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					Health Reimbursement Arrangements: Approved Applications for Waiver of the Annual Limits Requirements
Updated July 15, 2011

Health Reimbursement Arrangements (HRAs) are employer-funded group health plans where employees are reimbursed tax-free for qualified
medical expenses up to a fixed dollar amount per year, and unused amounts may be rolled over to be used in subsequent years.

Waiver applications will no longer be accepted after September 22, 2011. On June 17, 2011, the Centers for Medicare & Medicaid Services (CMS)
introduced a process for plans that have already received waivers and want to renew those waivers for plan or policy years beginning before January
1, 2014. The new guidance extends the duration of waivers that have been granted through 2013, if applicants submit annual information about their
plan and comply with requirements to ensure that their enrollees understand the limits of their coverage. Existing waiver recipients must apply to
extend their current waiver and all applications must be submitted by September 22, 2011; after that date applications for an extension will no longer
be considered. Any plans that have not yet applied for a waiver also must apply by September 22, 2011. For further information see Annual Limits
Policy: Protecting Consumers, Maintaining Options, and Building the Bridge to 2014 | HealthCare.gov.



                                                                                                                         Application
                                                                  Application                            Number of                          Waiver
                  Applicant                 City        State*                   Plan Effective Date                    Completed by
                                                                   Received                              Enrollees                         Approved
                                                                                                                          Applicant
    1     ATCO Rubber Products Inc    Fort Worth          TX      10/21/2010         01/01/2011             185           11/12/2010      11/23/2010
          Isaacson Isaacson
    2                                 Greensboro         NC       11/19/2010         06/01/2011              8            11/29/2010      12/01/2010
          Sheridan & Fountain, LLP
    3     Living Resources            Albany              NY      11/11/2010         01/01/2011             553           11/26/2010      12/01/2010
    4     COARC                       Mellenville         NY      11/05/2010         01/01/2011             357           11/29/2010      12/06/2010
    5     Freeman Metal Products      Dallas              TX      11/15/2010         11/01/2010              33           11/24/2010      12/06/2010
          Essex County Chapter
    6     NYSARC Inc. dba Mountain    Port Henry          NY      11/17/2010         01/01/2011            1,543          12/03/2010      12/10/2010
          Lake Services
          NYSARC, Inc. Montgomery
    7                                 Amsterdam           NY      11/22/2010         01/01/2011             784           11/23/2010      12/10/2010
          County Chapter HRA
    8     Orange County AHRC          Newburgh            NY      11/18/2010         07/01/2011            1,134          11/18/2010      12/10/2010
          Richmond Community
    9                                 Mt. Kisco           NY      11/24/2010         01/01/2011             815           11/24/2010      12/10/2010
          Services
   10     Southeast OBGYN PC          Rochester          NY       11/15/2010         01/01/2011             20            11/15/2010      12/10/2010
   11     Telamon Corporation         Raleigh            NC       11/12/2010         04/01/2011             596           11/12/2010      12/10/2010
          The ARC of Delaware
   12                                 Walton              NY      11/18/2010         12/01/2010             404           12/01/2010      12/10/2010
          County
                                                                                                           Application
                                                          Application                         Number of                   Waiver
              Applicant               City       State*                 Plan Effective Date               Completed by
                                                           Received                           Enrollees                  Approved
                                                                                                            Applicant
     United Cerebral Palsy of
13                              Kingston          NY      11/29/2010        01/01/2011          200        11/29/2010    12/10/2010
     Ulster County Inc
14   Wayne ARC                  Newark            NY      11/23/2010        01/01/2011          1,153      11/23/2010    12/10/2010
15   Wildwood Programs          Schencectady      NY      11/29/2010        01/01/2011           480       11/29/2010    12/10/2010
     Aurora Consulting Group
16                              East Aurora       NY      11/18/2010        01/01/2011           27        12/01/2010    12/14/2010
     Inc.
     Fontanese Folts Aubrecht
17                              Orchard Park      NY      11/15/2010        01/01/2011           27        11/19/2010    12/14/2010
     Ernst Architects PC
     Fulton County Chapter,
18                              Gloversville      NY      11/30/2010        01/01/2011          1,387      11/30/2010    12/14/2010
     NYSARC Inc.
19   Greystone Programs Inc                               11/24/2010        01/01/2011          240        11/24/2010    12/14/2010
20   Becker County VEBA         Detroit Lakes     MN      11/24/2010        01/01/2011           85        11/24/2010    12/16/2010
     Advocacy and Resource
21                              Plattsburgh       NY      11/30/2010        01/01/2011          1,134      11/30/2010    12/20/2010
     Center
     Cardinal Hayes Home for
22                              Millbrook         NY      11/30/2010        01/01/2011          284        11/30/2010    12/20/2010
     Children HRA plan
     CDS Administrative
23                              Pennock           MN      11/30/2010        01/01/2011            8        11/30/2010    12/20/2010
     Services LLC
     Center for Energy and                                                                                               12/20/2010
24                              Minneapolis       MN      11/30/2010        01/01/2011          105        12/13/2010
     Environment                                                                                                         12/23/2010
25   City of Amery HRA Plan     Amery             WI      11/23/2010        01/01/2011           5         12/13/2010    12/20/2010
26   City of Brooklyn Park      Brooklyn Park     MN      11/18/2010        01/01/2011          372        12/15/2010    12/20/2010
27   FIDUCIA                    Brainerd          MN      11/30/2010        01/01/2011           2         12/09/2010    12/20/2010
28   General Parts, LLC         Bloomington       MN      11/30/2010        01/01/2011          150        12/09/2010    12/20/2010
     Green Leaf Distributors,
29                              Buffalo           NY      11/22/2010        01/01/2011           27        11/22/2010    12/20/2010
     Inc.
     Luther Automotive Group
30                              St. Louis Park    MN      11/22/2010        01/01/2011          660        12/09/2010    12/20/2010
     HRA
     Madelia Community
31                              Madelia           MN      11/23/2010        01/01/2011           38        12/09/2010    12/20/2010
     Hospital
                                                                                                                         12/20/2010
32   Metrics Inc.               Greenville        NC      11/30/2010        01/01/2011          231        11/30/2010
                                                                                                                         12/30/2010
33   A-1 Realty                 Mineola           NY      12/01/2010        01/01/2011           7         12/16/2010    12/23/2010
34   AABR                       College Point     NY      12/01/2010        01/01/2011          504        12/16/2010    12/23/2010
35   ABCO Diecasters            Newark            NY      12/01/2010        01/01/2011           5         12/16/2010    12/23/2010
     Albany County Chapter
36   NYSARC Inc. DBA New        Albany            NY      11/22/2010        01/01/2011          453        12/16/2010    12/23/2010
     Visions of Albany
                                                                                                               Application
                                                              Application                         Number of                   Waiver
             Applicant                     City      State*                 Plan Effective Date               Completed by
                                                               Received                           Enrollees                  Approved
                                                                                                                Applicant
37   Alfred P. Sloan               New York           NY      12/01/2010        01/01/2011           41        12/16/2010    12/23/2010
38   Alizio & Galfunt              Mineola            NY      12/01/2010        01/01/2011            4        12/16/2010    12/23/2010
     All American Heating and
39                                 Wolcott            CT      12/01/2010        01/01/2011           21        12/16/2010    12/23/2010
     AC
     Amherst Central School
40                                 Amherst            NY      11/30/2010        09/01/2011           53        12/16/2010    12/23/2010
     District
     AristaCare at Meadow          Plymouth
41                                                    PA      12/01/2010        01/01/2011          115        12/16/2010    12/23/2010
     Springs                       Meeting
42   Arthur Sanderson & Sons       Englewood          NJ      12/01/2010        01/01/2011           15        12/16/2010    12/23/2010
     Associated General
43   Contractors of ND             Fargo              ND      11/29/2010        01/01/2011          1,002      12/13/2010    12/23/2010
     Employees
44   Autistic Services, Inc.       Williamsville      NY      12/01/2010        01/01/2011          217        12/01/2010    12/23/2010
45   Basf Fuel Cell, Inc.          Somerset           NJ      12/01/2010        01/01/2011          40         12/16/2010    12/23/2010
46   Battery Park City Authority   New York           NY      12/01/2010        01/01/2011          44         12/16/2010    12/23/2010
     Battery Park City
47                                 New York           NY      12/01/2010        01/01/2011           55        12/16/2010    12/23/2010
     Conservancy
48   Benefit Analysis Inc.         Nutley             NJ      12/01/2010        01/01/2011           27        12/16/2010    12/23/2010
49   Blaze SSI                     Brielle            NJ      12/01/2010        01/01/2011           10        12/16/2010    12/23/2010
50   Business Wire                 New York           NY      12/01/2010        01/01/2011          440        12/15/2010    12/23/2010
51   Cargo Ventures                Doral              FL      12/01/2010        01/01/2011            2        12/16/2010    12/23/2010
52   Carnegie Corporation of NY    New York           NY      12/01/2010        01/01/2011           33        12/16/2010    12/23/2010
53   City of Cloquet               Cloquet            MN      12/01/2010        01/01/2011           73        12/15/2010    12/23/2010
                                   City of Cottage
54   City of Cottage Grove                            MN      09/01/2010        01/01/2011           90        12/02/2010    12/23/2010
                                   Grove
                                   Inver Grove
55   City of Inver Grove Heights                      MN      11/23/2010        01/01/2011          130        12/13/2010    12/23/2010
                                   Heights
56   City Of Roseville MN          Roseville          MN      12/01/2010        01/01/2011          210        12/21/2010    12/23/2010
57   Clinton Management            Douglaston         NY      12/01/2010        01/01/2011           7         12/16/2010    12/23/2010
     Cloquet Area Fire
58                                 Cloquet            MN      12/01/2010        01/01/2011           22        12/15/2010    12/23/2010
     Department
59   Cohen Partners                New York           NY      12/01/2010        01/01/2011            5        12/16/2010    12/23/2010
     Community Bank of Bergen
60                                 Rochelle Park      NJ      12/01/2010        01/01/2011            8        12/16/2010    12/23/2010
     County
61   Community Mainstreaming       Garden City        NY      12/01/2010        01/01/2011           92        12/16/2010    12/23/2010
62   Cornerstone Search Group      Parsippany         NJ      12/01/2010        01/01/2011            5        12/16/2010    12/23/2010
     D & D Ag Supply and
63                                 Pennock            MN      11/30/2010        01/01/2011            8        12/16/2010    12/23/2010
     Construction Inc.
                                                                                                            Application
                                                           Application                         Number of                   Waiver
             Applicant                   City     State*                 Plan Effective Date               Completed by
                                                            Received                           Enrollees                  Approved
                                                                                                             Applicant
64   Douglaston Development        Douglaston      NY      12/01/2010        01/01/2011           13        12/16/2010    12/23/2010
     Dr. Margaret Andrin MD
65                                 Branchburg      NJ      12/01/2010        01/01/2011            4        12/16/2010    12/23/2010
     FACOG LLC
66   Dynasil Corporation           West Berlin     NJ      12/01/2010        01/01/2011           16        12/16/2010    12/23/2010
67   Echo Molding                  Union           NJ      12/01/2010        01/01/2011           29        12/16/2010    12/23/2010
     Edward W. Hazen
68                                 New York        NY      12/13/2010        01/01/2011            2        12/13/2010    12/23/2010
     Foundation
     Epilepsy Foundation                                   12/01/2010
69                                 Garden City     NY                        01/01/2011          355        12/16/2010    12/23/2010
     Northeastern New York                                 12/02/2010
     Evans Chemetics - HMO
70                                 Waterloo        NY      12/01/2010        01/01/2011          179        12/16/2010    12/23/2010
     Rx Plan
     Fairport Central School
71                                 Fairport        NY      11/30/2010        01/01/2011          838        12/01/2010    12/23/2010
     District
72   Gabriel Capital Corporation   New York        NY      12/13/2010        01/01/2011            9        12/13/2010    12/23/2010
73   Gregory Packaging             Newark          NJ      12/01/2010        01/01/2011           40        12/16/2010    12/23/2010
     Handcraft Manufacturing
74                                 Newark          NJ      12/01/2010        01/01/2011           48        12/16/2010    12/23/2010
     Corporation - SIP
     Haver Analytics Health
75                                 New York        NY      12/01/2010        01/01/2011          102        12/16/2010    12/23/2010
     Waiver
76   Heritage Centers              Buffalo         NY      12/07/2010        02/01/2011          1,125      12/16/2010    12/23/2010
77   Hiawatha Medical, Inc.        Red Wing        MN      12/02/2010        01/01/2011            17       12/16/2010    12/23/2010
     Highfield Gardens Care
78                                 Great Neck      NY      12/01/2010        01/01/2011           50        12/16/2010    12/23/2010
     Center
79   Hirsch International          Hauppauge       NY      12/01/2010        01/01/2011           38        12/16/2010    12/23/2010
80   Hypex Inc.                    Southampton     NY      12/01/2010        01/01/2011            1        12/16/2010    12/23/2010
     International Union of
     Operating Engineers
81                                 Buffalo         NY      09/17/2010        01/01/2011           59        12/15/2010    12/23/2010
     Supplemental Benefit Fund
     Local 409
     Interstate Connecting
82                                 Moorestown      NJ      12/01/2010        01/01/2011           78        12/16/2010    12/23/2010
     Components
     Jacobson Family
83                                 New York        NY      12/01/2010        01/01/2011            7        12/16/2010    12/23/2010
     Investments
84   J-B Wholesale Pet Supplies    Oakland         NJ      12/01/2010        01/01/2011           19        12/16/2010    12/23/2010
85   JE Levine Builders            Douglaston      NY      12/13/2010        01/01/2011           27        12/13/2010    12/23/2010
86   JKL International             Hillsborough    NJ      12/01/2010        01/01/2011            9        12/16/2010    12/23/2010
     Jump Scutellaro and Co.
87                                 Toms River      NJ      12/01/2010        01/01/2011            6        12/16/2010    12/23/2010
     LLP
                                                                                                              Application
                                                             Application                         Number of                   Waiver
              Applicant                    City     State*                 Plan Effective Date               Completed by
                                                              Received                           Enrollees                  Approved
                                                                                                               Applicant
      KC International dba
88                                 Brick             NJ      12/01/2010        01/01/2011           36        12/16/2010    12/23/2010
      Ekman Recycling
89    Kerwin Communications        West Caldwell     NJ      12/01/2010        01/01/2011           14        12/16/2010    12/23/2010
      Kingstown Capital
90                                 New York          NY      12/01/2010        01/01/2011            5        12/16/2010    12/23/2010
      Management
91    Koellman Gear Corporation    Waldwick          NJ      12/01/2010        01/01/2011            7        12/16/2010    12/23/2010
92    Kramer Electronics           Hampton           NJ      12/01/2010        01/01/2011            2        12/16/2010    12/23/2010
      Lakeview Subacute Care
93                                 Wayne             NJ      12/01/2010        01/01/2011           61        12/16/2010    12/23/2010
      Center
      Langan Engineering and
94                                 Elmwood Park      NJ      12/01/2010        01/01/2011           51        12/16/2010    12/23/2010
      Financial Services, Inc.
95    LBDD                         Douglaston        NY      12/01/2010        01/01/2011            5        12/16/2010    12/23/2010
96    League of Minnesota Cities   Minneapolis       MN      11/30/2010        01/01/2011           70        12/15/2010    12/23/2010
      Leisure Properties LLC
97                                 West Frankfort     IL     12/08/2010        06/01/2011          158        12/17/2010    12/23/2010
      d/b/a/ Crownline Boats
      Liberty House Nursing
98                                 Jersey City       NJ      12/01/2010        01/01/2011           15        12/16/2010    12/23/2010
      Home
 99   Lifetime Assistance, Inc     Rochester         NY      12/01/2010        07/15/2011          1,344      12/20/2010    12/23/2010
100   Lincoln Hall                 Lincolndale       NY      12/01/2010        01/01/2011           296       12/16/2010    12/23/2010
      Mamiya America
101                                Elmsford          NY      12/01/2010        01/01/2011           26        12/16/2010    12/23/2010
      Corporation
      Mandt Reiss & Associates
102                                Brainerd          MN      11/20/2010        01/01/2011            4        12/10/2010    12/23/2010
      PLLC
      Margaret P. Muscarelle
103                                Garfield          NJ      12/01/2010        01/01/2011           13        12/16/2010    12/23/2010
      Child Dev. Center
104   Micelli Motors Inc.          Newark            NJ      12/01/2010        01/01/2011            3        12/16/2010    12/23/2010
105   Midwest Teamsters HRA        Minneapolis       MN      12/01/2010        01/01/2011          1,315      12/13/2010    12/23/2010
106   Monroe County                Rochester         NY      12/01/2010        01/01/2011           719       12/14/2010    12/23/2010
      Nassau County Chapter
107                                Brookville        NY      11/30/2010        01/01/2011          1,581      12/13/2010    12/23/2010
      NYSARC Inc
108   NCHC Inc.                    Newark            NJ      12/01/2010        01/01/2011           14        12/16/2010    12/23/2010
109   NJ Society of CPAs           Roseland          NJ      12/01/2010        01/01/2011          74         12/16/2010    12/23/2010
110   North Greece Fire District   Rochester         NY      11/18/2010        01/01/2011          110        12/13/2010    12/23/2010
      Ogontz Avenue
111                                Philadelphia      PA      12/01/2010        01/01/2011           32        12/16/2010    12/23/2010
      Revitalization Corporation
112   Parkview Care and Rehab      Massapequa        NY      12/01/2010        01/01/2011           18        12/16/2010    12/23/2010
113   PCB Machining Solutions      Depew             NY      11/30/2010        01/01/2011           60        12/13/2010    12/23/2010
114   PCB Piezotronics             Depew             NY      11/30/2010        01/01/2011          700        12/13/2010    12/23/2010
                                                                                                             Application
                                                            Application                         Number of                   Waiver
              Applicant                     City   State*                 Plan Effective Date               Completed by
                                                             Received                           Enrollees                  Approved
                                                                                                              Applicant
      Philadelphia Macaroni
115                                 Warminster      PA      12/01/2010        01/01/2011            4        12/16/2010    12/23/2010
      Company
116   Phoenix Partners Group LP     New York        NY      12/01/2010        01/01/2011            2        12/16/2010    12/23/2010
117   Privilege Underwriters Inc.   White Plains    NY      12/01/2010        01/01/2011           75        12/16/2010    12/23/2010
118   Progressive AE                Grand Rapids    MI      12/01/2010        01/01/2011           81        12/13/2010    12/23/2010
      Quadrant Capital Advisors,
119                                 New York        NY      12/01/2010        01/01/2011           19        12/16/2010    12/23/2010
      Inc.
      Regency Management
120                                 Somerset        NJ      12/01/2010        01/01/2011            8        12/16/2010    12/23/2010
      Group LLC
                                    Huntington
121   Rhoads Industries                             PA      12/01/2010        01/01/2011           71        12/16/2010    12/23/2010
                                    Valley
122   Rowe and Company, Inc.        Andover         NJ      12/01/2010        01/01/2011            5        12/16/2010    12/23/2010
      Rush-Henrietta Central
123                                 Henrietta       NY      11/30/2010        07/01/2011          1,327      12/21/2010    12/23/2010
      School District HRA
124   Seneca Cayuga ARC             Waterloo        NY      11/24/2010        01/01/2011          1,187      12/13/2010    12/23/2010
125   Sierra Video Systems          Nevada City     CA      12/01/2010        01/01/2011             6       12/16/2010    12/23/2010
126   SMEG                          Douglaston      NY      12/01/2010        01/01/2011             2       12/16/2010    12/23/2010
127   Strategic Industries          Chatham         NJ      12/01/2010        01/01/2011             6       12/16/2010    12/23/2010
128   Techno Source USA             New York        NY      12/01/2010        01/01/2011            16       12/16/2010    12/23/2010
      The Alternative Living
129                                 Albany          NY      12/01/2010        01/01/2011          170        12/16/2010    12/23/2010
      Group, Inc.
130   The Anthem, LLC               New York        NY      12/13/2010        01/01/2011           36        12/13/2010    12/23/2010
      The Arc Otsego, Otsego
131   County Chapter, NYSARC,       Oneonta         NY      11/22/2010        01/01/2011          535        12/17/2010    12/23/2010
      Inc.
132   The Henry Luce Foundation     New York        NY      12/01/2010        01/01/2011           13        12/16/2010    12/23/2010
      The Maritime Aquarium of
133                                 Norwalk         CT      12/01/2010        01/01/2011           39        12/16/2010    12/23/2010
      Norwalk, Inc.
134   The Rehabilitation Center     Olean           NY      12/06/2010        01/01/2011          442        12/23/2010    12/23/2010
      The Robert Wood Johnson
135                                 Princeton       NJ      12/01/2010        01/01/2011          223        12/16/2010    12/23/2010
      Foundation
136   Topco                         Elizabeth       NJ      12/01/2010        01/01/2011           24        12/16/2010    12/23/2010
137   Totino-Grace High School      Fridley         MN      11/30/2010        01/01/2011           94        12/17/2010    12/23/2010
138   Town of Grand Island          Grand Island    NY      11/19/2010        12/01/2010           84        12/02/2010    12/23/2010
139   Ulysses Management            New York        NY      12/13/2010        01/01/2011           30        12/16/2010    12/23/2010
140   Urstadt Biddle Properties     Greenwich       CT      12/01/2010        01/01/2011           34        12/16/2010    12/23/2010
141   W.H. Reaves & Co. Inc.        Jersey City     NJ      12/01/2010        01/01/2011           27        12/16/2010    12/23/2010
                                                                                                            Application
                                                           Application                         Number of                   Waiver
              Applicant                    City   State*                 Plan Effective Date               Completed by
                                                            Received                           Enrollees                  Approved
                                                                                                             Applicant
      Walder, Hayden & Brogan,
142                               Roseland         NJ      12/01/2010        01/01/2011           37        12/16/2010    12/23/2010
      PA
143   Wellspring Advisors         New York         NY      12/01/2010        01/01/2011           27        12/16/2010    12/23/2010
      West Bergen Mental
144                               Ridgewood        NJ      12/01/2010        01/01/2011          110        12/16/2010    12/23/2010
      Healthcare
145   Westchester ARC             Hawthorne        NY      12/01/2010        01/01/2011          613        12/16/2010    12/23/2010
146   Westchester JCS             White Plains     NY      12/01/2010        01/01/2011          274        12/16/2010    12/23/2010
147   Western Beef                Ridgewood        NY      12/01/2010        01/01/2011          815        12/16/2010    12/23/2010
148   A-1 Transport               Eau Claire       WI      12/01/2010        01/01/2011           38        12/22/2010    12/29/2010
      AIDS Council of
149                               Albany           NY      11/30/2010        01/01/2011           78        12/22/2010    12/29/2010
      Northeastern New York
      Avon Central School
150                               Avon             NY      12/01/2010        07/01/2011            6        12/20/2010    12/29/2010
      District
151   Azeros Health Plans, Inc.   Williamsville    NY      12/01/2010        01/01/2011            36       12/20/2010    12/29/2010
152   Benton County               Foley            MN      12/03/2010        01/01/2011           200       12/20/2010    12/29/2010
153   Bessey Tools, Inc.          Leroy            NY      12/01/2010        01/01/2011             6       12/20/2010    12/29/2010
154   Canandaigua City Schools    Canandaigua      NY      12/01/2010        10/01/2010          1,058      12/22/2010    12/29/2010
155   City of Eagan               Minneapolis      MN      11/30/2010        01/01/2011           120       12/22/2010    12/29/2010
      City of Shakopee Post-
156   Employment Health Care      Shakopee         MN      11/30/2010        01/01/2011          153        12/15/2010    12/29/2010
      Savings Account Plan
      Community Work and
157                               Queensbury       NY      11/30/2010        01/01/2011          382        12/17/2010    12/29/2010
      Independence Inc.
      Continuing Developmental
158                               Rochester        NY      11/30/2010        01/01/2011          623        12/14/2010    12/29/2010
      Services
159   CUAnswers Inc.              Grand Rapids     MI      11/30/2010        01/01/2011          152        12/23/2010    12/29/2010
      Euromarket Designs Inc.
160                               Northbrook        IL     12/01/2010        01/01/2011          3,452      12/01/2010    12/29/2010
      d/b/a Crate and Barrel
      First National Bank of
161                               Dietericl         IL     11/30/2010        01/01/2011           51        12/20/2010    12/29/2010
      Dietrerich
162   Franziska Racker Centers    Ithaca           NY      11/30/2010        01/01/2011          795        12/22/2010    12/29/2010
      Fridley Public Schools
163                               Fridley          MN      11/30/2010        01/01/2011           79        12/21/2010    12/29/2010
      Health Savings Plan
      FSA/SUNYAB-Campus
164                               Buffalo          NY      12/01/2010        12/01/2010           67        12/20/2010    12/29/2010
      Dining and Shops
165   Genesee County ARC          Batavia          NY      12/01/2010        01/01/2011          254        12/20/2010    12/29/2010
      Grand Island Central
166                               Grand Island     NY      12/01/2010        09/01/2011          507        12/20/2010    12/29/2010
      School District
                                                                                                             Application
                                                            Application                         Number of                   Waiver
              Applicant                     City   State*                 Plan Effective Date               Completed by
                                                             Received                           Enrollees                  Approved
                                                                                                              Applicant
      Hammondsport Central
167                                 Hammondsport    NY      12/01/2010        07/01/2011           67        12/20/2010    12/29/2010
      School District
168   Imperial Wholesale Inc.       Buffalo         NY      12/01/2010        01/01/2011           14        12/20/2010    12/29/2010
      Learning Disabilities
169   Association of Western        Kenmore         NY      11/30/2010        01/01/2011           90        12/20/2010    12/29/2010
      New York
      Minnesota State Retirement
      System Post-Employment
170                                 Roseville       MN      12/01/2010        01/01/2011          280        12/20/2010    12/29/2010
      Health Care Savings Plan -
      City of Roseville
      Naples Central School
171                                 Naples          NY      12/01/2010        10/01/2010          151        12/20/2010    12/29/2010
      District
      Naples Central School
172                                 Naples          NY      12/01/2010        07/01/2011          113        12/20/2010    12/29/2010
      District Support Staff
      Newark Central School
173                                 Newark          NY      12/01/2010        07/01/2011          436        12/20/2010    12/29/2010
      District
      Niagara-Wheatfield Central
174                                 Sanborn         NY      12/01/2010        07/01/2011           72        12/20/2010    12/29/2010
      School District Self Funded
      Panama Central School
175                                 Panama          NY      12/01/2010        07/01/2011           20        12/20/2010    12/29/2010
      District
      People 1st Health
176                                 Fort Wayne      IN      11/30/2010        01/01/2011            9        11/30/2010    12/29/2010
      Strategies Inc.
      Pipe Fitters' Welfare Fund,
177                                 Chicago          IL     12/17/2010        01/01/2011          709        12/22/2010    12/29/2010
      Local 597
      Ron Clark Construction
178   Health Reimbursement          Edina           MN      11/30/2010        01/01/2011           18        12/20/2010    12/29/2010
      Arrangement
179   Schoharie County ARC          Schoharie       NY      11/22/2010        01/01/2011          392        12/22/2010    12/29/2010
      Sherman Central School
180                                 Sherman         NY      12/01/2010        09/01/2011           59        12/20/2010    12/29/2010
      District
      Silver Creek Central School
181                                 Silver Creek    NY      12/01/2010        09/01/2011          106        12/20/2010    12/29/2010
      District
      Sodus Central School
182                                 Sodus           NY      12/01/2010        09/01/2011          122        12/20/2010    12/29/2010
      District
183   Telco Construction, Inc.      East Aurora     NY      12/01/2010        01/01/2011           15        12/20/2010    12/29/2010
184   Town of Albion                Albion          NY      12/01/2010        01/01/2011            5        12/20/2010    12/29/2010
185   Town of Chenango              Binghamton      NY      12/01/2010        01/01/2011           41        12/20/2010    12/29/2010
186   Town of Lockport              Batavia         NY      12/01/2010        01/01/2011           42        12/20/2010    12/29/2010
                                                                                                                    Application
                                                                   Application                         Number of                   Waiver
                Applicant                      City       State*                 Plan Effective Date               Completed by
                                                                    Received                           Enrollees                  Approved
                                                                                                                     Applicant
      Twin City Die Castings
187                                      Minneapolis       MN      11/19/2010        01/01/2011          148        12/22/2010    12/29/2010
      Company
      Western Area Volunteer
188                                      Camillus          NY      12/04/2010        01/01/2011           30        12/22/2010    12/29/2010
      Emergency Services, Inc.
189   Westfield Academy                  Westfield         NY      12/01/2010        09/01/2011           53        12/22/2010    12/29/2010
      Williamson Central School
190                                      Williamson        NY      12/01/2010        07/01/2011          278        12/20/2010    12/29/2010
      District
      Alpha Omega Home Health
191                                      Pigeon            MI      11/30/2010        10/01/2010          150        12/13/2010    12/30/2010
      LLC
      Bowman Sheet Metal
192                                      Buffalo           MN      12/23/2010        01/01/2011            4        12/28/2010    12/30/2010
      Heating & Air-conditioning
      Bridge Structural
      Ornamental & Reinforcing
193                                      Syracuse          NY      12/01/2010        07/01/2011          290        12/21/2010    12/30/2010
      Ironworkers Local Union
      No. 60
      Catholic Charities of the
194                                      Albany            NY      12/02/2010        01/01/2011          201        12/27/2010    12/30/2010
      Diocese of Albany
      City of Bloomington VEBA
195                                      Bloomington       MN      11/30/2010        01/01/2011          750        12/29/2010    12/30/2010
      Health Savings Plan
196   City of Burnsville                 Burnsville        MN      11/30/2010        01/01/2011           290       12/29/2010    12/30/2010
197   City of Olathe                     Olathe            KS      12/01/2010        01/01/2011           624       12/14/2010    12/30/2010
198   Crystal Cabinet Works Inc.         Minneapolis       MN      11/30/2010        07/01/2011           353       12/22/2010    12/30/2010
199   Crystal Run Village Inc            Middletown        NY      12/04/2010        12/01/2010          1,350      12/21/2010    12/30/2010
200   Discovery Benefits                 Fargo             ND      11/30/2010        01/01/2011          3,739      12/27/2010    12/30/2010
201   Dr. Trailer Repair Inc.            Tonawanda         NY      11/10/2010        01/01/2011            18       11/22/2010    12/30/2010
      Genesee County Economic
202   Development Corp Health            Batavia           NY      12/01/2010        01/01/2011            9        12/20/2010    12/30/2010
      Reimbursement Account
203   Heritage Christian Services        East Rochester    NY      11/30/2010        01/01/2011          4,662      12/27/2010    12/30/2010
204   Integrity Data of Illinois, Inc.   Lincoln           IL      12/01/2010        01/01/2011            24       12/27/2010    12/30/2010
      Jefferson Rehabilitation
205                                      Watertown         NY      11/30/2010        01/01/2011          237        12/27/2010    12/30/2010
      Center
206   McGregor Schools ISD #4            McGregor          MN      12/22/2010        01/01/2011           38        12/27/2010    12/30/2010
      Mounds View Public
207                                      Shore View        MN      12/03/2010        01/01/2011           76        12/27/2010    12/30/2010
      Schools
208   North State Bank                   Raleigh           NC      11/30/2010        06/01/2011           58        12/21/2010    12/30/2010
209   North States Industries Inc        Blaine            MN      12/03/2010        02/01/2011           92        12/28/2010    12/30/2010
210   Pathways Inc. HRA                  Corning           NY      11/30/2010        01/01/2011           55        12/16/2010    12/30/2010
                                                                                                                Application
                                                               Application                         Number of                   Waiver
               Applicant                   City       State*                 Plan Effective Date               Completed by
                                                                Received                           Enrollees                  Approved
                                                                                                                 Applicant
211   Schenectady ARC               Schenectady        NY      11/30/2010        01/01/2011          514        12/01/2010    12/30/2010
212   Sieben Polk Law Firm          Hastings           MN      11/19/2010        10/01/2010           3         12/23/2010    12/30/2010
      Springbrook Standalone
213                                 Oneonta            NY      11/30/2010        01/01/2011          524        12/23/2010    12/30/2010
      HRA
      The University Financing
214                                 Atlanta            GA      11/30/2010        01/01/2011            8        12/10/2010    12/30/2010
      Foundation, Inc.
      Anoka Hennepin Credit
215                                 Coon Rapids        MN      11/19/2010        01/01/2011           15        12/02/2010    01/06/2011
      Union
216   Akron Central Schools         Akron              NY      12/06/2010        01/01/2011           152       01/04/2011    01/12/2011
217   Allegany Arc                  Wellsville         NY      12/16/2010        01/01/2011           713       01/03/2011    01/12/2011
218   Alzheimer's Association       Rochester          NY      11/30/2010        01/01/2011            52       01/03/2011    01/12/2011
219   Arc of Onondaga               Syracuse           NY      12/08/2010        01/01/2011          1,139      01/03/2011    01/12/2011
      Building Material Supply,
220                                 Golden Valley      MN      12/01/2010        01/01/2011            2        01/03/2011    01/12/2011
      Inc.
221   Capital Newspapers            Madison            WI      12/06/2010        01/01/2011          363        01/04/2011    01/12/2011
      Catholic Guardian Society
222                                 New York           NY      12/06/2010        01/01/2011          466        01/04/2011    01/12/2011
      and Home Bureau
                                                                                                                              01/12/2011
223   Chenango County ARC           Norwich            NY      12/15/2010        01/01/2011          287        12/17/2010
                                                                                                                              01/24/2011
      Churchville-Chili Central
224                                 Churchville        NY      12/06/2010        01/01/2011           32        01/04/2011    01/12/2011
      School District
                                    City of
225   City of Shoreview                                MN      11/29/2010        01/01/2011           79        12/23/2010    01/12/2011
                                    Shoreview
                                    South Lake
226   City of South Lake Tahoe                         CA      12/13/2010        01/01/2011           56        01/04/2011    01/12/2011
                                    Tahoe
227   Dutchess ARC                  Pleasant Valley    NY      12/06/2010        01/01/2011          304        01/04/2011    01/12/2011
      Eden II School for Autistic
228                                 Hauppauge          NY      12/01/2010        01/01/2011          178        01/03/2011    01/12/2011
      Children, Inc.
      NYSARC, INC, Chemung
229                                 Elmira             NY      12/21/2010        12/01/2010          262        12/30/2010    01/12/2011
      Chapter
      Orchard Park Central
230                                 Orchard Park       NY      12/06/2010        01/01/2011          600        01/04/2011    01/12/2011
      School District
      Oswego County Health and
231                                 Oswego             NY      12/06/2010        01/01/2011          131        01/04/2011    01/12/2011
      Welfare
      The ARC of Orleans
232                                 Albion             NY      12/06/2010        01/01/2011          205        01/04/2011    01/12/2011
      County
      The Arc of Rensselaer
233                                 Troy               NY      11/22/2010        01/01/2011          825        12/16/2010    01/12/2011
      County
234   The Arc of Schuyler           Watkins Glen       NY      12/15/2010        01/01/2011          304        12/17/2010    01/12/2011
                                                                                                             Application
                                                            Application                         Number of                   Waiver
              Applicant                    City    State*                 Plan Effective Date               Completed by
                                                             Received                           Enrollees                  Approved
                                                                                                              Applicant
235   Town of Lysander             Baldwinsville    NY      12/06/2010        01/01/2011            22       01/04/2011    01/12/2011
236   Ulster Greene ARC            Kingston         NY      11/23/2010        01/01/2011          2,072      12/23/2010    01/12/2011
237   Unifrax I LLC                Niagara Falls    NY      12/06/2010        01/01/2011          1,543      01/04/2011    01/12/2011
      Unity House of Cayuga
238                                Auburn           NY      12/27/2010        01/01/2011          175        01/04/2011    01/12/2011
      County, Inc.
      Wayne County Sheriff's
239   Police Employees             Lyons            NY      12/22/2010        01/01/2011          317        12/30/2010    01/12/2011
      Association
240   Arc of Monroe County         Rochester        NY      11/24/2010        01/01/2011          1,202      01/04/2011    01/20/2011
241   ARC of Rockland              Congers          NY      12/14/2010        01/01/2011           567       01/10/2011    01/20/2011
242   ARC of Yates                 Penn Yan         NY      12/16/2010        01/01/2011           170       01/07/2011    01/20/2011
243   Brainerd Public Schools      Brainered        MN      12/08/2010        01/01/2011            42       01/10/2011    01/20/2011
244   Coach Crafters               Tavers           FL      12/15/2010        01/01/2011            24       01/07/2011    01/20/2011
245   Electrosynthesis             Lancaster        NY      12/16/2010        01/01/2011             3       01/10/2011    01/20/2011
246   Haldeman-Homme               Minneapolis      MN      12/08/2010        01/01/2011            38       01/07/2011    01/20/2011
      Harold C. Brown & Co.,
247                                Buffalo          NY      12/07/2010        01/01/2011           16        01/10/2011    01/20/2011
      LLC
      Kenmore-Town of                                                         01/01/2011
248                                Buffalo          NY      12/13/2010                            1,133      01/10/2011    01/20/2011
      Tonawanda School District                                               07/01/2011
      Midwest Performance
249                                Gary             SD      12/13/2010        01/01/2011           11        01/07/2011    01/20/2011
      Converter
      Monroe County Special
250   Insurance Incentive          Rochester        NY      12/01/2010        10/01/2010          147        01/11/2011    01/20/2011
      Program
251   Nelson Numeric, Inc.         Bloomington      MN      11/19/2010        07/01/2011           36        01/11/2011    01/20/2011
      Niagara-Wheatfield Central
252                                Sanborn          NY      12/01/2010        07/01/2011          386        01/05/2011    01/20/2011
      School District
      Putnam County Chapter
253                                Brewster         NY      12/13/2010        01/01/2011          365        01/07/2011    01/20/2011
      NYSARC, Inc.
254   Sessler Wrecking             Waterloo         NY      12/16/2010        01/01/2011           31        01/07/2011    01/20/2011
255   Seton Imaging                Amherst          NY      12/07/2010        02/01/2011           45        01/07/2011    01/20/2011
      South Washington County
256                                Cottage Grove    MN      12/01/2010        01/01/2011           21        01/11/2011    01/20/2011
      Schools
257   The Adirondack ARC           Tupper Lake      NY      12/10/2010        01/01/2011          340        01/07/2011    01/20/2011
258   The Village of Newark        Newark           NY      11/15/2010        01/01/2011           66        01/10/2011    01/20/2011
259   Union Bank &Trust Co.        Oxford           NC      12/13/2010        01/01/2011           36        01/07/2011    01/20/2011
      Ambulatory Medical
260                                Amherst          NY      12/06/2010        01/01/2011            9        01/14/2011    01/31/2011
      Anesthesia Services, PC
                                                                                                              Application
                                                             Application                         Number of                   Waiver
              Applicant                     City    State*                 Plan Effective Date               Completed by
                                                              Received                           Enrollees                  Approved
                                                                                                               Applicant
      Arise Child and Family
261                                Syracuse          NY      12/20/2010        01/01/2011          225        01/18/2011    01/31/2011
      Service
      Capital Region Urological
262                                Albany            NY      12/20/2010        01/01/2011           14        01/18/2011    01/31/2011
      Surgeons, PLLC
263   Coverco Inc                  Grand Island      NY      12/08/2010        03/01/2011            9        01/14/2011    01/31/2011
      Great River Regional
264                                St. Cloud         MN      12/17/2010        01/01/2011           15        01/14/2011    01/31/2011
      Library
265   Ideacom Mid-America, Inc.    St. Paul          MN      12/16/2010        01/01/2011           68        01/14/2011    01/31/2011
      Progressive Machine and
266                                Victor            NY      12/06/2010        01/01/2011           16        12/28/2010    01/31/2011
      Design, LLC HRA
267   Sullivan ARC                 Monticello        NY      12/16/2010        01/01/2011          527        01/14/2011    01/31/2011
268   Tapemark Company             St. Paul          MN      12/17/2010        01/01/2011          144        01/14/2011    01/31/2011
269   University of the Pacific    Stockton          CA      12/15/2010        01/01/2011           22        01/14/2011    01/31/2011
      Anderson Center For
270                                Staatsburg        NY      12/29/2010        01/01/2011          578        01/24/2011    02/02/2011
      Autism
271   City of St. Louis Park       St. Louis Park    MN      11/30/2010        01/01/2011          127        01/24/2011    02/02/2011
      Minnesota
272                                St. Paul          MN      11/22/2010        01/01/2011          355        01/21/2011    02/02/2011
      Gastroenterology
      Ontario County Chapter,
273                                Canandaigua       NY      12/01/2010        01/01/2011          500        01/21/2011    02/02/2011
      NYSARC, Inc HRA
      Parkside Medical
274                                Buffalo           NY      12/06/2010        01/01/2011           91        01/14/2011    02/02/2011
      Anesthesia Associates, PC
      Prospect Child and Family
275                                Queensbury        NY      12/06/2010        01/01/2011          303        01/13/2011    02/02/2011
      Center
      Saratoga Bridges
276   NYSARC, Inc. Saragota        Ballston Spa      NY      01/21/2011        01/01/2011          1,362      01/21/2011    02/02/2011
      County Chapter
      St. Lawrence NYSARC
277   Standalone Section 105       Canton            NY      11/29/2010        01/01/2011          2,374      01/24/2011    02/02/2011
      Plan
      The ARC of Livingston-
278                                Mt. Morris        NY      12/28/2010        01/01/2011          909        01/21/2011    02/02/2011
      Wyoming
279   The Gymboree Corporation     San Francisco     CA      12/03/2010        01/01/2011           54        01/21/2011    02/02/2011
280   Claddagh Commission, Inc.    Derby             NY      01/03/2011        03/01/2011          548        02/01/2011    02/10/2011
      Mohawk Valley Community
281                                Utica             NY      01/31/2011        01/01/2011          348        02/02/2011    02/10/2011
      Action Agency
      Community Services for the
282                                Buffalo           NY      01/03/2011        03/01/2011          1,007      02/04/2011    02/14/2011
      Developmentally Disabled
                                                                                                                Application
                                                               Application                         Number of                   Waiver
              Applicant                    City       State*                 Plan Effective Date               Completed by
                                                                Received                           Enrollees                  Approved
                                                                                                                 Applicant
      Mayfield Central School
283                                  Mayfield          NY      12/06/2010        07/01/2011          155        01/25/2011    02/14/2011
      District
      Opportunities Unlimited of
284                                  Niagara Falls     NY      12/28/2010        03/01/2011          913        01/25/2011    02/14/2011
      Niagara
      Salem Central School
285                                  Salem             NY      12/06/2010        10/01/2010           14        01/25/2011    02/14/2011
      District
286   Bernstein Financial            Great Neck        NY      01/27/2011        01/01/2011           12        02/10/2011    02/15/2011
287   Carlton County                 Carlton           MN      11/22/2010        01/01/2011          273        01/25/2011    02/15/2011
288   City of Maplewood              Maplewood         MN      11/29/2010        01/01/2011          175        01/25/2011    02/15/2011
      Collaborative Support
289                                  Freehold          NJ      01/27/2011        01/01/2011          102        02/10/2011    02/15/2011
      Programs of NJ
290   Cool Wind Ventilation Corp     Glendale          NY      01/27/2011        02/01/2011            8        02/10/2011    02/15/2011
291   DeCamp Bus Lines               Montclair         NJ      01/27/2011        01/01/2011           96        02/10/2011    02/15/2011
      Doorstep Healthcare
292                                  St. Louis Park    MN      11/30/2010        10/01/2010            9        01/25/2011    02/15/2011
      Services
293   Easthill Group, Inc.           Pottstown         PA      01/27/2011        03/01/2011           44        02/10/2011    02/15/2011
      Engineered Network
294                                  Burnsville        MN      11/22/2010        01/01/2011           28        01/25/2011    02/15/2011
      Systems
295   Fabric Save A Thon             New York          NY      01/27/2011        03/01/2011            6        02/10/2011    02/15/2011
      Girl Scouts of Nassau
296                                  Garden City       NY      01/27/2011        02/01/2011           26        02/10/2011    02/15/2011
      County
297   Innworks, Inc.                 Roseville         MN      11/22/2010        01/01/2011            7        01/25/2011    02/15/2011
      Meridian Trust Federal
298                                  Cheyenne          WY      01/21/2011        07/01/2011          170        01/21/2011    02/15/2011
      Credit Union
      Midwest Asphalt
299                                  Hopkins           MN      11/22/2010        01/01/2011           47        01/25/2011    02/15/2011
      Corporation
      Optometric Eye Care
300                                  Fridley           MN      11/30/2010        01/01/2011           20        01/25/2011    02/15/2011
      Center
301   Perbix Machine Company         Golden Valley     MN      11/30/2010        01/01/2011           44        01/25/2011    02/15/2011
302   Prescott Super 8 Motel, Ltd.   Roseville         MN      11/22/2010        01/01/2011            7        01/25/2011    02/15/2011
303   Printing Enterprises, Inc.     New Brighton      MN      11/29/2010        05/01/2011           15        01/25/2011    02/15/2011
      QA1 Precision Products,
304                                  Lakeville         MN      11/30/2010        01/01/2011           15        01/25/2011    02/15/2011
      Inc.
      Richter & Ratner
305                                  New York          NY      01/27/2011        02/01/2011           13        02/10/2011    02/15/2011
      Contracting Corporation
306   Sapphire Office Solutions      Jericho           NY      01/27/2011        03/01/2011            9        02/10/2011    02/15/2011
      The Eye Bank for Sight
307                                  New York          NY      01/27/2011        01/01/2011           27        02/10/2011    02/15/2011
      Restoration
308   Trans Western Polymers         Tamaqua           PA      01/27/2011        02/01/2011          179        02/10/2011    02/15/2011
                                                                                                                Application
                                                               Application                         Number of                   Waiver
              Applicant                     City      State*                 Plan Effective Date               Completed by
                                                                Received                           Enrollees                  Approved
                                                                                                                 Applicant
309   United Bank for Africa        New York           NY      01/27/2011        02/01/2011          26         02/10/2011    02/15/2011
310   Winsor Learning               St. Paul           MN      11/29/2010        08/01/2011           8         01/25/2011    02/15/2011
311   Baker Victory Services        Lackawanna         NY      12/17/2010        01/01/2011          265        12/20/2010    02/16/2011
      Brooklyn Center Schools
312                                 Brooklyn Center    MN      01/20/2011        10/01/2010           90        01/25/2011    02/16/2011
      #286
313   Broome Tioga County           Binghamton         NY      01/28/2011        05/01/2011          536        01/28/2011    02/16/2011
      Painting Industry Insurance
314                                 New York           NY      11/30/2010        01/01/2011          278        02/04/2011    02/16/2011
      Fund
      PPS Pension and Financial
315                                 Buffalo            NY      12/21/2010        01/01/2011            5        01/24/2011    02/16/2011
      Services
      Suburban Adult Services,
316                                 Elma               NY      01/14/2011        01/01/2011          981        02/10/2011    02/16/2011
      Inc.
      Wisconsin Reinsurance
317                                 Madison            WI      12/06/2010        01/01/2011           74        01/31/2011    02/16/2011
      Corporation HRA
318   Owakihi Inc.                  West St. Paul      MN      01/19/2011        11/01/2010           35        02/15/2011    02/28/2011
      The Arc, Oneida-Lewis
319                                 Utica              NY      01/13/2011        05/01/2011          888        02/22/2011    02/28/2011
      Chapter, NYSARC
      New Horizons Resources,
320                                 Pleasant Valley    NY      01/12/2011        12/01/2010          311        02/22/2011    03/01/2011
      Inc
      Able2 Standalone Health
321   Reimursement                  Elmira             NY      02/14/2011        04/01/2011          777        02/14/2011    03/02/2011
      Arrangement
322   Bang Printing                 Brainerd           MN      02/24/2011        04/01/2011          125        02/28/2011    03/02/2011
      Epilepsy Foundation of
323   Rochester, Syracuse and       Rochester          NY      01/27/2011        01/01/2011           80        02/24/2011    03/02/2011
      Binghamton
324   Metropolitan Cardiology       Coon Rapids        MN      02/14/2011        01/01/2011            95       02/24/2011    03/02/2011
325   Robbinsdale Area Schools      New Hope           MN      12/21/2010        01/01/2011          2,108      12/21/2010    03/02/2011
      Sweetwater County School
326                                 Green River        WY      01/28/2011        09/01/2011          293        01/28/2011    03/02/2011
      District No. 2
                                                                                 01/01/2011
327   City of Rochester HRA         Rochester          NY      01/12/2011                            7,650      03/01/2011    03/07/2011
                                                                                 09/01/2011
      Mary Cariola Children's
328                                 Rochester          NY      12/31/2010        01/01/2011          277        02/24/2011    03/08/2011
      Center
      Dareware Corporation
329   Health Reimbursement          Manteo             NC      12/02/2010        05/01/2011           71        12/17/2010    3/11/2011
      Arrangement
330   CP Rochester                  Rochester          NY      02/21/2011        01/01/2011          100        03/14/2011    03/17/2011
331   Digi International            Minnetonka         MN      02/04/2011        01/01/2011          402        03/11/2011    03/17/2011
                                                                                                                 Application
                                                                Application                         Number of                   Waiver
               Applicant                  City         State*                 Plan Effective Date               Completed by
                                                                 Received                           Enrollees                  Approved
                                                                                                                  Applicant
      OHEL Children's Home &
332                                  Brooklyn           NY      02/03/2011        01/01/2011          908        03/11/2011    03/17/2011
      Family Services
333   Rockford Public Schools        Minneapolis        MN      01/25/2011        01/01/2011          124        03/14/2011    03/17/2011
      Herkimer County Chapter
334                                  Herkimer           NY      02/25/2011        04/01/2011          867        03/17/2011    03/30/2011
      NYSARC, Inc.
335   New River Medical Center       Monticello         MN      01/27/2011        01/01/2011          313        03/04/2011    03/30/2011
336   City of Lakeville              Lakeville          MN      11/24/2010        01/01/2011          124        03/24/2011    03/31/2011
337   Diversified Industries, Inc.   Brooklyn Center    MN      03/22/2011        01/01/2011           21        03/22/2011    03/31/2011
338   Dr. Dawg/RMI                   Manitowoc          WI      03/10/2011        01/01/2011            2        03/22/2011    03/31/2011
      Lakeside Packaging Plus,
339                                  Neenah             WI      11/24/2010        01/01/2011           20        03/24/2011    03/31/2011
      Inc.
      Mankato Rehabilitation
340                                  Mankato            MN      03/22/2011        01/01/2011           66        03/22/2011    03/31/2011
      Center, Inc.
341   Modern Aero, Inc               Eden Prairie       MN      03/22/2011        01/01/2011           24        03/22/2011    03/31/2011
342   Petenwell Industries, LLC      Necedah            WI      03/09/2011        01/01/2011           10        03/22/2011    03/31/2011
343   Philips Ace Hardware, Inc.     Valparaiso         IN      03/09/2011        01/01/2011            7        03/22/2011    03/31/2011
      Sierra Corporation-TK
344                                  Minnetonka         MN      03/22/2011        02/01/2011           47        03/22/2011    03/31/2011
      Products
345   Town of Mendon                 Honeoye Falls      NY      01/12/2011        01/01/2011           62        02/11/2011    03/31/2011
346   Accelerator Corporation        Seattle            WA      01/19/2011        01/01/2011            5        03/23/2011    04/04/2011
      Alliant International
347                                  San Francisco      CA      01/19/2011        01/01/2011           59        03/23/2011    04/04/2011
      University
348   Allozyne, Inc.                 Seattle            WA      01/19/2011        01/01/2011           23        03/23/2011    04/04/2011
349   Alta Refrigeration             Peachtree City     GA      01/19/2011        01/01/2011           52        03/23/2011    04/04/2011
350   Anchorage Chrysler Center      Anchorage          AK      01/19/2011        01/01/2011            7        03/23/2011    04/04/2011
351   Arcadia Health Care            San Jose           CA      01/19/2011        01/01/2011          218        03/23/2011    04/04/2011
352   Aunt Ann's Home Care           Daly City          CA      01/19/2011        01/01/2011           48        03/23/2011    04/04/2011
353   Bare Essentials Beauty         San Francisco      CA      01/19/2011        01/01/2011           48        03/23/2011    04/04/2011
354   Blondies Pizza, Inc.           Berkeley Beach     CA      01/19/2011        01/01/2011           42        03/23/2011    04/04/2011
355   Blue & Gold Fleet, LP          San Francisco      CA      01/19/2011        01/01/2011           16        03/23/2011    04/04/2011
356   Boboquivari's, LLC             San Francisco      CA      01/19/2011        01/01/2011           32        03/23/2011    04/04/2011
357   Brekkie, Inc.                  San Francisco      CA      01/19/2011        01/01/2011           35        03/23/2011    04/04/2011
358   Café des Amis                  San Francisco      CA      01/19/2011        01/01/2011           94        03/23/2011    04/04/2011
359   Café Mason                     San Francisco      CA      01/19/2011        01/01/2011           42        03/23/2011    04/04/2011
360   Campton Place                  San Francisco      CA      01/19/2011        01/01/2011           33        03/23/2011    04/04/2011
361   Chowders                       San Francisco      CA      01/19/2011        01/01/2011           17        03/23/2011    04/04/2011
362   City of Issaquah               Issaquah           WA      01/19/2011        01/01/2011          182        03/23/2011    04/04/2011
363   City of Puyallup               Puyallup           WA      01/19/2011        01/01/2011          121        03/23/2011    04/04/2011
                                                                                                                Application
                                                               Application                         Number of                   Waiver
               Applicant                    City      State*                 Plan Effective Date               Completed by
                                                                Received                           Enrollees                  Approved
                                                                                                                 Applicant
364   CompWest Insurance              San Francisco    CA      01/19/2011        01/01/2011            4        03/23/2011    04/04/2011
365   Cosmopolitan, The               San Francisco    CA      01/19/2011        01/01/2011           39        03/23/2011    04/04/2011
366   CP Bistro LP (Shalva, Inc.)     San Francisco    CA      01/19/2011        01/01/2011           19        03/23/2011    04/04/2011
367   CPC Calzone's Restaurant        San Francisco    CA      01/19/2011        01/01/2011           58        03/23/2011    04/04/2011
368   Crabhouse                       San Francisco    CA      01/19/2011        01/01/2011           66        03/23/2011    04/04/2011
369   DocuSign, Inc.                  Seattle          WA      01/19/2011        09/01/2011          135        03/23/2011    04/04/2011
      Emporio Rulli at Chestnut
370                                   San Francisco    CA      01/19/2011        01/01/2011           31        03/23/2011    04/04/2011
      Street, Inc.
      EOS Restaurant & Wine
371                                   San Francisco    CA      01/19/2011        01/01/2011           37        03/23/2011    04/04/2011
      Bar
372   ESM Inc.                        San Francisco    CA      01/19/2011        01/01/2011           79        03/23/2011    04/04/2011
373   Fillmore Street Restaurant      San Francisco    CA      01/19/2011        01/01/2011           27        03/23/2011    04/04/2011
374   Franciscan, The                 San Francisco    CA      01/19/2011        01/01/2011           97        03/23/2011    04/04/2011
      Frank & Grossman
375                                   San Francisco    CA      01/19/2011        01/01/2011           76        03/23/2011    04/04/2011
      Landscape Contractors, Inc
376   Fremont Community School        Seattle          WA      01/19/2011        07/01/2011            8        03/23/2011    04/04/2011
377   Fusion Hotel (SF)               San Francisco    CA      01/19/2011        01/01/2011           31        03/23/2011    04/04/2011
378   GAWFCO Enterprises, Inc.        Walnut Creek     CA      01/19/2011        01/01/2011           21        03/23/2011    04/04/2011
      Greater Lakes Mental
379                                   Lakewood         WA      01/19/2011        10/01/2010           37        03/23/2011    04/04/2011
      Healthcare
380   Heffernan Group                 San Francisco    CA      01/19/2011        01/01/2011           28        03/23/2011    04/04/2011
381   Homecare Professionals          Daly City        CA      01/19/2011        01/01/2011           10        03/23/2011    04/04/2011
382   Hotel Nikko (SF)                San Francisco    CA      01/19/2011        01/01/2011           21        03/23/2011    04/04/2011
383   Infusion Lounge                 San Francisco    CA      01/19/2011        01/01/2011           68        03/23/2011    04/04/2011
      Integrated Cleaning             South San
384                                                    CA      01/19/2011        01/01/2011           74        03/23/2011    04/04/2011
      Solutions                       Francisco
      International Pacific Halibut
385                                   Seattle          WA      01/19/2011        01/01/2011           44        03/23/2011    04/04/2011
      Commission
386   International Specialty         Seattle          WA      01/19/2011        01/01/2011           11        03/23/2011    04/04/2011
387   JBear Associates, LLC           San Francisco    CA      01/19/2011        01/01/2011           24        03/23/2011    04/04/2011
      Jewish Children & Family
388                                   San Francisco    CA      01/19/2011        01/01/2011          169        03/23/2011    04/04/2011
      Services
389   Kelly Moore Paint               San Carlos       CA      01/19/2011        01/01/2011           35        03/23/2011    04/04/2011
      King County Fire Protection
390                                   Kenmore          WA      01/19/2011        01/01/2011           46        03/23/2011    04/04/2011
      District No. 16
391   Laiola, LLC                     San Francisco    CA      01/19/2011        01/01/2011           61        03/23/2011    04/04/2011
392   Le Colonial Restaurant          San Francisco    CA      01/19/2011        01/01/2011           56        03/23/2011    04/04/2011
                                                                                                                Application
                                                               Application                         Number of                   Waiver
              Applicant                   City        State*                 Plan Effective Date               Completed by
                                                                Received                           Enrollees                  Approved
                                                                                                                 Applicant
      Lori's Diner International,
393                                  San Francisco     CA      01/19/2011        01/01/2011          231        03/23/2011    04/04/2011
      Inc.
394   Market Bar                     San Francisco     CA      01/19/2011        01/01/2011           67        03/23/2011    04/04/2011
395   Matchkey Corporation           Mountain View     CA      01/19/2011        01/01/2011           18        03/23/2011    04/04/2011
      Meridian Management
396                                  San Francisco     CA      01/19/2011        01/01/2011           36        03/23/2011    04/04/2011
      Group
397   MeteorComm LLC                 Renton            WA      01/19/2011        01/01/2011           50        03/23/2011    04/04/2011
398   Metropolitan Market            Seattle           WA      01/19/2011        01/01/2011           28        03/23/2011    04/04/2011
399   MG 301 Mission LLC             San Francisco     CA      01/19/2011        01/01/2011           70        03/23/2011    04/04/2011
400   Mirina Corporation             Seattle           WA      01/19/2011        01/01/2011            5        03/23/2011    04/04/2011
401   MJSF, LLC (Chez Papa)          San Francisco     CA      01/19/2011        01/01/2011           42        03/23/2011    04/04/2011
      Moor + South Pier
402                                  San Francisco     CA      01/19/2011        01/01/2011            4        03/23/2011    04/04/2011
      Management, LP
403   Nevada Irrigation District     Grass Valley      CA      01/19/2011        01/01/2011          272        03/23/2011    04/04/2011
404   North Beach Pizza              San Francisco     CA      01/19/2011        01/01/2011           26        03/23/2011    04/04/2011
      North Tahoe Public Utilities
405                                  Tahoe Vista       CA      01/19/2011        01/01/2011           55        03/23/2011    04/04/2011
      District
      Northstar Community
406                                  Truckee           WA      01/19/2011        01/01/2011           36        03/23/2011    04/04/2011
      Service District
407   Only In San Francisco          San Francisco     CA      01/19/2011        01/01/2011           34        03/23/2011    04/04/2011
408   Palomino                       Seattle           WA      01/19/2011        01/01/2011           94        03/23/2011    04/04/2011
409   Paula Le Duc                   Emeryville        CA      01/19/2011        01/01/2011           33        03/23/2011    04/04/2011
410   Perdix, Inc.                   San Francisco     CA      01/19/2011        01/01/2011           32        03/23/2011    04/04/2011
411   Pier 39, LP                    San Francisco     CA      01/19/2011        01/01/2011           38        03/23/2011    04/04/2011
412   Pier Restaurants, LP           San Francisco     CA      01/19/2011        01/01/2011           88        03/23/2011    04/04/2011
      Presse LLC dba Café de la
413                                  San Francisco     CA      01/19/2011        01/01/2011           80        03/23/2011    04/04/2011
      Presse
      Professional Healthcare at
414                                  Walnut Creek      CA      01/19/2011        01/01/2011           89        03/23/2011    04/04/2011
      Home LLC
415   Program Navigators, Inc.       Bellevue          WA      01/19/2011        01/01/2011            3        03/23/2011    04/04/2011
416   Rasputin Records, Inc.         Berkeley Beach    CA      01/19/2011        01/01/2011           38        03/23/2011    04/04/2011
417   Reliable Caregivers, Inc.      San Francisco     CA      01/19/2011        01/01/2011          106        03/23/2011    04/04/2011
418   Royal Motor Sales              San Francisco     CA      01/19/2011        01/01/2011          135        03/23/2011    04/04/2011
419   San Francisco Honda            San Francisco     CA      01/19/2011        01/01/2011           33        03/23/2011    04/04/2011
420   SF Mason Restaurants, Inc.     San Francisco     CA      01/19/2011        01/01/2011           26        03/23/2011    04/04/2011
421   Simco Fine Dining              San Francisco     CA      01/19/2011        01/01/2011           86        03/23/2011    04/04/2011
422   Simco Foods, Inc.              San Francisco     CA      01/19/2011        01/01/2011          106        03/23/2011    04/04/2011
423   Simco Restaurants, Inc.        San Francisco     CA      01/19/2011        01/01/2011           91        03/23/2011    04/04/2011
                                                                                                              Application
                                                             Application                         Number of                   Waiver
              Applicant                    City     State*                 Plan Effective Date               Completed by
                                                              Received                           Enrollees                  Approved
                                                                                                               Applicant
424   Skates on the Bay             Seattle          CA      01/19/2011        04/01/2011          121        03/23/2011    04/04/2011
425   South Sound Neurosurgery      Puyallup         WA      01/19/2011        01/01/2011           3         03/23/2011    04/04/2011
      Southern Tier Building
426                                 Jamestown        NY      03/03/2011        05/01/2011          1,228      03/03/2011    04/04/2011
      Trades HRA Welfare Plan
427   SPEEA                         Seattle          WA      01/19/2011        01/01/2011           35        03/23/2011    04/04/2011
428   Spruce Restaurant             San Francisco    CA      01/19/2011        01/01/2011           92        03/23/2011    04/04/2011
      Standard Steel Fabricating
429                                 Seattle          WA      01/19/2011        10/01/2010           21        03/23/2011    04/04/2011
      Company
430   Stinking Rose, The            San Francisco    CA      01/19/2011        01/01/2011           89        03/23/2011    04/04/2011
431   Stratford Hotel               San Francisco    CA      01/19/2011        01/01/2011           24        03/23/2011    04/04/2011
432   Straus Family Creamery        Petaluma         CA      01/19/2011        01/01/2011           11        03/23/2011    04/04/2011
433   The Seattle Aquarium          Seattle          WA      01/19/2011        07/01/2011           40        03/23/2011    04/04/2011
434   TRU Spa Inc.                  San Francisco    CA      01/19/2011        01/01/2011           34        03/23/2011    04/04/2011
435   Vanguard Truck Centers        Atlanta          GA      01/19/2011        02/01/2011            3        03/23/2011    04/04/2011
436   VegiWorks, Inc.               San Francisco    CA      01/19/2011        01/01/2011           18        03/23/2011    04/04/2011
      American Rock Salt
437                                 Mt. Morris       NY      11/08/2010        01/01/2011          600        03/22/2011    04/05/2011
      Company HRA
438   Contract Converting, LLC      Greenville       WI      03/14/2011        07/01/2011           32        03/28/2011    04/12/2011
      Eley-Graham Financial
439                                 Merrillville     IN      03/14/2011        01/01/2011            6        03/28/2011    04/12/2011
      Services
440   Financial Life Cycles, Inc.   Oneida           WI      03/09/2011        01/01/2011            4        03/28/2011    04/12/2011
      Hamann Construction
441                                 Manitowoc        WI      03/14/2011        03/01/2011           23        03/28/2011    04/12/2011
      Company
      Juneau County Economic
442                                 Camp Douglas     WI      03/15/2011        08/01/2011            4        03/28/2011    04/12/2011
      Development Corp.
443   LTX, Inc.                     Rochester        MN      03/14/2011        01/01/2011          153        03/28/2011    04/12/2011
      Northstar Location
444                                 Cheektowaga      NY      03/24/2011        01/01/2011           60        03/28/2011    04/12/2011
      Services, LLC
445   Peoples State Bank            Wausau           WI      03/14/2011        01/01/2011          100        03/28/2011    04/12/2011
446   RenewAire, LLC                Madison          WI      03/14/2011        01/01/2011          39         03/28/2011    04/12/2011
      Schanock Investment
447                                 Green Bay        WI      03/16/2011        01/01/2011           55        03/28/2011    04/12/2011
      Company
      Swanson Wiper
448                                 Oshkosh          WI      03/14/2011        01/01/2011           39        03/28/2011    04/12/2011
      Corporation
      United Transportation
449                                 Milwaukee        WI      03/14/2011        11/01/2010            2        03/28/2011    04/12/2011
      Union GCA 225
450   Abilities First Inc.          Poughkeepsie     NY      01/07/2011        07/01/2011          364        03/11/2011    04/25/2011
                                                                                                               Application
                                                              Application                         Number of                   Waiver
              Applicant                   City       State*                 Plan Effective Date               Completed by
                                                               Received                           Enrollees                  Approved
                                                                                                                Applicant
      Ellenbecker Investment
451                                 Pewaukee          WI      03/14/2011        01/01/2011           19        04/19/2011    04/25/2011
      Group, Inc.
      Rockland County
452   Association for Learning      West Nyack        NY      03/21/2011        01/01/2011           98        04/19/2011    04/25/2011
      Disabilities (RCALD)
                                                                                01/01/2011
453   Southview Acres               St Paul           MN      04/01/2011                             66        04/19/2011    04/25/2011
                                                                                07/01/2011
454   The Resource Center           Jamestown         NY      03/28/2011        01/01/2011           945       04/19/2011    04/25/2011
455   Young Adult Institute (YAI)   New York          NY      03/21/2011        01/01/2011          2,157      04/19/2011    04/25/2011
      Sheet Metal Workers Local
456                                 Goodlettsville    TN      03/29/2011        08/01/2011          740        03/29/2011    04/27/2011
      15 Medical Fund HRA
457   ARC of Steuben                Bath              NY      03/21/2011        01/01/2011          363        04/27/2011    05/05/2011
458   Birch Family Services         New York          NY      03/24/2011        05/01/2011          212        04/27/2011    05/05/2011
      Gene Upshaw NFL Player
459                                 Baltimore         MD      04/21/2011        04/01/2011          3,911      04/28/2011    05/05/2011
      HRA
460   Nicollet County               St. Peter         MN      04/07/2011        01/01/2011           30        4/28/2011      5/5/2011
      St. Anthony/New Brighton
461                                 Minneapolis       MN      04/04/2011        07/01/2011          164        04/27/2011    05/05/2011
      Schools
      UA Local 190 Plumbers,
      Pipefitters, Service
462                                                           04/07/2011        06/01/2011          3,150      04/28/2011    05/05/2011
      Technicians, Gas
      Distribution
      P&A Administrative
463                                 Buffalo           NY      03/31/2011        05/01/2011           81        05/03/2011    05/09/2011
      Services, Inc. (P&A Group)
      Stillwater Area Public
464                                 Stillwater        NM      04/07/2011        07/01/2011          205        05/02/2011    05/11/2011
      Schools
465   CA Lawton Company             DePere            WI      03/28/2011        04/01/2011          102        04/20/2011    05/12/2011
      Carbon County School
466                                 Saratoga          WY      04/01/2011        07/01/2011          445        04/21/2011    05/12/2011
      District #2
467   Tri-Electronics, Inc.         Hammond           IN      03/28/2011        01/01/2011           22        04/20/2011    05/12/2011
      Upstate Union Health and                                                 01/01/2011--
468                                 Syracuse          NY      04/06/2011                             90        05/12/2011    05/20/2011
      Welfare Fund                                                              08/01/2011
      Special Needs Program,
469
      Inc.                          Ghent             NY      05/09/2011        01/01/2011           74        06/01/2011    06/03/2011
470   Health Care Compliance        Minneapolis       MN      05/09/2011        12/01/2010            1        05/22/2011    06/06/2011
471   Independent School District
      196                           Rosemount         MN      05/04/2011        07/01/2011           66        05/24/2011    06/06/2011
                                                                                                                                      Application
                                                                         Application                                Number of                              Waiver
                    Applicant                    City         State*                      Plan Effective Date                        Completed by
                                                                          Received                                  Enrollees                             Approved
                                                                                                                                       Applicant

   472     Iron Workers Local 33/440
           Supplemental Benefit Plan       Rochester            NY       05/04/2011           07/01/2011                709            05/22/2011        06/06/2011
   473     City of Eden Prairie            Eden Prairie         MN       04/21/2011           06/01/2011                181            05/06/2011        06/07/2011
   474     SouthWest Transit               Eden Prairie         MN       04/26/2011           06/01/2011                 19            05/11/2011        06/07/2011
   475     Warren Washington ARC           Queensbury           NY       04/19/2011           07/01/2011                274            05/06/2011        06/07/2011
           CSEA Strategic Benefit
   476
           Trust                           Albany               NY       05/05/2011           04/01/2011                 33            05/31/2011        06/13/2011
   477     Heaven's Hand Community
           Services, Inc                   Brooklyn             NY       05/17/2011           07/01/2011                40             06/08/2011        06/14/2011
           Total Enrollees                                                                                            125,418


*Please note that the city and state correspond only to the address stated on the application and may not reflect the location of the applicant’s enrollees.

				
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