| Company Name: | BLUERE OF TENNESSEE |
| Employer identification number (EIN): | 820427913 |
| National Association of Insurance Commissioner's ID: | 54518 |
| NAIC Classification: | 54518 |
| PRAXIS COMPANIES LLC | THE PRAXIS COMPANIES, LLC WELFARE BENEFIT PLAN | 2015-07-01 |
| FORD CONSTRUCTION COMPANY | FORD CONSTRUCTION AND AFFILIATED COMPANIES WELFARE BENEFIT PLAN | 2015-07-01 |