401k Plan data: CONTRACTOR'S CHOICE plan

CONTRACTOR'S CHOICE 401k Plan overview

Plan Name	CONTRACTOR'S CHOICE
Plan identification number	501

CONTRACTOR'S CHOICE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

CONTRACTOR'S CHOICE TRUST has sponsored the creation of one or more 401k plans.

Company Name: CONTRACTOR'S CHOICE TRUST

Employer identification number (EIN): 916497378

NAIC Classification: 999999

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONTRACTOR'S CHOICE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 CLINTON GEE
501 2014-01-01 CLINTON GEE
501 2013-01-01 CLINTON GEE
501 2012-01-01 CLINTON GEE
501 2011-01-01 CLINTON GEE
501 2009-01-01 CLINTON GEE

Plan id#	Filing Submission Date	Name of Administrator
501	2015-01-01	CLINTON GEE
501	2014-01-01	CLINTON GEE
501	2013-01-01	CLINTON GEE
501	2012-01-01	CLINTON GEE
501	2011-01-01	CLINTON GEE
501	2009-01-01	CLINTON GEE

Financial Data on CONTRACTOR'S CHOICE

Measure	Date	Value
2015 : CONTRACTOR'S CHOICE 2015 401k financial data
Total transfer of assets from this plan	2015-12-31	$1,790,534
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$577,204
Total income from all sources (including contributions)	2015-12-31	$10,466,157
Total of all expenses incurred	2015-12-31	$9,826,745
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$8,822,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$10,464,679
Value of total assets at end of year	2015-12-31	$0
Value of total assets at beginning of year	2015-12-31	$1,728,326
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,003,783
Total interest from all sources	2015-12-31	$1,478
Administrative expenses professional fees incurred	2015-12-31	$751,334
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$8,802,192
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,662,487
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$65,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$577,204
Administrative expenses (other) incurred	2015-12-31	$12,449
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$97,736
Value of net income/loss	2015-12-31	$639,412
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,151,122
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,564,775
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,564,775
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$1,478
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$7,866,362
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$956,600
Contract administrator fees	2015-12-31	$240,000
Did the plan have assets held for investment	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	HOFFSKI PISANO & CO.
Accountancy firm EIN	2015-12-31	330177600
2014 : CONTRACTOR'S CHOICE 2014 401k financial data
Total transfer of assets from this plan	2014-12-31	$107,245
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$577,204
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$993,280
Total income from all sources (including contributions)	2014-12-31	$16,260,834
Total of all expenses incurred	2014-12-31	$16,623,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$14,943,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$16,257,436
Value of total assets at end of year	2014-12-31	$1,728,326
Value of total assets at beginning of year	2014-12-31	$2,614,337
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,680,366
Total interest from all sources	2014-12-31	$3,398
Administrative expenses professional fees incurred	2014-12-31	$1,440,232
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$16,257,436
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$65,815
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$436,111
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$577,204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$993,280
Administrative expenses (other) incurred	2014-12-31	$134
Total non interest bearing cash at end of year	2014-12-31	$97,736
Total non interest bearing cash at beginning of year	2014-12-31	$194,874
Value of net income/loss	2014-12-31	$-362,690
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,151,122
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,621,057
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,564,775
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,983,352
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,983,352
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$3,398
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$13,021,281
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,921,877
Contract administrator fees	2014-12-31	$240,000
Did the plan have assets held for investment	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	HOFFSKI PISANO & CO.
Accountancy firm EIN	2014-12-31	330177600
2013 : CONTRACTOR'S CHOICE 2013 401k financial data
Total transfer of assets from this plan	2013-12-31	$487,797
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$918,166
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$695,925
Total income from all sources (including contributions)	2013-12-31	$19,890,683
Total of all expenses incurred	2013-12-31	$19,931,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$17,765,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$19,886,347
Value of total assets at end of year	2013-12-31	$2,620,415
Value of total assets at beginning of year	2013-12-31	$2,927,101
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,166,509
Total interest from all sources	2013-12-31	$4,336
Administrative expenses professional fees incurred	2013-12-31	$1,938,125
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$19,886,347
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$436,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$123,720
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$918,166
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$695,925
Other income not declared elsewhere	2013-12-31	$11,616
Administrative expenses (other) incurred	2013-12-31	$-11,616
Total non interest bearing cash at end of year	2013-12-31	$200,952
Total non interest bearing cash at beginning of year	2013-12-31	$503,790
Value of net income/loss	2013-12-31	$-41,130
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,702,249
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,231,176
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,983,352
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,299,591
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,299,591
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$4,336
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$15,950,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,814,583
Contract administrator fees	2013-12-31	$240,000
Did the plan have assets held for investment	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	HOFFSKI PISANO & CO.
Accountancy firm EIN	2013-12-31	330177600
2012 : CONTRACTOR'S CHOICE 2012 401k financial data
Total transfer of assets from this plan	2012-12-31	$31,642
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$695,925
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$536,278
Total income from all sources (including contributions)	2012-12-31	$22,047,921
Total of all expenses incurred	2012-12-31	$21,423,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$18,811,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$22,044,545
Value of total assets at end of year	2012-12-31	$2,927,101
Value of total assets at beginning of year	2012-12-31	$2,175,034
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,611,873
Total interest from all sources	2012-12-31	$3,376
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$2,325,724
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$22,044,545
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$123,720
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$296,568
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$695,925
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$536,278
Administrative expenses (other) incurred	2012-12-31	$6,149
Total non interest bearing cash at end of year	2012-12-31	$503,790
Total non interest bearing cash at beginning of year	2012-12-31	$794,909
Value of net income/loss	2012-12-31	$624,062
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,231,176
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,638,756
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,299,591
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,083,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,083,557
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$3,376
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$17,376,250
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,435,736
Contract administrator fees	2012-12-31	$280,000
Did the plan have assets held for investment	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	HOFFSKI & PISANO, CPAS
Accountancy firm EIN	2012-12-31	330177600
2011 : CONTRACTOR'S CHOICE 2011 401k financial data
Total transfer of assets from this plan	2011-12-31	$219,720
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$536,278
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$676,397
Total income from all sources (including contributions)	2011-12-31	$22,931,774
Total of all expenses incurred	2011-12-31	$22,848,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$19,646,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$22,929,410
Value of total assets at end of year	2011-12-31	$2,175,034
Value of total assets at beginning of year	2011-12-31	$2,451,393
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,201,842
Total interest from all sources	2011-12-31	$2,364
Administrative expenses professional fees incurred	2011-12-31	$2,951,347
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$22,929,410
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$296,568
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$440,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$536,278
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$676,397
Administrative expenses (other) incurred	2011-12-31	$10,495
Total non interest bearing cash at end of year	2011-12-31	$794,909
Total non interest bearing cash at beginning of year	2011-12-31	$993,091
Value of net income/loss	2011-12-31	$83,480
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,638,756
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,774,996
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,083,557
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,017,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,017,538
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$2,364
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$18,480,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,165,923
Contract administrator fees	2011-12-31	$240,000
Did the plan have assets held for investment	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	HOFFSKI & PISANO, CPAS
Accountancy firm EIN	2011-12-31	330177600
2010 : CONTRACTOR'S CHOICE 2010 401k financial data
Total transfer of assets from this plan	2010-12-31	$82,115
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$676,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$141,029
Total income from all sources (including contributions)	2010-12-31	$25,926,139
Total of all expenses incurred	2010-12-31	$25,834,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$22,339,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$25,918,105
Value of total assets at end of year	2010-12-31	$2,451,393
Value of total assets at beginning of year	2010-12-31	$1,906,151
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,494,425
Total interest from all sources	2010-12-31	$8,034
Administrative expenses professional fees incurred	2010-12-31	$3,229,318
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$25,918,105
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$440,764
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$56,672
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$676,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$141,029
Administrative expenses (other) incurred	2010-12-31	$5,107
Total non interest bearing cash at end of year	2010-12-31	$993,091
Total non interest bearing cash at beginning of year	2010-12-31	$440,591
Value of net income/loss	2010-12-31	$91,989
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,774,996
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,765,122
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,017,538
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,408,888
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,408,888
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$8,034
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$21,466,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$873,413
Contract administrator fees	2010-12-31	$260,000
Did the plan have assets held for investment	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	HOFFSKI & PISANO, CPAS
Accountancy firm EIN	2010-12-31	330177600

Form 5500 Responses for CONTRACTOR'S CHOICE

2015: CONTRACTOR'S CHOICE 2015 form 5500 responses
2015-01-01	Type of plan entity	DFE (Diect Filing Entity)
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: CONTRACTOR'S CHOICE 2014 form 5500 responses
2014-01-01	Type of plan entity	DFE (Diect Filing Entity)
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CONTRACTOR'S CHOICE 2013 form 5500 responses
2013-01-01	Type of plan entity	DFE (Diect Filing Entity)
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CONTRACTOR'S CHOICE 2012 form 5500 responses
2012-01-01	Type of plan entity	DFE (Diect Filing Entity)
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CONTRACTOR'S CHOICE 2011 form 5500 responses
2011-01-01	Type of plan entity	DFE (Diect Filing Entity)
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: CONTRACTOR'S CHOICE 2009 form 5500 responses
2009-01-01	Type of plan entity	DFE (Diect Filing Entity)
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CHOICE BUILDER (National Association of Insurance Commissioners NAIC id number: 23611 )
Policy contract number
Policy instance	23
WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95019 )
Policy contract number	101401
Policy instance	13
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	12
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0712531
Policy instance	11
SEKURE HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number	89438
Policy instance	10
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H6610
Policy instance	9
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number	4001
Policy instance	8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	602847
Policy instance	7
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 68799 )
Policy contract number	68952
Policy instance	6
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	394526
Policy instance	5
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 52566 )
Policy contract number	2319
Policy instance	4
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number
Policy instance	3
ASSURANT EMPLOYEE BENEFITS (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract number	4024357
Policy instance	2
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	449738
Policy instance	14
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number	G61106
Policy instance	15
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	16
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	81925176-0001
Policy instance	1
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number
Policy instance	28
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number
Policy instance	27
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number
Policy instance	26
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract number
Policy instance	25
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number
Policy instance	24
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number
Policy instance	17
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	18
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number
Policy instance	22
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	21
CALIFORNIA DENTAL NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	20
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number
Policy instance	19
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H6610
Policy instance	9
SEKURE HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number	89438
Policy instance	11
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0712531
Policy instance	12
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	13
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number
Policy instance	3
ASSURANT EMPLOYEE BENEFITS (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract number	4024357
Policy instance	2
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number	4001
Policy instance	8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	602847
Policy instance	7
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 68799 )
Policy contract number	68952
Policy instance	6
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	394526
Policy instance	5
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 52566 )
Policy contract number	2319
Policy instance	4
WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95019 )
Policy contract number	101401
Policy instance	14
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	449738
Policy instance	15
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract number
Policy instance	28
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number
Policy instance	27
EYE MED VISION CARE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	26
CHOICE BUILDER (National Association of Insurance Commissioners NAIC id number: 23611 )
Policy contract number
Policy instance	25
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number
Policy instance	24
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	23
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number
Policy instance	22
CALIFORNIA DENTAL NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	21
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number
Policy instance	20
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	19
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number
Policy instance	18
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number	G61106
Policy instance	16
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	81925176-0001
Policy instance	1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number
Policy instance	10
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	17
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number
Policy instance	30
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number
Policy instance	29
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number
Policy instance	11
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H6610
Policy instance	10
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number	4001
Policy instance	9
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	602847
Policy instance	8
ASSURANT EMPLOYEE BENEFITS (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract number	4024357
Policy instance	3
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 68799 )
Policy contract number	68952
Policy instance	7
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	394526
Policy instance	6
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 52566 )
Policy contract number	2319
Policy instance	5
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number
Policy instance	4
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number	13447
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	81925176-0001
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	14
SEKURE HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number	89438
Policy instance	12
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0712531
Policy instance	13
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number
Policy instance	25
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number
Policy instance	26
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	27
UNITED HEALTHCARE OF OHIO (National Association of Insurance Commissioners NAIC id number: 95186 )
Policy contract number
Policy instance	28
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number
Policy instance	29
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number
Policy instance	23
MEDICAL MUTUAL (National Association of Insurance Commissioners NAIC id number: 95732 )
Policy contract number
Policy instance	22
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number
Policy instance	21
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	20
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number
Policy instance	19
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	18
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number	G61106
Policy instance	17
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	449738
Policy instance	16
WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95019 )
Policy contract number	101401
Policy instance	15
CALIFORNIA DENTAL NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	24
CHOICE BUILDER (National Association of Insurance Commissioners NAIC id number: 23611 )
Policy contract number
Policy instance	23
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number	13447
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0712531
Policy instance	15
SEKURE HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number	89438
Policy instance	14
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number
Policy instance	13
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H6610
Policy instance	12
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number	4001
Policy instance	11
LIFEWISE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94188 )
Policy contract number	507802
Policy instance	10
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	602847
Policy instance	9
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 68799 )
Policy contract number	68952
Policy instance	8
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	394526
Policy instance	7
EYE MED VISION CARE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	9752064
Policy instance	6
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 52566 )
Policy contract number	2319
Policy instance	5
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number
Policy instance	4
ASSURANT EMPLOYEE BENEFITS (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract number	4024357
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	16
WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95019 )
Policy contract number	101401
Policy instance	17
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	81925176-0001
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number
Policy instance	31
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number
Policy instance	30
CALIFORNIA DENTAL NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	29
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number
Policy instance	28
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance	27
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	26
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	25
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	449738
Policy instance	18
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number	G61106
Policy instance	19
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number
Policy instance	20
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance	21
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	22
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number
Policy instance	24
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number	4001
Policy instance	13
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H6610
Policy instance	14
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60016284
Policy instance	15
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number
Policy instance	16
SEKURE HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number	89438
Policy instance	17
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0712531
Policy instance	18
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1007802
Policy instance	12
UNITED HEALTHCARE OF OHIO (National Association of Insurance Commissioners NAIC id number: 95186 )
Policy contract number	148173
Policy instance	11
LIFEWISE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94188 )
Policy contract number	507802
Policy instance	10
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	602847
Policy instance	9
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 68799 )
Policy contract number	68952
Policy instance	8
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	394526
Policy instance	7
EYE MED VISION CARE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	9752064
Policy instance	6
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 52566 )
Policy contract number	2319
Policy instance	5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	19
WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95019 )
Policy contract number	101401
Policy instance	20
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance	34
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	33
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number
Policy instance	32
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number
Policy instance	31
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number
Policy instance	30
CHOICE BUILDER (National Association of Insurance Commissioners NAIC id number: 23611 )
Policy contract number
Policy instance	29
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	28
CALIFORNIA DENTAL NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	27
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance	26
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number	60132-0884
Policy instance	24
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number
Policy instance	23
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number	G61106
Policy instance	22
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	449738
Policy instance	21
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number
Policy instance	35
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number
Policy instance	4
ASSURANT EMPLOYEE BENEFITS (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract number	4024357
Policy instance	3
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number	13447
Policy instance	2
SHARP HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance	25
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number
Policy instance	36
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	81925176-0001
Policy instance	1
UNITED HEALTHCARE OF OHIO (National Association of Insurance Commissioners NAIC id number: 95186 )
Policy contract number	148173
Policy instance	11
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number
Policy instance	17
LIFEWISE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94188 )
Policy contract number	507802
Policy instance	10
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	602847
Policy instance	9
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 68799 )
Policy contract number	68952
Policy instance	8
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	394526
Policy instance	7
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 52566 )
Policy contract number	2319
Policy instance	5
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number
Policy instance	4
ASSURANT EMPLOYEE BENEFITS (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract number	4024357
Policy instance	3
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number	13447
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number	81925176-0001
Policy instance	1
UNITEDHEALTHCARE OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 95617 )
Policy contract number	AZA0401
Policy instance	12
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1007802
Policy instance	13
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number	4001
Policy instance	14
EYE MED VISION CARE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	9752064
Policy instance	6
SHARP HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance	27
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number	60132-0884
Policy instance	26
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number
Policy instance	25
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number	G61106
Policy instance	24
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	449738
Policy instance	23
WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95019 )
Policy contract number	101401
Policy instance	22
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	21
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0712531
Policy instance	20
SEKURE HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number	89438
Policy instance	18
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60016284
Policy instance	16
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H6610
Policy instance	15
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	645586
Policy instance	19

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Company Name:	CONTRACTOR'S CHOICE TRUST
Employer identification number (EIN):	916497378
NAIC Classification:	999999