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| Company Name: | OPTIMA HEALTH INSURANCE CO |
| Employer identification number (EIN): | 541283333 |
| National Association of Insurance Commissioner's ID: | 70715 |
| NAIC Classification: | 70715 |
| COMMONWEALTH HOME HEALTH CARE, INC. | COMMONWEALTH HOME HEALTH CARE, INC. EMPLOYEE BENEFITS PLAN | 2012-09-01 |