| Company Name: | ANTHEM LIFE INSURANCE CO |
| Employer identification number (EIN): | 350980805 |
| National Association of Insurance Commissioner's ID: | 65069 |
| NAIC Classification: | 65069 |
| GREAT LAKES CHEESE CO., INC | GREAT LAKES CHEESE CO., INC EMPLOYEE GROUP BENEFIT PLAN | 2014-01-01 |