| Company Name: | BEACON HEALTH OPTIONS, INC. |
| Employer identification number (EIN): | 541414494 |
| National Association of Insurance Commissioner's ID: | 62199 |
| NAIC Classification: | 62199 |
| NAIC Description: | All Other Ambulatory Health Care Services |
| SAG AFTRA | SAG-AFTRA WELFARE BENEFIT PLAN | 2015-01-01 |