| Company Name: | COMMUNITY CARE HEALTH, INC. |
| Employer identification number (EIN): | 270335354 |
| National Association of Insurance Commissioner's ID: | 00000 |
| NAIC Classification: | 00000 |
| VISION CARE CENTER A MEDICAL G | VISION CARE CENTER, A MEDICAL GROUP, INC. HEALTH & WELFARE PLAN | 2016-01-01 |