| Company Name: | PPO OKLAHOMA |
| Employer identification number (EIN): | 731590333 |
| National Association of Insurance Commissioner's ID: | 00000 |
| NAIC Classification: | 00000 |
| W F RETIREES HEALTH TRUST DENNIS FAULKNER, TRUSTEE | HEALTH CARE BENEFITS PLAN FOR RETIREES OFFERED BY W F RETIREES HEALTH TRUST | 2015-01-01 |