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| Company Name: | GEISINGER QUALITY OPTIONS, INC. |
| Employer identification number (EIN): | 204271539 |
| National Association of Insurance Commissioner's ID: | 12743 |
| NAIC Classification: | 12743 |
| BORTON-LAWSON ENGINEERING INC. | BORTON-LAWSON HEALTH AND WELFARE PLAN | 2015-07-01 |