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| Company Name: | HCC BENEFITS CORP |
| Employer identification number (EIN): | 251817054 |
| National Association of Insurance Commissioner's ID: | 92711 |
| NAIC Classification: | 92711 |
| FORESITE GROUP, LLC | FORESITE GROUP, LLC MEDICAL PLAN | 2017-01-01 |
| FG VENTURES, LLC | FG VENTURES, LLC MEDICAL PLAN | 2017-01-01 |