| Company Name: | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| Employer identification number (EIN): | 010385865 |
| National Association of Insurance Commissioner's ID: | 68195 |
| NAIC Classification: | 68195 |
| TELEFONICA GLOBAL SOLUTIONS USA, INC. | TELEFONICA USA, INC. BENEFIT PLAN | 2015-01-01 |