| Company Name: | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| Employer identification number (EIN): | 621331200 |
| National Association of Insurance Commissioner's ID: | 68195 |
| NAIC Classification: | 68195 |
| GLS US FREIGHT, INC. | GLS US FREIGHT, INC. WELFARE BENEFIT PLAN | 2016-05-01 |