June 07 Carrier Codes - Montana Medicaid Provider Information

Carri Name AddressLn1 AddressLn2 AddressLn3 AddressLn4 PhoneNum Notation 

S83 5 STAR LIFE INSURANCE CO P O BOX 450 TAYLOR, PA 18517-0450 (800) 235-2322 

824 A & I BENEFIT PLAN ADMINISTRATORS 1220 SW MORRISON ST #300 PORTLAND, OR 97205-2222 (800) 575-4457 

S44 A E G B P P O BOX 81087 BILLINGS, MT 59108 (406) 248-6178 

Y33 A F & L INSURANCE COMPANY P O BOX 190 PARKESBURG, PA 19365 (800) 659-9206 

Y26 A F L A C 600 CENTRAL AVE GREAT FALLS, MT 59401 (406) 727-2006 

G24 A M C A WELL CARE EMP BENE PLAN P O BOX 978 FORT VALLEY, GA 31030 (912) 825-5406 

V02 A P M P O BOX 398106 MINNEAPOLIS, MN 55439 

J57 A S O NORTH AMERICA P O BOX 4582 HOUSTON, TX 77210-4582 

P58 A T & T BENEFITS 8000 BAY MEADOWS WAY JACKSONVILLE, FL 32256 

K75 A T I EMPLOYEES BENEFIT P O BOX 23344 OAKLAND, CA 94623-0344 

073 AAA LIFE INSURANCE CO 17250 NEWBURGH ROAD LIVONIA, MI 48152 (407) 444-7500 

A42 AAA OUTPATIENT PLUS ACCIDENT ATTN: BEV EASTON P O BOX 4129 HELENA, MT 59604 (406) 442-5920 

193 AARP CLAIM UNIT# UNITED HEALTHCARE P O BOX 740819 ATLANTA, GA 30374-0819 (800) 523-5880 DO NOT USE-USE 578 

578 AARP HEALTHCARE OPTIONS P O BOX 1017 MONTGOMERYVILLE, PA 18936 (800) 523-5800 800-227-7789-AUTO RESPONSE 

Z64 AARP HEALTHCARE OPTIONS UHC CLAIMS DIVISION P O BOX 13999 PHILADELPHIA, PA 19187 (800) 523-5800 

757 ABI ADMINISTRATION SERVICES P O BOX 738 HOPKINS, MN 55345 (800) 765-4224 

074 ACADEMY LIFE INSURANCE C/O BENEFITS DEPT. P O BOX 3074 SOUTHEASTERN, PA 19398-3074 (800) 345-6352 

214 ACCELERATION LIFE 7720 RIVERSEDGE DR COLUMBUS, OH 43235 MR-UNABLE TO FORWARD 8/02/00 

R59 ACCOUNTABLE HEALTH PLAN P O BOX 810 PEWAUKEE, WI 53072 (800) 308-3344 

V68 ACEC-HEALTH PLAN SERVICES P O BOX 44109 LAS VEGAS, NV 89116 888-813-7099 

H08 ACORDIA BENEFIT SERVICES P O BOX 18215 COLUMBUS, OH 43218-0215 (800) 553-5240 

A56 ACORDIA BENEFITS 1188 FRANKLIN ST #102 SAN FRANCISCO, CA 94109 (415) 928-4475 

C86 ACORDIA NATIONAL FOOD LION CLAIM UNIT P O BOX 11064 CHARLESTON, WV 25339-1064 (800) 435-4351 

A51 ACORDIA NATIONAL P O BOX 3262 CHARLESTON, WV 25332 (800) 624-8605 

G80 ACORDIA OF NE INDIANA 9320 PRIORITY WAY WEST DR INDIANAPOLIS, IN 46240-1468 (800) 453-5747 

S06 ACS CONSULTING SERVICE INC 8025 NORTH POINT BLVD WINSTON SALEM, NC 27106 

V77 ADMIN ONE CORPORATION* P O BOX 690450 SAN ANTONIO, TX 78269-0450 

DO NOT USE-USE G98 

Everything goes to Benefit Planners in San Antonio, TX 

H39 ADMIN SERV CONSULTANTS P O BOX 928 FINDLAY, OH 45839 (800) 472-6630 

G26 ADMIN SYSTEMS RESEARCH P O BOX 6392 GRAND RAPIDS, MI 49516-6392 (800) 968-2449 

367 ADMINICOMP P O BOX 938 SAN JOSE, CA 95108-0938 

N06 ADMINISTRATIVE CONCEPTS P O BOX 1749 ROCKWALL, TX 75087 (800) 645-1006 

E79 ADMINISTRATIVE ENTERPRISES 3404 WEST CHERYL DRIVE SUITE 281 PHOENIX, AZ 85051 (800) 762-2727 

855 ADMINISTRATIVE SERVICE CORP (NORTHERN GATEWAY) 10159 WAYZATA BLVD MINNETOKA, MN 55343 (612) 541-0444 

F96 ADMINISTRATIVE SERVICES 3301 EAST ROYALTON ROAD BROADVIEW HEIGHTS, OH 44147 (216) 526-2730 

F89 ADMINISTRATIVE SERVICES 3203 LAWTON ROAD P O BOX 140173 ORLANDO, FL 32814-0173 (800) 226-5171 MR-DO NOT USE 

D23 ADMINISTRATIVE SERVICES CORP P O BOX 305156 NASHVILLE, TN 37230-5156 (800) 255-8109 

A47 ADMINISTRATIVE WEST 320 N E 97TH STREET SUITE B SEATTLE, WA 98115 (800) 321-2814 

P15 ADMINITRON INC P O BOX 5095 BRENTWOOD, TN 37024 (800) 735-7340 

R60 ADP BENEFITS ADMINISTRATION P O BOX 27478 SALT LAKE CITY, UT 84127-0478 (800) 422-9409 

P74 ADVANCED INSURANCE ADMIN 1525 MERRILL DR STE 2000 LITTLE ROCK, AR 72211 (501) 224-6635 

385 ADVANCED INSURANCE SERVICES INC P O BOX 1842 MEMPHIS, TN 38101 (901) 544-2343 

Y63 ADVANTAGE DENTAL P O BOX 1328 ROSEBURG, OR 97470 

AM8 ADVANTRA FREEDOM P O BOX 7154 LONDON, KY 40742-7154 

T84 ADVENTEK BENEFIT ADMIN P O BOX 45007 FRESNO, CA 93718 (866)556-7655 

D39 ADVENTIST MANAGEMENT INC P O BOX 4088 SILVER SPRING, MD 20914-4088 

B42 AETNA P O BOX 7012 DOVER, DE 19903-1512 (302) 674-7600 

W31 AETNA P O BOX 1409 LEXINGTON, KY 40512-4579 (800) 237-0007 

 

701 AETNA P O BOX 14586 LEXINGTON, KY 40512-4586 (800) 237-0575 

T60 AETNA 910 JOLLY RD BLUE BELL, PA 19422 (800) 323-9930 

D66 AETNA P O BOX 14089 LEXINGTON, KY 40512 (800) 752-0513 

X02 AETNA P O BOX 3907 ALLENTOWN, PA 18106 (800) 962-6842 DO NOT USE-MR 

X75 AETNA P O BOX 981109 EL PASO, TX 79998-1109 (888) 221-0809 

J29 AETNA P O BOX 28030 SAN ANTONIO, TX 78228-0030 (888) 223-6730 

T12 AETNA P O BOX 14079 LEXINGTON, KY 40512 (888) 553-3449 

AK2 AETNA P O BOX 29015 ATLANTA, GA 30359-0015 

Z99 AETNA 221 DAWSON RD COLUMBIA, SC 29223 

AE9 AETNA 2777 ST EMMONS FRWY 3RD FLOOR DALLAS, TX 75207 

Z33 AETNA P O BOX 981204 EL PASO, TX 79998 

Z54 AETNA DENTAL CLAIMS P O BOX 14004 LEXINGTON, KY 40012-4004 

F09 AETNA 2365 NORTHSIDE DR BLDG C STE 600 SAN DIEGO, CA 92108 

V41 AETNA AMERICAN INTERNATION CO P O BOX 25050 WILMINGTON, DE 19899 

Y90 AETNA 575 PIGEON HILL WINDSOR, CT 06095 

W64 AETNA DENTAL P O BOX 14094 LEXINGTON, KY 40512-4094 (800) 843-3661 

AG7 AETNA DENTAL 1 EMBARCADERO CENTER SAN FRANCISCO, CA 94111 

AA5 AETNA DENTAL 6306 OWENSWOOD WOODLAND HILLS, CA 91367 

K99 AETNA HEALTH ARCO P O BOX 300 PORTLAND, OR 97207 (800) 421-7732 

F18 AETNA HEALTH PLAN ADMINISTAFF OF TEXAS P O BOX 91555 ARLINGTON, TX 76015 (800) 628-8793 

F43 AETNA HEALTH PLAN P O BOX 85129 RICHMOND, VA 23285-5129 (800) 967-7100 

F26 AETNA HEALTH PLANS P O BOX 7012 DOVER, DE 19901 (616) 254-3000 800-994-4282 

F54 AETNA HEALTH PLANS P O BOX 937 TOLEDO, OH 43695 (800) 245-6738 

279 AETNA HEALTH PLANS P O BOX 14089 LEXINGTON, KY 40512 (800) 346-6698 

206-467-2000 OR 800-752-0513, 800 

ALASKA AIRLINES 

912 AETNA HEALTH PLANS P O BOX 14089 LEXINGTON, KY 40512 (800) 346-6698 

137 AETNA HEALTH PLANS P O BOX 150417 HARTFORD, CT 06115-0417 (800) 826-2060 888-632-3862 

B26 AETNA HEALTH PLANS P O BOX 26190 GREENSBORO, NC 27402 (910) 854-2050 

047 AETNA HEALTH PLANS# P O BOX 1058 MACON, GA 31202-1058 (800) 241-5532 DO NOT USE - USE 741 

C44 AETNA HEALTH PLANS# P O BOX 129219 SAN DIEGO, CA 92112-9122 (910) 854-2050 DO NOT USE-USE 238 

C94 AETNA HEALTH PLANS-UPS# P O BOX 981107 EL PASO, TX 79998 (800) 237-0575 USE 701

J51 AETNA HEALTHCARE OXY OIL & GAS P O BOX 129108 SAN DIEGO, CA 92112-9108 (800) 334-0299 

949 AETNA INSURANCE CO P O BOX 24019 FRESNO, CA 93779-4019 (888) 632-3862 

F34 AETNA INSURANCE CO P O BOX 171827 MEMPHIS, TN 38187 (901) 682-1530 

A29 AETNA LIFE K-MART P O BOX 31450 TAMPA, FL 33631-3450 (800) 562-7822 

753 AETNA LIFE GOVT WIDE EMP BENEFITS P O BOX 129107 SAN DIEGO, CA 92112-9107 

867 AETNA LIFE & CASUALTY P O BOX 981106 EL PASO, TX 79998-1106 (215) 371-6100 800-345-4105 & 800-847-9017 

734 AETNA LIFE & CASUALTY UNIFORM PLAN RETIRED FED EMP P O BOX 30167 TAMPA, FL 33630 (800) 222-3862 

990 AETNA LIFE & CASUALTY EMPLOYEE BENEFITS DIV-RR DENTAL P O BOX 14091 LEXINGTON, KY 40512 (800) 237-3341 

964 AETNA LIFE & CASUALTY 4013 NW EXPRESSWAY 300 OKLAHOMA CITY, OK 73116 (800) 423-6123 

741 AETNA LIFE & CASUALTY P O BOX 26106 GREENSBORO, NC 27402-6106 (800) 844-5562 

T54 AETNA LIFE & CASUALTY 111 STEDMAN ST STE 200 KETCHICAN, AK 99901 (907) 225-6114 

895 AETNA LIFE & CASUALTY 151 FARMINGTON AVE. HARTFORD, CT 06156 

097 AETNA LIFE & CASUALTY 4501 N STERLING AVE PEORIA, IL 61615 MR 4/28/00 

361 AETNA LIFE & CASUALTY P O BOX 31450 TAMPA, FL 33631 

740 AETNA LIFE & CASUALTY# P O BOX 14089 LEXINGTON, KY 40512-4089 (206) 467-2000 DO NOT USE-USE 279 

206 AETNA LIFE & CASUALTY# P O BOX 91555 ARLINGTON, TX 76015 (800) 862-8887 DO NOT USE-USE186 

186 AETNA LIFE AND CASUALTY P O BOX 14586 LEXINGTON, KY 40512 (800) 428-6111 888-696-9583 

885 AETNA LIFE AND CASUALTY ANUITY BRD-SOUTHRN BAPTIST CHCH P O BOX 470 DALLAS, TX 75221 

774 AETNA LIFE INS P O BOX 91511 ARLINGTON, TX 76105-0011 (800) 221-4877 

476 AETNA LIFE INS P O BOX 5572 AKRON, OH 44334-0572 (800) 824-6317 330-670-3500 

464 AETNA LIFE INS CO P O BOX 981107 EL PASO, TX 79998-1107 (219) 496-5400 1-877-238-6200 

802 AETNA LIFE INS CO P O BOX 26279 MILWAUKEE, WI 53226 

961 AETNA LIFE INS CO# P O BOX 6610 LEAWOOD, KS 66206 (916) 661-3792 MR-DO NOT USE 

859 AETNA LIFE INS# P O BOX 35890 LOUISVILLE, KY 40232 MR-DO NOT USE 

VERIFY/MENTAL HEALTH/8-13-99-B 

813 AETNA LIFE INS. SCHOOL EMPLOYEES RETIREMENT P O BOX 16516 COLUMBUS, OH 43216 (877) 416-1495 DOF 

050 AETNA LIFE INSURANCE P O BOX 28030 SAN ANTONIO, TX 78228-0030 (512) 341-8700 . 

A80 AETNA LIFE INSURANCE P O BOX 18037 COLUMBUS, OH 43218 (800) 243-1809 

B95 AETNA LIFE INSURANCE P O BOX 5367 ROCKFORD, IL 61125 (800) 435-2969 

C11 AETNA LIFE INSURANCE CONOCO P O BOX 57573 OKLAHOMA CITY, OK 73157 (888) 632-3862 

X36 AETNA LIFE INSURANCE J C PENNEY BENEFITS P O BOX 40945 INDIANAPOLIS, IN 46240 MR-DO NOT USE 

754 AETNA LIFE INSURANCE P O BOX 14094 LEXINGTON, KY 40512-4094 ADD VERIF 4-23-98 BA 

764 AETNA LIFE INSURANCE P O BOX 1900 ORANGE, CA 92668 MR-DO NOT USE 

985 AETNA LIFE INSURANCE FEDERAL EMPLOYERS HEALTH PLAN P O BOX C-32078 RICHMOND, VA 23261 

E12 AETNA LIFE INSURANCE CO P O BOX 6748 LEAWOOD, KS 66206 (800) 541-3682 

238 AETNA LIFE INSURANCE CO# P O BOX 14586 LEXINGTON, KY 40512-4586 (888) 632-3862 Address change done 12/28/2005. check MMIS for correct one 

155 AETNA LIFE INSURANCE COMPANY 939 TRANSPORT WAY P O BOX 808019 PETALUMA, CA 94975 (707) 664-0365 

C40 AETNA LIFE INSURANCE COMPANY P O BOX 981107 EL PASO, TX 79998-1107 (800) 348-5266 

B74 AETNA LIFE# P O BOX 150417 HARTFORD, CT 06115-0417 (203) 298-4000 DO NOT USE-USE 137 

V30 AETNA PHARMACY MANAGEMENT P O BOX 14024 LEXINGTON, KY 40512-4024 (888)792-8742 

AD3 AETNA PHARMACY MANAGEMENT P O BOX 14024 LEXINGTON, KY 40512-4024 

AD2 AETNA SIGNATURE ADMIN-PPO P O BOX 877 WAUSAU, WI 54402-8077 

321 AETNA U S HEALTHCARE P O BOX 14586 LEXINGTON, KY 40512-4586 (406) 252-5671 DO NOT USE - USE 037 

M45 AETNA U S HEALTHCARE P O BOX 14089 LEXINGTON, KY 40512-4089 (800) 221-7371 

 

785 AETNA U S HEALTHCARE P O BOX 14536 LEXINGTON, KY 40512 (800) 222-3992 

037 AETNA U S HEALTHCARE P O BOX 14586 LEXINGTON, KY 40512-4586 (800) 334-0110 

T45 AETNA U S HEALTHCARE P O BOX 5569 AKRON, OH 44333-0569 (800) 362-4497 

R30 AETNA U S HEALTHCARE 7400 W CAMPUS RD NEW ALBANY, OH 43054 (800) 373-9930 

M93 AETNA U S HEALTHCARE P O BOX 1630 COLUMBUS, OH 43216-1630 (800) 600-7377 

R09 AETNA U S HEALTHCARE P O BOX 1125 BLUE BELL, PA 19422-1125 (800) 624-0756 

M47 AETNA U S HEALTHCARE P O BOX 91023 SEATTLE, WA 98111 (800) 654-3250 

R56 AETNA U S HEALTHCARE P O BOX 91580 ARLINGTON, TX 76015 

J12 AETNA U S HEALTHCARE# P O BOX 150417 HARTFORD, CT 06115-0417 (800) 826-2060 DO NOT USE-USE 137 

S22 AETNA US HEALTHCARE P O BOX 981107 EL PASO, TX 79998-1107 (800 248-3132 

W10 AETNA US HEALTHCARE P O BOX 24013 FRESNO, CA 93779-4013 (800) 221-7371 

R04 AETNA US HEALTHCARE P O BOX 14089 LEXINGTON, KY 40512 (800) 245-3899 

R44 AETNA US HEALTHCARE P O BOX 4346 BISMARCK, ND 58502 (800) 320-8619 

E85 AETNA US HEALTHCARE P O BOX 981106 EL PASO, TX 79998-1106 (800) 345-4105 

R82 AETNA US HEALTHCARE P O BOX 28905 SAN ANTONIO, TX 78228-0905 (800) 367-3636 

S81 AETNA US HEALTHCARE P O BOX 24021 FRESNO, CA 93779 (800) 624-0756 

K33 AETNA US HEALTHCARE P O BOX 14089 LEXINGTON, KY 40512-4089 (800) 814-3543 

S88 AETNA US HEALTHCARE P O BOX 14586 LEXINGTON, KY 40512-4586 (866) 547-2660 

N77 AETNA US HEALTHCARE ALASKA CARE HEALTH P O BOX 91028 SEATTLE, WA 98111 (888) 252-2732 

V45 AETNA US HEALTHCARE P O BOX 14110 LEXINGTON, KY 40512-4110 (888) 780-9804 

AF4 AETNA US HEALTHCARE P O BOX 2907 LOOP STATION, MN 55402 

AE8 AETNA US HEALTHCARE 11100 WAYZATA BLVD MINNETONKA, MN 55305 

AD5 AETNA US HEALTHCARE P O BOX 100030 PASADENA, CA 91189-0001 

J08 AETNA US HEALTHCARE# P O BOX 14079 LEXINGTON, KY 40512-4079 (219) 496-5400 

364 AETNA USHC PRUDENTIAL P O BOX 14581 LEXINGTON, KY 40512-4581 (800) 772-0118 

D38 AETNA# P O BOX 981106 EL PASO, TX 79998-1106 (612) 340-5250 DO NOT USE-USE 701 800-238-6716 

B25 AETNA# P O BOX 1211 TEWKSBURY, MA 01876 (800) 643-4301 MR-DO NOT USE 

X44 AETNA-MIDDLETOWN P O BOX 88860 CHICAGO, IL 60695-1860 (614) 933-7225 

104 AETNA-U S HEALTHCARE 3541 WINCHESTER RD ALLENTOWN, PA 18195-0501 (610) 391-1700 

M32 AETNA-U S HEALTHCARE P O BOX 52120 MINNEAPOLIS, MN 55402-5120 (800) 443-7486 

 

H92 AETNA-U S HEALTHCARE P O BOX 91028 SEATTLE, WA 98111 (888) 252-2732 

P53 AETNA-U S HEALTHCARE 4050 PIEDMONT PKWY HIGH POINT, NC 27265 

E54 AETNA-US HEALTHCARE P O BOX 12244 OKLAHOMA CITY, OK 73157 (888) 562-8111 

S70 AETNA-US HEALTHCARE P O BOX 44128 JACKSONVILLE, FL 32231 

656 AFFILIATED MEDICAL AGENCY INC P O BOX 1183 BILLINGS, MT 59103

W29 AFFORDABLE BENEFITS ADMIN 444 IRVING DRIVE STE 202 BURBANK, CA 91504 (818) 842-0147 

D48 AFFORDABLE FIRST HEALTH GROUP# P O BOX 671128 HOUSTON, TX 77267-1128 (800) 606-6463 

PPO NETWORK & PRICING ONLY 

NOT AN INSURANCE CO 

DO NOT USE 

K73 AFFORDABLE MEDICAL NETWORKS# HBS GROUP P O BOX 16789 COLUMBUS, OH 43216 (800) 848-2664 DO NOT USE-USE 986 

799 AFGE HEALTH BENEFIT PLAN 80 F STREET NW WASHINGTON, DC 20001 (800) 424-4308 

W67 AFL/CIO/AGC LOCALS 302-612 2815 2ND AVE STE 3C SEATTLE, WA 98124 (800) 735-7053 

V48 AFLAC P O BOX 21897 BILLINGS, MT 59104 

THIS IS A PERSONAL RESIDENCE DO NOT SEND HER 

406-651-4314 

A37 AFS INSURANCE ASSOCIATED FOOD STORES P O BOX 30430 SALT LAKE CITY, UT 84130 (800) 464-7425 888-574-7100 

X89 AFTRA HEALTH & RETIREMENT 261 MADISON AVE NEW YORK, NY 10016 (800) 367-7366 

T97 A-G ADMINISTRATORS P O BOX 979 VALLEY FORGE, PA 19482 (800)634-8628 (610) 933-0800 

S41 AG STATES BENEFIT P O BOX 64089 ST PAUL, MN 55164 (800) 548-1494 

689 AGRA BENEFITS ADMINISTRATORS INC 4333 EDGEWOOD RD CEDAR RAPIDS, IA 52403 

136 AGWAY EMPLOYEE MEDICAL/DENTAL# P O BOX 4974 SYRACUSE, NY 13221 (800) 622-2345 DO NOT USE-USE 055 

Y98 AHCCCS HEALTH CHOICE ARIZONA 1600 W BRDWY STE 260 TEMPE, AZ 85282 

761 AIA INSURANCE# GRAIN GROWERS ASSOCIATION P O BOX 538 LEWISTON, ID 83501 (208) 799-9000 DO NOT USE - USE 930 

D97 AIA INSURANCE# P O BOX 538 LEWISTON, ID 83501 (208) 799-9000 DO NOT USE - USE 930 

930 AIA INSURANCE# TRUSTMARK INSURANCE P O BOX 7900 LAKE FOREST, IL 60045 (800) 235-3896 DO NOT USE-USE A11 

594 AIC BENEFIT ACCOUNT 12450 WAYZATA BLVD MINNETONKA, MN 55343 RETUNED CB-NO FORWARD ADDRESS-3027 OUT 10/29/98 

AJ2 ALASKA COMMERCIAL HEALTHCARE 550 W 64TH AVE STE 200 ANCHORAGE, AK 99518 

D71 ALASKA ELECTRICAL HEALTH & WELFARE FUND 2600 DENALI ST STE 200 ANCHORAGE, AK 99503-2782 (800) 478-1246 

AK3 ALASKA LABORERS WPAS INS H & S FUND P O BOX 34567 SEATTLE, WA 98124-1567 

201 ALASKA NATIONAL INSURANCE 7001 JEWEL LAKE RD ANCHORAGE, AK 99502 (907) 266-9227 

G71 ALASKA TEAMSTERS 520 E 34TH AVE STE 107 ANCHORAGE, AK 99503-4116 (800) 478-4450 

587 ALBERTA HOSP MEDICAL & HEALTH CARE INS PLAN P O BOX 1360 EDMONTON, ALBERTA T5J 99999 

A43 ALEXSIS RISK MANAGEMENT 7 WEST 6TH AVE STE 604 HELENA, MT 59601 (406) 442-3090 

549 ALL AMERICAN / PIA# UNIVERSITY OF MONTANA P O BOX 4058 WOODLAND HILLS, CA 91365 (800) 468-4343 DO NOT USE THIS NUMBER 

078 ALL AMERICAN LIFE/CASUAL 8501 W HIGGINS RD CHICAGO, IL 60631 

N97 ALL STATE 51 W HIGGINS RD S HARRINGTON, IL 60010 

590 ALLEGIANCE BENEFIT PLAN P O BOX 3018 MISSOULA, MT 59806 (800) 877-1122 

FAXBACK 406-523-3199 

CARD--HEALTH BENEFIT PLAN www.abpmtpa.com 

P95 ALLIANCE P O BOX 6770 DENVER, CO 80206 

E69 ALLIANCE# 3033 E 1ST AVE #180 DENVER,CO 80205 (312) 372-9955 DO NOT USE-PHONE DISC. NO KNOWN PHONE NUMBER OR ADDRESS FOR E69 

M37 ALLIANCE# P O BOX 44365 MADISON, WI 53744-4365 (800) 223-4139 

NOT AN INSURANCE 

PROV NETWORK 

P10 ALLIANCE# P O BOX 934 FREDERICK, MD 21705-0934 (800) 342-3269 NO LONGER IN BUSINESS. 

J56 ALLIED BENEFIT SYSTEM P O BOX 909786 CHICAGO, IL 60690 

S15 ALLIED INSURANCE 3820 109TH ST DEPT 5576 DES MOINES, IA 50391-5576 

M21 ALLIED SERVICES DIVISION ASD WELFARE FUND 53 W SEEGERS RD ARLINGTON HEIGHTS, IL 60005 

724 ALLIED SIGNAL (DENTAL) C/O CONNECTUCUT GENERAL LIFE P O BOX 9007 JERICHO, NY 11753 (800) 645-7300 M-DO NOT USE 

721 ALLIED SIGNAL (MEDICAL) C/O CONNECTICUT GENERAL LIFE IN P O BOX 9004 JERICHO, NY 11753 (800) 645-7300 

Y61 ALLIENE ALLEN 735 RIVER ST PAYETTE, ID 83661 

221 ALLINA HEALTH SELECT CARE P O BOX 830489 BIRMINGHAM, AL 35283-0489 (800) 828-5876 

K01 ALLIS-CHALMERS RETIREES TRUST ONE PARK PLAZA 11270 W PARK PLACE STE 950 MILWAUKEE, WI 53224 (800) 619-0621 

F20 ALLMERICA FINANCIAL 333 PIERCE RD STE 310 ITASCA, IL 60143-3116 (800) 423-6011 

J37 ALLMERICA FINANCIAL EMPLOYEE BENE MED CLAIMS P O BOX 107 HOWELL, MI 48843-0107 (800) 783-9383 

AD8 ALLSTATE WORKPLACE DIVISION P O BOX 853916 RICHARDSON, TX 75085 

924 ALLSTATE INS DEAN WITTER-REYNOLDS INC P O BOX 5090 ROLLING MEADOWS, IL 60008 

AA2 ALLSTATE INSURANCE 2105 S DIVISION GUTHRIE, OK 73044 

081 ALLSTATE LIFE INS. CO. ALLSTATE PLAZA NORTHBROOK, IL 60062 (708) 402-5000 

R15 ALLSTATE WORKPLACE DIVISION 1776 AH & L DR JACKSONVILLE, FL 32224 (800) 497-4856 

AMERICAN HERITAGE LIFE 

800-937-7039 

P63 ALT PROS MIDWEST SELECT 2607 S 159TH PLAZA OMAHA, NE 68130 (800) 667-4824 

D30 ALTA DENTAL P O BOX 85132 RICHMOND, VA 23261 

048 ALTA ADMINISTRATORS P O BOX 670608 HOUSTON, TX 77267-0608 (800) 231-0727 

665 ALTA ADMINISTRATORS# P O BOX 670608 HOUSTON, TX 77267-0608 DO NOT USE - USE 048 

153 ALTA ADMINISTRATORS# P O BOX 7189 ST LOUIS, MO 63177 DO NOT USE-MR 5/15/00 

R65 ALTA HEALTH & LIFE P O BOX 230 DENVER, CO 80201 (800) 521-5124 

766 ALTA HEALTH STATEGIES INC 350 GLENBOROUGH STE 100 P O BOX 671088 HOUSTON, TX 77267-1087 (713) 873-7103 

586 ALTA HEALTH STRATEGIES P O BOX 40 MINNEAPOLIS, MN 55440 (312) 330-4966 

D56 ALTA HEALTH STRATEGIES P O BOX 2067 MILWAUKEE, WI 53201 (800) 558-9056 

B92 ALTA HEALTH STRATEGIES INC P O BOX 22750 TEMPE, AZ 85285-2750 (800)431-4064 MR-DO NOT USE 

896 ALTA HEALTH STRATEGIES INC P O BOX 17376 SALT LAKE CITY, UT 84117 (801) 973-7300 MR-RT VERIFICATION 8/25/00 

MR-DO NOT USE 

790 ALTA# P O BOX 30110 SALT LAKE CITY, UT 84130-0110 (800) 572-2089 

H04 ALTERNATIVE HEALTH 10100 LINN STATION RD P O BOX 23705 LOUISVILLE, KY 40223 (800) 871-1996 

AB5 ALTIUS HEALTH PLAN 104 S JORDAN GATEWAY STE 400 S JORDAN, UT 84095 

M46 ALTIUS HEALTH PLAN 35 W BROADWAY SALT LAKE CITY, UT 84101 

Y09 ALTIUS HEALTH PLANS P O BOX 7147 LONDON, KY 40742-7147 (801) 323-6200 

M44 ALTIUS HEALTH PLANS P O BOX 7147 LONDON, KY 40742-7147 (801) 355-1234 

P86 AMA INSURANCE 200 N LASALLE ST STE 400 CHICAGO, IL 60601 (800) 262-2797 

086 AMER ESTATE LIFE INS CO# P O BOX 30 PHOENIX, AZ 85001 DO NOT USE 

095 AMER INCOME LIFE INS CO P O BOX 2608 WACO, TX 76797 (800) 433-3405 

096 AMER INTEGRITY INS CO C/O MEGA LIFE & HEALTH INS 501 W I 44 SERVICE RD STE 40OKLAHOMA CITY, OK 73118 (800) 725-7887 

068 AMER POSTAL WORKERS HLTH PLAN P O BOX 1358 GLEN BURNIE, MD 21060-1358 (800) 222-2798 

579 AMER POSTAL WRKS UNION# ATTN EXTERNAL OPER DEPT P O BOX 1358 GLEN BURNIE, MD 21060-1358 (800) 222-2798 DO NOT USE - USE 068 

106 AMER STATES LIFE INS CO 500 N MERIDIAN ST INDIANAPOLIS, IN 46206-1636 (317) 262-6262 

107 AMER UNITED LIFE INS CO P O BOX 368 INDIANAPOLIS, IN 46206 

M52 AMERI HEALTH 527 BLAIR MILL RD HORSHAM, PA 19044 (800) 480-5032 

Y15 AMERIBEN IEC GROUP P O BOX 7186 BOISE, ID 83707 (800) 786-7930

Y89 AMERICAN ADMINISTRATORS P O BOX 65887 W DES MOINES, IA 50265 

397 AMERICAN ASSOC OF PROCESSORS NATIONAL BENEFITS CORP 110 GIBRALTAR RD SUITE 116 HORSHAM, PA 19044 (215) 443-0404 

307 AMERICAN BANKERS 11222 QUAIL ROOST DR MIAMI, FL 33157 (305) 253-2244 

707 AMERICAN BENEFIT ADMINISTRATION P O BOX 469 BILOXI, MS 39533 (615) 370-4620 

847 AMERICAN BENEFIT GROUP INS 2945 S 21ST PLACE LACROSSE, WI 54601 

189 AMERICAN BENEFIT PLAN 615 PIIKOL STREET HONOLULU, HI 96814 (808) 591-9272 

P84 AMERICAN BENEFIT PLAN ADMIN 4040 MCEWEN # 100 DALLAS, TX 75244 (602) 325-2696 

R61 AMERICAN BENEFIT PLAN ADMIN P O BOX 29150 LAS VEGAS, NV 99126 (702) 650-6596 

K34 AMERICAN CHAMBERS LIFE# INSURANCE COMPANY P O BOX 3051 NAPERVILLE, IL 60566 (630) 505-3100 DO NOT USE-IN LIQUIDATION SINCE 5/00 

396 AMERICAN COLLECTORS NATIONAL BENEFITS CORP 110 GIBRALTAR RD HORSHAM, PA 19044 (215) 443-0404 

B84 AMERICAN COMBINED LIFE INS CO P O BOX 1009 LANGHORNE, PA 19047 (800) 523-5758 CHECK IF MEDICARE SUPPLEMENT 

064 AMERICAN COMMUNITY MUTUAL INS 39201 SEVEN MILE ROAD LIVONIA, MI 48152 (313) 591-9000 

V35 AMERICAN DIVERSIFIED 3920 LENNANE DR #100 SACRAMENTO, CA 95834 (800) 568-2177 

419 AMERICAN DRUG STORES INC THIRD PARTY ACCOUNTING 3030 CULLERTON DR FRANKLIN PARK, IL 60131 (847) 455-8300 

A53 AMERICAN FAMILY INSURANCE 6000 AMERICAN PARKWAY MADISON, WI 53783-0001 (608) 249-2111 

087 AMERICAN FAMILY LIFE INS# 1932 WYNNTON RD COLUMBUS, GA 31999 (800) 622-2345 DO NOT USE - USE 055 

055 AMERICAN FAMILY LIFE INS(AFLAC) ATTN: CLAIMS 1932 WYNNTON RD COLUMBUS, GA 31999 (800) 992-3522 

Z83 AMERICAN FAMILY MUTUAL ATTN MULTIPLAN-AF P O BOX 6087 DUPRE, WI 54115-6087 

J59 AMERICAN FIDELITY ASSURANCE CO 2000 CLASSEN CENTER P O BOX 25523 OKLAHOMA CITY, OK 73125 (405) 523-2000 

B46 AMERICAN FOREIGN SERVICE PROTECTIVE ASSOC 1716 N STREET NW WASHINGTON, DC 20036 (202) 833-4910 

386 AMERICAN FRATERNAL UNION 111 S 4TH AVE E P O BOX 59 ELY, MN 55731 (218) 365-3143 

352 AMERICAN GENERAL LIFE & ACC AMERICAN GENERAL CENTER DEPT 1575 NASHVILLE, TN 37250 

968 AMERICAN GROUP INS P O BOX 160080 AUSTIN, TX 78716 

R33 AMERICAN HEALTH CARE ALLIANCE P O BOX 8530 KANSAS CITY, MO 64114 (800) 934-8923 

C82 AMERICAN HEALTH NETWORK# ITT HARTFORD P O BOX 650342 DALLAS, TX 75265-0342 DO NOT USE-MR 

X18 AMERICAN HEALTHCARE ALLIANCE P O BOX 8530 KANSAS CITY, MO 64114 (918) 615-7700 

R18 AMERICAN HEARTLAND P O BOX 218967 HOUSTON, TX 77218 (281) 398-7770 

570 AMERICAN HOME PRODUCTS CORPORATION 685 THIRD AVE NEW YORK, NY 10017 

272 AMERICAN INSTUTUTE OF ARCHITECT BENEFIT INSURANCE TRUST P O BOX 8955 ST LOUIS, MO 63102 

S38 AMERICAN INSURANCE ADMIN GRAD MED GROUP P O BOX 2348 COLUMBUS, OH 43216 

E15 AMERICAN INVESTORS LIFE INS CO P O BOX 8212 LITTLE ROCK, AR 72221 

AM7 AMERICAN LIFE CARE DIV OF PHCS 1100 POYORAS ST #2600 NEW ORLEANS, LA 70163 

102 AMERICAN LIFE INS CO TX P O BOX 1520 GALVESTON, TX 77550 (409) 763-4661 

163 AMERICAN LIFE INSURANCE 208 SOUTH LASALLE STREET CHICAGO, IL 60604 (312) 372-5722 

C99 AMERICAN MEDICAL SECURITY P O BOX 19032 GREEN BAY, WI 54307-9032 (800) 232-5432 

R49 AMERICAN MODERN INS GRP P O BOX 5323 CINCINNATI, OH 45201-5323 (800) 543-2644 

127 AMERICAN MUTUAL LIFE 611 5TH AVENUE DES MOINES, IA 50309 (515) 283-2371 

P18 AMERICAN NATIONAL INSURANCE P O BOX 1790 GALVESTON, TX 77553 (800) 899-6803 

191 AMERICAN PIONEER LIFE P O BOX 130 PENSACOLA, FL 35591-0130 (800) 999-2224 

P60 AMERICAN PLANTSMAN 438 N HOUGH ST BARRINGTON, IL 60010 

W04 AMERICAN PUBLIC LIFE P O BOX 925 JACKSON, MS 39205 (800)256-8606 

S18 AMERICAN RADIO ASSOCIATION WELFARE PLAN 360 W 31ST ST 3RD FLOOR NEW YORK, NY 10001 (212) 239-8600 

010 AMERICAN REPUBLIC INS ATTN CLAIM DEPT P O BOX 10 DES MOINES, IA 50301-0010 (800)647-1585 515-245-2000 

A89 AMERICAN STANDARD LIFE & ACCIDENT P O BOX 3248 ENID, OK 73702 (405) 233-4000 

AM9 AMERICAN STERLING INSURANCE P O BOX 26103 OVERLAND PARK, KS 66223 

J45 AMERICAN TRAVELERS P O BOX 88953 CHICAGO, IL 60666-8953 (800) 242-4852 

750 AMERICAN TRAVELERS LIFE GROUP OF COMPANIES P O BOX 66949 CHICAGO, IL 60666-0949 (800) 441-3978 312-396-6000 

X16 AMERICAN TRAVELERS LIFE 1800 STREET RD WARRINGTON, PA 18976 

460 AMERICAN TRAVELERS LIFE# P O BOX 66949 CHICAGO, IL 60666-0949 (215) 244-1600 DO NOT USE - USE 750 

726 AMERICAN TRAVELERS LIFE# P O BOX 66949 CHICAGO, IL 60666-0949 (800) 441-3978 DO NOT USE-USE 750 

973 AMERICAN TRAVELERS LIFE# P O BOX 66949 CHICAGO, IL 60666-0949 (800) 441-3978 DO NOT USE - USE 750 

K92 AMERICAN TRUST ADMIN INC P O BOX 87 SHAWNEE MISSION, KS 66201 (800) 843-4121 

D25 AMERICAN UNION LIFE INS CO 303 EAST WASHINGTON BLOOMINGTON, IL 61701 (309) 829-1061 

751 AMERICAN VETERINARY MED ASSOC 55 E JACKSON BLVD, 8TH FLOOR P O BOX 909720 CHICAGO, IL 60690 9720 (800) 621-6360 

H95 AMERICAS CHOICE HEALTH PLAN P O BOX 60432 KING OF PRUSSIA, PA 19406 (800) 633-4226 FAX 610-962-1996 

597 AMERICO INS CO C/O AMERICAN POTATO CO BLACKFOOT, ID 83221 

F32 AMERICORPS PROGRAMS P O BOX 33757 INDIANAPOLIS, IN 46203-0757 (800) 847-8217 ANSWER AMERICORP-VISTA ADMIN.BY FORMOST INC M78 

Y79 AMERIGROUP 702 W ARAPAHO #104 RICHARDSON, TX 75080 

N73 AMERIHEALTH P O BOX 41574 PHILADELPHIA, PA 19101-1574 

116 AMERITUS LIFE INS CORP/ BANKERS LIFE OF NEBRASKA P O BOX 82520 LINCOLN, NE 68501 (402) 467-1122 

G03 AMEX LIFE 1650 LOS GAMOS DRIVE P O BOX 8021 SAN RAFAEL, CA 94912-9863 (800) 441-9548 

W68 AMIL P O BOX 26727 AUSTIN, TX 78755-0727 

R14 ANCHOR BENEFIT CONSULTING P O BOX 945260 MAITLAND, FL 32794 (800) 845-7629 

AD6 ANTHEM P O BOX 5747 DENVER, CO 80217 

510 ANTHEM BC/BS P O BOX 17849 DENVER, CO 80217-0849 (303) 831-2131 (800)332-3842 

800-451-1527 CUSTOMER SERVICE 

T93 ANTHEM BC/BS P O BOX 2787 RICHMOND, VA 23261 (800) 445-7490 800-533-1120 PROVIDER INQUIRY 

T16 ANTHEM BC/BS 1351 WILLIAM HOWARD TAFT RD CINCINNATI, OH 45206 (800) 467-4663 anthem rx 1-800-962-8192 

320 ANTHEM BC/BS P O BOX 533 NORTH HAVEN, CT 06473 (800) 527-7706 (207) 822-7272 

S09 ANTHEM BC/BS P O BOX 37180 LOUISVILLE, KY 40233-7180 (800) 792-7484 

V72 ANTHEM BC/BS 220 VIRGINIA AVE INDIANAPOLIS, IN 46204-3630 (800)324-6086 

Z80 ANTHEM BC/BS 3800 CONCORDE PKWY STE 2000 CHANTILLY, VA 20151 

D94 ANTHEM BC/BS HEALTH PLANS P O BOX 533 NORTH HAVEN, CT 06473-0533 (800) 545-0948 

C26 ANTHEM BC/BS OF KY P O BOX 37690 LOUISVILLE, KY 40233-7690 (503) 423-2011 502-423-2131 

N99 ANTHEM BC/BS OF KY P O BOX 37010 LOUISVILLE, KY 40233 (800) 288-9724 

S31 ANTHEM BC/BS OF NEVADA P O BOX 173690 DENVER, CO 80217 (800) 992-6907 

545 ANTHEM BLUE CROSS BLUE SHIELD P O BOX 37180 LOUISVILLE, KY 40233-7180 (888) 650-4047 

N07 ANTHEM HEALTH MANAGED CARE CONSULTANTS P O BOX 12419 LAS VEGAS, NV 89112-0419 (800) 221-3231 

P35 ANTHEM HEALTH & LIFE P O BOX 956353 DULUTH, GA 30136 (888) 926-8436 

N35 ANTHEM HEALTH & LIFE 8505 E ORCHARD RD ENGLEWOOD, CO 80111 

M14 ANTHEM HEALTH & LIFE HEALTH LINK P O BOX 419104 ST LOUIS, MO 63141-9104

J10 ANTHEM HEALTH# P O BOX 11111 FORT SCOTT, KS 66701 (888) 926-8436 DO NOT USE-USE K32 

G36 ANTHEM LIFE INS CO 2831 COMINO DEL RIO S #207 SAN DIEGO, CA 91208 (619) 692-9755 

V33 ANTHEM PRESCRIPTIONS P O BOX 145433 CINCINNATI, OH 45250 

B09 AON BENEFIT TRUST HEALTH PLAN 123 N WACKER DR CHICAGO, IL 60606 (312) 701-3000 

N74 AON SELECT P O BOX 15 WINSTON-SALEM, NC 27102 (800) 368-3804 

M95 AON SELECT VFW CLAIMS P O BOX 834 HORSHAM, PA 19044 (800) 821-2606 

R67 AON SELECT 110 GIBRALTER RD STE 116 HORSHAM, PA 19044 

P79 APA PARTNERS 8 BRITISH AMERICAN BLVD P O BOX 1506 LATHAM, NY 12110-8006 (800) 833-3650 

G82 APB AMERICA PHARMACY BENEFITS P O BOX 27000 JACKSON HOLE, WY 83001 (800) 358-3722 

P61 APRIA HEALTHCARE 3560 HYLAND AVE COSTA MESA, CA 29626 (714) 427-4154 

684 ARCADIA NAT'L LIFE INS P O BOX 32565 SAN ANTONIO, TX 78284 

T31 ARCTIC SLOPE REGIONAL CORP P O BOX 39710 COLORADO SPRINGS, CO 80949 

V03 ARGUS BC/BS OF IDAHO DEPT 182 P O BOX 419019 KANSAS CITY, KS 64141 

E74 ARKANSAS FIRST SOURCE U S ABLE ADMINISTRATORS P O BOX 1460 LITTLE ROCK, AR 72203 (800) 524-2621 

981 ARKANSAS FREIGHTWAYS INC HEALTH INSURANCE CLAIMS DEPT P O BOX 840 HARRISON, AR 72602-0840 (800) 874-4723 

C53 ASARCO P O BOX 8 HAYDEN, AZ 85235 (602) 356-7811 

E89 ASARCO P O BOX 111 SAHUARITA, AZ 85629 (902) 648-2500 

J05 ASARCO HEALTH BENEFITS P O BOX 5747 TUCSON, AZ 85307 

821 ASARCO INC ATTN: INS CLERK P O BOX 868 TROY, MT 59935 

699 ASARCO INC ATTN: JAY MEEK P O BOX 440 WALLACE, ID 83873 DO NOT USE-USE C53 

599 ASARCO INC# P O BOX 5004 GREAT FALLS, MT 59403 (406) 227-7135 DO NOT USE - -NOW 062 

Z25 ASEA/AFSCME LOCAL 52 HEALTH BENEFITS TRUST P O BOX 5434 SPOKANE, WA 99205-0434 

C58 ASH GROVE CEMENT COMPANY 100 MONTANA HWY 518 CLANCY, MT 59634 (406) 442-8855 

N24 ASSOC & SOCIETY INS CORP P O BOX 2510 ROCKVILLE, MD 20852 (800) 638-2610 

R87 ASSOCIATED ADMINISTRATORS FELRA MEDICAL CLAIMS P O BOX 8022 COCKEYSVILLE, MD 21030-8022 (800) 638-2972 

F45 ASSOCIATED ADMINISTRATORS 2929 NW 31ST P O BOX 4668 PORTLAND, OR 97210 (800) 888-9603 

V37 ASSOCIATED ADMINISTRATORS INC P O BOX 5096 PORTLAND, OR 97208 (800) 770-6672 

992 ASSOCIATED EMPLOYERS EBMS P O BOX 21367 BILLINGS, MT 59104-1367 (800) 872-3200 USE 438 

H51 ASSOCIATED EMPLOYERS TRUST# P O BOX 212T SPOKANE, WA 99210 DO NOT USE-NOT AN INSURANCE COMPANY 

842 ASSOCIATED FOOD STORES INC# P O BOX 30430 SALT LAKE CITY, UT 84130-0430 (406) 442-3140 . 

420 ASSOCIATED FOODSTORES INC P O BOX 30430 SALT LAKE CITY, UT 84130-0430 

E49 ASSOCIATED INDUSTRIES OF MT# P O BOX 21367 BILLINGS, MT 59104-1367 (800) 872-3200 DO NOT USE - USE 438 

E56 ASSOCIATED MILK PRODUCTS INC 6609 BLANCO ROAD SAN ANTONIO, TX 78216 (210) 661-8494 MR-DO NOT USE 

J11 ASSOCIATED THIRD PARTY ADMIN 1305 S W 12TH AVE PORTLAND, OR 97201 (800) 654-4411 

B05 ASSOCIATES FOR HEALTH CARE# 125 N EXECUTIVE DR, STE 201 BROOKFIELD, WI 53005 (800) 952-8661 DO NOT USE - USE 851 

219 ASSOCIATES LIFE INSURANCE CO 3333 NORTH MERIDIAN P O BOX 88218 INDIANAPOLIS, IN 46208 MR 7/25/00 

851 ASSOCIATION LIFE# 401 NORTH EXECUTIVE DR BROOKFIELD, WI 53008-0980 (800) 952-8661 MR-DO NOT USE 

C80 ASSOCIATION SERVICES 1411 32ND ST SW P O BOX 2524 FARGO, ND 58018 (701) 293-6822 

441 ASSURANT HEALTH 501 W MICHIGAN P O BOX 624 MILWAUKEE, WI 53201-0624 (414) 271-3011 

800-800-1212 

All RX to Express Scripts P O Box 27226 

Albuquerque, NM 87125-7226 6/30/03 PAID AS OF 7/1/03 

FAX # 208-339-1050 

623 ASSURANT HEALTH 1005 MAIN ST P O BOX 1599 BOISE, ID 83701 (800) 328-4316 

E86 ASSURANT HEALTH P O BOX 981652 EL PASO, TX 79998 (800) 328-4316 612-541-6400 

Z16 ASSURANT HEALTH TIME INSURANCE COMPANY P O BOX 354 MILWAUKEE, WI 53201-0354 (800) 553-7654 

AK9 ASSURE CARE 13700 WATERTOWER CIRCLE STE D PLYMOUTH, MN 55441-3705 

R48 ASSURE CARE OF ILLINOIS 340 QUADRANGLE DR BOLINGBROOK, IL 60440 (630) 759-1311 

AH2 ASSURED CARE PLUS 10 E FIGUERO P O BOX 22859 SANTA BARBARA, CA 93160 

V57 ASSURITY LIFE INSURANCE P O BOX 80926 LINCOLN, NE 68501 

W63 ASURIS NORTHWEST HEALTH P O BOX 30271 SALT LAKE CITY, UT 84130-0271 (999) 344-5587 

D13 ATLANTIC AMERICAN LIFE P O BOX 190750 ATLANTA, GA 31119-0750 MR-DO NOT USE 

J22 AULTCARE P O BOX 6910 CANTON, OH 44706-0910 

661 AUTO OF SOUTHERN CALIFORNIA TERMINAL ANNEX P O BOX 54251 LOS ANGELES, CA 90054 

Z35 AUXIANT P O BOX 259710 MADISON, WI 53725-9710 

J65 AV MED P O BOX 749 GAINESVILLE, FL 32602-0749 

W66 AVEMCO INSURANCE CO P O BOX 37579 PHOENIX, AZ 85069-7579 (602) 861-6029 

X46 AVERA HEALTH PLAN 3900 WEST AVERA STE 200 SIOUX FALLS, SD 57108 

T95 AVERA HEALTH PLANS P O BOX 381506 BIRMINGHAM, AL 35238 (888)322-2115 

AL3 AVESIS VISION INSURANCE P O BOX 7777 PHOENIX, AZ 85011 

128 AVON REPRESENTATIVES# J C PENNY LIFE INS CO 2700 W PLANO PARKWAY PLANO, TX 75075 (800) 628-9000 DO NOT USE - USE 250 

V47 AVONDALE HEALTH PLAN# P O BOX 1100 MARRERO, LA 70073 (504) 349-6020 DO NOT USE-MR 

HD1 AYERS COLONY P O BOX 77 GRASS RANGE, MT 59032 (406) 428-2363 

AC6 AZ BENEFIT OPTIONS-HARRINGTON P O BOX 785 PUEBLO, CO 81002-0785 

Y85 AZ FOUNDATION P O BOX 2909 PHOENIX, AZ 85068 

J71 B F I S BRIDGESTONE/FIRESTONE INFO SERV P O BOX 26605 AKRON, OH 44319-6605 (800) 237-8447 RX-PAID 

M59 B M C WEST CORP P O BOX 70006 BOISE, ID 83707-0106 

G17 B P A P O BOX 8911 MELVILLE, NY 11747-8911 (800) 896-0277 

K44 BAKER HUGHES 3900 ESSEX LANE HOUSTON, TX 77027-5177 (800) 464-7199 

115 BAKERS & CONFECTIONERS HBF 10401 CONNECTICUT AVE KENSINGTON, MD 20895 (301) 468-3731 

445 BALL-FOSTER GLASS CONTAINER CO# 5801 E MARGINAL WAY S SEATTLE, WA 98134 (206) 768-6294 

625 BANKERS COMMERCIAL LIFE# 5720 LBJ FREEWAY STE 200 DALLAS, TX 75240 DO NOT USE-MR 

Z05 BANKERS FIDELITY LIFE P O BOX 105652 ATLANTA, GA 30348 AKA Commonwealth Life 

865 BANKERS LIFE & CASUALTY POLICY BENEFITS DEPT P O BOX 66927 CHICAGO, IL 60666-0927 (312) 396-6000 

018 BANKERS LIFE & CASUALTY 222 MERCHANDISE PLAZA P O BOX 66927 CHICAGO, IL 60666 (800) 621-3724 

691 BANKERS LIFE & CASUALTY 222 MERCHANDISE PLAZA P O BOX 66927 CHICAGO, IL 60666 (800) 621-3724 DO NOT USE-MR 

D84 BANKERS UNITED LIFE P O BOX 982009 N RICHLAND HILLS, TX 76182-8009 (817) 577-1364 

F59 BANKERS UNITED LIFE ASSURANCE P O BOX 97 SCRANTON, PA 18504-0097 (800) 538-1019 aka life investors insurance of America 

T99 BANNER HEALTH & DENTAL P O BOX 16423 MESA, AZ 85211 (800)827-2464 

A34 BARTLETT AGENCY INC P O BOX 970 MOLINE, IL 61265 (309) 764-9666 

H05 BASHA'S BENEFIT TRUST 2255 N 44TH ST STE 220 PHOENIX, AZ 85008 (602) 275-8744 

T43 BASS ADMINISTRATORS P O BOX 81189 LAFAYETTE, LA 70598-1189 (800) 535-4985

B34 BAUMGARDNER-LIND ADJUSTERS P O BOX 22543 BILLINGS, MT 59104 (406) 656-8262 

W49 BAXTER EMPLOYER BENEFITS CENTER P O BOX 4800 CHESAPEAKE, VA 23327-4800 (800) 319-8391 800-254-3780 

E75 BAY AREA DELIVERY DRIVERS C\O SIERRA ADMINISTRATORS P O BOX 2787 DOUBLIN, CA 94568 (510) 828-2427 

T37 BC CALIFORNIA CARE 6370 MAGNOLIA #250 RIVERSIDE, CA 92506 DO NOT USE-MR 

X70 BC INSURANCE CO 676 N ST CLAIR CHICAGO, IL 60611-2997 (888) 645-6410 

X26 BC LIFE & HEALTH 21555 OXNARD ST WOODLAND HILLS, CA 91367 (800) 447-2226 

T69 BC OF CALIFORNIA P O BOX 60007 LOS ANGELES, CA 90060 (877) 216-3977 

Z24 BC OF CALIFORNIA P O BOX 60027 LOS ANGELES, CA 90060 

AC7 BC OF CALIFORNIA 2452 RANCH GROVE DR WESTLAKE, CA 91361 

T40 BC OF IDAHO P O BOX 6948 BOISE, ID 83707 (208) 331-7236 

X55 BC OF KANSAS CITY P O BOX 419169 KANSAS CITY, KS 64141-6169 (800) 340-0117 

T51 BC PRUDENT BUYER PPO P O BOX 6000 FILE 2953 SAN FRANCISCO, CA 94160-2953 (818) 234-6631 

Y39 BC/BS P O BOX 5075 MIDDLETOWN, NY 10940-9075 (877) 378-2455 

S69 BC/BS FEDERAL EMPLOYEE PROGRAM P O BOX 272510 CHICO, CA 95927-2510 

X03 BC/BS FEDERAL EMPLOYEES P O BOX 92480 WASHINGTON, DC 20090-2480 

Z20 BC/BS IF MI P O BOX 5124 SOUTHFIELD, MI 48086-5124 

Z07 BC/BS OF AL 450 RIVERCHASE PKWY E BIRMINGHAM, AL 35244 (888) 252-1431 

497 BC/BS OF ALABAMA P O BOX 995 BIRMINGHAM, AL 35298 (800) 517-6425 800-292-8868 

P09 BC/BS OF ALABAMA P O BOX 2294 BIRMINGHAM, AL 35201 (800) 517-6425 

X39 BC/BS OF ALABAMA P O BOX 83089 BIRMINGHAM, AL 35283-0389 

505 BC/BS OF ARIZONA P O BOX 2924 PHOENIX, AZ 85062-2924 (800) 232-2345 

506 BC/BS OF ARKANSAS 601 GAINES ST P O BOX 2181 LITTLE ROCK, AR 72203 (800) 676-2583 PPO 800-810-2583 FOR WAL-MART 1/1/07 866-823-3790. 

Z22 BC/BS OF AZ P O BOX 23814 TUCSON, AZ 85734 

J47 BC/BS OF CALIFORNIA P O BOX 272550 CHICO, CA 95927-2550 (800) 200-3242 (800) 444-1409 1/19/2005 

R29 BC/BS OF CALIFORNIA P O BOX 4255 WOODLAND HILLS, CA 91365 (800) 234-0111 MR-UTF 12/5/2006 

Y95 BC/BS OF CALIFORNIA P O BOX 9271 VAN NUYS, CA 91409-9271 

X65 BC/BS OF CALIFORNIA-DENTAL P O BOX 9201 OXNARD, CA 93031-9201 (800) 627-0004 

N50 BC/BS OF CENTRAL NEW YORK P O BOX 4712 SYRACUSE, NY 13221 

541 BC/BS OF CENTRAL NEW YORK INC P O BOX 4809 SYRACUSE, NY 13321 (800) 920-8889 

N22 BC/BS OF CONNECTICUT P O BOX 1010 NORTH HAVEN, CT 06473-5110 (800) 545-0948 

N43 BC/BS OF CONNECTICUT P O BOX 1044 NORTH HAVEN, CT 06473 (800) 545-0948 

512 BC/BS OF DELAWARE P O BOX 1991 WILMINGTON, DE 19899 

513 BC/BS OF FLORIDA P O BOX 1798 JACKSONVILLE, FL 32231 (800) 333-2227 

A97 BC/BS OF FLORIDA P O BOX 2896 JACKSONVILLE, FL 32232-2896 (800) 825-2583 

J33 BC/BS OF FLORIDA P O BOX 2988 JACKSONVILLE, FL 32232 (800) 858-4948 

T46 BC/BS OF FLORIDA P O BOX 534099 ST PETERSBURG, FL 33747 (800) 877-7994 

F27 BC/BS OF FLORIDA P O BOX 44160 JACKSONVILLE, FL 32231-4160 (800) 926-6565 

515 BC/BS OF GEORGIA COLUMBUS INC P O BOX 9907 COLUMBUS, GA 31908 (800) 441-2273 

www.bcbsga.com 

faxback - 1-866-525-5425 

514 BC/BS OF GEORGIA P O BOX 9907 COLUMBUS, GA 31908 (800) 628-3988 1/22/2007 ADDRESS CHANGE DONE 

539 BC/BS OF GREATER NEW YORK 622 THIRD AVE NEW YORK, NY 10017 

E99 BC/BS OF ILLINOIS ATTN: AM STORES DEPT P O BOX 805107 CHICAGO, IL 60680-4112 (800) 423-7667 

490 BC/BS OF ILLINOIS 233 N MICHIGAN AVE P O BOX 1364 CHICAGO, IL 60690 (800) 458-6024 

519 BC/BS OF ILLINOIS HEALTH CARE SERVICE CORP P O BOX 805107 CHICAGO, IL 60690 (800) 458-6024 

159 BC/BS OF ILLINOIS 300 E RANDOLPH CHICAGO, IL 60601 (800) 535-9825 VERIFICATION REQUESTS MUST BE IN WRITING 

S43 BC/BS OF ILLINOIS P O BOX 805107 CHICAGO, IL 60680-4112 (800) 541-2767 DO NOT USE-USE 490 

T02 BC/BS OF ILLINOIS P O BOX 4508 OAK BROOK, IL 60522-4508 (800) 730-8445 

520 BC/BS OF ILLINOIS HOSP AND HEALTH SERV INC 227 N WYMAN ST ROCKFORD, IL 61101 MR-DO NOT USE 

W95 BC/BS OF ILLINOIS# 300 E RANDOLPH CHICAGO, IL 60601 (800) 624-1723 DO NOT USE-USE 159 

521 BC/BS OF INDIANA P O BOX 955 INDIANAPOLIS, IN 46206 

V42 BC/BS OF IOWA 636 GRAND AVE DES MOINES, IA 50309 (800) 247-0961 

524 BC/BS OF KANSAS 1133 S W TOPEKA BLVD TOPEKA, KS 66629-0001 (800) 432-3990 

484 BC/BS OF KANSAS P O BOX 2956 WICHITA, KS 67201 (816) 269-1600 

531 BC/BS OF KANSAS CITY MO P O BOX 419315 KANSAS CITY, MO 64141 (816) 395-2222 

528 BC/BS OF MARYLAND P O BOX 1725 CUMBERLAND, MD 21501-1725 800-524-4555 

B01 BC/BS OF MARYLAND# P O BOX 9784 BALTIMORE, MD 21284-9784 (800) 524-4555 DO NOT USE - USE 528 

504 BC/BS OF MASSACHUSETTS INC P O BOX 9198 N QUINCY, MA 02171-9198 (800) 358-2212 

G57 BC/BS OF MICHIGAN CMP SERVICE CENTER P O BOX 1058 DETROIT, MI 48231-1058 (800) 331-1943 

529 BC/BS OF MICHIGAN P O BOX 2500 DETROIT, MI 48231 (800) 344-8525 

# is for automated response 

(800)437-3803 

J85 BC/BS OF MICHIGAN P O BOX 33249 DETROIT, MI 48232-5249 (800) 344-8525 

170 BC/BS OF MICHIGAN P O BOX 1618 DETROIT, MI 48231 (800) 482-3146 800-972-8344 

Z01 BC/BS OF MICHIGAN PPO NETWORK P O BOX 5124 SOUTH FIELD, MI 48086-5124 

466 BC/BS OF MICHIGAN# 600 LAFAYETTE EAST P O BOX 1618 DETROIT, MI 48231 (800) 533-7743 USE 170 

H74 BC/BS OF MINNESOTA P O BOX 64338 ST PAUL, MN 55164-0338 (651) 662-5075 877-293-7037 Or 800-531-0338 

501 BC/BS OF MINNESOTA P O BOX 64338 ST PAUL, MN 55164 (800) 729-3039 

J87 BC/BS OF MINNESOTA P O BOX 64560 ST PAUL, MN 55164-0560 (800) 859-2126 

S13 BC/BS OF MINNESOTA P O BOX 64676 ST PAUL, MN 55164-0676 

G15 BC/BS OF MISSISSIPPI P O BOX 1043 JACKSON, MS 39215-1043 (601) 932-3704 

E33 BC/BS OF MISSOURI P O BOX 14882 ST LOUIS, MO 63178-4882 (314) 923-4444 

E55 BC/BS OF MISSOURI N AM BENEFIT ADMINISTRATORS P O BOX 66924 ST LOUIS, MO 63166-6924 (800) 325-9054 

C71 BC/BS OF MISSOURI 1831 CHESTNUT ST P O BOX 66952 ST LOUIS, MO 63103-6952 

062 BC/BS OF MONTANA 3360 10TH AVE SO P O BOX 5004 GREAT FALLS, MT 59403 (406) 447-8619 

099 BC/BS OF MONTANA HMO P O BOX 5004 GREAT FALLS, MT 59403 (406) 447-8619 

812 BC/BS OF MONTANA# P O BOX 5004 GREAT FALLS, MT 59403 (406) 447-8619 DO NOT USE - USE 062 

N78 BC/BS OF MT# MONTANA HEALTH LINK P O BOX 5004 GREAT FALLS, MT 59403 (406) 447-8619 DO NOT USE-USE 062 IS ACTUALLY BC/BS 

791 BC/BS OF NATIONAL CAPITAL AREA 550 12TH ST S W WASHINGTON, DC 20065 (800) 950-2583 VERIFY/MENTAL HEALTH/8-13-99-B 

633 BC/BS OF NATIONAL CAPITAL AREA# 550 12TH ST SW WASHINGTON, DC 20065 (800) 950-2583 DO NOT USE-USE 791 

537 BC/BS OF NE NEW YORK INC# P O BOX 8650 ALBANY, NY 12208 DO NOT USE THIS NUMBER 

402-390-1800 

495 BC/BS OF NEBRASKA P O BOX 3248 OMAHA, NE 68180 (800) 284-4640 www.bcbsne.com

534 BC/BS OF NEW HAMPSHIRE 3000 GOFFS FALLS RD MANCHESTER, NH 03111 (800) 852-6592 

675 BC/BS OF NEW JERSEY NJ STATE HEALTH BENEFITS P O BOX 1609 NEWARK, NJ 07101-1609 (800) 414-7427 

536 BC/BS OF NEW MEXICO P O BOX 27630 ALBUQUERQUE, NM 87125-7630 (800) 432-0750 (505)291-3500 

Z91 BC/BS OF NJ P O BOX 1219 NEWARK, NJ 07101-1219 

A59 BC/BS OF NORTH CAROLINA P O BOX 30025 DURHAM, NC 27702-0035 (800) 422-4658 

542 BC/BS OF NORTH CAROLINA P O BOX 2291 DURHAM, NC 27702 (800) 672-6584 

474 BC/BS OF NORTH CAROLINA BC/BS OF S CAROLINA P O BOX 35 DURHAM, NC 27702 (800) 868-2500 

K67 BC/BS OF NORTH CAROLINA P O BOX 1447 GREENVILLE, NC 27835 

580 BC/BS OF NORTH DAKOTA 4510 13TH AVE S FARGO, ND 58121-0001 (800) 342-4718 Bismarck # (800)247-3876 

568 BC/BS OF NORTHERN WEST VIRGINIA P O BOX 6246 WHEELING, WV 26003 MR-DO NOT USE 

197 BC/BS OF OHIO P O BOX 6018 CLEVELAND, OH 44101 

R99 BC/BS OF OK P O BOX 60545 OKLAHOMA CITY, OK 73146 (405) 841-9575 

W22 BC/BS OF OKLAHOMA P O BOX 3283 TULSA, OK 74012 (888) 780-7875 918-560-3500 

A85 BC/BS OF OKLAHOMA P O BOX 3028 1215 SOUTH BOULDER TULSA, OK 74101-3028 (918) 560-3535 (800) 672-2567 

T03 BC/BS OF OREGON P O BOX 1000 PORTLAND, OR 97207 (800) 258-0503 

AH7 BC/BS OF OREGON P O BOX 1271 PORTLAND, OR 97207 (800) 365-3155 

582 BC/BS OF OREGON P O BOX 30805 SALT LAKE CITY, UT 84130-0805 (800) 452-7278 800-821-6997 

550 BC/BS OF OREGON# P O BOX 30805 SALT LAKE CITY, UT 84130-0805 (800) 452-7278 DO NOT USE-USE 582 

551 BC/BS OF OREGON# P O BOX 30805 SALT LAKE CITY, UT 84130 (800) 452-7278 DO NOT USE-USE 550 

556 BC/BS OF PENNSYLVANIA 1901 MARKET ST PHILADELPHIA, PA 19103 (800) 626-8144 

B10 BC/BS OF RHODE ISLAND 1 WEYBOSSET HILL PROVIDENCE, RI 02903 (401) 459-1000 

S80 BC/BS OF SOUTH CAROLINA P O BOX 100300 COLUMBIA, SC 29219 (800) 830-1501 

T01 BC/BS OF SOUTH CAROLINA 1000 EXECUTIVE CENTER DR P O BOX 6000 GREENVILLE, SC 29615 (800) 922-1185 

559 BC/BS OF SOUTH CAROLINA# I-20 EAST AT ALPINE RD DRAWER F COLUMBIA, SC 29219 DO NOT USE-USE 474 

W40 BC/BS OF SOUTH DAKOTA 1601 W MADISON ST SIOUX FALLS, SD 57104 (800) 831-4818 888-800-1359 

565 BC/BS OF SOUTHWESTERN VIRGINIA P O BOX 13047 ROANOKE, VA 24045 (804) 358-1551 

561 BC/BS OF TENNESSEE P O BOX 180150 CHATTANOOGA, TN 37402 (800) 924-7141 

Z47 BC/BS OF TEXAS P O BOX 655730 DALLAS, TX 75265 (800) 451-0287 (800) 521-2227 

R68 BC/BS OF TEXAS 901 S CENTRAL EXPRESSWAY RICHARDSON, TX 75080 (800) 451-0287 

J15 BC/BS OF TEXAS P O BOX 660044 DALLAS, TX 75266-0044 (800) 676-2583 

E95 BC/BS OF TEXAS# P O BOX 660044 DALLAS, TX 75266-0044 (877) 299-2377 DO NOT USE-USE J15 

562 BC/BS OF TEXAS-HMO P O BOX 660044 DALLAS, TX 75266-0044 877-299-2377--HMO POLICIES ONLY 

563 BC/BS OF UTAH P O BOX 30270 SALT LAKE CITY, UT 84130 (800) 624-6519 REGENCE MAY ALSO BE PART OF NAME 

D64 BC/BS OF UTICA-WATERTOWN 12 RHOADS DRIVE UTICA, NY 13502-6398 (800) 765-1718 

G49 BC/BS OF VERMONT P O BOX 366 MONTPELIER, VT 05602 (802) 223-3494 

E63 BC/BS OF VIRGINIA P O BOX 27401 RICHMOND, VA 23279 (800) 533-1120 

C16 BC/BS OF VIRGINIA# P O BOX 27401 RICHMOND, VA 23279 (804) 358-1551 DO NOT USE-E63 

914 BC/BS OF WA/AK P O BOX 5004 GREAT FALLS, MT 59403 (425) 670-5900 

T05 BC/BS OF WASHINGTON DC 1310 G STREET NW STE 900 WASHINGTON, DC 20001 (800) 634-3569 

567 BC/BS OF WEST VIRGINIA P O BOX 7026 WHEELING, WV 26003 

538 BC/BS OF WESTERN NEW YORK INC P O BOX 80 BUFFALO, NY 14202 

569 BC/BS OF WISCONSIN P O BOX 2063 MILWAUKEE, WI 53201 (414) 226-5000 **WELLPOINT 6/1/00 

Y46 BC/BS OF WISCONSIN P O BOX 10888 GREEN BAY, WI 54037-0888 (800) 472-7130 

278 BC/BS OF WYOMING P O BOX 2266 CHEYENNE, WY 82003 (800) 851-9145 307-634-1393 

929 BC/BS OF WYOMING# 4000 HOUSE AVENUE P O BOX 2266 CHEYENNE, WY 82003 (307) 638-3825 DO NOT USE-USE 278 

AJ5 BC/BS PPO BLUE ADVANTAGE ADMIN OF AR P O BOX 1460 LITTLE ROCK, AR 72203 (866) 823-3790 

Y40 BC/BS PPO PLAN P O BOX 4445 ATLANTA, GA 30302 (800) 628-3988 

B43 BC/BS ROCHESTER# P O BOX 22999 ROCHESTER, NY 14692-2999 (800) 828-6560 DO NOT USE-USE 540 

T75 BC/BS-UNITED OF WISCONSIN P O BOX 1582 MILWAUKEE, WI 53201-1582 

A87 BCPI CLAIMS PROCESSING UNIT P O BOX 59366 MINNEAPOLIS, MN 55459 (800) 242-7501 

808 BEALL INC P O BOX 2543 BILLINGS, MT 59103 

702 BECKWITH HIGHTOWER 1617 SAN MARKS PLAZA SUITE C STOCKTON, CA 95207 (209) 478-6540 

P73 BEECH ST CORP/ANTHEM HEALTH P O BOX 57015 IRVINE, CA 92619 (877) 455-0294 

X95 BEECH STREET CORP P O BOX 853925 RICHARDSON, TX 75085 (800) 327-5926 

S45 BELL SOUTH DEDICATED SERVICE CENTER P O BOX 830279 BIRMINGHAM, AL 35283-0279 (800) 292-8802 

G72 BENCHMARK GROUP P O BOX 1071 PORTLAND, OR 97207-1071 (800) 621-3330 

121 BENEFICIAL STANDARD LIFE P O BOX 5008 NORTH SUBURBAN, IL 60197-5008 (800) 421-3259 

993 BENEFIS HEALTH CARE# EBMS P O BOX 21367 BILLINGS, MT 59104-1367 (800) 872-3200 DO NOT USE - USE 641 

641 BENEFIS HEALTH PLAN EBMS P O BOX 21367 BILLINGS, MT 59104-1367 (800) 872-3200 

317 BENEFIS HEALTH PLAN# P O BOX 21367 BILLINGS, MT 59104-1367 (406) 455-5175 DO NOT USE - USE 438 

R05 BENEFIT ADMINISTRATION P O BOX 9800 FRESNO, CA 93794 (800) 282-5246 

M67 BENEFIT ADMINISTRATIVE SYSTEMS 17475 JOVANNA DR STE 1B HOMEWOOD, IL 60430 (708) 799-7400 

688 BENEFIT AMERICA 1618 US 41 NORTH P O BOX 1268 TIFTON, GA 31793 (912) 386-1751 

R71 BENEFIT ASSISTANCE CORPORATION STANDARD LAB-EMPLOYEE H & W P O BOX 950 HURRICANE, WV 25526 (800) 432-5421 

R57 BENEFIT CLAIMS ADMINISTRATION P O BOX 89410 SIOUX FALLS, SD 57109-9410 

S76 BENEFIT CONCEPT INC P O BOX 60608 KING OF PRUSSIA, PA 19406-0608 (800) 883-2000 

A44 BENEFIT GROUP 10675 BEDFORD AVE OMAHA, NE 68134-3613 (402) 697-9900 

P65 BENEFIT MALL.COM P O BOX 8039 COCKEYSVILLE, MD 21030 (800) 452-4559 

P87 BENEFIT MANAGEMENT CO P O BOX 26900 WESTON, FL 33326-9000 

C83 BENEFIT MANAGEMENT GROUP# 10497-TOWN & COUNTRY WAY SUITE 450 HOUSTON, TX 77024 (713) 465-5800 MR-DO NOT USE 

T57 BENEFIT MANAGEMENT INC P O BOX 3001 JOPLIN, MO 64803 (888) 294-1515 

Y81 BENEFIT MANAGEMENT SERVICE P O BOX 98044 BATON ROUGE, LA 70898-9044 

N36 BENEFIT MANAGEMENT SERVICES P O BOX 1178 MATTHEWS, NC 28106 (800) 279-1171 

Y12 BENEFIT PLAN ADMIN P O BOX 2339 FARGO, ND 58108 (800) 554-3951 

B73 BENEFIT PLAN ADMIN-BPA P O BOX 1951 FARGO, ND 58107 (701) 237-4787 

424 BENEFIT PLAN ADMINISTRATORS INC P O BOX 3018 MISSOULA, MT 59806 (303) 442-1000 USE 590 

AA9 BENEFIT PLAN MANAGEMENT INC P O BOX 536 ROCKLAND, MD 02370 

H20 BENEFIT PLANNERS P O BOX 690450 SAN ANTONIO, TX 78269 (800) 292-5386 

G98 BENEFIT PLANNERS INC P O BOX 690450 SAN ANTONIO, TX 78269 (888) 287-6489 

FAXBACK - 888-847-0274 

AKA Key Partners 

977 BENEFIT SERVICES INC P O BOX 4138 AKRON, OH 44321 (800) 367-3762

M40 BENEFIT SYSTEMS INC P O BOX 6001 INDIANAPOLIS, IN 46206-6001 (317) 573-2004 

Y82 BENEFITS ADMINISTRATION INSURANCE COMPANY 6477 HWY 93 S #409 WHITEFISH, MT 59937 

J90 BENEFITS BY CHOICE# BROWN/WILLIAMSON TOBACCO CORP P O BOX 35980 LOUISVILLE, KY 40232-5980 DO NOT USE-MR 

W50 BENEFITS RESOURCES 105 THREE ALLEGHANY CENTER PITTSBURGH, PA 15212 (412) 553-4988 

H25 BENESIGHT P O BOX 375 PUEBLO, CO 81002 (206) 464-4900 800-543-9073 

R66 BENESIGHT P O BOX 52174 PHOENIX, AZ 85072 (800) 223-5228 

V62 BENESIGHT P O BOX 395 PUEBLO, CO 81002 (800) 874-5693 

X92 BENESIGHT P O BOX 385 PUEBLO, CO 81002 (866) 452-5039 

N75 BENESIGHT HUMANA INSURANCE P O BOX 14610 LEXINGTON, KY 40512-4610 (888) 413-0941 ALSO USE P O BOX 310 & 330 PUEBLO, CO 

V59 BENESIGHT# C/O GOODMAN GRP #EP603 P O BOX 64560 ST PAUL, MN 55164 (800)223-5228 

P94 BENESIGHT# P O BOX 330 PUEBLO, CO 81002 (888) 891-1976 DO NOT USE-USE N75 

V87 BENESIGHT# P O BOX 395 PUEBLO, CO 81002 DO NOT USE-USE V62 

AE4 BENICORP P O BOX 68917 INDIANAPOLIS, IN 46268-0917 

NO VALID PHONE # AVAILABLE 

G11 BERGEN BRUNSWIG CORP# P O BOX 268000 CLEVELAND, OH 44126-8000 

DO NOT USE 

AJ4 BEST P O BOX 3100 NEWPORT BEACH, CA 92658-9027 

469 BEST LIFE ASSURANCE OF CA P O BOX 19721 IRVINE, CA 92713 (714) 253-4080 

F07 BEST LIFE INS OF CA# P O BOX 19721 IRVINE, CA 92713-9721 (714) 253-4080 DO NOT USE - USE 469 

J27 BETTER BUSINESS SYSTEMS# HEALTHCARE PLAN P O BOX 1400 PORTLAND, OR 97207-1400 WENT OUT OF BUSINESS IN 2000 

K89 BIAW HEALTH INSURANCE 15375 SOUTHEAST 30TH PLACE SUITE 380 BELLEVUE, WA 98007 (800)545-7011 

HA0 BIG SKY COLONY 1657 MERIWETHER CUT BANK, MT 59427 (406) 336-3690 

N08 BIG SKY INSURANCE SERVICES# 221 COTTONWOOD GROVE GLENDIVE, MT 59330 (406) 365-6306 DO NOT USE-MR 

HA1 BIG STONE COLONY P O BOX 70 SAND COULEE, MT 59472 (406) 736-5401 

HA2 BIRCH CREEK COLONY P O BOX 246 VALIER, MT 59486 (406) 279-3586 DO NOT USE-MR 

G70 BLACK GOULD & ASSOC P O BOX 36858 PHOENIX, AZ 85067-6858 (800) 407-0376 

J77 BLUE CARE NETWORK 1401 S CREYTS RD LANSING, MI 48917 (517) 322-4000 

K68 BLUE CARE NETWORK 25925 TELEGRAPH ROAD P O BOX 5043 SOUTHFIELD, MI 48086-5043 

D27 BLUE CARE NETWORK-GT LK 611 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 (616) 957-5057 800-344-8525 

AL5 BLUE CROSS P O BOX 91131 SEATTLE, WA 98111 

P21 BLUE CROSS OF CA 2000 CORPORATE CENTER DR NEWBURY PARK, CA 91320 

P93 BLUE CROSS OF CALIFORNIA CENTRAL VALLEY TRUST P O BOX 1190 RANCHO CORDOVA, CA 95741-1190 (559) 276-0766 

E14 BLUE CROSS OF CALIFORNIA P O BOX 9071 OXNARD, CA 93031-9071 (800) 333-0912 

M10 BLUE CROSS OF CALIFORNIA P O BOX 9043 OXNARD, CA 93031-9043 (800) 333-3883 

465 BLUE CROSS OF CALIFORNIA CALIFORNIA CARE MEMBER P O BOX 4152 WOODLAND HILLS, CA 91365 (800) 627-8797 

PHONE NUMBER IS ALSO A FAX BACK NUMBER 

MR-UTF 12/5/2006 

R94 BLUE CROSS OF CALIFORNIA P O BOX 70000 VAN NUYS, CA 91499-4252 (800) 676-2583 

B22 BLUE CROSS OF CALIFORNIA P O BOX 3190 RANCHO CORDOVA, CA 95741 (800) 999-3643 

K50 BLUE CROSS OF CALIFORNIA P O BOX 60007 LOS ANGELES, CA 90060-0007 (877) 737-7776 ABOVE IS ALSO FAXBACK # 

medicaid call number for verification 800-627-1188 

bcidaho.com 

517 BLUE CROSS OF IDAHO P O BOX 7408 BOISE, ID 83707 (800) 627-6655 benefits to be obtained from website 

526 BLUE CROSS OF LOUISIANA P O BOX 15699 BATON ROUGE, LA 70895 RETURNED MAIL 11/10/98-NO FORWARD ADDRESS LR 

800-634-3569 

001 BLUE CROSS OF MONTANA 3360 10TH AVE S P O BOX 5004 GREAT FALLS, MT 59403 

FEDERAL POLICIES ONLY 

508 BLUE CROSS OF NORTHERN CALIFORNIA 2101 WEBSTER ST OAKLAND, CA 94659 (800) 999-3643 

D26 BLUE CROSS OF NORTHERN CA P O BOX 9061 OXNARD, CA 93031 (805) 487-9970 

546 BLUE CROSS OF OHIO IN NORTHEAST 2066 EAST NINTH ST CLEVELAND, OH 44115 (800) 822-1152 

548 BLUE CROSS OF OHIO IN NORTHWEST P O BOX 943 TOLEDO, OH 43656 

543 BLUE CROSS OF OHIO-CANTON P O BOX 8590 CANTON, OH 44711 DO NOT USE-MR 

B14 BLUE CROSS OF PA WESTINGHOUSE ADMIN UNIT P O BOX 919 PITTSBURGH, PA 15230 (800) 242-1740 

H81 BLUE CROSS OF PUERTO RICO# 383 AVE SE ROOSEVELT SAN JUAN, PR 00918 (800) 314-3121 

507 BLUE CROSS OF SOUTHERN CA P O BOX 5555 OXNARD, CA 93031-5555 

F06 BLUE CROSS OF WA & ALASKA P O BOX 91080 SEATTLE, WA 98111-9180 (800) 345-6784 

752 BLUE CROSS OF WA/AK (NON-CHAMPUS) P O BOX 91010 SEATTLE, WA 98111 (800) 345-6784 

DO NOT USE - USE J35 

555 BLUE CROSS OF WESTERN PENNSYLVANIA P O BOX 3355 PITTSBURGH, PA 15230 (800) 829-1918 

523 BLUE CROSS OF WESTERN# IOWA AND SOUTH DAKOTA P O BOX 1677 SIOUX CITY, IA 51102 (712) 277-3081 DO NOT USE - USE 560 

W77 BLUE CROSS# FORMULA CORP 3265 NORTHWOOD CIRCLE #17EAGAN, MN 55121 DO NOT USE-ADDRESS IS FOR THE EMPLOYER 

552 BLUE CROSS/PENNSYLVANIA CAPITAL BLUE CROSS HARRISBURG, PA 17177 (610) 437-9085 

557 BLUE CROSS/PENNSYLVANIA NORTHEASTERN 70 NORTH MAIN ST WILKES-BARRE, PA 18711 (717) 829-6011 717-829-6011 NO GOOD 

E87 BLUE CROSS\BLUE SHIELD OF LA FEDERAL EMPLOYEE PROGRAM P O BOX 98029 BATON ROUGE, LA 70898-9029 

N80 BLUE LINCS 1400 S BOSTON P O BOX 21128 TULSA, OK 74121 (918)592-9452 

560 BLUE SHIELD NORTH DAKOTA 4510 13TH AVE SW FARGO, ND 58121-0001 (800) 676-2583 

D74 BLUE SHIELD OF CA UNIVERSITY OF CAL-DAVIS P O BOX 10540 GRASS VALLEY, CA 95945-4440 (800) 334-9849 

509 BLUE SHIELD OF CA SERVICE CENTER P O BOX 272530 CHICO, CA 95927-2530 (800) 444-2595 

V63 BLUE SHIELD OF CA FILE 85331 LOS ANGELES, CA 90074 (800) 444-2595 

H67 BLUE SHIELD OF CA P O BOX 1505 RED BLUFF, CA 96080-1505 (800) 444-2595 

V56 BLUE SHIELD OF CA 3400 CENTRAL AVE STE 300 RIVERSIDE, CA 92506 

B35 BLUE SHIELD OF CA P O BOX 3308 SONORA, CA 95370-3308 

284 BLUE SHIELD OF CALIFORNIA P O BOX 272540 CHICO, CA 95927-2540 (800) 444-1409 

A63 BLUE SHIELD OF CALIFORNIA P O BOX 272570 CHICO, CA 95927-2570 (800) 622-0632 

D41 BLUE SHIELD OF CALIFORNIA P O BOX 3637 SAN FRANCISCO, CA 94119 

E41 BLUE SHIELD OF CALIFORNIA# P O BOX 769014 WOODLAND, CA 95776 (800) 358-9556 DO NOT USE-MR 

T04 BLUE SHIELD OF CALIFORNIA# P O BOX 639013 FOLSOM, CA 95763-9013 (800) 431-2809 DO NOT USE-MR 

12/06/00 VERIF SENT OUT 

516 BLUE SHIELD OF HAWAII P O BOX 860 HONOLULU, HI 96808 (808) 942-1111 PHONE DISCONNECTED 

T13 BLUE SHIELD OF IDAHO 3000 PINE MERIDIAN, ID 83642 

533 BLUE SHIELD OF NEVADA P O BOX 10330 RENO, NV 89520 (800) 992-6907 NO LONGER PROCESSES CLAIMS 

906 BLUE SHIELD OF PUERTO RICO CARREO GENEAL APRT 3628 SAN JUAN, PR 00936 

553 BLUE SHIELD/PENNSYLVANIA P O BOX 890062 CAMPHILL, PA 17089 (800) 345-3806 

R20 BLUE SHIELD-CALIFORNIA SANTA CRUZ CLAIMS 2880 SOQUEL AVE STE 1 SANTA CRUZ, CA 95062

S47 BLUE SHIELD-HEALTH NOW P O BOX 15013 ALBANY, NY 12262-5013 (800) 888-1238 

083 BOARD OF PENSIONS EVANGELICAL LUTHERAN CHURCH P O BOX 59093 MINNEAPOLIS, MN 55459-0093 (612) 333-7651 

R45 BOARD OF PENSIONS HIGHMARK BC/BS 120 5TH AVE PLACE PITTSBURGH, PA 15222 (800) 773-7752 

082 BOEING MEDICAL PLAN P O BOX 21065 SEATTLE, WA 98111 (800) 866-4142 VERIFY/MENTAL HEALTH/8-13-99-B 

388 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND P O BOX 5909 SCRANTON, PA 18505 (800) 242-5444 

Z09 BOILERMAKERS NATIONAL HEALTH AND WELFARE FUND P O BOX 23825 TUCSON, AZ 85734 

C91 BOON CHAPMAN INSURANCE P O BOX 9201 AUSTIN, TX 78766 (800) 252-9653 HAS FAXBACK OPTION 

770 BORDEN INC ADMINISTRATIVE SERVICES UNIT P O BOX 189 COLUMBUS, OH 43216 (800) 848-6181 

F40 BORGE-WARNER-LIPMAN P O BOX 820 FREEMONT, CA 94537-0827 (800) 833-0119 

J91 BOSTON MUTUAL LIFE# P O BOX 30461 TAMPA, FL 33600 DO NOT USE-MR 

V74 BOULDER ADMINISTRATION SERVICES P O BOX 1046 BOULDER, MT 59632 (406)225-3699 

G53 BPA INC P O BOX 8848 REDBANK, NJ 07701 

437 BRANDS CORP BUSINESS MEN'S ASSURANCE P O BOX 1087 CORVALLIS, OR 97339 

A49 BROKERAGE SERVICES P O BOX 11020 ALBUQUERQUE, NM 87192-0020 (800) 274-5533 

AE1 BROKERS NATIONAL P O BOX 99339 FORT WORTH, TX 76199 

W17 BROKERS NATIONAL LIFE ASSURANCE DENTAL INSURANCE P O BOX 1028 HOUSTON, TX 77251-1028 (800) 653-4427 

X09 BS OF CALIFORNIA HMO-CAL CHOICE P O BOX 629014 ELDORADO HILLS, CA 95762-9014 (800) 421-6521 

Z72 BS OF CALIFORNIA 7215 PARKER STE 200 ORANGE, CA 92868 

M02 BSI EMPLOYEE BENEFITS P O BOX 1027 CHARLESTON, WV 25324-0027 (800) 766-0649 

079 BURK & ASSOCIATES ATTN: CLAIMS 11330 IH 10 WEST #5150 SAN ANTONIO, TX 78249 (800) 594-4914 

R76 BUSINESS ADMINISTRATORS & CONSU P O BOX 107 REYNOLDSBURG, OH 43068 (800) 521-2654 

040 BUSINESS MENS ASSURANCE# 1 PENN VALLEY PARK P O BOX 419269 KANSAS CITY, MO 64141 (816) 753-8000 DO NOT USE 

Y18 BUTLER BENEFITS SERVICE P O BOX 3310 DAVENPORT, IA 52808 (866) 927-2200 

815 C A M MEDICAL RESHARING POOL P O BOX 1215 MIDDLEBERRY, IN 46540 

Y21 C B C A P O BOX 9000 LONDON, KY 40742 (866) 813-3506 

X41 C B S A P O BOX 86 MINNEAPOLIS, MN 55486 (888) 969-4612 

N10 C C C T A CLARK CO CLASSROOM TEACHERS P O BOX 96238 LAS VEGAS, NV 89193-6238 (800) 432-5859 

Y02 C C N P O BOX 5190 TAMPA, FL 33675-5190 (866) 280-4120 

B29 C C SYSTEMS CORPORATION P O BOX 64668 ST PAUL, MN 55164-0668 (800) 365-2735 

G27 C E B A 6300 BRIDGEPOINT PKWY BLDG 3 STE 500 AUSTIN, TX 78730 (800) 247-7724 

725 C E B P CONSOLIDATED P O BOX 8050 WISCONSIN RAPIDS, WI 54494 

C95 C G INSURANCE SERVICES INC P O BOX 2369 RANCHO CUCAMONGA, CA 91729-2369 (818) 967-2878 

Y76 C H A HEALTH 300 W VINE ST LEXINGTON, KY 40512 (800) 457-5682 

Y25 C H P T P O BOX 17940 DENVER, CO 80217 (303) 751-9021 

G06 C N A GROUP CLAIMS# P O BOX 58527 HOUSTON, TX 77258-8527 

DO NOT USE-MR 

PHONE # NO LONGER VALID 

A65 C R ANTHONY COMPANY# PAYFLEX SYSTEMS, USA P O BOX 30395 OMAHA, NE 68103-0039 (800) 662-8855 DO NOT USE - USE 035--phone number no longer valid belongs to marketing group 

J28 CA SERVICES EMP HLTH & WELFARE P O BOX 2590 PASADENA, CA 91102-2590 (800) 222-2619 

G40 CALIFORNIA CARE P O BOX 9042 OXNARD, CA 93031 (800) 365-1517 

F78 CALIFORNIA COMP INS CO NOVATO OFFICE 504 REDWOOD BLVD NOVATO, CA 94947 (412) 382-2267 address invalid 

213 CALIFORNIA FIELD IRONWORKERS WELFARE PLAN 475 HUNTINGTON DR STE 200SAN MARINO, CA 91108 MR 7/25/00 

S82 CAMBRIDGE 342 S WARMINSTER RD HATBORO, PA 19040 

G52 CAMBRIDGE# P O BOX 1687 GRAND RAPIDS, MI 49501 (616) 464-4247 

MR-UTF DO NOT USE 

3027 OUT 

V44 CANADA LIFE P O BOX 105025 ATLANTA, GA 30348 (800) 554-4026 

R19 CANUS-GREAT WEST LIFE 450-202 6TH AVE SW CALGARY ALBERTA, CANADA T2P2R (403) 519-5919 

AC4 CAPCO INC SELF INSURED 1328 WINTERS AVE GRAND JUNCTION, CO 81501 

A94 CAPITAL BLUE CROSS HARRISBURG, PA 17177 (717) 541-7000 MAY BE: 2500 ELMERTON AVE-ZIP=17110 

X21 CAPITAL INDEMNITY BIG SKY UNDERWRITERS P O BOX 3567 MISSOULA, MT 59806 (406) 721-1000 

T47 CARDAY ASSOCIATES INC 4600 POWDER MILL RD STE 100 BELTSVILLE, MD 20705-2675 (301) 937-9300 

J32 CARE FIRST 10455 MILL RUN CIRCLE OWINGS MILL, MD 21117 (877) 463-8221 

C46 CARE MARK RX P O BOX 686002 SAN ANTONIO, TX 78268-6002 (800) 824-6349 

W26 CAREFIRST BC/BS FEDERAL EMPLOYEES P O BOX 96242 WASHINGTON, DC 20090-6242 (202) 484-1650 

M83 CAREFIRST BC/BS NATIONAL ACCOUNTS P O BOX 1725 CUMBERLAND, MD 21501 (877) 228-7268 

V01 CAREMARK/ADVANCE RECAP CLAIMS P O BOX 686002 SAN ANTONIO, TX 78268 (800) 552-8151 

V14 CAREMARK/ADVANCE RECAP CLAIMS P O BOX 686002 SAN ANTONIO, TX 78268 

314 CARPENTER HEALTH & WELFARE TRUST OF CA P O BOX 3010 CONCORD, CA 94522 (510) 676-3828 

393 CARPENTER HEALTH/SECURITY TRUST P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 800-716-0300 

M15 CARPENTERS AND MILLWRIGHTS HEALTH BENEFIT TRUST FUND 10620 E BETHANY DR BLDG 7 AURORA, CO 80014 (303) 745-0147 

Z36 CARPENTERS H&W TRUST ST LOUIS MISSOURI 1419 HAMPTON AVE ST LOUIS, MO 63139 

N86 CARPENTERS HEALTH & WELFARE SOUTHERN CALIFORNIA P O BOX 76827 LOS ANGELES, CA 90076 (213) 385-0551 

W45 CARPENTERS HEALTH & WELFARE PLAN ADMIN: DAVID COSTELLO 1807 SPRING GARDEN ST PHILADELPHIA, PA 19130 (215) 568-0430 

410 CARPENTERS HEALTH & WELFARE ASSOC THIRD PARTY ADMINISTRATOR P O BOX 3010 CONCORD, CA 94522 (510) 676-3828 DO NOT USE-USE 314 

125 CARPENTERS HEALTH/WELFAR# 3738 HARRISON AVE BUTTE, MT 59701 

DO NOT USE 

INVALID ADDRESS PER RT VERIF 4/25/00 

J89 CARPENTERS HLTH/WLFARE TRUST 4380 SW MACADAM AVE STE300 PORTLAND, OR 97201 (800) 547-5900 

431 CARPENTERS TRUST OF WESTERN WASHINGTON P O BOX 1929 SEATTLE, WA 98111 (206) 441-6514 

295 CARQUEST DISTRIBUTION CENTER# P O BOX 945030 MAITLAND, FL 32794-5030 (404) 491-6262 DO NOT USE - USE A07 

HA3 CASCADE COLONY P O BOX 508 BIRDTAIL CR RD SUN RIVER, MT 59483 (406) 264-5265 

S51 CASCADE EAST 645 ORCHARD AVE HERMISTON, OR 97838 (541) 567-5555 

V26 CATALYST RX P O BOX 1069 ROCKVILLE, MD 20849-1069 (888) 869-4600 

415 CATERPILLAR INCORPORATED MEDICAL BENEFIT PLAN P O BOX 504 JOLLIETTE, IL 60434 (815) 729-6271 

X28 CBCA ADMINISTRATORS INC P O BOX 902 BEATTYVILLE, KY 41311 

S57 CBSA 400 HIGHWAY 169 S STE 800 MINNEAPOLIS, MN 55426-1141 CBSA @ SAME ADDRESS 

M80 CCE INSURANCE ADMINISTRATION (CIRCUS CIRCUS ENTERPRISES) P O BOX 17700 LAS VEGAS, NV 89114-7700 (800) 356-2180 

S89 CCN P O BOX 25317 SAN DIEGO, CA 92123 

P38 CCN PREMIER MEDICAL NETWORK P O BOX 510090 SALT LAKE CITY, UT 84141-0090 

E76 CDS GROUP HEALTH P O BOX 11647 RENO, NV 89510 (775) 826-8855 775-348-1032 

M81 CELTIC INDIVIDUAL HEALTH P O BOX 06410 CHICAGO, IL 60606 (800) 477-7870 AKA CELTIC LIFE 

R89 CELTIC INSURANCE COMPANY P O BOX 46337 MADISON, WI 53744-6337 (800) 766-2525 

F67 CELTIC LIFE INSURANCE P O BOX 2658 DES PLAINES, IL 60017-2659 (800) 766-2525 MR-DO NOT USE

D24 CELTIC LIFE INSURANCE COMPANY P O BOX 8073 CHICAGO, IL 60680-8073 (800) 365-2365 

X98 CEMENT MASONS HEALTH & WELFARE PRUDENT BUYER PLAN P O BOX 1937 RANCHO CORDOVA, CA 95741 

126 CENTENIAL LIFE INS CO P O BOX 470 SHAWNEE MISSION, KS 66201-0470 (913) 677-8800 

494 CENTER MUTUAL INSURANCE CO P O BOX 365 RUGBY, ND 58368 (701) 776-5279 

K23 CENTRA P O BOX 869041 PLANO, TX 75086-9041 (800) 898-8318 

B81 CENTRA BENEFIT SERVICES P O BOX 34850 SEATTLE, WA 98124-1850 (800) 464-0967 

K93 CENTRA BENEFIT SERVICES P O BOX 869042 PLANO, TX 75086-9042 (800) 654-6208 

532 CENTRA HEALTHCARE ADMIN SERVIC# HALLIBURTON CO EMPLOY TRUST P O BOX 6000 DUNCAN, OK 73534-6000 (800) 852-0914 MR-DO NOT USE 

D96 CENTRA/EQUIFAX INC# MAJOR MEDICAL CLAIM UNIT P O BOX 7000 DUNCAN, OK 73543-7000 (800) 226-8613 MR-DO NOT USE 

547 CENTRAL BENEFITS P O BOX 850658 RICHARDSON, TX 75085-0658 (800) 824-3623 

781 CENTRAL LIFE P O BOX 5099 MADISON, WI 53705 

H09 CENTRAL MINNESOTA GROUP HEALTH 1245 15TH STREET NORTH ST CLOUD, MN 56303 (320) 253-5220 

695 CENTRAL RESERVE LIFE 17800 ROYALTON RD STRONGSVILLE, OH 44136 (216) 572-2400 

AC5 CENTRAL RESERVE LIFE SENIOR DIVISION P O BOX 29190 SHAWNEE MISSION, KS 66201 

E08 CENTRAL SECURITY P O BOX 833879 RICHARDSON, TX 75083 (214) 699-2770 

938 CENTRAL STATES HLTH & WELFARE SE & SW AREAS-CLAIMS PROCESSING P O BOX 5116 DES PLAINES, IL 60017-5116 (800) 323-5000 

E34 CENTRAL STATES INSURANCE P O BOX 5116 DES PLAINES, IL 60017-5116 

M58 CENTRAL STATES JOINT BOARD HEALTH & WELFARE FUND 1950 W ERIE CHICAGO, IL 60622 (312) 738-0822 

B18 CENTRAL STATES OF OMAHA P O BOX 34952 OMAHA, NE 68134-9832 (800) 541-2363 

130 CENTRAL UNITED LIFE INSURANCE COMPANY P O BOX 3247 SIOUX CITY, IA 51102 (712) 276-8000 

825 CENTRAL UNITED LIFE WORTHAM TOWER 2727 ALLEN PARKWAY HOUSTON, TX 77019 (800) 669-9030 

X78 CENTURA SENIOR SERVICE 1111 BON FORTE BLVD PUEBLO, CO 81001 (719) 253-3738 

P62 CENTURY PLANNERS LTD# 13537 BARRETT PKWY DR STE 305 BALLWIN, MO 63021 (800) 776-2452 DO NOT USE-MR 

817 CERTIFIED LIFE INS CO GENERAL AGENCY DIVISION P O BOX 650209 DALLAS, TX 75265 MR-DO NOT USE 

744 CERTIFIED LIFE INS CO# 222 MERCHANDISE MART PLAZA P O BOX 66927 CHICAGO, IL 60654 (800) 621-3724 DO NOT USE - USE 018 

131 CERTIFIED LIFE INSURANCE COMPANY OF CA 222 MERCHANDISE MART PLAZCHICAGO, IL 60654-2026 (312) 396-0000 

R96 CF & I RETIREE VEBA BENEFITS 5 GATEWAY CENTER STE 620 60 BLVD OF THE ALLIES PITTSBURGH, PA 15222-1219 (888) 246-8792 

152 CHAMPION INTERNATIONAL CORPORATE BENEFITS KNIGHTSBRIDGE DR HAMILTON, OH 45020 (513) 868-4615 

573 CHAMPION INTERNATIONAL# CORPORATION BENEFITS KNIGHTBRIDGE DR HAMILTON, OH 45020 (513) 868-4615 DO NOT USE - USE 152 

710 CHAMPUS DENTAL FISCAL INTERMEDIARY P O BOX 6150 COLUMBIA, SC 29260 

B80 CHAMPVA P O BOX 65024 DENVER, CO 80206-5024 (800) 733-8387 

T44 CHARMING SHOPPES INC 450 WINKS LANE BENSALEM, PA 19020 

S64 CHC INC 2840 INTERNATIONAL CIRCLE COLORADO SPRINGS, CO 80910 (719) 632-5700 

CHP CHIP PROGRAM CSED P O BOX 5004 GREAT FALLS, MT 59403 

S85 CHOICE NET P O BOX 76149 COLORADO SPRINGS, CO 80970 (800) 426-7453 877-321-4412 

J18 CHOICE PLUS P O BOX 10342 DES MOINES, IA 50306 MAY ALSO BE P O BOX 10359 

E57 CHRISTIAN BROTHERHOOD NEWSLETTER 127 HAZELWOOD AVE BARBETON, OH 44203 (216) 848-1511 

T89 CHRISTIAN BROTHERS TRUST AND BENEFITS 1205 WYNDAM PARKWAY ROMEOVILLE, IL 60446 

F99 CHRISTIAN CARE MEDI-SHARE P O BOX 674 STERLING, IL 61081 (815) 625-8595 

667 CHRISTIAN FIDELITY LIFE INS CO 2001 BATES DRIVE WAXAHACHIE, TX 75165 (214) 937-4420 MR-DO NOT USE 

V69 CHRISTIAN HOSPITAL AID P O BOX 336 MONTEZUMA, KS 67867 

989 CHUBB LIFE AMERICA 654 PILLSBURY CENTER MINNEAPOLIS, MN 55402 (312) 338-5501 

G09 CHUBB LIFE AMERICA P O BOX 344 PARSIPPANY, NJ 07054 (800) 345-9953 

GO9 CHUBB LIFE AMERICA P O BOX 344 PARSIPPANY, NJ 07054 

617 CHURCH LIFE INS CORP LIBRTY LIFE ASSURANCE CO BOSTON, MA 02117 

AA8 CI HEALTHCARE SOLUTIONS P O BOX 93927 SOUTH LAKE, TX 76092 

H59 CIGNA 7 6TH AVE W STE 510 HELENA, MT 59601 (206) 625-8673 

B15 CIGNA P O BOX 188 PITTSBURGH, PA 15230 (412) 562-2843 

C18 CIGNA P O BOX 64143 ST PAUL, MN 55164-0143 (612) 455-1022 

643 CIGNA P O BOX 7767 SALT LAKE CITY, UT 84107 (800) 245-2471 MR-UTF 12/5/2006 

430 CIGNA DEERE GROUP P O BOX 188006 CHATTANOOGA, TN 37422-8006 (800) 251-0670 

GRP 2244317 

DT: JOHN DEERE 3800 23RD AVE STE 200 MOLINE, IL 61265 

E47 CIGNA P O BOX 188020 CHATTANOOGA, TN 37422-8020 (800) 251-0670 

G18 CIGNA P O BOX 5048 VISALIA, CA 93278-5048 (800) 252-2091 

PPO POLICIES 

FOR HMO 1-800-832-3211 

T77 CIGNA P O BOX 5200 SCRANTON, PA 18505 (800) 268-3901 

P70 CIGNA P O BOX 182133 COLUMBUS, OH 43216 (800) 343-0367 

J02 CIGNA STATION B P O BOX 6185 GREENVILLE, SC 29606 (800) 343-0725 

D57 CIGNA P O BOX 2005 FARMINGTON, CT 06034 (800) 358-3057 

D37 CIGNA P O BOX 24031 FRESNO, CA 93779 (800) 362-7691 

ALSO USES P O BOX 24030 NEW 800-244-6224 

DT-P O BOX 1650 VISALIA 

435 CIGNA BEARING INC P O BOX 182463 COLUMBUS, OH 43216 (800) 382-8926 

H65 CIGNA HERITAGE INSURANCE MANAGERS P O BOX 659570 SAN ANTONIO, TX 78265-9570 (800) 456-7480 

M63 CIGNA P O BOX 34335 CHARLOTTE, NC 28233 (800) 462-2135 DT 800-525-5803 

727 CIGNA P O BOX 2546 SHERMAN, TX 75091-2546 (800) 525-5803 

946 CIGNA P O BOX 9012 SHERMAN, TX 75091-9012 (800) 525-5803 

H18 CIGNA BRIDGESTONE/FIRESTONE EMPLOY P O BOX 182546 COLUMBUS, OH 43218-2546 (800) 543-0769 

E16 CIGNA P O BOX 182014 COLUMBUS, OH 43218 (800) 626-0179 

B68 CIGNA P O BOX 10416 DES MOINES, IA 50306 (800) 633-2231 

940 CIGNA P O BOX 16782 COLUMBUS, OH 43216 (800) 722-7535 

A88 CIGNA P O BOX 15050 WILMINGTON, DE 19850 (800) 756-6829 

D43 CIGNA ATTN FLAXSTAR UNIT P O BOX 33683 CHARLOTTE, NC 28233-3683 (800) 782-7991 

N12 CIGNA P O BOX 9368 SHERMAN, TX 75090-9368 (800) 821-4727 

X87 CIGNA P O BOX 182526 COLUMBUS, OH 43218 (800) 832-3211 

T06 CIGNA P O BOX 9310 SHERMAN, TX 75091 (800) 832-3211 

R24 CIGNA P O BOX 5067 VISALIA, CA 93278 (800) 832-3211 

E26 CIGNA 8500 NORMANDALE LAKE BLVD BLOOMINGTON, MN 55437 (800) 843-3106 GOES TO AMERICAS PPO FOR PRICING @ ADDRESS ABOVE 

G39 CIGNA P O BOX 159 PITTSBURGH, PA 15230 (800) 866-9626 MR-DO NOT USE 

N01 CIGNA 11095 VIKING DR #350 P O BOX 46270 EDEN PRAIRIE, MN 55344 (800) 926-2273 

X94 CIGNA 1200 FIRESTONE PKWY AKRON, OH 44317 

AN1 CIGNA P O BOX 183 CHATTANOOGA, TN 37422

V46 CIGNA P O BOX 188030 CHATTANOOGA, TN 37422 

Z97 CIGNA P O BOX 182233 CHATTANOOGA, TN 37427 

828 CIGNA P O BOX 2125 GLENDALE, CA 91209 

AF5 CIGNA 4409 ALAMITOS LAKEWOOD, CA 

H93 CIGNA 48 S SERVICE RD 3RD FLOOR MELVILLE, NY 11747 

S26 CIGNA 2223 WASHINGTON ST NEWTON, MA 02162 

W76 CIGNA 2401 W PEORIA AVE 3RD FLOOR PHOENIX, AZ 85029 

M08 CIGNA P O BOX 24203 TAMPA, FL 33623 

002 CIGNA CORP# PHILADELPHIA, PA 19181 

DO NOT USE 

VERIF MENTAL HEALTH-8-13-99-DOF 

V81 CIGNA DENTAL CLAIMS PROCESSING P O BOX 188041 CHATTANOOGA, TN 37422-8041 (800) 847-2545 

Z62 CIGNA DENTAL 5990 SEPULVEDA BLVD VAN NUYS, CA 91411 MR-UTF 12/5/2006 

T49 CIGNA HEALTH P O BOX 962 BRISTOL, CT 06010 (800) 280-7651 

P50 CIGNA HEALTH P O BOX 24022 FRESNO, CA 93779-4022 (800) 832-3211 

E42 CIGNA HEALTH CARE P O BOX 3099 BOURBONNAIS, IL 60914 (800) 456-8700 

589 CIGNA HEALTH CARE P O BOX 2100 BOURBONNAIS, IL 60914 (800) 828-7622 

G16 CIGNA HEALTH CARE P O BOX 188021 CHATTANOOGA, TN 37422 (800) 828-7622 800-832-3211 

409 CIGNA HEALTHCARE P O BOX 15408 WILMINGTON, DE 19850-5408 (302) 323-1717 

V99 CIGNA HEALTHCARE LOUISIANA PACIFIC CORP 805 SW BROADWAY PORTLAND, OR 97205 (503) 821-5000 

H50 CIGNA HEALTHCARE P O BOX 5029 VISALIA, CA 93278 (559)738-2000 

P12 CIGNA HEALTHCARE P O BOX 9317 DES MOINES, IA 50306 (800) 223-9601 

B70 CIGNA HEALTHCARE P O BOX 5039 VISALIA, CA 93278-5039 (800) 227-1277 

A18 CIGNA HEALTHCARE 600 E TAYLOR ST P O BOX 2546 SHERMAN, TX 75090-2880 (800) 235-7748 DO NOT USE-USE N12 

A71 CIGNA HEALTHCARE P O BOX 188002 CHATTANOOGA, TN 37422 (800) 244-6224 

S63 CIGNA HEALTHCARE P O BOX 182223 CHATTANOOGA, TN 37422-7223 (800) 244-6224 365 day filing limit. 

M09 CIGNA HEALTHCARE P O BOX 182352 COLUMBUS, OH 43218 (800) 244-6224 

M11 CIGNA HEALTHCARE P O BOX 188008 CHATTANOOGA, TN 37422-8008 (800) 251-0669 

M77 CIGNA HEALTHCARE P O BOX 188007 CHATTANOOGA, TN 37422-8007 (800) 251-0669 

S91 CIGNA HEALTHCARE P O BOX 188023 CHATTANOOGA, TN 37422 (800) 251-0669 

T30 CIGNA HEALTHCARE P O BOX 188032 CHATTANOOGA, TN 37422-8032 (800) 251-0669 

S12 CIGNA HEALTHCARE P O BOX 3077 BOURBONNAIS, IL 60914 (800) 281-6049 

K97 CIGNA HEALTHCARE KMART GROUP P O BOX 188014 CHATTANOOGA, TN 37422 (800) 335-6278 

G99 CIGNA HEALTHCARE P O BOX 188009 CHATTANOOGA, TN 37422-8009 (800) 400-2659 

749 CIGNA HEALTHCARE P O BOX 10397 DES MOINES, IA 50306-0397 (800) 428-8891 800-251-0670 

M71 CIGNA HEALTHCARE P O BOX 12830 WILMINGTON, DE 19850 (800) 542-2471 

D70 CIGNA HEALTHCARE P O BOX 8911 BRISTOL, TN 37621-8911 (800) 542-4268 

K56 CIGNA HEALTHCARE EXECUTIVE PARK STE 1000 1241 VOLUNTEER PARKWAY BRISTOL, TN 37620 (800) 542-4271 

K65 CIGNA HEALTHCARE P O BOX 188000 CHATTANOOGA, TN 37422-8000 (800) 542-4293 

K66 CIGNA HEALTHCARE P O BOX 10433 DES MOINES, IA 50306 (800) 633-2231 

N33 CIGNA HEALTHCARE P O BOX 5046 SOUTHFIELD, MI 48086 (800) 654-9631 

T25 CIGNA HEALTHCARE P O BOX 3087 BOURBONNAIS, IL 60914 (800) 694-9398 

W41 CIGNA HEALTHCARE TYCO GROUP P O BOX 5967 VISALIA, CA 93278 (800) 694-9398 

R58 CIGNA HEALTHCARE P O BOX 780 HARTFORD, CT 06142-0780 (800) 756-6829 

F81 CIGNA HEALTHCARE SAN DIEGO SCHOOL DISTRICT P O BOX 5032 VISALIA, CA 93278 (800) 762-3726 

S07 CIGNA HEALTHCARE P O BOX 5019 VISALIA, CA 93278 (800) 817-2545 

M50 CIGNA HEALTHCARE 900 COTTAGE GROVE RD BLOOMFIELD, CT 06152 (800) 832-3211 

S73 CIGNA HEALTHCARE P O BOX 28230 CHARLOTTE, NC 28230 (800) 832-3211 

R03 CIGNA HEALTHCARE P O BOX 5064 VISALIA, CA 93277 (800) 832-3211 

222 CIGNA HEALTHCARE TACOMA FINANCIAL CENTER P O BOX 188034 CHATTANOOGA, TN 37422-8034 (800) 833-0030 

M74 CIGNA HEALTHCARE CONNECTICUT GENERAL LIFE INS P O BOX 15558 WILMINGTON, DE 19850 (800) 887-7766 800 244-6224 

V93 CIGNA HEALTHCARE P O BOX 188013 CHATTANOOGA, TN 37422-8013 (800)251-0669 

V91 CIGNA HEALTHCARE P O BOX 188033 CHATTANOOGA, TN 37422 (800)251-0670 

V86 CIGNA HEALTHCARE P O BOX 8323 SHERMAN, TX 75081-8323 (800)280-7651 

R79 CIGNA HEALTHCARE P O BOX 9366 SHERMAN, TX 75091 (877) 446-9388 505-232-1802 

AE6 CIGNA HEALTHCARE P O BOX 1293 ALBUQUERQUE, NM 87103 

N87 CIGNA HEALTHCARE P O BOX 80000 ATLANTA, GA 30359 800-526-7431 

P82 CIGNA HEALTHCARE P O BOX 5978 BROOKFIELD, WI 53008-0978 

R12 CIGNA HEALTHCARE P O BOX 31552 CHARLOTTE, NC 28231 

J26 CIGNA HEALTHCARE P O BOX 188003 CHATTANOOGA, TN 37422-8003 800-251-0670 

S25 CIGNA HEALTHCARE P O BOX 10397 DES MOINES, IA 50306 

AP2 CIGNA HEALTHCARE P O BOX 26248 LANSING, MI 48909-6248 

H75 CIGNA HEALTHCARE OF CO P O BOX 2546 SHERMAN, TX 75091-2546 (800) 245-2471 

T63 CIGNA HEALTHCARE OF NC P O BOX 28125 RALEIGH, NC 27611-8125 (800) 849-9000 

AL6 CIGNA HEALTHCARE OF SC 250 COMMONWEALTH DR STE 110 GREENVILLE, SC 29615 

J09 CIGNA HEALTHCARE# P O BOX 188008 CHATTANOOGA, TN 37422-8008 (800) 238-4788 DO NOT USE-USE M11 

W53 CIGNA HEALTHCARE# 900 COTTAGE GROVE RD C315 P O BOX 182352 HARTFORD, CT 06152 (800) 244-6224 DO NOT USE-USE M09 

164 CIGNA HEALTHCARE# P O BOX 188032 CHATTANOOGA, TN 37422 (800) 251-0669 

M88 CIGNA HEALTHCARE# P O BOX 188007 CHATTANOOGA, TN 37422-8007 (800) 251-0669 DO NOT USE-USE M77 

K98 CIGNA HEALTHCARE# P O BOX 188002 CHATTANOOGA, TN 37422-8002 (800) 843-8942 DO NOT USE-USE A71 

S01 CIGNA HEALTHCARE-PHOENIX P O BOX 5026 VISALIA, CA 93278 (800) 252-2091 

V04 CIGNA HEALTHCARE-RX PRIME CUSTOMER SERVICE A121 900 COTTAGE GROVE RD HARTFORD, CT 06152-1121 1-800-622-5579 

E37 CIGNA HMO P O BOX 3316 ALBUQUERQUE, NM 87190-3316 (505) 761-5200 VERIFY/MH/8-13-99-B CO. CLOSED 1 1/2 YEARS AGO 

W47 CIGNA INSURANCE 1605 CURTIS BRIDGE RD WILKES-BARRE, NC 28697 (336) 658-4000 

671 CIGNA INSURANCE P O BOX 8012 PLAINVILLE, CT 06062 (800) 722-0445 

Y47 CIGNA INTERNATIONAL# P O BOX 15050 WILMINGTON, DE 19850-5050 (800) 441-2668 DO NOT USE-USE A88 

V31 CIGNA PHARMACY SERVICES P O BOX 3598 SCRANTON, PA 18505 (800)794-4952 

398 CIGNA PRIVATE PRACTICE P O BOX 9300 SHERMAN, TX 75091 (800) 438-3970 

943 CIGNA# P O BOX 85903 SAN DIEGO, CA 92186 (800) 621-2159 DO NOT USE - USE 966 

J44 CIGNA/ STAR HRG P O BOX 55270 PHOENIX, AZ 85078-5270 (800) 308-5948 

HAS FAXBACK-#UNKNOWN 

AKA MEGA LIFE 

N18 CIGNA-UNITED HEALTHCARE P O BOX 9013 CHARMIN, TX 75091

H30 CIMARRON HEALTH P O BOX 3887 ALBUQUERQUE, NM 87190 (800) 377-9594 505-272-9000---800-473-0391 

X90 CITY HEALTH PLAN 1145 MARKET 2ND FLOOR SAN FRANCISCO, CA 94103 (415) 554-1725 

K74 CLAIMS MANAGEMENT SERVICES P O BOX 10888 GREEN BAY, WI 54307 (262) 338-9889 FAX BACK - 800-472-7130 

W09 CLAIMS TRUST CONOCO-PHILLIPS MEDICAL PLAN P O BOX 6600 BARTLESVILLE, OK 74005 (866) 664-3577 

T18 CLARK P.U.D. CLAIMS P O BOX 2580 PORTLAND, OR 97208 (503) 228-9689 

C15 CNA 213 W SOUTHMORE, SUITE 305 PASADENA, TX 77502 (713) 477-7143 

J92 CNA HEALTH PARTNERS INC P O BOX 2986 LITTLE ROCK, AR 72203 (800) 972-3025 

Z04 CNA INSURANCE P O BOX 946060 MAITLAND, FL 32794-6060 

DO NOT USE-MR 

H55 CNA# P O BOX 305208 NASHVILLE, TN 37230-5208 (800) 999-0972 

Z12 CNA/AETNA P O BOX 23759 COLUMBIA, SC 29224-3759 

922 CNIC HEALTH SOLUTIONS P O BOX 3559 ENGLEWOOD, CO 80155 (800) 426-7453 

R78 CNJ DISTRIBUTING ZENITH ADMINISTRATORS 104 S FREYA STE 220 SPOKANE, WA 99202 (509) 534-5625 DO NOT USE-MR 

H54 COASTAL HEALTHCARE ADMIN P O BOX 80308 SALINAS, CA 93912 (800) 696-9566 PER CO PHONE HAS BEEN DISCONNECTED 

AE2 COBRA COMPLIANCE INC 6568 S RACINE CIRCLE CENTENNIAL, CO 80111 (800) 800-0133 

W30 COLE MANAGED VISION P O BOX 8056 TWINSBURG, OH 44087 (800) 638-0166 

M86 COLONIAL BENEFIT ADMINISTRATORS 35 CORPORATE PARK DR PEMBROKE, MA 02359 (800) 529-7183 

058 COLONIAL LIFE & ACCIDENT P O BOX 1365 COLUMBIA, SC 29202 (800) 325-4368 

057 COLONIAL PENN INS CO HEALTH CLAIMS DEPT - 1250 399 MARKET ST PHILADELPHIA, PA 19181 (800) 523-4000 

666 COLOR TILE INS DEPT P O BOX 2475 FORT WORTH, TX 76113 

B55 COLORADO COMPENSATION INSURANCE CCIA P O BOX 241304 DENVER, CO 80224-9304 (303) 782-4000 

T33 COLORADO CONTRACTORS TRUST P O BOX 21240 DENVER, CO 80221 (888) 221-2201 

796 COLUMBIA HEALTH SERVICE# P O BOX 2989 VANCOUVER, WA 98668 (206) 256-7811 DO NOT USE-MR 

F84 COLUMBIA LIGHTING GROUP HEALTH P O BOX 5433 SPOKANE, WA 99205 (509) 924-7000 

429 COLUMBIA UNIVERSAL LIFE INS CO P O BOX 19085 GREENVILLE, SC 29602-9085 (512) 345-3200 

J67 COLUMBIAN BASIN HEALTH ASSOC 140 E MAIN STREET OTHELLO, WA (509) 488-5256 

V39 COMBINED INSURANCE CO 5050 BROADWAY CHICAGO, IL 60601 (800) 225-4500 RX TO MEDCO HEALTH 

046 COMBINED INSURANCE CO P O BOX 638 BELLINGHAM, WA 98227-0638 (800) 544-5531 

C34 COMBINED INSURANCE COMPANY ATTN: CLAIMS 4860 STREET RD TREVOSE, PA 19049 (800) 621-5122 CHECK IF MEDICARE SUPPLEMENT 

A32 COMCAR P O DRAWER 67 AUBURNDALE, FL 33823 (800) 524-1101 

A25 COMMERICAL TRAVLERS MUTUAL INS COMMERCIAL TRAVELERS BLDG UTICA, NY 13502 (800) 422-6200 

E11 COMMONWEALTH LIFE# 7720 RIVERS EDGE DRIVE COLUMBUS, OH 43235 (800) 466-8254 DO NOT USE-MR 

C54 COMMONWEALTH NAT'L LIFE INS CO WORTHAM TOWER 2727 ALLEN PARKWAY HOUSTON, TX 77019 (601) 843-9091 

V96 COMMUNITY CARE HMO P O BOX 3249 TULSA, OK 74101 (800)777-4890 

R92 COMMUNITY CARE NETWORK 131 N EL MOLINO STE 230 PASADENA, CA 91001 (888) 685-7774 

M41 COMMUNITY HEALTH NETWORK# P O BOX 3018 KALISPELL, MT 59901 (800) 877-1122 

DO NOT USE-USE M24 

406-523-3199 

M24 COMMUNITY HEALTH NETWORK# P O BOX 3018 MISSOULA, MT 59801-7703 (800) 877-1122 SEMI-TOOL? 

W71 COMMUNITY HEALTH PLAN OF WA 1000 OLIVE WAY #200 SEATTLE, WA 98101 (206) 521-8830 

660 COMMUNITY MUTUAL# BLUE CROSS/BLUE SHIELD P O BOX 425 WORTHINGTON, OH 43085 (614) 438-3500 DO NOT USE-MR 

554 COMP I CENTER BLUE CROSS/BLUE SHIELD DEPT 778983 HARRISBURG, PA 17177-8983 (800) 883-3073 VERIFY/MENTAL HEALTH/8-13-99-B DOF 

W36 COMPANION HEALTHCARE P O BOX 6170 COLUMBIA, SC 29260-6170 

AP1 COMPANION LIFE DENTAL CLAIMS P O BOX 100102 COLUMBIA, SC 29202-3102 

Z98 COMPANION LIFE P O BOX 37947 PHOENIX, AZ 85001 

N04 COMPCARE HEALTH SERVICE P O BOX 1581 MILWAUKEE, WI 53201-1581 (414) 226-6744 

B87 COMPENSATION ADJUSTORS P O BOX 1870 MISSOULA, MT 59806 (406) 543-7195 

S53 COMPUSUS 2156 W 2200 S SALT LAKE CITY, UT 84130 (888) 867-9510 

S50 COMPUSUS 2156 W 2200 S SALY LAKE CITY, UT 84130 (888) 867-9510 

H70 COMPWISE MANAGED CARE 1220 CENTRAL AVENUE GREAT FALLS, MT 59401 (406) 455-4955 

WC COMP CLAIMS ONLY 

DO NOT USE-MR 

118 CONCEPT ADMINISTRATORS INC CORESOURCE P O BOX 7090 SACRAMENTO, CA 95826 (800) 426-3070 

B63 CONCORDIA HEALTH PLAN P O BOX 64338 ST PAUL, MN 55164 (314) 965-9917 BC/BS OF MINNISOTA TOOK OVER CLAIMS GO TO LOCAL BC/BS VERIFACATION LETTERS GO TO MINNISOTA 

K17 CONCORDIA PLAN SERVICES P O BOX 229007 ST LOUIS, MO 63122-9007 (888) 927-7526 314-965-7580 

Z15 CONEXIS P O BOX 6312 ORANGE, CA 92863 (866) 692-6272 

872 CONFEDERATED LIFE INS. CO. GOLDEN SUNLIGHT MINE 601 MONTGOMERY ST, STE 120SAN FRANCISCO, CA 94111 

C88 CONFEDERATION LIFE INS SUITE 202 P O BOX 29419-03 NORTH CHARLESTON, SC 29419-9003 (803) 569-3641 

100 CONFEDERATION LIFE MEDICAL CONTINENTAL LIME INC P O BOX 550 TOWNSEND, MT 59644 

K02 CONNECTICARE 30 BATTERSON ROAD FARMINGTON, CT 06032 (800) 828-3407 

H86 CONNECTICUT GEN LIFE INS CO HONEYWELL INTERNATIONAL INC P O BOX 0987 BRISTOL, CT 06010 (800) 762-3726 ANSWER CIGNA 

A84 CONNECTICUT GEN LIFE INS CO# SAFEWAY EMPLOYEE BENEFITS P O BOX 4007 VISALIA, CA 93278 (800) 445-9710 DO NOT USE - USE 258 

A13 CONNECTICUT GENERAL P O BOX 927 HUNT VALLEY, MD 21030-9027 (401) 785-6800 

917 CONNECTICUT GENERAL 263 ROUTE 17K NEWBURGH, NY 12550 (800) 431-4949 

966 CONNECTICUT GENERAL P O BOX 85903 SAN DIEGO, CA 92186-5903 (800) 621-2159 

776 CONNECTICUT GENERAL CIGNA COMPANY P O BOX 8011 PLAINVILLE, CT 06062 (800) 722-0445 

954 CONNECTICUT GENERAL AMAX P O BOX 2546 SHERMAN, TX 75090-2546 (800) 777-2141 


DOF 

D47 CONNECTICUT GENERAL INSURANCE FLAGSTAR UNIT P O BOX 33683 CHARLOTTE, NC 28233-3683 (800) 782-7991 

408 CONNECTICUT GENERAL INSURANCE 201 INTERNATIONAL CIRCLE SHAWAN RD THIRD FLOOR HUNT VALLEY, MD 21031 

093 CONNECTICUT GENERAL LIFE EMPLOYEE BENEFIT PROGRAM P O BOX 6007 NEWORK, DE 19714 (800) 333-2722 

913 CONNECTICUT GENERAL LIFE INS (FRUEHAUF CORP) P O BOX 5008 VISALIA, CA 93278 (800) 762-3726 

K82 CONNECTICUT GENERAL LIFE INS CO P O BOX 978 BROOKFIELD, WI 53008-0978 (800) 251-0670 

258 CONNECTICUT GENERAL LIFE INS CO P O BOX 4007 VISALIA, CA 93278 (800) 252-2091 

600 CONNECTICUT GENERAL LIFE INS CO P O BOX 6185 GREENVILLE, SC 29606-6185 (800) 343-0725 

319 CONNECTICUT GENERAL LIFE INS CO ATLANTA CLAIM OFFICE P O BOX 29000 ATLANTA, GA 30359 

627 CONNECTICUT GENERAL LIFE# FIRESTONE TIRE AND RUBBER CO P O BOX 359 CINCINNATI, OH 45201-0359 (800) 654-9320 DO NOT USE-MR 

061 CONNECTICUT GENERAL LIFE/CIGNA P O BOX 182223 CHATTANOOGA, TN 37422 (800) 832-3211 DO NOT USE CK ID FOR ADDRESS 

J03 CONNECTICUT NATIONAL LIFE P O BOX 1250 ROCKFORD, IL 61105 (800) 884-1576 

E58 CONNETICUT GENERAL DUPONT CLAIMS P O BOX 15407 WILMINGTON, DE 19850-5407 (800) 421-4440 

G43 CONSECO P O BOX 1250 ROCKFORD, IL 61105 (800) 947-0319 

H84 CONSECO P O BOX 1250 ROCKFORD, IL 61105-1250 (815) 987-0409 

R98 CONSECO P O BOX 359 WHITEWATER, WI 53190 MR-DO NOT USE

632 CONSECO COMPANY P O BOX 1250 ROCKFORD, IL 61105 (800) 275-1896 

BENEFIT VERIF 

815-987-0409 

784 CONSECO HEALTH P O BOX 66909 CHICAGO, IL 60666-0909 (800) 541-1225 

M03 CONSECO MEDICAL INSURANCE 303 N MAIN STREET ROCKFORD, IL 61101 (800) 884-1576 

443 CONSECO SENIOR HEALTH P O BOX 66949 CHICAGO, IL 60666 (800) 242-4852 

S34 CONSECO SENIOR HEALTH P O BOX 66949 CHICAGO, IL 60666-0949 (800) 441-3978 

972 CONSECO SENIOR HEALTH INS P O BOX 2002 CARMEL, IN 46082-2002 (800) 441-3978 

H94 CONSECO# 601 PENNSYLVANIA AVE NW STE 900 P O BOX 1250 ROCKFORD, IL 61105-1250 DO NOT USE-USE H84 

X52 CONSOCIATE GROUP 111 E DECATUR ST P O BOX 1068 DECATUR, IL 62525-1068 (800) 798-2422 

F17 CONSOLIDATED ADMINISTRATORS# P O BOX 37429 RALEIGH, NC 27627-7429 (800) 237-9134 DO NOT USE-MR 

S05 CONSOLIDATED BENEFITS 195 STAFFORD STREET SPRINGFIELD, MA 01104 (413) 733-4540 

F37 CONSOLIDATED GROUP P O BOX 2062 NASHUA, NH 03061-2062 (800) 832-8333 MR-DO NOT USE 

T59 CONSOLIDATED INS CENTER 11403 CRONRIDGE DR STE 270 P O BOX 0664 BALTIMORE, MD 21117-0664 (410) 356-9500 

X37 CONSTITUTION LIFE P O BOX 130 PENSACOLA, FL 32591 (800) 789-6364 

433 CONSULTANTS ADMINISTRATORS P O BOX 720 DELAWARE, OH 43015 (614) 436-6880 MAIL RETURN-VERIF LETTERS 

F70 CONTACT TORT RECOVERY AT TPL 406-444-9440 

G61 CONTINENTAL ASSURANCE 6 NASHIMING INTERPLEX STE 205 TREVOSE, PA 19049 

T41 CONTINENTAL ASSURANCE CO TERMINAL ANNEX BOX 30105 LOS ANGELES, CA 90030 (800) 262-4707 

015 CONTINENTAL CASUALTY & ASSURANCE COMPANY 310 S MICHIGAN AVE CHICAGO, IL 60685 

X96 CONTINENTAL GENERAL P O BOX 29136 SHAWNEE MISSION, KS 66201 (800) 284-2898 

148 CONTINENTAL GENERAL INS P O BOX 29136 SHAWNEE MISSION, KS 66201-9136 (402) 397-3200 www.continentalgeneral.com 

T42 CONTINENTAL GENERAL INS 8901 INDIAN HILL DR P O BOX 247007 OMAHA, NE 68124-7007 (800) 325-6933 

R26 CONTINENTAL GENERAL INSURANCE P O BOX 2997 PARKERSBURG, WV 26102 (800) 391-5211 

X20 CONTINENTAL HEALTH 10333 HARMON DR STE 225 HOUSTON, TX 77036 

F24 CONTINENTAL LIFE & ACCIDENT# P O BOX 1300 ROCKFORD, IL 61105 (800) 221-3770 DO NOT USE - USE 149 

T29 CONTINENTAL LIFE INSURANCE 101 CONTINENTAL PLACE BRENTWOOD, TN 37027-1188 (615) 377-1300 

149 CONTINENTIAL LIFE & ACCIDENT P O BOX 1300 ROCKFORD, IL 61105 (800) 659-7374 815-965-8955 

Z94 CONTNIENTAL RESOURCES EMPLOYEE BENEFIT PLAN P O BOX 1032 ENID, OK 73702 

326 CONTROL DATA BENEFIT SERVICES DEPT 198 P O BOX 833823 RICHARDSON, TX 75083-3823 (800) 826-2649 DO NOT USE-MR 

A64 COOPERATIVE BENEFIT ADMINISTRATORS P O BOX 6249 LINCOLN, NE 68506 (402) 483-9200 

J95 COOPERATIVE BENEFIT ADMINISTRATORS P O BOX 6963 LINCOLN, NE 68506 (800) 543-9213 

K12 COOPERATIVE BENEFIT ADMIN# P O BOX 6249 LINCOLN, NE 68506 USE A64 

D73 COOPERATIVE BENEFIT# ADMINISTRATORS P O BOX 6249 LINCOLN, NE 68506 (402) 483-9200 DO NOT USE-USE A64 

B86 COORS GROUP HEALTH MAIL # N H 220 GOLDEN, CO 80401 (303) 277-2535 

619 CORCORAN TRUCKING 532 KLENCK LANE BILLINGS, MT 59101 INSUR THU #438-EBMS 

239 CORE SOURCE P O BOX 168 MATTESON, IL 60443-0168 (800) 444-8880 

J01 CORE SOURCE 4210 SHAWNEE MISSION PKWY STE 302A SHAWNEE MISSION, KS 66205 (800) 545-1769 

AC9 CORE SOURCE INC 6100 FAIRVIEW RD STE 1000 CHARLOTTE, NC 28210-3291 

967 CORE SOURCE# 146 INDUSTRIAL PARK JACKSON, MN 56143-9511 (800) 677-6965 DO NOT USE - USE A06 

DO NOT USE-MR 

346 CORE SOURCE# P O BOX 11590 RENO, NV 89510-1590 

G85 CORESOURCE 4940 CAMPBELL BLVD STE 200 BALTIMORE, MD 21236 (410) 931-5060 

242 CORESOURCE NORTHWESTERN NAT'L LIFE 7830 E BROADWAY TUCSON, AZ 87510-3967 (415) 444-7988 

FORMERLY-RELIASTAR 

800-888-7202 

R54 CORESOURCE P O BOX 6150 WESTERVILLE, OH 43086 (614) 890-0070 

J24 CORESOURCE P O BOX 83301 LANCASTER, PA 17608-3302 (800) 223-3943 

A06 CORESOURCE 146 INDUSTRIAL PARK JACKSON, MN 56143-9511 (800) 274-6965 FORMERLY-RELIASTAR 

X86 CORESOURCE P O BOX 879 ANDERSON, IN 46015 (800) 331-1199 

844 CORESOURCE P O BOX 11590 RENO, NV 89510-1590 (800) 762-7564 

090 CORESOURCE INC# P O BOX 11590 RENO, NV 89510-1590 (800) 472-5444 RETURNED MAIL 07/28/98 

B37 CORESOURCE# P O BOX 1195 MINNEAPOLIS, MN 55440 (800) 274-6965 DO NOT USE - USE 042 

D35 CORESOURCE# 146 INDUSTRIAL PARK JACKSON, MN 56143-9511 (800) 283-6965 DO NOT USE - USE A06 

J50 CORESOURCE# P O BOX 31547 RALEIGH, NC 27622-1547 (800) 451-9446 1/30/2006 MR INSUFFICIENT ADDRESS 

139 CORESOURCE# 1050 E FLAMINGO RD W-250 LAS VEGAS, NV 89119-7427 (800) 827-7026 DO NOT USE-USE 118 

216 CORESOURCE# 7830 E BROADWAY BLVD TUCSON, AZ 85710-3923 (800) 888-7202 DO NOT USE - USE 242 FORMERLY-RELIASTAR 

A69 CORESOURCE# 7830 E BROADWAY TUCSON, AZ 85710 (800) 888-7202 DO NOT USE - USE 242 

E64 CORESOURCE# TUCSON CLAIM CENTER 7830 EAST BROADWAY TUCSON, AZ 85710 (800) 888-7202 DO NOT USE - USE 242 

042 CORESTAR P O BOX 1195 MINNEAPOLIS, MN 55440-0020 (800) 274-6965 AUTO RESPONSE FOR VERIFICATION 

DO NOT USE-USE 242 

471 CORESTAR# TUCSON CLAIM CENTER 7830 EAST BROADWAY TUCSON, AZ 85710 (800) 888-7202 FORMERLY RELIASTAR 

P43 CORNING INCORPORATED# HEALTH BENEFITS DEPT P O BOX 542 CORNING, NY 14830 (800) 831-4555 DO NOT USE-MR 

800-542-6355 

 

F02 CORPORATE BENE SERV OF AMER P O BOX 27267 MINNEAPOLIS, MN 55427-0267 (612) 473-4291 

H28 CORPORATE BENEFIT SERV OF AMER P O BOX 27267 MINNEAPOLIS, MN 55427-0267 (800) 925-2272 

6125460062 

DO NOT USE-USE F02 

K48 CORPORATE BENEFIT SERVICES OF AMERICA P O BOX 738 HOPKINS, MN 55402 (612) 541-0444 

CORPORATE BENFIT SERVICE OF AMERICA 

888-769-2100 

N47 CORPORATE BENEFIT SOLUTIONS INC P O BOX 15428 LITTLE ROCK, AR 72231 

S03 CORPORATE BENEFITS 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 

894 CORPORATE GROUP SYSTEM P O BOX 5710 LIVONIA, MI 48150-5710 

B83 CORPORATE HEALTH ADMIN P O BOX 1858 BISMARCK, ND 58502 (800) 235-0123 

G74 CORPORATE HEALTH ADMIN TWO MARQUIS PLAZA STE 300 5313 CAMPBELLS RUN RD PITTSBURGH, PA 15205 (800) 962-6842 

Y62 CORPS CARE MNU CLAIMS DEPARTMENT P O BOX 863 INDIANAPOLIS, IN 46206 (800) 872-0067 

D65 COTTER MEMBER INSURANCE 203 JANDUS RD CARY, IL 60013 (708) 639-1550 800-323-0131 

E04 COTTER MEMBER INSURANCE# 203 JANDUS ROAD CARY, IL 60013 (800) 582-2014 DO NOT USE - USE D65 

Z06 COUNTRYWIDE GRP HEALTH CARE 55 NORTH LAKE AVE PASADENA, CA 91101 

Z82 COVENTRY HEALTH P O BOX 8400 LONDON, KY 40742 (800) 824-3570 

P41 COVENTRY HEALTH CARE P O BOX 782766 WICHITA, KS 67278 (316) 634-1222 

W65 COVENTRY HEALTH CARE OF GA P O BOX 7711 LONDON, KY 40742 (800) 470-2004 

Z51 COVENTRY HEALTH CARE OF KS 8320 WARD PARKWAY KANSAS CITY, KS 64114

N54 COVENTRY INSURANCE P O BOX 7109 LONDON, KY 40742-7109 (800) 969-3343 

Z43 COX HEALTH SYSTEMS P O BOX 5750 SPRINGFIELD, MO 65801-5750 

P89 CPIC LIFE P O BOX 3007 LODI, CA 95241 (800) 537-0666 

G12 CRAWFORD & CO HEALTH CLAIM SERV DEPT 8032 P O BOX 5047 ATLANTA, GA 30302 (404) 256-0830 

A12 CRAWFORD & COMPANY P O BOX 1148 HELENA, MT 59604 (406) 442-3340 

077 CRAWFORD & COMPANY# P O BOX 6160 SANTA BARBARA, CA 93160 DO NOT USE-MR 

739 CRIME VICTIMS UNIT 303 N ROBERTS, 4TH FLOOR HELENA, MT 59601 

G95 CROWN CORK & SEAL CO INC ATTN: INSURANCE DEPT 9300 ASHTON RD PHILADELPHIA, PA 19136 (800) 507-2359 MR DO NOT USE 

H03 CSI EMPLOYEE BENEFIT PLAN 3218 HWY 67 STE 218 MESQUITE, TX 75150 (800) 878-3157 888-895-7520 for verification of coverage 

S74 CTDU HEALTH & WELFARE FUND 809 W MADISON ST CHICAGO, IL 60607-2682 (312) 728-3920 

T52 CULINARY HEALTH & WELFARE 1901 LAS VEGAS BLVD S STE 106 LAS VEGAS, NV 89104 (702) 733-9938 

156 CUNA MUTUAL INS SOCIETY 5910 MINERAL PNT ROAD P O BOX 1648 MADISON, WI 53701 (608) 238-5851 

A67 CUNA MUTUAL INSURANCE GRP# ATTN: EMPLOYEE BENEFITS P O BOX 2063 PAMONA, CA 91769 (800) 441-2644 MR-DO NOT USE 

467 CURTIS 1000 INC P O BOX 64109 ST PAUL, MN 55164 (312) 483-6605 

D15 CUSTOM CARE CLAIMS 14528 S OUTER FORTH STE 100 CHESTERFIELD, MO 63017-5752 (800) 445-5692 

303 CUSTOM FINANCIAL SERVICE P O BOX 112 MONTESANO, WA 98563 

AB1 CYPRESS BENEFITS ADMINISTRATION 5560 W GRANDE MARKET DR APPLETON, WI 54913 

683 CYPRUS INDUSTRIAL MINERALS ATTN: JIM SANDERSON MC263A P O BOX 3299 ENGLEWOOD, CO 80155 

K29 D & T CONSULTING 7506 E HIGHWAY 37 TUTTLE, OK 73089 (800) 826-8190 405-392-3081 

N37 D C I 2411 VILLAGE LANE BILLINGS, MT 59102 

K08 DAKOTA CARE 2600 W 49TH ST P O BOX 7406 SIOUX FALLS, SD 57105-7406 (605) 334-4000 RX TO C51 

965 DAKOTA FARMER INS 1 CITY CENTER 515 N 6TH ST ST LOUIS, MO 63101-1877 

976 DAVIS MUD & CHEMICAL ATTN JIM KOHLS P O BOX 108 GREAT BEND, KS 67530 

V80 DAVIS VISION P O BOX 1521 LATHAM, NY 12110 (888)603-3339 

M38 DBL SERVICES INC# CONSOLIDATED PERSONNEL CORP P O BOX 66714 ST LOUIS, MO 63166-6714 (800) 844-7979 DO NOT USE-MR 

138 DCA HEALTH CARE MANAGEMENT 400 DCA CENTER 13100 WAYZATA BLVD MINNETONKA, MN 55343 (612) 541-7500 DO NOT USE-WENT OUT OF BUSINESS 5 YEARS AGO 

N72 DEAN HEALTHPLAN 1277 DEMING WAY MADISON, WI 53717 

HD2 DEERFIELD COLONY 705 DEERFIELD ROAD LEWISTOWN, MT 59457 (406) 538-7824 Address change to 705 Deerfield Road 6/08/06 

483 DEERFIELD HUTTERITE COLONY# RURAL RTE 3, BOX 140 LEWISTOWN, MT 59457 (406) 538-7824 DO NOT USE-USE HD2 

X31 DEFINITY HEALTH P O BOX 740810 ATLANTA, GA 30374-0810 (866) 333-4648 

AC1 DEFINITY HEALTH P O BOX 740810 ATLANTA, GA 30374-0810 

AJ7 DEFINITY HEALTH P O BOX 30555 SALT LAKE CITY, UT 84130 

V38 DEFINITY HEALTH CLAIMS P O BOX 9525 AMHERST, NY 14226-9525 (800) 432-7461 

W12 DEFINITY HEALTH PLAN 3033 EXCELSIOR BLVD STE 10 MINNEAPOLIS, MN 55416 (866) 333-4648 

651 DEGREE OF HONOR PROTECTIVE ASSOC 325 CEDER ST SAINT PAUL, MN 55101 

H02 DELAWARE BENEFIT ADMIN# P O BOX 2681 MUNCIE, IN 47307-0681 (800) 553-0865 

DO NOT USE-MR 

OOB 7/1999 

C05 DELTA DENTAL 3405 PIEDMONT RD N E SUITE 400 ATLANTA, GA 30305 (800) 521-2651 

277 DELTA AIRLINES INC DELTA FAMILY CARE P O BOX 20535 DEPT 840 ATLANTA, GA 30320 MR-UNABLE TO FORWARD 8/01/00 

142 DELTA BENEFIT PLAN P O BOX 80 STOCKTON, CA 95201 (209) 948-8483 

653 DELTA DENTAL P O BOX 908 MINNEAPOLIS, MN 55440-0908 (800) 328-1188 

K04 DELTA DENTAL P O BOX 2870 BOISE, ID 83701 (800) 388-3940 208-344-4546 

C28 DELTA DENTAL P O BOX 16450 LITTLE ROCK, AR 72231 (800) 462-5410 

W86 DELTA DENTAL P O BOX 908 MINNEAPOLIS, MN 55440-0908 (800) 493-0513 

W72 DELTA DENTAL 12898 TOWNE CENTER DR CERRITOS, CA 90703 (800) 548-5468 

Y57 DELTA DENTAL P O BOX 173803 DENVER, CO 80217 (800) 610-0201 

W93 DELTA DENTAL P O BOX 997330 SACRAMENTO, CA 95899-7330 (877) 442-7462 (916) 853-7373 

X93 DELTA DENTAL TRICARE RETIREE DENTAL PLAN P O BOX 537008 SACRAMENTO, CA 95853-7008 (888) 838-8737 

Z58 DELTA DENTAL P O BOX 1809 ALPHARETTA, GA 30023-1809 

Z21 DELTA DENTAL CUSTOMER CLAIMS SERVICE P O BOX 9085 FARMINGTON HILLS, MI 48333-9085 

Z38 DELTA DENTAL ONE DENTAL DR MECHANICSBURG, PA 17055 

AF3 DELTA DENTAL P O BOX 273 MINNEAPOLIS, MN 55440 

Y67 DELTA DENTAL P O BOX 75688 SEATTLE, WA 98125 

Z50 DELTA DENTAL P O BOX 789769 WICHITA, KS 67278-9769 

E21 DELTA DENTAL OF COLORADO# 2675 SOUTH ABILENE STREET AURORA, CO 80014 MR-DO NOT USE 9/26/2006 

AH5 DELTA DENTAL OF ILLINOIS 801 OGDEN AVENUE LISLE, IL 60532 

P96 DELTA DENTAL OF MA P O BOX 9695 BOSTON, MA 02114-9695 (800) 872-0500 FAX 617-886-1199 

Y45 DELTA DENTAL OF MO P O BOX 8690 ST LOUIS, MO 63126 (800) 335-8266 

J98 DELTA DENTAL OF NC 333 SIX FORKS ROAD RALEIGH, NC 27609 (800) 662-8856 

W23 DELTA DENTAL OF OKLAHOMA P O BOX 548809 OKLAHOMA CITY, OK 73154 (800) 522-0188 

AD4 DELTA DENTAL OF RI CLAIMS P O BOX 1517 PROVIDENCE, RI 02901-1517 

E18 DELTA DENTAL OF SD P O BOX 1157 PIERRE, SD 57501 (605) 224-7345 

Y07 DELTA DENTAL OF VA 4818 STARKEY ROANOKE, VA 24014 (540) 989-8000 

C70 DELTA DENTAL OF WY 320 W 25TH ST STE 301 CHEYENNE, WY 82001 (800) 233-0860 

618 DELTA DENTAL PLAN P O BOX 9085 FARMINGTON HILLS, MI 48333-9085 (313) 489-2240 

850 DELTA DENTAL PLAN P O BOX 828 STEVENS POINT, WI 54481 (800) 236-3712 

601 DELTA DENTAL PLAN UNIFORM ACTIVE DUTY (WEST) P O BOX 269023 SACRAMENTO, CA 95826-9023 (916) 381-9369 

869 DELTA DENTAL PLAN 211 E CHICAGO AVE CHICAGO, IL 60611 DO NOT USE-MR 

288 DELTA DENTAL PLAN OF CA P O BOX 7736 SAN FRANCISCO, CA 94120 (415) 972-8300 

W19 DELTA DENTAL PLAN OF IOWA P O BOX 919 ANKENY, IA 50021-0919 (800) 554-0718 

T81 DELTA DENTAL PLAN OF TN 240 VENTURE CIRCLE NASHVILLE, TN 37226 (800) 223-3104 

AB2 DELTA HEALTH BENEFITS P O BOX 692350 STOCKTON, CA 95269-2350 

M96 DELTA USA P O BOX 59238 MINNEAPOLIS, MN 55459-0238 (800) 448-3815 DENTAL CLAIMS ONLY 

T79 DELTA USA ATTN WAL-MART DENTAL CLAIMS P O BOX 15965 NORTH LITTLE ROCK, AR 72231 

C77 DENTAL ADMINISTRATIVE OFFICES# 5575 TECH CENTER DR, SUITE 320 COLORADO SPRINGS, CO 80919 (800) 231-2583 DO NOT USE-MR 

X97 DENTAL NETWORK OF AMERICA P O BOX 23060 BELLEVILLE, IL 62223 (800) 820-9994 

Y30 DENTAL SELECT 65 WADSWORTH PARK DR STE 200 DRAPER, UT 84020 (800) 999-9789 

P48 DENVER HEALTH MEDICAL PLAN P O BOX 40637 DENVER, CO 80204 (303) 436-5171 

801-578-5600 

158 DESERET MUTUAL P O BOX 45530 SALT LAKE CITY, UT 84145 (800) 777-3622 www.dmba.com 

AG4 DESTINY HEALTH PLAN P O BOX 4628 OAK BROOK, IL 60522-4628 (630) 590-4200 Pharmacy is thru Caremark

S98 DIALYSIS CLINIC 2911 FOSTER CREIGHTON DR NASHVILLE, TN 37204 (615) 342-0400 

E98 DICKENS ELECTRIC CO-OP ATTN: GAYLE P O BOX 309 SPUR, TX 79370 (806) 271-3311 

M55 DIVERSIFIED ADMINISTRATION P O BOX 299 MARLBOROUGH, CT 08447 (888) 322-2524 

260 DONOVAN BENEFIT SYSTEM INC 440 LOUISIANA STE 1600 HOUSTON, TX 77002 (800) 847-5797 

134 DOW CHEMICAL USA# GROUP INSURANCE DEPT. FREEPORT, TX 77541 DO NOT USE-MR 5/18/00 

H90 DUKE MANAGED CARE ATTN CLAIMS 6330 QUADRANGLE DR STE 50CHAPEL HILL, NC 27514 (800) 385-3636 

F12 DUN & BRADSTREET SERVICES P O BOX 30098 TAMPA, FL 33830-3098 

HA4 DUNCAN RANCH COLONY P O BOX 248 HARLOWTON, MT 59036 (406) 632-4106 

D40 DUPONT MEDICAL CARE/AETNA P O BOX 26102 GREENSBORO, NC 27407 (800) 228-4844 

R91 E & S BEVERIDGE P O BOX 636 MANSFIELD, OH 44901-0636 (419) 525-3961 

V55 E A MILLER CACHE HEALTH ADMIN P O BOX 326 HYDE PARK, UT 84318 (425) 563-9673 

N96 E B A & M P O BOX 5079 WESTLAKE VILLAGE, CA 91359 (800) 249-8440 

W82 E B A & M 3505 CADILLAC AVE STE 0-201 COSTA MESA, CA 92626 

816 E B C TRUST HERBERGER'S 435 FORD RD STE 500 MINNEAPOLIS, MN 55426 

803 E B I EMPLOYEE BENEFITS INSURANCE 36 N LAST CHANCE GULCH HELENA, MT 59601 MR-DO NOT USE 

E81 E D S HEALTH BENEFIT PLAN P O BOX 796069 DALLAS, TX 75379-6069 (214) 605-7500 

HA5 EAGLE CREEK COLONY P O BOX 13 GALATA, MT 59444 (406) 432-2581 

B71 EAGLE INSURANCE COMPANY P O BOX 46579 SEATTLE, WA 98146-0579 (206) 933-5200 

M17 EAGLE MANAGED CARE# P O BOX 546 CAMPHILL, PA 17089 

DO NOT USE 

OUT OF BUSINESS 12/99 

HA6 EAST END COLONY P O BOX 1129 HAVRE, MT 59501 (406) 398-5355 DO NOT USE-MR 

HD3 EAST MALTA COLONY P O BOX 6135 MALTA, MT 59538 (406) 654-2795 

G84 EASTERN BENEFIT SYSTEMS INC EXTENDED BENEFITS INC 200 FREEWAY DR E EAST ORANGE, NJ 07018 (800) 524-0227 

(973) 676-6100 

RX TO 212 

432 EATON CORP P O BOX 1691 COLUMBUS, OH 43216 (800) 221-6036 

R21 EBMS P O BOX 4000 DRAPER, UT 84020 (800) 715-9414 

438 EBMS P O BOX 21367 BILLINGS, MT 59104-1367 (800) 872-3200 

FAXBACK 

866-247-1446 

270 EBMS# P O BOX 21367 BILLINGS, MT 59104-1367 (406) 245-3575 DO NOT USE - USE 438 

603 EBMS# P O BOX 21367 BILLINGS, MT 59104 (800) 872-3200 DO NOT USE - USE 438 

616 EBMS# CITY OF BILLINGS P O BOX 21367 BILLINGS, MT 59104-1367 (800) 872-3200 DO NOT USE - USE 438 

693 EBMS# DO NOT USE-USE 438 P O BOX 21367 BILLINGS, MT 59104 (800) 872-3200 

723 EBMS# P O BOX 21367 BILLINGS, MT 59104 (800) 872-3200 DO NOT USE - USE 438 

275 ECHO BAY INC# ATTN: LINDA 370 17TH ST, STE 4050 DENVER, CO 80202 (303) 592-8021 DO NOT USE-MR 

B56 ECHO BAY MINERALS ATTN: CLAIMS 921 FISH HATCHERY RD REPUBLIC, WA 99166 (800) 762-3726 

F76 EDUCATORS MUTUAL INSURANCE 852 E ARROWHEAD LANE MURRAY, UT 64107-5298 (800) 362-0533 

327 EDUCATORS MUTUAL LIFE INS CO 202 NORTH PRINCE P O BOX 83888 LANCASTER, PA 17608-3888 (717) 397-2751 

A73 EIGHTH DISTRICT ELECTRICAL BENEFIT FUND P O BOX 30101 SALT LAKE CITY, UT 84130-0101 (801) 973-1001 

J40 ELDORADO CLAIM SERVICES P O BOX 55237 PHOENIX, AZ 85078-5237 (800) 539-2695 

MR-DO NOT USE 

B89 ELDORADO CLAIMS SERVICES INC 5353 N 16TH ST STE 410 PHOENIX, AZ 85016-3224 

657 ELECTRIC MUTUAL UTAH POWER & LIGHT CO P O BOX 899 SALT LAKE CITY, UT 84110 

A99 ELECTRICAL WORKERS TRUST P O BOX 5433 SPOKANE, WA 99205 (509) 534-0600 

D55 ELITE HEALTH INSURANCE P O BOX 30075 TAMPA, FL 33630 (800) 848-5332 

C81 EMIA EDUCATORS MUTUAL INS ASSOC 852 EAST ARROWHEAD LANE MURRAY, UT 84107-5298 (801) 262-7476 

E90 EMPERION P O BOX 39846 EDINA, MN 55439-0846 (800) 786-6525 

R72 EMPIRE BC/BS PEPSI COLA EMPLOYEES P O BOX 5071 MIDDLETOWN, NY 10940 (877) 224-0030 

S21 EMPIRE BC/BS P O BOX 5071 MIDDLETOWN, NY 10940 (877) 224-0030 

M43 EMPIRE BC/BS PPO SERVICE CENTER P O BOX 5068 MIDDLETOWN, NY 10940-9068 (877) 776-2583 

376 EMPIRE BLUE CROSS/BLUE SHIELD P O BOX 5068 MIDDLETOWN, NY 10940-9068 (800) 221-3032 

908 EMPIRE BLUE CROSS/BLUE SHIELD GRAND CENTRAL STATION P O BOX 5577 NEW YORK, NY 10163 

V64 EMPLOYEE BENEFIT ADMIN P O BOX 100990 SAN ANTONIO, TX 78201 (800) 725-3120 

K28 EMPLOYEE BENEFIT ASSOC 2858 WEST MARKET STREET SUITE N AKRON, OH 44333 (800) 624-2564 

D42 EMPLOYEE BENEFIT CLAIMS INC P O BOX 276480 SACRAMENTO, CA 95827 (916) 364-9300 DO NOT USE 

P26 EMPLOYEE BENEFIT CLAIMS OF WI P O BOX 884 APPLETON, WI 54912 (800) 342-1407 

G14 EMPLOYEE BENEFIT CORP 4815 N PROSPECT RD PEORIA, IL 61614-6470 (800) 645-9972 

H58 EMPLOYEE BENEFIT MANAGEMENT# P O BOX 21367 BILLINGS, MT 59104 (800) 399-3267 DO NOT USE-USE 438 

395 EMPLOYEE BENEFIT PLAN 435 FORD RD STE 500 MINNEAPOLIS, MN 55426 (800) 441-3115 

Y38 EMPLOYEE BENEFIT PLAN P O BOX 3156 QUINCY, IL 62305 

411 EMPLOYEE BENEFIT PLAN ADMIN P O BOX 2000 HAMPTON, NH 03842 (800) 258-7298 

500 EMPLOYEE BENEFIT PLAN INSURANCE P O BOX 24007 FRESNO, CA 93779-4007 (800) 328-3003 

331 EMPLOYEE BENEFIT PLAN SERVICES EBP HEALTH PLANS 2101 4TH AVE STE 950 SEATTLE, WA 98121 RETURNED CB-NO NEW ADDRESS LISTED-LR 8/31/98 

J41 EMPLOYEE BENEFIT SERVICE 4801 CHASTIAN AVENUE P O BOX 241628 CHARLOTTE, NC 28217 (888) 664-4722 MR 6/10/2004 

AN3 EMPLOYEE BENEFIT SERVICE CENTER P O BOX 8160 S CHARLESTON, WV 25303 

N31 EMPLOYEE BENEFIT SERVICES P O BOX 70100 SHREVEPORT, LA 71137-0100 (800) 256-2657 

261 EMPLOYEE BENEFITS AMERICA LOOKOUT CORPORATE CENTER 1717 DIXIE HWY STE 700 FORT WRIGHT, KY 41011 MR 7/25/00 

B82 EMPLOYEE BENEFITS INC HOLDREN EMPLOYEE BENEFITS P O BOX 358 SANDUSKY, OH 44871-0358 (419) 625-0361 

T07 EMPLOYEE GROUP SERVICES P O BOX 75008 CEDAR RAPIDS, IA 52407-5008 

AN7 EMPLOYEE HEALTH INS PLAN P O BOX 1250 TUSCALOOSA, AL 35403 

P02 EMPLOYEE PLANS INSURANCE RISK MANAGEMENT P O BOX 2362 FORT WAYNE, IN 46801-2362 (219) 436-1114 

F05 EMPLOYEES LIFE COMPANY 916 SHERWOOD DR LAKE BLUFF, IL 60044-2285 (708) 295-6000 

K91 EMPLOYER RESOURCE NETWORK INC P O BOX 9137 FORT WORTH, TX 76147-2137 (800) 252-4698 FAX-817-332-9160 

A30 EMPLOYER SERVICES INC P O BOX 619022 DALLAS, TX 75261 (800) 688-3885 out of business no listing in our around dallas... 

S52 EMPLOYERS DIRECT HEALTH 5050 SPRING VALLEY RD DALLAS, TX 75244-3909 (800) 560-8008 

208 EMPLOYERS GROUP INS TRUST II P O BOX 35005 SANTA ANA, CA 92705 MR 7/25/00 

768 EMPLOYERS HEALTH INS. CO. ATTN MEDICAL CLAIMS P O BOX 14610 LEXINGTON, KY 40510-4610 (800) 822-6275 GROUP FOR SHOPKO 

D01 EMPLOYERS HEALTH INSURANCE P O BOX 5620 MADISON, WI 53705 (800) 558-4444 

223 EMPLOYERS HEALTH INSURANCE# 1100 EMPLOYERS BLVD GREEN BAY, WI 54344 (800) 558-4444 DO NOT USE-USE 768 

H53 EMPLOYERS INSUR OF WAUSAU P O BOX 8056 WAUSAU, WI 54402-8056 (800) 537-6662 

T22 ENTRUST P O BOX 441588 HOUSTON, TX 77244-1588 (800) 436-8787 

333 EPIC INS# P O BOX 46579 SEATTLE, WA 98146-0579 (800) 869-7037 DO NOT USE - USE 434

379 EPIC LIFE INS 6525 GRAND TETON PLAZA MADISON, WI 53719 

X04 EPISCOPAL CHURCH MEDICAL TRUST 445 FIFTH AVE NEW YORK, NY 10016-0109 (866) 273-4545 

M53 EPOCH GROUP P O BOX 12170 OVERLAND PARK, KS 66282 (800) 255-6065 

D78 EPOCH GROUP INSURANCE 10795 WATSON ROAD ST LOUIS, MO 63127 (314) 821-3957 

857 EQUICOR P O BOX 10365 DES MOINES, IA 50306 (515) 223-0754 

829 EQUICOR P O BOX 24028 FRESNO, CA 93779-4028 (800) 356-2753 MR 

525 EQUICOR P O BOX 12500 FRESNO, CA 93778 (800) 782-8920 

705 EQUICOR P O BOX 2-V RICHMOND, VA 23205 (804) 771-1800 

974 EQUICOR WESTINGHOUSE P O BOX 187 PITTSBURGH, PA 15230 

119 EQUICOR INC CLAIMS SERVICE CENTER 4420 SHAWNEE MISSION PARSHAWNEE MISSION, KS 66207 (913) 384-4600 

304 EQUICOR INC- CLAIMS DEPT 9200 INDIAN CREEK PARKWAY SUITE 200 OVERLAND PARK, KS 66210 MR-UNABLE TO FORWARD 8/2/00 

A46 EQUICOR INS 95 HIGHLAND AVE BETHLEHEM, PA 18017 (215) 866-7122 

G83 EQUIFAX/EHAS# MEDICAL CLAIM DEPT P O BOX 561408 DALLAS, TX 75356 (800) 445-8845 DO NOT USE-MR 5/15/00 

A96 EQUITABLE P O BOX 3000 LANCASTER, SC 29721-3000 (800) 782-9355 

947 EQUITABLE / EQUICOR NORTHGATE STATION P O BOX 75984 SEATTLE, WA 98125 

145 EQUITABLE EQUICOR HCA CORP P O BOX 10392 DES MOINES, IA 50306 (515) 223-9600 

845 EQUITABLE LIFE P O BOX 10370 DES MOINES, IA 50206 

034 EQUITABLE LIFE & CASUALTY ATTN CLAIMS P O BOX 2460 SALT LAKE CITY, UT 84110 (800) 352-5150 

837 EQUITABLE LIFE & CASUALTY# P O BOX 2460 SALT LAKE CITY, UT 84110 (800) 352-5150 DO NOT USE - USE 034 

602 EQUITABLE LIFE ASSURANCE SOC FOUR GATEWAY CENTER DIV OF BENEFITS OFC PITTSBURGH, PA 15222 MR 10/31/00 

714 EQUITABLE LIFE ASSURANCE# SOCIETY OF THE U S P O BOX 2803 COLORADO SPRINGS, CO 80901 DO NOT USE-MR 

615 EQUITABLE LIFE INS SOC SAGA PLUS-GROUP/BENEFIT OFC P O BOX 24009 FRESNO, CA 93779 

168 EQUITABLE LIFE# 348 EAST SO TEMPLE P O BOX 2460 SALT LAKE CITY, UT 84110 (800) 352-5150 DO NOT USE - USE 034 

640 EQUITABLE LIFE# MOUNTAIN BELL P O BOX 3317 STATION D ALBUQUERQUE, NM 87190 (800) 782-9883 DO NOT USE - USE 843 

M28 EQUITABLE PLAN SERVICES P O BOX 720460 OKLAHOMA CITY, OK 73172-0460 (800) 749-2631 (405) 755-2929 

E59 EQUITY LEAGUE WELFARE TRUST FUND 165 W 46TH ST 14TH FLOOR NEW YORK, NY 10036 (212) 685-5959 

B08 ERISA ADMINISTRATIVE SERVICES 5818 N 7TH ST #106 PHOENIX, AZ 85014 (800) 279-9096 

783 ESCO BAR FIRST INTERGRATED HEALTH P O BOX 5279 TORRANCE, CA 90510-5279 (800) 433-3554 

AI9 ESSENTIAL STAFF CARE P O BOX 6702 COLUMBIA, SC 29260 

N29 ESSILOR OF AMERICA 2400 118TH AVE N ST PETERSBURG, FL 33716 

G64 ETHIX NATIONAL P O BOX 5095 MIDDLETOWN, NY 10940-9095 (800) 828-8012 

K80 ETHIX NORTHWEST P O BOX 91023 SEATTLE, WA 98111-9123 (800) 654-3250 

K38 EUCON HEALTHCARE P O BOX 1400 PORTLAND, OR 97207 (503) 279-9943 

RX-USES PROVANTAGE 

800-784-0881-PROVANTAGE 

S78 EVEREST P O BOX 19002 PROVO, UT 84605 (800) 286-4160 

540 EXCELLUS BC/BS 165 COURT ST ROCHESTER, NY 14647 (800) 847-1200 

800-828-6560 

www.excellusbcbs.com 

C51 EXPRESS SCRIPTS P O BOX 390870 BLOOMINGTON, MN 55439-0870 (800) 955-1171 

V07 EXPRESS SCRIPTS P O BOX 66773 ST LOUIS, MO 63166-6773 

V24 EXPRESS SCRIPTS INC P O BOX 27226 ALBUQUERQUE, NM 87125-7226 (505) 345-8080 

Y96 EYE MED ECPA MANAGED CARE CLAIMS P O BOX 8504 MASON, OH 45040-7111 (800) 521-3605 

F25 F H P CLAIMS P O BOX 3697 SEAL BEACH, CA 90740 (800) 358-4347 

F57 F H P OF COLORADO P O BOX 441170 AURORA, CO 80044 (800) 831-4388 MR-DO NOT USE 

856 F.H. STOLZE LUMBER# ATTN: INSURANCE CLERK P.O. BOX 1429 COLUMBIA FALLS, MT 59912 (612) 340-5250 DO NOT USE USE 701 

HA7 FAIRHAVEN COLONY P O BOX 389 ULM, MT 59435 (406) 866-3350 

HE5 FALLON RANCH COLONY P O BOX 102 FALLON, MT 59326 (406) 486-5458 

AG8 FARM BUREAU INSURANCE ATTN: DONNY 1205 BUTTE AVENUE HELENA, MT 59601 

022 FARMERS INSURANCE CONTACT 1-800-624-3958 FOR CORRECT ADDRESS DO NOT USE 

F19 FARMER-STOCKMAN INS SERVICE# P O BOX 10821 CLEARWATER, FL 33757-8821 (509) 459-5385 DO NOT USE - USE 499 

D63 FARMLAND INDUSTRIES INC EMPLOYEE BENFIT PLAN DEPT 39 P O BOX 7305 KANSAS CITY, MO 64116 (816) 459-6846 

A19 FARMLAND INSURANCE 1963 BELL AVE DES MOINES, IA 50315 (515) 245-8800 

173 FARM-RANCH LIFE INS CO# P O BOX 18238 WICHITA, KS 67218 DO NOT USE-MR 

177 FARWEST AMERICAN ASSUR P O BOX 8738 PORTLAND, OR 97208 VERIFY/MH 8-13-99-B MR 8-26 DO NOT USE 5/22/00 

AJ3 FCI BENEFITS ADMINISTRATION DENTAL CLAIMS P O BOX 156 HYDE PARK, UT 84328 

AL8 FEDERAL BC/BS P O BOX 33932 SEATTLE, WA 98133 

C56 FEDERAL EXPRESS BENEFITS# UNITED HEALTH CARE P O BOX 740800 ATLANTA, GA 30374 (800) 638-0153 USE 934 

915 FEDERAL EXPRESS CORP METLIFE P O BOX 6089 UTICA, NY 13504-6089 (800) 525-4478 

M30 FEDERAL HOME LIFE INS# P O BOX 10821 CLEARWATER, FL 33757-8821 (888) 345-4242 DO NOT USE-USE 269 

269 FEDERAL HOME LIFE INSURANCE CO P O BOX 10821 CLEARWATER, FL 33757-8821 (800) 253-0856 

V15 FEDERAL PCS RETAIL PHARMACY PROGRAM P O BOX 52057 PHOENIX, AZ 85072-2057 (800) 624-5060 

Z76 FEDERATED INSURANCE P O BOX 6090 DE PERE, WI 54115 

070 FEDERATED LIFE INS CO P O BOX 328 OWATONNA, MN 55060 (512) 345-3200 

(507)455-5200 ANSWERS FEDERATED OPERATOR 

800-533-0472 

N20 FEDERATED MUTUAL P O BOX 390850 MINNEAPOLIS, MN 55439-0850 (913) 451-1962 

830 FEDERATED MUTUAL INS CO P O BOX 444 KANSAS CITY, MO 64141 (913) 451-1962 

B07 FEDERATED MUTUAL INS CO# P O BOX 39850 EDINA, MN 55439 (612) 831-4300 DO NOT USE-USE 070 

 

G01 FERGUS ELECTRIC CO-OP C/O CO-OP BENEFIT ADMIN P O BOX 6249 LINCOLN, NE 68506-0249 

F01 FHP HEALTH CARE 410 N 44TH ST PHOENIX, AZ 85072 (602) 244-8200 

D02 FHP LIFE INSURRANCE P O BOX 20840 FOUNTAIN VALLEY, CA 92708-0840 (800) 333-4347 

890 FHP UTAH INC ATTN: CLAIMS 35 W BROADWAY SALT LAKE CITY, UT 84101 (800) 365-1334 MR-DO NOT USE 

J63 FIDELITY GROUPS# P O BOX 22112 GREAT NECK, NY 11022-2112 (800) 783-5525 DO NOT USE-MR 

380 FIDELITY SECURITY LIFE INS CO 3130 BROADWAY KANSAS CITY, MO 64141 (800) 821-7303 

836 FINOVA LOAN ADMIN P O BOX 58369 SALT LAKE CITY, UT 84158-0369 please close not a valid insurance company. no longer in business 

188 FIREMANS FUND AMERICAN LIFE INSURANCE 1650 GAMOS DRIVE SAN RAFAEL, CA 94903 

732 FIREMANS FUND INSURANCE CO P O BOX 18025 TAMPA, FL 33679 

N28 FIRST ADMINISTRATORS P O BOX 9120 DES MOINES, IA 50306 (800) 344-5822 

P24 FIRST AMERICAN ADMINISTRATORS P O BOX 898 SIOUX FALLS, SD 57101-0898 (605) 334-7240 

202 FIRST AMERICAN ADMINISTRATORS P O BOX 8150 RAPID CITY, SD 57709-8150 (605) 343-2509 

AG3 FIRST CARE 12940 N HWY 183 AUSTIN, TX 78750 

Y43 FIRST CHOICE HARRINGTON BENEFIT SERVICE P O BOX 700 PUEBLO, CO 81002-0700 (800) 772-9641

T92 FIRST CHOICE ADMINISTRATORS P O BOX 10704 SPRINGFIELD, MO 65808 (877)417-8988 

(417) 890-1020 

USES PHARMACARE FOR RX 

www.firstchoiceadministrators.com 

K94 FIRST CHOICE HEALTH HMA P O BOX 101387 FORT WORTH, TX 76185 

M64 FIRST CHOICE HEALTH PLAN 601 UNION ST STE 1100 P O BOX 12659 SEATTLE, WA 98111 (800) 783-7312 206-252-8255 

W74 FIRST CHOICE HEALTH PLAN# P O BOX 12659 SEATTLE, WA 98111-4659 (800) 750-5202 

S95 FIRST CHOICE HEALTHCARE NETWORK P O BOX 2289 SEATTLE, WA 98111 (800) 282-6013 

K71 FIRST CHOICE OF THE MIDWEST INC P O BOX 5078 SIOUX FALLS, SD 57117-5078 (605) 332-5955 

P99 FIRST CHOICE-FIRST HEALTH 2900 12TH AVE N STE 100 BILLINGS, MT 59101 

927 FIRST CONTINENTAL LIFE & ACCIDENT 2363 FOOTHILL DRIVE SALT LAKE CITY, UT 84109 

041 FIRST FARWEST LIFE INS OREGON LIFE & HLTH GUARANTY 400 S W 6TH ST PORTLAND, OR 97204 MR 5/01/00 

190 FIRST FEDERATED LIFE INS# MUNSEY BLDG BALTIMORE, MD 21202 DO NOT USE-MR 5/18/00 

C43 FIRST HEALTH P O BOX 54076 LOS ANGELES, CA 90054 (213) 738-0200 MR-DO NOT USE 

J46 FIRST HEALTH P O BOX 3196 MILWAUKEE, WI 53201 (414) 577-2140 

V61 FIRST HEALTH 3200 HIGHLAND AVE DOWNERS GROVE, IL 60515-1282 (630) 241-7900 

D69 FIRST HEALTH 14955 HEATHROW FORREST PKWY HOUSTON, TX 77032-3841 (713) 986-8000 

T82 FIRST HEALTH P O BOX 0978 BROOKFIELD, WI 53008 (800) 207-7692 

B53 FIRST HEALTH P O BOX 535920 PITTSBURGH, PA 15253-0001 (800) 223-2644 

N71 FIRST HEALTH P O BOX 22410 TUCSON, AZ 85734 (800) 225-4423 

Y54 FIRST HEALTH P O BOX 11420 TUCSON, AZ 85734 (800) 305-8987 

W34 FIRST HEALTH P O BOX 11220 TUCSON, AZ 85734 (800) 346-6285 

W59 FIRST HEALTH P O BOX 23818 TUCSON, AZ 85734 (800) 365-9356 

H01 FIRST HEALTH P O BOX 30082 SALT LAKE CITY, UT 84130 (800) 382-6411 

B30 FIRST HEALTH 435 FORD RD STE 500 MINNEAPOLIS, MN 55426 (800) 441-3115 

E06 FIRST HEALTH P O BOX 30088 SALT LAKE CITY, UT 84130-0088 (800) 572-2089 

M76 FIRST HEALTH USF/TNT REDAWAY P O BOX 671205 HOUSTON, TX 77267 (800) 639-7621 MR DO NOT USE 

629 FIRST HEALTH ALBERTSONS P O BOX 11010 TUCSON, AZ 85734 (800) 962-7809 

X81 FIRST HEALTH DENTAL CLAIMS P O BOX 23820 TUCSON, AZ 85734 (800) 962-7811 

V95 FIRST HEALTH P O BOX 9071 DUBLIN, OH 43017 (877)565-8046 

AM4 FIRST HEALTH ROSENBLUTH INTERNATIONAL P O BOX 9000 CORAPOLIS, PA 15108 

B03 FIRST HEALTH P O BOX 2903 MILWAUKEE, WI 53201-2903 

P90 FIRST HEALTH 11301 OLD GEORGETOWN RD ROCKVILLE, MD 20852 

S72 FIRST HEALTH NETWORK P O BOX 23309 TUCSON, AZ 85734 (800) 639-7621 800-280-6658 800-872-6624 

N88 FIRST HEALTH NETWORK THE TPA P O BOX 7045 ROCKFORD, IL 61125-7045 (800) 642-4480 

V08 FIRST HEALTH RX P O BOX 85042 RICHMOND, VA 23261-5042 Received CB returned that states they do not process MT Claims. 

AF6 FIRST HEALTH SERVICE CORP DENALI KID CARE P O BOX 240769 ANCHORAGE, AK 99524-0769 

E23 FIRST HEALTH# P O BOX 535920 PITTSBURGH, PA 15253-0001 (800) 223-2644 DO NOT USE-USE B53 

K03 FIRST HEALTH# EXXON GROUP P O BOX 8515 LONDON, KY 40742-8515 (800) 266-9207 

D79 FIRST HEALTH# ALBERTSON'S P O BOX 11010 TUCSON, AZ 85734 (800) 688-3885 

(801)974-6550 


P37 FIRST HEALTH# ALBERTSON'S P O BOX 11010 TUCSON, AZ 85734 (800) 962-7809 DO NOT USE-USE 629 

C90 FIRST HEALTH# P O BOX 671128 HOUSTON, TX 77267-1128 (801) 974-6550 DO NOT USE-NOT A HEALTH INSURANCE 

892 FIRST HEALTH/HCCAS# 4141 N SCOTTSDALE ROAD SCOTTSDALE, AZ 85251 (800) 610-5186 

2/03/04 PPO NETWORK NOT AN INSURANCE 

DO NOT USE 

T19 FIRST HEALTH-DENTAL P O BOX 11810 TUCSON, AZ 85734 (800) 848-8662 

Z79 FIRST HEALTH-DENTAL P O BOX 8400 LONDON, KY 40742 

M99 FIRST HEALTH-PITTSBURGH P O BOX 10500 CORAOPOLIS, PA 15108 (800) 292-1289 

230 FIRST HOME LIFE INS P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 221-3231 

J04 FIRST INTEGRATED HEALTH INC 5000 QUORUM DR STE 111 DALLAS, TX 75240-7586 (800) 555-9073 

X32 FIRST INTERSTATE BANK SYSTEM P O BOX 30918 BILLINGS, MT 59106 (406) 255-5219 

716 FIRST SERVICE INSURANCE P O BOX 6150 SULFOLK, VA 23433 (804) 483-4100 

712 FISERV HEALTH KOCH INDUSTRIES EMPLOYEE GROUP P O BOX 2697 WICHITA, KS 67201-2697 (800) 276-5624 

AK6 FISERV HEALTH P O BOX 690450 SAN ANTONIO, TX 78269 

Z69 FISERV HEALTH P O BOX 8077 WAUSAU, WI 54400-8077 

W61 FISERV HEALTH OF KANSAS P O BOX 2679 WICHITA, KS 67201 (316) 264-5311 

Y29 FISERV HEALTH-KANSAS P O BOX 520 PUEBLO, CO 81002-0520 (800) 235-7160 

HD4 FLAT WILLOW COLONY COLONY RD P O BOX 555 ROUNDUP, MT 59538 (406) 429-7661 

D52 FLEX BENEFITS ADMINISTRATION WEST 320 SPOTFORD STE G SPOKANE, WA 99205 

452 FLEX PLUS P O BOX 6000 HAMPTON, NH 03842 MAIL RETURNED-NO FORWARDING ADDRESS LR 04/26/99 

G07 FLORIDA COMMERCIAL TRUST 1501 VENERA AVE STE 320 P O BOX 432773 MIAMI, FL 33243 (800) 275-3978 

C03 FLORIDA COMPREHENSIVE HEALTH ASSOCIATION P O BOX 45216 JACKSONVILLE, FL 32232-5216 

697 FLORIDA EAST COAST RAILWAY PERSONNEL DEPT P O DRAWER 1048 ST AUGUSTINE, FL 32085 (305) 887-2671 

K69 FLORIDA HEALTHY KIDS CORP P O BOX 31105 TAMPA, FL 33631 (888) 352-5437 

S86 FLORIDA KID CARE P O BOX 591 TALLAHASSEE, FL 32302 (800) 821-5437 

AD9 FLORIDA MUNICIPAL INS TRUST P O BOX 538140 ORLANDO, FL 32853-8140 

N95 FMH BENEFIT SERVICES INC P O BOX 25946 OVERLAND PARK, KS 66225-5946 (800) 990-9058 

T64 FOOD EMP & BAKERY WORKERS 4401 SANTA ANITA AVE STE 100 EL MONTE, CA 91731 

HD5 FORDS CREEK COLONY P O BOX 118 GRASS RANGE, MT 59032 (406) 428-2153 

324 FOREST CITY TRADING GROUP INC. INSURANCE DEPT (AMERI TRUST) P O BOX 4209 PORTLAND, OR 97208 

M78 FORMOST INC AMERICORP-VISTA 1009 LENOX DR STE 107 LAWRENCEVILLE, NJ 08648 (800) 847-8217 

403 FORREST T JONES P O BOX 418131 KANSAS CITY, MO 64141-7303 (800) 821-7303 

H19 FORTIS P O BOX 2043 HOPKINS, MN 55343-3043 (800) 847-8284 

K81 FORTIS BENEFIT INSURANCE CO P O BOX 2940 CLINTON, IA 52733 (800) 325-8985 THIS P O BOX IS FOR DENTAL ONLY phone number invailid 

H21 FORTIS BENEFITS P O BOX 25938 SHAWNEE MISSION, KS 66225-5938 (800) 444-6254 

H43 FORTIS BENEFITS P O BOX 419726 KANSAS CITY, MO 64141 

E31 FORTIS BENEFITS INDIANAPOLIS P O BOX 40918 INDIANAPOLIS, IN 46240-0918 (800)444-6254 

MR-DO NOT USE 

C12 FORTIS BENEFITS# DALLAS BENEFIT CENTER 2425 N CENTRL EXPRESSWY,STRICHARDSON, TX 75080-2714 (214) 238-7400 

479 FORTIS BENEFITS# 501 W MICHIGAN ST P O BOX 624 MILWAUKEE, WI 53201-0624 (800) 800-2000 DO NOT USE-USE 441 

AM2 FORTIS DENTAL P O BOX 830607 BIRMINGHAM, AL 35283 

P75 FORTIS HEALTH P O BOX 2289 SEATTLE, WA 98111-2289 (800) 800-8463

HD6 FORTY MILE COLONY DRAWER A LODGE GRASS, MT 59050 (406) 839-2981 

Y27 FOUNDATION BENEFITS ADMIN 6300 BRIDGEPOINT PKWY BLDG 3 STE 400 AUSTIN, TX 78730 (866) 868-9449 

E78 FOUNDATION HEALTH 3000 DATA DRIVE RANCHERO CORDOVA, CA 95670 (800) 543-7589 

G76 FOUNDATION HEALTH P O BOX 255700 SACRAMENTO, CA 95865 (800) 824-1894 MR-DO NOT USE 

G67 FOUNDATION HEALTH PLAN 3400 DATA DR RANCHO CORDOVA, CA 95670 (800) 249-1894 

G94 FOUNTAIN HEAD ADMINISTRATORS# P O BOX 382617 BIRMINGHAM, AL 35238-2617 (800) 277-0126 MR-DO NOT USE 

S36 FOX VALLEY LABORERS WLF FUND P O BOX 619 GENEVA, IL 60134-0619 

K51 FOX-EVERETT INC P O BOX 23096 JACKSON, MS 39225-3096 (800) 351-4902 ABOVE IS ALSO FAXBACK # 

P01 FRA INSURANCE PLAN P O BOX 10340 DES MOINES, IA 50306-0340 (800) 424-1120 

P98 FREEDOM LIFE INS CO. OF AMERICA 110 W 7TH ST STE 300 FORT WORTH, TX 76102 (800) 387-9027 

Z37 FREEDON CLAIMS MANAGEMENT P O BOX 1365 GREAT BEND, KS 67530 

E65 FRINGE BENEFIT SERVICE 7000 N BROADWAY STE 106 DENVER, CO 80221 

W44 FULL SERVICE BEVERAGE HEALTHCARE PLAN 15 N ROBINSON STE 1200 OKLAHOMA CITY, OK 73125 (800) 471-2652 

S93 FUNDAMENTAL CARE 2036 EAST CAMELBACK RD PHOENIX, AZ 85016 (800) 308-5946 phone # not active and no listing for insurance company 

R36 FUNDAMENTAL CARE 2670 UNION AVE STE 200 MEMPHIS, TN 38112-4416 

A91 G A B BUSINESS SERVICE INC P O BOX 20739 BILLINGS, MT 59104-0739 (406) 652-0411 DO NOT USE-MR 

R32 G E GROUP ADMINISTRATORS P O BOX 3005 AGAWAN, MA 01001 (888) 255-8961 

E46 G E PENSIONERS MEDICAL# CLAIMS CENTER P O BOX 6125 UTICA, NY 13504 (800) 848-8406 DO NOT USE - USE D06 

X42 G H I 441 9TH AVE NEW YORK, NY 10001 (212) 501-5000 

H66 G I C INS CO 9100 IH 10-WEST SAN ANTONIO, TX 78230 

491 GAB BUSINESS SERVICES INC P O BOX 4107 MISSOULA, MT 59806 (406) 549-4121 

373 GAB BUSINESS SERVICES INC EMPLOYEE BENEFITS SERVICES P O BOX 29427 ATLANTA, GA 30359 

C93 GALES MCDONALD P O BOX 105885 ATLANTA, GA 30348-5885 

P06 GALLAGHER & ASSOCIATES P O BOX 14997 JACKSON, MS 39236-4997 (800) 866-4142 

C10 GALLAGHER BASSETT BERRY BEARING CO P O BOX 8004 ITASCA, IL 60143-8004 (800) 323-1726 

215 GALLAGHER BASSETT P O BOX 3011 ARLINGTON HEIGHTS, IL 60006 MR-UNABLE TO FORWARD 8/01/00 

G28 GALLAGHER BENEFIT ADMINISTRATOR P O BOX 34297 SAN ANTONIO, TX 78265 (800) 221-4582 

X22 GALLAGHER BENEFIT ADMINISTRATOR P O BOX 655413 SAN ANTONIO, TX 78265 (877) 782-5825 

T17 GALLAGHER BENEFITS 10010 SAN PEDRO STE 400 SAN ANTONIO, TX 78216 (210) 828-2683 

F16 GALLAGHER WOODSMALL# 2345 GRAND AVENUE KANSAS CITY, MO 64108 (800) 934-8923 DO NOT USE - USE 686 

203 GARDEN STATE LIFE INSURANCE CO HALLMARK ADMINISTRATIORS GEICO PLAZA WASHINGTON, DC 20076 

A79 GATES CLINIC ATTN: CLAIMS P O BOX 5887 DENVER, CO 80217 (303) 698-7362 

S60 GE GROUP ADMINISTRATORS P O BOX 150809 ARLINGTON, TX 76015 (800) 397-6241 

V85 GEHA CONNECTION DENTAL PLUS P O BOX 400 INDEPENDENCE, MO 64051-0400 (800)793-9335 

592 GEHA INSURANCE P O BOX 4665 INDEPENDENCE, MO 64051 (800) 437-2617 816-257-5500 

614 GEHA# P O BOX 4665 INDEPENDENCE, MO 64051 (800) 437-2617 DO NOT USE - USE 592 

K45 GEHA# P O BOX 4665 INDEPENDENCE, MO 64051-4665 (816) 257-5500 DO NOT USE-USE 592 

X50 GEISINGER HEALTH PLAN 100 N ACADEMY AVE DANVILLE, PA 17811-3029 

AB4 GEM ADMINISTRATORS VALUE BENEFITS OF AMERICA 15575 N 79TH #100 SCOTTSDALE, AZ 85254 

257 GEM INSURANCE COMPANY 930 N FINANCE CENTER DR TUCSON, AZ 85710-1342 (801) 521-7164 

G25 GENERAL AMERICAN P O BOX 834102 RICHARDSON, TX 75083-4102 (800) 341-3234 MR-DO NOT USE 

C01 GENERAL AMERICAN 1111 BAYHILL DR, SUITE 390 SAN BRUNO, CA 94066 (800) 548-7788 

F36 GENERAL AMERICAN O'BRIAN BOUCKS & ASSOCIATES P O BOX 6826 LEAWOOD, KS 66206 (913) 381-3444 

C92 GENERAL AMERICAN BENEFITS GREAT WEST LIFE 1000 GREAT WEST DRIVE KENNETT, MO 63857-3749 (800) 648-0370 

056 GENERAL AMERICAN LIFE 719 TEACO RD STE B KENNETT, MO 63857-3725 (314) 525-3542 FAX 314-525-8509 

S48 GENERAL ELECTRIC-QDRO GMCSO ADMINISTRATION P O BOX 8088 PRINCETON, NJ 08543-8088 (609) 734-9600 

E67 GENERAL MILLS RESTAURANTS HEALTH CLAIMS SERVICES P O BOX 59054 MINNEAPOLIS,MN 55459 (800) 446-8182 

J74 GENERAL PARTS INC P O BOX 10247 SCOTTSDALE, AZ 85271 (888) 664-4722 

R52 GENIE PREFERRED PLAN P O BOX 900932 SEATTLE, WA 98109 (877) 614-8408 

Z57 GENWORTH FINANCIAL GROUP DENTAL BENEFITS P O BOX 1477 GREENFIELD, MA 01302-1477 

Y03 GERBER LIFE INSURANCE P O BOX 7005 PARKERSBURG, WV 26102 (800) 628-0011 

C61 GERBER LIFE INSURANCE 204 WEST MAIN FREMONT, MI 49412 (800) 628-0560 

P28 GHP GROUP HEALTH PLAN P O BOX 7374 LONDON, KY 40742-7374 (800) 755-3901 

HD7 GILDFORD COLONY P O BOX 149 GILDFORD, MT 59525 (406) 376-3105 

T87 GILSBAR INC P O BOX 2947 COVINGTON, LA 70434 (800)215-9041 

HA8 GLACIER COLONY P O BOX 2209 CUT BANK, MT 59427 (406) 336-2622 

H32 GLACIER ELECTRIC CO-OP INC P O BOX 2090 CUT BANK, MT 59427 

S49 GLACIER INSURANCE ADMIN 1903 N FINE AVE #103 FRESNO, CA 93727-1510 (800) 232-3363 MR-DO NOT USE 

K11 GLAZIERS/GLASSWORKERS HEALTH WELFARE PENSION ADMIN P O BOX C-34203 SEATTLE, WA 98124 (800) 732-1121 

HA9 GLENDALE COLONY P O BOX 350 DEL BONITA STAR RT CUT BANK, MT 59427 (406) 336-2634 

008 GLOBE LIFE & ACCIDENT INS CO P O BOX 26400 OKLAHOMA CITY, OK 73126 (405) 270-1410 VERIFY/MENTAL HEALTH/8-13-99-B (800-654-5433) 

209 GLOBE LIFE & ACCIDENT INS CO# GLOBE LIFE CENTER OKLAHOMA CITY, OK 73184 (405) 270-1410 DO NOT USE - USE 008 

899 GMI PRUDENTIAL GENERAL MILLS P O BOX 111 GREAT FALLS, MT 59403 

W42 GMS INC P O BOX 24708 OMAHA, NE 68124 (800) 223-5508 

AL1 GNA DENTAL PRO GNA HEALTHCARE SERVICE CENTER P O BOX 188037 CHATTANOOGA, TN 37422-8037 

V09 GOLD NET P O BOX 64812 ST PAUL, MN 55164 PRIME THERAPEUTICS 

G34 GOLDEN DALE ALUMINUM EMPLOYEE HEALTH PLAN P O BOX 2726 PORTLAND, OR 97208 (503) 727-2368 

612 GOLDEN RULE INS CO 7440 WOODLAND INDIANAPOLIS, IN 46278-1719 (317) 297-4189 

A20 GOLDEN RULE INSURANCE CO# HOME OFFICE 712 11TH STREET LAWRENCEVILLE, IL 62439-2395 (317) 297-4189 DO NOT USE - USE 612 

HB0 GOLDEN VALLEY COLONY RR1 RYEGATE, MT 59074 (406) 568-2210 

887 GOOD HEALTH PLAN OF OR 1235 NE 47TH AVE, STE 220 P O BOX 3125 PORTLAND, OR 97208 (800) 878-4445 

F35 GOOD SAMARITAN PROGRAM P O BOX 279 BEECH GROVE, IN 46107 (317) 894-2000 

J70 GOODYEAR TIRE/RUBBER CO MEDICAL BENEFITS DEPT 609 AKRON, OH 44309-0677 (800) 334-9395 

043 GOVERNMENT EMPLOYEES INS GEICO PLAZA WASHINGTON, DC 20076 

M48 GRAPHIC ARTS BENEFIT CORP 7 W TOWER 1333 N ST N W WASHINGTON, DC 20005 

088 GRAYS HARBOR MEDICAL BUREAU# 421 W STATE ST ABERDEEN, WA 98520 (206) 942-3471 DO NOT USE-MR 

065 GREAT AMERICAN INSURANCE CO P O BOX 719 HARTFORD, CT 06142 (800) 531-9010 

S42 GREAT PLAINS CO INC 303 CENTRE POINTE DR STE 990 ROSEVILLE, MN 55113 (651) 635-9217 

217 GREAT SOUTHERN LIFE INS P O BOX 1972 HOUSTON, TX 77001 MR 7/25/00 

664 GREAT TERRITORY SALVATION ARMY# CONCEPT ADMIN INC P O BOX 7090 SACRAMENTO, CA 95826 DO NOT USE-MR 

A82 GREAT WEST P O BOX 19529 IRVINE, CA 92713 (800) 523-8683

J81 GREAT WEST P O BOX 1130 DENVER, CO 80201 (800) 663-8081 

H40 GREAT WEST 500 S CENTRAL AVE GLENDALE, CA 91203-1902 (800) 685-1030 

Z27 GREAT WEST 8350 N CARRIER EXP STE M1000 DALLAS, TX 75206 

Z48 GREAT WEST 6909 E GREENWAY PKWY STE 180 SCOTTSDALE, AZ 85254 

F72 GREAT WEST CARE HEALTH PLAN P O BOX 920 FREDERICK, MD 21705 (800) 685-4030 

D34 GREAT WEST CARE HEALTH PLAN# 900 2ND AVE S STE 650 MINNEAPOLIS, MN 55402-3341 (612) 673-9732 DO NOT USE-USE 360 

MR-DO NOT USE 

C52 GREAT WEST CARE HEALTH PLAN# P O BOX 31251 TAMPA, FL 33631-3251 (800) 333-5251 

D07 GREAT WEST HEALTH CARE 25TH FLOOR ATTN: PAYROLL 4710 KINGSWAY BURNABY, BC CANADA V5H4MZ (800) 638-8244 

779 GREAT WEST HEALTH PLAN 7557 RAMBLER ROAD STE 296 DALLAS, TX 75231 (800) 527-4136 

J72 GREAT WEST HEALTH PLAN 200 RENAISSANCE CENTER SUITE 1700 DETROIT, MI 48243 (800) 685-2030 

916 GREAT WEST HEALTH PLAN# P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 626-8407 1-800-663-8081 NEW NUMBER 

778 GREAT WEST HEALTH PLAN# P O BOX 12018 CHEYENNE, WY 82003 (800) 685-1060 DO NOT USE - USE 576 

W69 GREAT WEST HEALTHCARE 3005 112TH AVE NE STE 200 BELLEVUE, WA 98004 (800) 663-8081 (425) 803-9030 

S56 GREAT WEST INSURANCE 10801 MASTIN STE 720 OVERLAND PARK, KS 66210 (800) 678-8287 

662 GREAT WEST LIFE 900 2ND AVE S STE 650 MINNEAPOLIS, MN 55402-3341 (612) 673-9732 

H63 GREAT WEST LIFE P O BOX 190019 N CHARLESTON, SC 29419 (800) 314-9010 

171 GREAT WEST LIFE 1800 SW FIRST AVE STE 410 P O BOX 429 PORTLAND, OR 97201 (800) 408-7682 

K32 GREAT WEST LIFE P O BOX 11111 FORT SCOTT, KS 66701 (800) 663-8081 MAY ALSO USE NAME OF ANTHEM HEALTH/ONE HEALTH PLAN 

576 GREAT WEST LIFE P O BOX 12018 CHEYENNE, WY 82003-1234 (800) 685-1060 307-637-8074 

360 GREAT WEST LIFE 900 2ND AVENUE SOUTH SUITE 650 MINNEAPOLIS, MN 55402-3341 (800) 685-2010 

K70 GREAT WEST LIFE VECO CORP 813 W NORTHERN LIGHTS BLV ANCHORAGE, AK 99503 (907) 264-8100 

Z23 GREAT WEST LIFE ECONOMY MEDICAL PLAN 5970 FAIRVIEW RD STE 650 CHARLOTTE, NC 28210 

255 GREAT WEST LIFE ASSURANCE P O BOX 38088 TUCSON, AZ 85740-8088 (800) 663-8081 

A90 GREAT WEST LIFE ASSURANCE# 1800 S W 1ST AVE, SUITE 410 P O BOX 429 PORTLAND, OR 97201 (800) 685-1020 DO NOT USE-USE 171 

X34 GREAT WEST LIFE HEALTH COMPANY 8505 EAST ORCHARD RD GREENWOOD VILLAGE, CO 80111 (303) 737-3000 

A40 GREAT WEST LIFE HEALTH PLAN# P O BOX 7000 CORAPOLIS, PA 15108 (800) 333-8583 DO NOT USE-MR 

031 GREAT WEST LIFE# P O BOX 12018 CHEYENNE, WY 82003 (303) 889-3000 DO NOT USE - USE 576 

822 GREAT WEST LIFE# P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 313-9010 

N56 GREAT WEST LIFE# P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 600-1636 DO NOT USE-USE K21 

122 GREAT WEST LIFE# P O BOX 429 PORTLAND, OR 97201 (800) 639-2567 9-17-98 DO NOT USE-USE #171 

ANTHEM BOUGHT BY GREAT WEST-STILL USES 

K58 GREAT WEST LIFE# P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 701-2884 NAME 

987 GREAT WEST LIFE# 230 WEST MONROE SUITE 500 CHICAGO, IL 60606 DO NOT USE-USE 360 

J61 GREAT WEST# P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 345-8177 DO NOT USE-USE K32 

P76 GREAT WEST# P O BOX 5004 DES PLAINES, IL 60017 DO NOT USE-MR 

994 GREAT WESTERN CARE HEALTH 455 MARKET STREET SUITE 2000 SAN FRANCISCO, CA 94105 (415) 777-4646 

G93 GREAT WESTERN HEALTH 1377 DUBLIN RD COLUMBUS, OH 43215 (513) 454-7453 

897 GREYHOUND HLTH & WELFARE# UNION LABOR LIFE INS CO SERVICE CENTER VALLEY FORGE, PA 19493 (800) 542-5155 DO NOT USE - USE 449 

V50 GROUP & PENSION ADMIN P O BOX 749075 DALLAS, TX 75374 (972) 744-2486 

F29 GROUP & PENSION ADMINISTRATORS 12770 MERIT DR 2ND FLOOR P O BOX 749075 DALLAS, TX 75374 

247 GROUP ADMINISTRATORS 1880 N ROSELLE #214 SCHAUMBURG, IL 60195 (708) 519-1880 MR-UTF 

971 GROUP BENEFIT RESOURCES BUTTE AMALGAMATED TRANSIT P O BOX 24019 FRESNO, CA 93779 

K46 GROUP BENEFIT SERVICES #6 NORTH PARK DR STE 310 HUNT VALLEY, MD 21030 (800) 638-6085 

K49 GROUP BENEFIT SERVICES CAPP CARE P O BOX 6240 NEWPORT BEACH, CA 92658 (800) 638-6085 

F11 GROUP BENEFITS P O BOX 607 PALATINE, IL 60078-0607 (800) 354-4008 

C68 GROUP CLAIMS SERVICES INC P O BOX 28 FARGO, ND 58107 (701) 237-5966 

140 GROUP HEALTH P O BOX 34585 SEATTLE, WA 98124-1585 (888) 901-4636 

W25 GROUP HEALTH P O BOX 34585 SEATTLE, WA 98124 (888) 901-4636 

AL7 GROUP HEALTH P O BOX 44971 MADISON, WI 53744-4974 

B38 GROUP HEALTH CO-OP P O BOX 200 SPOKANE, WA 99210-0200 (509) 838-9100 

226 GROUP HEALTH CO-OP# P O BOX 34750 SEATTLE, WA 98112 (206) 287-2000 DO NOT USE - USE 140 

Z96 GROUP HEALTH COOPERATIVE 700 LILLY RD NE OLYMPIA, WA 98506-5115 

D83 GROUP HEALTH INC P O BOX 1289 MINNEAPOLIS, MN 55440-1289 (612) 883-6000 

W75 GROUP HEALTH NORTHWEST P O BOX 204 SPOKANE, WA 99210 (888) 767-4670 

233 GROUP INSURANCE ADMINISTRATORS# 4848 S W 21ST ST #101 TOPEKA, KS 66604 DO NOT USE-MR 07/18/2002 

P44 GROUP INSURANCE SERVICE GROUP P O BOX 9120 MARSHFIELD, MA 02050 (800) 242-4472 

K25 GROUP RESOURCES P O BOX 100043 DULUTH, MN 30096-9343 

W60 GROUP RESOURCES INC 5161 BROOKE HOLLOW PARK NORCROSS, GA 30071-3652 

777 GS&A EMPLOYEES BENEFIT ADMIN# P O BOX 61320 LAS VEGAS, NV 89160-1320 (702) 646-4406 

013 GUARANTEE RESERVE LIFE 530 RIVER OAKS WEST CALUMET CITY, IL 60409 (773) 375-7800 708-868-4233 

220 GUARANTEE TRUST LIFE INS 1275 MILWAUKEE AVE P O BOX 1144 GLENVIEW, IL 60025 (847) 699-0600 800-338-7452 

A09 GUARDIAN P O BOX 8007 APPLETON, WI 54912-8007 (800) 334-1332 

B20 GUARDIAN GROUP DENTAL CLAIMS P O BOX 2458 SPOKANE, WA 99210-2458 (800) 541-7846 

Y10 GUARDIAN P O BOX 2459 SPOKANE, WA 99210-2459 (800) 541-7846 

E44 GUARDIAN P O BOX 2467 SPOKANE, WA 99210-2467 (800) 695-4542 

A92 GUARDIAN P O BOX 38090 TUCSON, AZ 85740-8090 

Z67 GUARDIAN DENTAL P O BOX 51505 LOS ANGELES, CA 90051 

D62 GUARDIAN LIFE P O BOX 8019 APPLETON, WI 54913 (800) 624-4050 

F69 GUARDIAN LIFE INS 201 PARK AVE S DEPT 215C NEW YORK, NY 10003 (212) 598-8272 

E01 GUARDIAN LIFE INSURANCE COMPANY P O BOX 71509 CHICAGO, IL 60694 

E25 GUARDIAN# P O BOX 8019 APPLETON, WI 54913-8019 (800)624-4050 DO NOT USE 

T91 GUIDE STAR HEALTH SYSTEM P O BOX 57018 OKLAHOMA CITY, OK 75157 (800)595-6949 

K26 HAGAR BENE ADMIN INC# P O BOX 5090 SIOUX FALLS, SD 57117-5090 DO NOT USE-USE K22 

K22 HAGEN INSURANCE GROUP P O BOX 5090 SIOUX FALLS, SD 57117-5090 

Y80 HALLMARK INDUSTRIES P O BOX 281 BRISTOL, IN 46507 (800) 348-7530 

X47 HAMM & PHILLIPS 3121 QUAIL SPRING PKWY OKLAHOMA CITY, OK 73134 (800) 825-3540 

K95 HANEY GROUP SERVICES LEGION INS GROUP 12222 MERIT DRIVE STE 850 DALLAS, TX 75251 (800) 967-6780 

Y71 HANNAFORD ADVANTAGE HEALTH BENEFITS P O BOX 1000 PORTLAND, ME 04104 (207) 885-2442 

F65 HARDEN & COMPANY P O BOX 4106 CONCORD, CA 94524 (800) 877-7707 

544 HARRINGTON BENEFIT SERVICES P O BOX 909771 CHICAGO, IL 60690 (312) 714-8750 MR-DO NOT USE

E22 HARRINGTON BENEFIT SERVICES P O BOX 1391 DAYTON, OH 45401-1391 (800) 222-2733 

V43 HARRINGTON BENEFIT SERVICES DARDEN RESTAURANTS P O BOX 720 PUEBLO, CO 81002 (800) 446-8182 

P40 HARRINGTON BENEFIT SERVICES P O BOX 197159 LOUISVILLE, KY 40259 (800) 533-1833 

P51 HARRINGTON BENEFIT SERVICES P O BOX 3690 JOPLIN, MO 64803 (800) 826-6912 DO NOT USE-MR 

G35 HARRINGTON BENEFIT SERVICES P O BOX 182101 COLUMBUS, OH 43218-2101 (800) 848-4623 

H68 HARRINGTON BENEFIT SERVICES P O BOX 1352 DAYTON, OH 45401-1352 (888) 233-6724 

E10 HARRINGTON BENEFITS 3501 FRONTAGE ROAD P O BOX 30367 TAMPA, FL 33630-3367 (813) 289-1000 

E92 HARRINGTON BROOKFIELD P O BOX 909772 CHICAGO, IL 60690 (312) 714-8750 

225 HARTFORD P O BOX 2905 PHOENIX, AZ 85062 (800) 811-4832 

R55 HARTFORD INSURANCE P O BOX 690450 SAN ANTONIO, TX 78269-0450 (800) 368-3653 

407 HARTFORD INSURANCE P O BOX 29164 SHAWNEE MISSION, KS 66201 (913) 451-2324 MAIL RETURNED 10/28/98 NO FORWARD ADDRESS LR 

H45 HARVARD COMM HEALTH PLAN WATERTOWN HEALTH CENTER WATERTOWN, PA MR-DO NOT USE 

K42 HARVARD PILGRIM HEALTH CARE P O BOX 699183 QUINCY, MA 02269-9183 

AN8 HASTINGS HEALTH 1601 PLAINS BLVD AMARILLO, TX 79102 

G78 HASTINGS HEALTH PLAN# P O BOX 619028 DALLAS, TX 75261 (800) 284-6983 11/25/2005 MR-DO NOT USE 

Z93 HAWAII DENTAL SERVICE(HDS) 700 BISHOP ST #700 HONOLULU, HI 96813 

H46 HAWAII MEDICAL SERVICES P O BOX 4720 HONOLULU, HI 96812 (800) 237-1644 

E52 HAWKEYE UNITED SECURITY INS 5950 S WILLOW DR P O BOX 5150 DENVER, CO 80217-5150 (303) 779-1998 

S29 HEALTH ADMINISTRATION SERVICE P O BOX 672488 HOUSTON, TX 77267-2488 (800) 865-5507 

P17 HEALTH ADVANTAGE ATTN: CLAIMS P O BOX 8069 LITTLE ROCK, AR 72203-8069 (800) 843-1329 

Z68 HEALTH ALLIANCE PLAN-HAP 2850 W GRAND BLVD DETROIT, MI 48202 

R64 HEALTH AMERICA 120 E KENSINGER DR CRANBERRY TOWNSHIP, P 16066 (800) 735-4404 

B23 HEALTH AMERICA-LINCOLN MUTUAL OF OMAHA HEALTH PLANS 220 SO 17TH STREET LINCOLN, NE 68508 (402) 473-7897 DO NOT USE-MR 

X67 HEALTH ASSURANCE CLAIMS SUBMISSION P O BOX 7088 LONDON, KY 40742 (800) 735-4404 

Z39 HEALTH BENEFIT FUND LOCAL 17 451 B LITTLE BRITAIN RD NEWBURGH, NY 12550 

V76 HEALTH BENEFITS PLAN P O BOX 2506 BILLINGS, MT 59103 

DO NOT USE-USE V51 

ALL PROCESSING BY HEALTH INFONET 

Z78 HEALTH BENEFITS TRUST STATE OF ALASKA P O BOX 5434 SPOKANE, WA 99205 

G77 HEALTH CARE ADVANTAGE# P O BOX 56069 NEW ORLEANS, LA 70113 (504) 568-9009 DO NOT USE-MR 

F61 HEALTH CARE BENEFIT INSURANCE# P O BOX 833889 RICHARDSON, TX 75083-3889 (800) 522-4422 DO NOT USE-NO LONGER IN BUSINESS 

R41 HEALTH CARE INSURANCE ADMIN 17613 VIERRA CANYON RD SALINAS, CA 93907 (831) 663-9600 

X07 HEALTH CARE RESOURCE GROUP P O BOX 177 SOUTH BEND, IN 46624 (800) 283-0505 

W14 HEALTH CARE SOLUTIONS GRP P O BOX 1309 MUSKOGEE, OK 74402 (800) 749-1422 

AJ6 HEALTH CHOICE P O BOX 24110 OKLAHOMA CITY, OK 73124 

H42 HEALTH CHOICE OF CT 231 FARMINGTON AVE FARMINGTON, CT 06032 (800) 842-2214 MR-DO NOT USE 

W06 HEALTH CLAIMS SERVICES P O BOX 1067 BOISE, ID 83701-1067 (888)427-9732 

H52 HEALTH CONNECTIONS# P O BOX 548 KALISPELL, MT 59903 (406) 256-6556 


PPO-PRICES CLAIMS 

B50 HEALTH DESIGN PLUS CLAIMS DIVISION C. S. 5060 FINDLAY, OH 45839-5060 (419) 429-4900 

Y59 HEALTH DESIGN PLUS P O BOX 3265 SCOTTSDALE, AZ 85271-3265 (877) 286-3553 

W51 HEALTH DYNAMICS INC ATTN WAUSAU CLAIMS PROCESSING P O BOX 31758 BILLINGS, MT 59107-1758 (800) 544-9121 

AL4 HEALTH EASE 6800 N DALE MABRY TAMPA, FL 33614 

K40 HEALTH EAST HEALTH CLAIMS P O BOX 64773 ST PAUL, MN 55164 (888) 628-6844 RX-UES PCS 

D16 HEALTH ECONOMICS CORPORATION CLAIMS DEPARTMENT P O BOX 42820 HOUSTON, TX 77242-2820 (800) 228-4912 

K63 HEALTH EZ/ARAZ P O BOX 398220 MINNEAPOLIS, MN 55439-8220 (888) 588-6516 

Y72 HEALTH FIRST P O BOX 130217 TYLER, TX 75713 (800) 477-2287 

S62 HEALTH FIRST P O BOX 5169 NEW YORK, NY 10274-5169 (800) 580-8540 

X62 HEALTH FIRST HEALTH PLAN 6450 US HWY 1 ROCKLEDGE, FL 32955 (321) 434-5665 

866-368-7325 

V51 HEALTH INFONET# P O BOX 20559 BILLINGS, MT 59103 (800) 297-8040 DO NOT USE-USE P27 

P64 HEALTH LINK P O BOX 411580 ST LOUIS, MO 63141-1580 

A26 HEALTH NET 9494 S W FREEWAY SUITE 300 HOUSTON, TX 77074 (800) 776-2881 713-972-1102--new # 

AK8 HEALTH NET 15950 SW MILIKAN WAY BEAVERTON, OR 97006 

N91 HEALTH NET 8320 WARD PKWY KANSAS CITY, MO 64114-2027 

Y20 HEALTH NET P O BOX 14702 LEXINGTON, KY 40512 

J83 HEALTH NET P O BOX 9103 VAN NUYS, CA 91409-9103 NON-PPO PROVIDERS 

X69 HEALTH NET HMO 21281 BURBANK BLVD BLDG C-4 WOODLAND HILLS, CA 91367 (800) 522-0088 

AH9 HEALTH NET OF ARIZONA INDIVIDUAL & FAMILY PLAN P O BOX 904 SHELTON, CT 06484 

696 HEALTH NET OF OREGON 13221 SW 68TH PKWY STE 200 TIGARD, OR 97223-8328 (888) 802-7001 (503)222-7464 

W73 HEALTH NET OF OREGON 13221 SW 68TH PKWY STE 200 TIGARD, OR 77223 (888) 802-7007 

R75 HEALTH NET PPO P O BOX 10223 VAN NUYS, CA 91410-0223 (800) 641-7761 

X76 HEALTH NET PPO P O BOX 14130 LEXINGTON, KY 40512 (888) 802-7001 

R46 HEALTH NETWORK AMERICA LEE ENTERPRISES P O BOX 310 WEST LONG BRANCH, NJ 07764 (877)846-0847 

M31 HEALTH NETWORK AMERICA 187 MONMOUTH PKWY P O BOX 65 WEST LONG BRANCH, NJ 07764 (888) 563-1564 W.R. GRACE 

S92 HEALTH NETWORK FOR LA LA CHH/BHSS REGION VII 3020 9TH ST STE 260B SHREVEPORT, LA 71105 

AC8 HEALTH NEW ENGLAND-HNE 1 MONARCH PLACE STE 1500 SPRINGFIELD, MA 01144 (800) 842-4464 

W83 HEALTH ONE NATIONWIDE BENEFITS ASSOC 10333 HARMON STE 475 HOUSTON, TX 77036 

Y49 HEALTH OPTIONS OF S FLORIDA P O BOX 025314 MIAMI, FL 33102 (800) 283-8268 

404 HEALTH PARTNERS 8100 34TH AVE S P O BOX 1309 BLOOMINGTON, MN 55440 (613) 896-1200 

K83 HEALTH PLAN ADMINISTRATORS P O BOX 15250 ROCKFORD, IL 61132-5250 

Y34 HEALTH PLAN INC P O BOX 15440 PORTLAND, OR 04112 (877) 888-1616 

E03 HEALTH PLAN MANAGEMENT# P O BOX 42242 CINCINNATI, OH 45242 (513) 326-4674 DO NOT USE-MR 

165 HEALTH PLAN OF NEVADA P O BOX 15645 LAS VEGAS, NV 89114-5645 (702) 242-7300 

W52 HEALTH PLAN OF NEVADA P O BOX 1388 LAS VEGAS, NV 89114-5645 (800) 839-7460 

B91 HEALTH PLAN SOUTHEAST ATTN CLAIMS DEPT 3520 THOMASVILLE RD STE 2 TALLAHASSEE, FL 32308 (904) 668-3000 

X01 HEALTH PLANS INC P O BOX 15700 WORCESTER, MA 01615 (877) 888-1616 

B97 HEALTH PLUS P O BOX 2113 SEATTLE, WA 98111-2113 (425) 771-3111 ABOVE # HAS VR ELIG 

Z85 HEALTH PLUS OF LOUISIANA P O BOX 32625 SHREVEPORT, LA 71130 

H31 HEALTH RISK MANAGEMENT# P O BOX 571890 SALT LAKE CITY, UT 84157-1890 (800) 713-1062 DO NOT USE-USE H78 

W91 HEALTH SELECT P O BOX 6109 ABILENE, TX 79608-6109 (800) 252-8039 

P83 HEALTH SELECT PLUS HMO BLUE P O BOX 90211 SAN ANGELO, TX 76902-8011 (888) 585-9393

227 HEALTH SERVICE ASSOCIATION P O BOX 64099 ST PAUL, MN 55164-0099 (612) 645-5821 IN RECEIVERSHIP-TERMED POLICIES 4-20-99 

DO NOT USE - USE 227 

169 HEALTH SERVICE INCORP# P O BOX 64099 ST PAUL, MN 55164 (612) 645-5821 COMPANY LIQUIDATED - 4-20-99 

J17 HEALTH SERVICE PREFERRED P O BOX 94808 CLEVELAND, OH 44101-4808 

R88 HEALTH SMART P O BOX 53010 LUBBOCK, TX 79453-3010 (800) 635-4726 

Y87 HEALTH TRANS 6061 S WILLOW GREENWOOD, CO 80111 

M79 HEALTHCARE BENEFITS 6420 S W MCADAM STE 380 PORTLAND, OR 97201 

611 HEALTHCARE INC P O BOX 38 GREENACRES, WA 99016 (509) 924-5200 

253 HEALTHCARE MANAGEMENT ADMIN P O BOX 85008 BELLEVUE, WA 98015 (800) 869-7093 

Y69 HEALTHCARE OF AMERICA P O BOX 224767 DALLAS, TX 75222 (866) 697-3769 

N49 HEALTHCOMP P O BOX 45018 FRESNO, CA 93718 (559) 499-2450 

711 HEALTHGUARD MGMT 280 GRANITE RUN DR STE 105 LANCASTER, PA 17601-6810 

X85 HEALTHNET OF ARIZONA 2800 N 44TH STE 900 PHOENIX, AZ 85008 (800) 289-2818 

953 HEALTHNET OF OREGON P O BOX 14130 LEXINGTON, KY 40512 (800) 638-3678 

875 HEALTHSOURCE P O BOX 182519 CHATTANOOGA, TN 37422-7519 (800) 347-8255 

387 HEALTHSOURCE-PROVIDENT INS CO P O BOX 182507 CHATTANOOGA, TN 37401 MR-DO NOT USE 

A02 HEALTHSOUTH MEDICAL PLAN P O BOX 382617 BIRMINGHAM, AL 35238 (877) 893-9294 MR-DO NOT USE 

A78 HEARTLAND ADVISORS# 789 N WATER ST 4TH FL MILWAUKEE, WI 53202-3531 (414) 271-0410 DO NOT USE-NOT A HEALTH INSURANCE CO 

HB1 HEARTLAND COLONY P O BOX 405 HAVRE, MT 59501 (406) 398-5351 DO NOT USE-MR 

V67 HELLER ASSOCIATES ALARIS MEDICAL SYSTEMS 2755 BRISTOL ST STE 250 COSTA MESA, CA 92626 (800)552-2929 

955 HENNESSY'S / PRUDENTIAL# ATTN JANE GEERING 140 S 24TH W RIMROCK MALLBILLINGS, MT 59102 (800) 221-4695 DO NOT USE-MR 

708 HENNESSY'S/ PRUDENTIAL INS. CO. ATTN EMMETT BARRY SOUTH GATE MALL MISSOULA, MT 59801 (816) 391-7000 

X71 HERITAGE CONSULTANTS P O BOX 1730 AUBURNDALE, FL 33823 (863) 967-4139 

R81 HERITAGE NATIONAL INS CO INC# 5810 E SKELLY DR 2ND FLOOR P O BOX 472200 TULSA, OK 74147-2200 DO NOT USE-MR 

D05 HERTZ CLAIM MANAGEMENT CLAIMS PROCESSING P O BOX 726 PARK RIDGE, NJ 07656-0726 (800) 354-4225 

F53 HERTZ CLAIM MANAGEMENT 33533 WEST 12 MILE RD FARMINGTON, MI 48331 (810) 489-7200 

D18 HERTZ CLAIMS P O BOX 732 PARK RIDGE, NJ 07656-0732 (800) 892-3078 

HB2 HIDDENLAKE COLONY 100 WELSH ROAD CUTBANK, MT 59427 (406) 336-3695 

N55 HIGHMARK BC/BS P O BOX 1210 PITTSBURGH, PA 15230 (800) 682-3386 

J35 HIGHMARK BC/BS P O BOX 3355 PITTSBURGH, PA 15230 (800) 829-1918 

Z14 HIGHMARK BC/BS RAILROAD DEDICATED SERVICE UNIT P O BOX 890381 CAMPHILL, PA 17089-0381 

W54 HIGHMARK BLUE SHIELD P O BOX 890173 CAMPHILL, PA 17089-0173 (800) 345-3806 

280 HIGHMARK BLUE SHIELD P O BOX 890381 CAMPHILL, PA 17089 (800) 909-6069 

W46 HIGHMARK BS P O BOX 890173 CAMPHILL, PA 17089-0173 (800) 345-3806 

P31 HIGHMARK SERVICES RR RETIREES P O BOX 535078 PITTSBURGH, PA 15253 (800) 279-2624 

HB3 HILLDALE COLONY P O BOX 628 HAVRE, MT 59501 (406) 398-6342 

630 HILLHAVEN CORP BENEFIT DEPT 400 W MARKET ST LOUISVILLE, KY 40202-3346 

182 HILLHOUSE ASSOCIATES 98 SAN JACINTO BLVD STE 800 AUSTIN, TX 78701-4039 (800) 947-5560 

HB4 HILLSIDE COLONY P O BOX 169 SWEETGRASS, MT 59484 (406) 937-2966 

T78 HMA INC P O BOX 135005 HONOLULU, HI 96801 (866) 377-3977 

AI6 HMC P O BOX 14620 LEXINGTON, KY 40612-4621 

H27 HMO BLUE P O BOX 660044 DALLAS, TX 75266-0044 (800) 833-5318 713-993-9982 

P29 HMO NEVADA 676 N CLAIM ST CHICAGO, IL 60611 

293 HMO NEW MEXICO P O BOX 11968 ALBUQUERQUE, NM 87192-0968 (800) 423-1630 

E53 HMO OF OREGON P O BOX 12625 SALEM, OR 97309 (503) 364-4868 

332 HMSA CLAIMS SUPPORT SERVICES MEDICAID FISCAL AGENT P O BOX 1220 HONOLULU, HI 96807-1220 (808) 942-1111 

F31 HOLY CROSS RETIREMENT HEALTH CARE PLAN - ST MARYS P O BOX 5000 NOTRE DAME, IN 46556 (800) 348-2616 

C47 HOME LIFE & BENEFITS# P O BOX 11111 FORT SCOTT, KS 66701 DO NOT USE-USE 786 

C57 HOME LIFE FINANCAL# ASSURANCE CORP P O BOX 11111 FORT SCOTT, KS 66701-7111 (800) 221-3231 DO NOT USE-USE 230 

033 HOME LIFE INSURANCE CO P O BOX 29005 GLENDALE, CA 91209 RTS 5/01/00 

692 HOMESTAKE MINES EMPLOYEE RELATIONS DEPT P O BOX 894 LEAD, SD 57754 

H23 HOMETOWN HEALTH 400 S WELLS AVE RENO, NV 89502 (800) 336-0123 

AE5 HOOSIER HEALTH 8001 BROADWAY STE 400 MERRILLVILLE, IN 46410 

231 HORACE MANN LIFE INS CO 1 HORACE MANN PLAZA SPRINGFIELD, IL 62715 (800) 999-1030 

A62 HORIZON BC/BS OF NEW JERSEY P O BOX 1184 NEWARK, NJ 07101-1184 (973) 466-4000 

A66 HOSPITAL BENEFITS P O BOX 162148 ALTAMONTE SPRINGS, FL 32716 (407) 862-0311 

X19 HOTEL EMP/RESTAURANT EMPLOYEE HEALTH TRUST 2800 1ST AVE STE 3 SEATTLE, WA 98124 (206) 728-2326 

X82 HR X CEL 2725 WATER RIDGE PKWY STE 350 CHARLOTTE, NC 28217 (877) 257-4377 

H11 HRM# P O BOX 4022 KALAMAZOO, MI 49003 (800) 640-7005 MR-UTF DO NOT USE 

413 HSI HEALTH PLANS HOSPITAL SERVICES INC P O BOX 1668 FORT COLLINS, CO 80522 (303) 482-8403 

AH1 HTH WORLDWIDE P O BOX 968 HORSHAM, PA 19044 

B58 HUGHES CLAIMS OFFICE P O BOX 11000 ORANGE, CA 92668 (800) 648-4437 

AI3 HUMAN INSURANCE CO 1100 EMPLOYERS BLVD DE PERE, WI 54115 

C72 HUMAN RESOURCE BENEFIT ADMIN 16 INVERNESS PLACE EAST BUILDING A ENGLEWOOD, CO 80112 (303) 792-3311 www.hrbenefits.net 

N26 HUMANA CLAIMS OFFICE P O BOX 2180 LOUISVILLE, KY 40201-2180 (800) 448-6262 MR-ND as Addressed 

076 HUMANA P O BOX 14601 LEXINGTON, KY 40512-4601 (800) 992-2551 

S04 HUMANA P O BOX 14601 LEXINGTON, KY 40512-4601 (877) 227-8188 

AH6 HUMANA 135 EXECUTIVE CIRCLE DAYTONA BEACH, FL 32118 

G41 HUMANA CLAIMS CENTER P O BOX 14603 LEXINGTON, KY 40512-4603 (800) 852-7009 

A14 HUMANA CLAIMS# P O BOX 14601 LEXINGTON, KY 40512 (800) 543-7158 

J48 HUMANA CLAIMS# VENCOR MEDICAL CLAIMS P O BOX 740063 LOUISVILLE, KY 40201-7463 (800) 992-2551 

A FAXBACK CAN BE RECEIVED FOR VERIFICATION 

MR-DO NOT USE 

AI2 HUMANA DENTAL P O BOX 14611 LEXINGTON, KY 40512-4611 

01D HUMANA GOLD CHOICE PT D-RX P O BOX 202047 FLORENCE, SC 29502-0207 

C76 HUMANA HEALTH CARE 10450 HOLMES ST #440 KANSAS CITY,MO 64131-3471 (303) 691-6990 DO NOT USE 

V40 HUMANA INSURANCE CO P O BOX 14635 LEXINGTON, KY 40512-4635 (800) 833-6917 

Y23 HUMANA PPO P POM CLAIMS DEPT P O BOX 2720 FARMINGTON HILLS, MI 48333 (800) 622-9529 

Y05 HUMANA/CHOICE CARE P O BOX 5319 CINCINNATI, OH 45201-5319 (800) 300-4296 

M27 HUMANA-LOUISVILLE 101 E MAIN ST P O BOX 740023 LOUISVILLE, KY 40201-0742 (502) 580-5050 

E32 HUMBOLT DEL NORTE PALCO HEALTH PLAN P O BOX 5 SCOTIA, CA 95565 (707) 764-4268 

Y48 HUMPHREY & PACE BENEFIT PLAN 700 E MAIN STE 107 MEDFORD, OR 97504

133 HUTTERITE MEDICAL FUND P O BOX 1750 GREAT FALLS, MT 59403 (800) 628-2992 

406-373-5700 

MR-UNDELIVERABLE 

S75 HWBS HEALTH-WELFARE BENEFIT SYSTEMS P O BOX 21109 ROANOKE, VA 24018 (800) 283-4927 

Y73 I A B P O BOX 224767 DALLAS, TX 75222 (800) 800-7616 

Y94 I A C P O BOX 828 PARK RIDGE, IL 60068 

888 I B P INC# INVALID CARRIER CALL 406-443-1365 DO NOT USE 

C07 I H C INTERMOUNTAIN HEALTH CARE P O BOX 30192 SALT LAKE CITY, UT 84130-0192 (800) 538-5099 

S30 I H N P O BOX 20490 INDIANAPOLIS, IN 46220-0490 

S68 I M A OF LOUISIANA P O BOX 71120 BOSSLER CITY, LA 71171-1120 

R50 I S T A 143 W MARKET ST 2ND FLOOR INDIANAPOLIS, IN 46204 (317) 263-3330 

091 I T P E NMU HEALTH & WELFARE P O BOX 23679 SAVANNAH, GA 31403 (912) 352-7169 

264 IAC ATTN: HEALTH CLAIMS P O BOX 39119 PHOENIX, AZ 85069-9119 (877) 663-8963 

A72 IBEW LOCAL 640 AZ CHAPTER NECA HEALTH & WELFARE TRUST 5818 NO SEVENTH ST, STE 106PHOENIX, AZ 85014 (602) 234-0524 

X40 IBEW/NECA SOUND & COMMUNICATION SELF FUNDED MEDICAL PLAN P O BOX 5057 SAN JOSE, CA 95150-5157 (408) 288-4452 

W43 IBU HEALTH TRUST 1220 SW MORRISON PORTLAND, OR 97205 (503) 224-0048 

H85 IDAHO PIPE TRADES TRUST P O BOX 1150 POCATELLO, ID 83204 (208) 232-6808 

J06 IDAHO PREFERRED HEALTHCARE P O BOX 8262 BOISE, ID 83707 (800) 627-6654 

952 IDS LIFE INSURANCE IDS TOWER 10 MINNEAPOLIS, MN 55440 (612) 372-2874 

B76 IEC BENEFIT ADMINISTRATORS P O BOX 7186 BOISE, ID 83707-1186 (208) 344-7910 

D31 IL DEPARTMENT OF PUBLIC AIDE BUREAU OF CLAIMS PROCESSING 201 S GRAND AVE EAST SPRINGFIELD, IL 62763 

S35 ILLINOIS CENTRAL HOSPITAL ASSOC 18501 MAPLE CREEK DR STE 100 TINLEY PARK, IL 60477 

Z59 ILWU-PMA COASTWISE CLAIMS 814 MISSION ST STE 300 SAN FRANCISCO, CA 94103 

P57 IMPERIAL PALACE INSURANCE BENEFITS P O BOX 97979 LAS VEGAS, NV 89193 (702) 794-3283 

X43 INC GROUP INSURANCE PLAN SPECTERA VISION P O BOX 26618 BALTIMORE, MD 21207 (800) 638-3120 

903 INDEPENDANT ADMINISTRATION CO# 10801 WAYZATA BLVD MINNETONKA, MN 55343 DO NOT USE-MR 

772 INDEPENDENCE BLUE CROSS# 1901 MARKET STREET PHILADELPHIA, PA 19103 (800) 626-8144 

D86 INDIANA ST COUNCIL H&W P O BOX 5769 LAYFAYETTE, IN 47903-5769 (800) 552-6550 

378 INDIVIDUAL ASSOCIATION CO ADMINISTRATION OFFICE P O BOX 25326 OVERLAND PARK, KS 66225 

907 INDIVIDUAL ASSURANCE CO# ADMINISTRATION OFFICE P O BOX 25326 OVERLAND PARK, KS 66225 DO NOT USE-USE 378 

F95 INDUSTRIAL INDEMNITY COMPANY PUTNAM & ASSOCIATES 536 W RESERVE KALISPELL, MT 59901 (800) 823-1583 MR-DO NOT USE 

P25 INLAND EMPIRE TEAMSTERS TRUST P O BOX 5433 SPOKANE, WA 99205 (800) 872-8979 

Z70 INSURANCE ADMIN SERVICES P O BOX 96 MINNEAPOLIS, MN 55440 

S99 INSURANCE ADMINISTRATOR OF AMER IAA P O BOX 5082 MT LAUREL, NJ 08054 (888) 599-1515 

T61 INSURANCE CENTER P O BOX 982017 N RICHLAND HILLS, TX 76182 (888) 756-3534 

P71 INSURANCE DESIGN ADMINISTRATORS P O BOX 875 OAKLAND, NJ 07436 (800) 225-1345 

X38 INSURANCE MANAGEMENT ADMINI P O BOX 71120 BOSSIER CITY, LA 71171-1120 (800) 742-9944 

A17 INSURANCE MANAGEMENT SERVICES P O BOX 71 ELKO, NV 89801 (702) 738-5108 

B78 INSURANCE MANAGEMENT SERVICES P O BOX 15688 AMARILLO, TX 79105 (806) 373-5944 

K88 INSURANCE MARKETING RESOURCES# P O BOX 65500 LUBBOCK, TX 79464 (800) 333-1195 DO NOT USE-MR 

273 INSURANCE SERVICE CENTER P O BOX 982009 N RICHLAND HILLS, TX 76182-8009 (888) 757-0703 MAY ALSO BE PFL OR NASE 

F75 INSURED ADMINISTRATIVE CORP P O BOX 39119 PHOENIX, AZ 85069-9119 (800) 843-3106 NON-PPO PROVIDERS ONLY 

P08 INSURED ADMINISTRATIVE CORP (PPO PROVIDERS) P O BOX 38579 PHOENIX, AZ 85069-8579 (800) 843-3106 

AM3 INSURERS ADMINISTRATION 2101 W PEORIA AVE STE 100 PHOENIX, AZ 85029 (800) 318-4510 

J62 INSUREX BENEFIT ADMIN P O BOX 41779 MEMPHIS, TN 38174 (901) 725-6435 

C59 INSURNATIONAL P O BOX 619021 DALLAS, TX 75261 (214) 696-6962 

292 INSURNATIONAL INS ADMIN (NORTHROP CORPORATION) P O BOX 6200 COSTA MESA, CA 92628 MR-FOE 8/02/00 

Y75 INTEGRATED BENEFIT MANAGEMENT P O BOX 3819 CHATSWORTH, CA 91313 (800) 874-2155 

F46 INTEGRITY BENEFIT NETWORK P O BOX 4537 MARIETTA, GA 30061-4537 (404) 428-1604 

P67 INTER AMERICAS INSURANCE P O BOX 9510 WICHITA, KS 67277 (800) 333-2525 

109 INTER CONTINENTAL LIFE INSURACE P O BOX 1729 JACKSON, MS 39215 MR-UNFORWARDABLE 4/28/00 

H37 INTER COUNTY HEALTH PLAN 720 BLAIR MILL ROAD HORSHAM, PA 19044 (800) 480-5036 

S67 INTERCARE HEALTH PLANS P O BOX 2728 ELKO, NV 89803-2728 (800) 426-7453 

J69 INTERGROUP HMO 930 N FINANCE CENTER DRIVE TUCSON, AZ 85710 (800) 289-2818 

J58 INTERGROUP OF ARIZONA INC 950 N FINANCE CENTER DR TUCSON, AZ 85710-1362 (800) 289-2818 

E97 INTERGROUP# 930 N FINANCE CENTER DR STE 100 TUCSON, AZ 85710-1362 (602) 721-4444 DO NOT USE-USE J58 

AL2 INTERMOUNTAIN CLAIMS WORK COMP CLAIMS 1200 S RESERVE STE D MISSOULA, MT 59801 

7/12/00 

351 INTERMOUNTAIN CLAIMS OF MT# P O BOX 50626 BILLINGS, MT 59105 (406) 248-9303 DO NOT USE-PHONE DISC. 

P80 INTERMOUNTAIN HEALTH CARE# P O BOX 30192 SALT LAKE CITY, UT 84130-0192 (801) 442-5515 DO NOT USE-USE C07 

241 INTERMOUNTAIN IRONWORKERS 2156 WEST 2200 SOUTH P O BOX 30124 SALT LAKE CITY, UT 84130-0124 (801) 263-2692 DIF CO'S-SAME P O BOX PH # CHANGED TO 1-888-867-9510 

AI1 INTERMOUNTAIN PENSION TRUST HEALTH & WELFARE P O BOX 2793 GREAT FALLS, MT 59401 

925 INTERMOUNTAIN RETAIL STORE# EMPLOYEES P O BOX 30918 BILLINGS, MT 59116 MR-DO NOT USE 

782 INTERMOUNTAIN UNITED FOOD & COMMERCIAL WORKERS 4885 S 900 EAST, STE 202 SALT LAKE CITY, UT 84117 

268 INTERNATIONAL BENEFIT SERVICES P O BOX 1326 FORT WORTH, TX 76101 (800) 759-0101 

M82 INTERNATIONAL MEDICAL GROUP 407 N FULTON ST INDIANAPOLIS, IN 46202 (800) 628-4664 

317-636-4721 

FAX: 317-687-9272 

W70 INTERWEST/STARMARK P O BOX 8629 MISSOULA, MT 59807 (800) 522-1246 

G22 INT'L UNION-OPER ENGINEERS 7370 CHEF MENTEUR HWY NEW ORLEANS, LA 70126 (800) 238-4863 

020 INVESTORS INS CORP 6700 SW SANDBURG ST P O BOX 23035 PORTLAND, OR 97223 DO NOT USE 

246 INVESTORS LF INS/NB# P O BOX 57 WATERTOWN, SD 57201 DO NOT USE-MR 7/24/00 

459 IOWA BENEFITS INC P O BOX 707 AMES, IA 50010 (515) 232-8585 

297 IPB INC 800 STEVENSPORT DR DAKOTA DUNES, SD 57049 (402) 494-2061 

M35 IRON WORKERS TRUST P O BOX 30124 SALT LAKE CITY, UT 84130-0124 (800) 453-6228 


DIF CO'S-SAME P O BOX 

502 IRONWORKERS #1 7700 INDUSTRIAL DRIVE FOREST PARK, IL 60130 (708) 366-3331 

G88 ITS BENEFITS 5005 ROCKSIDE RD STE 1200 CLEVELAND, OH 44131 (216) 642-4522 

F82 ITT HARTFORD C\O JIM SWAN P O BOX 2348 GREAT FALLS, MT 59403 (406) 761-3006 

D09 ITT HARTFORD P O BOX 15106 SACRAMENTO, CA 94841-1106 

181 ITT LIFE INSURANCE COMPANY P O BOX 9302 MINNEAPOLIS, MN 55440 (612) 545-2100 

706 J B RESTAURANT INS. TRUST 1010 W 2610 SOUTH SALT LAKE CITY, UT 84119-9990 

250 J C PENNEY FINANCIAL SERVICES 2700 WEST PLANO PARKWAY PLANO, TX 75075-8200 (800) 692-5246

B65 J E BAKER COMPANY P O BOX 1189 YORK, PA 17405 (717) 848-1501 

G59 J F MOLLOY & ASSOCIATES P O BOX 68947 INDIANAPOLIS, IN 46268 (800) 331-3287 

S84 J P FARLEY CORPORATION P O BOX 458022 WESTLAKE, OH 44145-8022 (800) 770-5203 

X64 J SMITH LANIER & CO ADMIN P O BOX 71489 NEWMAN, GA 30271 (888) 295-4864 

A38 JACKSON INSURANCE AGENCY GHMSI P O BOX 5617 ST THOMAS, VI 00803 (809) 776-5757 

658 JAMES GROUP SERVICE A JAMES CO 230 W MONROE ST CHICAGO, IL 60606 

806 JAS INCORP JENSON ADMINISTRATIVE SERVICES 4885 S 900 E STE 202 SALT LAKE CITY, UT 84117 (801) 266-3256 

399 JEFFERSON PILOT CLAIMS DIVISION 10101 SW FREEWAY STE 204 HOUSTON, TX 77074-1203 (713) 776-1761 

Y66 JEFFERSON PILOT FINANCIAL INSURANCE CO P O BOX 2640 OMAHA, NE 68103 

C36 JERRERSON-PILOT P O BOX 1561 LAKE CITY, FL 32056-1561 (904) 755-7511 

X58 JOHN ALDEN P O BOX 1508 MINNEAPOLIS, MN 55480-1508 (800) 328-4316 

Z18 JOHN ALDEN P O BOX 790076 ST LOUIS, MO 62179-0076 (800) 328-4316 

X05 JOHN ALDEN 501 W MICHIGAN AVE MILWAUKEE, WI 53201 

T50 JOHN ALDEN 9955 59TH AVE N PLYMOUTH, MN 55442 

S59 JOHN ALDEN 5100 GAMBLE DR ST LOUIS PARK, MN 55416 

Y04 JOHN ALDEN DENTAL P O BOX 2973 CLINTON, IA 52733-2973 (866)362-5955 

J31 JOHN ALDEN LIFE INS P O BOX 4130 PORTLAND, OR 97208-4130 FAX # 208-336-1378 

A10 JOHN ALDEN LIFE INSURANCE# 1005 MAIN P O BOX 1599 BOISE, ID 83701 (208) 368-7674 DO NOT USE - USE 623 1-800-328-4316 FOR BENEFITS 

D72 JOHN ALDEN# P O BOX 1599 BOISE, ID 83701 DO NOT USE-USE 623 

530 JOHN ALDENS INSURANCE# 1005 MAIN STREET P O BOX 1599 BOISE, ID 83701 (305) 470-3100 DO NOT USE-USE 623 

C74 JOHN ALDENS# 1005 MAIN P O BOX 1599 BOISE, ID 83701 (800) 328-4316 DO NOT USE - USE 623 

007 JOHN DEERE INS# P O BOX 2100 ROCK ISLAND, IL 61204-2100 (800) 346-3566 DO NOT USE - USE 430 

J13 JOHN DEERE-SENTRY INSURANCE P O BOX 8029 STEVENS POINT, WI 54481-8029 (800) 538-4693 

B33 JOHN HANCOCK 720 SW WASHINGTON ST PORTLAND, OR 97205-3500 

J19 JOHN HANCOCK P O BOX 833818 RICHARDSON, TX 75083-3818 

959 JOHN HANCOCK INS MORGAN BLDG ROOM 410 720 S W WASHINGTON PORTLAND, OR 97205 

792 JOHN HANCOCK INS# 7025 ALBERT PICK RD 5TH FLOOR GREENSBORO, NC 27409 (215) 525-5050 DO NOT USE - USE 650 

932 JOHN HANCOCK INS# 121 S 8TH ST STE 200 MINNEAPOLIS, MN 55402 MR-DO NOT USE 

G29 JOHN HANCOCK INSURANCE P O BOX 833876 RICHARDSON, TX 75083-3876 (800) 992-2037 

650 JOHN HANCOCK INSURANCE CO# 7025 ALBERT PICK RD 5TH FLOOR GREENSBORO, NC 27409-9519 (910) 665-1888 DO NOT USE-USE 259 

027 JOHN HANCOCK MUTUAL LIFE INSURANCE COMPANY P O BOX 111 BOSTON, MA 02117 (617) 572-6000 

259 JOHN HANCOCK MUTUAL LIFE INS# 7025 ALBERT PICK RD 5TH FLOOR GREENSBORO, NC 27409 (910) 665-1888 

E93 JOHN HANCOCK MUTUAL LIFE# P O BOX 7605 SCHAUMBURG, IL 60168 (800) 848-6484 DO NOT USE-MR 

F10 JOHN HANCOCK MUTUAL LIFE# 7025 ALBERT PICK ROAD 5TH FLOOR GREENSBORO, NC 27409 (910)665-1888 DO NOT USE - USE 259 

H15 JOHN HANCOCK UNICARE P O BOX 4050 SCHAUMBURG, IL 60168 (800) 232-0118 

C62 JOHN HANCOCK# 1000 WOODFIELD RD STE 400 P O BOX 4053 SCHAUMBURG, IL 60173-4053 (847)706-4050 

339 JOHN P. PEARL & ASSOCIATES, LTD ALA GROUP PLAN ADMINISTRATOR 1200 EAST GLEN AVENUE PEORIA, IL 61614-5348 (309) 688-9000 800-238-9455 

N34 JOHNSON BENEFIT ADMINISTRATORS# 2448 E 81ST STE 500 TULSA, OK 74137 (888) 624-7334 DO NOT USE-MR 

H14 JOINT BENEFIT TRUST P O BOX 2109 LIVERMORE, CA 94551 (925) 449-7070 

105 JONES, HILL & MERCER ATTN GAIL QUEEN P O BOX 9888 SAVANNAH, GA 31412 

X48 JR SIMPLOT COMPANY HEALTH BENEFITS P O BOX 27 BOISE, ID 83707 (208) 389-7461 

Z29 K CARE VALUE CARE BC/BS K MART CORP P O BOX 1433 LINCOLNSHIRE, IL 60069 

Y37 KAISER 1975 RESEARCH PKWY 250 COLORADO SPRINGS, CO 80920 (888) 681-7878 

606 KAISER FOUNDATION HEALTH PLAN P O BOX 12923 OAKLAND, CA 94604-2923 (800) 731-4661 

D68 KAISER NORTHWEST 500 NE MULTNOMAH STE 100 PORTLAND, OR 97232 

M20 KAISER PERMANENTE HEALTH PLAN-MID ATLANTIC P O BOX 6233 ROCKVILLE, MD 20849-6233 (301) 468-6000 

S16 KAISER PERMANENTE DEPT 57 P O BOX 372970 DENVER, CO 80237-0237 (303) 338-3800 

Y74 KAISER PERMANENTE CALIFORNIA SERVICE CENTER P O BOX 23758 SAN DIEGO, CA 92193-3758 (800) 464-4000 

W78 KAISER PERMANENTE 2500 S HAVANNA ST AURORA, CO 80014 (800) 813-2000 

P69 KAISER PERMANENTE 500 NE MULTNOMAH STE 100 PORTLAND, OR 97232 (800) 813-2000 

Y53 KAISER PERMANENTE P O BOX 34178 SEATTLE, WA 98124 (866) 291-4008 

X84 KAISER PERMANENTE 711 KAPOILANI BLVD HONOLULU, HI 96813 (866) 575-3553 

Y06 KAISER PERMANENTE NORTHERN CA REGION 1840 SIERRA GARDEN ROSEVILLE, CA 95746 (917) 784-4190 

Y24 KAISER PERMANENTE 5055 CALIFORNIA AVE BAKERSFIELD, CA 93309 

Z32 KAISER PERMANENTE P O BOX 921006 FORT WORTH, TX 76121-1006 

AN4 KAISER PERMANENTE 18081 BEACH BLVD HUNTINGTON BEACH, CA 

S46 KAISER PERMANENTE MED CARE HMO P O BOX 4100-3 PORTLAND, OR 97208 

Y86 KAISER PERMANENTE 11011 MAGNOLIA AVE RIVERSIDE, CA 92505 

Z66 KAISER PERMANENTE P O BOX 60000 SAN FRANCISCO, CA 94160 

485 KAISER PERMANETE REGIONAL CLAIMS DEPT 815 COLORADO BLVD LOS ANGELES, CA 90041 (213) 667-4102 

T83 KAISER PERMANETE P O BOX 7102 PASADENA, CA 91109 (800) 464-4000 

R37 KAISER# P O BOX 50912 SAN DIEGO, CA 92150-9012 DO NOT USE-MR 

266 KANAWHA INSURANCE CO CLAIMS ADMIN-CLARK SHWEBEL P O BOX 6000 LANCASTER, SC 29721-6000 (803) 283-5300 

J07 KANAWHA INSURANCE CO P O BOX 8050 LANCASTER, SC 29721-8050 (803) 283-5300 

D22 KANSAS CITY CEMENT MASONRY# EMPLOYEE WELFARE FUND 4601 COLLEGE BLVD SUITE 285SHAWNEE MISSION, KS 66211 (913) 451-2541 MR-DO NOT USE 

B62 KANSAS CITY LIFE DENTAL P O BOX 419325 KANSAS CITY, MO 64141 (800) 874-5254 

A75 KEPPLE & COMPANY INC P O BOX 1986 PEORIA, IL 61656-1986 (309) 673-7330 

N19 KEY BENEFIT ADMINISTRATORS P O BOX 55210 INDIANAPOLIS, IN 46205 (800) 331-4757 

P16 KEY PARTNERS INC# ATTN: GPI/CARQUEST P O BOX 690450 SAN ANTONIO, TX 78269-0450 (888) 664-4722 DO NOT USE-USE H20 

W16 KEYSTONE BLUE P O BOX 226 PITTSBURGH, PA 15230 (800) 547-9378 

X29 KEYSTONE HEALTH PLAN CENTRAL P O BOX 779521 HARRISBURG, PA 17177 

593 KEYSTONE LIFE INS P O BOX 809027 DALLAS, TX 75380 MR-DO NOT USE 

866 KFBB TV SELF FUNDED PLANS INC P O BOX 1139 GREAT FALLS, MT 59403 (406) 453-4377 

F68 KFBB TV SELF FUNDED INSURANCE# ATTN MYLA COLE P O BOX 1139 GREAT FALLS, MT 59403 (406) 456-4377 DO NOT USE - USE 866 

HD8 KILBY BUTTE COLONY HWY 12 E P O BOX 17920 ROUNDUP, MT 59072 (406) 538-9835 

M70 KIMBERLY-CLARKE PREFERRED SERV CIGNA HEALTHCARE P O BOX 29300 ATLANTA, GA 30359-0300 (800) 245-5687 

Y50 KINDRED HEALTH CARE 680 S 4TH ST LOUISVILLE, KY 40202 (502) 596-7300 

HD9 KING COLONY P O BOX 858 LEWISTOWN, MT 59457 (406) 538-9835 

HB5 KINGBURY COLONY 210 HWY 44 VALIER, MT 59486 (406) 472-3330 

A36 KIRK VAN ORDSEL 1776 W LAKE PARKWAY P O BOX 9126 DES MOINES, IA 50306-9126 (800) 247-2192 

G19 KITSAP PHYSICANS SERVICE P O BOX 339 BREMERTON, WA 98337 (360) 478-6796 800-552-7114

R70 KLAUS & COMPANY 1867 W MARKET ST AKRON, OH 55313-6977 (330) 867-8443 

694 KMSB MEDICAL P O BOX 5016 KLAMATH FALLS, OR 97601 (503) 884-7756 MR-DO NOT USE 

K19 KOHLER SELECT P O BOX 507 APPLETON, WI 54912-0507 

S11 KROGER BENEFITS 3800 SE 22ND AVE PORTLAND, OR 97202 

240 KULR TV 8 1432 HAMILTON AVENUE CLEVELAND, OH 44114 (800) 722-7374 

775 KVBA TEAMSTERS LOCAL #556 P O BOX 515 DAKOTA CITY, NE 68731 

A45 L & H ADMINISTRATORS P O BOX 12772 FRESNO, CA 93779 (916) 442-9071 

B75 L & H ADMINISTRATORS# P O BOX 12772 FRESNO, CA 93779 (209) 485-6480 DO NOT USE-USE A45 

596 LABORERS A G C TRUST OF MT P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 800-716-0300 

D11 LABORERS FUNDS ADMINISTRATIVE OFFICE OF N. CALIF. ATTN JEANNE 220 CAMPUS LANE FAIRFIELD, CA 94534 (707) 864-2800 

E60 LABORERS UNION# P O BOX 5434 SPOKANE, WA 99205 (406) 723-8102 

839 LAHOOD AND ASSOCIATES ALLMERICA FINANCIAL P O BOX 107 HOWELL, MI 48843-0107 (800) 255-6065 

H80 LAMAR LIFE INS CO P O BOX 66978 CHICAGO, IL 60666 (800) 258-5542 

T76 LAMB WESTON P O BOX 128 TWIN FALLS, ID 83303 

926 LAMB-WESTON CO COLUMBIA AVE-OLSON RD P O BOX 379 BOARDMAN, OR 97818 

W81 LANTIS HEALTH PLAN P O BOX 699 SPEARFISH, SD 57783 (605) 642-7736 

C06 LATHERS WELFARE TRUST P O BOX 6468 SANTA ANA, CA 92706 (714) 554-1644 

957 LEGACY LIFE INS# P O BOX 10380 PHOENIX, AZ 85016 (602) 957-8781 

838 LEGACY LIFE INSURANCE P O BOX 10380 PHOENIX, AZ 85016 (602) 957-8781 

A52 LEGGETT & PLATT 905 MEMORIAL DR S E P O BOX 100055 ATLANTA, GA 30348 (404) 525-5501 

210 LEGGETT & PLATT INC P O BOX 757 CARTHAGE, MO 64836 (417) 358-8131 

789 LEGIONNAIRE INS TRUST PROGRAM P O BOX 9060 PHOENIX, AZ 85068 (800) 882-0220 800-235-6943 CUSTOMER SERVICE 

F38 LES SCHWAB TIRES P O BOX 5666 PORTLAND, OR 97228 (541) 416-5222 

12/14/2005 BOX CLOSED-NO FO 

1-888-821-4440 

B27 LEWER AGENCY INC 4534 WORNALL RD KANSAS CITY, MO 64111-3236 (816) 753-4390 

571 LEWIS & CLARK SELF INS C/O ALLEGIANCE BENEFIT PLAN P O BOX 3018 MISSOULA, MT 59806 (406) 721-2222 

451 LEXTRON INC. HEALTH & WELFARE P O BOX 3025 GREELY, CO 80633 (303) 353-2600 

H73 LIBERTY HEALTH PLAN P O BOX 5117 PORTLAND, OR 97208-5117 

C13 LIBERTY LIFE ASSURANCE P O BOX 730 MISHAWAKA, IN 46546-0730 (800) 762-4648 

A86 LIBERTY MUTUAL P O BOX 2817 GAINSVILLE, GA 30503 (800) 241-1121 

K57 LIBERTY MUTUAL WORK COMP P O BOX 168208 IRVING, TX 75016-8208 (800) 300-0110 

458 LIBERTY NATIONAL LIFE INS CO P O BOX 10592 BIRMINGHAM, AL 35202 (205) 325-2575 

412 LIBERTY NORTHWEST 607 SW HIGGINS AVENUE MISSOULA, MT 59803-1443 (406) 543-4933 

800-735-7079 

WC CARRIER 

416 LIBERTY NORTHWEST COMPANIES P O BOX 4555 PORTLAND, OR 97208-4555 (800) 935-5436 

H98 LIBERTY NW INSURANCE P O BOX 4555 PORTLAND, OR 97208-4555 (800) 935-5436 DO NOT USE-USE H73 

135 LIFE & HEALTH OF AMERICA P O BOX 25903 TAMARAC, FL 33320 

315 LIFE GENERAL SECURITY INS CO# P O BOX 432050 SOUTH MIAMI, FL 33243 (800) 338-3397 DO NOT USE 

263 LIFE INS CO OF N AMERICA 1600 ARCH STREET PHILADELPHIA, PA 19103 

262 LIFE INS CO OF SOUTHWEST P O BOX 569080 DALLAS, TX 75356-9080 (231) 463-8916 

P03 LIFE INVESTORS INS P O BOX 1887 BOZEMAN, MT 59771 (406) 586-4334 

F97 LIFE INVESTORS INS# OF AMERICA P O BOX 982012 N RICHLAND HILLS, TX 76182-8012 (800) 347-7082 DO NOT USE-USE 264 

M94 LIFE INVESTORS INSURANCE P O BOX 97 SCRANTON, PA 18504-0097 (800) 752-9797 

978 LIFE OF GEORGIA GROUP CLAIMS P O BOX 105022 ATLANTA, GA 30348-5022 (800) 654-7914 

X10 LIFE-RE INSURANCE COMPANY P O BOX 792070 SAN ANTONIO, TX 78279-2070 (800) 229-1024 

S32 LIFEWISE PREMERA HEALTH PLAN P O BOX 7700 BEND, OR 97708 (800) 611-4957 1-800-777-1502 CUSTOMER SERVICE 

Z65 LIFEWISE P O BOX 91060 SEATTLE, WA 98111 

S90 LILLY HEALTH PLANS P O BOX 7164 INDIANAPOLIS, IN 46207 

A93 LINCOLN BENEFIT LIFE P O BOX 80469 LINCOLN, NE 68501-9937 (800) 228-4240 

V75 LINCOLN CLAIMS ADMINISTRATION P O BOX 9129 PHOENIX, AZ 85068-9129 (602)870-6078 

AN5 LINCOLN FINANCIAL P O BOX 821 CAROL STREAM, IL 60103-0821 

480 LINCOLN HERITAGE INSURANCE 4343 EAST CAMELBACK P O BOX 29045 PHOENIX, AZ 85038 (800) 433-8181 

874 LINCOLN MUTUAL LIFE & CASUALTY 203 N 10TH ST P O BOX 1918 FARGO, ND 58107 (800) 874-2656 701-282-1807 

B44 LINCOLN MUTUAL LIFE & CASUALTY# P O BOX 1918 FARGO, ND 58107 (701) 282-1823 DO NOT USE-USE 874 

023 LINCOLN NAT LIFE INS CO# DO NOT USE P O BOX 2249 FORT WAYNE, IN 46801 (260) 455-4800 DO NOT USE-MR 

052 LINCOLN NATIONAL 5310 A SPECTRUM DR FREDERICK, MD 21701 (800) 626-5540 

A77 LINCOLN NATIONAL INS CO 1300 SO CLINTON STREET FORT WAYNE, IN 46801 

196 LINCOLN NATIONAL INSURANCE 1510 FASHION ISLAND BLVD SUITE 201 SAN MATEO, CA 94404 (303) 779-1111 

150 LINCOLN NATIONAL INSURANCE MT EMPLOYERS GROUP INC P O BOX 2265 GREAT FALLS, MT 59403 

801 LINCOLN NATIONAL LIFE INS CO# 1300 SOUTH CLINTON ST P O BOX 2249 FORT WAYNE, IN 46801 DO NOT USE - USE 023 

853 LINCOLN NAT'L ADMINISTRTIVE SER FREDRICKS GRP OPERATION CENTER 7445 NEW TECHNOLOGY WAY FREDRICKS, MD 21701 (800) 626-5540 

852 LINCOLN NAT'L LIFE P O BOX 5001 FORT SCOTT, KS 66701 (800) 826-2898 

663 LINCOLN NAT'L LIFE INS# 1300 CLINTON STREET FORT WAYNE, IN 46801 DO NOT USE - USE 023 

962 LINECO 2000 SPRINGER DR LOMBARD, IL 60148 (800) 323-7268 CLAIMS MAY BE PROCESSED THRU LOCAL BC/BS 

A70 LOCAL 399 HEALTH & WELFARE 763 WEST JACKSON BLVD CHICAGO, IL 60661 312-236-0065 IS INVALID # 

085 LONE STAR LIFE INSURANCE CO P O BOX 35047 DALLAS, TX 75235 (800) 233-2510 

E07 LOOMIS COMPANY BENEFITS DIVISION P O BOX 7011 WYOMISSING, PA 19610-6047 (800) 432-5893 

M85 LOOMIS COMPANY P O BOX 7011 WYOMISSING, PA 19610 (877) 461-3918 

HE0 LORING COLONY P O BOX 14 LORING, MT 59537 (406) 674-5227 

613 LOS ANGELES HOTEL RESTURANT FND 130 S ALVARADO ST P O BOX 57924 LOS ANGELES, CA 90057 (203) 484-8480 

N32 LOVELACE HEALTH PLAN ATTN: CLAIMS P O BOX 27107 ALBUQUERGUE, NM 87125 (800) 808-7363 

R22 LOVELACE HEALTH PLAN P O BOX 9389 SHERMAN, TX 75091-9389 (800) 808-7363 

C84 LUFKIN INDUSTRIES INC P O BOX 849 LUFKIN, TX 75902 (409) 634-2211 

W55 LUMENOS 1725 DUKE ST STE 400 ALEXANDRIA, VA 23314 (877) 554-4725 

X56 LUMENOS P O BOX 69309 HARRISBURG, PA 17106 (877) 554-4725 

769 LUTHERAN BROTHERHOOD 625 4TH AVE SOUTH MINNEAPOLIS, MN 55415 

F73 LUTHERAN HEALTH SYSTEMS P O BOX 9239 FARGO, ND 58106-9239 (800) 342-4718 

B60 M & M BENEFIT BOARD AMERICAN BAPTIST CHURCH 475 RIVERSIDE DRIVE NEW YORK, NY 10115 (212) 870-3036 DO NOT USE-NOT AN INSURANCE COMPANY 

K16 M C C T P A BENEFITS MANAGED CARE CONSULTANTS P O BOX 12449 LAS VEGAS, NV 89112-2449 (702) 456-7214 

W13 M D A P O BOX 1220 KALISPELL, MT 59903 (406) 752-8000 

B02 M S I INSURANCE P O BOX 64035 ST PAUL, MN 55164-0035

Y19 MACHIGONNE BENEFIT ADMIN P O BOX 3859 PORTLAND, ME 04104-3859 (800) 245-3529 

Y97 MACO HEALTHCARE TRUST P O BOX 1966 MISSOULA, MT 59806 (888) 883-3233 VERIFICATION THROUGH 590 WEBSITE. 

HAS VOICE RESPONSE 

178 MAILHANDLERS BENEFIT PLAN MEDICAL & DENTAL CLAIMS P O BOX 8402 LONDON, KY 40742 (800) 410-7778 

558 MAILHANDLERS BENEFIT PLAN# P O BOX 44242 JACKSONVILLE, FL 32232-4242 (800) 410-7778 DO NOT USE - USE 178 

S79 MAILHANDLERS# P O BOX 44242 JACKSONVILLE, FL 32231-4242 DO NOT USE-USE 178 

Z31 MAKSIN MANAGEMENT CORP 2500 MCCLELLAN AVE STE 160 PENNSAULKEN, NJ 08109 

R62 MAMSI LIFE & HEALTH P O BOX 930 FREDERICK, MD 21705-0930 (800) 224-8535 

S19 MANAGED CARE ADMINISTRATORS 50 W BROADWAY STE 650 SALT LAKE CITY, UT 84101 (801) 355-8161 800-350-5922 

F13 MANAGED DENTAL CARE NETWORK P O BOX 91033 SEATTLE, WA 98111 (800) 632-6227 

D85 MANAGED HEALTH CARE NW# DO NOT USE-NOT VALID P O BOX 900 PORTLAND, OR 97207 DO NOT USE-NOT VALID 

F22 MANAGEMENT SERVICES INCORP ATTN: BETH P O BOX 1430 DANVILLE, IL 61834-1430 (800) 634-3506 

D51 MANPOWER INTERNATIONAL P O BOX 2053 MILWAUKEE, WI 53201 (414) 961-1000 

674 MAR-CAL INSURANCE CO P O BOX 3870 GLEN ALLEN, VA 23058-3870 (800) 431-1270 

B94 MARQUETTE NATIONAL LIFE INS CO P O BOX 2465 HOUSTON, TX 77252 (800) 934-8203 

F23 MARRIOTT INTERNATIONAL ATTN: BENEFITS 1 MARRIOTT DRIVE WASHINGTON, DC 20058 (301) 380-4346 

N59 MARSH ADVANTAGE AMERICA P O BOX 4542 IOWA CITY, IA 52244-4542 (800) 882-9195 ADDRESS CHANGE DONE 11/28/2005 

P05 MARSH ADVANTAGE AMERICA P O BOX 2305 SPOKANE, WA 99201 (866) 583-7541 MAY BE CALLED INTERWEST HEALTH 

T32 MARSH ADVANTAGE AMERICA# P O BOX 2305 SPOKANE, WA 99210-2305 (800) 423-2021 

B12 MARTIN-DECKER TOCO# P O BOX 12500 FRESNO, CA 93778 (800) 782-8920 DO NOT USE - USE 525 

HB6 MARTINSDALE COLONY P O BOX 152 MARTINSDALE, MT 59053 (406) 572-3329 CONTACT: PETE WIPF 

B52 MARYLAND ELECTRICAL INDUSTRY FUNDS 6650 BELAIR RD, SECOND FLOOBALTIMORE, MD 21206 (800) 352-2740 

B67 MASONARY WELFARE TRUST 9848 E BURNSIDE PORTLAND, OR 97216 (800) 591-8326 

FAX (503)254-4119 


T96 MASONIC HOME 2010 MASONIC HOME RD HELENA, MT 59602 (406) 458-5431 

089 MASONRY HEALTH WELFARE FUND 9848 E BURNSIDE PORTLAND, OR 97216 (800) 591-8326 

285 MASS GENERAL LIFE INS CO 70 FEDERAL STREET BOSTON, MA 02110 MR-UNABLE TO FORWARD 8/01/00 

286 MASS INDEMNITY-LIFE INS 130 NORTH STREET HYANNIS, MA 02601 MR 7/25/00 

218 MASS MUTUAL P O BOX 5016 FORT SCOTT, KS 66701 (800) 333-2292 

323 MASS MUTUAL P O BOX 833933 RICHARDSON, TX 75083-3933 (800) 333-3304 

F33 MASS MUTUAL LIFE INS CO P O BOX 6004 MATTESON, IL 60443 (800) 333-1114 MR-DO NOT USE 

287 MASS MUTUAL LIFE INS CO 4747 LINCOLN MALL DR MATTESON, IL 60443 DO NOT USE-MR-07/18/2002 

335 MASS MUTUAL LIFE INSURANCE CO GROUP CLAIM DEPT P O BOX 100008 DECATUR, GA 30031-0008 (800) 333-2993 

D32 MASS MUTUAL# ATTN LINDA BARR P O BOX 100008 DECATUR, GA 30031-0008 (800) 333-2993 DO NOT USE-USE 335 

F52 MASSACHUSETTS MUTUAL P O BOX 6548 EVANSVILLE, IN 47719-0548 (812) 426-2741 

381 MASSACHUSETTS MUTUAL LIFE GRP CLAIM DEPT-1 CORPORATE CNTR 1320 WILLOW PASS RD, STE 30CONCORD, CA 94520-5280 (800) 333-2280 

718 MASTERS, MATES PILOTS HEALTH & BENEFIT PLAN 5700 HAMMONDS FERRY RD LINTHICUM HEIGHTS, MD 21090 (301) 850-8500 

V10 MAXORPLUS 320 S POLK STE 200 AMARILLO, TX 79101 

R28 MAYO MANAGEMENT 4001 41ST ST NW ROCHESTER, MN 55401-8901 (800) 335-6296 

D98 MBA P O BOX 651109 SALT LAKE CITY, UT 84165-1109 (801) 268-3334 

K96 MBA 4606 S GARNET STE 400 P O BOX 471950 TULSA, OK 74147-1950 (918) 660-2222 

G51 MBA 2600 EGANWOODS DR STE 150 EAGAN, MN 55121 

E29 MBA WYOMING P O BOX 98 WORLAND, WY 82401 1-307-347-6151 

B24 MCA# P O BOX 269050 SAN DIEGO, CA 92196-9050 (800) 622-4642 MR-DO NOT USE 

E02 MCCLANE COMPANY INC PRO AMERICA P O BOX 901024 FORT WORTH, TX 76101-2024 (800) 625-2631 

W38 MCCREW CARE P O BOX 6702 COLUMBIA, SC 29260 (888) 645-6410 

X73 MCDONALDS LIC HEALTH & WELFARE 35678 EAGLE WAY CHICAGO, IL 60678-1356 (800) 323-4195 

AC3 MCHA BC/BS OF MT P O BOX 5004 GREAT FALLS, MT 59403 

C85 MCKEE FOOD CORP GROUP CLAIMS P O BOX 2078 COLLIDGE DALE, TN 37315 (615) 238-7111 

928 MEATCUTTERS HEALTH & WELFARE PROGRAM 4885 SOUTH 900 E., STE 202 SALT LAKE CITY, UT 84117 (800) 453-4584 

Z08 MED AMERICA INSURANCE CO 165 COURT ST ROCHESTER, NY 14647 

C33 MED CENTERS CLAIMS DEPT 901 MARQUETTE MAPLES, MN 55402-3205 

J39 MED COST PREFERRED P O BOX 25307 WINSTON-SALEM, NC 27114-5307 

J60 MED PAY P O BOX 10909 SPRINGFIELD, MO 65808 (417) 888-6886 

N42 MED PLAN SELECT P O BOX 2088 DALTON, GA 30722-2088 (888) 454-4456 

212 MEDCO HEALTH P O BOX 247 LEES SUMMIT, MO 64063 (800) 922-1557 800-711-0917 

AJ9 MEDCO HEALTH SOLUTIONS P O BOX 14711 LEXINGTON, KY 40512 

W98 MEDEX-EMPLOYEE BENEFITS MANAGEM NETWORK ACCESS P O BOX 94648 CLEVELAND, OH 44101-4648 (800) 831-6677 

W62 MEDICA P O BOX 30990 SALT LAKE CITY, UT 84130 (800) 458-5512 

AH4 MEDICA RT 015-2803 P O BOX 196063 DULUTH, MN 55816 

S24 MEDICA 1213 WASHINGTON AVE N MINNEAPOLIS, MN 55401 

AH8 MEDICA 401 CARLSON PKWY MINNETONKA, MN 55305 

MR-NO FORWARDING ADDRESS 

A39 MEDICA CHOICE# RTE 2901 P O BOX 169061 DULUTH, MN 55816-8310 (612) 936-1200 

N45 MEDICA CLAIMS P O BOX 659752 SAN ANTONIO, TX 78265-9752 (952) 945-8000 800-458-5512 

H69 MEDICAL BENEFITS ADMINISTRATOR# P O BOX 259424 MADISON, WI 53725-9424 (800) 273-1776 MR-DO NOT USE 

M05 MEDICAL BENEFITS MUTUAL P O BOX 1129 NEWARK, OH 43058-1129 (800) 686-8425 

A33 MEDICAL CLAIMS MANAGEMENT TOWN OF SUMMERVILLE 8720 RED OAK BLVD STE 227 CHARLOTTE, NC 28217-3957 (704) 525-1473 

C50 MEDICAL CLAIMS SERVICE P O BOX 160 RAVENSWOOD, WV 26164-0160 (617) 471-4100 

289 MEDICAL INSURANCE CORP P O BOX 3048 SPOKANE, WA 99202 (800) 861-0187 MS POL CLMS BOX-?? REC MS VERIF BACK FROM J52-B 

290 MEDICAL INSURANCE CORP# P O BOX 3048 SPOKANE, WA 99202 (800) 861-0187 DO NOT USE - USE 289 

M16 MEDICAL MUTUAL OF OHIO P O BOX 6018 CLEVELAND, OH 44101 

J52 MEDICAL SERVICE CORP# P O BOX 91080 SEATTLE, WA 98111-9180 (800) 835-3510 SUPPLEMENTAL POLICIES ONLY ????? 

129 MEDICAL WEST ASSOCIATES HMO BLUE 360 BIRNIE AVE SPRINGFIELD, MA 01107 (413) 586-9161 

004 MEDICO INSURANCE GROUP P O BOX 3477 OMAHA, NE 68103-3477 (402) 391-6900 AKA MUTUAL PROTECTIVE INSURANCE CO. 402-398-0881 

291 MEDICO LIFE INSURANCE CO 1515 S 75TH ST P O BOX 3735 OMAHA, NE 68172 (800) 228-6080 

V11 MEDIMPACT 10680 TREENA ST SAN DIEGO, CA 92131 (858) 566-2727 

C75 MEDIPLAN 502 VALLEY ROAD DEPT A6 WAYNE, NJ 07470 

N76 MEDI-PLUS# THE HARTFORD P O BOX 9126 DES MOINES, IA 50306-9126 (800) 247-2192 DO NOT USE-USE M69 

T55 MEDIVERSAL & MAILHANDLERS BENEFIT PLAN P O BOX 26329 LAS VEGAS, NV 89126 (702) 248-2541 

D46 MED-TAC P O BOX 9110 NEWTON, MA 02160 (800) 347-9355

W32 MEGA LIFE & HEALTH P O BOX 982010 N RICHLAND HILLS, TX 76182 (800) 527-5504 

Y60 MEGA LIFE & HEALTH P O BOX 809066 DALLAS, TX 75280-9066 

E51 MEGA LIFE & HEALTH# P O BOX 548801 OKLAHOMA CITY, OK 63103 (800) 725-7887 DO NOT USE - USE C24 

N93 MEMBER INSURANCE# P O BOX 2170 MCHENRY, IL 60051-2170 (877) 416-3623 DO NOT USE-MR 

254 MEMBER SERVICE ADMINISTRATORS P O BOX 3028 TULSA, OK 74102 (918) 589-7700 VERIFY/MENTAL HEALTH/8-13-99-B 1/800/672/2567 5/15/03 

176 MEMBERSHIP SERVICES 1304 VINCENT PLACE MCLEAN, VA 22101 

H17 MEMORIAL SISTERS OF CHARITY# 9494 S W FREEWAY STE 300 HOUSTON, TX 77074-1943 (888) 233-6724 MR-DO NOT USE 

687 MENNONITE MUTUAL AID 1110 N MAIN ST P O BOX 483 GOSHEN, IN 46527-0483 

P56 MERCY HEALTH-SACRAMENTO ATTN: WOODLAND CLAIMS 10540 WHITE ROCK RD STE 24RANCHO CORDOVA, CA 95670 (916) 851-2816 

X13 MERIDIAN BENEFITS 201 WILLOWBROOK BLVD 9TH FLOOR WAYNE, NJ 07470 (877) 642-8030 

AD1 MERIDIAN HEALTH 9245 N MERIDIAN ST STE 100 INDIANAPOLIS, IN 46260 

P85 MERIDIAN HEALTH CARE FHS NETWORK PLAN 21045 CALIFA ST WOODLAND HILLS, CA 91367 (800) 431-4662 

C27 MET LIFE P O BOX 2072 AURORA, IL 60507-2072 (630) 820-7901 

N69 MET LIFE P O BOX 14093 LEXINGTON, KY 40512-4093 (800) 942-0854 MEDICAL & DENTAL TO SAME P O BOX 

J34 MET LIFE DENTAL P O BOX 981282 EL PASO, TX 79998-1282 (800) 275-4638 

D76 METLIFE P O BOX 467 WARWICK, RI 02887 (800) 308-0293 

W27 METLIFE GROUP DENTAL CLAIMS P O BOX 8740 DAYTON, OH 45401-8740 (800) 540-5233 

742 METLIFE P O BOX 495 WARWICK, RI 02887 (800) 638-7392 

A16 METLIFE P O BOX 1295 PITTSBURGH, PA 15230-1295 (800) 638-8010 

W89 METLIFE DENTAL P O BOX 981282 EL PASO, TX 79998-1282 (816) 204-3115 

D67 METLIFE HUNTINGDON 96 SOUTH ZUNI STREET DENVER, CO 80223 (303) 744-7105 

F08 METLIFE INSURANCE P O BOX 19137 AUSTIN, TX 78760 (800) 752-6638 

G13 METRA HEALTH 2605 ENTERPRISE RD E SUITE 110 P O BOX 9042 CLEARWATER, FL 34618 (800) 537-4768 

E17 METRA HEALTH CLAIM DEPARTMENT P O BOX 323 GRAND RAPIDS, MI 49501-0323 (800) 842-8000 

T35 METRA HEALTH P O BOX 473505 CHARLOTTE, NC 28247-3505 

877-842-3210 

MR-DO NOT USE 

N58 METRA HEALTH# P O BOX 2990 ENGLEWOOD, CO 80150-0190 DO NOT USE-MR 7/18/02 

574 METRAHEALTH MONTGOMERY WARD P O BOX 2005 AURORA, IL 60507-2005 (708) 820-7500 

F88 METRAHEALTH MANAGED CARE SYSTEM P O BOX 2258 BREA, CA 92622-2258 (800) 842-0146 

G56 METRAHEALTH P O BOX 3073 UTICA, NY 13504 (800) 842-6926 MR-DO NOT USE 

E84 METRAHEALTH# P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (800) 638-8318 DO NOT USE-USE H36 

G54 METRAHEALTH# P O BOX 22026 ALBANY, NY 12201 (800) 842-9492 MR-DO NOT USE 

AM1 METROPOLITAN HEALTH PLAN 822 S 3RD ST STE 150 MINNEAPOLIS, MN 55415 

919 METROPOLITAN INS CO P O BOX 5500 GREENVILLE, SC 29608 

670 METROPOLITAN INSURANCE P O BOX 2158 PITTSBURGH, PA 15230 (412) 255-6200 

180 METROPOLITAN INSURANCE CO P O BOX 2994-C ENGLEWOOD, CO 80150-0194 

029 METROPOLITAN LIFE 1 MADISON AVENUE NEW YORK, NY 10010 (212) 578-5515 VERIFY/MENTAL HEALTH/8-13-99-B 

C63 METROPOLITAN LIFE P O BOX 6101 AUBURN, NY 13021 (315) 253-1623 

305 METROPOLITAN LIFE GROUP CLAIMS P O BOX 2071 AURORA, IL 60507 2071 (708) 820-7500 

345 METROPOLITAN LIFE P O BOX 5515 FAIRLAWN, OH 44334-0515 (708) 820-7903 

401 METROPOLITAN LIFE P O BOX 6049 NEWARK, DE 19714-6049 (800) 421-9174 

720 METROPOLITAN LIFE P O BOX 2925 ENGLEWOOD, CO 80150 (800) 638-0533 NOT VALID INSURANCE 

F47 METROPOLITAN LIFE P O BOX 18208 AUSTIN, TX 78760-8209 (800) 752-6638 

183 METROPOLITAN LIFE P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (800)792-7729 

942 METROPOLITAN LIFE INS P O BOX 790 BLOOMINGDALE, IL 60108 

462 METROPOLITAN LIFE INS CO METROPOLITAN MEDICAL CLAIMS P O BOX 1350 PITTSBURGH, PA 15230-1350 (800) 962-1345 

A22 METROPOLITAN LIFE INS CO WILMINGTON\NEWARK GROUP P O BOX 6017 NEWARK, DE 19714 

945 METROPOLITAN LIFE INS CO NAPUS HEALTH BENEFIT PLAN P O BOX 480 WARWICK, RIC 02887 

823 METROPOLITAN LIFE INS. CO. GROUP MEDICAL CLAIMS OFFICE P O BOX 3009 HAUPPAUGE, NY 11787-0856 MR-DO NOT USE 

771 METROPOLITAN LIFE INSURANCE 1701 DIRECTOR'S BLVD, STE 800 AUSTIN, TX 78744 (512) 462-3435 

211 METROPOLITAN LIFE INSURANCE CO ASHLAND MEDICAL PLAN P O BOX 30430 TAMPA, FL 33630 MR 7/25/00 

648 METROPOLITAN LIFE INSURANCE# DO NOT USE P O BOX 2925 ENGLEWOOD, CO 80150-0150 (800) 338-4187 DO NOT USE 

843 METROPOLITAN LIFE INSURANCE# U S WEST DIVISION P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (800) 782-9883 DO NOT USE - USE H36 

F83 METROPOLITAN LIFE# P O BOX 30073 TAMPA, FL 33630-3073 (800) 638-7443 MR-DO NOT USE 

265 METROPOLITAN LIFE-GROUP CLAIMS AMOCO CORPORATION GROUP 36000 P O BOX 2007 AURORA, IL 60507-2007 (800) 942-0168 

S28 MHC EMPLOYEE BENEFIT PLAN P O BOX 1110 ALEXANDRIA, LA 71309 

MMAMHSP PT D COB HELENA, MT 

HB7 MIAMI COLONY P O BOX 440 RT 3 CONRAD, MT 59425 (406) 472-3310 

B06 MICHIGAN EDUCATIONAL SPECIALTY SERVICE ASSOC-MESSA P O BOX 2560 EAST LANSING, MI 48826-2560 (517) 332-2581 

H34 MI-CHILD SECURITY CONTINENTAL INS CO 2001 BUTTERFIELD RD DOWNERS GROVE, IL 60515 (888) 564-2445 DO NOT USE-NO LONGER IN BUSINESS 

R08 MID VALLEY CARE NET P O BOX 421450 MIDDLETOWN, NY 45042 (800) 320-5066 

G02 MID YELLOWSTONE ELECTRIC CO-OP# P O BOX 6249 LINCOLN, NE 68506-0249 (406) 342-5521 

527 MIDAMERICA MUTUAL LIFE INS CO# CLAIMS PROCESSING P O BOX 170 WATERTOWN, SD 57201-0170 (800) 995-9052 DO NOT USE-MR 

K60 MID-ATLANTIC CLAIMS ADMIN INC P O BOX 3040 SOUTH AMBOY, NJ 08879 (404) 888-2264 RX-BENECARD SERV 800-522-6727 

J96 MIDLANDS CHOICE EPOCH GROUP P O BOX 247017 OMAHA, NE 68124-7017 (800) 255-6065 

K84 MID-SOUTH INSURANCE COMP# P O BOX 2547 FAYETTEVILLE, NC 28302-2547 DO NOT USE-MR 

C65 MIDWEST BENEFIT ADMINISTRATORS P O BOX 2040 OMAHA, NE 68403-0040 (800) 284-4885 

A41 MIDWEST HEARING INDUSTRIES P O BOX 16185 MINNEAPOLIS, MN 55416 (800) 821-5471 

069 MIDWEST LIFE INSURANCE STUDENT INSURANCE DIVISION P O BOX 152152 IRVING, TX 75015-2152 (800) 251-0005 

810 MIDWEST NATIONAL LIFE 4001 MCEWEN STE 200 DALLAS, TX 75244 (214) 960-8497 

B31 MIDWEST NATIONAL LIFE INS P O BOX 809096 DALLAS, TX 75380-9096 (800) 733-8880 

873 MIDWEST NATIONAL LIFE INS CO STUDENT INSURANCE DIVISION P O BOX 809025 DALLAS, TX 75380-9025 (800) 767-0700 

267 MIDWEST NAT'L LIFE INS 15280 ADDISON RD STE 200 ADDISON, TX 75001 

DO NOT USE-MR 

NO CURRENT RECIPIENTS 

S20 MIDWEST SECURITY ADMIN 1150 SPRINGHURST DR STE 140 GREEN BAY, WI 54304 (920) 496-2500 

J94 MIDWEST SECURITY INSURANCE 2700 MIDWEST DRIVE ONALASKA, WI 54650 (800) 236-2515 

646 MID-WESTERN LIFE INS CO P O BOX 18637 OKLAHOMA CITY, OK 73154-0037 

HB8 MILFORD COLONY HWY 2 BOX 287 WOLFCREEK, MT 59648 (406) 562-3533 

HB9 MILLER COLONY 5130 US HWY 89 CHOTEAU, MT 59422-9234 (406) 466-2339 

S33 MILWAUKEE CARPENTER'S DISTRICT COUNCIL HEALTH FUND P O BOX 670 PEWAUKEE, WI 53072-0670 (800) 448-8208 

939 MINISTERS LIFE# MINISTERS LIFE BUILDING MINNEAPOLIS, MN 55416 DO NOT USE-MR

021 MINN PROTECTIVE LIFE INS 7901 FLYING CLOUD DR EDEN PRAIRIE, MN 55343 MR-4/28/00 

M22 MINNEAPOLIS & SUBURBAN LUMBER DEALERS TRUST 2277 W HWY 36 STE 316 ROSEVILLE, MN 55113-3887 (651) 636-8288 

762 MINNEAPOLIS PAINTING INDUSTRY 2850 METRO DR BLOOMINGTON, MN 55425 

G46 MINNESOTA TIMBER# PRODUCERS HEALTH CARE 2002 LONDON RD STE 300 DULUTH, MN 55812 (218) 728-1010 CANCELLED ALL POLICIES 12/31/2001 

T67 MISSISSIPPI ADMIN SERVICES PUBLIC UTILITIES P O DRAWER 1400 OXFORD, MS 38655 (662)236-2117 

383 MISSOULIAN# ATTN PHIL STODDARD 500 SOUTH HIGGINS MISSOULA, MT 59801 DO NOT USE THIS NUMBER 

K39 MISSOURI CONSOLIDATED HEALTH CARE PLAN P O BOX 104355 JEFFERSON CITY, MO 65110 (800) 487-0771 

302 MISSOURI NATL LIFE INS CO# 4646 ROANOKE PARKWAY KANSAS CITY, MO 64112 DO NOT USE-MR 9/18/00 

804 MODERN MACHINERY ADMINISTRATIVE SERVICES P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 DO NOT USE-MR 

G75 MOHAWK VALLEY PHYSICIANS ATTN: CLAIMS P O BOX 2207 SCHENECTADY, NY 12301 (800) 777-4793 

Z61 MOLINA HEALTHCARE OF WA P O BOX 1469 BOTHELL, WA 98041-1469 

W88 MONACARE EMP HEALTH ALLIANCE P O BOX 10399 EUGENE, OR 97440-2399 (888) 767-9640 

RX TO V11 

541-762-1372 

402 MONARCH LIFE INSURANCE CO 1 MONARCH PLACE SPRINGFIELD, MA 01133 (413) 784-2000 

329 MONTANA ASSOC OF INDEPENDENT# DISABILITY SERVICES P O BOX 21367 BILLINGS, MT 59104 (800) 955-4242 DO NOT USE - USE 922 

248 MONTANA BENEFITS & LIFE CO# 445 MAIN STREET SUITE 1 P O BOX 548 KALISPELL, MT 59903 (800) 955-4242 


PART OF NEW WEST 

S65 MONTANA CPA GRP INS TRUST 1 N LAST CHANCE GULCH HELENA, MT 59607 

595 MONTANA FOOD DISTRIBUTORS# C/O BC/BS OF MT P O BOX 5004 GREAT FALLS, MT 59403 DO NOT USE - USE 062 

D50 MONTANA HEALTH NETWORK INC# P O BOX 3018 MISSOULA, MT 59806 DO NOT USE-USE 590 

639 MONTANA OPERATING ENGINEERS CLAIMS OFFICE P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 (800)716-0300 

849 MONTANA OPERATING ENGINEERS# P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 

entire group termed 6/31/2002 

EVERYTHING GOES TO MT OPER ENGINEERS 

113 MONTANA RAILLINK C/O ALLEGIANCE BENEFIT PLAN P O BOX 3018 MISSOULA, MT 59806 (509) 328-0300 DO NOT USE - CLAIMS NOW PROCESSED BY BC/BS 

882 MONTANA RETAIL STORE# EMPLOYEES TRUST 104 S FREYA ST STE 220 SPOKANE, WA 99202-4862 (800) 522-2403 DO NOT USE - USE 698 

713 MONTANA TEAMSTERS HLTH & WELFARE PLAN P O BOX 4148 PORTLAND, OR 97208 (800) 547-1314 

049 MONTGOMERY WARD LIFE INS P O BOX 5008 CAROL STREAM, IL 60197 (800) 621-0393 

864 MONUMENTAL GENERAL 1111 N CHARLES ST BALTIMORE, MD 21201 

833 MONUMENTAL GENERAL P O BOX 6125 CHICAGO, IL 60680 

584 MONUMENTAL GENERAL INS P O BOX 250 TAYLOR, PA 15817 1/30/2006 MR-NOT DELIVERABLE AS ADDRESSED 

809 MONUMENTAL GENERAL INSURANCE P O BOX 97 SCRANTON, PA 18504-0097 

V78 MORRIS ASSOCIATES P O BOX 50440 INDIANAPOLIS, IN 46250 (317)554-9000 

862 MORTON BENEFIT ADMINISTRATORS (AMERICAN GENERAL GROUP INS CO) P O BOX 8139 SALT LAKE CITY, UT 84108 MR-DO NOT USE 

745 MORTON THOIKOL ATTN: M/S 000B P O BOX 524 BRIGHAM CITY, UT 84302 

D36 MOTEL 6 MEDICAL BENEFITS P O BOX 809092 DALLAS, TX 75380 (214) 702-5920 

B61 MOTION PICTURE INDUSTRY HEALTH PLAN P O BOX 1999 STUDIO CITY, CA 91614-0999 (818) 769-0007 

N84 MOTOR CAR DEALERS INC 420 CULVER BLVD PLAYA DEL REY, CA 90291 

H49 MOTOROLA INSURANCE SERVICES P O BOX 29005 PHOENIX, AZ 85038 (800) 421-3973 

X30 MOTOT WEST INC BENEFITS P O BOX 1178 CALDWELL, ID 83606 (800) 888-7001 

E70 MOUNTAIN AGENCY INC 1925 GRAND AVE STE 137 BILLINGS, MT 59102 (800) 356-5306 

G63 MOUNTAIN MEDICAL AFFILIATE 5889 GREENWOOD PLAZA BLVD #200 ENGLEWOOD, CO 80111-2502 (303) 290-9696 

Z73 MOUNTAIN STATES ADMINISTRATIVE SERVICES P O BOX 67117 PHOENIX, AZ 85082 

K53 MOUNTAIN STATES ADMIN 13901 E EXPOSITION AVE AURORA, CO 80012 (877) 440-0301 303-360-9600 

642 MOUNTAIN STATES ADMIN SERVICES P O BOX 12628 TUCSON, AZ 85732 

283 MOUNTAIN STATES ADMINISTRATION 2530 SOUTH PARKER RD, STE 606 AURORA, CO 80014 (303) 368-4550 RETURNED CB-NO FORWARD ADDRESS 3/19/99 

G89 MRM GROUP INC 820 N ORLEANS STE 320 CHICAGO, IL 60610 (800) 290-0240 COMPANY OUT OF BUSINESS 6/99 

D29 MS ADMINISTRATIVE SERVICES INC P O BOX 45073 BOISE, ID 83711 (208) 343-2965 www.msadmin.com 

N13 MSC INC# PREMERA BLUE CROSS P O BOX 91080 SEATTLE, WA 98111-9180 (800) 572-0778 

904 MSLA CO EMPLOYEE BENEFITS PLAN MISSOULA CO COURTHOUSE 200 W BROADWAY MISSOULA, MT 59802 (406) 258-4876 

644 MT AUTO DEALERS ASSOC (MADA)# P O BOX 5004 GREAT FALLS, MT 59403 DO NOT USE - USE 062 

249 MT CONTRACTOR'S ASSOCIATION HEALTH CARE TRUST P O BOX 21367 BILLINGS, MT 59104-1367 (406) 256-9910 

V73 MT DIABLO HEALTH SYSTEMS 1601 YGNACIO VALLEY RD WALNUT CREEK, CA 94598 (925)947-5215 

P39 MT ELECTRIC CO-OP P O BOX 1306 GREAT FALLS, MT 59403 

306 MT ELECTRICIANS HLTH & ACC UNITED OF OMAHA INS CO P O BOX 9 WOODWARD, OK 73802-0009 (800) 426-8039 

427 MT ELLIS ACADEMY ATTN: HAROLD DIXON 3641 BOZEMAN TRAIL RD BOZEMAN, MT 59715 (406) 587-5178 

499 MT FARMERS-STOCKMAN INS P O BOX 10821 CLEARWATER, FL 33757-8821 (509) 459-5385 

T36 MT MEDICAL BILLING MBCHP UNIT 3911 VALLEY DRIVE HELENA, MT 59602 (406) 227-7065 

Y31 MT MUNICIPAL INSURANCE P O BOX 6669 HELENA, MT 59604 (800) 635-3089 443-0907 

313 MT OPERATING ENGINEERS P O BOX 5434 SPOKANE, WA 99205 (800) 426-8039 

878 MT OPERATING ENGINEERS P O BOX 5434 SPOKANE, WA 99205 (800) 426-8039 

668 MT OPERATING ENGINEERS# UNITED OF OMAHA P O BOX 9 WOODWARD, OK 73802-0009 (800) 426-8039 DO NOT USE - USE 313 

067 MT OPERATING ENGINEERS-CI MUTUAL OF OMAHA PLAZA P O BOX 5434 SPOKANE, WA 99205 (402) 342-7600 

826 MT RETAIL STORE EMPLOYEE TRUST# 104 S FREYA ST STE 220 SPOKANE, WA 99202 (800) 522-2403 DO NOT USE US 698 

698 MT RETAIL STORE EMPLOYEES TRUST 104 S FREYA ST STE 220 SPOKANE, WA 99202-4862 (800) 522-2403 (888) 296-7307 

T86 MT STATE HOSPITAL DPHHS WARM SPRINGS, MT 59756 (406)444-4495 

685 MT UNIFIED SCHOOL TRUST P O BOX 3777 MISSOULA, MT 59806 (800) 437-8500 allegiance 

E94 MUIR MEDICAL GROUP ATTN: CLAIMS P O BOX 5107 WALNUT CREEK, CA 94596 (800) 443-2882 

Y83 MULTI PLAN P O BOX 853929 RICHARDSON, TX 75085-3929 

E83 MULTI-CRAFT P O BOX 11399 ALBUQUERQUE, NM 87192 (800) 926-5581 

J38 MULTI-KARE P O BOX 2000 KENDALLVILLE, IN 46755 (219) 347-0700 

676 MUTUAL ADMINISTRATORS# P O BOX 50200 PHOENIX, AZ 85076-0200 (602) 438-9144 DO NOT USE-MR 

H79 MUTUAL ASSURANCE P O BOX 42096 OKLAHOMA CITY, OK 73123 

308 MUTUAL BENEFIT LIFE INS CO# 520 BROAD STREET NEWARK, NJ 07101 DO NOT USE-OUT OF BUSINESS 8/10/00 

355 MUTUAL ENUMCLAW/ENUMCLAW LIFE P O BOX 1347 IDAHO FALLS, ID 83403 (208) 523-8827 

D93 MUTUAL LEGAL RESERVE COMPANY# INDUSTRIAL CASUALITY PO BOX 4010 OAK PARK, IL 60301 (708) 386-1646 DO NOT USE-MR 

D77 MUTUAL LIFE INSURANCE P O BOX 4830 SYRACUSE, NY 13221 (208) 345-1010 

053 MUTUAL LIFE OF NEW YORK 1740 BROADWAY AT 55TH ST NEW YORK, NY 10019 

N68 MUTUAL MEDICAL OF PEORIA P O BOX 689 PEORIA, IL 61652 

944 MUTUAL OF OMAHA ATT: PERA CUSTOMER SERVICE P O BOX 31488 OMAHA, NE 68131-0488 (800) 366-5886 

C69 MUTUAL OF OMAHA WOODWARD GRP CLAIMS PROCESSING P O BOX 9 WOODWARD, OK 73802 (800) 462-2877 

F63 MUTUAL OF OMAHA INDIVIDUAL CLAIMS MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 (800) 775-1000

340 MUTUAL OF OMAHA CLAIMS MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 800)775-1000 402-342-7600 

AJ1 MUTUAL OF OMAHA P O BOX 668329 CHARLOTTE, NC 28266-8329 

009 MUTUAL OF OMAHA INS CO MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 (800) 775-1000 800-247-0384 

E27 MUTUAL OF OMAHA OPERATION# ATTN: PERA CUSTOMER SERVICE P O BOX 31488 OMAHA, NE 68131-0488 (800) 456-9292 

F74 MUTUAL OF OMAHA# WOODWARD CLAIMS OFFICE P O BOX 9 WOODWARD, OK 73802 (406) 755-3385 DO NOT USE-USE 009 

G42 MUTUAL OF OMAHA# MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 (800) 995-8756 800 # CHANGED TO 800-775-1000 

309 MUTUAL SERVICE LIFE INS CO P O BOX 64035 ST PAUL, MN 55164 (800) 345-2436 

Z10 MVP SELECT CARE INC P O BOX 1434 SCHENECTADY, NY 12301-1434 

D53 N AMERICAN ADMINISTRATORS INC P O BOX 9501 AMHERST, NY 14226-9501 (800) 225-6922 

800-828-6922 

716-691-8556 

Y55 N C A S P O BOX 10153 FAIRFAX, VA 22038 (877) 934-8667 

R39 N CALIFORNIA PIPE TRADES HEALTH & WELFARE P O BOX 24263 OAKLAND, CA 94623-1263 (800) 400-2567 

Y77 N M H C R X 26 HARBOR PARK DR PORT WASHINGTON, NY 11050 (800) 880-1188 

294 N N INVESTORS P O BOX 982009 N RICHLAND HILLS, TX 76182-8009 (817) 656-6110 

951 N W ADMINISTRATORS 2323 EASTLAKE AVE EAST SEATTLE, WA 98102 (206) 329-4900 REFUSES TO REIMBURSE MEDICAID FOR RX 

R06 N WASHINGTON MEDICAL BUREAU 533 E GILKEY RD BERLINGTON, WA 98233-2823 

J43 NAIU 85 WEST ALGONQUIN STE 500 ATTN: LINDA ARLINGTON HEIGHTS, IL 60005 (847) 981-9120 

591 NALC HEALTH BENEFIT PLAN 20547 WAVERLY COURT ASHBURN, VA 20149 (703) 729-4677 888-636-6252 

V12 NALC PRESCRIPTION DRUG PROGRAM P O BOX 686005 SAN ANTONIO, TX 78268-6005 

G87 NATIONAL AUTOMATIC SPRINKLER INSURANCE FUND (NASI) 8000 CORPORATE RD LANDOVER, MD 20785 (301) 577-1700 

800-638-2603 CLAIMS ARE NOW BEING PROCESSED BY 

BC/BS OF MT 

C89 NATIONAL BENEFIT ADMINISTRATOR# P O BOX 39118 COLORADO SPRINGS, CO 80949-9118 (719) 599-7373 DO NOT USE-MR 

342 NATIONAL BENEFITS CORP# NORTH AMER. LIFE-CASUALTY CO 34TH & BROADWAY KANSAS CITY, MO 64111 (800) 777-4289 DO NOT USE - USE 110 

110 NATIONAL BENEFITS CORPORATION 110 GIBRALTER ROAD HORSHAM, PA 19044 (800) 777-4289 

E45 NATIONAL DENTAL HEALTH P O BOX 85816 SAN DIEGO, CA 92180-5816 (800) 562-6380 

Z90 NATIONAL DISCOUNT HEALTHCARE 37 CANNON RANGE ROAD STE 200 MILWAY, NJ 08340 

G91 NATIONAL ELEVATOR INDUSTRY MEDICAL BENEFIT PLAN P O BOX 477 NEWTOWNSQUARE, PA 19073-0477 (800) 252-4611 

282 NATIONAL FOUNDATION LIFE 3100BURNETT PLAZA 801 CHERRY ST UNIT 33 FORT WORTH, TX 76102 (800) 725-1407 

D59 NATIONAL FOUNDATION LIFE# 777 MAIN ST STE 900 FORT WORTH, TX 76102 (800) 221-9035 DO NOT USE - USE 282 

C21 NATIONAL FOUNDATION LIFE# 777 MAIN ST STE 900 FORT WORTH, TX 76102 (800) 221-9039 DO NOT USE - USE 282 

622 NATIONAL GROUP LIFE INS CO# P O BOX 1250 ROCKFORD, IL 61105 (214)929-1100 DO NOT USE - USE 325 

325 NATIONAL GROUP LIFE OF ILLINOIS P O BOX 1939 CARMEL, IN 46082-1939 (815) 965-8955 

237 NATIONAL HEALTH INSURANCE CO P O BOX 619999 DALLAS, TX 75261-6199 (800) 237-1900 

A55 NATIONAL HEALTH INSURANCE CO 1901 N HIGHWAY 360 GRAND PRAIRIE, TX 75050 (800) 237-1900 EXT 500 

F50 NATIONAL HEALTH LABS 4225 EXECUTIVE SQUARE SUITE 800 LAHOYA, CA 92037 (800) 685-6100 

H47 NATIONAL HEALTH PLANS P O BOX 5336 MODESTO, CA 95352 

B04 NATIONAL HEALTH SYSTEMS 9110 E NICHOLS AVE STE 320 ENGLEWOOD, CO 80112 (800) 253-0636 

V25 NATIONAL PRESCRIPTION ADMIN P O BOX 1981 EAST HANOVER, NJ 07936-1981 

638 NATIONAL STATES INS 1830 CRAIG PARK COURT P O BOX 46925 ST LOUIS, MO 63141 (314) 878-0101 

645 NATIONAL STATES INS# 1830 CRAIG PARK CT P O BOX 46925 ST LOUIS, MO 63146 (314) 878-0101 

192 NATIONAL STUDENT SERVICES 208 OLD LANCASTER RD DEVON, PA 19333 (800) 345-1335 

E36 NATIONAL TELEPHONE CO-OP ASSOC# ONE WEST PACK SQUARE B B & T BLDG SUITE 600 ASHEVILLE, NC 28801-3457 (704) 255-2804 DO NOT USE-USE 717 

W90 NATIONAL TEXTILES P O BOX 1580 WINSTON-SALEM, NC 27102 (336) 635-1357 

K47 NATIONAL TRAVELERS INSURANCE COUNTRY INSURANCE 17849 WCR 14 FORT LUPTON, CO 80621 (303) 857-4287 

979 NATIONWIDE INSURANCE P O BOX 182291 COLUMBUS, OH 43218-2291 

984 NATIONWIDE INSURANCE P O BOX 3787 ENGLEWOOD, CO 80155 

347 NATIONWIDE INSURANCE# ATTN: ISLA (WORKCOMP ARBY'S) P O BOX 7029 ENGLEWOOD, CO 80155-7029 DO NOT USE-MR 8/10/00 

337 NATIONWIDE LIFE INS CO INDIVIDUAL HEALTH CLAIMS P O BOX 16786 COLUMBUS, OH 43216-6786 (800) 535-8600 

236 NATIONWIDE LIFE INSURANCE CO CENTRAL GROUP CLAIMS P O BOX 2399 COLUMBUS, OH 43216 

871 NATL ASSOC OF GOVT EMPLOYEES HEALTH BENEFIT PLAN P O BOX 90726 WASHINGTON, DC 20090 

498 NATL BENEFIT LIFE INS 2 PARK AVENUE NEW YORK, NY 10016 

795 NAT'L BENEFIT LIFE INS CO CLAIMS PROCESSING CENTER 805 NEW YORK, NY 10016 (212) 684-6565 

312 NATL FARMERS UNION LIFE INS P O BOX 13487 KANSAS CITY, MO 64199-3487 (800) 366-6565 

229 NATL FARMERS UNIONS GRP HEALTH# P O BOX 9798 FARGO, ND 58106-9798 (800) 874-2656 DO NOT USE - USE C99 

A68 NATL HERITAGE MEDICAL BENEFIT NHIC TRUST 5400 LEGACY DRIVE H1-4A-85 PLANO, TX 75024 (521) 343-4900 

731 NAT'L LIBERTY LIFE INS CO VALLEY FORGE, PA 19495 

334 NATL RESERVE LIFE INS CO NATL RESERVE BLDG TOPEKA, KS 66612 MR-INS ADDRESS 8/02/00 

631 NAT'L SENIOR CITIZENS GROUP INS TRUST CONTINENTAL AMERICAN LIFVALLEY FORGE, PA 19493 

607 NAT'L SR CITIZENS GRP INS TRUST UNION FIDELITY LIFE INS UNION FIDELITY OFF PARK TREVOSE, PA 19049 (800) 523-5758 

717 NAT'L TELEPHONE CO-OP ASSOC 1 WEST PACK SQUARE STE 600 ASHEVILLE, NC 28801 (828) 281-9000 

H07 NBA INSURANCE P O BOX 905 EL CAJON, CA 92022 (619) 579-9994 MR-DO NOT USE 

S94 NCS CORPORATE SERVICE BENEFITS 515 W GREEN RD STE 1200 HOUSTON, TX 77067 (281) 775-8106 NABORS CORPORATION 

F79 NCSC INSURANCE ADMINISTRATION 1255 23RD ST NW STE 300 WASHINGTON, DC 20037 (800) 596-6272 

V65 ND PERS HEALTH INS P O BOX 1657 BISMARCK, ND 58502 (800)803-8377 

R97 NESIKA HEALTH GROUP 2371 NE STEPHENS ST STE 400 ROSEBURG, OR 97470 (800) 284-9917 

A76 NESTLE ATTN: CLAIMS 800 N BRAND BLVD GLENDALE, CA 91203 (800) 843-9705 

C35 NETWORK AMERICA LIFE 3440 LEHIGH STREET P O BOX 7066 ALLENTOWN, PA 18105-7066 (800) 865-8722 

J88 NEVADA CARE 10600 W CHARLESTON BLVD LAS VEGAS, NV 89135 (702)304-5500 

F39 NEW ENGLAND CARE HEALTH PLAN P O BOX 96071 BELLEVUE, WA 98009 (800) 333-8969 

167 NEW ENGLAND EMPLOYEE BENEFIT GROUP P O BOX 30466 TAMPA, FL 33630-3466 (800) 654-1731 

P45 NEW ENGLAND FINANCIAL HEALTH 349 S 200 E STE 600 SALT LAKE CITY, UT 84111 

N62 NEW ENGLAND UFG# 501 S CHERRY ST STE 1060 DENVER, CO 80246 DO NOT USE-USE N52 

B41 NEW ERA LIFE INSURANCE CO P O BOX 4884 HOUSTON, TX 77210-4884 (713) 368-7200 

K79 NEW JERSEY CARPENTERS HEALTH FUND P O BOX 7818 EDISON, NJ 08818-7818 

HC0 NEW ROCKPORT COLONY RR2 P O BOX 131 CHOTEAU, MT 59422 (406) 466-2112 

800-290-5453 

ADVANCE PARADIGM-RX FAX 257-2600 now C46 

H78 NEW WEST HEALTH PLAN 1203 HWY 2 W STE 45 P O BOX 548 KALISPELL, MT 59903-0548 (800)290-3657 

868 NEW WEST# 1351 HWY 2 EAST P O BOX 548 KALISPELL, MT 59903-0548 (800) 290-3657 

AKA :MT MEDICAL BENEFITS & LIFE 

DO NOT USE-USE H78 PART OF NEW WEST 

M90 NEW WORLD CLAIM SERVICES 2624 N 5TH ST NILES, MI 49120 (800) 624-0698

234 NEW YORK DISTRICT COUNCIL CARPENTER WELFARE FUND 395 HUDSON STREET NEW YORK, NY 10014 (212) 366-7300 

V54 NEW YORK LIFE P O BOX 818 NEW YORK, NY 10010 (212) 576-5714 

F90 NEW YORK LIFE P O BOX 105095 ATLANTA, GA 30348 (800) 388-4580 

C04 NEW YORK LIFE P O BOX 4010 CONCORD, CA 94524 (800) 695-9906 

205 NEW YORK LIFE INS CO 180 SHEREE BLVD EXTON, PA 19341 (800) 365-0728 

728 NEW YORK LIFE INS CO# SEATTLE GROUP CLAIM P O BOX 9220 SEATTLE, WA 98109 DO NOT USE THIS # 

860 NEW YORK LIFE INS# 3316 FARNAM ST OMAHA, NE 68175 DO NOT USE - USE 025 

B19 NEW YORK LIFE INSURANCE P O BOX 6047 CAMARILLO, CA 93011 (800) 695-1352 

025 NEW YORK LIFE INSURANCE CO MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 (800) 995-7445 BOUGHT OUT BY MUTUAL OF OMAHA (009) 

F86 NEW YORK LIFE# 180 CHEREE BLVD STE 1400 EXTON, PA 19341 (800) 666-3168 DO NOT USE-USE 205 

132 NEW YORK LIFE# 3316 FARNAM STREET OMAHA, NE 68131 (800) 995-7445 DO NOT USE - USE 025 

931 NEW YORK LIFE# DUN & BRADSTREET PLAN SERV P O BOX 820969 HOUSTON, TX 77282-0969 MR 05/08/01 

C67 NEWMONT MINING INC# 1700 LINCOLN ST DENVER, CO 80203 (800) 639-2567 DO NOT USE - USE 122 

392 NOBLE LOWNDES JOHNSON ADMINISTRATOR P O BOX 248 NEWTOWN, PA 18940 (215) 968-7700 

B79 NORANDA# ATTN: PENNY P O BOX 1486 LIBBY, MT 59923 DO NOT USE-MR 

999 NORIDIAN MEDICARE PART B P O BOX 6735 FARGO, ND 58108-6735 

Y78 NORTH AMERICAN ADMINISTRATORS P O BOX 1984 NASHVILLE, TN 37202 (800) 411-3650 

P97 NORTH AMERICAN BENEFIT NETWORK P O BOX 94928 CLEVELAND, OH 44101 (877) 801-1500 

199 NORTH AMERICAN BENEFITS 10877 WATSON ROAD ST LOUIS, MO 63127 (314) 821-7220 

185 NORTH AMERICAN INS CO P O BOX 44160 MADISON, WI 53744-4160 (608) 256-6600 

W80 NORTH CENTRAL FOOD SYSTEM HEALTH PLAN 1211 24TH ST W #7 BILLINGS, MT 59104 (406) 651-8873 FAX 651-662-1533 

HE1 NORTH HARLEM COLONY P O BOX 68 HARLEM, MT 59526 (406) 353-2549 

Z84 NORTH PARK TRANSPORTATION 5150 COLUMBINE ST DENVER, CO 80216 

R85 NORTH TEXAS HEALTHCARE NETWORK P O BOX 167768 IRVING, TX 75016-7768 (972) 751-1020 

X91 NORTHEAST HEALTH NETWORK EBPA P O BOX 2000 EXETUR, NH 03833 (800) 204-5990 

Y08 NORTHERN CA CARPENTERS FUND P O BOX 2280 OAKLAND, CA 94621-0180 (888) 547-2054 

B96 NORTHERN CA PLASTERS H & W FUND C/O VALLEY GROUP CONSULTANTS 4330 24TH STREET, SUITE A SACRAMENTO, CA 95822 (800) 362-5247 

S39 NORTHERN CA TITLE INDUSTRY H & W TRUST P O BOX 2500 SAN FRANCISCO, CA 94126 (888) 877-8363 

K37 NORTHERN CALIF BAKERY CONFECTIONARY HLTH/WLFRE P O BOX 422638 SAN FRANCISCO, CA 94142-2638 (800) 877-6372 

635 NORTHERN GROUP SERVICES P O BOX 7676 ST CLAIR SHORES, MI 48080 313-779-7676 NOT VALID NO OTHER LISTING AVAILABLE 

348 NORTHERN NATL LIFE INS# P O BOX 580 BISMARCK, ND 58501 

DO NOT USE-MR 

BOX IS PROVIDER NOT INS. CO. 

634 NORTHSTAR ADMINISTRATORS P O BOX 91010 SEATTLE, WA 98111 (800)557-7581 POSSIBLE NAME CHANGE? 

798 NORTHWEST ADMINISTRATORS EBMS P O BOX 21367 BILLINGS, MT 59104 (800) 872-3200 (800)823-2647 

733 NORTHWEST BENEFITS PLAN 9276 S W PEYTON LANE WILSONVILLE, OR 97070 

B57 NORTHWEST FARMERS BUREAU COUNTRY COMPANIES INS CO P O BOX 2209 SALEM, OR 97308-2209 (503) 375-2686 

D14 NORTHWEST HEALTH CARE# GHMS 210 SUNNYVIEW LN STE 4 KALISPELL, MT 59901 (800) 781-1414 DO NOT USE-COMPANY NO LONGER EXISTS 

605 NORTHWEST LABORERS EMP HEALTH ZENITH ADMIN INC P O BOX 91002 SEATTLE, WA 98111 (800) 826-2102 

A03 NORTHWEST NATIONAL LIFE P O BOX 5300 TACOMA, WA 98405 (800) 851-1015 


DOF 

N23 NORTHWEST ROOFERS P O BOX 34203 SEATTLE, WA 98124-1203 (800) 732-1121 SHARES P O BOX W/ H29 

349 NORTHWEST SHEET METAL WORKERS HEALTH CARE PLANS P O BOX 5433 SPOKANE, WA 99205 (800) 872-8979 

Y52 NORTHWESTERN ENERGY NEW BENEFIT PLAN-MCR SUP P O BOX 4626 MISSOULA, MT 59806 (800) 342-6510 

T80 NORTHWESTERN ENERGY BENEFIT P O BOX 3018 MISSOULA, MT 59806 

C97 NORTHWESTERN NATIONAL LIFE TWO CENTER PLAZA, STE 210 BOSTON, MA 02108 (800) 688-6965 

422 NORTHWESTERN NATIONAL LIFE 25 EAST WASHINGTON ST SUITE 700 CHICAGO, IL 60602 (800) 877-5285 

296 NORTHWESTERN NATIONAL LIFE 6200 SHINGLE CREEK PKWY STE 665 BROOKLYN CENTER, MN 55430 MR-DO NOT USE 

950 NORTHWESTERN SCHOLASTIC INSURER P O BOX 256 HELENA, MT 59624 (406) 458-5902 

R73 NOVA HEALTHCARE ADMINISTRATORS 2680 GRAND ISLAND BLVD P O BOX 308 GRAND ISLAND, NY 14072 (800) 999-5703 

V13 NPS NATIONAL PHARMACEUTICAL SERVICE P O BOX 407 BOYS TOWN, NE 68010 

935 NRA (NATIONAL RIFLE ASSOC) KIRK VAN ORSDEL 400 LOCUST STREET DES MOINES, IA 50398 (515) 243-1776 

316 NTL HOSP ASSC HEALTH ASSURANCE P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 DO NOT USE-MR 

P52 NT'L PREFERRED PROVIDER NETWORK NPPN P O BOX 7052 MIDDLETOWN, NY 10940 (800) 347-7082 

389 NW IRONWORKERS HEALTH TRUST P O BOX 34464 SEATTLE, WA 98124-1464 (800) 732-1121 206-441-7574 

N03 NWIW HEALTH & SECURITY TRUST# P O BOX 34464 SEATTLE, WA 98111-2289 

338 NWNL HEALTH NETWORK 1295 BANDANA BLVD NORTH ATRIUM BLDG STE 220 ST PAUL, MN 55108 MR-UNABLE TO FORWARD 8/2/00 

Z52 NY LIFE 6200 BRIDGEPOINT PKWY STE 400 AUSTIN, TX 78730 

827 NYL CARE P O BOX 14586 LEXINGTON, KY 40512-4586 

Y28 O M A P MEDICAL CARE OREGON HEALTH PLAN 315 S BEAVERHEAD RD OREGON CITY, OR 97045-4132 (503) 222-2880 

066 OCCIDENTAL LIFE INS# P O BOX 2595 WACO, TX 76702 (254) 297-2775 DO NOT USE - USE 598 

G48 ODS COMPANIES P O BOX 40384 PORTLAND, OR 97240 (800) 801-9254 

318 ODS# P O BOX 23600 TIGARD, OR 97281-3600 (800) 575-9295 DO NOT USE-USE F42 

F42 OEA CHOICE TRUST P O BOX 23600 TIGARD, OR 97281-3600 (800) 452-0914 (503) 620-3822 

737 OHIO BIODYNE ATTN: CLAIMS 100 OLD WILSON BRIDGE RD SUITE 110 WORTHINGTON, OH 43085 (800) 765-7004 

353 OHIO NATL LIFE INS CO CLAIMS DEPARTMENT P O BOX 237 CINCINNATI, OH 45201-0237 (513) 816-3600 

Z89 OIL STATES INDUSTRIES 7701 S COOPER ST ARLINGTON, TX 76001-7015 

991 OKLAHOMA STATE AND EDUCATION PLANT SERVICES INC P O BOX 24870 OKLAHOMA CITY, OK 73124 

054 OLD AMERICAN INSURANCE P O BOX 418573 KANSAS CITY, MO 64141 (800) 733-6242 

608 OLD AMERICAN INSURANCE# 4900 OAK ST P O BOX 418573 KANSAS CITY, MO 64141 (800) 733-6242 DO NOT USE - USE 054 

375 OLD SURETY# P O BOX 55407 OKLAHOMA CITY, OK 73154 (800) 272-5466 

K35 OLYMPIC HEALTH MANAGEMENT# DO NOT USE-USE C37 P O BOX 5348 BELLINGHAM, WA 98227 (800) 688-0010 

DO NOT USE-USE C37 

Address Change done 3/20/2007 in TEAMS/MMIS 

G81 OLYMPIC HEALTH# DO NOT USE-USE C37 P O BOX 5348 BELLINGHAM, WA 98227-5348 (800) 533-3941 

DO NOT USE-USE C37 

I 

B99 OMNI 1776 W. MARCH LANE SUITE 240 STOCKTON, CA 95207 (209) 474-6664 

V53 ONE HEALTH PLAN P O BOX 1690 DENVER, CO 80111 (303) 689-3000 

P34 ONE HEALTH PLAN P O BOX 27732 HOUSTON, TX 77227-7732 800-663-8081 

786 ONE HEALTH PLAN# P O BOX 11111 FORT SCOTT, KS 66701 (800) 221-3231 DO NOT USE 

N52 ONE HEALTH PLAN# P O BOX 11111 FORT SCOTT, KS 66701 (800)685-3040 DO NOT USE-USE K32 3/12/02 TC 

G62 OPERATING ENGINEERS HEALTH & WELFARE P O BOX 881 CASPER, WY 82601 (307) 266-2877 

620 OPERATING ENGINEERS HLTH & WELFARE TRUST FUND P O BOX 23980 OAKLAND, CA 94623-0980 (510) 433-4422

B16 OPERATING ENGINEERS HEALTH BENEFIT FUND P O BOX 160 PEWAUKEE, WI 53072-0160 (800) 242-7018 

A21 OPERATING ENGINEERS P O BOX 34684 SEATTLE, WA 98124 (800) 331-6158 

162 OPERATING ENGINEERS HEALTH AND WELFARE FUND P O BOX 7067 PASADENA, CA 91109 (818) 356-1004 

N41 OPERATING ENGINEERS LOCAL 49 7645 METRO BLVD MINNEAPOLIS, MN 55439-3060 SEE F93 

075 OPERATING ENGINEERS H & W TRUST P O BOX 11337 RENO, NV 89510 (775) 826-7200 COMPANY NAME DEPENDS UPON GROUP COVERED 

960 OPERATING ENGINEERS INTL UNION# GBR P O BOX 24019 FRESNO, CA 93779-2722 DO NOT USE-USE 971 

359 OPERATING ENGINEERS# P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 DO NOT USE - USE 639 

E61 OPTIC CHOICE INC 4 TAFT COURT ROCKVILLE, MD 20850 (800) 331-2102 

AB6 OPTICHOICE VISION P O BOX 89050 CAMPHILL, PA 17089 

S37 OPTIMA FIRST HEALTH P O BOX 30086 SALT LAKE CITY, UT 84130 

AK5 OPTIMA HEALTH INSURANCE P O BOX 791130 BALTIMORE, MD 21279 

B47 OPTIONS HEALTH CARE INC 1100 OLIVE WAY STE 1200 P O BOX 930 SEATTLE, WA 98111-0930 (800) 542-9172 

094 OR TEAMSTERS EMPLOYERS TRUST P O BOX 3470 PORTLAND, OR 97208 (800) 452-8812 PROCESSED W/REGENCE BC-BS 582 ? 

H33 OREGON PROCESSORS EMPLOYEES TRUST P O BOX 4247 PORTLAND, OR 97208 (800) 533-3001 503-364-5943 

652 OREGON-PACIFIC STATES INS# P O BOX 190 PORTLAND, OR 97201 (800) 245-9272 DO NOT USE - USE 610 

F03 ORNDA HEALTH CORP P O BOX 218969 HOUSTON, TX 77218 

W56 OSCHNER HEALTH PLAN-HMO P O BOX 98 METAIRIE, LA 70004-0098 (888) 882-9806 

R17 OTR TRUCKERS ASSOCIATION 3777 SCHOOL LANE PLYMOUTH MEETING, PA 19462 

X49 OUTSOURCE ONE P O BOX 9780 SALT LAKE CITY, UT 84109 (877) 655-8467 

228 OWENS & HURST LUMBER CO INC P O BOX 1316 EUREKA, MT 59917 (406) 296-3114 

T21 OXFORD HEALTH PLAN P O BOX 7082 BRIDGEPORT, CT 06601 (800) 444-6222 

G33 OXFORD LIFE INS CO P O BOX 5031 NORWALK, CT 06856-5031 (800) 528-0463 

M84 OXFORD LIFE INSURANCE AMERICO MEDICAL PLAN 2721 N CENTRAL AVE PHOENIX, AZ 85004 (888) 757-3732 

T68 P B S I# 4800 SW MACADAM AVE STE 245 PORTLAND, OR 97239 (503) 223-4408 NOT AN INSURANCE 

G05 P C A FAMILY HEALTH PLANS 6101 BLUE LAGOON DR STE 300 P O BOX 527500 MIAMI, FL 33102 (305) 267-6633 

S08 P E B T F PA EMP BENEFIT TRUST FUND 150 S 43RD ST STE 1 HARRISBURG, PA 17111-5700 (800) 628-0174 

W08 P O M C O P O BOX 6329 SYRACUSE, NY 13217 (866) 277-4237 

J55 P POM 28588 NORTHWESTERN HWY STE 800 SOUTHFIELD, MI 48034 

M42 P S ELECTRONIC HEALTH SERVICES# P O BOX 445 ROY, UT 84067 MR-DO NOT USE 

P27 P5 ELECTRONIC HEALTH SERVICES P O BOX 9554 SALT LAKE CITY, UT 84109 (888) 212-0244 

D80 PACC HEALTH PLANS# P O BOX 1500 CLACKAMAS, OR 97015 (800) 568-5628 DO NOT USE-MR 

151 PACIFIC ASSOC TRUST# P O BOX 33910 SEATTLE, WA 98133 DO NOT USE-MR 5/17/00 

G58 PACIFIC CARE P O BOX 400055 SAN ANTONIO, TX 78229 (800) 545-0389 

E72 PACIFIC COAST ADMINISTRATORS 2100 WEST ORANGEWOOD AVE ORANGE, CA 92668-1952 (800) 877-2528 

982 PACIFIC FIDELITY LIFE INSURANCE ALLIED BENEFIT TRUST 911 BROADWAY KANSAS CITY, MO 64111 

B64 PACIFIC GROCERS EMPLOYEE BENEFITS TRUST/HMA P O BOX 85008 BELLEVUE, WA 98015-5008 (425) 462-1000 

F71 PACIFIC GROUP MEDICAL ASSOC 1440 KAPIOLANI BLVD STE 1225 P O BOX 3620 HONOLULU, HI 96811 (808) 536-3933 

709 PACIFIC HEALTH & LIFE P O BOX 7709 BEND, OR 97708 (503) 388-3307 

800-777-1502 

541-388-8375 

756 PACIFIC HEALTH & LIFE# P O BOX 7709 BEND, OR 97708 (503) 882-2450 DO NOT USE - USE 709 

D87 PACIFIC HEALTH AND LIFE# 1133 N W WALLSTREET P O BOX 7709 BEND, OR 97708-7709 (503) 388-3307 DO NOT USE-USE 709 

755 PACIFIC HERITAGE ADMIN P O BOX 1020 PORTLAND, OR 97207-1020 (503) 221-6700 

108 PACIFIC HERITAGE ADMIN# H & O FOODS P O BOX 7780 SALT LAKE CITY, UT 84107 DO NOT USE-MR 

W35 PACIFIC LIFE 2300 MAIN ST IRVINE, CA 92614 (800) 733-7020 

679 PACIFIC LIFE AND ANNUITY P O BOX 34799 PHOENIX, AZ 85067 (800) 733-2285 FAX Verification requests 602-263-0545 

X14 PACIFIC LIFE ANNUITY P O BOX 7010 NEWPORT BEACH, CA 92658-7010 (800) 800-8612 

H97 PACIFIC MUTUAL CO 7650 COURTNEY CAUSEWAY STE 210 TAMPA, FL 33607-1432 

F49 PACIFIC MUTUAL INSURANCE P O BOX 16200 COVINGTON, KY 41016-0200 (800) 733-3225 

016 PACIFIC MUTUAL LIFE INS 700 NEWPORT CENTER DR P O BOX 2890 NEWPORT BEACH, CA 92658-9010 (714) 760-4420 

B48 PACIFIC NORTHWEST GRAIN & FEED P O BOX 4705 PORTLAND, OR 97208 (503) 227-0234 

365 PACIFIC NORTHWEST LIFE INS CO# P O BOX 8369 PORTLAND, OR 97207 MR-DO NOT USE 

AF2 PACIFIC SOURCE P O BOX 70088 EUGENE, OR 97401 (541) 686-1242 

F15 PACIFIC SOURCE 250 COUNTRY CLUB ROAD P O BOX 7068 EUGENE, OR 97401-2224 (800) 624-6052 

581 PACIFIC SOURCE 110 INTERNATIONAL WAY SPRINGFIELD, OR 97477-1034 (800) 624-6052 

366 PACIFIC STANDARD LIFE INS# P O BOX 1796 SACRAMENTO, CA 95808 

G66 PACIFICARE P O BOX 6019 CYPRESS, CA 90630 (209) 956-0282 

X24 PACIFICARE P O BOX 6098 CYPRESS, CA 90630 (714) 952-1121 

157 PACIFICARE P O BOX 3853 ENGLEWOOD, CO 80155-3853 (800) 255-1139 

Y16 PACIFICARE P O BOX 98319 LAS VEGAS, NV 89193 (800) 459-3224 

Y56 PACIFICARE P O BOX 53507 PHOENIX, AZ 85072-3507 (800) 711-8230 

T09 PACIFICARE P O BOX 29127 SAN ANTONIO, TX 78229 (800) 825-9355 

W18 PACIFICARE 5701 KATELLA AVE MAIL STOP CY24-515 CYPRESS, CA 90630 (800) 913-9133 

H22 PACIFICARE P O BOX 3005 HILLSBORO, OR 97123 (800) 932-3004 

V66 PACIFICARE SENIOR SUPPLEMENT PLAN P O BOX 6072 CYPRESS, CA 90630-0072 (800)854-3802 

X17 PACIFICARE P O BOX 6099 CYPRESS, CA 90630 (866) 316-9776 

W79 PACIFICARE 6455 S YOSEMITE ST #206 GREENWOOD VILLAGE, CO 80111 (866) 316-9776 

Y64 PACIFICARE 2300 CLAYTON RD CONCORD, CA 94520 

V90 PACIFICARE DEPT 1581 LOS ANGELES, CA 90088-1581 PROVIDER 800-542-8789 PPO 866-863-9776 

H48 PACIFICARE P O BOX 30057 SALT LAKE CITY, UT 84142 

Y99 PACIFICARE DENTAL/VISION ADMINISTRATORS P O BOX 25182 SANTA ANA, CA 92799 

B36 PACIFICARE BENEFITS ADMIN P O BOX 9004 MERCER ISLAND, WA 98040-9004 (800) 647-6400 

X77 PACIFICARE HEALTH P O BOX 69313 HARRISBURG, PA 17106-9313 (886) 867-0700 

J78 PACIFICARE OF ARIZONA P O BOX 52078 PHOENIX, AZ 85072-2078 (800) 347-8600 

T26 PACIFICARE OF CA P O BOX 6006 CYPRESS, CA 90630 (800) 624-8822 

D20 PACIFICARE OF OR & WA P O BOX 3007 HILLSBORO, OR 97123 (800) 922-1444 MR-DO NOT USE 

W85 PACIFICARE OF OREGON P O BOX 4100-2 PORTLAND, OR 97208 (209) 236-1117 

V97 PACIFICARE OF OREGON P O BOX 6090 CYPRESS, CA 90630 (800)932-3004 

R01 PACIFIC-CARE P O BOX 95638 LAS VEGAS, NV 89193-5638 (800) 347-8600 

350 PAINTERS & DECORATORS WELFARE FUND 1785 E SAHARA STE 350 LAS VEGAS, NV 89104 (702) 737-7163 

W39 PAINTERS BENEFIT TRUST 3813 ILLINOIS AVE STE 102 ST CHARLES, IL 60174 (888) 519-9500 

M39 PAINTERS LOCAL 460 HEALTH AND WELFARE FUND 2111 W LINCOLN HWY MERRILLVILLE, IN 46410 (800) 759-6944

659 PAINTERS TRUST 104 S FREYA STE 220 SPOKANE, WA 99202 (800) 566-4455 (509) 484-0201 

M18 PALM HARBOR HOMES 309 S PERRY LANE TEMPE, AZ 85281 

G86 PAN AMERICAN GROUP INS CLAIMS P O BOX 61070 NEW ORLEANS, LA 70160 (504) 566-1300 866-668-6299 PER CSED 

N83 PARADIGM 160 E 2ND ST TIFTON, GA 31794 DOES HAVE MEDICAL INSURANCE ALSO 

R77 PARAGON MEDICAL MANAGEMENT 344 E FOOTHILLS PKWY STE 5W FORT COLLINS, CO 80525 (970) 266-0622 PER RT CB WENT OUT OF BUSINESS 01/01/02 

X23 PARAMOUNT P O BOX 928 TOLEDO, OH 43697 (419) 887-2525 

000 PART A RETRO MEDICARE BILLER___ _______________________________ ______________________________________________ __________ 

X72 PARTNER CARE P O BOX 53025 LUBBOCK, TX 79453-3025 (877) 854-9668 

F98 PARTNERS HEALTH PLAN 5210 E WILLIAMS CIRCLE P O BOX 5446 TUCSON, AZ 85703 (800) 750-8151 

N11 PARTNERS HEALTH PLAN ATTN: CLAIMS P O BOX 7600 SOUTH BEND, IN 46634 (800) 967-5439 

P32 PARTNERS NATIONAL HEALTH PLAN P O BOX 26950 WINSTON-SALEM, NC 27114-6950 (888) 296-9790 

368 PAUL REVERE LIFE INS CO. 18 CHESTNUT STREET WORCESTER, MA 01608 

035 PAY FLEX SYSTEM U S P O BOX 3039 OMAHA, NE 68103-0039 (800) 284-4885 

E38 PAYLESS CASHWAYS CLAIM CENTER P O BOX 419973 KANSAS CITY, MO 94141-6973 

426 PBA INC 4000 OLSON MEMORIAL HWY MINNEAPOLIS, MN 55422 (800) 422-0055 

147 PBP HEALTH PLAN 1019 N ROYAL ALEXANDRIA, VA 22314 (703) 683-1664 POSTMASTER,S BENEFIT PLAN 

H12 PCA HEALTH PLANS OF TEXAS# P O BOX 9420 AUSTIN, TX 78766 (800) 234-7912 DO NOT USE-MR 

Y92 PEAK HEALTH PLAN P O BOX 20599 BILLINGS, MT 59104 

N44 PEAK MEDICAL CORP P O BOX 1749 ROCKWELL, TX 75087 (888) 212-0244 

114 PEGASUS GOLD ADMINISTRATION SERVICES P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 PEGASUS BANKRUPT-TERMED ALL 2-6-99 

486 PEGASUS GOLD CORP ADMINISTRATION SERVICES P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 PEGASUS BANKRUPT TERMED ALL INS 2-6-99 

V52 PEKIN LIFE INSURANCE 2505 COURT ST PEKIN, IL 61558 (800) 322-0160 

Z49 PENINSULA HEALTH CARE INC P O BOX 85085 RICHMOND, VA 23285-5085 

D75 PENN CORP FINANCIAL ACCIDENT & HEALTH CLAIMS 1001 WADE AVENUE RALEIGH, NC 27605 (800) 275-7366 

370 PENN MUTUAL LIFE INS CO INDEPENDENCE SQUARE PHILADELPHIA, PA 19105 

371 PENNSYLVANIA LIFE INS CO 3130 WILSHIRE BLVD SANTA MONICA, CA 90406 01/28/99 RETURNED MAIL-NO FORWARD ADDRESS LR 

A50 PERFORM COST MANAGEMENT SERVIC# P O BOX 4020 SCOTTSDALE, AZ 85261-4020 (800) 726-7220 DO NOT USE-MR 

S66 PERFORMAX P O BOX 1065 AMHERST, NY 14226 (877) 777-6076 

T71 PERFORMAX P O BOX 27725 MINNEAPOLIS, MN 55427-0725 (888) 554-7629 

700 PERMIAN CORP P O BOX 1183 HOUSTON, TX 77251 

J14 PERSONAL CHOICE INDEPENDENCE BC P O BOX 890016 CAMPHILL, PA 17089-0016 (800) 898-3556 

D82 PFL LIFE INSURANCE CO# 9151 GRAPEVINE HWY P O BOX 982009 N RICHLAND HILLS, TX 76180 (800) 527-5504 

R31 PFL-LTC DIV ATTN CLAIMS P O BOX 93005 HURST, TX 76053-9305 

N66 PH CO# P O BOX 490 SPOKANE, WA 99210 DO NOT USE-USE K13 

V16 PHARM ADVANTAGE SYSTEMS P O BOX 95527 ATLANTA, GA 30347 

V17 PHARM SERV MAIL STATION #SFI P O BOX 12625 SALEM, OR 97309-0625 

888-645-9303 

V06 PHARMACARE P O BOX 2860 PITTSBURGH, PA 15230-2860 (800) 244-5800 

A60 PHILADELPHIA AMERICAN LIFE P O BOX 2465 HOUSTON, TX 77252 (800) 333-9413 

D99 PHILADELPHIA AMERICAN LIFE P O BOX 7170 PIERRE, SD 57501 (800) 396-0841 

800 PHILLIPS ADMIN SERVICE P O BOX 218 ALBANY, OR 97321 

P49 PHOENIX GROUP SERVICES P O BOX 150809 ARLINGTON, TX 76015 

374 PHOENIX HOME LIFE INSURANCE P O BOX 677 GREENFIELD, MA 01302-0677 

244 PHYSICIAN HEALTH PLAN 8101 W JEFFERSON BLVD FORT WAYNE, IN 46804 (219) 432-6690 

715 PHYSICIAN HEALTH PLAN# RTE 2901 P O BOX 169061 DULUTH, MN 55816-8310 (952) 936-1200 DO NOT USE-MR 

K13 PHYSICIAN HOSP COMMUNITY ORGANI P O BOX 490 SPOKANE, WA 99210 888-298-1574 

647 PHYSICIANS ASSOC# CLACKAMAS COUNTY P O BOX 286 GLADSTONE, OR 97027 DO NOT USE-MR 

AL9 PHYSICIANS CARE OF CA P O BOX 15165 SANTA ANA, CA 92735 

910 PHYSICIANS LIABILITY INS CO (PLICO) P O BOX 26727 OKLAHOMA CITY, OK 73126 

012 PHYSICIANS MUTUAL INS CO P O BOX 2018 OMAHA, NE 68172-9901 (800) 228-9100 CUSTOMER SERVICE P O BOX 3313 

T66 PIEDMONT ADMINISTRATORS P O BOX 78030 GREENSBORO, NC 27427-8030 (336)544-2222 

J76 PII EMPLOYEE BENEFIT TRUST 70 EAST LAKE STREET STE 300 CHICAGO, IL 60601 (312) 704-5000 

876 PILGRIM HEALTH P O BOX 25926 WINSTON-SALEM, NC 27114-5926 (800) 872-1170 

Y68 PILOT L I C 3727 W 6TH ST #607 LOS ANGELES, CA 90020 

T65 PINNACLE CLAIMS MANAGEMENT P O BOX 2220 NEWPORT BEACH, CA 92658 (800) 649-9121 

W87 PIONEER HEALTH GROUP P O BOX 6600 HOLYOKE, MA 01041-0660 (413) 539-9900 

M72 PIONEER LIFE P O BOX 5151 JANESVILLE, WI 53547-5151 (317) 817-6100 MAY ALSO USE NAME OF WASHINGTON NATIONAL 

377 PIONEER LIFE INS COMPANY P O BOX 100 ROCKFORD, IL 61105 (800) 242-4852 CONSECO SENIOR HEALTH10/13/03 815-987-0409 

A08 PIONEER LIFE INSURANCE# P O BOX 1250 ROCKFORD, IL 61105 (815) 965-8955 DO NOT USE - USE 377 

T11 PIPE FITTERS LOCAL 211 WELFARE TRUST P O BOX 721708 HOUSTON, TX 77272-1708 (713) 219-1200 

624 PIPE TRADES TRUST P O BOX 5004 GREAT FALLS, MT 59403-5004 (406) 727-2353 presricption drugs processed through 062 since 7/1/2004 per loni at pipe trades 

780 PIPE TRADES TRUST CONSOLIDATED P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 

920 PIPEFITTER & STEAM FITTER HLTH & WLF DENTAL PLAN 215 DENNY BLDG - 2200 6TH A SEATTLE, WA 98121 (206) 441-7575 

C30 PIPEFITTERS HEALTH & WELFARE TRUST 12385 LARIMORE RD ST LOUIS, MO 63138 (314) 355-1000 

C96 PIPELINE INDUSTRY BENEFIT FUND P O BOX 470950 TULSA, OK 74147-0950 (918) 280-4800 

RX TO V06 

www.pibf.org 

Z55 PITTMAN & ASSOCIATES P O BOX 114047 MEMPHIS, TN 38110 (901) 473-3100 

P22 PLAN HANDLERS INC 930 CANTERBURY PLACE P O BOX 463040 ESCONDIDO, CA 92046-3040 (800) 538-5512 

K31 PLANNED ADMINISTRATORS INC P O BOX 6702 COLUMBIA, SC 29630 (888) 645-6410 

HC1 PLEASANT VALLEY COLONY 734 MCCOY RD BELT, MT 59412 (406) 736-5204 

F58 PLUMBERS AND STEAMFITTERS LOCAL 33 HEALTH AND WELFARE 2501 BELL AVENUE DES MOINES, IA 50321-1118 (515) 243-3246 

759 PLUMBING & PIPE FITTING TRUST WESTERN ADMINISTRATION CO 1305 S W 12TH PORTLAND, OR 97201 (800) 274-1600 

N98 PM GROUP BENEFITS P O BOX 33699 PHOENIX, AZ 85067-3699 (800) 729-8545 

G31 POE & BROWN ADMINISTRATORS P O DRAWER 2480 DAYTONA BEACH, FL 32115-2480 (800) 323-4890 

654 POLL MOTOR GROUP 312 BROADWAY SHERIDAN, WY 82801 

HC2 PONDERA COLONY HCR 73 P O BOX 716 VALIER, MT 59486 (406) 279-3629 

747 POOLE COMPANY ATTN: CLAIMS PROCESSING P O BOX 4271 HOUSTON, TX 77210 

274 POSITIVE CARE ADMINISTRATORS# P O BOX 7930 SHAWNEE MISSION, KS 66207 (913) 491-1570 DO NOT USE-MR 

854 POSTAL SUPERVISORS HEALTH PLAN# P O BOX 6093 ROCKVILLE, MD 20849-6093 DO NOT USE-MR 

V70 POSTMASTER'S BENEFIT PLAN P O BOX 1040 SAN ANTONIO, TX 78278-2369 (800)544-7111 MR-UTF 12/5/2006 

G96 PPO ALLIANCE P O BOX 4203 WOODLAND HILLS, CA 91367-4203 (800) 624-0698 MR-DO NOT USE

Z44 PPO OKLAHOMA P O BOX 20040 OKLAHOMA CITY, OK 73156 

HE6 PRAIRIE ELK COLONY HUTTERIAN BRETHREN 1436 MT HWY 528 WOLFPOINT, MT 59201 

AF1 PREDENT BC/BS OF IL DT PROGRAM P O BOX 23059 BELLEVILLE, IL 62223 

883 PREFERRED CARE ATTN: CLAIMS 259 MONROE AVE ROCHESTER, NY 14607 (716) 325-3113 

H10 PREFERRED CHOICES GALLAGHER BASSETT SERVICES P O BOX 9084 FARMINGTON HILLS, MI 48333 

840 PREFERRED HEALTH NETWORK P O BOX 60308 GMF LOS ANGELES, CA 90060-0308 (800) 334-5646 

S97 PREFERRED HEALTH SYSTEMS 8535 EAST 21ST ST NORTH WICHITA, KS 67206 (800) 660-8114 

X35 PREFERRED ONE ADMINISTRATIVE SERVICES P O BOX 59212 MINNEAPOLIS, MN 55459-0212 (763) 847-4488 

V49 PREFERRED ONE P O BOX 59212 MINNEAPOLIS, MN 55459 (800) 663-8081 

T39 PREFERRED PLU OF KANSAS P O BOX 49288 WICHITA, KS 67201 (316) 609-2391 

W15 PREMERA BC/BS OF ALASKA P O BOX 240609 ANCHORAGE, AK 99524 (866) 224-8550 

K85 PREMERA BLUE CROSS P O BOX 91059 SEATTLE, WA 98111-9159 (800) 345-6784 425-670-5900 

T20 PREMERA BLUE CROSS P O BOX 34299 SEATTLE, WA 98124 (800) 345-6784 

S17 PREMERA BLUE CROSS P O BOX 91059 SEATTLE, WA 98111 (800) 543-9438 

W33 PREMERA BLUE CROSS# P O BOX 91059 SEATTLE, WA 98111-9159 (800) 722-1471 DO NOT USE-USE K85 

R16 PREMIER P O BOX 1640 COLUMBIA, SC 29606 (800) 476-5150 

AI8 PREMIER ACCESS INS CO P O BOX 659010 SACRAMENTO, CA 95865-9010 

R42 PREMIER HEALTH PLANS P O BOX 4568 SPRINGFIELD, MO 65808-4568 (800) 836-0402 

G45 PREMIERE HEALTH CARE OF AZ 914 N SAN FRANCISCO FLAGSTAFF, AZ 86001 (800) 914-4474 

J25 PREMIUM STANDARD FARM HWY 65 N BOX 194 PRINCETON, MS 64673 (660) 748-4647 

861 PRESBYTERIAN HEALTH PLAN P O BOX 27489 ALBUQUERQUE, NM 87125 (505) 923-5700 505-923-6400 

M29 PRESBYTERIAN HEALTH PLAN 2501 BUENA VISTA SE STE 302 ALBUQUERQUE, NM 87106 

300 PRESCRIPTION CLAIMS INC# CAREMARK/ADVANCE RECAP CLAIMS P O BOX 686002 SAN ANTONIO, TX 78268 (602) 391-4600 DO NOT USE - USE 995 

995 PRESCRIPTION CLAIMS INC# CAREMARK/ADVANCE RECAP CLAIMS P O BOX 686002 SAN ANTONIO, TX 78268 (602) 391-4600 

V29 PRESCRIPTION SOLUTIONS P O BOX 6037 MAIL STOP LC 07-290 CYPRESS, CA 90630-0037 (800)788-7871 

N02 PRIMARY HEALTH P O BOX 1020 PORTLAND, OR 97207 

W94 PRIMARY HEALTH PLAN P O BOX 5679 BOISE, ID 83705-0679 

V21 PRIME THERAPEUTICS P O BOX 780 HARTFORD, CT 06142-0780 

AD7 PRIME VISION P O BOX 2239 CEDAR RAPIDS, IA 52406 

K41 PRINCETON CORPORATION 600 PRINCETON PARKWAY KENTLAND, IN 47951 

M56 PRINCIPAL P O BOX 4923 GRAND ISLAND, NE 68803 (800) 247-4695 

J73 PRINCIPAL 4021 SOUTH 7TH EAST SUITE 500 SALT LAKE CITY, UT 84107 (800) 826-1490 

T56 PRINCIPAL 1 INTERNATIONAL PLAZA STE 140 PHILADELPHIA, PA 19113 

E91 PRINCIPAL FINANCIAL CLAIMS OMAHA REGIONAL CLAIMS CENTER 3300 117TH STREET OMAHA, NE 68154 (800) 447-4701 

E20 PRINCIPAL FINANCIAL GROUP 6160 SUMMIT DR STE 440 BROOKLYN CENTER, MN 55430 (612) 566-1211 

341 PRINCIPAL FINANCIAL GROUP 10210 N 25TH AVE STE 211 PHOENIX, AZ 85021 (800) 323-8722 

H83 PRINCIPAL FINANCIAL GROUP P O BOX 25953 OVERLAND PARK, KS 66225-5953 (800) 331-1660 

310 PRINCIPAL FINANCIAL GROUP P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800)247-4695 

 

800-523-5938 

T94 PRINCIPAL FINANCIAL GROUP P O BOX 14416 DES MOINES, IA 50306 (800)843-1371 

W92 PRINCIPAL FINANCIAL GROUP P O BOX 10310 DES MOINES, IA 50306-0310 (877) 273-0900 

M23 PRINCIPAL FINANCIAL GROUP DEPT 300 P O BOX 650716 DALLAS, TX 75265-0716 

X79 PRINCIPAL FINANCIAL GROUP P O BOX 14513 DES MOINES, IA 50306-3513 

B13 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (719) 548-4000 DO NOT USE - USE 310 

A74 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 228-7398 

E40 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-4695 DO NOT USE - USE 310 

358 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 

VERIF/MENTAL HEALTH/8-13-99-B 


B66 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 DO NOT USE - USE 310 

H87 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 665-4343 

Z19 PRINCIPAL FINANCIAL GRP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 

M54 PRINCIPAL FINANCIAL# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 248-6566 DO NOT USE-USE 310 

P04 PRINCIPAL FINANCIAL# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 DO NOT USE-USE 310 

T73 PRINCIPAL LIFE MEDICARE CLAIMS CENTER P O BOX 10826 CLEARWATER, FL 33757-8826 (800) 447-4701 

K55 PRINCIPAL LIFE INSUR CO SPRINGFIELD SERV CENTER P O BOX 2592 SPRINGFIELD, MO 65801-2592 (800) 222-7259 


DOF 

A05 PRINCIPAL LIFE INSURANCE CO# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 522-1279 DO NOT USE - USE 310 

649 PRINCIPAL LIFE INSURANCE CO# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 533-5044 DO NOT USE - USE 310 

K64 PRINCIPAL LIFE INSURANCE CO# COLORADO SPRINGS SERV CENTER P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 843-1371 MS-POLICY-800-447-4701-DO NOT USE-USE #310 

M33 PRINCIPAL LIFE INSURANCE# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 DO NOT USE-USE 310 

841 PRINCIPAL MUTUAL INS# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-7729 DO NOT USE - USE 310 

988 PRINCIPAL MUTUAL INSURANCE# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 DO NOT USE - USE 310 

M07 PRINCIPAL MUTUAL LIFE P O BOX 3006 AMES, IA 50010 (800) 533-5044 

588 PRINCIPAL MUTUAL LIFE MEDICARE SERVICE CENTER P O BOX 10826 CLEARWATER, FL 33757-8826 (800) 533-5044 DO NOT USE - USE 310 

N38 PRINCIPAL MUTUAL LIFE P O BOX 2590 SPRINGFIELD, MO 65801 

301 PRINCIPAL MUTUAL LIFE INS P O BOX 10826 CLEARWATER, FL 33757 (800) 378-9580 MS POLICIES 

C32 PRINCIPAL MUTUAL LIFE INS CO P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 894-9576 800-535-7212 

405 PRINCIPAL MUTUAL LIFE INS CO# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (708) 978-5100 DO NOT USE -- USE 310 

017 PRINCIPAL MUTUAL LIFE INS CO# PRINCIPAL FINANCIAL GROUP P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-4695 DO NOT USE - USE 310 

442 PRINCIPAL MUTUAL LIFE INS# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-4695 DO NOT USE - USE 310 

482 PRINCIPAL MUTUAL LIFE INS# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 438-0421 DO NOT USE - USE 310 

797 PRINCIPAL MUTUAL LIFE# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 321-0123 DO NOT USE - USE 310 

C87 PRINCIPAL MUTUAL# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 443-9456 DO NOT USE - USE 310 

969 PRINCIPLE FINANCIAL CORP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 

245 PRINCIPLE FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 DO NOT USE-USE 310 

DO NOT USE-MR 

F41 PRINCIPLE HEALTH CARE# OF NEB. INC. P O BOX 542025 OMAHA, NE 68154-8025 (800) 288-3343 E91 

746 PRINT SPECIALTIES & PAPER PROD JOINT EMPLOYER & UNION HWF P O BOX 19582 IRVINE, CA 92713 

363 PRINTING SPECIALTIES P O BOX 2640 PASADENA, CA 91102 (800) 525-1817 

357 PRINTING SPECIALTIES HEALTH & WELFARE TRUST FUND 4695 CHABOT DR, STE 207 PLEASANTON, CA 94588 

H41 PRIORITY HEALTH P O BOX 232 GRAND RAPIDS, MI 49501 (800) 446-5674

S14 PRO AMERICA P O BOX 201487 ARLINGTON, TX 76006 (800) 255-8102 

P20 PRO AMERICA P O BOX 90603 ARLINGTON, TX 76006-8089 (800) 523-3669 

W28 PRO AMERICA P O BOX 16610 ST LOUIS, MO 63155 

F80 PRODUCERS EXCHANGE BENEFIT SERVICE, INC 400 BELET LINE RD STE 160 ADDISON, TX 75001-5846 (214) 744-1100 

R47 PROFESSIONAL BENEFIT SERVICES 6475 28TH ST P&B 159 GRAND RAPIDS, MI 49546 (800) 732-3412 

G60 PROFESSIONAL CLAIMS ADMIN 10560 WAYZATA BLVD MINNETONKA, MN 55305 (800) 562-5453 

G65 PROFESSIONAL CLAIMS ADMIN# 10560 WAYZATA BLVD MINNETOKA, MN 55305 (800) 562-0310 DO NOT USE - USE G60 

636 PROHEALTH# P O BOX 21367 BILLINGS, MT 59104-1367 (800) 654-8335 DO NOT USE - USE 438 

D95 PROTECTIVE LIFE P O BOX 3129 BRENTWOOD, TN 37024 (800) 866-3808 

384 PROTECTIVE LIFE INSURANCE P O BOX 830626 BIRMINGHAM, AL 35283 (205) 879-9230 

996 PROTECTIVE LIFE INSURANCE CO# P O BOX 830626 BIRMINGHAM, AL 35283 (205) 879-9230 DO NOT USE - USE 384 

V18 PROVANTAGE P O BOX 1662 WAUKESHA, WI 53187 

W58 PROVIDENCE HEALTH PLAN P O BOX 4447 PORTLAND, OR 97208-4447 (800) 878-4445 

H77 PROVIDENCE HEALTHCARE P O BOX 3125 PORTLAND, OR 97208-3125 (800) 443-0996 

730 PROVIDENCE PREFERRED P O BOX 12707 SEATTLE, WA 98111-4707 (206) 622-6111 DO NOT USE 

Z86 PROVIDENCE PREFERRED P O BOX 3236 PORTLAND, OR 97208 

B51 PROVIDENT C\O RUBBERMAID P O BOX 652 WINFIELD, KS 67156 (316) 221-2230 

D49 PROVIDENT AMERICAN INSURANCE CO 10501 NORTH CENTRAL EXPRESSWAY SUITE 200 DALLAS, TX 75231 (214) 696-9091 

E35 PROVIDENT INDEMNITY P O BOX 511 NORRISTOWN, PA 19404-0511 

C14 PROVIDENT INSURANCE P O BOX 8902 BRISTOL, TN 37620 (800) 252-4677 

893 PROVIDENT LIFE & ACCIDENT P O BOX 1983 ORANGE, CA 92668-0983 (714) 524-5000 

475 PROVIDENT LIFE & ACCIDENT MEDICAL CLAIMS OFFICE P O BOX 219700 HOUSTON, TX 72218 (800) 423-3341 

889 PROVIDENT LIFE & ACCIDENT P O BOX 105165 ATLANTA, GA 30348 

362 PROVIDENT LIFE & ACCIDENT P O BOX 406323 CINCINNATI, OH 45240 

E96 PROVIDENT LIFE AND ACCIDENT P O BOX 219733 HOUSTON, TX 77218-9733 

336 PROVIDENT LIFE INS P O BOX 188004 CHATTANOOGA, TN 37422-8004 

146 PROVIDENT MUTUAL LIFE INSURANCE COMPANY P O BOX 15750 WILMINGTON, DE 19850 (800) 523-4681 

G04 PROVIDENT VANTAGE PPO P O BOX 13129 PORTLAND, OR 97213 (800) 333-3959 

K10 PROVIDENT# P O BOX 31498 TAMPA, FL 33631-3498 DO NOT USE-MR 

ZZZ PROVIDER BILLING DUMP CODE 

703 PROVIDERS FIDELITY LIFE INS P O BOX 1120 BLUE BELL, PA 19422 

028 PROVIDIAN LIFE & HEALTH ATTN: CLAIMS P O BOX 484 VALLEY FORGE, PA 19493 (800) 523-7900 

G20 PRU CARE P O BOX 44097 JACKSONVILLE, FL 32231-4097 (904) 391-5495 

H26 PRUCARE OF CALIFORNIA P O BOX 54748 LOS ANGELES, CA 90054-0748 (800) 998-3242 

A24 PRUDENTIAL ATTN CLAIMS P O BOX 7590 SAN MATEO, CA 94403 (415) 571-1225 800-443-2882 OR 800-552-4545 

H13 PRUDENTIAL P O BOX 85192 SAN DIEGO, CA 92186 (800) 225-0161 PHONE/FAX # NO LONGER IN SERVICE 

N15 PRUDENTIAL P O BOX 2688 JACKSONVILLE, FL 32232 (800) 432-5859 

N63 PRUDENTIAL P O BOX 4711 HOUSTON, TX 77210-4711 (800) 448-6295 

879 PRUDENTIAL P O BOX 207005 STOCKTON, CA 95219 (800) 727-9092 

F66 PRUDENTIAL P O BOX 45177 JACKSONVILLE, FL 32232 (800) 813-6667 904-391-5495 

J84 PRUDENTIAL ONE EMARCADERO CNTR STE 300 SAN FRANCISCO, CA 94111 

B49 PRUDENTIAL WESTERN HOME OFFICE 5800 CANOGA AVE WOODLAND HILLS, CA 91367 

154 PRUDENTIAL CLAIM SERVICE# LOUISVILLE CLAIM OFFICE P O BOX 34680 LOUISVILLE, KY 40232 DO NOT USE-MR 5/18/00 

111 PRUDENTIAL GROUP INSURANCE# HEALTH CLAIMS DIVISION P O BOX 34680 LOUISVILLE, KY 40232 (502) 267-3285 DO NOT USE THIS NUMBER 154 

M66 PRUDENTIAL HEALTH P O BOX 4578 HOUSTON, TX 77210-4578 (800) 426-0623 

N25 PRUDENTIAL HEALTHCARE P O BOX 4804 HOUSTON, TX 77210-4804 (800) 345-8310 

S02 PRUDENTIAL HEALTHCARE NORTHERN TRUST COMPANY P O BOX 54469 LOS ANGELES, CA 90054 (800) 711-5943 

K61 PRUDENTIAL HEALTHCARE P O BOX 54339 LOS ANGELES, CA 90054-0339 (800) 843-3661 

K09 PRUDENTIAL HEALTHCARE P O BOX 2229 JACKSONVILLE, FL 32231 (904) 351-3121 

P23 PRUDENTIAL HEALTHCARE P O BOX 60547 LOS ANGELES, CA 90054 

P11 PRUDENTIAL HEALTHCARE P O BOX 1206 WILKES-BARRE, PA 18703-1206 

R80 PRUDENTIAL HEALTHCARE OF NJ P O BOX 6020 MILLVILLE, NJ 08332 (918) 664-9593 

356 PRUDENTIAL HEALTHCARE# P O BOX 45160 JACKSONVILLE, FL 32231-5160 (800) 527-8623 DO NOT USE-USE A15 

P42 PRUDENTIAL HMO OF ORLANDO# P O BOX 950 HORSHAM, PA 19044 DO NOT USE-MR 

E88 PRUDENTIAL INS P O BOX 85081 SAN DIEGO, CA 92186 (619) 279-2411 

794 PRUDENTIAL INS CO DENVER GROUP CLAIM OFFICE P O BOX 378710 DENVER, CO 80237 (303) 994-3199 VERIFY/MENTAL HEALTH/8-13-99-B 

A58 PRUDENTIAL INS CO 600 HOLIDAY PLAZA STE 510 P O BOX 537 MATTESON, IL 60443 (800) 445-1796 

956 PRUDENTIAL INS CO ADIRONDACK GRP HLTH DIVISION P O BOX 15045 ALBANY, NY 12212 

948 PRUDENTIAL INS CO MARAMAR CLAIM OFFICE P O BOX 85479 SAN DIEGO, CA 92138 

C22 PRUDENTIAL INS CO OF AM ANNUITY BOARD OF THE LUTHERN P O BOX 1086 ST LOUIS, MO 63188-1086 (609) 323-7384 

818 PRUDENTIAL INS CO OF AMERICA ANTARES MANAGEMENT SOLUTIONS P O BOX 7001 PARKERSBURG, WV 26102-7001 (800) 828-0153 904-313-0153 

026 PRUDENTIAL INS CO OF AMERICA# ATTN: GRP HLTH CLAIMS DIVISION P O BOX 10100 HIGH POINT, NC 27261-3100 (612)553-6000 DO NOT USE - USE A15 

729 PRUDENTIAL INS CO# P O BOX 45160 JACKSONVILLE, FL 32231-5160 (612) 553-6000 

DO NOT USE - USE A15 

MR-UTF 12/5/2006 

909 PRUDENTIAL INS CO# P O BOX 5400 MILLVILLE, NJ 08332-0100 (800) 426-0338 DO NOT USE-MR 

811 PRUDENTIAL INS CO# P O BOX 3016 MILLVILLE, NJ 08332-9010 (800) 772-0118 DO NOT USE - USE 364 

390 PRUDENTIAL INS CO/AMER PRUDENTIAL PLAZA NEWARK, NJ 07101 VERIFY/MENTAL HEALTH/8-13-99-B 

858 PRUDENTIAL INSURANCE P O BOX 85080 SAN DIEGO, CA 92186 (619) 279-2411 MR-DO NOT USE 

877 PRUDENTIAL INSURANCE MARRIOTT CLAIMS DIVISION P O BOX 45081 JACKSONVILLE, FL 32232 (800) 633-8255 

B93 PRUDENTIAL INSURANCE P O BOX 3038 CINCINNATI, OH 45201-3038 (813) 784-7500 

881 PRUDENTIAL INSURANCE 3003 BUTTERFIELD ROAD OAK BROOK, IL 60521 

A48 PRUDENTIAL INSURANCE CO ALBUQUERQUE GRP CLAIM COMPLEX 6200 UPTOWN BLVD, STE 200 ALBUQUERQUE, NM 87110 (505) 884-6591 800814-7422 

084 PRUDENTIAL INSURANCE CO 1 IMESON PARK BLVD BLDG 100 JACKSONVILLE, FL 32218-5696 (713) 276-3400 

A15 PRUDENTIAL INSURANCE CO P O BOX 45160 JACKSONVILLE, FL 32231-5160 (800) 336-8003 

328 PRUDENTIAL INSURANCE CO 530 WELLS FARGO DRIVE SUITE 301 P O BOX 1567 HOUSTON, TX 77251 

983 PRUDENTIAL INSURANCE CO (FLINT ENGINEERING) P O BOX 1567 HOUSTON, TX 77251 

722 PRUDENTIAL INSURANCE CO P O BOX 365 PITTSBURGH, PA 15222 DO NOT USE-MR 

271 PRUDENTIAL INSURANCE CO# OF AMERICA P O BOX 9700 LINWOOD, NJ 08221 (609) 926-2400 MR-DO NOT USE 

243 PRUDENTIAL INSURANCE CO# P O BOX 207005 STOCKTON, CA 95207 (800) 727-9092 MR-DO NOT USE 

391 PRUDENTIAL INSURANCE CO# P O BOX 44123 JACKSONVILLE, FL 32231-4123 (904) 391-3711 

C39 PRUDENTIAL INSURANCE COMPANY P O BOX 15055 ALBANY, NY 12212 (518) 783-1838

101 PRUDENTIAL INSURANCE COMPANY NORTHERN TELECOM P O BOX 30000 ATLANTA, GA 30359-0999 (800) 523-5322 

B77 PRUDENTIAL INSURANCE COMPANY OF AMERICA P O BOX 411006 ST LOUIS, MO 63141-3006 (816) 756-0404 

A28 PRUDENTIAL INSURANCE COMPANY P O BOX 2957 JACKSONVILLE, FL 32232 (904) 391-3937 

184 PRUDENTIAL INSURANCE# GATEWAY GROUP CLAIM DIVISION P O BOX 200 MONROEVILLE, PA 15146 (800) 842-8000 DO NOT USE - USE 092 

414 PRUDENTIAL OF AMERICA CLM SERVICE PROV/GARDEN ST GRP HEALTH CLAIMS DIV-P O BOX ISELIN, NJ 08830 (201) 632-7000 

C09 PRUDENTIAL# BUTTREY FOOD & DRUG P O BOX 207005 STOCKTON, CA 95267 (800)248-4841 DO NOT USE - USE D48 

628 PRUDENTIAL-CONNECTICUT LIFE INSURANCE P O BOX 33668 CHARLOTTE, NC 28233-3668 (800) 257-2702 

Y22 PUBLIC EMP BENEFIT PROGRAM 400 W KING ST STE 300 CARSON CITY, NV 89703 (800) 326-3496 

B88 PUBLIC EMPLOYEE HEALTH PROGRAM UTAH RETIREMENT SYSTEM 560 E 200 S SALT LAKE CITY, UT 84102-2004 (801) 366-7500 USES PAID FOR RX 

760 PUDGET SOUND MULTI TRADE SO HEALTH & WELFARE TRUST P O BOX C34030 SEATTLE, WA 98124 

H29 PUGET SOUND ELEC WORKERS P O BOX 34203 SEATTLE, WA 98124-1203 (800) 732-1121 

SHARES P O BOX W/ N23 

800-331-6158 

P77 PUGET WEST CORP# P O BOX 3535 ARLINGTON, WA 98232 DO NOT USE-NOT AN INS COMPANY 

019 PYRAMID LIFE INS CO 6201 JOHNSON DRIVE P O BOX 772 SHAWNEE MISSION, KS 66201 (800) 444-0321 

M36 QUAD MED CLAIMS W 224 N 3322 DUPLAINVILLE RD PEWAUKEE, WI 53072 (800) 937-2230 

G37 QUAL MED HEALTH & LIFE INS CO P O BOX 115 PUEBLO, CO 81002-0115 (800) 847-1528 

D17 QUAL MED HEALTH AND LIFE FOUNDATION HEALTH SYSTEMS P O BOX 600 PUEBLO, CO 81002 (509) 326-8820 800-845-7881 

E28 QUALCHOICE 6000 PARKLAND BLVD CLEVELAND, OH 44124 

224 QUALEX INC ATTN: TARA P O BOX 35900 BILLINGS, MT 59107 (406) 256-3300 DO NOT USE-MR 

F44 QUAL-MED 6100 UPTOWN BLVD NE STE 400 ALBUQUERQUE, NM 87110 (800) 365-0009 

J64 QUAL-MED OREGON CLAIMS P O BOX 640 PUEBLO, CO 81002 (800) 991-6691 

K36 QUAL-MED 10700 NORTHUPWAY SUITE 280 BELLEVUE, WA 98009-3387 

A01 R E HARRINGTON INC DENTAL CLAIMS P O BOX 6125 WESTERVILLE, OH 43081 (800) 848-2644 

986 R E HARRINGTON INC MEDICAL CLAIMS P O BOX 16789 COLUMBUS, OH 43216 (800) 848-2664 

G50 R Y TIMBER P O BOX 990 LIVINGSTON, MT 59047 (406) 222-3360 

C73 RAVALLI COUNTY ELECTRIC CO-OP P O BOX 190 CORVALLIS, MT 59828 (406) 961-3001 

K06 REGENCE BC/BS P O BOX 21267 SEATTLE, WA 98101 (800) 544-4246 800-330-7206 

X15 REGENCE BC/BS OF OREGON P O BOX 1271 PORTLAND, OR 97207-1271 (800) 777-3168 

B85 REGENCE BC/BS OF UTAH VALUE CARE P O BOX 30272 SALT LAKE CITY, UT 84125-0272 (800) 662-0876 800-624-6519 named regence bc/bs of ut 

R93 REGENCE BLUE SHIELD 333 E GILKEY RD BURLINGTON, WA 98233 (360) 755-4000 

566 REGENCE BLUE SHIELD P O BOX 21267 SEATTLE, WA 98111-1267 (800) 422-7713 206-464-0255 

M73 REGENCE BLUE SHIELD P O BOX 91008 SEATTLE, WA 96111-9108 (800) 472-2270 206-464-8080 

W02 REGENCE BLUE SHIELD P O BOX 31603 SALT LAKE CITY, UT 84131-0603 (800) 632-2022 

Y91 REGENCE BLUE SHIELD 610 HUBBARD STE 129 COEUR D'ALENE, ID 83814 

T98 REGENCE BLUE SHIELD OF UTAH P O BOX 30009 SALT LAKE CITY, UT 84130-0009 (801)333-5578 DO NOT USE-MR 

K18 REGENCE BLUE SHIELD# P O BOX 21267 SEATTLE, WA 98111 (425) 641-7762 DO NOT USE-USE K06 

763 REGENCE BLUE SHIELD# P O BOX 91015 SEATTLE, WA 98111-9115 (800) 422-7713 DO NOT USE - USE 566 

AA6 REGENCE BS OF IDAHO 1602 21 ST AVE LEWISTON, ID 83501 (800) 632-2022 

518 REGENCE BS OF IDAHO P O BOX 31603 SALT LAKE CITY, UT 84131-0603 (800) 632-2022 PHONE FOR ARGUS RX - 800-522-7487 (NOT ALL CLIENTS 

K90 REGENCE CARE HM37 1800 TERY AVENUE P O BOX 91057 SEATTLE, WA 98111 

J86 REGENCE CARE/BLUE SHIELD 1800 NINTH AVENUE P O BOX 2088 SEATTLE, WA 98101 (800) 222-6129 

206-389-6721 

888-675-6570 

N39 REGENCE HMO OF OREGON P O BOX 30805 SALT LAKE CITY, UT 84130-0805 (800) 228-0978 

610 REGENCE LIFE & HLTH INSUR P O BOX 30805 SALT LAKE CITY, UT 84130-0805 (800) 245-9272 

F28 REGENCE NW HEALTH P O BOX 1297 WALLA WALLA, WA 99362 (800) 462-5680 

655 REGENCE WASHINGTON HEALTH P O BOX 2915 TACOMA, WA 98401-2915 (800) 929-0897 

M61 REGIONAL CARE INC 905 W 27TH ST SCOTTSBLUFF, NE 69361-1545 (800) 795-7772 308-635-2260 

R74 REGIONAL TRANSPORTATION DIST AMALGATED TRANSIT UNION 10620 E BETHANY DR AURORA, CO 80014 (303) 745-7004 

H56 RELIANCE STANDARD LIFE 1512 LARIMER ST DENVER, CO 80201 (800) 644-1103 

B90 RELIANCE SURETY CO# 620 FREEDOM BUSINESS CENTER DR KING OF PRUSSIA, PA 19406-1330 (800) 859-5655 MR-DO NOT USE 

400 RESERVE LIFE INS CO 403 SOUTH AKARD DALLAS, TX 75222 (214) 670-9700 DO NOT USE-MR 

609 RESERVE NATIONAL INS P O BOX 26620 OKLAHOMA CITY, OK 73126-0620 (800) 654-9106 

E73 RETAIL CLERKS DRAWER 9000 WALNUT CREEK, CA 94598 (510) 746-7530 

738 RETAIL CLERKS WELFARE TRUST ZENITH ADMINISTRATORS P O BOX 2265 SEATTLE, WA 98111 (206) 282-4100 

P68 RETAIL CLERKS WELFARE TRUST ZENITH ADMINISTRATORS P O BOX 1420 PORTLAND, OR 97207 (800) 547-5900 

P72 RETAIL DRUG EMPLOYEE TRUST P O BOX 34927 SEATTLE, WA 98124-1927 (800) 331-6158 

997 REYNOLDS METAL COMPANY 6601 WEST BROADSTREET RICHMOND, VA 23230 

564 REYNOLDS METALS CO 520 LINCOLN AVE DOWNING TOWN, PA 19335 (215) 873-5013 

343 RHONE-POULENC# P O BOX 2241 BLUE BELL, PA 19422 (406) 782-1215 DO NOT USE - USE 867 

HC3 RIMROCK COLONY P O BOX 159 SUNBURST, MT 59482 (406) 937-3045 

124 RIO GRANDE EMPLOYEE HOSP ASSOC 1675 CARR ST STE 200 S LAKEWOOD, CO 80215 (303) 274-2312 

F64 RISK AND BENEFIT MANAGEMENT SERVICES P O BOX 241569 ANCHORAGE, AK 99524-1569 (888) 743-7998 

(907) 561-3740 

www.rbmsllc.com 

D92 RISK MANAGEMENT P O BOX 1900 RENO, NV 89505 (702) 334-2433 902-825-6040 

918 RIVENDELL OF AMERICA JOHN HANCOCK 200 HANNOVER PARK RD ATLANTA, GA 30350 

HC4 RIVERVIEW COLONY P O BOX 230 CHESTER, MT 59522 (406) 456-3336 

870 RKI GROUP PLANS 14325 WILLARD RD CHANTILLY, VA 20151-2199 (800) 336-3316 DO NOT USE-MR 

P88 ROBERSON TRANS MEDICAL PLAN 1100 ROBERSON DR MALTOMET, IL 61850 

N90 ROBERSON TRANSPORTATION HEALTH & DENTAL P O BOX 9800 CHAMPAIGN, IL 61826 

P59 ROBERT FELD FINANCIAL WYO-BEN INC MEDICAL PLAN P O BOX 1117 BILLINGS, MT 59103 (406) 255-8682 

S23 ROCKFORD HEALTH PLANS 3401 N PERRYVILLE RD ROCKFORD, IL 61114 

HC5 ROCKPORT COLONY P O BOX 100 PENDROY, MT 59467 (406) 469-2284 

J54 ROCKY MOUNTAIN HMO 2775 CROSSROADS BLVD P O BOX 10600 GRAND JUNCTION, CO 81502-5500 (800) 843-0719 

Y58 ROCKY MOUNTAIN INSURANCE ATTN MEL SANO 2619 ST JOHNS STE B BILLINGS, MT 59602 (406) 655-1711 

X99 ROCKY MOUNTAIN INSURANCE IBEW LOCAL 532 2619 ST JOHN'S STE B BILLINGS, MT 59102 

C41 ROCKY MOUNTAIN UFCW P O BOX 157 WESTMINSTER, CO 80030-0157 (303) 430-1118 

M75 ROLLINGS INC GROUP MEDICAL PLAN 2170 PIEDMONT RD N E ATLANTA, GA 30324 (404) 888-2264 

W20 RR MAINTENANCE & INDUSTRIAL HEALTH & WELFARE FUND 2205 W WABASH AVE STE 211 SPRINGFIELD, IL 62704 (800) 258-6534 

807 RURAL CARRIER BENEFITS PLAN P O BOX 668329 CHARLOTTE, NC 28266-8329 (301) 738-1260 VERIFY/MENTAL HEALTH/8-13-99-B 

V28 RX AMERICA 221 N CHARLES LINDBERGH DR SALT LAKE CITY, UT 84116 (800)770-8014 

V19 RX GOLD P O BOX 64812 ST PAUL, MN 55164

V20 RX NET P O BOX 41018 PLYMOUTH, MN 55441 

Y01 RX WEST P O BOX 4517 ENGLEWOOD, CA 80155 (303) 793-9954 

T53 S & S HEALTH CARE STRATEGIES P O BOX 46511 CINCINNATI, OH 45246 (800) 717-2872 

M57 S B C MEDICAL CLAIMS P O BOX 4723 HOUSTON, TX 77210-4723 (888) 888-4601 

T28 S I S C 333 PALMER DR #200 BAKERSFIELD, CA 93309 (661) 327-7581 

J68 S M C INC P O BOX 1979 SEARCY, AZ 72145 (501) 286-6442 

V82 S NEVADA CARPENTERS TRUST 980 KELLY JOHNSON DR #180 LAS VEGAS, NV 89119 (702)851-4510 

406 SAFECO LIFE INS CO GROUP BENEFITS 15411 N E 51ST ST REDMOND, WA 98052 (800) 527-2707 

B39 SAFECO LIFE INSURANCE# ATTN: GROUP BENEFITS P O BOX 34699 SEATTLE, WA 98124-1699 (800) 527-2707 DO NOT USE-MR 

K30 SAFECO WORKERS COMP P O BOX 2759 MISSOULA, MT 59806 (888) 557-5010 406-327-7432 

Z40 SAFEGUARD DENTAL P O BOX 30900 LAGUNA HILLS, CA 92654 

HC6 SAGE CREEK COLONY P O BOX 519 CHESTER, MT 59522-0519 (406) 292-3590 

174 SAIF CORP 400 HIGH ST SALEM, OR 97312 (503) 373-8000 

A23 SALVATION ARMY 30840 HAWTHORNE BLVD RANCHO PALOS VERDES, 90274 (310) 541-4721 

T38 SAMARITAN P O BOX 336 CORVALLIS, OR 97339 (541) 768-5216 

V84 SAMARITAN MINISTRIES CHRISTIAN HEALTH CARE P O BOX 389 WASHINGTON, IL 61571-0389 (877)764-2426 

AI5 SAMARITAN MINISTRIES P O BOX 3618 PEORIA, IL 61615 

A98 SAN DIEGO ELECTRICAL HEALTH & WELFARE TRUST P O BOX 231219 SAN DIEGO, CA 92194-1219 (619) 569-6322 

G97 SAN LUIS VALLEY HMO 95 W 1ST ST MONTE VISTA, CO 81144 (719) 852-4055 

941 SANUS HEALTH PLAN P O BOX 419080 ST LOUIS, MO 63141 (314) 434-6010 

B21 SASKATCHEWAN HEALTH SERVICE 3475 ALBERT STREET REGINA, SASKATCHEWAN, CANADA S4S6X6 

V23 SAV-RX 1612 N BELL FREEMONT, NE 68025 (800)396-2219 

X06 SCOTT WHITE HEALTH PLAN SCOTT WHITE MEMORIAL HOSP 2401 S 31ST ST TEMPE, AZ 76508 (800) 321-7947 

G32 SCPC P O BOX 91050 SEATTLE, WA 98111-1050 (800) 203-0544 MR-DO NOT USE 

H76 SCREEN ACTORS HEALTH PLAN 3601 W OLIVE AVE P O BOX 7830 BURBANK, CA 91510 

X80 SCRIP WORLD 250 N REDWOOD RD STE 210 N SALT LAKE CITY, UT 84054 (800) 830-2310 

V32 SCRIPT CARE 6380 SOLSOM DR BEAUMONT, TX 77706 (800) 880-9988 

409-832-3041 FAX 409 832-3109 

www.scriptcare.com 

AK1 SCRIPT SENSE 3349 EXECUTIVE PKWY STE 1 TOLEDO, OH 43606 

014 SEABURY & SMITH P O BOX 9007 ST LOUIS, MO 63101 (314) 621-0040 

S27 SEABURY & SMITH 500 SW 7TH ST DES MOINES, IA 50309 

T08 SEABURY & SMITH P O BOX 1520 IOWA CITY, IA 52244 

J53 SEABURY AND SMITH 720 OLIVE WAY STE 1212 SEATTLE, WA 98101 (206) 292-7154 

112 SEAFARERS WELFARE PLAN P O BOX 380 PINEY POINT, MD 20674 (800) 252-4674 

575 SECURITY GENERAL LIFE INS CO P O BOX 25360 OKLAHOMA CITY, OK 73125 (405) 525-6900 

N51 SECURITY HEALTH PLAN 1000 N OAK AVE MARSHFIELD, WI 54449 

Z34 SECURITY LIFE VISION & DENTAL CLAIMS P O BOX 1527 LATHAM, NY 12110 

Z13 SECURITY LIFE INSURANCE P O BOX 5001 SCHENECTADY, NY 12301-5001 (800) 300-9566 

N60 SEDGWICK CMS WC CLAIMS P O BOX 3549 GREAT FALLS, MT 59403 (800) 264-1628 

Z77 SELECT ADMINISTRATIVE SERVICES P O BOX 3209 GULFPORT, MS 39505 

P92 SELECT BENEFIT ADMIN P O BOX 8339 DES MOINES, IA 50301-8339 (800) 397-0427 

W11 SELECT BENEFIT ADMINISTRATORS P O BOX 440 ASHLAND, WI 54806 (800) 497-3699 

R86 SELECT BENEFITS 5069 154TH PLACE NE REDMOND, WA 98052 

A54 SELECT CARE P O BOX 10511 EUGENE, OR 97440 (503) 485-1850 

AG9 SELECT CARE 4646 W LAKE PARK BLVD N4713 SALT LAKE CITY, UT 84120 

AG5 SELECT HEALTH 4646 W LAKE PARK BLVD N4713 SALT LAKE CITY, UT 84120 

P91 SELF CREATED INS SERVICES 6200 E CANYON RIM RD STE 104B ANAHEIM HILLS, CA 92807 (800) 545-9779 

S71 SELF INSURED PLAN 5150 TAMIANI TRAIL N STE 700 NAPLES, FL 34103 (941) 403-7884 

J99 SELF INSURED PLANS LLC IHC OILWELL INC P O BOX 11686 SALT LAKE CITY, UT 84147 (800) 350-5922 

G68 SELF INSURED SERVICES COMPANY (SISCO) P O BOX 389 DUBUQUE, IA 52004-0389 (800) 457-4726 

N79 SELF-FUNDED PLANS INC 1432 HAMILTON AVE CLEVELAND, OH 44114-1146 

S10 SEMI TOOL BENEFIT PLAN P O BOX 3018 MISSOULA, MT 59806 (800) 877-1122 

P47 SENTARA HEALTH MANAGEMENT OPTIMA HEALTH PLAN 4417 CORPORATION LANE VIRGINIA BEACH, VA 23462 (757) 552-8850 

Z60 SENTRY LIFE INSURANCE POLICY BENEFITS P O BOX 8025 STEVENS POINT, WI 54481-8025 (800) 426-7234 

417 SENTRY SELECT P O BOX 1387 ST LOUIS, MO 63188 VERIFY/MENTAL HEALTH/8-13-99-B 

418 SERVICE LIFE INSURANCE 3001 E CAMELBACK RD PHOENIX, AZ 85016 

434 SERVICES GROUP OF AMERICA BENEFIT TRUST P O BOX 46579 SEATTLE, WA 98146-0579 (800) 869-7037 

HC7 SEVILLE COLONY P O BOX 100 CUT BANK, MT 59427 (406) 469-2284 

J20 SFP HEALTHCARE PACIFICARE P O BOX 6699 ENGLEWOOD, CO 80155 

N81 SGA P O BOX 2246 SEATTLE, WA 98111 (877) 511-9676 SERVISE GROUP OF AMERICA 

R02 SHASTA ADMINISTRATIVE SERVICES P O BOX 1747 REDMOND, OR 97756 (541) 504-2700 NAME CHANGE DONE 1/7/2005 

K78 SHEET METAL WORKERS LOCAL 104 HLTHCARE PLAN P O BOX 24160 OAKLAND, CA 94623-1160 (510) 433-4471 

M04 SHEET METAL WORKERS LOCAL #9 WELFARE FUND P O BOX 21240 DENVER, CO 80221 (888) 900-5580 

AG6 SHEET METAL WORKERS HEALTH PLAN S CALIFORNIA, AZ, NV P O BOX 10067 MANHATTAN BEACH, CA 90266-8567 

D03 SHEET METAL WORKERS OF VA SMW NATIONAL HEALTH FUND 601 N FAIRFAX ST STE 440 ALEXANDRIA, VA 22314 (800) 231-4622 

R40 SHEET METAL WORKERS WLF PLAN# S CALIFORNIA, AZ, NV P O BOX 76886 LOS ANGELES, CA 90076 (213) 385-0401 MR-DO NOT USE 

123 SHEETMETAL WORKERS OF NORTHERN CALIFORNIA 642 HARRISON ST SAN FRANSISCO, CA 94107 

N14 SHEETMETAL WORKERS WELFARE BENEFIT FUND P O BOX 55287 INDIANAPOLIS, IN 46205 

R90 SHEFFIELD, OLSON & MCQUEEN 2145 FORD PARKWAY STE 300 ST PAUL, MN 55116 (651) 695-2500 

172 SHELTER INSURANCE 1817 W BROADWAY COLUMBIA, MO 65218 (314) 445-8441 

886 SIERRA HEALTH & LIFE P O BOX 18408 LAS VEGAS, NV 89114-8408 (800) 888-2264 800-208-3090 

A57 SIERRA PACIFIC INDUSTRIES P O BOX 496011 REDDING, CA 96049-6011 (916) 378-8200 

X83 SIGNATURE CARE P O BOX 5548 FORT WAYNE, IN 46895 (260) 373-9100 

X88 SIHO P O BOX 1787 COLUMBUS, OH 47202 

C42 SILVER STATE MEDICAL ADMIN# 2065 E SAHARA AVE #C LAS VEGAS, NV 89104 (709) 732-0292 DO NOT USE - USE 886 

N64 SIMPLEX SIMPLEX PLAZA GARDNER, MA 01441 

H82 SINCLAIR HEALTH SERVICES P O BOX 30827 SALT LAKE CITY, UT 84130 (888) 800-2230 

(605) 328-6828 

R11 SIOUX VALLEY HEALTH PLAN P O BOX 91110 SIOUX FALLS, SD 57109 (800) 752-5863 RX TO C51 

G92 SKAGIT CO MEDICAL BUREAU P O BOX 699 MOUNT VERNON, WA 98273 MR-DO NOT USE 

AA7 SLOAN LAKE MANAGED CARE 6501 S FIDDLERS CIRCLE STE 300 GREENWOOD VILLAGE, CO 80111

V34 SMC RX# ATTN DAVID FROST 4535 MISSOURI FLAT RD STE PLACERVILLE, CA 95662 (800) 273-9166 MR-DO NOT USE 

N48 SMITH ADMINISTRATORS P O BOX 522428 SALT LAKE CITY, UT 84106 (801) 261-5511 

788 SNOHOMISH COUNTY PHYSICIAN CORP 7600 EVERGREEN WAY EVERETT, WA 98203 (206) 348-8100 425-348-8160 

M92 SODEXHO MARRIOTT FINANCIAL 10 EARHART DR WILLIAMSVILLE, NY 14221 (800) 828-7762 

P46 SOONER HEALTH PLAN P O BOX 12940 OKLAHOMA CITY, OK 73157 (800) 288-9111 

C98 SOUND HEALTH# P O BOX 12702 SEATTLE, WA 98111-4707 (800) 443-0996 DO NOT USE-MR 

P30 SOUTHERN ALASKA CARPENTERS HEALTH AND SECURITY FUND P O BOX 5434 SPOKANE, WA 99205-0434 (800) 716-0300 

(509) 328-0300 

USES C51 FOR RX 

M97 SOUTHERN CA PIPE TRADES ADMIN CORP 501 SHALTO PLACE 5TH FL LOS ANGELES, CA 90020 

R13 SOUTHERN GROUP ADMINISTRATORS 200 S MARSHALL ST WINSTON SALEM, NC 27101 (800) 334-8159 

S87 SOUTHERN HEALTH SERVICES 211 LAKE DR NEWARK, DE 19702 

937 SOUTHERN NATIONAL LIFE INS CO# 2301-C CENTRAL DR., STE 481 BEDFORD, TX 76021 DO NOT USE-MR 

T27 SOUTHERN TIER HEALTH PLAN P O BOX 690 LIVERPOOL, NY 13088 (800) 635-0205 not in ny anymore. 

F87 SOUTHWEST ADMINISTRATORS P O BOX 57310 LOS ANGELES, CA 90057 (213) 386-3300 

J21 SOUTHWEST SERV ADMIN INC 1990 W CAMELBACK #306 PHOENIX, AZ 85015 (602) 249-3582 

669 SOUTHWESTERN TEAMSTERS SECURITY FUND P O BOX 16200 PHOENIX, AZ 85011-6200 (602) 264-1804 

K43 SPECIAL INSURANCE SERVICES P O BOX 535 ADDISON, TX 75001 

Z63 SPECIALTY RISK SERVICES 16633 DALLAS PKWY STE 500 ADDISON, TX 75001 

Z56 SPECTERA P O BOX 1918 OLDSMAR, FL 34677 

Z46 SPECTRA VISION 2811 LORD BALTIMORE DR BALTIMORE, MD 21244-2644 

T58 SPEEDY GLASS INC 9675 SE 36TH ST MERCER ISLAND, WA 98040 (800) 638-8244 

V71 SPHERION PACIFIC ENTERPRISES 2050 SPECTRUM BLVD FORT LAUDERDALE, FL 33309-3008 

V36 SPORTSMAN WAREHOUSE EMPLOYEE BENEFIT PLAN 165 7200 S MIDVALE, UT 84047 (801) 567-1000 

C31 SPRADLEY & COKER# P O BOX 8200 LITTLE ROCK, AR 72221-8200 (800) 643-8805 DO NOT USE 

AI4 SPRAYING SYSTEM CO P O BOX 7900 WHEATON, IL 60189-1608 

HE2 SPRING CREEK COLONY P O BOX 310 LEWISTOWN, MT 59457 (406) 538-3575 

HC9 SPRING WATER COLONY P O BOX 782 HARLOWTON, MT 59306 (406) 632-4783 

HC8 SPRINGDALE COLONY RR BOX 109 WHITE SULPHUR SPRINGS 59645 (406) 547-3449 

382 SRC SERVICES INC LIFE INSURANCE CO OF N AMERICA P O BOX 23759 COLUMBIA, SC 29224-3759 (800) 788-6557 AKA-ALLIANZ LIFE INSURANCE COMPANY 

Z75 ST JOHN'S CLAIMS ADMINISTRATION P O BOX 14408 SPRINGFIELD, MD 65614 (877) 875-7700 

W21 ST JOHN'S CLAIMS ADMINISTRATION P O BOX 14230 SPRINGFIELD, MO 65814 (877) 875-7700 

J30 ST MARYS HEALTH FIRST 1155 W 4TH ST STE 121 RENO, NV 89503 (775) 770-6060 

B98 ST PAUL INC 12250 E ILIFF AVE, SUITE 400 P O BOX 441565 AURORA, CO 80014-1253 (303) 696-7500 

998 ST VINCENT HOSP & HEALTH CARE EMPLOYEE BENEFIT MANAGEMENT SER P O BOX 21367 BILLINGS, MT 59104 (406) 245-3575 DO N OT USE - USE 438 

572 STANDARD INSURANCE P O BOX 209 PORTLAND, OR 97207 (800) 547-9515 

354 STANDARD LIFE & ACCIDENT P O BOX 1800 GALVESTON, TX 77553 (405) 232-5281 1-888-350-1488 

428 STANDARD LIFE & ACCIDENT INS# P O BOX 1800 GALVESTON, TX 77553 DO NOT USE - USE 354 

AN2 STANDARD SECURITY LIFE 11919 FOUNDATION PLACE GOLD RUSH, CA 95670 

E71 STANISLAUS FOUNDATION 2339 ST PAULS WAY P O BOX 576007 MODESTO, CA 95357 (209) 527-2430 

W96 STAR HRG WALMART GROUP P O BOX 54150 PHOENIX, AZ 85078-4150 (800) 288-1474 

policy beginning 09--800-527-5504 

C24 STAR HRG P O BOX 55270 PHOENIX, AZ 85078 (800) 725-7887 

Z02 STAR HRG P O BOX 30050 PHOENIX, AZ 85046 

Z03 STAR HRG P O BOX 55270 PHOENIX, AZ 85078 

G10 STARMARK P O BOX 2942 CLINTON, IA 52733-2942 (800) 522-1246 

AF8 STARMARK 400 FIELD DR LAKE FOREST, IL 60045-2581 

D88 STATE COMPENSATION INSURANCE CA P O BOX 530957 SAN JOSE, CA 95153 (408) 363-7600 

S55 STATE FARM GROUP MEDICAL P O BOX 2978 CLINTON, IA 52733-2978 

J36 STATE FARM GRP MEDICAL P O BOX 2978 CLINTON, IA 52733-2978 (866) 855-1212 THIS ADDRESS TO EMPLOYEES ONLY 800-538-4643 

R10 STATE FARM HEALTH INS 7401 CYPRESS GARDENS BLVD WINTERHAVEN, FL 33888 (863) 318-3163 

B69 STATE FARM HEALTH INS# GREELEY OPERATIONS CENTER P O BOX 33904 GREELEY, CO 80633-9403 (970) 395-6103 

DO NOT USE - USE F48 

MR-UTF 12/5/2006 

F48 STATE FARM INSURANCE ATTN HEALTH CLAIMS P O BOX 9403 GREELEY, CO 86033-9403 866-855-1212 970-395-6103 

N21 STATE FARM INSURANCE 222 S 84TH ST P O BOX 82542 LINCOLN, NE 68501 

N92 STATE FARM INSURANCE INSURANCE SUPPORT CENTER P O BOX 53981 PHOENIX, AZ 85072-3981 

K20 STATE FARM INSURANCE CO OHIO REGIONAL OFFICE 1440 GRANDVILLE ROAD NEWARK, OH 43093-0001 (740) 349-5000 

051 STATE FARM INSURANCE# ATTN: HEALTH CLAIMS P O BOX 9403 GREELEY, CO 86033-9403 (970) 395-6103 DO NOT USE - USE F48 

690 STATE FARM INSURANCE# ATTN: HEALTH CLAIMS P O BOX 9403 GREELEY, CO 80633 (970) 395-6103 DO NOT USE - USE F48 

F56 STATE FARM INSURANCE# ATTN: HEALTH CLAIMS 3001 8TH AVENUE GREELEY, CO 80638-0001 (970) 395-6103 DO NOT USE - USE F48 

F77 STATE FARM INSURANCE# ATTN: HEALTH CLAIMS 3001 8TH AVE GREELEY, CO 80638-0001 (970) 395-6103 DO NOT USE - USE F48 

805 STATE FUND OF WASHINGTON P O BOX 44291 OLYMPIA, WA 98504-4291 (800) 547-8367 

G23 STATE HEALTH BENEFIT PLAN P O BOX 38151 ATLANTA, GA 30334 (800) 736-3464 

477 STATE INDUSTRIAL INS SYSTEM OF NEVADA 515 E MUSSER CARSON CITY, NV 87104 (702) 687-5220 

B54 STATE INDUSTRIES INC MEDICAL BENEFITS 500 BYPASS ROAD ASHLAND CITY, IN 37015 (615) 792-6327 

K59 STATE MUTUAL INSUR CO# P O BOX 10811 CLEARWATER, FL 33757-8811 (888) 780-6388 DO NOT USE-USE N70 

N70 STATE MUTUAL INSURANCE P O BOX 10811 CLEARWATER, FL 33757 (888) 780-6388 

103 STATE MUTUAL LIFE ASSURANCE CO ALLMERICA FINANCIAL 440 LINCOLN DEPT MS1018 WORCESTER, MA 01653-1018 (800) 423-6011 

758 STATE MUTUAL OF AMERICA GLENDALE CORPORATION CENTER 425 E COLORADO ST STE 450 GLENDALE, CA 91205 MR-DO NOT USE 

X63 STATE OF INDIANA MEDICAL PLAN 8802 N MERIDIAN ST INDIANAPOLIS, IN 46260 (317) 571-5320 

X27 STATE OF LOUISIANA OFFICE OF GROUP BENEFITS P O BOX 44037 BATON ROUGE, LA 70804 (225) 925-6625 

D21 STATE UNIV RETIREMENT SYSTEM 1901 FOX DRIVE CHAMPAIGN, IL 61820 

863 STAUFFER CHEMICAL CO. ATTN: INSURANCE CLERK P O BOX 3146 BUTTE, MT 59702 

W37 STAYWELL HEALTHY KIDS 6800 N DALEMABRY HWY STE 168 TAMPA, FL 33614 (800) 351-8777 

C37 STERLING LIFE INSURANCE P O BOX 5348 BELLINGHAM, WA 98227 (800) 328-4667 AKA Olympic Health 

Z81 STM CLAIMS DEPT P O BOX 828 PARK RIDGE, IL 60068-0828 

Z30 STRATEGIC OUTSOURCING INC P O BOX 241409 CHARLOTTE, NC 28224 

J97 STUDENT ASSURANCE SERVICE PREFERRED ONE P O BOX 196 STILLWATER, MN 55082-0196 (800) 328-2739 651-439-7098 

X12 STURM & ASSOCIATES 4240 W 76TH ST EDINA, MN 55435-5108 (952) 835-3035 

682 SUMMA HEALTH PLAN 3425 FIRST ST P O BOX 792 FRESNO, CA 93712 

V92 SUMMACARE P O BOX 3620 AKRON, OH 44309 (330)996-8700 

E48 SUMMIT ADMINISTRATION INC 425 KRISTIN COURT UNIT #4 MONTROSE, CO 81401 303-240-4164 INVALID # NO OTHER LISTING FOUND

AE3 SUMMIT AMERICA INS SERVICES 7400 COLLEGE BLVD STE 100 OVERLAND PARK, KS 66210 

Y36 SUMMIT INSURANCE GRP 10101 REUNION PLACE STE 740 SAN ANTONIO, TX 78216 (888) 698-2832 

T90 SUN HEALTHCARE GROUP P O BOX 93098 ALBUQUERQUE, NM 87192 (866)395-7452 

975 SUPER 8 MOTELS HEALTH INS P O BOX 489 ABERDEEN, SD 57402 

Z95 SUPERIOR VISION P O BOX 967 RANCHO CORDOVA, CA 95741 

793 SUPPLEMENT HEALTH P O BOX 2995 MADISON, WI 53701-2995 (800) 233-0367 

HE4 SURPRISE CREEK COLONY P O BOX 310 STANFORD, MT 59479 (406) 566-2513 

N61 SYMETRA LIFE P O BOX 440 ASHLAND, WI 54806 (800) 497-3699 

P55 T P A P O BOX 320 PUEBLO, CO 81003 (888) 348-7421 ADDRESS VERIF 11-15-00 TC 

N57 T P A P O BOX 29050 PHOENIX, AZ 85038 

344 T R PAUL GROUP SERVICES PLANNED PARENTHOOD P O BOX 3097 NEWTOWN, CT 06470 (203) 426-8161 

M69 T R O A HEALTH PLANS MEDIPLUS CLAIMS P O BOX 9126 DES MOINES, IA 50306-9126 (800) 247-2192 

N09 T S C 1825 SW SANDBURG ST TIGARD, OR 97223 

D61 TAKE CARE PREFERRED NETWORK# P O BOX 4040 CONCORD, CA 94524-4040 (800) 643-5618 

DO NOT USE-MR 

PHONE DISCONNECTED 

AC2 TALL TREE ADMINISTRATORS GRANGER MEDICAL EMP BENEFITS P O BOX 71570 SALT LAKE CITY, UT 84171-0570 

AB7 TEACHERS HEALTH TRUST P O BOX 51119 NEW ORLEANS, LA 70151-1119 

AF9 TEAMSTERS BENEFIT TRUST P O BOX 5820 FREEMONT, CA 94535-5820 

AH3 TEAMSTERS LOCAL 631 SECURITY FUND OF S NEVADA P O BOX 26509 LAS VEGAS, NV 89126-0509 

680 TEAMSTERS LOCAL 670 P O BOX 580 ONTARIO, OR 97914 (503) 889-8851 DO NOT USE-NOT AN INSURANCE CO. 

G47 TEAMSTERS LOCAL 70 P O BOX 4026 CONCORD, CA 94524 (510) 798-2550 

Y84 TEAMSTERS LOCAL UNION #17 3245 ELIOT ST DENVER, CO 80211 

P33 TEAMSTERS UNION WELFARE FUND LOCAL 59 60 N WATER STREET NEW BEDFORD, MA 02740 

AN9 TENN CARE STANDARD BENEFITS P O BOX 305133 NASHVILLE, TN 37230-5133 

298 TERRY HOBER AGENCY# MCHS TRUST FUND P O BOX 4002 MISSOULA, MT 59806 DO NOT USE 

C25 TETON NATIONAL INS# P O BOX 260007 LITTLETON, CO 80126-0007 (303) 492-9507 DO NOT USE-USE A31 

A31 TETON NATIONAL INSURANCE 801 CHERRY ST UNIT 33 FORT WORTH, TX 76102-6888 (303) 792-9507 

X11 TEXAS PLAN ADMIN INC P O BOX 7237 MIDLAND, TX 79708 (866) 520-3867 

Y51 THE CAPELLA GRP INC UNITED FAMILY HEALTHCARE P O BOX 200368 ARLINGTON, TX 76006 (866) 268-1292 

X68 THE FOUNDATION P O BOX 1395 EUREKA, CA 95503 (707) 443-4563 

G38 THE TPA OF FL/GA INC P O BOX 340 PUEBLO, CO 81002-0340 

D12 THOMPSON & COMPANY 2 NORTH LAKE AVE PASADENA, CA 91101 (818) 792-5666 

787 THRIVENT FINANCIAL FOR LUTHERAN 4321 N BALLARD RD APPLETON, WI 54919 (800) 847-4836 


DOF 

080 THURSTON COUNTY MEDICAL BUREAU# 520 E. UNION P O BOX 487 OLYMPIA, WA 98507-0487 (800) 962-0301 DO NOT USE-MR 

E05 TIG INSURANCE P O BOX 4131 CONCORD, CA 94524 (510) 603-5151 

M01 TIMBER OPERATOR COUNCIL 6825 S W SANDBURG TIGARD, OR 97223 

072 TIMBER PRODUCTS MANUFACTURES TRUST P O BOX 4867 MISSOULA, MT 59806 (800) 968-7406 

AG1 TIME INSURANCE P O BOX 42033 HAZELWOOD, CO 63042 

AG2 TIME INSURANCE P O BOX 2923 MILWAUKEE, WI 53201-2923 

P19 TINSETH & ASSOCIATES 750 N MERIDIAN P O BOX 7577 KALISPELL, MT 59904-0577 

J75 TLC ADMINISTRATORS 3340 WALNUT AVE STE 290 FREMONT, CA 94538 

S77 TML INTERGOVERNMENTAL 1821 RUTHERFORD LANE STE 300 AUSTIN, TX 78754 (512) 719-6500 

S96 TML INTERGOVERNMENTAL EMP BENEF P O BOX 149190 AUSTIN, TX 78714-9190 (800) 282-6013 

911 TONGASS TIMBER TRUST 111 STEDMAN, SUITE 200 KETCHIKAN, AK 99901 (907) 225-6114 

R84 TOTAL BENEFIT SERVICES P O BOX 30444 NEW ORLEANS, LA 70190 

K86 TOWER LIFE 310 S ST MARY'S STREET SAN ANTONIO, TX 78205-3164 

K54 TPA P O BOX 3098 NAPERVILLE, IL 60566-7098 (800) 874-5693 1-630-637-4400 

493 TPA OF COLORADO# 9085 E MINERAL CIRCLE, STE 290 P O BOX 6533 ENGLEWOOD, CO 80155 (303) 792-2626 DO NOT USE-MR 5/15/00 

F04 TPA OF FLORIDA P O BOX 49408 SARASOTA, FL 34230 (800) 562-7079 

C20 TPA OF MN# P O BOX 320 PUEBLO, CO 81003 (888) 348-7421 DO NOT USE-USE P55 

E24 TPA OF TN 5214 MARYLAND WAY SUITE 207 BRENTWOOD, TN 37027 (615) 221-4700 

A07 TPA# P O BOX 945030 MAITLAND, FL 32794-5030 (407) 660-0202 

407-708-5000--new number 

MR DO NOT USE 

H99 TPA# P O BOX 945030 MAITLAND, FL 32794 (407) 660-0202 DO NOT USE-USE A07 

C38 TPA# P O BOX 320 PUEBLO, CO 81002-0320 (612) 561-3204 DO NOT USE - USE P55 

583 TRANSAMERICA/PROVIDENT 700 N E MULTNOMAH STE 500 PORTLAND, OR 97232 (800) 336-6571 

735 TRANSCISCO RAIL SERVICES ATTN: JEANNE PON 601 CALIFORNIA ST STE 1301 SAN FRANCISCO, CA 94108 MR-DO NOT USE 

W84 TRANSWESTERN INSURANCE P O BOX 45019 FRESNO, CA 93718 

C19 TRAVELERS P O BOX 512 MATTESON, IL 60443 (708) 747-9400 

B45 TRAVELERS P O BOX 9806 NEW HAVEN, CT 06536 (800) 424-1182 

736 TRAVELERS P O BOX 5800 BREA, CA 92622-5800 

E09 TRAVELERS 7600 E ORCHARD ROAD P O BOX 5980 DENVER, CO 80217-5980 

F21 TRAVELERS P O BOX 312 GRAND RAPIDS, MI 49501-0312 DO NOT USE-MR 

436 TRAVELERS 600 HOLIDAY PLAZA DR STE 400 MATTESON, IL 60443-2239 

030 TRAVELERS EMPLOYEE BENEFIT# MEDICAL CLAIMS P O BOX 660451 DALLAS, TX 75266-0451 (800) 447-7020 DO NOT USE-MR 

A35 TRAVELERS INS CO 3316 FARNAM ST OMAHA, NE 68175 (800) 228-9090 

005 TRAVELERS INS CO 1 TOWER SQUARE HARTFORD, CT 06115 (800) 842-5252 

832 TRAVELERS INS CO P O BOX 35 MINNEAPOLIS, MN 55426 

835 TRAVELERS INS CO WORKMAN COMP DIVISION 1200 6TH AVE SEATTLE, WA 98101 

958 TRAVELERS INS CO# P O BOX 336 GRAND RAPIDS, MI 49501-0336 (800) 842-9882 DO NOT USE-USE E66 

444 TRAVELERS INS CO# ILLINOIS 175 W JACKSON BLVD CHICAGO, IL 60604 DO NOT USE THIS # 

117 TRAVELERS INSURANCE P O BOX 21585 SEATTLE, WA 98111 (206) 464-3400 

848 TRAVELERS INSURANCE P O BOX 1430 ALBANY, NY 12201 (800) 521-5505 

884 TRAVELERS INSURANCE P O BOX 105312 ATLANTA, GA 50348 (800) 826-2211 

V60 TRAVELERS INSURANCE P O BOX 1002 MERRIFIELD, VA 22116 (800) 934-7245 

179 TRAVELERS INSURANCE CLAIM DEPARTMENT P O BOX 17360 DENVER, CO 80217 DO NOT USE-MR-07/18/2002 

743 TRAVELERS INSURANCE P O BOX 1200 LANSING, IL 60438 

704 TRAVELER'S INSURANCE CO GROUP CLAIMS P O BOX 31811 SALT LAKE CITY, UT 84131 

144 TRAVELERS INSURANCE CO P O BOX 30015 TAMPA, FL 33631 (800) 334-4515 877-842-3210 

470 TRAVELERS INSURANCE CO DENTAL CLAIMS P O BOX 30992 SALT LAKE CITY, UT 84130 (800) 842-3367

577 TRAVELERS INSURANCE CO GTE-NW P O BOX 30015 TAMPA, FL 33630 (813) 281-6200 

834 TRAVELERS INSURANCE CO. P O BOX 660453 DALLAS, TX 75266 

970 TRAVELERS PLAN ADMIN P O BOX 6647 ENGLEWOOD, CO 80155-6647 (800) 654-0079 

141 TRAVELERS PLAN ADMINISTRATION 6160 SUMMIT DR STE 360 BROOKLYN CENTER, MN 55430 

E43 TRAVELERS PLAN ADMINISTRATION# P O BOX 320 PUEBLO, CO 81003 (612) 830-8877 DO NOT USE - USE C20 

003 TRAVELERS PLAN ADMINISTRATION# GROUP RENTAL INSURANCE PLAN P O BOX N LUDLOW, MA 01056 DO NOT USE-MR 3/29/2005 

E82 TRAVELERS PLAN ADMINISTRATORS OF WASHINGTON P O BOX 21346 SEATTLE, WA 98111-3346 

322 TRAVELERS PLAN ADMINISTRATORS# P O BOX 52100 PHOENIX, AZ 85072 (602) 866-1066 

ABOVE PHONE DISCONNECTED (3/23/01) 

MR-DO NOT USE 

K87 TRAVELERS PLAN ADMINISTRATORS# P O BOX 52125 PHOENIX, AZ 85072 (800) 223-5228 DO NOT USE-MR 

MR-UTF DO NOT USE 

933 TRAVELERS PLAN ADMINISTRATORS# 800 5TH AVE STE 3420 P O BOX 862 SEATTLE, WA 98119 (800) 543-9073 

C60 TRAVELERS PLAN ADMINISTRATORS# 800 5TH AVENUE STE 3420 P O BOX 862 SEATTLE, WA 98119 (800) 543-9073 DO NOT USE - USE 933 

G08 TRAVELERS UMBRELLA CARE P O BOX 660683 DALLAS, TX 75266-0683 (800) 842-9903 DO NOT USE-MR 

D04 TRAVELERS# P O BOX 336 GRAND RAPIDS, MI 49501-0336 (800) 842-8000 DO NOT USE - USE E66 

D58 TRAVELERS# LCA CLAIMS DIVISION P O BOX 30998 SALT LAKE CITY, UT 84130-0998 (800) 842-8000 DO NOT USE - USE 092 

B59 TRAVELERS# P O BOX 740800 ATLANTA, GA 30374-0800 (913) 469-4500 DO NOT USE - USE E66 

D54 TRAVELERS# TPA OF FORT WORTH P O BOX 901068 FORT WORTH, TX 76101-2068 DO NOT USE-MR UTF 

K15 TRI STATE HEALTH CARE BENEFIT ADMIN P O BOX 10868 SPRINGFIELD, MO 65808 

V83 TRICARE FOR LIFE P O BOX 7889 MADISON, WI 53707-7889 (866) 773-0404 

Z71 TRICARE-EXPRESS SCRIPTS P O BOX 66518 ST LOUIS, MO 63166 

X66 TRIDENT PLAN ADMIN 3825 N 24TH ST PHOENIX, AZ 85016 

F94 TRUSTED PLANS SERVICE CORP P O BOX 1894 TACOMA, WA 98401-1894 (800) 426-9786 

T14 TRUSTMARK P O BOX 1527 MINNEAPOLIS, MN 55440 (800) 366-6663 

T70 TRUSTMARK P O BOX 1467 SOUTH BEND, IN 46624-1467 (800) 537-8275 

059 TRUSTMARK INSUR COMP P O BOX 9055 BOARDMAN, OH 44513-0055 (330) 758-2212 

Z53 TRUSTMARK INSURANCE VOLUNTARY DENTAL CLAIMS P O BOX 2979 CLINTON, IA 52733 

A11 TRUSTMARK INSURANCE COMPANY C/O AIA INSUR INC CLAIMS P O BOX 7900 LAKE FOREST, IL 60045-7900 (800) 366-6663 (800)331-5760 800-635-1519 

F62 TTC P O BOX 662 JOLIET, IL 60434-0662 (815) 935-8100 800-932-8181 

G30 TUFTS BENEFIT ADMIN OF N E 200 LEDGEWOOD PLACE P O BOX 557 ROCKLAND, MA 02370 (800) 419-1000 

HE3 TURNER COLONY P O BOX 15 TURNER, MT 59542 (406) 379-2340 

N46 TWIN CITY IRON WORKERS HEALTH & WELFARE FUND 2850 METRO DR #404 BLOOMINGTON, MN 55425 (800) 535-6373 

767 TWIN CITY PIPE TRADES WELFARE FUND 700 TRANSFER ROAD ST PAUL, MN 55114 (621) 645-4540 

HD0 TWIN HILLS COLONY P O BOX 237 CARTER, MT 59420 (406) 734-5216 

X25 TYSON FOODS INC BENEFITS ARO 58129 P O BOX 2020 SPRINGDALE, AR 72765 (479) 290-4000 caremark 

673 U S ADMINISTRATORS INC P O BOX 54170TA (MED) P O BOX 54076TA (DENT) LOS ANGELES, CA 90054 

M68 U S BENEFITS P O BOX 13190 PORTLAND, OR 97213-0190 (503) 233-3888 

AI7 U S BENEFITS MULTIPLAN 1919 NE PACIFIC ST STE 100 PORTLAND, OR 97232 

W97 U S DEPARTMENT OF LABOR BLACK LUNG BENEFITS P O BOX 34915 WEST BETHESDA, MD 20818 (202) 523-6177 BLACK LUNG BENEITS 

D60 U S DEPT OF LABOR/WORK COMP DIV OF EMPLOYEE COMPENSATION 1801 CALIFORNIA ST STE 915 DENVER, CO 80202 

AA3 U S FAMILY HEALTH PLAN P O BOX 33 GLEN BURNIE, MD 21060 

044 U S GUARDIAN HEALTH INS P O BOX 809109 DALLAS, TX 75280-9109 

276 U S GUARDIAN HEALTH INS# P O BOX 809109 DALLAS, TX 75280-9109 DO NOT USE-USE 044 

E30 U S LIFE REGIONAL CLAIMS P O BOX 36128 DALLAS, TX 75235-1128 DO NOT USE-MR 

X60 UA LOCAL 125 H & W FUND EASTERN IOWA BENEFITS 1831 16TH AVE SW CEDAR RAPIDS, IA 52404 (319) 366-7977 

Z26 UFCW 2400 W DUNLOP AVE #250 PHOENIX, AZ 85021 

D90 UFCW AND HEALTH AND WELFARE TRUST P O BOX 34203 SEATTLE, WA 98124-1203 (800) 732-1121 

G69 UFCW UNION INS 4150 E MAIN ST 1ST FLOOR COLUMBUS, OH 43213 (614) 237-7618 

D45 UHC MANAGEMENT CORP RTE 2953 P O BOX 169066 DULUTH, MN 55816-8361 (218) 727-2001 MR-DO NOT USE 

M89 UICI ADMINISTRATORS P O BOX 5102 COSTA MESA, CA 92628-5102 (800) 288-0926 

N40 UICI ADMINISTRATORS P O BOX 690450 SAN ANTONIO, TX 78269 (888) 236-8138 

M98 UICI ADMINISTRATORS# P O BOX 5102 COSTA MESA, CA 92628-5102 (800) 288-0926 DO NOT USE-USE M89 

H38 ULTRA LINK P O BOX 5049 COSTA MESA, CA 92628 (800) 446-3472 

604 UMNA HEALTH & RETIREMENT FUND# UNITED MINE WORKERS OF AMERICA P O BOX 9224 VAN NUYS, CA 91409 (812) 476-7727 DO NOT USE-USE980 

M25 UNDERWRITERS SAFETY P O BOX 23507 LOUISVILLE, KY 40223-0507 (800) 678-1536 

B32 UNICARE P O BOX 5005 BOLINGBROOK, IL 60440 (630) 759-5055 

B28 UNICARE P O BOX 5036 BOLINGBROOK, IL 60440 (800) 232-0117 

P07 UNICARE P O BOX 5043 BOLINGBROOK, IL 60440 (800) 232-0117 

Y42 UNICARE CLAIMS CHANDLER GRP/SUPERIOR P O BOX 2090 C STOW, OH 44224 (800) 333-1114 

194 UNICARE P O BOX 60004 CITY OF INDUSTRY, CA 91716-0004 (800) 333-3959 

J16 UNICARE P O BOX 60073 CITY OF INDUSTRY, CA 91716 (800) 333-7899 

H88 UNICARE P O BOX 833933 RICHARDSON, TX 75083 (800) 992-2037 

T88 UNICARE P O BOX 4074 SCHAUMBURG, IL 60168-4074 (800)992-2037 

T72 UNICARE P O BOX 4071 SCHAUMBURG, IL 60168 (888) 223-3093 

K24 UNICARE WHIRLPOOL CLAIMS P O BOX 4052 SCHAUMBURG, IL 60168 MR-DO NOT USE 

N30 UNICARE MASS MUTUAL 24650 CENTER RIDGE RD STE WESTLAKE, OH 44145 

K52 UNICARE ASSOC SERVICES P O BOX 5041 BOLINGBROOK, IL 60440 (800) 232-0117 GROUP #27521 FOR THIS ADDRESS ONLY. 

N17 UNICARE HEALTH & LIFE P O BOX 26056 GREENSBORO, NC 27420-6056 (800) 311-6548 

D33 UNICARE LIFE & HEALTH GROUP CLAIMS P O BOX 51130 SPRINGFIELD, MA 01151-5130 (800) 288-8630 

R95 UNICARE SENIOR SERVICE P O BOX 9090 OXNARD, CA 93031 (800) 508-9355 

X33 UNICARE-HMO P O BOX 4458 CHICAGO, IL 60680 (800) 333-3304 (312) 234-8855 

N85 UNICARE-PRUDENT BUYER P O BOX 5035 BOLINGBROOK, IL 60440-5035 

Z92 UNIFIED GRP SERVICE INC P O BOX 247 ALPHARETTA, GA 30009-0247 (800) 291-5837 

143 UNIFORM MEDICAL PLAN P O BOX 34850 SEATTLE, WA 98124 (800) 762-6004 

232 UNINSURED EMPLOYERS FUND P O BOX 8011 HELENA, MT 59604 (406) 444-7734 

071 UNION BANKER'S INS CO P O BOX 130 PENSACOLA, FL 32591 (800) 789-6364 

198 UNION FIDELITY P O BOX 8126 FORT WASHINGTON, PA 19034-8126 (800) 843-7705 

039 UNION FIDELITY LIFE INS CLAIMS PROCESSING CENTER P O BOX 10841 CLEARWATER, FL 33757-8841 (800) 523-5758 

N94 UNION LABOR P O BOX 9100 CLEARWATER, FL 33758-9100 

880 UNION LABOR LIFE 111 MASSACHUSETTS AVE N W WASHINGTON, DC 20001 (708) 574-7200 

448 UNION LABOR LIFE INS CO 360 PARK AVE SO NEW YORK, NY 10010 (212) 685-5959

449 UNION LABOR LIFE INS CO CLAIMS DIVISION VALLEY FORGE, PA 19493 (800) 542-5155 

450 UNION MUTUAL LIFE INS CO MEDICAL BENEFITS T268 2211 CONGRESS STREET PORTLAND, ME 04122 (207) 770-2211 DO NOT USE 

K62 UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS 795 NORTH 400 WEST SALT LAKE CITY, UT 84103 (800) 547-0421 

C08 UNISYS/AETNA LOOP STATION P O BOX 2909 MINNEAPOLIS, MN 55402 (800) 223-3580 

H44 UNITED ADMIN SERVICES 1120 S BASCOM AVE SAN JOSE, CA 95128 408-288-4400 

H61 UNITED AGRA PRODUCTS P O BOX 2557 GREELEY, CO 80632 (970) 356-4400 

011 UNITED AMERICAN INS CO 3700 S STONEBRIDGE DR P O BOX 8080 MCKINNEY, TX 75070 (972) 529-5085 www.medicalua.com 


 

453 UNITED AMERICAN INS CO# 3700 S STONEBRIDGE DR P O BOX 8080 MCKINNEY, TX 75070 (972) 529-5085 www.medicalua.com 

AK7 UNITED AMERICAN INSURANCE P O BOX 268818 OKLAHOMA CITY, OK 73126-8818 

AA4 UNITED BEHAVIORAL HEALTH P O BOX 30755 SALT LAKE CITY, UT 84130 (800) 333-8724 

038 UNITED BENEFIT LIFE INS. FARNAM AT 33RD STREET OMAHA, NE 68101 

T62 UNITED BENEFITS FLORIDA MEMORIAL HEALTH NETWORK P O BOX 2480 DAYTONA BEACH, FL 32174 (888) 839-7430 

Z17 UNITED BENEFITS P O BOX 730561 ORMOND BEACH, FL 32173 

900 UNITED CHAMBERS INSURED PLANS# MIDWESTERN REGIONAL HOME OFFICE P O BOX 3058 NAPERVILLE, IL 60566 (708) 505-3100 COMPANY OUT OF BUSINESS--DATE UNSURE 

E39 UNITED CHURCH OF CHRIST UCC CLAIMS PROCESSING UNIT P O BOX 730 PUEBLO, CO 81002-0730 (800) 258-4269 

252 UNITED COMMERCIAL TRAVELERS OF AMERICA P O BOX 159019 COLUMBUS, OH 43215-8619 (800) 848-0123 

X54 UNITED CONCORDIA 4401 DEER PATH RD HARRISBURG, PA 17110 (800) 746-5681 

AK4 UNITED CONCORDIA MUTUAL OF OMAHA P O BOX 69416 HARRISBURG, PA 17106-9416 

T74 UNITED CONCORDIA CLAIMS TRICARE DENTAL P O BOX 69411 HARRISBURG, PA 17106-9411 (800) 866-8499 

V88 UNITED EMPLOYEE BENEFIT TRUST 222 E 2ND ST STE 106 TACOMA, WA 98418 (253) 474-1214 

454 UNITED EQUITABLE LIFE/STANDARD# P O BOX 25097 OKLAHOMA CITY, OK 73193 DO NOT USE - USE 428 

455 UNITED FIDELITY LIFE INS P O BOX 13487 KANSAS CITY, MO 64199-3487 (800) 366-6565 

923 UNITED FIDELITY LIFE INS# P O BOX 13487 KANSAS CITY, MO 64199 (800) 366-6565 

394 UNITED FOOD & COMMERCIAL WORKERS UNION P O BOX 3239 LOS ANGELES, CA 90028 (213) 487-7070 

251 UNITED FOOD & COMMERCIAL WORKER UNION 1775 K STREET N W WASHINGTON, DC 20006 

D89 UNITED FOOD AND COMMERCIAL WORKERS JOINT TRUST FUND P O BOX 6010 CYPRESS, CA 90630 (714) 220-2297 

E19 UNITED FOOD-COMMERCIAL WORKER# UFCW/ATTN DEBBIE WRIGHT P O BOX 5298 SPOKANE, WA 99205 (509) 328-6090 DO NOT USE 

456 UNITED FOUNDERS LIFE INS 5900 MOSTELLER DRIVE OKLAHOMA CITY, OK 73112 

J79 UNITED FURNITURE WORKERS INSURANCE FUND P O BOX 100037 NASHVILLE, TN 37224 (800) 800-8860 615-889-8860 

425 UNITED HEALTH CARE P O BOX 2502 AURORA, IL 60507-2502 (800) 628-0655 

H35 UNITED HEALTH CARE KINGSTON SERVICE CTR P O BOX 740800 ATLANTA, GA 30374 (877) 842-3210 

J80 UNITED HEALTH CARE P O BOX 169080 DULUTH, MN 55806-9080 (888) 436-2667 

K77 UNITED HEALTH CARE P O BOX 66867 ST LOUIS, MO 63133 

J93 UNITED HEALTH CARE SERV CORP N Y STATE CLAIMS UNIT P O BOX 1600 KINGSTON, NY 12402-1600 (800) 942-4640 

J66 UNITED HEALTH CARE# P O BOX 740800 ATLANTA, GA 30374-0800 DO NOT USE-USE 934 

K21 UNITED HEALTHCARE P O BOX 1138 COLUMBUS, OH 43216 (800) 225-7951 

M12 UNITED HEALTHCARE P O BOX 659742 SAN ANTONIO, TX 78265 (800) 225-7951 

421 UNITED HEALTHCARE A T & T GROUP INSURANCE P O BOX 740802 ATLANTA, GA 30374-0802 (800) 334-2400 

D81 UNITED HEALTHCARE 6251 GREENWOOD PL #2 W ENGLEWOOD, CO 80112 (800) 355-2892 

H36 UNITED HEALTHCARE SPRINGFIELD SERVICE CENTER P O BOX 740800 ATLANTA, GA 30374-0800 (800) 357-0978 

WELLS FARGO & QWEST 877-842-3210 

Address change done 2/13/2007 

R25 UNITED HEALTHCARE P O BOX 30990 SALT LAKE CITY, UT 84130 (800) 468-7092 

D10 UNITED HEALTHCARE P O BOX 740800 ATLANTA, GA 30374-0800 (800) 525-9432 DO NOT USE-USE 934 

H64 UNITED HEALTHCARE P O BOX 659746 SAN ANTONIO, TX 78265-9746 (800) 526-2414 

R63 UNITED HEALTHCARE P O BOX 659744 SAN ANTONIO, TX 78265-9744 (800) 526-2414 

160 UNITED HEALTHCARE WOOLWORTH EMPLOYEES P O BOX 1299 PITTSBURGH, PA 15230-1299 (800) 638-6348 

H24 UNITED HEALTHCARE P O BOX 659735 SAN ANTONIO, TX 78265-9735 (800) 711-3565 

637 UNITED HEALTHCARE RAILROAD MEDICARE PLAN D P O BOX 30304 SALT LAKE CITY, UT 84130-0404 (800) 809-0453 

092 UNITED HEALTHCARE P O BOX 30996 SALT LAKE CITY, UT 84130-0996 (800) 842-8000 ABOVE PHONE HAS VR OPTION 877-842-3210 

672 UNITED HEALTHCARE RR EMPLOYEES CLAIMS P O BOX 30304 SALT LAKE CITY, UT 84130-0404 (800) 842-9905 800-842-5252 NEW PROVIDER NUMBER 877-842-3210 

D06 UNITED HEALTHCARE P O BOX 740801 ATLANTA, GA 30374 (800) 848-8406 

Y44 UNITED HEALTHCARE P O BOX 6650 MADISON, WI 53716-0650 (800) 947-9627 

M60 UNITED HEALTHCARE P O BOX 26303 GREENSBORO, NC 27438-6303 (800) 999-1147 

W05 UNITED HEALTHCARE P O BOX 194 OLDSMAR, FL 34677 (866) 317-6367 

Y13 UNITED HEALTHCARE P O BOX 981502 EL PASO, TX 79998-1502 (877) 842 -3210 866-288-6684 

W57 UNITED HEALTHCARE RAILROAD ACCTS P O BOX 150453 HARTFORD, CT 06115-0453 (877) 842-3210 

M49 UNITED HEALTHCARE P O BOX 59048 MINNEAPOLIS, MN 55459-0048 (877) 842-3210 

934 UNITED HEALTHCARE P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (877) 842-3210 KINGSTON SERVICE CENTER? 

G73 UNITED HEALTHCARE P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (877) 842-3210 

V79 UNITED HEALTHCARE DENTAL CLAIMS P O BOX 740800 ATLANTA, GA 30374-0800 

Y88 UNITED HEALTHCARE P O BOX 272851 CHICO, CA 95927 

P13 UNITED HEALTHCARE 6300 OLSON MEMORIAL HWY GOLDEN VALLEY, MN 55427 

AF7 UNITED HEALTHCARE P O BOX 150450 HARTFORD, CT 06115-0450 

V89 UNITED HEALTHCARE 2921 N TENAYA WAY STE 211 LAS VEGAS, NV 89128 

045 UNITED HEALTHCARE UNITED MINE WORKERS P O BOX 2097 LEES SUMMIT, MO 64063-7097 

R34 UNITED HEALTHCARE GRP MEDICAL CLAIMS P O BOX 92488 MILWAUKEE, WI 53202-0488 877-842-3210 

X53 UNITED HEALTHCARE UNIPRISE STRATEGIC SOLUTIONS 2 PENN PLAZA 6 FLR NEW YORK, NY 10121 

Y41 UNITED HEALTHCARE CH 10115 DEPT 600550151 PALATINE, IL 60056 

J23 UNITED HEALTHCARE P O BOX 41738 PHILADELPHIA, PA 19101 

K05 UNITED HEALTHCARE P O BOX 30552 SALT LAKE CITY, UT 84130-0552 MR-DO NOT USE 

R51 UNITED HEALTHCARE P O BOX 30304 SALT LAKE CITY, UT 84130-0404 

N82 UNITED HEALTHCARE P O BOX 659742 SAN ANTONIO, TX 78265 

T85 UNITED HEALTHCARE 117 BUSINESS PARK DR UTICA, NY 13502 

H06 UNITED HEALTHCARE OF AZ 3141 N 3RD AVE P O BOX 36439 PHOENIX, AZ 85067 (800) 411-4355 

R23 UNITED HEALTHCARE OF AZ P O BOX 36439 PHOENIX, AZ 85067 (888) 290-4747 

R38 UNITED HEALTHCARE OF TX RTE 2640 P O BOX 659756 SAN ANTONIO, TX 78265-9756 (877) 250-8182 

R69 UNITED HEALTHCARE OF UT P O BOX 659746 SAN ANTONIO, TX 78265-9746 (800) 824-9313 

J49 UNITED HEALTHCARE OF UTAH P O BOX 659744 SAN ANTONIO, TX 78265-9744 (800) 824-9313 

R27 UNITED HEALTHCARE OF WI P O BOX 3153 MILWAUKEE, WI 53201-3153 (800) 407-3776

311 UNITED HEALTHCARE# GENERAL MILLS INC P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (612) 540-2128 DO NOT USE - USE H36 

M65 UNITED HEALTHCARE# P O BOX 30555 SALT LAKE CITY, UT 84130 (800) 323-8520 DO NOT USE-USE H36 

H89 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374-0800 (800) 334-2400 FORMERLY-RELIASTAR 

B17 UNITED HEALTHCARE# P O BOX 501 MATTESON, IL 60443 (800) 423-4738 4/18/2006 MR-Not Deliverable as addressed 

468 UNITED HEALTHCARE# P O BOX 30555 SALT LAKE CITY, UT 84130 (800) 468-7092 DO NOT USE-USE H36 

H62 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374 (800) 585-6586 DO NOT USE-USE 934 

175 UNITED HEALTHCARE# QWEST DIVISION P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (800) 782-9883 DO NOT USE-USE H36 

C49 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374-0800 (800) 842-0231 DO NOT USE-USE 934 

060 UNITED HEALTHCARE# P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (800) 842-0232 DO NOT USE - USE H36 

D91 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374-0800 (800) 842-3718 DO NOT USE-USE 934 

372 UNITED HEALTHCARE# RR EMPLOYEE CLAIMS P O BOX 30985 SALT LAKE CITY, UT 84130-0985 (800) 842-5252 USE 672 FOR RR EMPLOYEES 

423 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374-0800 (800) 842-6563 DO NOT USE-USE 934 

N27 UNITED HEALTHCARE# P O BOX 30555 SALT LAKE CITY, UT 84130 (800) 842-9722 DO NOT USE-USE H36 

E66 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374-0800 (800) 842-9882 DO NOT USE-USE 934 

M34 UNITED HEALTHCARE# P O BOX 740800 ATLANTA, GA 30374-0800 DO NOT USE-USE 934 

N89 UNITED HEALTHCARE# P O BOX 90166 FORT WORTH, TX 76101 DO NOT USE-MR UTF 

C55 UNITED HEALTHCARE# P O BOX 3127 NAPERVILLE, IL 60566-7127 

N53 UNITED HEALTHCARE# P O BOX 29621 PHOENIX, AZ 85038 DO NOT USE-MR 

Y32 UNITED HEALTHCARE-DENTAL P O BOX 30560 BETHESDA, MD 20824 

V05 UNITED HEALTHCARE-DIVERSIFIED P O BOX 390873 MINNEAPOLIS, MN 55439-0873 

Z87 UNITED HEALTHCARE-MIDLANDS 2717 N 118TH CIRCLE OMAHA, NE 68164 

P14 UNITED HEALTHCARE-NEW ENGLAND 475 KILVERT ST WARWICK, RI 02886 

P54 UNITED HEALTHCARE-PPO P O BOX 1527 MINNEAPOLIS, MN 59440 866-317-6361 800-842-8000 877-842-3210 

B11 UNITED HEALTHCARE-TRAVELERS 1600 W PLANO PKWY STE 100 PLANO, TX 75075-8639 (800) 842-3710 

B40 UNITED HEALTHCARE-TRAVELERS# P O BOX 740800 ATLANTA, GA 30374-0800 (800) 842-8000 DO NOT USE- USE 934 NEW NUMBER 877-842-3210 

819 UNITED HEALTHCARE-UNIPRISE# P O BOX 30555 SALT LAKE CITY, UT 84130-0555 (800) 833-6825 

187 UNITED HERITAGE MUTUAL LIFE INSURANCE COMPANY P O BOX 48 NAMPA, ID 83653 (800) 657-6351 DO NOT USE-MR 

E77 UNITED INS CO OF AMERICA P O BOX 9426 FRESNO, CA 93792-9426 (800) 777-2111 

457 UNITED INSURANCE CO/AMER 1 EAST WACKER DRIVE CHICAGO, IL 60601 (800) 999-0546 800-777-8467 customer service 

D44 UNITED INSURANCE COMPANY P O BOX 9426 FRESNO, CA 93792-9426 

204 UNITED INSURANCE COMPANY# P O BOX 8080 MCKINNEY, TX 75069 (800) 999-0546 

A27 UNITED MEDICAL RESOURCES INC P O BOX 145804 CINCINNATI, OH 45250-5804 (800) 837-3711 800-950-4867 

980 UNITED MINE WORKERS OF AMERICA P O BOX 619099 DALLAS, TX 75261-9099 (812) 434-0819 800-291-1425 1/12/2004 888-865-5290 

M51 UNITED MINE WORKERS# HEALTH & RETIREMENT FUND P O BOX 389 EPHRAIM, UT 84627-0361 DO NOT USE-USE 980 

X57 UNITED OF OMAHA P O BOX 5434 SPOKANE, WA 99205 

891 UNITED OF OMAHA# MUTUAL OF OMAHA PLAZA OMAHA, NE 68175-0001 (800) 247-0384 DO NOT USE - USE 009 

901 UNITED OF OMAHA# P O BOX 151 DECATUR, IL 62525 (800)228-8704 MR-DO NOT USE 

719 UNITED OF OMAHA# P O BOX 3088 PORTLAND, OR 97208 DO NOT USE 

R43 UNITED PACIFIC INSURANCE CO P O BOX 2996 PARKERSBURG, WV 26102-2996 

905 UNITED PARCEL SERVICE# AETNA HEALTH PLANS P O BOX 14079 LEXINGTON, KY 40512-4079 (800) 237-0575 DO NOT USE - USE 701 

032 UNITED PLANS INC 486 TOTTEN POND RD P O BOX 9098 WALTHAM, MA 02254-9098 MR 5/05/00 

E50 UNITED SERVICE ASSOCIATION# P O BOX 619999 DALLAS, TX 75261-9999 (800) 872-1187 DO NOT USE-USE 237 

098 UNITED SERVICE LIFE 4601 N. FAIRFAX DRIVE P O BOX 3700 ARLINGTON, VA 22203 (703) 875-3400 

F55 UNITED STAFFING HEALTH CARE PLAN P O BOX 25775 PORTLAND, OR 97225-0775 (800) 824-9789 

G55 UNITED STATES LIFE 125 MAIDEN LANE NEW YORK, NY 10038 

446 UNITED TEACHERS ASSOC INS CO P O BOX 30010 AUSTIN, TX 78755 (512) 451-2224 

Address change done 1/22/2007 

Correspondence goes to P O Box 26580 Austin, TX 78755 

447 UNITED TEACHERS ASSOC INS CO# P O BOX 26580 AUSTIN, TX 78755-0580 (512) 451-2224 DO NOT USE - USE 446 

J42 UNITED TEACHERS ASSOCIATION# P O BOX 30010 AUSTIN, TX 78755 (800) 867-8986 DO NOT USE-USE 446 

006 UNITED TEACHERS# ATTN: DYAN BOURNE P O BOX 26580 AUSTIN, TX 78755-0580 (521) 451-2224 DO NOT USE - USE 446 

773 UNITED TRANSPORTATION UNION ATTN: AH 14600 DETROIT AVE CLEVELAND, OH 44107-4250 (216) 228-9400 

M62 UNITED WORLD LIFE INS CO 3316 FARNAM ST OMAHA, NE 68175 (402) 342-7600 

K07 UNITY HEALTH PLANS 840 CAROLINA STREET SAUK CITY, WI 53583-1374 

F51 UNIVERSAL FIDELITY LIFE 2211 NORTH HIWAY 81 DUNCAN, OK 73533-1295 (580) 255-8530 

R35 UNIVERSAL HEALTH NETWORK 2345 E PRATER WAY SPARKS, NV 89434 (800) 776-6959 DO NOT USE-MR 

K27 UNIVERSITY COMP CARE BUREAU WORKERS COMPENSATION P O BOX 12778 CLEVLAND, OH 44112 (800) 818-7273 RX-USES RX NET-1-888-796-3864 FAX-216-844-6260 

H96 UNIVERSITY OF TN HEALTH PLAN 9000 EXECUTIVE PARK DR STE C200 KNOXVILLE, TN 37923 (800) 410-2310 

Y70 UNIVERSITY OF UTAH HEALTH PLAN P O BOX 45180 SALT LAKE CITY, UT 84145-0180 (801) 587-6480 

898 UNUM LIFE INS. CO. 2211 CONGRESS ST. PORTLAND, ME 04122 

Y14 UPMC HEALTH PLAN P O BOX 2999 PITTSBURGH, PA 15230 (877) 381-3764 

R07 UPSTATE ADMIN SERVICES INC P O BOX 6589 SYRACUSE, NY 13217-6589 

T34 UPSTATE NEW YORK CARPENTERS HEALTH, PENSION & ANNUITY FUNDS 3195 VICKERY RD NORTH SYRACUSE, NY 13212 

963 URM STORES INC TRUST PROVIDENCE HEALTH CARE 1501 4TH AVE DEPT 600 SEATTLE, WA 98101 (800) 669-0492 VERIFY/MENTAL HEALTH/8-13-99-B 

461 US FIDELITY & GUARANTY COMPANY P O BOX 6107 HELENA, MT 59604 (406) 442-2270 

D19 US LIFE CLAIMS P O BOX 15205 READING, PA 19612-5205 (610) 373-8232 

Z28 US NOW/ ALB 16910 DALLAS PKWY DALLAS, TX 75248 

C78 USAA EMPLOYEE BENEFIT DEPT USAA BUILDING C-2-W SAN ANTONIO, TX 78288-0047 (800) 531-8103 

F60 USAA LIFE INSURANCE ATTN: HEALTH CLAIMS 9800 FREDRICKSBURG ROAD SAN ANTONIO, TX 78288 (800) 531-8103 800-225-4816 

C29 USABLE ADMINISTRATORS P O BOX 1460 LITTLE ROCK, AR 72203-1460 (800) 522-9875 

S40 USI ADMINISTRATORS-NEVADA 2753 S HIGHLAND DR STE 2000 LAS VEGAS, NV 89109 702-248-8024 

M19 UTAH CARPENTERS HEALTH & WLF TRUST FUND P O BOX 30021 SALT LAKE CITY, UT 84130-0021 (800) 943-6203 801-954-8010 

F91 UTAH COMMUNITY HEALTH 36 SOUTH STATE STREET SUITE 1020 SALT LAKE CITY, UT 84111-1418 (801) 442-3780 

G44 UTAH IDAHO TEAMSTERS P O BOX 30749 SALT LAKE CITY, UT 84130 (801) 972-1177 800-657-5377 

P36 UTAH LOCAL GOVERNMENT TRUST 55 S HWY 89 P O BOX 540610 N SALT LAKE CITY, UT 84054 

H71 UTAH PIPE TRADES TRUST FUND P O BOX 30604 SALT LAKE CITY, UT 84130 (877) 416-8181 DIF CO'S-SAME P O BOX 

AE7 VALERO DENTAL VALERO ENERGY CORP P O BOX 691987 SAN ANTONIO, TX 78269 

496 VALLEY FRESH FOODS INC# C/O MONTANA FARMS INC #4 MONTANA FARMS RD TOWNSEND, MT 59644 DO NOT USE THIS NUMBER--COMPANY OUT OF BUSINESS 

M91 VALLEY HEALTH MONTANA PROVIDERS 40 2ND ST E STE 202 KALISPELL, MT 59901 (406) 257-5501 DISCOUNT ONLY PROGRAM? 

H60 VALOR INS CO INC 2727 CENTRAL AVE BILLINGS, MT 59102 (800) 652-8855 WORK COMP 

M26 VALUE BEHAVIORAL HEALTH P O BOX 787 WILTON, CT 06897 (800) 392-6836 

Z45 VALUE OPTIONS P O BOX 1290 LATHAM, NY 12110

C02 VANGUARD II-COLUMBIA GENERAL P O BOX 2011 TUSTIN, CA 92681 (741) 731-4751 

M06 VANTAGE PLUS# P O BOX 3048 NAPERVILLE, IL 60566 

T48 VENETIAN INSURANCE P O BOX 37018 LAS VEGAS, NV 89139 

A61 VENTURA INS ADMINISTRATORS PAC MED 625 E SANTA CLARA ST VENTURA, CA 93001 (805) 656-0140 

831 VETERANS LIFE INS CO. VALLEY FORGE, PA 19494 

K14 VIRGINIA MASON GROUP HEALTH P O BOX 34750 SEATTLE, WA 98124-1750 (800) 442-4038 

120 VIRGINIA SURETY COMPANY INC 4850 STREET ROAD TREVPOSE, PA 19049 (800) 523-5758 

Y17 VISION BENEFITS OF AMERICA WEYMAN PLAZA 300 WEYMAN ROAD PITTSBURGH, PA 15236 (800) 432-4966 

E13 VISION ONE EYECARE PROGRAM# 18903 SOUTH MILES ROAD CLEVELAND, OH 44128 (800) 334-7591 DO NOT USE THIS NUMBER 

Z42 VISION SERVICE CARE 220 N MCHENRY CHANDLER, AZ 85226 

X45 VISION SERVICE PLAN P O BOX 60000 SAN FRANCISCO, CA 94160-3280 (800) 216-6248 

207 VISION SERVICE PLAN P O BOX 997105 SACRAMENTO, CA 95899-7105 (800) 852-7600 

916-851-4670 

Vision Services Only 

W24 VISION SERVICE PLAN 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 (800) 877-7195 

503 VISION SERVICE PLAN# P O BOX 997100 SACRAMENTO, CA 95899 (916) 851-4670 DO NOT USE-USE 207 

X08 VISION SERVICE PLAN# P O BOX 7500 PHOENIX, AZ 85011-7500 DO NOT USE-MR 

439 VOLUME SHOE CORPORATION P O BOX 1189 TOPEKA, KS 66601 (913) 233-5171 

AM6 VSP P O BOX 2487 COLUMBUS, OH 43216-2487 

678 VULCAN LIFE INSURANCE 105 VULCAN RD P O BOX 1886 BIRMINGHAM, AL 35201 (205) 942-2011 

V94 W E B T P A P O BOX 539508 GRAND PRAIRIE, TX 75053 (800) 903-2430 

W99 W H I P O BOX 545 DEERFIELD, IL 60015 (800) 207-2568 

WALGREENS HEALTH INITIATIVES 

WALGREENS RX CLAIMS 

H57 W H SHEPHARD COMPANIES 2868 ACTON RD STE 206 BIRMINGHAM, AL 35243 MR-DO NOT USE 

G79 W J JONES ADMIN SERVICES 1979 MARCUS AVE STE C101 LAKE SUCCESS, NY 11042 (800) 831-7783 

Y93 W P A S P O BOX 34840 SEATTLE, WA 98124 

535 W W GRANGER 333 KNIGHTBRIDGE PARKWAY NORTH SUBURBAN, IL 60251-3324 (708) 913-8333 

X59 WA FARM BUREAU HEALTHCARE 3400 188TH ST SW STE 601 LYNNWOOD, WA 98037 (425) 771-7359 

195 WABASH LIFE INSURANCE CO CLAIMS DEPT H3H P O BOX 1917 CARMEL, IN 46032 (800) 827-2726 

472 WABASH LIFE INSURANCE CO# CLAIMS DEPT H3H P O BOX 1917 CARMEL, IN 46032 (800) 525-7662 DO NOT USE - USE 195 

Y35 WACHOVIA INSURANCE SERVICES 4600 CYPRESS ST P O BOX 25277 TAMPA, FL 33607 (813) 287-1936 

AA1 WAHIT P O BOX 25 MULIKTED, WA 98275 

Z41 WALGREENS HEALTH INITIATIVES P O BOX 691569 ORLANDO, FL 32819-7819 

F30 WAL-MART GRP HEALTH BENEFITS# 922 WEST WALNUT STE A ROGERS, AR 72756-3206 (800) 421-1362 DO NOT USE - USE 765 

765 WAL-MART GRP HLTH BENEFITS 3360 10TH AVE SO P O BOX 5004 GREAT FALLS, MT 59403 (800) 421-1362 

Claims go to BC/BS of MT Alpha WAW or WMW 

Benefit Verification 877-526-3424 

 

 

922 W WALNUT STE A Rogers, AR 72756-3540 

K72 WASHINGTON BASIC HEALTH PLAN P O BOX 42695 OLYMPIA, WA 98504-2695 (800) 440-1561 

W07 WASHINGTON COMMUNITY HEALTH P O BOX 16630 MISSOULA, MT 59808 

846 WASHINGTON DENTAL SERVICES P O BOX 75983 SEATTLE, WA 98125 (206) 522-2300 

G21 WASHINGTON EMPLOYERS TRUST P O BOX 12068 SEATTLE, WA 98102 (206) 329-1120 www.washingtonemployerstrust.com 

Z88 WASHINGTON EMPLOYERS TRUST P O BOX 840898 RICHARDSON, TX 75085-0898 (888) 533-6822 

R53 WASHINGTON HEALTHCARE AUTHORITY P O BOX 42684 OLYMPIA, WA 98504-2684 

677 WASHINGTON ID CARPENTERS TRUST# CLAIMS ADMIN OFFICE P O BOX 5434 SPOKANE, WA 99205 (800) 447-7828 DO NOT USE-USE 393 

N65 WASHINGTON NATIONAL NPPN CONSECO P O BOX 7078 MIDDLETOWN, NY 10940 (800) 242-4852 MR-BOX CLOSED-UTF 

M87 WASHINGTON NATIONAL P O BOX 3071 EVANSTON, IL 60204 

936 WASHINGTON NATIONAL 3003 N CENTRAL AVE PHOENIX, AZ 85012 MR-DO NOT USE 

902 WASHINGTON NATIONAL INS. 4850 STREET RD TREVOSE, PA 19049 

AJ8 WASHINGTON TEAMSTERS WELFARE TRUST 2323 EAST LAKE AVE SEATTLE, WA 98102 

256 WASHINGTON-IDAHO OPERATING ENGINEERS TRUST FUND P O BOX 68 SPOKANE, WA 99210 (509) 624-3257 

P81 WASHOE COUNTY GROUP INSURANCE P O BOX 50190 SPARKS, NV 89435 (775) 352-7252 

235 WASTE MANAGEMENT-GREAT FALLS# ATTN: QUINNA (INS CLERK) P O BOX 2582 GREAT FALLS, MT 59404 (406) 761-2445 DO NOT USE 

AN6 WATERSTONE 4013 NW EXPRESSWAY STE 575 OKLAHOMA CITY, OK 73116 

N05 WATKINS ASSOCIATED INDUSTRIES P O BOX 1738 ATLANTA, GA 30301-1738 (888) 552-6215 

K76 WAUSAU P O BOX 8013 WAUSAU, WI 54402-8013 (888) 459-3013 

A04 WAUSAU BENEFITS P O BOX 5004 GREAT FALLS, MT 59403 (715) 845-5211 800-826-9781 FOR MEDICAL POLICIES 

Y11 WAUSAU BENEFITS P O BOX 241322 DENVER, CO 80224 (800) 826-9781 

V58 WAUSAU BENEFITS P O BOX 8079 WAUSAU, WI 54402 (800)523-3578 

T23 WAUSAU BENEFITS INC HEALTH DYNAMICS P O BOX 31758 BILLINGS, MT 59107 (800) 808-4424 

R83 WAUSAU BENEFITS# C/O HEALTH DYNAMICS P O BOX 1719 MISSOULA, MT 59806-1719 (800) 826-9781 

Y65 WAUSAU DENTAL P O BOX 8014 WAUSAU, WI 54402 (800) 826-9781 

D28 WAUSAU INS CO P O BOX 58 BOISE, ID 83707 (208) 344-8391 

V27 WAUSAU PHAMACY BENEFITS P O BOX 8046 WAUSAU, WI 54402-8046 (888)459-3015 

T24 WELBORN HEALTH PLANS 421 CHESTNUT ST EVANSVILLE, IN 47713 (812) 426-9270 (812) 426-6600 

C66 WELFARE PENSION SERVICE AUTOMOTIVE MACHINISTS P O BOX 34203 SEATTLE, WA 98124 (800) 732-1121 

463 WELLMARK ADMINISTRATORS P O BOX 9120 DES MOINES, IA 50306 (800) 344-5822 

N16 WELLMARK ADMINISTRATORS# P O BOX 9900 SIOUX CITY, IA 51102 (800) 526-5710 800-362-2218 PROVIDER LINE 

522 WELLMARK BC/BS OF IOWA 636 GRAND AVE DES MOINES, IA 50309 (800) 622-0043 VERIFY/MENTAL HEALTH/8-13-99-B 

H91 WELLMARK BC/BS OF IOWA# 636 GRAND AVE DES MOINES, IA 50309 (800) 941-4409 

N67 WELLMARK BC/BS OF SD# P O BOX 5023 SIOUX FALLS, SD 57117-9838 DO NOT USE-USE 560 

V22 WELLPOINT P O BOX 60007 LOS ANGELES, CA 90060-0007 

X74 WELLS FARGO VALUE OPTIONS 340 GOLDEN SHORE LONG BEACH, CA 90802 

W48 WESTAFF P O BOX 9280 WALNUT CREEK, CA 94598 (800) 588-9783 

B72 WESTBRIDGE CAPITOL CORP# NATIONAL FOUNDATION LIFE 777 MAIN ST STE 900 FORT WORTH, TX 76102 (800) 725-1407 DO NOT USE - USE 282 

161 WESTERN ATLAS INTERNATIONAL P O BOX 1407 HOUSTON, TX 77251 (713) 972-5885 

D08 WESTERN BENEFITS ADMIN P O BOX 69219 PORTLAND, OR 97201 (800) 234-3986 

478 WESTERN FARM BUREAU LIFE INS P O BOX 5087 DENVER, CO 80217 (303) 861-8100 

A81 WESTERN FIDELITY INSURANCE P O BOX 1250 ROCKFORD, IL 61105 (815) 965-8955 

E68 WESTERN GROCERS P O BOX 22166 PORTLAND, OR 97222 

626 WESTERN GROCERS TRUST P O BOX 3365 SPOKANE, WA 99220

440 WESTERN GROWERS ASSURANCE TRUST P O BOX 7240 NEWPORT BEACH, CA 92653 (714) 863-1000 

511 WESTERN GUARANTEE FUND SERVICE# 1536 COLE BLVD BUILDING 4 STE 165 GOLDEN, CO 80401 (303) 239-9974 DO NOT USE-MR 

AB9 WESTERN HEALTH P O BOX 2470 RAPID CITY, SD 57709-2470 (888) 341-1766 RX TO EXPRESS SCRIPTS 

P66 WESTERN HEALTH ADVANTAGE 1331 GARDEN HWY STE 100 SACRAMENTO, CA 95833 (888) 563-2250 

281 WESTERN MT BENEFIT TRUST# USE-H78 P O BOX 21367 BILLINGS, MT 59104 (800) 955-4242 DO NOT USE - USE H78 

814 WESTERN MUTUAL INSURANCE WMI/HEALTH INFONET P O BOX 20559 BILLINGS, MT 59104 (801) 263-8000 Rx is rhru Caremark 

W01 WESTERN PLAINS MACHINERY CO MAJOR MEDICAL PLAN 1728 OLD HARDIN RD BILLINGS, MT 59101 

200 WESTERN PLAN SERVICES P O BOX 40005 FRESNO, CA 93755 (209) 222-4600 

481 WESTERN PREFERRED LIFE INS P O BOX 208 DALLAS, TX 75221 

330 WESTERN STATES ADMINISTRATORS P O BOX 8082 FRESNO, CA 93747 MR 7/25/00 

H72 WESTERN STATES INSUR CO P O BOX 4286 MISSOULA, MT 59806 (406) 327-6449 IF W STATES EMPLOYEE S/B BC-BS OF MT 

299 WESTERN TEAMSTER WELFARE TRUST# C/O WM C EARHART P O BOX 4148 PORTLAND, OR 97208 (800) 547-1314 DO NOT USE - USE 713 

H16 WESTERN UNION 1 MACK CENTER DR 2-22 PARAMUS, NJ 07652 (201) 986-5177 201-986-6047 

Z11 WESTLAKE FINANCIAL GRP 1477 BARCLAY BLVD BUFFALO GROVE, IL 60089 

063 WESTLAND LIFE INS CO 1255 POST ST SAN FRANCISCO, CA 94120 (800) 622-0632 

166 WEY COMPANY INSURANCE P O BOX 30132 LANSING, MI 48909 (517) 349-7010 

748 WHATCOM MEDICAL BUREAU 3000 NORTHWEST AVE, CS 9953 P O BOX 9753 BELLINGHAM, WA 98227 

A95 WILLIS CORROON ADMIN SERV P O BOX 517 HELENA, MT 59624 (406) 442-1178 

X51 WINHEALTH PARTNERS P O BOX 652 CHEYENNE, WY 82003 (800) 868-7670 

F85 WISCONSIN CARPENTERS HEALTH FUND P O BOX 4002 EAU CLAIRE, WI 54702-4002 (800) 424-3405 715-835-3174 

487 WISCONSIN LIFE INS CO P O BOX 5099 MADISON, WI 53705 

585 WISCONSIN PHYS SERVICE P O BOX 8190 MADISON, WI 53708 (800) 221-6939 VERIF PER VLTR 4-23-98 BA 

598 WM C EARHART P O BOX 4148 PORTLAND, OR 97208 (800) 547-1314 503-282-5581 

S54 WMI GROUP HEALTH 4393 S RIVERBOAT STE 380 P O BOX 572450 TAYLORVILLE, UT 84123 (800) 748-5340 

S61 WMI-TPA P O BOX 572488 MURRAY, UT 84157-2488 (800) 423-2221 

488 WOODMEN ACCIDENT/LIFE CO P O BOX 82288 LINCOLN, NE 68501 (800) 869-0355 

C23 WOODMEN OF THE WORLD ATTN: HEALTH & DISABILITY 1700 FARNAM ST OMAHA, NE 68102 (402) 271-7217 

686 WOODSMALL BENEFIT SERVICES 2345 GRAND AVE KANSAS CITY, MO 64108 (816) 421-7788 800-934-8923 

J82 WOOSTER REPUBLIC PRINTING CO EMPLOYEE BENEFIT PLAN 212 E LIBERTY ST P O DRAWERWOOSTER, OH 44691 

M13 WORD & BROWN 721 S PARKER STE 300 ORANGE, CA 92868 

A83 WORKERCOMP & INDEMNITY CO P O BOX 2305 BREA, CA 92622-2305 (714) 572-3000 

369 WORKERS COMP FUND OF UTAH 560 SOUTH 300 EAST P O BOX 45420 SALT LAKE CITY, UT 84145 

473 WORKERS COMPENSATION BUREAU OF ND - RUSSELL BLDG 4007 N STATE ST BISMARCK, ND 58501 MR-DO NOT USE 

C48 WORKERS COMPENSATION HAWAII 860 PUNCHBOWL ST RM 209 HONOLULU, HI 96813 (808) 548-7867 

C45 WORKERS COMPENSATION TEXAS 200 E RIVERSIDE DR 1ST FLOOR AUSTIN, TX 78704 (512) 804-4000 

E62 WORKERS SAFETY & COMPENSATION HERSCHLER BUILDING 122 WEST 25TH ST CHEYENNE, WY 82002 (307) 777-6764 

MR-DO NOT USE 

820 WORKMAN'S COMP OF AK# INDUSTRIAL INDEMNITY P O BOX 307 ANCHORAGE, AK 99510 

C64 WORKMANS COMP OF CO# CCIA P O BOX 241304 DENVER, CO 80224-9304 (303) 782-4000 DO NOT USE - USE B55 

489 WORKMANS COMP OF MT STATE COMP MUTUAL INS FUND P O BOX 4759 HELENA, MT 59604-4759 (406) 444-6490 

921 WORLD BOOK INC# PRUDENTIAL INSURANCE CO P O BOX 690 AKRON, OH 44309-0690 (216) 836-4499 DO NOT USE-MR 

V98 WORLD INSURANCE P O BOX 2804 CLINTON, IA 52733-2804 (402)496-8000 

036 WORLD INSURANCE COMP P O BOX 2558 OMAHA, NE 68103-2558 (402) 496-8000 

C17 WORLD INSURANCE COMPANY# P O BOX 2558 OMAHA, NE 68103 (800) 786-7557 

800-570-5782 


621 WORLD LIFE# P O BOX 62007 KING OF PRUSSIA, PA 19406 (800) 441-3978 DO NOT USE - USE 972 

492 WORLD MUT HLTH/ ACCIDENT INS/PA P O BOX 1244 BILLINGS, MT 59103 

024 WPS TRICARE CLAIMS P O BOX 77028 MADISON, WI 53707-1028 (888) 874-9378 

G90 WYOMING HOSPITAL BENEFIT TRUST P O BOX 1204 CHEYENNE, WY 82003 

E80 YELLOWSTONE COMMUNITY HEALTH BC/BS OF MT P O BOX 5004 GREAT FALLS, MT 59403 (406) 238-6870 (800)721-3057 

681 YORKTOWN PAPER P O BOX 2426 YORK, PA 17405 (717) 843-8061 

Z74 YOUNG LIFE BENEFITS PLAN P O BOX 520 COLORADO SPRINGS, CO 80901 

C79 ZALES EMPLOYEE BENEFITS ASSOC 901 W WALNUT HILL LANE IRVING, TX 75038 (214) 580-4465 

X61 ZENITH ADMINISTRATORS P O BOX 1050 SEATTLE, WA 98111-1050 (425) 451-9866 

F93 ZENITH ADMINISTRATORS 7645 METRO BLVD MINNEAPOLIS, MN 55439 (612) 835-7035 ALSO SEE N41 

F92 ZENITH ADMINISTRATORS P O BOX 422279 SAN FRANCISCO, CA 94142-2279 (800) 338-0508 

P78 ZENITH ADMINISTRATORS CITY OF BELLEVUE P O BOX 2246 SEATTLE, WA 98111-2246 (800) 426-5980 

S58 ZENITH ADMINISTRATORS 104 S FREYA ST STE 220 SPOKANE, WA 99202 (800) 522-2403 

F14 ZENITH ADMINISTRATORS 8700 TURNPIKE DR SUITE 200 WESTMINSTER, CO 80030 (800) 525-3476 

T15 ZENITH ADMINISTRATORS TESSENDERLO KERLY INC P O BOX 7128 PHOENIX, AZ 85014 (800) 553-2801

June 07 Carrier Codes - Montana Medicaid Provider Information

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