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A078377 - Coventry Workers' Comp Services

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A078377 - Coventry Workers' Comp Services Powered By Docstoc
					                                            tbl_CombinedCCL_0040a_Final_Cle


Patients using ID cards reflecting the First Health Network, CCN, SouthCare and HealthCare Preferred logos all signify access to The First
• Providers may not be eligible for participation in certain Coventry or First Health network products due to client requirements or restrictions. P


Payor Name
Advantage
Air Force The
Allied Managed Care
Alpha Review Corporation
America First Insurance
American Alternative Insurance Company
American Claims Management, Inc. ACM
American Red Cross - CA MPN
American Red Cross - NY
AMERISURE
AMFO FOCUS CA MPN NY Metracomp
AmTrust
Applied Underwriters
Arrowpoint Capital Corp
At Global PBOA
Athens Administrators
Aurora East School District
Baldwin and Lyons
Bass and Babb
BassBabb Frankenmuth AUTO Network Only
BassBabb Frankenmuth WC Network Only
Berkly Specialty Underwriting Managers LLC
Berkshire Hathaway Homestate Companies
Blessey Marine Services, Inc.
Breard-Shore & Associates for PTK to MCPS
Brickstreet Insurance Bill Review to MCPS
Bridgestone Firestone
Builders Insurance Company - Ingenix
Builders Insurance Group
Bunch & Associates, Inc.
Cannon Cochran Management Services, Inc.
CareLogic
Caresys
CAS - Claims Administrative Services
CCMSI FOCUS Coventry Standard CA MPN
Cedar Hill Insurance
CF Jordan Construction LLC 003975
CGH Claims Service
CGH Claims Service (MCPS Acros Needed for PTK to MCPS Project)
Chapman and Associates
Chase Staffing
Cherokee Insurance
City of Chattanooga
City of Chicago - Civilian, Fire and Police
CNA Federal
CNA GLOBAL INSURANCE
CNA Standard Networks
CNA TX HCN


                                                              Page 1
                                tbl_CombinedCCL_0040a_Final_Cle


Coastal Glass Distributors
Comp Management Primary Plus NY ROC
Comp Mgmt Sedgwick Custom CA MPN Non-Kaiser
Companion
CompIQ
CompIQ CompChoice
CompIQ Nordstrom
CompIQ Standard PPO
Compsource
Continental Western Group
County Healthcare Program 02347
County of Santa Barbara
Cracker Barrel
Crawford and Company
CRM POLK COUNTY
CURA Group The
Dean Foods PTK to MCPS
DHSI - Creative Risk Funding
DMI
Eastern Alliance
Eastern Forestry Insurance Group 02349
Electric Insurance Company
EM Management
Employers Alliance Insurance
Epic
ESIS - Federal
ESIS - TX Non subscriber
ESIS (PowerTrak to MCPS NY)
ESIS (PowerTrak to MCPS Standard)
ESIS Kelly Federal
ESIS Kelly NY
ESIS Kelly Standard
ESIS TX HCN
Everest
Everest ACM
Everest FARA MPN
Everest FARA PPO Only
F. A. Richard & Associates, Inc.
FARA Avondale
FARA CA Select MPN
FARA Ingalls
FARA TX Longshore
Farm Bureau Financial Services
First Cardinal
First Cardinal LLC
Florida Fruits and Vegetables Association FFVA
Foot Locker
Forte
GAB Medinsights
GAB Robbins
Gallagher Bassett Managed Care Services
Gallagher Bassett Managed Care Services TX HCN BR4 to MCPS OCT 2010


                                             Page 2
                                  tbl_CombinedCCL_0040a_Final_Cle


Gallagher Bassett MCS TX HCN Apr 2011
GALLAGHER BASSETT MCS TX HCN DEC 2010
Gallagher Bassett MCS TX HCN FEB 2011
Gallagher Bassett MCS TX HCN Mar 2011
Gallagher Bassett Minus Smartcomp
Gallagher Bassett Services, Inc.
GALLAGHER BASSETT WV MCO NOV 2010
GE Young and Co
GE/ERC
Genesis Managed Care
GENEX Services Exclusive - CCN Transition
GENEX Services, Inc. EPP
Genex TX Non Subscriber
Georgia Pacific
Goldkist
Gray Insurance Company The
Great American
Great American Insurance Company
Great American Insurance Company GAIC TX HCN
Greater NY New Jersey
Guard Insurance
Guard Insurance Group CA MPN
Guard Insurance Group with WV MHCP
Gulf Stream Marine
Hanover Insurance Company WC
HCA The Healthcare Company
Healthchoice ACS CompIQ
Hewitt, Coleman and Associates, Inc.
Hinz Claim Management Inc
Horizon Managed Care
Hortica Insurance
HRH Insurance
Illinois Industrial Commission (IIC)
Indian Prairie School District
Ingenix Test Acro 1 Standard PPO and OON
Ingenix Test Acro 2 FH Standard Certified
Ingenix Test Acro 3 Coventry Standard Certified
Ingenix Test Acro 6 AUTO
Injury Care Services Inc
Intermed
Intracorp
JohnsEastern Network Only
Key Risk Management Services, Inc.
Lemic Mississippi
Leonardo 02361
Logans Roadhouse
Lumbermans Underwriting Alliance
MAC Risk Managament, Inc.
Macys Corporate Services Inc
Magna Carta Auto
Martin Boyer
Matrix Absence Mgmt


                                                  Page 3
                              tbl_CombinedCCL_0040a_Final_Cle


Matson Navigation Company
MCMC Nashville TX NS
MCMC Rancho
MCMC TX NS
MCO Advantage
MCO Advantage - EDI
Meadowbrook Insurance Group
Medical Consultants Network
Metropolitan Life
Michelangelo 02348
Michigan Commercial Insurance Mutual (MCIM)
Midlands Injury Management
MMO VANTAGE
MODOT/MSHP
Montlake Insurance Holdings
Murphy & Beane Medata
NARS North American Risk
NARS System Lease Auto
National Grange Mutual Insurance Company
New Business 1
New Business 2
New Business 3
New Business 4
New Business 5
New Mexico Mutual
New York Special Funds Conservation
New York State Insurance Fund
NORTH AMERICAN RISK SERVICES (NARS) AUTO
Northstar Providers LLC
Occunet
Octagon Risk Services, Inc
Ohio Casualty
ONPOINT Commercial Insurance
Pacific Gas and Electric
Paradigm Management Services, LLC
Patriot Risk Services
PBM Corp
PBM CORP - EDI
Peninsula Insurance Company
Peter Chang Enterprises
Plainfield School District
PMA Insurance Group
PMA MC of New England
Pool 1 04017
Pool 3 04016
Premier Control Services
PROGRESSIVE INSURANCE COMPANY AUTO
Providence Washington
Quincy School District
RENY Company
Reny Company The
RIMCO


                                          Page 4
                                  tbl_CombinedCCL_0040a_Final_Cle


RSKCO Cunningham and Lindsey
Sagamore Insurance Company
Seabright Insurance Standard PPO
Sears Holdings Inc
Sears NY
Sedgwick Claims Management Services
Sedgwick TX Non-Subscriber w/o Aetna
Sierra Health Services
SISCO
Sisters of Mercy
Solin USA
SOLUTIONS 4
SPARTA
SRS Select
SRS TX HCN Standard
State of Vermont
Stratacare Eastern Alliance Insurance
Stratacare Sedgwick TX NS and Longshore
Swiss Re
Tandem
Texas Mutual FFS
The Heart Group 02362
TOKIO MARINE - CHANNELING
Tokio Marine Management
Tokio Marine Management Auto
Total Managed Care (TMC)
Tower Insurance
Tower Insurance Auto
Tower TX HCN
TWR Intercare
Unisource
United States Postal ServiceTRAVELERS
Unitrin Business Insurance
Vanliners Insurance
VirtueMed
Walmart
Walt Disney Company
WC CUNA Mutual Insurance Co CUMIS
Wells Fargo Disability - Paper Only
Whole Foods Market Inc
WMBR
Xchanging CA MPN AUG10
Xchanging CA MPN SEP10
Xchanging Southwest Airlines
Xchanging Southwest TX HCN
Xchanging TX non Subscriber
Yale University
York Risk Services
Zenith
ZURICH
Zurich Farmers Insurance Group




                                              Page 5
                                                          tbl_CombinedCCL_0040a_Final_Cle


nd HealthCare Preferred logos all signify access to The First Health Network (August 2011)
network products due to client requirements or restrictions. Patient eligibility, benefits and compensability coverage MUST be confirmed by calling the telephon


               Affiliated With                                                                    Outpatient Care Network        Hospital
               ADVANTAGE                                                                          Yes                            Yes
               Genex Services, Inc.                                                               No                             Yes
               CompIQ                                                                             Yes                            Yes
               Alpha Review Corporation                                                           Yes                            No
               RCS                                                                                Yes                            Yes
               Genex Services, Inc.                                                               Yes                            Yes
               CompIQ                                                                             Yes                            Yes
               Xchanging                                                                          Yes                            Yes
               Xchanging                                                                          Yes                            Yes
               SOLUTIONS4                                                                         Yes                            Yes
               Gallagher Bassett Managed Care Services                                            Yes                            Yes
               FairPay Solutions                                                                  Yes                            Yes
               Applied Underwriters                                                               Yes                            Yes
               Arrowpoint Indemnity Company                                                       Yes                            Yes
               At Global                                                                          Yes                            Yes
               CompIQ                                                                             Yes                            Yes
               HINZ CLAIM MANAGEMENT INC                                                          Yes                            Yes
               Genex Services, Inc.                                                               No                             Yes
               CompIQ                                                                             Yes                            Yes
               CompIQ                                                                             Yes                            Yes
               CompIQ                                                                             Yes                            Yes
               Mitchell SmartAdvisor Solutions                                                    Yes                            Yes
               Medata                                                                             Yes                            Yes
               Blessey Marine                                                                     Yes                            Yes
               BREARD SHORE AND ASSOCIATES                                                        Yes                            Yes
               Brickstreet Mutual Insurance                                                       Yes                            Yes
               Genex Services, Inc.                                                               Yes                            Yes
               Ingenix Inc. WC                                                                    Yes                            Yes
               MITCHELL SMARTADVISOR SOLUTIONS                                                    Yes                            Yes
               Bunch & Associates, Inc.                                                           Yes                            Yes
               Stratacare                                                                         Yes                            Yes
               StrataCare Inc.                                                                    Yes                            Yes
               MCMC LLC                                                                           Yes                            Yes
               STRATACARE                                                                         Yes                            Yes
               Stratacare, Inc.                                                                   Yes                            Yes
               Genex Services, Inc.                                                               No                             Yes
               Gallagher Bassett Managed Care Services                                            Yes                            Yes
               CGH CLAIMS SERVICE AUTO                                                            Yes                            Yes
               CGH CLAIMS SERVICE                                                                 Yes                            Yes
               At Global                                                                          Yes                            Yes
               Chase Staffing                                                                     Yes                            Yes
               Cherokee Insurance                                                                 Yes                            Yes
               Hewitt Coleman and Associates Inc                                                  Yes                            Yes
               City of Chicago                                                                    Yes                            Yes
               CNA                                                                                Yes                            Yes
               CAN                                                                                Yes                            Yes
               CAN                                                                                Yes                            Yes
               CAN                                                                                Yes                            Yes


                                                                           Page 6
                                  tbl_CombinedCCL_0040a_Final_Cle


Coastal Glass                                                 Yes   Yes
Stratacare, Inc.                                              Yes   Yes
Stratacare, Inc.                                              Yes   Yes
F A Richard                                                   Yes   Yes
CompIQ #13910                                                 Yes   Yes
CompIQ                                                        Yes   Yes
CompIQ                                                        Yes   Yes
CompIQ                                                        Yes   Yes
Compsource                                                    Yes   Yes
Genex Services, Inc.                                          Yes   Yes
Eastern Alliance                                              Yes   Yes
Stratacare                                                    Yes   Yes
Genex Services, Inc.                                          Yes   Yes
Genex Services, Inc.                                          Yes   Yes
CRM POLK COUNTY                                               Yes   Yes
Genex Services, Inc.                                          No    Yes
Dean Foods                                                    Yes   Yes
Diversified Healthcare Systems                                Yes   Yes
CompIQ #13910                                                 Yes   Yes
Eastern Alliance Insurance Group                              Yes   Yes
Eastern Alliance                                              Yes   Yes
Electric Insurance Company                                    Yes   Yes
Genex Services, Inc.                                          No    Yes
EMPLOYERS ALLIANCE INSURANCE                                  Yes   Yes
Innovative Risk Management                                    Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
ESIS                                                          Yes   Yes
Gallagher Bassett Managed Care Services                       Yes   Yes
CompIQ                                                        Yes   Yes
F A Richard and Associates                                    Yes   Yes
F A Richard and Associates                                    Yes   Yes
F. A. Richard & Associates, Inc.                              Yes   Yes
F. A. Richard & Associates, Inc.                              Yes   Yes
F A Richard and Associates                                    Yes   Yes
F. A. Richard & Associates, Inc.                              Yes   Yes
F A Richard and Associates                                    Yes   Yes
GENEX Services, Inc.                                          Yes   Yes
Cardinal Comp                                                 Yes   Yes
First Cardinal LLC                                            Yes   Yes
STRATACARE                                                    Yes   Yes
At Global                                                     Yes   Yes
Forte                                                         Yes   Yes
Mitchell SmartAdvisor Solutions                               Yes   Yes
Genex Services, Inc.                                          Yes   Yes
Gallagher Bassett Managed Care Services                       Yes   Yes
Gallagher Bassett Managed Care Services                       Yes   Yes


                                              Page 7
                            tbl_CombinedCCL_0040a_Final_Cle


Gallagher Bassett Managed Care Services                 Yes   Yes
Gallagher Basset Managed Care                           Yes   Yes
GALLAGHER BASSETT MANAGED CARE SERVICES                 Yes   Yes
Gallagher Bassett Managed Care Services                 Yes   Yes
Gallagher Bassett Managed Care Services                 Yes   Yes
Gallagher Bassett Services, Inc.                        Yes   Yes
Gallagher Bassett Managed Care Services                 Yes   Yes
Genex Services, Inc.                                    No    Yes
GE ERC                                                  Yes   Yes
                                                        Yes   Yes
GENEX Services, Inc.                                    Yes   Yes
GENEX Services, Inc.                                    Yes   Yes
GENEX Services Inc                                      Yes   Yes
GENEX Services, Inc.                                    No    Yes
Genex Services, Inc.                                    No    Yes
Gray Insurance Company The                              Yes   Yes
Mitchell SmartAdvisor Solutions                         Yes   Yes
Genex Services, Inc.                                    No    Yes
MITCHELL SMARTADVISOR SOLUTIONS                         Yes   Yes
Greater New York Company                                Yes   Yes
WEB APPLICATIONS                                        Yes   Yes
Guard Insurance Group                                   Yes   Yes
Guard Insurance Group                                   Yes   Yes
F. A. Richard & Associates, Inc.                        No    Yes
Hanover Insurance Company                               Yes   Yes
HCA                                                     Yes   Yes
CompIQ                                                  Yes   Yes
HEWITT COLEMAN AND ASSOCIATES, INC                      Yes   Yes
HINZ CLAIMS MANAGEMENT INC                              Yes   Yes
CompIQ #13910                                           Yes   Yes
Mitchell SmartAdvisor Solutions                         Yes   Yes
Mitchell SmartAdvisor Solutions                         Yes   Yes
STATE OF ILLINOIS                                       Yes   Yes
HINZ CLAIM MANAGEMENT INC                               Yes   Yes
Ingenix Inc.                                            Yes   Yes
Ingenix Inc.                                            Yes   Yes
Ingenix Inc.                                            Yes   Yes
Ingenix Inc.                                            Yes   Yes
Injury Care Services Inc                                Yes   Yes
CompIQ #13910                                           Yes   Yes
Intracorp                                               Yes   Yes
CompIQ                                                  Yes   Yes
Mitchell SmartAdvisor Solutions                         Yes   Yes
F. A. Richard & Associates, Inc.                        No    Yes
Eastern Alliance                                        Yes   Yes
Genex Services, Inc.                                    Yes   Yes
Genex Services, Inc.                                    Yes   Yes
MAC Risk Managament                                     Yes   Yes
CompIQ                                                  Yes   Yes
Magna Carta Companies                                   Yes   Yes
Cambridge                                               Yes   Yes
SALESFORCE COM                                          Yes   Yes


                                        Page 8
                            tbl_CombinedCCL_0040a_Final_Cle


Matson Navigation Company                               Yes   Yes
MCMC LLC                                                Yes   Yes
MCMC, LLC                                               Yes   Yes
MCMC LLC                                                Yes   Yes
MCO Advantage / PBM Corporation                         Yes   Yes
MCO Advantage / PBM Corporation                         Yes   Yes
At Global                                               Yes   Yes
Mitchell SmartAdvisor Solutions                         Yes   Yes
Mitchell Medical div. of Thompson Publishing Corp       Yes   Yes
Eastern Alliance                                        Yes   Yes
Stratacare                                              Yes   Yes
Midlands Injury Management                              Yes   Yes
Medical Mutual of Oho                                   Yes   Yes
MO DEPT OF TRANSPORTATION & MO STATE HWY PATROL         Yes   Yes
GENEX Services, Inc.                                    No    Yes
Medata                                                  Yes   Yes
StrataCare                                              Yes   Yes
CompIQ                                                  Yes   Yes
Genex Services, Inc.                                    Yes   Yes
Medata, Inc.                                            Yes   Yes
MEDATA, INC                                             Yes   Yes
MEDATA, INC                                             Yes   Yes
MEDATA, INC                                             Yes   Yes
MEDATA, INC.                                            Yes   Yes
StrataCare                                              Yes   Yes
New York Special Funds Conservation                     Yes   Yes
New York State Insurance Fund                           Yes   Yes
CompIQ #13910                                           Yes   Yes
COMP IQ                                                 Yes   Yes
CompIQ                                                  Yes   Yes
CompManagement, Inc. (CMI)                              Yes   Yes
Genex Services, Inc.                                    Yes   Yes
ONPOINT UNDERWRITING                                    Yes   Yes
Pacific Gas and Electric                                Yes   Yes
Paradigm Management Services, LLC                       Yes   Yes
TIMCO/Guarantee Insurance Co                            Yes   Yes
MCO Advantage / PBM Corporation                         Yes   Yes
MCO Advantage / PBM Corporation                         Yes   Yes
BUSINESS ADMINISTRATORS AND CONSULTANTS                 Yes   Yes
Peter Chang Enterprises                                 Yes   Yes
HINZ CLAIM MANAGEMENT INC                               Yes   Yes
PMA Insurance Group                                     No    Yes
PMA Insurance Company                                   Yes   Yes
HINZ CLAIM MANAGEMENT INC                               Yes   Yes
HINZ CLAIM MANAGEMENT INC                               Yes   Yes
GENEX Services, Inc.                                    No    Yes
MITCHELL MEDICAL                                        Yes   Yes
Genex Services, Inc.                                    No    Yes
HINZ CLAIM MANAGEMENT INC                               Yes   Yes
CompIQ                                                  Yes   Yes
MCMC, LLC                                               Yes   Yes
STRATACARE                                              Yes   Yes


                                        Page 9
                           tbl_CombinedCCL_0040a_Final_Cle


RSKCO Cunningham and Lindsey                           Yes   Yes
GENEX Services, Inc                                    No    Yes
Total Healthcare Management Inc                        Yes   Yes
SEARS                                                  Yes   Yes
Sears                                                  Yes   Yes
Genex Services, Inc.                                   Yes   Yes
Sedgwick Claims Management                             Yes   Yes
STRATACARE INC                                         Yes   Yes
Mitchell SmartAdvisor Solutions                        Yes   Yes
STRATACARE INC                                         Yes   Yes
Solin USA                                              Yes   Yes
MCMC LLC                                               Yes   Yes
COMPIQ                                                 Yes   Yes
CompIQ                                                 Yes   Yes
ACS CompIQ                                             Yes   Yes
FairPay Solutions, Inc.                                Yes   Yes
Stratacare                                             Yes   Yes
STRATACARE INC                                         Yes   Yes
Swiss Re                                               Yes   Yes
At Global                                              Yes   Yes
Texas Mutual                                           Yes   Yes
Eastern Alliance                                       Yes   Yes
Tokio Marine Management, Inc.                          Yes   Yes
Tokio Marine Management, Inc.                          Yes   Yes
Tokio Marine Management Auto                           Yes   Yes
CompIQ                                                 Yes   Yes
Tower Insurance Company                                Yes   Yes
Tower Insurance Company                                Yes   Yes
SUA INSURANCE TX HCN                                   Yes   Yes
SUA Insurance Company                                  Yes   Yes
GENEX Services, Inc.                                   No    Yes
United States Postal Service                           Yes   Yes
Unitrin Business Insurance                             Yes   Yes
Vanliners Insurance Company                            Yes   Yes
VirtueMed, Inc.                                        Yes   Yes
MITCHELL SMARTADVISOR SOLUTIONS                        Yes   Yes
StratacareYTD NOAS102 Report                           Yes   Yes
CUNA MUTUAL INSURANCE CO PTK TO MCPS WC                Yes   No
Wells Fargo                                            Yes   Yes
Genex Services, Inc.                                   No    Yes
At Global                                              Yes   Yes
Cambridge                                              Yes   Yes
Cambridge                                              Yes   Yes
Exchanging Southwest Airlines                          Yes   Yes
Xcchanging Southwest Airlines                          Yes   Yes
Xchanging                                              Yes   Yes
Yale University                                        Yes   Yes
York Risk Services                                     Yes   Yes
Zenith                                                 Yes   Yes
COMPIQ                                                 Yes   Yes
Zurich Farmers Insurance Group                         Yes   Yes
Atlantic Mutual Insurance                              Yes   Yes


                                      Page 10
                                                          tbl_CombinedCCL_0040a_Final_Cle



confirmed by calling the telephone numbers and/or employer indicated under the "Eligibility/Benefits/Compensability" section.


              Auto   Source FundID Statename Effective Date Term Effective Date                     Plan Type
              No     FH            PR               1/1/2004                                        Workers' Compensation
              No     FH            PR             10/1/2003                                         Workers' Compensation
              No     FH            PR               4/1/2005                                        Workers' Compensation
              No     FH            PR             12/1/2003                                         Workers' Compensation
              No     FH            PR               1/1/2010                                        Workers' Compensation
              No     FH            PR               9/1/2002                                        Workers' Compensation
              No     FH            PR               4/1/2009                                        Workers' Compensation
              No     FH            PR               5/1/2010                                        Workers' Compensation
              No     FH            PR             4/20/2010                                         Workers' Compensation
              No     FH            PR               1/1/2007                                        Workers' Compensation
              No     FH            PR            12/15/2009                                         Workers' Compensation
              No     FH            PR               3/1/2006                                        Workers' Compensation
              No     FH            PR               1/1/2003                                        Workers' Compensation
              No     FH            PR               1/1/2003                                        Workers' Compensation
              No     FH            PR               2/1/2009                                        Workers' Compensation
              No     FH            PR               4/1/2005                                        Workers' Compensation
              No     FH            PR             11/1/2008                                         Workers' Compensation
              No     FH            PR               9/1/2003                                        Workers' Compensation
              No     FH            PR               4/1/2004                                        Workers' Compensation
              No     FH            PR               5/1/2010                                        Auto
              No     FH            PR               5/1/2010                                        Workers' Compensation
              No     FH            PR               4/1/2003                                        Workers' Compensation
              No     FH            PR               8/1/2010                                        Workers' Compensation
              No     FH            PR               1/1/2000                                        Workers' Compensation
              No     FH            PR               5/1/2002                                        Workers' Compensation
              No     FH            PR               9/1/2009                                        Workers' Compensation
              No     FH            PR             12/1/2008                                         Workers' Compensation
              No     FH            PR               6/1/2008                                        Workers' Compensation
              No     FH            PR               4/1/2003                                        Workers' Compensation
              No     FH            PR               8/1/2003                                        Workers' Compensation
              No     FH            PR               4/1/2004                                        Workers' Compensation
              No     FH            PR               1/1/2010                                        Workers' Compensation
              No     FH            PR               6/1/2008                                        Workers' Compensation
              No     FH            PR             12/1/2005                                         Workers' Compensation
              No     FH            PR               1/1/2009                                        Workers' Compensation
              No     FH            PR               9/1/2001                                        Workers' Compensation
              No     FH            PR               7/1/2010                                        Workers' Compensation
              No     FH            PR               1/1/2000                                        Auto
              No     FH            PR               1/1/2000                                        Workers' Compensation
              No     FH            PR               2/1/2007                                        Workers' Compensation
              No     FH            PR               1/1/2000                                        Workers' Compensation
              No     FH            PR               1/1/2005                                        Workers' Compensation
              No     FH            PR               5/1/2010                                        Workers' Compensation
              No     FH            PR               1/1/2008                                        Workers' Compensation
              No     FH            PR               1/1/2001                                        Workers' Compensation
              No     FH            PR               1/1/2001                                        Workers' Compensation
              No     FH            PR               1/1/2001                                        Workers' Compensation
              No     FH            PR               1/1/2001                                        Workers' Compensation


                                                                          Page 11
               tbl_CombinedCCL_0040a_Final_Cle


No   FH   PR       7/1/2009                      Workers' Compensation
No   FH   PR      12/1/2004                      Workers' Compensation
No   FH   PR       2/1/2010                      Workers' Compensation
No   FH   PR                                     Workers' Compensation
No   FH   PR       4/1/2002                      Workers' Compensation
No   FH   PR       2/1/2011                      Workers' Compensation
No   FH   PR       4/1/2002                      Workers' Compensation
No   FH   PR       1/1/2011                      Workers' Compensation
No   FH   PR       6/1/2010                      Workers' Compensation
No   FH   PR      11/1/2000                      Workers' Compensation
No   FH   PR       1/5/1970                      Workers' Compensation
No   FH   PR      1/16/2004                      Workers' Compensation
No   FH   PR       9/1/2002                      Workers' Compensation
No   FH   PR       8/1/2003                      Workers' Compensation
No   FH   PR       1/1/2010                      Workers' Compensation
No   FH   PR       5/1/2003                      Workers' Compensation
No   FH   PR       6/1/2010                      Workers' Compensation
No   FH   PR       1/1/2001                      Workers' Compensation
No   FH   PR      10/1/2004                      Workers' Compensation
No   FH   PR       1/5/1970                      Workers' Compensation
No   FH   PR       1/5/1970                      Workers' Compensation
No   FH   PR       1/1/2006                      Workers' Compensation
No   FH   PR      10/1/2003                      Workers' Compensation
No   FH   PR       8/1/2005                      Workers' Compensation
No   FH   PR       6/1/2005                      Workers' Compensation
No   FH   PR      12/1/2009                      Workers' Compensation
No   FH   PR      12/1/2009                      Workers' Compensation
No   FH   PR       5/1/2002                      Workers' Compensation
No   FH   PR       5/1/2002                      Workers' Compensation
No   FH   PR                                     Workers' Compensation
No   FH   PR                                     Workers' Compensation
No   FH   PR                                     Workers' Compensation
No   FH   PR       5/1/2002                      Workers' Compensation
No   FH   PR      5/17/2010                      Workers' Compensation
No   FH   PR       4/1/2009                      Workers' Compensation
No   FH   PR      12/1/2010                      Workers' Compensation
No   FH   PR      12/1/2010                      Workers' Compensation
No   FH   PR       1/1/2004                      Workers' Compensation
No   FH   PR       4/1/2006                      Workers' Compensation
No   FH   PR      1/25/2008                      Workers' Compensation
No   FH   PR       4/1/2006                      Workers' Compensation
No   FH   PR       4/1/2010                      Workers' Compensation
No   FH   PR      11/1/2003                      Workers' Compensation
No   FH   PR      9/10/2009                      Workers' Compensation
No   FH   PR       6/1/2008                      Workers' Compensation
No   FH   PR       6/1/2008                      Workers' Compensation
No   FH   PR       2/1/2007                      Workers' Compensation
No   FH   PR       2/1/2006                      Workers' Compensation
No   FH   PR      3/10/2010                      Workers' Compensation
No   FH   PR       8/1/2003                      Workers' Compensation
No   FH   PR       3/1/1991                      Workers' Compensation
No   FH   PR      10/1/2010                      Workers' Compensation


                              Page 12
               tbl_CombinedCCL_0040a_Final_Cle


No   FH   PR       3/1/1991                       Workers' Compensation
No   FH   PR      12/1/2010                       Workers' Compensation
No   FH   PR       3/1/1991                       Workers' Compensation
No   FH   PR       3/1/1991                       Workers' Compensation
No   FH   PR       3/1/1991                       Workers' Compensation
No   FH   PR       3/1/1991                       Workers' Compensation
No   FH   PR     11/15/2010                       Workers' Compensation
No   FH   PR       9/1/2001                       Workers' Compensation
No   FH   PR       3/1/1991                       Workers' Compensation
No   FH   PR       7/1/2001                       Workers' Compensation
No   FH   PR       1/1/2003                       Workers' Compensation
No   FH   PR      11/1/2003                       Workers' Compensation
No   FH   PR                                      Workers' Compensation
No   FH   PR      10/1/2003                       Workers' Compensation
No   FH   PR       9/1/2003                       Workers' Compensation
No   FH   PR      11/1/2003                       Workers' Compensation
No   FH   PR       4/1/2003                       Workers' Compensation
No   FH   PR       6/1/2003                       Workers' Compensation
No   FH   PR      3/10/2010                       Workers' Compensation
No   FH   PR      11/1/2004                       Workers' Compensation
No   FH   PR       1/1/2000                       Workers' Compensation
No   FH   PR      11/1/2010                       Workers' Compensation
No   FH   PR       6/1/2010                       Workers' Compensation
No   FH   PR       1/1/2004                       Workers' Compensation
No   FH   PR       7/1/1996                       Workers' Compensation
No   FH   PR       1/1/2004                       Workers' Compensation
No   FH   PR       4/1/2002                       Workers' Compensation
No   FH   PR       4/1/1997                       Workers' Compensation
No   FH   PR       4/1/2004                       Workers' Compensation
No   FH   PR       2/1/2004                       Workers' Compensation
No   FH   PR       7/1/2008                       Workers' Compensation
No   FH   PR       4/1/2003                       Workers' Compensation
No   FH   PR       1/1/2000                       Workers' Compensation
No   FH   PR      11/1/2008                       Workers' Compensation
No   FH   PR                                      Workers' Compensation
No   FH   PR       1/1/2000                       Workers' Compensation
No   FH   PR       1/1/2000                       Workers' Compensation
No   FH   PR       1/1/2000                       Auto
No   FH   PR       3/1/2009             5/31/2011 Workers' Compensation
No   FH   PR      12/1/2004                       Workers' Compensation
No   FH   PR       7/1/2002                       Workers' Compensation
No   FH   PR       4/1/2010                       Workers' Compensation
No   FH   PR       6/1/2004                       Workers' Compensation
No   FH   PR       4/1/2006                       Workers' Compensation
No   FH   PR       1/5/1970                       Workers' Compensation
No   FH   PR       9/1/2002                       Workers' Compensation
No   FH   PR       3/1/1992                       Workers' Compensation
No   FH   PR      10/1/2001                       Workers' Compensation
No   FH   PR       4/1/2004                       Workers' Compensation
No   FH   PR      11/1/2009                       Workers' Compensation
No   FH   PR      10/1/1998                       Workers' Compensation
No   FH   PR       5/1/2008                       Workers' Compensation


                              Page 13
                tbl_CombinedCCL_0040a_Final_Cle


No    FH   PR       6/1/1996                      Workers' Compensation
No    FH   PR      10/1/2003                      Workers' Compensation
No    FH   PR       4/1/2004                      Workers' Compensation
No    FH   PR      10/1/2003                      Workers' Compensation
No    FH   PR       2/1/2004                      Workers' Compensation
No    FH   PR       2/1/2004                      Workers' Compensation
No    FH   PR       2/1/2007                      Workers' Compensation
No    FH   PR       4/1/2003                      Workers' Compensation
Yes   FH   PR       9/1/2003                      Auto
No    FH   PR       1/1/2006                      Workers' Compensation
No    FH   PR      11/1/2008                      Workers' Compensation
No    FH   PR       5/1/1997                      Workers' Compensation
No    FH   PR       5/1/2010                      Workers' Compensation
No    FH   PR       1/1/2010                      Workers' Compensation
No    FH   PR       1/1/2003                      Workers' Compensation
No    FH   PR       5/1/2009                      Workers' Compensation
No    FH   PR       3/1/2010                      Workers' Compensation
No    FH   PR       1/1/2010                      Workers' Compensation
No    FH   PR       6/1/2000                      Workers' Compensation
No    FH   PR       3/1/2009                      Workers' Compensation
No    FH   PR       3/1/2009                      Workers' Compensation
No    FH   PR       3/1/2009                      Workers' Compensation
No    FH   PR       3/1/2009                      Workers' Compensation
No    FH   PR       3/1/2009                      Workers' Compensation
No    FH   PR       9/1/2009                      Workers' Compensation
No    FH   PR       1/1/2004                      Workers' Compensation
No    FH   PR      9/30/2009                      Workers' Compensation
Yes   FH   PR       1/1/2007                      Auto
Yes   FH   PR       1/1/2007                      Auto
No    FH   PR       6/7/2010                      Workers' Compensation
No    FH   PR       7/1/2004                      Workers' Compensation
No    FH   PR       6/1/2000                      Workers' Compensation
No    FH   PR       9/1/2001                      Workers' Compensation
No    FH   PR       5/1/2001                      Workers' Compensation
No    FH   PR       1/1/2002                      Workers' Compensation
No    FH   PR       8/1/1999                      Workers' Compensation
No    FH   PR       2/1/2004                      Workers' Compensation
No    FH   PR       2/1/2004                      Workers' Compensation
No    FH   PR       9/1/2008                      Workers' Compensation
No    FH   PR      12/1/2003                      Workers' Compensation
No    FH   PR      11/1/2008                      Workers' Compensation
No    FH   PR       8/1/1997                      Workers' Compensation
No    FH   PR       8/1/1997                      Workers' Compensation
No    FH   PR      11/1/2008                      Workers' Compensation
No    FH   PR      11/1/2008                      Workers' Compensation
No    FH   PR      10/1/2003                      Workers' Compensation
Yes   FH   PR      12/1/2004                      Auto
No    FH   PR       3/1/2002                      Workers' Compensation
No    FH   PR      11/1/2008                      Workers' Compensation
No    FH   PR       4/1/2004                      Workers' Compensation
No    FH   PR      10/1/2003                      Workers' Compensation
No    FH   PR       4/1/2006                      Workers' Compensation


                               Page 14
                tbl_CombinedCCL_0040a_Final_Cle


No    FH   PR       9/1/2003                       Workers' Compensation
No    FH   PR      12/1/2002                       Workers' Compensation
No    FH   PR       8/1/2003                       Workers' Compensation
No    FH   PR       1/1/2011                       Workers' Compensation
No    FH   PR       1/1/2001                       Workers' Compensation
No    FH   PR      11/1/2000                       Workers' Compensation
No    FH   PR       4/1/2010                       Workers' Compensation
No    FH   PR       2/1/2001                       Workers' Compensation
No    FH   PR       4/1/2003                       Workers' Compensation
No    FH   PR       3/1/2011                       Workers' Compensation
No    FH   PR       1/1/2004                       Workers' Compensation
No    FH   PR      10/1/2003                       Workers' Compensation
No    FH   PR       4/1/2011                       Workers' Compensation
No    FH   PR      10/5/2009                       Workers' Compensation
No    FH   PR     11/16/2009                       Workers' Compensation
No    FH   PR       3/1/2006                       Workers' Compensation
No    FH   PR       1/1/2001                       Workers' Compensation
No    FH   PR       4/1/2010                       Workers' Compensation
No    FH   PR       1/1/2004                       Workers' Compensation
No    FH   PR       2/1/2007                       Workers' Compensation
No    FH   PR      9/25/2009                       Workers' Compensation
No    FH   PR                                      Workers' Compensation
No    FH   PR       5/1/2006                       Workers' Compensation
No    FH   PR       3/1/2005                       Workers' Compensation
Yes   FH   PR      12/1/2004                       Auto
No    FH   PR       1/1/2005                       Workers' Compensation
No    FH   PR       1/1/2001                       Workers' Compensation
No    FH   PR       1/1/2001                       Workers' Compensation
No    FH   PR      10/1/2006                       Workers' Compensation
No    FH   PR      10/1/2006                       Workers' Compensation
No    FH   PR      10/1/2003                       Workers' Compensation
No    FH   PR      12/1/2000                       Workers' Compensation
No    FH   PR       4/1/2002                       Workers' Compensation
No    FH   PR       1/1/1994                       Workers' Compensation
No    FH   PR      11/1/2005                       Workers' Compensation
No    FH   PR       4/1/2003                       Workers' Compensation
No    FH   PR      11/1/2004                       Workers' Compensation
No    FH   PR       9/1/2001                       Workers' Compensation
No    FH   PR       7/1/2001                       Workers' Compensation
No    FH   PR       6/1/2003                       Workers' Compensation
No    FH   PR       2/1/2007                       Workers' Compensation
No    FH   PR      8/10/2010                       Workers' Compensation
No    FH   PR      8/31/2010                       Workers' Compensation
No    FH   PR      12/7/2009                       Workers' Compensation
No    FH   PR       7/1/2010                       Workers' Compensation
No    FH   PR                                      Workers' Compensation
No    FH   PR       3/1/2010                       Workers' Compensation
No    FH   PR       1/1/2011                       Workers' Compensation
No    FH   PR      11/1/2003                       Workers' Compensation
No    FH   PR       4/1/2011                       Workers' Compensation
No    FH   PR      11/1/2004                       Workers' Compensation
No    FH   PR       1/1/2001             5/13/2011 Workers' Compensation


                               Page 15
                                      tbl_CombinedCCL_0040a_Final_Cle




Billing and Claims Attention   Billing and Claims Address



                               1807 Diehl Rd Naperville IL 60563




                               701 TECHNOLOGY DR STE 201 CANONSBURG PA 15317

Attn: Jon Peebles              14295 Midway Rd Ste 300 Addison TX 75001
                               PO Box 3804 Omaha NE 68103


                               35 Tesla Way #100 Irvine CA 92618


                               2 South Pointe Lake Forest CA 92630




                               PO Box 723099 Atlanta GA 31139-0099
                               PO Box 32045 Lakeland FL 33802
                               Town Centre Bldg 2 East Main St Ste 208 Danville IL 61832


                               501 Shelley Dr Tyler TX 75711




                               PO BOX 4839 Breckenridge CO 80424




                                                    Page 16
                                 tbl_CombinedCCL_0040a_Final_Cle




                          35 Tesla Way #100 Irvine CA 92618

                          35 Tesla Way #100 Irvine CA 92618




                          35 Tesla Way #100 Irvine CA 92618


                          PO Box 11930 Tucson AZ 85734




Attn: Bridgette Hammant   1625 Causeway Approach Mandeville LA 70741
                          1625 W. Causeway Approach Mandeville LA 70471
                          1625 W. Causeway Approach Mandeville LA 70471
Attn: Bridgette Hammant   1625 Causeway Approach Mandeville LA 70741
                          1625 W. Causeway Approach Mandeville LA 70471
Attn: Bridgette Hammant   1625 Causeway Approach Mandeville LA 70741




                          PO BOX 4839 Breckenridge CO 80424



                          PO Box 23812 Tucson AZ 85734
                          PO Box 23812 Tucson AZ 85734


                                             Page 17
       tbl_CombinedCCL_0040a_Final_Cle




PO Box 23812 Tucson AZ 85734
PO Box 17076 Charlotte NC 28227




1717 East Loop Ste 333 Houston TX 77029




2815 Old Jacksonville Rd Ste 204 Springfield IL 62704
2868 Prospect Park Dr Rancho Cordova CA 95670


604 William G. Stratton Office Building Springfield IL 62706




PO Box 11158 Scottsdale AZ 85271-1158

PO Box 49129 Greensboro NC 27419




175 W Jackson Ste 1000 Chicago IL 60604




                      Page 18
       tbl_CombinedCCL_0040a_Final_Cle


555 12th St Oakland CA 94607


701 TECHNOLOGY DR STE 201 CANONSBURG PA 15317


PO BOX 4839 Breckenridge CO 80424
3 Huntington Quad Melville NY 11747



PO Box 238804 Oklahoma City OK 73116
2060 E 9th St Cleveland OH 44115




35 Tesla Way #100 Irvine CA 92618
8080 NW 155TH ST MIAMI LAKES FL 33016




77 Beale St., 28th Floor San Francisco CA 94105
1001 Galaxy Way Ste 300 Concord CA 94520
1061 521 Corporate Center Dr Ste 140 Fort Mill SC 29715


6331 E LIVINGSTON AVE REYNOLDSBURG OH 43068
28530 Orchard Lake Rd Ste 101 Farmington Hills MI 48334

PO Box 25249 Lehigh Valley PA 18002-5249




2 South Pointe Lake Forest CA 92630




                    Page 19
                                tbl_CombinedCCL_0040a_Final_Cle




                         PO Box 7858 Burbank CA 91510-7858
                         PO Box 28 Dubuque IA 52004
Attn: Amy Tamanaha       17838 Gillette Ave Irvine CA 92614
                         520 N Semoran Blvd Ste 220 Orlando FL 32807
                         701 Technology Dr Ste 100 Canonsburg PA 15317
Attn: Deirdre Millwood   PO Box 85251 San Diego CA 92186


Attn: Jon Peebles        14295 Midway Rd Ste 300 Addison TX 75001
Attn: Amy Tamanaha       17838 Gillette Ave Irvine CA 92614
Attn: Amy Tamanaha       17838 Gillette Ave Irvine CA 92614
                         PO Box 5318 Tampa FL 33675-5318




                         2 South Pointe Lake Forest CA 92630




                         PO Box 23808 Tucson AZ 85734-3808




Attn: Deirdre Millwood   PO Box 85251 San Diego CA 92186




                                             Page 20
                                   tbl_CombinedCCL_0040a_Final_Cle




Hospital Claims Phone   OCN Claims Phone     ECSPayorID
(800) 293-3131          (800) 293-3131


(630) 305-8108          (630) 305-8108




(888) 350-1150          (888) 350-1150

(972) 715-8000          (972) 715-8000
(800) 293-3131          (800) 293-3131


(800) 293-3131          (800) 293-3131


(800) 293-3131          (800) 293-3131




(678) 309-4172          (678) 309-4172
(888) 853-4735          (888) 853-4735
(800) 277-6512          (800) 277-6512


(800) 765-2412          (800) 765-2412




(970) 423-7161          (970) 423-7161




                                              Page 21
                            tbl_CombinedCCL_0040a_Final_Cle




(800) 293-3131   (800) 293-3131

(800) 293-3131   (800) 293-3131




(800) 293-3131   (800) 293-3131




(985) 624-6740   (985) 624-6740
(985) 624-6740   (985) 624-6740

(985) 624-6740   (985) 624-6740




(970) 423-7161   (970) 423-7161
(800) 580-1642   (800) 580-1642


(800) 370-0594   (800) 370-0594
(800) 370-0594   (800) 370-0594


                                       Page 22
                            tbl_CombinedCCL_0040a_Final_Cle




(704) 321-3909   (704) 321-3909




(909) 353-6800   (909) 353-6800




(217) 698-1280   (217) 698-1280
(800) 293-3131   (800) 293-3131


(217) 782-2548   (217) 782-2548




(800) 366-1511   (800) 366-1511




(312) 821-8800   (312) 821-8800




                                       Page 23
                            tbl_CombinedCCL_0040a_Final_Cle




(970) 423-7161   (970) 423-7161
(631) 454-8399   (631) 454-8399



(405) 767-1760   (405) 767-1760
(216) 687-6395   (216) 687-6395




(800) 293-3131   (800) 293-3131
(786) 507-1600   (786) 507-1600

(866) 672-9296   (866) 672-9296


(415) 973-3350   (415) 973-3350
(925) 677-4719   (925) 677-4719



(800) 521-2654   (800) 521-2654
(248) 455-8972   (248) 455-8972

(888) 476-2669   (888) 476-2669




(800) 293-3131   (800) 293-3131




                                       Page 24
                                    tbl_CombinedCCL_0040a_Final_Cle




(818) 846-5297           (818) 846-5297
(563) 587-5175           (563) 587-5175
(818) 844-4300 Ext 237   (818) 844-4300 Ext 237
(800) 293-3131           (800) 293-3131
(888) 350-1150           (888) 350-1150



(972) 715-8000           (972) 715-8000
(818) 844-4300 Ext 237   (818) 844-4300 Ext 237
(818) 844-4300 Ext 237   (818) 844-4300 Ext 237
(860) 282-4960           (860) 282-4960




(800) 293-3131           (800) 293-3131




(800) 571-4501           (800) 571-4501




                                                  Page 25
                                       tbl_CombinedCCL_0040a_Final_Cle




Eligibility Benefits and Compensablility Name    Eligibility Phone
CONTACT EMPLOYER
CONTACT EMPLOYER
CHECK BENEFIT CARD
Alpha Review Corporation

CONTACT EMPLOYER



CONTACT EMPLOYER

FairPay Solutions                                (972) 715-8000
Applied Underwriters                             (402) 827-3424
CHECK BENEFIT CARD

CompIQ Corporation                               (800) 293-3131

CONTACT EMPLOYER
CompIQ Corporation                               (800) 293-3131




Builders Insurance Group                         (678) 309-4000
Bunch & Associates Inc                           (888) 853-4735
Cannon Cochran Management Services Inc           (800) 252-5059


Claims Administrative Services, Inc.             (800) 765-2412

CONTACT EMPLOYER



AT Global                                        (970) 423-7161

CONTACT EMPLOYER




                                                  Page 26
                                     tbl_CombinedCCL_0040a_Final_Cle




CompIQ Corporation                             (800) 293-3131

CompIQ                                         (800) 293-3131


CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER

CONTACT EMPLOYER

CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER

CONTACT EMPLOYER




F A Richard and Associates
FARA - F. A. Richard & Associates, Inc.        (985) 624-6740
FARA - F. A. Richard & Associates, Inc.        (985) 624-6740
F A Richard and Associates
FARA - F. A. Richard & Associates, Inc.        (985) 624-6740
F A Richard and Associates
CONTACT EMPLOYER



AT Global                                      (970) 423-7161
Forte                                          (800) 580-1642

CONTACT EMPLOYER
First Health                                   (800) 370-0594
First Health                                   (800) 370-0594


                                                Page 27
                             tbl_CombinedCCL_0040a_Final_Cle




CONTACT EMPLOYER

CONTACT EMPLOYER
CONTACT EMPLOYER
Genesis Managed Care                   (704) 321-3909
CONTACT EMPLOYER
CONTACT EMPLOYER

CONTACT EMPLOYER
CONTACT EMPLOYER
The Gray Insurance Company             (713) 671-2534
CONTACT EMPLOYER
CONTACT EMPLOYER

CONTACT EMPLOYER




CONTACT EMPLOYER
CONTACT EMPLOYER

CONTACT EMPLOYER
CONTACT EMPLOYER
Horizon Managed Care                   (916) 631-1220

HRH Insurance
STATE OF ILLINOIS                      (217) 785-1954




CONTACT EMPLOYER
CONTACT EMPLOYER

Key Risk Insurance Company             (800) 366-1511

CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER
MAC Risk Management, Inc.              (800) 288-8415


Cambridge                              (312) 821-8800




                                        Page 28
                                   tbl_CombinedCCL_0040a_Final_Cle


Matson Navigation Company


MCMC LLC                                      (888) 350-1150
CONTACT EMPLOYER
CONTACT EMPLOYER
AT Global                                     (970) 423-7161
Medical Consultants Network                   (631) 454-8399
CONTACT EMPLOYER


Deborah Storey                                (405) 767-1760
Medical Mutual of Ohio                        (216) 687-6395

CONTACT EMPLOYER



CONTACT EMPLOYER




CONTACT EMPLOYER

CompIQ Corporation                            (800) 293-3131
NORTHSTAR PROVIDERS, LLC                      (786) 507-1600

Octagon Risk Services, Inc - Rancho Cordova   (866) 672-9296
CONTACT EMPLOYER

Pacific Gas & Electric Company                (415) 973-3350
Paradigm Health (David Vargas)                (925) 677-4719
Patriot Risk Services
CONTACT EMPLOYER
CONTACT EMPLOYER
BAC                                           (800) 521-2654
Peter Chang Enterprises                       (248) 455-8972

CONTACT EMPLOYER



CONTACT EMPLOYER
CHECK BENEFIT CARD
CONTACT EMPLOYER

CompIQ Corporation                            (800) 293-3131

CONTACT EMPLOYER


                                               Page 29
                         tbl_CombinedCCL_0040a_Final_Cle


CONTACT EMPLOYER
CONTACT EMPLOYER



CONTACT EMPLOYER

Sierra Heatlh Services             (818) 846-5297
SISCO                              (563) 587-5175
StrataCare Inc                     (818) 844-4300 Ext 237
CONTACT EMPLOYER
CONTACT EMPLOYER



FairPay Solutions                  (972) 715-8000
StrataCare Inc                     (818) 844-4300 Ext 237
StrataCare Inc                     (818) 844-4300 Ext 237
Broadspire                         (860) 282-4960



CHECK BENEFIT CARD
CONTACT EMPLOYER
CHECK BENEFIT CARD
CompIQ Corporation




CONTACT EMPLOYER
CONTACT EMPLOYER


CONTACT EMPLOYER
CONTACT EMPLOYER
CONTACT EMPLOYER


CONTACT EMPLOYER




CONTACT EMPLOYER


CONTACT EMPLOYER




                                    Page 30

				
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