 15 STREET                                      AUSTIN                 TX    78701-1599
M91     TOMFORD INS ADMIN              21032 DEVONSHIRE SUITE202                           CHANTSWORTH            CA    91311
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE   110
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EC5     TOTAL BENEFIT SERVICES                                   P O BOX 30180             NEW ORLEANS            LA    70190
GO8     TOTAL CLAIMS SOLUTION          TCS                       PO BOX 10888              GREEN BAY              WI    54307
F85     TOTAL GROUP SERVICES INC       P O BOX 1687                                        GRAND RAPIDS           MI    49501
EX7     TOTAL PLAN ADM TPA             LIFE OF THE SOUTH         P O BOX 12288             COLUMBUS               GA    31907
GW3     TOTAL PLAN SERVICES            14001 DALLAS PKWY NORTH   SUITE 700                 DALLAS                 TX    75240
X72     TOTAL PROGRAM                  ADMINISTRATORS            P O BOX C85012            RICHMOND               VA    23261-5012
G82     TOTAL PROGRAM ADMINISTATOR     WORRELL ENTERPRISE INC    PO BOX C32011             RICHMOND               VA    23200
S93     TOWER LIFE INS CO                                        P O BOX 21130             SAN ANTONIO            TX    78221-0130
H31     TOWNSEND LIFE ASSOCIATES I     18 N 6TH ST               PO BOX 2210               HAINES CITY            FL    33844
H49     TOY R US                       2501MCKENIZE DR                                     CAROLLTON              TX    75006
DK2     TPA                                                      PO BOX 320                PUEBLO                 CO    81002-0320
RI*     TPA                            PO BOX 52125                                        PHOENIX                AZ    85072
DC*     TPA                            5214 MARYLAND WAY         SUITE 207                 BRENTWOOD              TN    37027
I37     TPA MICHIGAN                                             5455 CORPORATR DRIVE      TROY                   MI    48098
CT2     TPA OF FLORIDA                                           P O BOX 121212            MARIETTA               GA    30067-0092
Q52     TPA OF PENNSYLVANIA INC        PO BOX 1127                                         BLUE BELL              PA    19422
AV8     TPA PLAN ADMINISTRATORS                                  P.O. BOX 901066           FORT WORTH             TX    76101
DB4     TR PAUL GROUP SERVICES         14 COMMERCE ROAD                                    NEWTOWN                CT    06470
BF1     TRACKER MARINE                 1935C. S. CAMPBELL                                  SPRINGFIELD            MO    65898
D5*     TRACOR MBA                     P O BOX 3297                                        CAMDEN                 AR    71701
A13     TRANAMERICA OCCIDENTAL CO      10300 NO CEN EXPRESSWAY                             DALLAS                 TX    75231
K90     TRANS AMERICA                  FORMERLY AEGON USA        PO BOX 8063               LITTLE ROCK            AR    72203
LM*     TRANS AMERICAN                 INDIVIDUAL HEALTH CLAIMS 1600 WORTHERN BANK BLDG    LITTLE ROCK            AR    72201
Z77     TRANS STATE LINES INC          ATTN HEALTH CLAIMS DIV    P.O. BOX 17011            FT SMITH               AR    72917
S6*     TRANSAMERICA ACCIDENTAL LI     1400 CENTERVIEW DRIVE                               LITTLE ROCK            AR    72211
W10     TRANSAMERICA OCCIDENTAL        LIFE                      P O BOX 5803              ROCKFORD               IL    61125-0803
EV3     TRANSAMERICA OCCIDENTAL        LIFE INSURANCE CO         P O BOX 2101              LOS ANGELES            CA    90051-0101
E52     TRANSAMERICA OCCIDENTAL        ABT TOWERS                P O BOX 1558              HOT SPRINGS            AR    71902
E8*     TRANSCONTINENTAL ENERGY CO     GROUP INSURANCE COMPANY   P O BOX 21568             SHREVEPORT             LA    71120
S80     TRANSPORT CO INC                                         P O BOX 190625            LITTLE ROCK            AR    00000
J31     TRANSPORT COMPANY                                        HIGHWAY 15 SOUTH          EL DORADO              AR    71730
C2*     TRANSPORT LIFE INSURANCE                                 P O BOX 66953             CHICAGO                IL    60666-0953
EB1     TRAVELERS                      CONSOLIDATED GROUP 110000 P O BOX 2070              NASHUA                 NH    03061
RG*     TRAVELERS                      3316 FARNAM STREET                                  OMAHA                  NE    68175
NY*     TRAVELERS METRA HEALTH         GROUP HEALTH              ONE MERCANTILE TOWER      ST LOUIS               MO    63101
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   111
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
PO*     TRAVELERS METRAHEALTH          6435 CASTLEWAY DRIVE      P O BOX 50863             INDIANAPOLIS           IN    46250
OB*     TRAVELERS METRAHEALTH          600 CITY PARKWAY WEST     P O BOX 5170              ORANGE                 CA    92667
I48     TRAVELERS METRAHEALTH                                    1701 CENTERVIEW           LITTLE ROCK            AR    72221
G86     TRAVELERS METRAHEALTH          OF ILLINOIS INC           P O BOX 7045              ROCKFORD               IL    61126-7045
W63     TRAVELERS METRAHEALTH                                    P O BOX 59049             MINNEAPOLIS            MN    55459-0049
S68     TRAVELERS METRAHEALTH          SOUTHWESTERN ENERGY CO    P O BOX 1408              FAYETTEVILLE           AR    72702-1408
R62     TRAVELERS METRAHEALTH          OF ILLINOIS               929 SI ALPINE RD          ROCKFORD               IL    61108
R21     TRAVELERS METRAHEALTH                                    P O BOX 22545             JACKSON                MS    39225-2545
Z44     TRAVELERS METRAHEALTH                                    P.O. BOX 660451           DALLAS                 TX    75266
Y35     TRAVELERS METRAHEALTH          1901 N ROSELLE RD STE 600                           SCHAUMBURG             IL    60195
DF8     TRAVELERS METRAHEALTH          500 GRANT STREET                                    PITTSBURG              PA    15219
DF6     TRAVELERS METRAHEALTH          7090 SOUTH UNION PARK AVE                           MIDVALE                UT    84047
FR*     TRAVELERS METRAHEALTH          4 GREENWAY PLAZA EAST                               HOUSTON                TX    77046
E19     TRAVELERS METRAHEALTH          P O BOX 5472                                        ALEXANDRIA             LA    71301
AT1     TRAVELERS METRAHEALTH          P.O. BOX 660457                                     DALLAS                 TX    75266
BC8     TRAVELERS METRAHEALTH          GENERAL BOARD OF PENSIONS P O BOX 19896             MATTESON               IL    60443-1989
A71     TRAVELERS METRAHEALTH          JAMESTOWN OFFICE PARK     3035 NW 63RD STREET       OKLAHOMA CITY          OK    73187
A14     TRAVELERS METRAHEALTH          EMPLOYEE BENEFITS CLAIMS P O BOX 7579               GREENSBORO             NC    27417-0579
B93     TRAVELERS METRAHEALTH          P O BOX 26426                                       RICHMOND               VA    23261
BX*     TRAVELERS METRAHEALTH          6750 POPLAR               P O BOX 171812            MEMPHIS                TN    38187
BU9     TRAVELERS METRAHEALTH          C/O COOK COMMUNICATIONS   P.O. BOX 1017037          PHOENIX                AZ    85064
VQ*     TRAVELERS MOTOR CLUB           720 N W 50TH              P O BOX 54799             OKLAHOMA CITY          OK    73154
EZ7     TRAVELERS PROTECTIVE ASSOC     RAY ROBERTSON             3755 LINDELL BLVD         ST LOUIS               MO    63108-3476
DP3     TRI STATE ARMATURE AND         ELECTRICAL WORKS INC      P O BOX 466               MEMPHIS                TN    38101
CY4     TRIAD EMPLOYESS HEALTH         AND DENTAL PLAN           P O BOX 965               MCALESTER              OK    74501
M33     TRIANGLE INS AGENCY            106 SOUTH OAK                                       SHERIDAN               AR    72150
CO9     TRIANGLE PACIFIC               4040 MCEWEN SUITE 100                               DALLAS                 TX    75244
H06     TRIDENT PLAN ADMINISTRATOR     3825 N 24TH STREET                                  PHOENIX                AZ    85016
BU7     TRIGON ADMINISTRATORS          P O BOX C85016                                      RICHMOND               VA    23261-5016
H85     TRINITY INDUSTRIES                                       P O BOX 569640            DALLAS                 TX    75356-9640
CW4     TRISM BENEFITS                 P O BOX 163930            DEPT 55                   AUSTIN                 TX    78716
AM5     TRISM BENEFITS                 INFORMATION CENTER        P O BOX 9000              KENNESAW               GA    30144
W89     TROA MEDIPLUS                                            P O BOX 9126              DES MOINES             IA    50398-9126
GB3     TRUE CHOICE USA                                          PO BOX 251369             PLANO                  TX    75025
L59     TRUST ACCOUNT                  TRUSTEE STEVEN ALLEN      P O BOX 1276              LITTLE ROCK            AR    72203
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   112
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
GG3     TRUSTEED PLAN                                            PO BOX 1894               TACOMA                 WA    98401
BF9     TRUSTMARK                                                P O BOX 7909              LAKE FOREST            IL    60045
FV1     TRUSTMARK INS CO                                         PO BOX 2942               CLINTON                IA    52733
FQ5     TRUSTMARK INSURANCE CO                                   PO BOX 7900               LAKE FOREST            IL    60045
CY5     TRUSTMARK INSURANCE CO                                   PO BOX 9055               BOARDMAN               OH    44513-0055
I8*     TRYCO INSURANCE CO             5231 BELLAIRE CO          BOX 550                   BELLAIRE               TX    77401
G71     TUCKER AND CLARK                                         P O BOX 802516            DALLAS                 TX    75380
BL7     TUFFS TOTAL HEALTH PLAN        333 WYMAN STREET          P O BOX 9094              WALTHAM                MA    02254-9094
HD1     TX TEACHERS RETIRE             1000 RED RIVER STREET                               AUSTIN                 TX    78701-2698
GM*     TYSON FOODS                    ATTN CP501                P O BOX 2020              SPRINGDALE             AR    72765-2020
H79     U P S PROGRAM                  51 WEAVER ST              GREENWICH OFFICE PARK 5   GREENWICH              CT    06836
YG*     U S FIDELITY AND GUARANTY      1 SHACKLEFORD ROAD        P O BOX 5880              LITTLE ROCK            AR    72215
X1*     U S FIDELITY AND GUARANTY      4120 ROGERS AVE SUITE B P O BOX 5286                FORT SMITH             AR    72913
N30     U S ADMINISTRATORS                                       P O BOX 9125              VAN NUYS               CA    91409-9125
D97     U S BENEFITS                                             P O BOX 40747             MEMPHIS                TN    38174-0747
L20     U S GUARDIAN HEALTH            SUITE 200                 15280 ADDISON ROAD        DALLAS                 TX    75248
E25     U S LIFE INSURANCE CO          125 MARDEN LANE                                     NEW YORK               NY    10038
P71     U S OFFICE OF PERSONNEL MG     RETIREMENT PROGRAMS                                 WASHINGTON             DC    20415
V1*     UARCO CLAIM OFFICE                                       P O BOX 1950              BARRINGTON             IL    60011-1950
CO1     UAW CLAIMS DEPARTMENT                                    P O BOX 7051              BLOOMFIELD HILLS       MI    48302-7051
DW3     UAW LOCAL 6519                 WM C BEELER AND CO        P O BOX 1439              HENDERSONVILLE         TN    37077
BA1     UBH CLAIMS                                               PO BOX 659745 ROUTE 2007 SAN ANTONIO             TX    78265
FO6     UCFW UNIONS AND FOOD           EMPLOYERS BENEFIT FUND    PO BOX 6010               CYPRESS                CA    90630-0010
GO4     UFCE LOCAL 1459                ULLICARE                  P O BOX 61593             KING OF PRUSSIA        PA    19406
U44     UFCW AND EMPLOYERS             ARIZONA HEALTH            1990 W CAMELBACK RD       PHOENIX                AZ    85015
RR*     UFCW DIST UNIONS               EMPLOYEES FUND            P O BOX 12506             ATLANTA                GA    30315
S19     UFCW HEALTH WELFARE TRUST      12160 ABRAMS, SUITE 201                             DALLAS                 TX    75243
X73     UFCW LOCAL 1529                                          P O BOX 970               CORDOVA                TN    38018-0970
V38     UFCW LOCAL 1583                3218 E HWY 67                                       MESQUITE               TX    75150
CF9     UFCW LOCAL 954                 7441 INTERNATIONAL DR     P O BOX 967               HOLLAND                OH    43528-0967
IA1     UFCW NORTHERN CALIFORNIA       1277 TREAT BOULEVARD      10TH FLOOR                WALNUT CREEK           CA    94597-8863
S94     UFCW UNION LOCAL 1525          AND EMP HEALTH WELFARE    P O BOX 970               CORDOVA                TN    38018-0970
S23     UFCW UNIONS AND EMP MIDWES     HEALTH BENEFITS FUND      4858 N SHERIDAN RD        CHICAGO                IL    60640
W47     UFCW WORKERS UNION AND EMP     MIDWEST HEALTH BENEFITS   2200 E SUNSHINE STE 202   SPRINGFIELD            MO    65804-1898
CT9     UHC MANAGEMENT COMPANY         P O BOX 169055            ROUTE 2702                DULUTH                 MN    55816-8251
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   113
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
EM2     UHC MEDICA CLAIMS              RT 2901                   P O BOX 169061            DULUTH                 MN    55816-8310
JO8     UMR                            P.O. BOX 30541                                      SALT LAKE              UT    84130-0541
IO9     UMR                            PO BOX 145804                                       CINCINNATI             OH    45250
IA9     UMR                            675 BROOKSEDGE BOULEVARD                            WESTERVILLE            OH    43081
RM*     UMWA HEALTH AND                RETIREMENT FUNDS          2021 K STREET             WASHINGTON             DC    20006
DJ6     UMWA HEALTH RETIREMENT         THE FUNDS                 P O BOX 4410              ALBANY                 NY    12204-0410
L71     UNC ALTA REVIEW                SUITE 750                 4 STATION SQUARE          PITTSBURGH             PA    15219
G50     UNDERWRITER LIFE INS CO                                  6210 CAMPBELL RD          DALLAS                 TX    75248
BF2     UNDERWRITERS AND ADMINISTR                               P O BOX 6250              HARRISBURG             PA    17112
Q7*     UNDERWRITERS NATIONAL          ASSURANCE COMPANY         3637 MERIDIAN STREET      INDIANAPOLIS           IN    46208
S61     UNICARE                        MASS MUTUAL               P O BOX 9088              OXNARD                 CA    93031-9088
WU*     UNICARE                        PO BOX 5037                                         BOLINGBROOK            IL    60440-5037
GT3     UNICARE                                                  PO BOX 4458               CHICAGO                IL    60680-4458
GL5     UNICARE                                                  PO BOX 4006               SCHAUMBURG             IL    60168-4006
GG6     UNICARE                                                  PO BOX 4239               WOODLAND HILLS         CA    91365
GF6     UNICARE                                                  PO BOX 70000              VAN NUYS               CA    91470
GF5     UNICARE                                                  PO BOX 833882             RICHARDSON             TX    75083
GF4     UNICARE                                                  PO BOX 4444               OXNARD                 CA    93031
GF3     UNICARE                                                  PO BOX 4124               WOODLAND HILL          CA    91365
Z74     UNICARE                        SOUTHEAST MEDICAL ALLIANC 111 VETERANS MEM BLVD 500 METAIRIE               LA    70005
0U*     UNICARE                        NCR CORPORATION           BOX 4050                  SCHAUMBURG             IL    60188-4050
BZ9     UNICARE                        MASS MUTUAL               P O BOX 5005              BOLLINGBROOK           IL    60440
CJ2     UNICARE                                                  P O BOX 4005              SCHAUMBERG             IL    60168-4005
B29     UNICARE                        24650 CENTER RD           SUITE 310                 WESTLAKE               OH    44145
CS5     UNICARE                        P O BOX 4061              18003047258               SCHAUMBURG             IL    60168-4061
CR6     UNICARE                                                  PO BOX 4069               SCHAUMBURG             IL    60168-4069
FC1     UNICARE                        DALLAS SERVICE CENTER     P O BOX 833933            RICHARDSON             TX    75083-3933
DX2     UNICARE                                                  P O BOX 4054              SCHAUMBERG             IL    60168-4054
DO5     UNICARE                        CARGILL CLAIMS            P O BOX 4061              SCHAUMBERG             IL    60168
DQ*     UNICARE                        1295 STATE ST             P O BOX 51130             SPRINGFIELD            MA    01151
NM*     UNICARE HEALTH AND LIFE        MEMBERS INSURANCE PROGRAM 203 JANDUS RD             CARY                   IL    60013
GJ6     UNICARE HEALTH PLANS                                     PO BOX 5036               BOLINGBROOK            IL    60440-5036
J83     UNICARE HOMES INC              105 WEST MICHIGAN STREET                            MILWAUKEE              WI    53203
J11     UNICARE INSURANCE CO                                     5171 VERDUGO WAY          CAMARILLO              CA    93012-8603
OU*     UNICARE LIFE AND HEALTH        3820 AMERICAN DRIVE                                 PLANO                  TX    75075
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   114
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
DO6     UNICARE LIFE AND HEALTH        INSURANCE COMPANY         PO BOX 833876             RICHARDSON             TX    75083
AD8     UNICARE LIFE HEALTH            ITT HARTFORD              P O BOX 5010              FORT SCOTT             KS    66701-5010
C22     UNICARE MASS MUTUAL            24650 CENTER RIDGE RD     SUITE 310                 WESTLAKE               OH    44145
C78     UNICARE MASS MUTUAL            315 W PONCE DE LEON       P O BOX 100008            DECATUR                GA    30031-7008
C9*     UNICARE MASS MUTUAL            MELTON TRUCK LINES        1925 CENTENARY            SHREVEPORT             LA    71107
C15     UNICARE MASS MUTUAL            212 LAKESIDE DR                                     HORSHAM                PA    19044
CG9     UNICARE MASS MUTUAL            1 CORPORATE CTR STE 300   1320 WILLOW PASS RD       CONCORD                CA    94520-5280
BS2     UNICARE MASS MUTUAL            REGIONAL SERVICE CENTER   BOX 5012                  FORT SCOTT             KS    66701-5010
BR8     UNICARE MASS MUTUAL            GROUP CLAIMS              PO BOX 5024               WOODBRIDGE             NJ    07095-5024
OH*     UNICARE MASS MUTUAL            1295 STATE STREET                                   SPRINGFIELD            MA    01111
MJ*     UNICARE MASS MUTUAL            VILLAGE WEST OFFICE CTR   3649 WEST 183RD STREET    HAZEL CREST            IL    60429
Q45     UNICARE MASS MUTUAL            1050 E GARVEY AVE S       P O BOX 60004             CITY OF INDUSTRY       CA    91716-0041
Y26     UNICARE MASS MUTUAL            700 VETERANS HWY STE 202 P O BOX 18037              HAUPPAUGE              NY    11788
TZ2     UNIDENTIFIED AT THE TIME                                                                                        00000
HS2     UNIFIED GROUP SERVICES                                   PO BOX 10                 PENDLETON              IN    46064
V36     UNIFIED LIFE INSURANCE                                   P O BOX 25326             OVERLAND PARK          KS    66225-5326
G97     UNIFIRST CORP HEALTH BENEF                               68 JONSBIN RD             WILMINGTON             MA    01888
GD5     UNION BANKERS                                            PO BOX 13006              PENSACOLA              FL    32591
V82     UNION BANKERS                                            115 HAMMOND DR            HOT SPRINGS            AR    71913
AD5     UNION BANKERS INSURANCE CO     P O BOX 9110                                        CLEARWATER             FL    33758-9110
0R*     UNION BANKERS LIFE INS CO                                P O BOX 655433            DALLAS                 TX    75265-5433
M84     UNION CAMP                     P O BOX 14509                                       SAVANNAH               GA    31416
I45     UNION CAMP                     730 ENTERPRISE AVE                                  CONWAY                 AR    72032
H5*     UNION CASUALTY CO                                        100 AQUILA CT             OMAHA                  NE    68102
PB*     UNION CENTRAL LIFE INS         GENERAL DELIVERY                                    CINCINNATI             OH    45203
FJ6     UNION FIDELITY                 PROCESSING CENTER         P O BOX 10841             CLEARWATER             FL    33757-8841
FV*     UNION FIDELITY LIFE INS CO     4850 STREET ROAD                                    TREVOSE                PA    19049-0002
J02     UNION FIDELITY LIFE INS CO     P O BOX 8121                                        FT WASHINGTON          PA    19034
YV*     UNION LABOR LIFE               INSURANCE COMPANY         111 MASSACHUSETTS AVE NW WASHINGTON              DC    20001
E95     UNION LABOR LIFE               OAK BRIDGE OFFICE         2607 WEST 22 ST           OAK BROOK              IL    60521
V65     UNION LABOR LIFE INS                                     395 HUDSON ST             NEW YORK               NY    10014
VD*     UNION LABOR LIFE INS CO                                  4115 CHESAPEAKE ST NW     WASHINGTON             DC    20016
I46     UNION LIFE                                               10401 CONNECTCUT AVE      KENSINGTON             MD    20895-3960
A50     UNION LIFE INSURANCE           AOG                       P O BOX 2406              FORT SMITH             AR    72906
J60     UNION LIFE INSURANCE CO        3415 NEW BOSTON ROAD                                TEXARKANA              TX    75501
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE   115
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
R92     UNION LIFE SERVICES CORP       GROUP CLAIMS              P O BOX 3418              LITTLE ROCK            AR    72203-3418
L36     UNION MEDICAL RESOURCES IN     2343 AUBURN AVE                                     CINCINNATI             OH    45219
XC*     UNION MUTUAL                   700 EAST MAIN STREET      700 BLDG SUITE 1525       RICHMOND               VA    23219
B1*     UNION MUTUAL LIFE INS CO                                 P O BOX 9515              PORTLAND               ME    04124
ES8     UNION PACIFIC RAILROAD         EMPLOYEE HEALTH SYSTEM    PO BOX 161020             SALT LAKE CITY UT            84116-1020
Y5*     UNION ROOFERS HLTH AND WEL     FUND                      9901 PARAMOUNT BLVD       DOWREY                 GA    90240
NP*     UNION STANDARD INSURANCE                                 P O BOX 35865             DALLAS                 TX    75235
FN5     UNIROYAL RETIREE BENEFITS                                PO BOX 1266               MISHAWAKA              IN    46546-1266
EG4     UNISYS                                                   P O BOX 8090              LINDEN                 KY    40742-8090
I74     UNISYS CORPORATION                                       P.O. BOX 500              BLUE BELL              PA    19424-0001
S96     UNITED AMERICAN INS CO         CLAIMS OFFICE             P O BOX 26400             OKLAHOMA CITY          OK    73126
AH*     UNITED AMERICAN INSURANCE                                P O BOX 8080              MCKINNEY               TX    75070-8080
AF7     UNITED ARKANSAS LIFE           ASSURANCE COMPANY         P O BOX 659531            SAN ANTONIO            TX    78265-9537
WJ*     UNITED BEHAVIORAL HEALTH       PO BOX 169053                                       DULUTH                 MN    55816
PJ*     UNITED BEHAVIORAL HEALTH       PO BOX 23250                                        OAKLAND                CA    94623-0250
QK*     UNITED BEHAVIORAL HEALTH       PO BOX 12286                                        COLUMBUS               OH    43218
IA8     UNITED BEHAVIORAL HEALTH       425 MARKET STREET         27TH FLOOR                SAN FRANCISCO          CA    94105
G5*     UNITED BENEFIT INS CO          ALLIED ADMIN SUITE 311    2831 CANINO DEL RIO SO    SAN DIEGO              CA    92101
EH6     UNITED BENEFIT LIFE            3909 HULEN ST                                       FORT WORTH             TX    76107
GX*     UNITED BENEFIT LIFE INS                                  DODGE AT 33RD             OMAHA                  NE    68102
MB*     UNITED BENEFIT LIFE INS CO                               P O BOX C34014            SEATTLE                WA    98124
DS2     UNITED BENEFIT LIFE INS CO                               PO BOX 30214              TAMPA                  FL    33630-3214
H61     UNITED CHAMBERS LIFE                                     P O BOX 3048              NAPERVILLE             IL    60566
AC2     UNITED CHURCH OF CHRIST        UCC CLAIMS PROCESSING UNI PO BOX 3900               YOUNGSTOWN             OH    44513-3600
P67     UNITED COMMERCIAL TRAVELER                               P O BOX 159019            COLUMBUS               OH    43215-8619
FJ9     UNITED CONCORDIA                                         PO BOX 69411              HARRISBURG             PA    17106
FY9     UNITED CONCORDIA                                         PO BOX 298230             CAMP HILL              PA    17089
EW4     UNITED CONCORDIA                                         PO BOX 69413              HARRISBURG             PA    17106
FE5     UNITED CONCORDIA COMPANY                                 P O BOX 69421             HARRISON               PA    17106-9421
HY0     UNITED DRUGS                   1625 EAST GLENDALE AVENUE                           PHOENIX                AZ    85020
WH*     UNITED EQUITABLE INSURANCE     7373 N CICERO AVE                                   LINCOLNWOOD            IL    60646
B94     UNITED FIDELITY LIFE           2300 CONTINENTAL PLAZA    P O BOX 1778              FT WORTH               TX    76101
NL*     UNITED FIDELITY LIFE INS                                 1025 ELM STREET           DALLAS                 TX    75202
HM5     UNITED FOOD AND COMMERCIAL     WORKERS                   PO BOX 090558             MILWAUKEE              WI    53209
QN*     UNITED FOUNDERS                UNTD FOUNDERS LIFE TOWER 5900 MOSTELLER DRIVE       OKLAHOMA CITY          OK    73112
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   116
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
NT*     UNITED FURNITURE WORKERS I     1910 AIR LANE DRIVE       P O BOX 100037DRIVE       NASHVILLE              TN    37210
GZ8     UNITED GROUP PROGRAMS          902 CLINT MOORE ROAD      SUITE 100                 BOCA RATON             FL    33487
L56     UNITED GROUP SERVICES          ATTN ELAINE     D         2330 GRAVEL ROAD          FT WORTH               TX    76118
S50     UNITED HEALTH CARE             METRA TRAVELERS           1600 WEST PLANO PARKWAY   PLANO                  TX    75075
R93     UNITED HEALTH CARE             TRAVELERS                 P O BOX 2258              BREA                   CA    92822
B26     UNITED HEALTH CARE             METROPOLITAIN LIFE        P O BOX 2981              ENGLEWOOD              CO    80150
AJ9     UNITED HEALTH CARE             4228 N. SANTA FE                                    OKLAHOMA CITY          OK    73118
AL*     UNITED HEALTHCARE              MONSANTO COMPANY          P O BOX 30552             SALT LAKE CITY         UT    84130-0552
AP2     UNITED HEALTHCARE              GERBER 18888425667        P O BOX 659737            SAN ANTONIO            TX    78265
AO4     UNITED HEALTHCARE              METRAHEALTH               P O BOX 30998             SALT LAKE CITY         UT    84130
AO3     UNITED HEALTHCARE              THE TPAOF TEXAS           P O BOX 809076            DALLAS                 TX    75380-9076
AT3     UNITED HEALTHCARE              THE TPA OF ARIZONA        P O BOX 52100             PHOENIX                AZ    85072
BC7     UNITED HEALTHCARE              METRAHEALTH               P O BOX 30900             SALT LAKE CITY         UT    84130-0990
BB6     UNITED HEALTHCARE              METRAHEALTH/METLIFE       P.O. BOX 1290             PITTSBURG              PA    15230-1290
A98     UNITED HEALTHCARE              MONSANTO EMPLOYEE BENEFIT P O BOX 2502              AURORA                 IL    60507
Z85     UNITED HEALTHCARE              METRAHEATH                P O BOX 473505            CHARLOTTE              NC    28247
BI3     UNITED HEALTHCARE              GROUP MEDICAL CLAIMS      P. O. BOX 2074            AURORA                 IL    60507-2074
BG9     UNITED HEALTHCARE              5214 MARYLAND WAY STE 207                           BRENTWOOD              TN    37027
BG4     UNITED HEALTHCARE              82 IONIA AVE N W          P O BOX 323               GRAND RAPIDS           MI    49501-0323
CF*     UNITED HEALTHCARE                                        P O BOX 5091              ROLLING MEADOWS        IL    60008
CH3     UNITED HEALTHCARE              METRAHEALTH               P O BOX 10066             AUGUSTA                GA    30999
C20     UNITED HEALTHCARE              METRAHEALTH               P O BOX 22092             ALBANY                 NY    12201
CY6     UNITED HEALTHCARE              METRAHEALTH               P O BOX 30994             SALT LAKE CITY         UT    84130-0991
DB5     UNITED HEALTHCARE              AMOCO MEDICAL CLAIMS      P O BOX 2007              AURORA                 IL    60507
DG6     UNITED HEALTHCARE              2743 PERIMETER PARKWAY    BLDG 2                    AUGUSTA                GA    30909
CN6     UNITED HEALTHCARE              1250 S CAPITAL OF TEXAS   HWY    I 400              AUSTIN                 TX    78746-6443
CV8     UNITED HEALTHCARE                                        P O BOX 591208            DAYTON                 OH    45459-8028
CV4     UNITED HEALTHCARE              1854 SHACKLEFORD COURT                              NORCROSS               GA    30093
CU*     UNITED HEALTHCARE              RAILROAD CLAIMS           P O BOX 30985             SALT LAKE CITY         UT    84130-0985
CT5     UNITED HEALTHCARE              UMBRELLA CARE             P O BOX 660683            DALLAS                 TX    75266-0693
CS7     UNITED HEALTHCARE              METRAHEALTH               P O BOX 7964              SAN FRANCISCO          CA    94120-7964
FH6     UNITED HEALTHCARE                                        PO BOX 30557              SALT LAKE CITY         UT    84130-0557
FC4     UNITED HEALTHCARE                                        P O BOX 5097              ROLLING MEADOWS        IL    60008
FD6     UNITED HEALTHCARE              3838 N CAUSEWAY           SUITE 1200                METARIE                LA    70002
FD2     UNITED HEALTHCARE                                        P O BOX 30555             SALT LAKE CITY         UT    84130-0555
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   117
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
F68     UNITED HEALTHCARE              4 BRITISH AMERICAN BLVD                             LATHAM                 NY    12110
F52     UNITED HEALTHCARE              GROUP DENTAL CLAIMS       P O BOX 6088              UTICA                  NY    13504-6088
FL9     UNITED HEALTHCARE              P O BOX 659745                                      SAN ANTONIO            TX    78268
EY1     UNITED HEALTHCARE              MEDICAL CLAIMS            P O BOX 55967             BIRMINGHAM             AL    35255-5967
EW1     UNITED HEALTHCARE              STATE OF AR PLAN DENTAL   P O BOX 55947             BIRMINGHAM             AL    35255-5947
EV6     UNITED HEALTHCARE              P O BOX 169056            RT 2941                   DULUTH                 MN    55816-8260
FA3     UNITED HEALTHCARE                                        P O BOX 30551             SALT LAKE CITY         UT    84130-0551
E33     UNITED HEALTHCARE              1701 DIRECTORS BLVD       P O BOX 19137             AUSTIN                 TX    78760-9137
E30     UNITED HEALTHCARE              PARIS MANUFACTURING       SOUTH ELM                 PARIS                  AR    72855
EP3     UNITED HEALTHCARE              GENERAL MOTORS            P O BOX 2517              SMYRBA                 GA    30081-2517
EO3     UNITED HEALTHCARE              1 SO WACKER DRIVE         P O BOX 909714            CHICAGO                IL    60690
EV5     UNITED HEALTHCARE              P O BOX 169066            RT 2711                   DULUTH                 MN    55816-8360
EV4     UNITED HEALTHCARE                                        P O BOX 182286            COLUMBUS               OH    43218
ET6     UNITED HEALTHCARE              P O BOX 182281            RT 210003                 COLUMBUS               OH    43218
ET2     UNITED HEALTHCARE              RAILROAD PLAN G23111D     P O BOX 30404             SALT LAKE CITY         UT    84130-0404
DQ8     UNITED HEALTHCARE              GROUP HEALTH CONVERSIONS PO BOX 9612                NEW HAVEN              CT    06535
DQ2     UNITED HEALTHCARE              MANAGED CARE SYSTEM       P O BOX 9448              NEW HAVEN              CT    06534
DI3     UNITED HEALTHCARE              METRAHEALTH               P O BOX 650403            DALLAS                 TX    75265-0403
DH2     UNITED HEALTHCARE              METRAHEALTH               P O BOX 3017              SMITHTOWN              NY    11787
DV9     UNITED HEALTHCARE              METRAHEALTH               P O BOX 660455            DALLAS                 TX    75266-0455
DV4     UNITED HEALTHCARE              METRAHEALTH               P O BOX 9562              NEW HAVEN              CT    06535
DU2     UNITED HEALTHCARE              METRAHEALTH               P O BOX 2002              NEW HAVEN              CT    06536
DU1     UNITED HEALTHCARE              600 HOLIDAY PLAZA                                   MATTESON               IL    60443
DT9     UNITED HEALTHCARE              METRAHEALTH               P O BOX 9818              NEW HAVEN              CT    06536
DS6     UNITED HEALTHCARE              USG CORP                  P O BOX 507               MATTESON               IL    60443-0507
EI7     UNITED HEALTHCARE              MOBILE OIL CO             P O BOX 3021              UTICA                  NY    13504
EM1     UNITED HEALTHCARE                                        P O BOX 2072              AURORA                 IL    60507-2072
EL6     UNITED HEALTHCARE              METRAHEALTH               P O BOX 22026             ALBANY                 NY    12201
EG1     UNITED HEALTHCARE              ROCKWELL INTERNATIONAL    P O BOX 6101              AUBURN                 NY    13021
EH*     UNITED HEALTHCARE                                        P O BOX 740800            ATLANTA                GA    30374-0800
EC7     UNITED HEALTHCARE              THE TPA                   P O BOX 29050             PHOENIX                AZ    85038
EE7     UNITED HEALTHCARE                                        P O BOX 2002              AURORA                 IL    60507
ED7     UNITED HEALTHCARE              METRAHEALTH               P O BOX 71928             CHARLESTON             SC    29415-1928
D6*     UNITED HEALTHCARE              WESTINGHOUSE              P O BOX 1890              PITTSBURGH             PA    15230-1890
D23     UNITED HEALTHCARE              METROPOLITIAN             800 N LINDBERGH BLVD      ST LOUIS               MO    63167
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   118
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
D13     UNITED HEALTHCARE              METRAHEALTH               P O BOX 740122            ATLANTA                GA    30374-0122
DZ3     UNITED HEALTHCARE              P O BOX 169050            RT 2971                   DULUTH                 MN    55816-8200
DZ2     UNITED HEALTHCARE              PROCTOR AND GAMBLE        P O BOX 1279              PITTSBURG              PA    15230-1279
DY6     UNITED HEALTHCARE              METRAHEALTH               P O BOX 2508              AURORA                 IL    60507
SQ*     UNITED HEALTHCARE              GROUP HLTH CLAIMS         PO BOX 6089               UTICA                  NY    13504-6089
S49     UNITED HEALTHCARE              METRAHEALTH               P O BOX 9806              NEW HAVEN              CT    06536
Q1*     UNITED HEALTHCARE              METROPOLITAN METRAHEALTH P O BOX 1267               PITTSBURGH             PA    15230-1267
QV*     UNITED HEALTHCARE              METLIFE                   PO BOX 2005               AURORA                 IL    60507-2005
OD*     UNITED HEALTHCARE              330 EAST KILBOURNE AVE    P O BOX 92488             MILWAUKEE              WI    53202
W11     UNITED HEALTHCARE              METRAHEALTH               P O BOX 105312            ATLANTA                GA    30348
TL*     UNITED HEALTHCARE              PO BOX 659738                                       SAN ANTONIO            TX    78265-9738
U42     UNITED HEALTHCARE              THE TPA OF COLORADO       P O BOX 6533              ENGLEWOOD              CO    80155
KW*     UNITED HEALTHCARE              P O BOX 477               700 QUAKER LANE           WARWICK                RI    02887
K50     UNITED HEALTHCARE              C/O PARTEE FLOORING       P.O. BOX 667              MAGNOLIA               AR    71753
K30     UNITED HEALTHCARE              TRAVELERS/METRAHEALTH     PO BOX 2049               MATTESON               IL    60443
I83     UNITED HEALTHCARE              METRAHEALTH               P.O. BOX 3098             NAPERVILLE             IL    60566
HO1     UNITED HEALTHCARE              P O BOX 650394                                      DALLAS                 TX    75265-0394
I58     UNITED HEALTHCARE              METRAHEALTH               P.O. BOX 7202             SAN FRANCISCO          CA    94120-7202
GV8     UNITED HEALTHCARE                                        PO BOX 1600               KINGSTON               NY    12402
HA8     UNITED HEALTHCARE                                        P O BOX 740801            ATLANTA                GA    30374-0801
HE8     UNITED HEALTHCARE              P O BOX 2560                                        MARYLAND HEIGHTS       MO    63045-8560
GD8     UNITED HEALTHCARE                                        ONE TOWER SQUARE          HARTFORD               CT    06101-1000
GD1     UNITED HEALTHCARE                                        PO BOX 30567              SALT LAKE CITY         UT    84130
GC6     UNITED HEALTHCARE                                        PO BOX 30755              SALT LAKE CITY         UT    84130
GK4     UNITED HEALTHCARE                                        PO BOX 659758             SAN ANTONIO            TX    78205
GM1     UNITED HEALTHCARE                                        PO BOX 981502             EL PASO                TX    79998-1502
GQ7     UNITED HEALTHCARE                                        PO BOX 30304              SALT LAKE CITY         UT    84130-0304
GN3     UNITED HEALTHCARE              P O BOX 720                                         PUEBLO                 CO    81002
X55     UNITED HEALTHCARE ADM          THE TPA                   P O BOX 862               SEATTLE                WA    98111-0862
EQ4     UNITED HEALTHCARE ADM INC      WEST PLAINS CHARCOAL      PO BOX 121212             MARIETTA               GA    30006-0092
FX3     UNITED HEALTHCARE DENTAL                                 PO BOX 30560              BETHESDA               MD    20804-0560
DU3     UNITED HEALTHCARE INS CO                                 PO BOX 740802             ATLANATA               GA    30374-0802
WB*     UNITED HEALTHCARE INS CO       P O BOX 30557                                       SALT LAKE CITY         UT    84130-0557
CX8     UNITED HEALTHCARE METLIFE      GENUINE PARTS CLAIMS      P O BOX 30170             TAMPA                  FL    33630-3170
BV8     UNITED HEALTHCARE METRAHEA     ALCOA CLAIMS              P O BOX 105380            ATLANTA                GA    30348
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE   119
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
IC3     UNITED HEALTHCARE OF           RIVER VALLEY              PO BOX 5230               KINGSTON               NY    12402
W41     UNITED HEALTHCARE OF AR                                  P O BOX 830638            BIRMINGHAM             AL    35283-0638
L10     UNITED HEALTHCARE TPA          6160 SUMMITT DRIVE        SUITE 360                 BROOKLYN CENTER        MN    55430
UI*     UNITED INSURANCE                                         46 STILL FOREST           HOUSTON                TX    77024
AG9     UNITED INSURANCE               211 N. WASHINGTON         P O BOX 1604              EL DORADO              AR    71730
SU*     UNITED INSURANCE COMPANY       1324 EAST THIRD STREET    P O BOX 699               TULSA                  OK    74101
AU1     UNITED LIFE INSURANCE          P.O. BOX 33513                                      SAN ANTONIO            TX    78265
HT3     UNITED MEDICAL ALLIANCE        2021 BATTLECREEK DRIVE    SUITE A                   FORT COLLINS           CO    80528
M67     UNITED MEDICAL RESOURCES                                 P O BOX 141337            CINCINNATI             OH    45250-1337
Z23     UNITED MEDICAL RESOURCES I                               P O BOX 145804            CINCINNATI             OH    45214
V64     UNITED MINE WORKERS            OF AMERICA                P O BOX 9224              VAN NUYS               CA    91409
KY*     UNITED MINE WORKERS            OF AMERICA                945 BOND STREET           EVANSVILLE             IL    47708
HH5     UNITED MINE WORKERS OF AME                               PO BOX 619099             DALLAS                 TX    75261-9741
Y42     UNITED MINE WORKERS OF AME     HEALTH RET 1950 PENSION T 4455 CONNECTICUT AVE NW   WASHINGTON             DC    20008
ZY*     UNITED OF OMAHA                MUTUAL OF OMAHA PLAZA     GENERAL DELIVERY          OMAHA                  NE    68175
AM6     UNITED OF OMAHA                P.O. BOX 1332                                       MINNEAPOLIS            MN    55440
AK1     UNITED OF OMAHA                P.O. BOX 590                                        ADDISON                TX    75001
X41     UNITED OF OMAHA MOTOC          3100 BROADWAY             SUITE 1300                KANSAS CITY            MO    64111
FG1     UNITED OPTICAL SPECTER         ATTN MEMBER REIMBURSEMENT 2811 LORD BALTIMORE DR    BALTIMORE              MD    21244
I64     UNITED PARCEL SERVICE          HEALTH PROGRAM            5501 FOURCHE DAM PIKE     LITTLE ROCK            AR    72206
J35     UNITED PARCEL SERVICE OF A     51 WEAVER STREET          GREENWICH OFFICE PARK 5   GREENWICH              CT    06830
Z45     UNITED PARCELL SERVICE                                   3215 EAST 50TH            TEXARKANA              AR    75502
AS1     UNITED PROVIDER SERVICES                                 PO BOX 71120              BOSSIER CITY           LA    71171
J1*     UNITED SAVINGS LIFE INS                                  901 ELM STRET             HINSDALE               IL    60521
HQ1     UNITED SECURITY LIFE           PO BOX 2870                                         CLINTON                IA    52733-2870
T65     UNITED SECURITY LIFE           INSURANCE CO              10275 W HIGGINS RD        ROSEMONT               IL    60018
S66     UNITED SECURITY LIFE           INSURANCE CO              P O BOX 2186              HOT SPRINGS            AR    71914
CS4     UNITED SECURITY LIFE INS                                 P O BOX 13587             JACKSON                MS    39236
A84     UNITED SR CITIZENS SUPP ME     FIDELITY SECURITY LIFE    P O BOX 131               KANSAS CITY            MO    64141-0131
DG7     UNITED STATE LIFE INS                                    P O BOX 15205             READING                PA    19612-5205
HJ1     UNITED STATES DEPT OF STAT     SEVEN CORNERS             PO BOX 3724               CARMEL                 IN    46082-3724
HI4     UNITED TEACHER ASSOCIATES      P O BOX 30010                                       DALLAS                 TX    78755
GV5     UNITED TEACHER ASSOCIATES                                PO BOX 33010              AUSTIN                 TX    78755-3001
ZP*     UNITED TECHNOLOGIES            CARRIER                   100 MURPHY DRIVE          MAUMELLE               AR    72118
OX*     UNITED THOROUGHBRED            TRAINERS OF AMERICA       19363 JAMES COUZENS HWY   DETROIT                MI    48235
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   120
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
G91     UNITED TRANSPORTATION UNIO                               14600 DETROIT AVE         CLEVELAND              OH    44107
SM*     UNITED WESTERN LIFE INS CO                               GENERAL DELIVERY          AUSTIN                 TX    78776
EG9     UNITED WISCONSIN GROUP         UWG                       PO BOX 2013               MILWAUKEE              WI    53201-2013
HB2     UNITED WORLD LIFE INS CO                                 3316 FARNAM ST            OMAHA                  NE    68175
GT7     UNIVERSAL CARE INC             1600 EAST HILL STREET                               SIGNAL HILL            CA    90755
Q33     UNIVERSAL FIDELITY LIFE        2211 N HIGHWAY 81                                   DUNCAN                 OK    73533
U22     UNIVERSAL INS CO                                         HWY 67 W                  CORNING                AR    72422
KI*     UNIVERSAL INSURANCE CO                                   P O BOX 1569              WEST MEMPHIS           AR    72301
WA*     UNIVERSAL LIFE                                           1516 SOUTH IZARD          LITTLE ROCK            AR    72206
CD*     UNIVERSAL LIFE                 840 BISCOE                P O BOX 308               HELENA                 AR    72342
IH*     UNIVERSAL LIFE INS CO                                    113 SOUTH FIFTH STREET    BLYTHEVILLE            AR    72315
GF*     UNIVERSAL LIFE INS CO                                    P O BOX 834               TEXARKANA              AR    75502
U6*     UNIVERSAL LIFE INSUR CO        834 LAUREL STREET                                   TEXARKANA              AR    75502
UO*     UNIVERSAL LIFE INSURANCE                                 P O BOX 1645              EL DORADO              AR    71730
ED*     UNIVERSAL LIFE INSURANCE                                 480 LINDEN AVE            MEMPHIS                TN    38126
Y43     UNIVERSE LIFE                  GRAIN GROWERS MEMBERSHIP PO BOX 2272                FORT WAYNE             IN    46801
P15     UNIVERSE LIFE                                            P O BOX 538               LEWISTON               ID    83501
CM8     UNIVERSITY HEALTH PLAN         ATTN PAT JINKERSON        3635 VISTA AT GRAND AVE   ST LOUIS               MO    63110
HS1     UPMC FOR YOU                   112 WASHINGTON PLACE                                PITTSBURGH             PA    15219
FC5     US HEALTH INSURANCE                                      P O BOX 2156              BISMARCK               ND    58502
U72     US LIFE INS CO                                           P O BOX 15205             READING                PA    19612-5205
CJ9     US LIFE INS CO                 3600 ROUTE 66             P O BOX 1581              NEPTUNE                NJ    07754-1581
U16     US MOTORS                                                401 NORTH MORROW          MENA                   AR    71953
GX7     US NOW                         8350 N CENTRAL EXPRESSWAY SUITE 650A                DALLAS                 TX    75206
IA3     US SCRIPT                      2425 WEST SHAW AVENUE                               FRESNO                 CA    93711
T17     US STEEL AND CARNEGIE          PENSION FUND              600 GRANT ST              PITTSBURG              PA    15230
DS7     USA CORPORATE CARE             150 2ND AVE N STE 500     P O BOX 3942              ST PETERSBURG          FL    33731-3942
Z78     USA HEALTH NET INC                                       P O BOX 142709            IRVING                 TX    75014
EY4     USA HEALTH NETWORK             P O BOX 163930            DEPARTMENT 195            AUSTIN                 TX    78716-3930
S95     USA PLUS                                                 P O BOX 619999            D FW AIRPORT           TX    75261-9999
AH1     USA TRUCK INC                  P.O. BOX 449                                        VAN BUREN              AR    72956
FT8     USAA                           BALDOR ELECTRIC           PO BOX 34050              LITTLE ROCK            AR    72203
T91     USAA LIFE INSURANCE CO         9800 FREDERICKSBURG ROAD USAA BLDG                  SAN ANTONIO            TX    78288-0346
AF5     USABLE LIFE INSURANCE CO                                 P O BO 1650               LITTLE ROCK            AR    72203
FJ2     USI ADMINISTRATORS             P O BOX 1539              1 800 546 2550            FORT WORTH             TX    76101
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE   121
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
CC7     USI ADMINSTRATORS                                        PO BOX 16579              SAVANNAH               GA    31416
D93     UTAH PUBLIC EMPLOYEES          HEALTH PROGRAM            540 EAST 200 SOUTH        SALT LAKE CITY         UT    84102
AH2     VALLEY CLERKS TRUST FUND       2200 FROFESSIONAL DRIVE   SUITE 190                 ROSEVILLE              CA    95661
TK*     VALMAC                         GENERAL DELIVERY          WILSON STREET             CLARKSVILLE            AR    72830
ET8     VALUE BEHAVIORAL HEALTH                                  P O BOX 1002              MERRIFIELD             VA    22116
ET9     VALUE BEHAVORIAL HEALTH                                  P O BOX 1570              MERRIFIELD             VA    22116
U18     VALUE LINE CO                                            1205 N 10TH ST            ARKADELPHIA            AR    71923
FM1     VALUE OPTIONS                  P O BOX 140489                                      IRVING                 TX    75014-0489
BE7     VALUE OPTIONS                                            PO BOX 1347               LATHAN                 NY    12110
AO6     VALUE RX                       30445 NORTHWESTERN HWY    SUITE 300                 FARMINGTON HILLS       MI    48334
EJ7     VALUE RX                       PRESCRIPTION DRUG PLAN    P O BOX 421150            PLYMOUTH               MN    55442-1050
HC1     VANTAGE HEALTH PLAN            130 DESIARD ST            STE 300                   MONROE                 LA    71201-7363
H30     VARCO PRUDENTIAL BUILDING                                P O BOX 6868              PINE BLUFF             AR    71611
T5*     VARIABLE PROTECTION ADMINT                               7123 PEARL RD             CLEVELAND              OH    44130
V39     VEBA BENEFIT DEPT                                        3RD AVE AND PEARL         PARAGOULD              AR    72450
HT9     VENTURA CITY HEALTH            2220 EAST GONZALES ROAD   SUITE 210B                VENTURA                CA    93036
M47     VERMONT AMERICAN CORP          P O BOX 1759                                        CINCINNATI             OH    45201
AL3     VERY BEST BAKING CO            1111 E. 8TH MILE                                    FERNDALE               MI    48220
HO2     VETERAINS ASSOCIATION          1100 NORTH COLLAGE                                  FAYETTEVILLE           AR    72703
W7*     VFW INSURANCE DEPARTMENT       406 WEST 34TH STREET                                KANSAS CITY            MO    64111
Q64     VIC WEST STEEL                 PO BOX 6280                                         SPRINGDALE             AR    72766
C45     VICKERS GROUP                  400 E LINCOLN AVE                                   SEARCY                 AR    72143
EZ1     VIGORTONE PMAG PRODUCTS        CLAIMS ADMINISTRATOR      P O BOX 5769              LAFAYETTE              IN    47903-5769
FR6     VISION SERVICE PLAN                                      PO BOX 997100             SACRAMENTO             CA    95899-7100
AA2     VISION SERVICE PLAN                                      P O BOX 28639             DALLAS                 TX    75228-0639
GV1     VISION SERVICE PLAN                                      PO BOX 997105             SACRAMENTO             CA    95899
FR2     VISSION CARE PLAN              1511 N WESTSHORE BLVD     SUITE 1000                TAMPA                  FL    33607
GJ8     VISTA HEALTHPLAN                                         PO BOX 819006             HOLLYWOOD              FL    33081
G11     VIVIAN INDUSTRIAL PLASTICS     P O BOX 232                                         VIVIAN                 LA    71082
W74     VIVIAN M RUFFIN                                          310 S WOOD                STUTTGART              AR    72160-4221
CQ9     VOLUNTARY BENEFITS INTER       P O BOX 830626                                      BIRMINGHAM             AL    35283-0626
M9*     VULCAN LIFE INSURANCE CO                                 P O BOX 1886              BIRMINGHAM             AL    35201
H81     W H P                          100 2ND AVE 11TH FLOOR                              ST PETERSBURG          FL    33701
AL2     W J JONES COMPANIES            THREE STATES SUPPLY       1979 MARCUS AVE           LAKE SUCCESS           NY    11042
L43     W M BARR AND CO                2105 CHANNEL AVENUE                                 MEMPHIS                TN    38100
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S   T I T L E    X I X                                   PAGE   122
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1           ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
Y68     WABASH FIBER BOX COMPANY       HEALTH CARE BENEFITS      P.O. BOX 1540             JONESBORO              AR    72403
FN*     WABASH LIFE INS CO             2929 NORTH MERIDIAN ST                              INDIANAPOLIS           IN    46208
CH*     WAL MART CLAIMS ADM            GROUP HEALTH PLAN         922 W WALNUT STE A        ROGERS                 AR    72756-3206
HG9     WALGREENS                      PO BOX 545                                          DEERFIELD              IL    60015
F30     WALTON BANK GROUP REARICH                                PO BOX 400073             DALLAS                 TX    75240
X93     WARREN AND ASSOCIATES          2100 S BROADWAY           SUITE 101                 LITTLE ROCK            AR    72206
CK3     WASH NAT GROUP HEALTH INS      SOUTH CENTRAL REGIONAL    106 PARK PLACE SUITE 101 COVINGTON               LA    70433
CU3     WASHINGTON AREA CARPENTER      6196 OXON HILL SUITE 500                            OXON HILL              MD    20745
P35     WASHINGTON DC GROUP CLM CT     5900 PRINCESS GARDEN PKWY STE 500                   LANHAM                 MD    20706
EU8     WASHINGTON EMPLOYERS TRUST                               P O BOX 12068             SEATTLE                WA    98102
AY7     WASHINGTON NATIONAL                                      P O BOX 740               WHITE WATER            WI    53190
T53     WASHINGTON NATIONAL            303 N MAIN ST                                       ROCKFORD               IL    61101-1018
R90     WASHINGTON NATIONAL INS        ADMINISTRATIVE OFFICES    4850 STREET RD            TREVOSE                PA    19049-8002
CQ5     WASHINGTON NATIONAL INS CO     2600 N CENTRAL SUITE 400                            PHOENIX                AZ    85004
Y90     WASHINGTON NATIONAL INSURA                               3348 FONTAINE ROAD        MEMPHIS                TN    38116
LX*     WASHINGTON NATL INSURANCE      1630 CHICAGO AVE          P O BOX 3071              EVANSTON               IL    60201
S84     WASTE MANAGEMANE INC           HEALTH BENEFIT PLAN       6300 W 4TH AVE            PINE BLUFF             AR    71602
T43     WASTE MANAGEMENT                                         P O BOX 2408              NORCROSS               GA    30091
Y46     WASTE MANAGEMENT               HEALTH BENEFIT PLAN       100 GLENBOROUGH SUITE 500 HOUSTON                TX    77067
UG*     WATER TRANSPORT INC            50 CRESTWOOD              EXECUTIVE BLDG STE 501    CRESTWOOD              MO    63126
EC8     WATKINS ASSOCIATED IND                                   P O BOX 1738              ATLANTA                GA    30301-1738
GI3     WAUSAU BENEFITS                                          PO BOX 7050               MIDDLETOWN             NY    10940-7050
GX1     WAUSAU BENEFITS                                          P O BOX 8014              WAUSAU                 WI    54402-8014
GW1     WAUSAU BENEFITS                                          PO BOX 8031               WAUSAU                 WI    54402-8031
DV5     WAUSAU BENEFITS INC                                      PO BOX 8079               WAUSAU                 WI    54402-8079
FP3     WAUSAU INSURANCE                                         PO BOX 8032               WAUSAU                 WI    54402-8032
Y45     WAUSAU INSURANCE CO                                      PO BOX 8092               WAUSAU                 WI    54402-8092
H43     WAVERLEY GROUP INC                                       PO BOX 12000              JACKSON                MS    39236-2000
I26     WAYNE FARMS                    INSURANCE DEPT            P.O. BOX 909              DANVILLE               AR    72833
FS8     WEB TPA                                                  PO BOX 536269             GRAND PRAIRIE          TX    75053
AQ8     WEBB AND ASSOCIATES            INSURANCE                 530 N. COLLEGE            FAYETTEVILLE           AR    72701
BR2     WEBB WHEEL PRODUCTS INC        1111 E LAKE FRANCES DRIVE                           SILOAM SPRINGS         AR    72761
XR*     WEHCO MEDIA INCORPORATED                                 BOX 2221                  LITTLE ROCK            AR    72203
GJ1     WELBORN HEALTH PLANS                                     421 CHESTNUT STREET       EVANSVILLE             IN    47713
A1*     WELDON WILLIAMS AND LICK       711 NORTH A                                         FORT SMITH             AR    72901
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E     X I X                                  PAGE   123
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
M17     WELDON WILLIAMS LICK           P O BOX 168                                         FORT SMITH             AR    72902
D20     WELFARE AND PENSION SERVIC     P O BOX C 34203                                     SEATTLE                WA    98124
HH4     WELL CARE                      PO BOX 795184                                       SAN ANTONIO            TX    77072
IO7     WELL FARGO TPA                 PO BOX 3262                                         CHARLESTON             WV    25332
V47     WELL TECH                                                BOX 623                   VAN BUREN              AR    00000
R24     WELL TECH INC                  1000 LOUISIANA            SUITE 2600                HOUSTON                TX    77002
HJ6     WELLCARE                       P.O. BOX 25237                                      TAMPA                  FL    33622
I01     WELLDYNE RX                    PO BOX 4517                                         ENGLEWOOD              CO    80155
N57     WELLMARK ADMINISTRATORS        BAAI/AALFS                P O BOX 9912              SIOUX CITY             IA    51102
X79     WELLMARK ADMINISTRATORS        BENEFIT ADMIN OF AMERICA P O BOX 9910               SIOUX CITY             IA    51102
D95     WELLMARK ADMINISTRATORS        BENEFIT ADM OF AMERICA    P O BOX 9120              DES MOINES             IA    50306
E93     WELLMARK ADMINISTRATORS        BAAI                      P O BOX 9232              DES MOINES             IA    50306
JT*     WELLMARK BLUE CROSS BLUE       SHIELD OF IOWA            636 GRAND AVE             DES MOINES             IA    50309-2502
GE9     WELLPOINT                      DENTAL SERVICES           PO BOX 9085               OXNARD                 CA    93031
GE8     WELLPOINT                                                PO BOX 4165               WOODLAND HILL          CA    91365
HJ*     WELLPOINT DENTAL SERVICES                                P O BOX 9125              OXNARD                 CA    93031-9125
GW7     WELLPOINT PHARMACY                                       P O BOX 3249              TULSA                  OK    74101
GV2     WELLPOINT RX                                             PO BOX 4458               CHICAGO                IL    60680-4458
IO8     WELLS FARGO INSURANCE SERV     150 NORTH MICHIGAN AVE    STE 3900                  CHICAGO                IL    60601
H07     WELLS FARGO TPA                PO BOX 3262                                         CHARLESTON             WV    25322
K69     WEST GENERAL INSURANCE CO                                PO BOX 2549               TULSA                  OK    74101
EH1     WEST LAKE GROUP                                          P O BOX 1413              DUNCAN                 OK    73534-1413
W81     WESTERN AMERICAN LIFE INS                                P O BOX 1788              AUSTIN                 TX    78767
FJ*     WESTERN AMERICAN LIFE INS                                P O BOX 832687            RICHARDSON             TX    75083
K21     WESTERN AND SOUTHERN LIFE      P O BOX 1119                                        CINCINNATI             OH    45201
K18     WESTERN AR COUNSELING AND      GUIDANCE CENTER           3111 SOUTH 70TH           FORTH SMITH            AR    72903
H51     WESTERN FEDELITY INSURANCE                               POBOX 901010              FT WORTH               TX    76101
HW4     WESTERN HEALTH ADVANTAGE       1331 GARDEN HIGHWAY       SUITE 100                 SACRAMENTO             CA    95833
S90     WESTERN LIFE INSURANCE                                   P O BOX 64530             ST PAUL                MN    55164-0530
QY*     WESTERN LIFE INSURANCE CO      P O BOX 64442                                       ST PAUL                MN    55100
R55     WESTERN LOUISIANA LABORERS     WELFARE FUND              4200 S1 10, SER. RD W134 METAIRIE                LA    70001
FF8     WESTERN SOUTHERN LIFE          BENEFITS DEPT             P O BOX 5735              CINCINNATI             OH    45201-5735
I56     WESTERN SOUTHERN LIFE                                    7405 N WESTERN AVE        CHICAGO                IL    60645
C23     WESTERN STATES ADMINISTRAT                               P O BOX 8082              FRESNO                 CA    93747
D83     WESTERN TEAMSTERS HLTH WLF     NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE EAST     SEATTLE                WA    98102
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                 A R K A N S A S    T I T L E    X I X                                  PAGE   124
DATE:   SEPTEMBER 24, 2011                                   TPL SUBSYSTEM
TIME:   17:43:59                          COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME           ADDRESS LINE 1            ADDRESS LINE 2            CITY                STATE   ZIP CODE
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N79     WESTERN UNION CORP             ONE LAKE STREET                                      UPPER SADDLE RIVER    NJ    07458
L86     WESTERN US REGIONAL            P O BOX 38058                                        TUSCON                AZ    85740-8058
HP0     WESTLAKE FINANCIAL GROUP       PO BOX 981805                                        EL PASO               TX    79998-1805
PX*     WESTLAKE GROUP HEALTHCARE      BOX 16789                                            COLUMBUS              OH    43216
G48     WESTLAND LIFE INSURANCE        CO                         1255 POST ST              SAN FRANCISCO         CA    94120
I69     WESTPHAL HEALTH                                           109 NORTH 6TH             FORT SMITH            AR    72901
KQ*     WESTPORT BENEFITS INC                                     P.O. BOX 66743            ST LOUIS              MO    63166-6743
F64     WEYCO INC                      P O BOX 30132                                        LANSING               MI    48907
N42     WHITAKER FURNITURE             ATTN INSURANCE DEPT        409 REMINGTON STREET      SEARCY                AR    72143
SL*     WHITE AND COMPANY              920 WEST SECOND ST         P O BOX 2459              LITTLE ROCK           AR    72203
LK*     WHITE RIVER INDIAN             FUND                       BOX 40                    CUTTER                AR    72626
S65     WHITE ROGERS CO                                           P O BOX 2117              BATESVILLE            AR    72503
BJ4     WI PREFERRED PROVIDER NETW     WPPN                       301 N BROADWAY STE 301    DEPERE                WI    54115
C47     WILAMETTA INDUSTRIES           P O DRAWER 1100                                      RUSTON                LA    71270
CF1     WILLAMETTE INDUSTRIES          C/O AETNA HEALTH PLANS     P O DRAWER 190            MALVERN               AR    72104
AF2     WILLAMETTE INDUSTRIES          C/O AETNA                  1235 NORTH 7TH STREET     WEST MEMPHIS          AR    72301
Y47     WILLAMETTE INDUSTRIES          PO BOX 2667                                          FORT SMITH            AR    72902
T79     WILLIAM AND GENICE HARLAN                                 P O BOX 448               AUGUSTA               AR    72006
L55     WILLIAM BUERGLER TRUST OFF     FIRST NATL BANK OF FORT    SMITH SIXTH AND GARRISON FORT SMITH             AR    72902
FA5     WILLIS CORROON                                            P O BOX 305154            NASHVILLE             TN    37230-5154
BT7     WILLIS CORROON                                            P O BOX 2697              WICHITA               KS    67201
H73     WILSON INSURANCE               116 SOUTH ELM                                        HOPE                  AR    71801
HV9     WINDSOR MEDICARE EXTRA         PO BOX 269025                                        PLANO                 TX    75026
AX3     WINE AND ALLIED WORKERS        UNION LOCAL 45             2918 N. WEST AVENUE       FRESNO                CA    93705
U20     WINN FLEX                      N TEXAS HEALTHCARE NETWK P O BOX 1540                FT WORTH              TX    76101
AL4     WINSTON FURNITURE CO           C/O JEFFERSON PILOT        BOX 868                   HALEYVILLE            AL    35565-0868
Z81     WISCONSIN HEALTH ORGANIZTN     CORP, 111 W. PLEASANT ST P.O. BOX 12359              MILWAUKE              WI    53212
W88     WISCONSIN PHYSICIANS SER       INS CO                     P O BOX 9                 MADISON               WI    53701
Z80     WISE COMPANY INC               5535 PLEASANT VIEW ROAD                              MEMPHIS               TN    38134
CD8     WITTNER AND COMPANY            ATTN JUDY WACHA            P O BOX 11629             ST PETERSBURG         FL    33733
EI3     WMS PRESCRIPTION DRUG PLAN     702 S W 8TH STREET                                   BENTONVILLE           AR    72716-9113
BT6     WOODMEN INSURANCE CO           P O BOX 82288                                        LINCOLN               NE    68501
HG6     WOODMEN OF THE WORLD           ASSURED LIFE ASSOC.        PO BOX 16960              CLEARWATER            FL    33766
KR*     WOODMEN OF THE WORLD           WOODMEN TOWER              1700 FARNHAM STREET       OMAHA                 NE    68102
L30     WORLD HEALTH FOUNDATION        P O BOX 45212 SUITE 282                              BATON ROUGE           LA    70896
* - INDICATES SPACES IN RESOURCE CODE KEY
REPORT: HMTR785J                                A R K A N S A S    T I T L E    X I X                                   PAGE   125
DATE:   SEPTEMBER 24, 2011                                  TPL SUBSYSTEM
TIME:   17:43:59                         COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED
RES CODE INSURANCE CARRIER NAME          ADDRESS LINE 1            ADDRESS LINE 2            CITY                 STATE   ZIP CODE
----------------------------------------------------------------------------------------------------------------------------------
FV4     WORLD INSURANCE                                          PO BOX 2558               OMAHA                  NE    68103-2558
E78     WORLD INSURANCE CO                                       P O BOX 3160              OMAHA                  NE    68103-0160
P8*     WORLD MUTUAL HLTH INS          CO OF PENNSYLVANIA        215 WEST CHURCH ROAD      KING OF PRUSSIA        PA    19406
T41     WORTHINGTON TRACTOR PARTS      INC                       1010 2ND AVE              WORTHINGTON            MN    56187
K27     WSTERN GROWERS ASSURANCE       P O BOX 7240                                        NEWPORT                AR    72658
F14     WYATTS CAFETERIA INC           ATTN INSURANCE DEPT       P O BOX 38388             DALLAS                 TX    75238
G41     YALE INDUSTRIALPRODUCTS IN                               PO BOX 1000               FORREST                AR    72335
I6*     YMM ADMINISTRATORS INC         ALLIED PRODUCTS           170 BOULEVARD SE          ATLANTA                GA    30324
W44     ZAPATA OFF SHORE CO BENEFI                               P O BOX 2085              HOUSTON                TX    77252
S5*     ZEBA                                                     P O BOX 6000              NATICK                 MA    01760
BK9     ZEBA                           P. O. BOX 8092                                      LONDON                 KY    40742-8092
CB2     ZENITH ADMINISTRATORS          7645 METRO BLVD           PO BOX 124                MINNEAPOLIS            MN    55440-0124
EO6     ZENITH ADMINISTRATORS          12160 ABRAMS RD           SUITE 211                 DALLAS                 TX    75243
AV1     ZENITH ADMINISTRATORS          5421 SW 27TH ST                                     OKLAHOMA CITY          OK    73128-5805
BQ6     ZENITH ADMINISTRATORS INC      8700 TURNPIKE DR STE 200                            WESTMINSTER            CO    80030
R72     ZERO MOUNTAIN INC                                        P O BOX 6209              FT SMITH               AR    72906
C3*     ZURICH INSURANCE COMPANY                                 P O BOX 56466             HOUSTON                TX    77256
UU*     1ST HEALTH DEPT BMN HOSP O     REF VF FOR OTHER CLAIMS   P O BOX 10907             SCOTTSDALE             AZ    85271-0907
HW6     1199 NATIONAL BENEFIT FUND     300 WEST 42ND STREET                                NEW YORK               NY    10108-0933
EF5     21ST CENTURY HEALTH BENEFI     1760 MARKET STREET        PO BOX 42930              PHILADELPHIA           PA    19101
G96     55 PLUS                                                  BAPTIST HOSPITAL          MEMMPHIS               TN    38108
U24     65 SECURITY PLAN                                         3348 FONTAINE RD          MEMPHIS                TN    38116
U98     76 TRUCKSTOP                                             P O BOX 15850             NO LITTLE ROCK         AR    72231
* - INDICATES SPACES IN RESOURCE CODE KEY
TOTAL CARRIERS REPORTED =      4363
                                                  *** END OF REPORT ***

				
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