| Company Name: | EMPLOYEES HEALTH SYSTEMS MEDICAL GROUP, INC. |
| Employer identification number (EIN): | 954261008 |
| National Association of Insurance Commissioner's ID: | 00000 |
| NAIC Classification: | 00000 |
| BOARD OF TRUSTEES, SANTA MONICA UNITE HERE HEALTH | SANTA MONICA UNITE HERE HEALTH BENEFIT PLAN | 2015-01-01 |