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| Company Name: | OPTIMA HEALTH PLAN |
| Employer identification number (EIN): | 541283377 |
| National Association of Insurance Commissioner's ID: | 95281 |
| NAIC Classification: | 95281 |
| GOODWILL INDUSTRIES OF THE VALLEYS, INC | GOODWILL INDUSTRIES OF THE VALLEYS EMPLOYEE HEALTH & WELFARE PLAN | 2011-09-01 |
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