Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid www.mass.gov/masshealth MassHealth Transmittal Letter ALL-183 November 2010 TO: All Providers Participating in MassHealth FROM: Terence G. Dougherty, Medicaid Director RE: All Provider Manuals (Revised Appendix C) For members who have other insurance, the MassHealth Eligibility Verification System (EVS) reports the coverage type, carrier code, and policy number of the insurance listed on file. Appendix C of all MassHealth provider manuals lists, in numeric order by carrier code, the name and address of the other insurance so that you can bill that insurance before billing MassHealth. If you receive written evidence (for example, an explanation of benefits or a letter from an employer) that a member does not have the insurance identified on EVS, has different insurance than what is reported on EVS, or no longer has insurance coverage, please mail or fax the information to the following address. If a member has a new or different insurance not identified on EVS, please fill out a third-party-liability (TPL) indicator form and mail or fax it to the address below. You can find the TPL Indicator Form in the online Provider Library at the link below. MassHealth TPL Unit P.O. Box 9212 Chelsea, MA 02150 Fax: 617-357-7604 This letter transmits an updated Appendix C for all provider manuals. The effective date is November 1, 2010. You can also view, print, or download Appendix C from the MassHealth Web site at www.mass.gov/masshealthpubs. Click on Provider Library, then MassHealth Provider Manual Appendices. The downloadable version of Appendix C is searchable, a significant advantage over the printed version. Important Notice Concerning the Use of Carrier Codes There are now three sections to the carrier code file. The first section contains commercial carrier codes. This is the section most providers will use. The second section contains Medicare Advantage carrier codes. These codes should be used only on claims for members who are on Medicare and have an additional Advantage plan. The third section contains Medicare Part D carrier codes. These codes are for pharmacy use only. Other providers should never use these codes on a claim. Please Note: We will update Appendix C on our Web site as needed to keep it current. We do not send updates for Appendix C to providers unless requested. To request a paper copy of Appendix C, call 1-800-841-2900, e-mail your request to providersupport@masshealth.net, or fax your request to 617-988-8973. You may also write to the following address. Please include your provider number, address, and telephone number with your request. MassHealth ATTN: Publications P.O. Box 9118 Hingham, MA 02043 NEW MATERIAL (The pages listed here contain new or revised language.) All Provider Manuals Pages C-1 through C-70 OBSOLETE MATERIAL (The pages listed here are no longer in effect.) All Provider Manuals Pages C-1 through C-54 — transmitted by Transmittal Letter ALL-168 Third-Party-Liability Codes A searchable version of this appendix is available on the MassHealth Web site at www.mass.gov/masshealth. MassHealth will update Appendix C as needed. Paper copies of this appendix will not be mailed automatically, but can be requested by calling 1-800-841-2900, by e-mailing your request to publications@mahealth.net, or by faxing your request to 617-988-8973. This appendix contains a list of third-party-liability (TPL) coverage-type codes and a numeric list of carrier codes, including carrier names and addresses. For members with a temporary MassHealth card, any applicable TPL coverage-type and carrier codes are printed on the card itself. How Appendix C Is Organized There are three sections to the carrier code file. The first section contains commercial carrier codes. This is the section most providers will use. The second section contains Medicare Advantage carrier codes. These codes should be used only on claims for members on Medicare and have an additional Advantage plan. The third section contains Medicare D carrier codes. These codes are for pharmacy use only. Medical providers should never use these codes on a claim. The Eligibility Verification System (EVS) in NewMMIS now provides the insurance information for the member. Please check EVS before submitting your claim. Refer to the applicable billing guide or companion guide for instructions on using EVS. These guides are available on the Web at www.mass.gov/masshealth. I. Third-Party-Liability Coverage-Type Codes The following is a list of TPL coverage-type codes that identify the type of insurance a member has. If you use the MassHealth Eligibility Verification System (EVS) Automated Voice Response (AVR) system, you will be given the following TPL coverage-type code. NewMMIS Coverage Codes Code TPL Coverage Description Code TPL Coverage Description 01 Hospital 14 Preferred Provider Organization (PPO) 02 Major Medical 17 Pharmacy – Cost Avoid* 04 Medicare Part A 18 Pharmacy – Pay and Chase* 05 Medicare Part B 35 Commercial Insurance Without Mental Health 06 Supplemental Policy 56 HMO-Medicare Risk 08 Long Term Care 57 HMO-Medicare Risk (Evercare) 09 HMO without Mental Health 63 Veterans Services (Noncomprehensive) 11 Health Maintenance Organization (HMO) 64 Veterans Services (Comprehensive) 12 Vision* 98 Medicare Hospice 13 Dental Care* 99 Medicare Part D * If a member has dental, vision, or pharmacy coverage only, the member may still be enrolled in a MassHealth managed care plan. II. Carrier Codes The following is a list of carrier codes and the names and addresses of the insurance companies to which they refer. You will see these codes whether you use EVS or another billing method. Commercial Carriers 0867005 A and H Administrators, P.O. Box 10223, Milwaukee, WI 53210 0178000 A and H Administrators, P.O. Box 10223, Milwaukee, WI 53210 0616000 AARP, P.O. Box 740819, Atlanta, GA 30301, Phone: (800) 523-5800 0616001 AARP, 215 Long Beach Blvd, Long Beach, CA 90801 0616002 AARP Health Care Options, P.O. Box 985, Westport, CT 06881, Phone: (888) 687-0977 0017002 AARP Medicare Rx Plan, P.O. Box 29300, Hot Springs, AR 71903, Phone: (806) 429-6686 0920005 AARP Pharmacy Only, P.O. Box 6083, Boston, MA 02111, Phone: (800) 552-0053 0105000 A-C Retirees Benefit Plan, 11270 W Park Pl, Suite 950, C/O BPA of WI, Milwaukee, WI 53224 0902020 ACE American Insurance Co, 1730 Park St, Suite 207, Naperville, IL 60563 0659014 ACI Administrative Concepts Inc, 994 Old Eagle School Rd, Suite 1005, Wayne, PA 19087-1802, Phone: (866) 261-9998 0288024 ACS Benefit Services, P.O. Box 2000, Winston-Salem, NC 40512, Phone: (800) 441-5741 0288021 ACS Health Net of North East, P.O. Box 14700, Lexington, KY 27102, Phone: (336) 759-2013 0905082 Administration and Insurance Office Inc, 1220 SW Morrison St, Portland, OR 97205, Phone: (410) 515-1190 0803020 Administrative Enterprises Inc, 3404 W Cheryl Drive, Phoenix, AZ 85051 0803005 Administrative Service, P.O. Box 140173, Orlando, FL 32814 0830000 Administrative Service Consultants, 3301 E Royalton Rd, Cleveland, OH 44147, Phone: (419) 423-3823 0803010 Administrative Solutions, P.O. Box 2490, Alpharetta, GA 30023 0830003 Administrators and Consultants, P.O. Box 4925, Lancaster, PA 17604, Phone: (717) 299-0371 0872020 Advanced Administration, 101 N Lake Destiny Rd, Maitland, FL 32751, Phone: (800) 785-4544 0872010 Advanced Benefit Resources, P.O. Box 350, Phoenix, AZ 85050, Phone: (623) 889-7200 0872015 Advanced Benefit Solutions, P.O. Box 71490, Woodbury, NY 11797 0367008 Advanced for Freedom, P.O. Box 7154, Lexington, KY 04702-7151, Phone: (800) 713-5095 0872050 Advanced Insurance, P.O. Box 19, Memphis, TN 38101 0920030 Advanced PCS, P.O. Box 52116, Phoenix, AZ 85072 0017001 Advantage Star Plan by Rx American, 221 N Charles Lindbergh Dr, Salt Lake City, UT 84116, Phone: (800) 928-6101 0702021 Advantra Freedom, P.O. Box 7154, London, KY 40742-7154, Phone: (800) 713-5095 0006006 Advantra Rx Premier, P.O. Box 686007, San Antonio, TX 78268, Phone: (866) 755-2776 0606010 Adventist Risk Management, 7083 Grand National Dr, Orlando, FL 32819 0962002 Adventist Risk Management, P.O. Box 1021, Horsham, PA 19044, Phone: (888) 276-4732 0962001 Adventist Risk Management Inc, P.O. Box 4759, Silver Spring, MD 20914 0106052 Aenta, P.O. Box 91522, Arlington, TX 76015, Phone: (800) 782-3862 0106000 Aetna, P.O. Box 3929, Allentown, PA 18106, Phone: (800) 292-4366 0106001 Aetna, P.O. Box 1858, Bismarck, ND 58502, Phone: (800) 624-0756 0106004 Aetna, P.O. Box 981106, El Paso, TX 79980-1106, Phone: (800) 248-3132 0106005 Aetna, 3 Burlington Woods Dr, Burlington, MA 01830, Phone: (800) 323-9930 0106006 Aetna, 3541 Winchester Rd, Allentown, PA 18195, Phone: (800) 292-4366 0106007 Aetna, P.O. Box 1125, Blue Bell, PA 19422, Phone: (800) 624-0756 0106008 Aetna, P.O. Box 2295, Fort Wayne, IN 46801 0106009 Aetna, P.O. Box 31450, Tampa, FL 33636 0106011 Aetna, P.O. Box 24024, Fresno, CA 93779, Phone: (800) 354-5835 0106014 Aetna, P.O. Box 3909, Allentown, PA 18106, Phone: (610) 336-1000 0106018 Aetna, P.O. Box 150417, Hartford, CT 06115 0106021 Aetna, P.O. Box 26599, Milwaukee, WI 53226 0106024 Aetna, P.O. Box 35890, Louisville, KY 40223 0106025 Aetna, P.O. Box 91555, Arlington, TX 76015 0106026 Aetna, 1000 Middle St, Middletown, CT 06457, Phone: (877) 402-8742 0106029 Aetna, P.O. Box 4266, Bismarck, ND 58502, Phone: (800) 323-9930 0106030 Aetna, P.O. Box 44128, Jacksonville, FL 32231, Phone: (877) 580-5018 0106031 Aetna, P.O. Box 981107, El Paso, TX 79998, Phone: (800) 245-6738 0106034 Aetna, P.O. Box 28060, San Antonio, TX 78228, Phone: (800) 587-3496 0106035 Aetna, 4050 Piedmont Pkwy, High Point, NC 27607 0106038 Aetna, P.O. Box 18040, Columbus, OH 43218, Phone: (614) 933-6000 0106044 Aetna, P.O. Box 7064, Dover, DE 19903 0106045 Aetna, P.O. Box 26106, Greensboro, NC 27402, Phone: (800) 844-5562 0106047 Aetna, P.O. Box 5569, Akron, OH 44334, Phone: (800) 570-6874 0106057 Aetna, P.O. Box 16423, Pittsburgh, PA 15242 0106060 Aetna, P.O. Box 981109, El Paso, TX 79998, Phone: (800) 248-3132 0106061 Aetna, P.O. Box 3925, Allentown, PA 18106, Phone: (800) 292-4366 0106062 Aetna, P.O. Box 1630, Columbus, OH 43216, Phone: (800) 833-0220 0106063 Aetna, P.O. Box 14014, Lexington, KY 40512, Phone: (877) 362-0869 0106064 Aetna, P.O. Box 26103, Greensboro, NC 27402 0106065 Aetna, P.O. Box 2520, Tyler, TX 75710, Phone: (800) 441-1864 0106067 Aetna, P.O. Box 5048, Rockford, IL 61125 0106068 Aetna, P.O. Box 7012, Dover, DE 19903 0106070 Aetna, P.O. Box 14110, Lexington, NY 12452, Phone: (877) 235-4005 0106071 Aetna, P.O. Box 52120, Minneapolis, MN 55402, Phone: (800) 445-0128 0106072 Aetna, Loop Station, Minneapolis, MN 55402, Phone: (800) 872-3862 0106073 Aetna, P.O. Box 26107, Greensboro, NC 27402 0106074 Aetna, P.O. Box 12244, Oklahoma City, OK 73116 0106077 Aetna, P.O. Box 52121, Minneapolis, MN 54402 0106079 Aetna, P.O. Box 14586, Lexington, KY 40152, Phone: (877) 362-0869 0106080 Aetna, P.O. Box 1214, Tewksbury, MA 01876, Phone: (888) 802-3862 0106083 Aetna, P.O. Box 14089, Lexington, KY 40512, Phone: (800) 872-3862 0106087 Aetna, P.O. Box 2950, Minneapolis, MN 55402, Phone: (800) 589-4811 0106092 Aetna, P.O. Box 14094, Lexington, KY 40512, Phone: (877) 368-6605 0106096 Aetna, P.O. Box 981106, El Paso, TX 79998, Phone: (888) 891-0756 0106097 Aetna, P.O. Box 129010, San Diego, CA 92112, Phone: (800) 814-3543 0106099 Aetna, P.O. Box 26190, Greensboro, NC 27402 0160004 Aetna, P.O. Box 981114, El Paso, TX 79998, Phone: (800) 248-3132 0106098 Aetna Dental P.O. Box 14027, Lexington, KY 40512, Phone: (800) 872-3862 0106003 Aetna Exxon Medicare, P.O. Box 795081, San Antonio, TX 78279 0001001 Aetna Medicare Rx Essentials, 980 Jolly Rd, Blue Bell, PA 19422, Phone: (877) 238-6211 0920040 Aetna Pharmacy, P.O. Box 398106, Minneapolis, MN 55439 0106002 Aetna Senior 400-1 Totten Pond Rd, Waltham, MA 02154 0183050 Aetna Student Life, P.O. Box 15708, Boston, MA 02215-0014, Phone: (800) 859-8468 0122005 Aflac, 1932 Wynnton Rd, Columbus, GA 31999, Phone: (800) 992-3522 0900096 AFTRA American Federation TV Radio, 261 Madison Ave, New York, NY 10016 0867010 A-G Administrators, P.O. Box 979, Valley Forge, PA 19482 0705030 A.G. Edwards and Sons, 1 North Jefferson Ave, St. Louis, MO 63013 0107002 AIG, 80 Pine St, New York, NY 10005, Phone: (877) 640-2450 0107005 AIM Administrators, 4645 Sweetwater Blvd, Sugarland, TX 77479, Phone: (281) 265-5111 0840020 Alicare, P.O. Box 1435, New York, NY 10116, Phone: (212) 539-5111 0840080 Alicare Inc P.O. Box 1442, New York, NY 10116, Phone: (212) 539-5000 0895020 All Risk Administrators, P.O. Box 66237, St. Pete Beach, FL 33736 0128000 All State Workplace Division, 1776 American Heritage D, Jacksonville, FL 32224, Phone: (904) 992-1776 0640050 Allied Administrators, P.O. Box 2500, San Francisco, CA 94126, Phone: (415) 986-6276 0600010 Allied Benefit Systems, P.O. Box 909786-60690, Chicago, IL 60696, Phone: (312) 906-8050 0112015 Allstate Workplace Division, P.O. Box 853916, Richardson, TX 75085-3916, Phone: (800) 937-7039 0638012 Alta Administrators, 350 Glenborough Dr, Houston, TX 77067, Phone: (800) 937-6824 0638030 Alta Health, P.O. Box 59059, Minneapolis, MN 55459, Phone: (800) 937-6824 0638038 Alta Health Strategies, P.O. Box 27142, Baltimore, MD 21230 0638010 Alternative Risk Management, 10200 SW Nimbus, Portland, OR 97223 0638050 Altus Dental P.O. Box 1557, Providence, RI 02901, Phone: (877) 223-0558 0653000 AM Maritime Officers Med Plan, P.O. Box 35, Dania Beach, FL 33004, Phone: (800) 348-6515 0614089 Amalgamated Clothing Textile, 730 Broadway St, New York, NY 10003 0528000 Amalgamated Insurance, P.O. Box 1449, New York, NY 10116, Phone: (212) 539-5105 0528001 Amalgamated Insurance, 867 State Rd, North Dartmouth, MA 02724 0528010 Amalgamated Insurance, 99 University Pl, New York, NY 10003 0528006 Amalgamated Life Insurance, 333 S Ashland Ave, Chicago, IL 60607 0528013 Amalgamated Life Insurance, P.O. Box 1440, New York, NY 10116 0528005 Amalgamated Local 298, 825 E State Blvd, Garden City, NY 11530 0138045 AmeriBen Solutions, P.O. Box 7186, Boise, ID 83707, Phone: (800) 786-7930 0138015 AmeriHealth, P.O. Box 79493, Lubbock, TX 79493, Phone: (800) 480-5034 0908064 American Administrative Group, P.O. Box 5227, Lisle, IL 60532, Phone: (630) 773-3800 0832000 American Baptist Churches Med Plan, 475 Riverside Dr, New York, NY 10115 0624000 American Chambers Life Insurance Co, P.O. Box 3048, Naperville, IL 60566 0624001 American Chambers Life Insurance Co, UCIP-NE, Hyannis, MA 02601 0872030 American Consulting Engineers Council, P.O. Box 9007, St. Louis, MO 63101 0811000 American Express, 1650 Los Gamos Dr, San Rafael, CA 94903 0122001 American Fidelity Assurance Co, P.O. Box 25070, Oklahoma City, OK 73125, Phone: (800) 654-8489 0122002 American General Life Dental, P.O. Box 3667, Seattle, WA 98124, Phone: (877) 672-1648 0126001 American Hardware Mutual Insurance Co, 200 Unicorn Dr, Woburn, MA 02147 0908029 American Maritime Officers Medical, P.O. Box 35, Dania, FL 33004 0135008 American Medical Security, P.O. Box 19032, Green Bay, WI 54307, Phone: (800) 232-5432 0669010 American National Health Insurance, P.O. Box 1520, Galveston, TX 77553, Phone: (800) 899-6806 0138001 American National Insurance Co, Regional Group Service Office, Suite 300, N Andover, MA 01845 0629000 American Pioneer Life, P.O. Box 130, Pensacola, FL 32591-0130 0629001 American Pioneer Life, P.O. Box 399127, Cambridge, MA 02139-9127, Phone: (800) 538-1053 0126002 American Plan Administrators, 18 Heywood St, Brooklyn, NY 11211 0614046 American Postal Workers Union, P.O. Box 1358, Glen Burnie, MD 21060 0669008 American Progressive, P.O. Box 130, Pensacola, FL 32591 0683050 American Republic Insurance Co, P.O. Box 21670, Eagan, MN 55121, Phone: (800) 247-2190 0700071 American Service Life, P.O. Box 470788, Fort Worth, TX 76147 0733000 American Travelers Life Insurance, 3220 Tillman Dr, Bensalem, PA 19220, Phone: (800) 441-3978 0682050 American Trust Administrators, P.O. Box 87, Shawnee Mission, KS 66201, Phone: (913) 451-4900 0669005 Americas Choice Healthplans, P.O. Box 922043, Houston, TX 77292, Phone: (800) 633-4227 0138010 AmeriHealth Administrators, 720 Blair Mill Rd, Horsham, PA 19044, Phone: (800) 492-2385 0144040 Ameritas Life Insurance, P.O. Box 82520, Lincoln, NE 68501, Phone: (800) 487-5553 0028043 Anthem Blue Cross Blue Shield of CO, P.O. Box 5747, Denver, CO 80217, Phone: (800) 654-9338 0027001 Anthem Blue Cross Blue Shield, P.O. Box 6199, Indianapolis, IN 46206, Phone: (866) 814-3739 0028041 Anthem Blue Cross Blue Shield, P.O. Box 37180, Louisville, KY 40233, Phone: (866) 755-2657 0028085 Anthem Blue Cross Blue Shield, P.O. Box 37010, Louisville, KY 40233-7010, Phone: (866) 504-9617 0028100 Anthem Blue Cross Blue Shield, P.O. Box 5071, Middletown, NY 10940-9071, Phone: (877) 224-0030 0145045 Anthem Blue Cross Blue Shield CMSI, P.O. Box 10888, Green Bay, WI 54307-0888, Phone: (800) 472-7130 0028018 Anthem Blue Cross Blue Shield Dental of CC, P.O. Box 9274, Oxnard, CA 93031 0028049 Anthem Blue Cross Blue Shield FEP, P.O. Box 37980, Louisville, KY 40233, Phone: (800) 787-2680 0028004 Anthem Blue Cross Blue Shield National Account, P.O. Box 5419, Los Angeles, CA 90054, Phone: (800) 854-1837 0028006 Anthem Blue Cross Blue Shield of CA, P.O. Box 60007, Los Angeles, CA 90060 0028088 Anthem Blue Cross Blue Shield of CT, P.O. Box 533, North Haven, CT 06473 0028039 Anthem Blue Cross Blue Shield of ME, 2 Gannett Dr, South Portland, ME 04106, Phone: (207) 822-7000 0027046 Anthem Blue Cross Blue Shield of NH, P.O. Box 533, North Haven, CT 06473-0533, Phone: (800) 332-6558, 0028087 Anthem Blue Cross Blue Shield of VA, P.O. Box 27401, Richmond, VA 23279-7401, Phone: (866) 452-4490 0025050 Anthem Document Management, P.O. Box 37010, Louisville, KY 40233-7010, Phone: (800) 676-2583 0292003 Anthem Home Life Insurance, P.O. Box 1326, Piscataway, NJ 08855 0701040 APA Partners Inc, 8 British Blvd, Latham, NY 12110, Phone: (800) 833-3650 0700075 Archdiocese of Miami Health Plan Trust, 9401 Biscayne Blvd, Miami Shores, FL 33138 0606005 Arizona Foundation, P.O. Box 2909, Phoenix, AZ 85062, Phone: (800) 522-1246 0654000 ASR Corp, 3033 Orchard Vista Dr SE, Grand Rapids, MI 49546, Phone: (616) 957-1751 0688045 Associated Administrative Inc, P.O. Box 6680, Portland, OR 97228 0688050 Associated Administrators Group Inc, P.O. Box 700428, Dallas, TX 75370 0149018 Associated Health Plan Administrators, P.O. Box 9568, New Haven, CT 06535, Phone: (203) 287-1272 0259001 Associated Hospital Service, AKA Anthem Health Plans, Quincy, MA 02169 0149016 Associated Plan Administrators, P.O. Box 189, Columbus, OH 43216 0253065 Assurant Employee Benefits, P.O. Box 981602, El Paso, TX 79998 0253080 Assurant Health Dental P.O. Box 2940, Clinton, IA 52733, Phone: (800) 442-7742 0028005 Anthem Blue Cross of CA, P.O. Box 60007, Los Angeles, CA 90060, Phone: (800) 888-8288 0901026 Atlantic Administrators, 135 Beaver St, Waltham, MA 02452 0901031 Atlantic Administrators, P.O. Box 637, North Andover, MA 01845 0680020 AUSA Insurance Plan, P.O. Box 10401, Des Moines, IA 50306 0906087 Automated Benefit Services, P.O. Box 37506, Oak Park, MI 48237, Phone: (586) 826-4410 0143004 AVMA, P.O. Box 909720, Chicago, IL 60690, Phone: (800) 621-6360 0538040 AvMed Health Plan, P.O. Box 2939, Gainesville, FL 32602, Phone: (352) 372-8400 0322004 AWANE Benefit Plan Management, P.O. Box 536, Rockland, MA 02370, Phone: (603) 924-9449 0730050 Babb Inc, 850 Ridge Ave, Pittsburgh, PA 15212, Phone: (800) 245-6102 0614008 Bakery and Confectionary Union, 10401 Connecticut Ave, Kensington, MD 20895 0154010 Bankers Life and Casualty Co, P.O. Box 1935, Carmel, IN 46082-1935, Phone: (800) 621-3724 0160001 BCI Administrators, P.O. Box 251568, West Bloomfield, MI 48325, Phone: (248) 626-8896 0908058 Benefit Administrator Systems, 17475 Jovanna Dr 18, Homewood, IL 60430, Phone: (800) 523-0582 0900091 Benefit Concepts, P.O. Box 60608, King of Prussia, PA 19406, Phone: (610) 337-2600 0701010 Benefit Management Services Inc, P.O. 1178, Matthew, NC 28106 0610050 Benefit Plan Management, P.O. Box 536, Rockland, MA 02370, Phone: (781) 753-7500 0562002 Benefit Planners, P.O. Box 690450, San Antonio, TX 78269, Phone: (800) 368-3653 0900094 Benefit Planners Inc, P.O. Box 690450, San Antonio, TX 78269, Phone: (866) 868-8207 0701007 Benefit Risk Management, P.O. Box 2650, Rancho Cordova, CA 95741, Phone: (916) 858-2950 0701024 Benefits Claims Payors Inc, P.O. Box 37400, Phoenix, AZ 85069, Phone: (800) 266-6868 0844001 Benesight, P.O. Box 29050, Phoenix, AZ 85072, Phone: (800) 223-5228 0844021 Benesight, P.O. Box 375, Pueblo, CO 81002, Phone: (800) 992-8354 0844040 Benesight, P.O. Box 370, Pueblo, CO 81002, Phone: (800) 992-8354 0844022 Benesight Dental, P.O. Box 360, Pueblo, CO 81002-0360 0813000 Berkshire Health Plan, 279 Dalton Ave, Pittsfield, MA 01201 0749060 Big Lots Associates Plan, P.O. Box 9071, Dublin, OH 43017 0028009 Blue Cross Blue Shield of DE, One Brandywine Gateway, Wilmington, DE 19899, Phone: (800) 633-2563 0028011 Blue Cross Blue Shield of FL, 532 Riverside Ave, Jacksonville, FL 32231, Phone: (800) 727-2227 0028022 Blue Cross Blue Shield of IN, 5451 Lakeview Pkwy S Dr, Indianapolis, IN 46268 0028028 Blue Cross Blue Shield of MN, P.O. Box 64338, St. Paul, MN 55164, Phone: (800) 262-0820 0028037 Blue Cross Blue Shield of NE, P.O. Box 3248 P.O. Station, Omaha, NE 68180, Phone: (800) 642-8516 0028063 Blue Cross Blue Shield of TN, 801 Pine St, Chattanooga, TN 37402, Phone: (800) 565-9140 0028055 Blue Cross Blue Shield of PA, P.O. Box 1210, Pittsburgh, PA 15230, Phone: (800) 547-3627 0027076 Blue Cross Blue Shield of HI, P.O. Box 2970, Honolulu, HI 96802, Phone: (800) 468-3190 0028058 Blue Cross Blue Shield of PR, P.O. Box 366068, San Juan, PR 00936, Phone: (888) 284-7814 0028069 Blue Cross Blue Shield of UT, P.O. Box 30270, Salt Lake City, UT 84130, Phone: (800) 624-6519 0028072 Blue Cross Blue Shield of WA, P.O. Box 30271, Salt Lake City, UT 84130, Phone: (800) 624-6519 0028054 Blue Cross Blue Shield of Western PA, 120 Fifth Ave, Pittsburgh, PA 15222, Phone: (800) 547-3627 0028073 Blue Cross Blue Shield AK, P.O. Box 24649, Anchorage, AK 99524, Phone: (800) 527-6675 0028057 Blue Cross Blue Shield Dental of RI, P.O. Box 219, Providence, RI 02901 0027025 Blue Cross Blue Shield Dental of MA, P.O. Box 986005, Boston, MA 02298, Phone: (800) 882-1178 0027013 Blue Cross Blue Shield LA, P.O. Box 98029, Baton Rouge, LA 70895, Phone: (800) 599-2583 0027089 Blue Cross Blue Shield Medex Basic, P.O. Box 9196, Boston, MA 02105 0027085 Blue Cross Blue Shield Medex Bronze, P.O. Box 9196, Boston, MA 02105 0027087 Blue Cross Blue Shield Medex Core, P.O. Box 9196, Boston, MA 02105 0027088 Blue Cross Blue Shield Medex Core Plus, P.O. Box 9196, Boston, MA 02105 0027003 Blue Cross Blue Shield Medex Gold, P.O. Box 9196, Boston, MA 02105, Phone: (800) 451-8123 0027082 Blue Cross Blue Shield Medex One, P.O. Box 9196, Boston, MA 02105 0027086 Blue Cross Blue Shield Medex Silver, P.O. Box 9196, Boston, MA 02105 0027002 Blue Cross Blue Shield Medex Standard, P.O. Box 9196, Boston, MA 02105, Phone: (800) 451-8123 0027084 Blue Cross Blue Shield Medex Three, P.O. Box 9196, Boston, MA 02105 0027083 Blue Cross Blue Shield Medex Two, P.O. Box 9196, Boston, MA 02105 0027060 Blue Cross Blue Shield of KY, P.O. Box 37690, Louisville, KY 40233, Phone: (866) 848-1056 0027080 Blue Cross Blue Shield of AL, P.O. Box 360508, Birmingham, AL 35236, Phone: (800) 334-9041 0027011 Blue Cross Blue Shield of AR, P.O. Box 1460, Little Rock, AR 72203-1460 0027020 Blue Cross Blue Shield of AZ, P.O. Box 2924, Phoenix, AZ 85062, Phone: (800) 676-2583 0027059 Blue Cross Blue Shield of Central NY, P.O. Box 4809, Syracuse, NY 13221, Phone: (315) 671-6400 0028007 Blue Cross Blue Shield of FL, P.O. Box 100121, Columbia, SC 29202 0028012 Blue Cross Blue Shield of GA, P.O. Box 9907, Columbus, GA 31908-7368, Phone: (800) 441-2273 0028013 Blue Cross Blue Shield of GA, P.O. Box 9907, Columbus, GA 31908-6007, Phone: (800) 441-2273 0028016 Blue Cross Blue Shield of IA, 636 Grand Ave, Des Moines, IA 50309, Phone: (800) 526-8995 0028019 Blue Cross Blue Shield of ID, 3000 E Pine Ave, Boise, ID 83707, Phone: (800) 274-4018 0028020 Blue Cross Blue Shield of IL, P.O. Box 805107, Chicago, IL 60690-3625, Phone: (800) 730-8434 0027097 Blue Cross Blue Shield of KS, 1133 S West, Topeka, KS 66629, Phone: (800) 432-0272 0028030 Blue Cross Blue Shield of KS, P.O. Box 419169, Kansas City, MO 64141-6196, Phone: (800) 566-8443 0027000 Blue Cross Blue Shield of MA, P.O. Box 986015, Boston, MA 02298-6015, Phone: (800) 443-6657 0028026 Blue Cross Blue Shield of MD, P.O. Box 9784, Baltimore, MD 21284, Phone: (800) 524-4555 0028000 Blue Cross Blue Shield of MI, 600 Lafayette E, Detroit, MI 48226, Phone: (800) 637-2227 0028034 Blue Cross Blue Shield of NC, 5901 Chapel Hill Road, Durham, NC 27702-2291, Phone: (800) 250-3630 0027014 Blue Cross Blue Shield of ND, 4510 13th Avenue SW, Fargo, ND 58121 0027048 Blue Cross Blue Shield of NE and West NY, P.O. Box 80, Buffalo, NY 12212, Phone: (800) 444-9940 0028038 Blue Cross Blue Shield of NJ, P.O. Box 1219, Newark, NJ 07101, Phone: (973) 466-4000 0028052 Blue Cross Blue Shield of OR, P.O. Box 30805, Salt Lake City, UT 84130, Phone: (800) 624-6519 0028031 Blue Cross Blue Shield of PA, P.O. Box 898845, Camp Hill, PA 17089, Phone: (800) 358-0050 0028099 Blue Cross Blue Shield of PR, 401 Park Dr, Boston, MA 02215 0028059 Blue Cross Blue Shield of RI, 444 Westminster St, Providence, RI 02903, Phone: (800) 637-3718 0027058 Blue Cross Blue Shield of Rochester, 150 E Main St, Rochester, NY 14647 0028098 Blue Cross Blue Shield of Rochester, 165 Court Street, Rochester, NY 14647, Phone: (800) 462-0116 0028060 Blue Cross Blue Shield of SC, I-20 E at Alpine Rd, Columbia, SC 29219, Phone: (800) 868-2520 0028062 Blue Cross Blue Shield of SC, P.O. Box 6000, Greenville, SC 29606-6000, Phone: (800) 845-6067 0028094 Blue Cross Blue Shield of TX, P.O. Box 660044, Dallas, TX 75266, Phone: (800) 521-2227 0027034 Blue Cross Blue Shield of TX Dental, P.O. Box 660247, Dallas, TX 75266, Phone: (800) 521-2227 0028076 Blue Cross Blue Shield of WA, P.O. Box 91059, Seattle, WA 98111, Phone: (800) 527-6675 0028075 Blue Cross Blue Shield of WI, P.O. Box 2270, Fond du Lac, WI 54936 0028015 Blue Cross Blue Shield of WY, P.O. Box 2266, Cheyenne, WY 82003-2266, Phone: (800) 442-2376 0028035 Blue Cross Blue Shield of OK, P.O. Box 3283, Tulsa, OK 74102, Phone: (405) 787-6020 0027062 Blue Cross Blue Shield of MO, P.O. Box 419169, Kansas City, MO 64141, Phone: (800) 892-6048 0028071 Blue Cross D Blue Shield of VT, 445 Industrial Lane, Montpelier, VT 05601, Phone: (800) 255-4550 0027033 Blue Cross Dental of RI, P.O. Box 219, Providence, RI 02901, Phone: (800) 676-2583 0006005 Blue Medicare Rx Premier, 2 Gannett Dr, South Portland, ME 04106, Phone: (866) 755-2776 0028017 Blue Shield of CA, P.O. Box 272540, Chico, CA 959272540, Phone: (800) 334-9849 0028061 Blue Shield of PR, P.O. Box 363628, San Juan, PR 00936, Phone: (888) 284-7814 0614029 Boilermaker S National Health and Welfare, P.O. Box 23825, Tucson, AZ 85734 0614028 Boilermakers National Health and Welfare, P.O. Box 5909, Scranton, PA 18505, Phone: (866) 342-6555 0290050 Boon Chapman, P.O. Box 9201, Austin, TX 78766, Phone: (800) 252-9653 0167000 Boston Mutual Life Insurance Co, 120 Royall St, Canton, MA 02021, Phone: (800) 669-2668 0901089 Bravo Health Pennsylvania Inc, P.O. Box 4433, Baltimore, MD 21223-0433, Phone: (800) 291-0396 0614020 Bricklayers and Masons Local 3, 645 Morrissey Blvd, Boston, MA 02122 0699002 Bridgestone Firestone, P.O. Box 247, Sheldon, IA 51201 0913003 Cambridge Hospital ESP, 270 Green St, Cambridge, MA 02139 0895018 Cape Care Preferred Provider Network, P.O. Box 30367, Tampa FL 33630 0028053 Capital Blue Cross, P.O. Box 779503, Harrisburg, PA 17177 0171010 Capital Group Insurance Administrators, 320 Washington St, Norwell, MA 02061 0171015 Capitol Administrators, P.O. Box 2318, Rancho Cordova, CA 95741 0171005 Capitol District Physicians Health Plan, P.O. Box 66602, Albany, NY 12206, Phone: (800) 926-7526 0171050 Cappcare, P.O. Box 6240, Newport Beach, CA 92658 0028027 Care First Blue Cross Blue Shield of MD, P.O. Box 1725, Cumberland, MD 21501, Phone: (800) 843-4280 0028008 Carefirst Blue Cross Blue Shield, P.O. Box 14116, Lexington, KY 40512-4116, Phone: (800) 842-5975 0028032 Carefirst Blue Cross Blue Shield, P.O. Box 812, Owings Mills, MD 21117, Phone: (800) 843-4280 0920025 Caremark, P.O. Box 686005, San Antonio, TX 78268, Phone: (800) 841-5550 0442001 Careplus Health Plans Inc, P.O. Box 31286, Tampa, FL 33631-3286, Phone: (866) 313-7587 0614054 Carpenters Health and Welfare, 29 Oakland St, Springfield, MA 01101 0707000 Catholic Association of Foresters, 347 Commonwealth Ave, Boston, MA 02115 0661002 CBA Inc 3800 NW 12th, Lincoln, NE 68521, Phone: (888) 673-2872 0702030 CBC Administrators, P.O. Box 776, Melville, NY 11747, Phone: (877) 769-3942 0204008 CBCA, P.O. Box 1339, Minneapolis, MN 55440-1339 0702040 CBCA, P.O. Box 5190, Tampa, FL 33675 0702041 CBCA, P.O. Box 9888, Savannah, GA 31412 0702042 CBCA, P.O. Box 9000, London, KY 40742 0702025 CBCA Administrators, P.O. Box 1539, Fort Worth, TX 76101, Phone: (800) 808-4515 0702035 CBCA Administrators, P.O. Box 8911, Melville, NY 11747, Phone: (877) 769-3942 0895040 CBPI Beech St Corp, P.O. Box 853925, Richardson, TX 75085-3925, Phone: (800) 275-1171 0828010 CCN Superien Interplan, P.O. Box 6743, Lubbock, TX 79493, Phone: (800) 903-2032 0712002 CDS, P.O. Box 50190, Sparks, NV 50190, Phone: (800) 455-4236 0905070 CEBA, 6300 Bridge Point Pkwy, Austin, TX 77553, Phone: (888) 350-1488 0172001 Celtic Insurance, P.O. Box 30082, Tampa, FL 3082 0172007 Celtic Insurance Company, P.O. Box 06401, Chicago, IL 60606, Phone: (800) 477-7870 0348015 Cement Workers, 35-30 Francis Lewis Blvd, Suite 300, Flushing, NY 11358-1931, Phone: (718) 762-6133 0174020 Centra, P.O. Box 34866, Seattle, WA 98124 0895019 Central Cartage East, P.O. Box 3017, Center Line, MI 48015 0176000 Central States Health and Life, P.O. Box 34350, Omaha, NE 68134, Phone: (402) 397-1111 0873000 Central United Life, P.O. Box 2728, Houston, TX 77252 0638032 Century Healthcare, P.O. Box 2256, Grapevine, TX 76099-2256 0615015 CF and I Colorado Fuel and Iron, 5 Gateway Center, Suite 6, Pittsburgh, PA 15222 0690000 Champion International, Knights Bridge Dr, Hamilton, OH 45020 0064001 Champus Tricare Military Health Systems, P.O. Box 870140, Camden, SC 29587, Phone: (877) 874-2273 0006010 CHAMPVA, 99 River Ridge Dr, Denver, CO 80206 0184005 Cherokee Insurance, P.O. Box 159, Warren, MI 48090 0901020 Chesterfield Resource, P.O. Box 1884, Akron, OH 44309, Phone: (800) 321-0935 0678010 Choice Benefits, P.O. Box 10048, Fort Smith, AR 72917, Phone: (479) 785-6178 0678000 Choice Plus of VT, P.O. Box 6589, Syracuse, NY 13217, Phone: (802) 479-9762 0184010 Christian Brothers Health Management Services, 1205 Windham Pkwy, Romeoville, IL 60446 0787010 Christian Fidelity, P.O. Box 44990, Madison, WI 53744-4990 0200064 Cigna Behavioral Health, P.O. Box 46270, Eden Prairie, MN 55344 0200082 Cigna Dental Health, P.O. Box 4630, Miami, FL 33269 0200083 Cigna Dental of CT, P.O. Box 969, Bristol, CT 06010, Phone: (800) 577-0576 0200050 Cigna Dental of DE, P.O. Box 15558, Wilmington, DE 19850, Phone: (800) 441-7150 0200087 Cigna Dental of FL, P.O. Box 189060, Plantation, FL 33318, Phone: (800) 342-5234 0200075 Cigna Dental of TN, P.O. Box 188003, Chattanooga, TN 37422, Phone: (800) 433-3926 0200008 Cigna Healthcare, P.O. Box 5200, Scranton, PA 18505, Phone: (800) 244-6224 0906029 Cigna Medicare Access Plans, P.O. Box 22174, Tempe, AZ 85285-2174 0439025 Cigna Pharmacy, P.O. Box 3598, Scranton, PA 18505 0001003 Cignature RX, 13650 NW 8th St, Sunrise, FL 33325, Phone: (800) 222-6700 0714025 Claim Management Services, P.O. Box 279, West Bend, WI 53095, Phone: (800) 245-6142 0714020 Claims Management Service, P.O. Box 10888, Green Bay, WI 54307 0714060 Claims Processing Center, P.O. Box 10841, Clearwater, FL 33757 0607025 Claims Ware Inc (CWI), P.O. Box 6125, Greenville, SC 29606-6125 0546019 CNIC Health Solutions Inc, P.O. Box 3559, Englewood, CO 80155, Phone: (800) 426-7453 0700057 CNR Consulting, 1501 Broadway, New York, NY 10036 0204002 Coast Wide Claims, 814 Mission St, San Francisco, CA 94103-3030, Phone: (800) 955-7376 0187000 Collegiate Risk Management, P.O. Box 727, Short Hills, NJ 07078 0906045 Colonial Benefit Insurance Administrators, P.O. Box 3770, Capital Heights, MD 20743 0191002 Colonial Penn, P.O. Box 30102, Tampa, FL 33630 0760050 Colorado Pipe Industry, 10620 E Bethany Dr, Aurora, CO 80014 0194010 Combined Benefit Administration, 4704 West Jennifer Ave, Fresno, CA 93722, Phone: (800) 709-4734 0194002 Combined Insurance Co, P.O. Box 638, Bellingham, WA 98227, Phone: (800) 225-4500 0194001 Combined Insurance Co of America, 111 Washington St, Brookline, MA 02146 0198000 Commercial Union Insurance, One Beacon St, Boston, MA 02108 0001002 Commonwealth Care Alliance, 30 Winter St, Boston, MA 02108 0204003 Community Care Life Health, P.O. Box 176, Tulsa, OK 74101-0176, Phone: (888) 589-5214 0006007 Community Care Rx Basic, 1 CSC Way, Rensselaer, NY 12144, Phone: (866) 823-5178 0210006 Companion Life Dental, P.O. Box 100102, Columbia, SC 29202, Phone: (800) 753-0404 0700015 Complete Care Control Simplex, Simplex Plaza, Gardner, MA 01441 0661005 Comprehensive Benefits Administrators, P.O. Box 2365, South Burlington, VT 05407, Phone: (800) 525-8788 0661020 Comprehensive Benefits Services, P.O. Box 8955, Melville, NY 77292-8955, Phone: (800) 231-7269 0744000 Confederate Administrative Services, Suite 250, Wellesley, MA 02181 0439004 ConnectiCare, P.O. Box 522, Farmington, CT 06032, Phone: (860) 674-5700 0439007 ConnectiCare, P.O. Box 546, Farmington, CT 06032, Phone: (800) 251-7722 0814041 Connecticut Carpenters Fund, 10 Broadway, Hamden, CT 06518 0200017 Connecticut General, P.O. Box 55270, Phoenix, AZ 85708-5270, Phone: (877) 209-7098 0200060 Connecticut General, P.O. Box 9004, Jericho, NY 11753 0200085 Connecticut General, P.O. Box 850, JFK Airport Station, Jamaica, NY 11430 0200015 Connecticut General Life, P.O. Box 2996, GE Dental Claims Office, Hartford, CT 06104 0200018 Connecticut General Life Insurance, P.O. Box 2316, Pittsburgh, PA 15230 0171002 Conseco Senior Health Insurance, P.O. Box 2002, Carmel, IN 46082, Phone: (800) 242-4852 0171001 Conseco Washington National, P.O. Box 2034, Carmel, IN 46082, Phone: (800) 523-4000 0827000 Conservative Baptist Foreign Mission Society, P.O. Box 828, Wheaton, IL 61089 0203000 Consolidated Health Plans, 2077 Roosevelt Ave, Springfield, MA 01104, Phone: (800) 633-7867 0203001 Constitution Health Network, P.O. Box 720, North Haven, CT 06473 0614047 Construction Workers Local 147, 3235 John F Kennedy Blvd, Jersey City, NJ 07306-3405, Phone: (212) 447-5106 0205000 Continental Casualty Company Can Plaza, Licensing 29 South, Chicago, IL 60685 0205005 Continental General, P.O. Box 29134, Shawnee Mission, KS 66201 0200024 Continental General Insurance, P.O. Box 2830, Clinton, IA 52733-2830, Phone: (800) 545-8905 0205006 Continental Life, 101 Continental Place, P.O. Box 1188, Brentwood, TN 37024, Phone: (800) 264-4000 0206000 Cook Group Health Plan, P.O. Box 489, Bloomington, IN 47402-0489 0656002 Core Source, P.O. Box 5190, Tampa, FL 33675, Phone: (800) 221-8490 0406000 CoreSource, 20 Washington Ave S, Minneapolis, MN 55440 0406024 CoreSource, 7830 E Broadway, Tucson, AZ 85710, Phone: (800) 888-7202 0703001 CoreSource, P.O. Box 1195, Minneapolis, MN 55440 0703002 CoreSource, 146 Industrial Park, Jackson, MN 56143, Phone: (800) 274-6965 0703025 CoreSource, P.O. Box 83301, Lancaster, PA 17608 0703040 CoreSource, P.O. Box 168, Matteson, IL 60443, Phone: (800) 848-3012 0703045 CoreSource, P.O. Box 6118, Westerville, OH 43086 0703070 CoreSource, Shawnee Mission Pkwy 422, Shawnee Mission, KS 06205 0703080 CoreSource, P.O. Box 2920, Clinton, IA 52733, Phone: (800) 223-3943 0703030 CoreSource Inc, 4940 Campbell Blvd, Baltimore, MD 21236, Phone: (410) 931-5060 0703050 CoreSource Inc, 6100 Fairview Rd, Suite 10, Charlotte, NC 28210 0900013 Corning Inc Health Benefits, P.O. Box 542, Corning, NY 14830 0737005 Corporate Benefit Service, 145 Scaly Bark, Charlotte, NC 28220, Phone: (800) 277-9476 0737004 Corporate Benefit Services of America, P.O. Box 27267, Minneapolis, MN 55427 0737006 Corporate Benefits of America, P.O. Box 2043, Hopkins, MN 55343 0737008 Corporate Benefits Service, P.O. Box 981800, El Paso, TX 79998-1800 0737001 Corporate Benefits Service Inc, P.O. Box 12954, Charlotte, NC 28220 0698000 Corporate Benefits Services, 139 S Tryon St, 6th Fl, Armstrong Claims Division, Charlotte, NC 28202, Phone: (704) 373-0447 0737003 Corporate Benefits Systems, 139 S Tyron St, Charlotte, NC 28202 0127004 Corporate Diversified Services, P.O. Box 2835, Omaha, NE 68103 0737007 Corporate Health Planners Insurance, 2464 Whitney Ave, Hamden, CT 06518 0638048 Covenant Administrators Inc, 1745 Brown Rd, Suite 40, Lawrenceville, GA 30043-8181, Phone: (678) 258-8230 0638002 Coventry Health, P.O. Box 11038, Scottsdale, AZ 85271, Phone: (800) 937-6824 0638003 Coventry Health, P.O. Box 27142, Baltimore, MD 02464, Phone: (617) 581-6655 0638017 Coventry Health, P.O. Box 22410, Tucson, AZ 85734, Phone: (800) 937-6824 0638018 Coventry Health, P.O. Box 535920, Pittsburgh, PA 15253, Phone: (800) 937-6824 0638020 Coventry Health, P.O. Box 11950, Coraopolis, PA 15108, Phone: (800) 815-8189 0638022 Coventry Health, P.O. Box 8400, London, KY 40742, Phone: (800) 937-6824 0638024 Coventry Health, P.O. Box 23550, Tucson, AZ 85734, Phone: (800) 852-6011 0638025 Coventry Health, P.O. Box 23070, Tucson, AZ 85734, Phone: (800) 280-6658 0638027 Coventry Health, P.O. Box 11127, Tucson, AZ 85734, Phone: (800) 571-3517 0638033 Coventry Health, P.O. Box 9500, Coraopolis, PA 15108, Phone: (800) 345-8994 0638043 Coventry Health, P.O. Box 23809, Tucson, AZ 85734, Phone: (800) 937-6824 0638047 Coventry Health, P.O. Box 23130, Tucson, AZ 85734, Phone: (800) 226-8461 0208005 Coventry Healthcare, P.O. Box 7088, London, KY 40742 0138000 Cross America American Med Life, P.O. Box 1235, Frederick, MD 21702-0235 0210002 Crown Cork and Seal Co, 155 Shepard St, Lawrence, MA 01843 0214001 Cypress Benefit Administrators, P.O. Box 7020, Appleton, WI 54912, Phone: (877) 236-0844 0734001 Definity Health, P.O. Box 740810, Atlanta, GA 30374, Phone: (866) 333-4648 0734002 Definity Health, P.O. Box 5317, Tampa, FL 33675 0734003 Definity Health, P.O. Box 63905, Harrisburg, PA 17106 0734004 Definity Health, P.O. Box 30566, Salt Lake City, UT 84130, Phone: (866) 333-4648 0083010 Delta Care Unit, P.O. Box 9595, Boston, MA 02124, Phone: (800) 451-1249 0046016 Delta Dental of AZ, P.O. Box 43026, Phoenix, AZ 85080-3026, Phone: (800) 352-6132 0064000 Delta Dental of CA, P.O. Box 997330, Sacramento, CA 95899, Phone: (888) 335-8227 0064011 Delta Dental of CO, P.O. Box 173803, Denver, CO 80217 0064031 Delta Dental of GA, P.O. Box 1809, Alpharetta, GA 30023, Phone: (800) 521-8700 0064012 Delta Dental of IL, P.O. Box 5402, Lisle, IL 60532-5436 0204010 Delta Dental of KS, P.O. Box 789769, Wichita, KS 67278 0064020 Delta Dental of KY, P.O. Box 242810, Louisville, KY 40224, Phone: (800) 955-2030 0064040 Delta Dental of MO, P.O. Box 8690, St Louis, MO 63126, Phone: (800) 392-1167 0064045 Delta Dental of OK, P.O. Box 548809, Oklahoma City, OK 73154-8809, Phone: (800) 990-7337 0064015 Delta Dental of PA, 1 Delta Dr, Mechanicsburg, PA 17055, Phone: (800) 932-0783 0064002 Delta Dental of RI, P.O. Box 1515, Providence, RI 02901, Phone: (401) 752-6100 0064025 Delta Dental of VA, 4818 Starkey Rd, Roanoke, VA 24014, Phone: (800) 237-6060 0064005 Delta Dental of WI, P.O. Box 828, Stevens Point, WI 54481 0064030 Delta Dental Plan of AR, P.O. Box 15965, North Little Rock, AR 72231, Phone: (800) 462-5410 0083000 Delta Dental Plan of MA, P.O. Box 9695, Boston, MA 02114, Phone: (800) 451-1249 0064003 Delta Dental Plan of MI, P.O. Box 9085, Farmington Hills, MI 48333, Phone: (800) 482-8915 0064014 Delta Dental Plan of MN, P.O. Box 59238, Minneapolis, MN 55459, Phone: (800) 553-9536 0064035 Delta Dental Plan of NJ, P.O. Box 222, Parsippany, NJ 07054, Phone: (800) 452-9310 0064016 Delta Dental Plan of OH, P.O. Box 9785, Farmington Hills, MI 48333 0064010 Delta Dental Plan of TN, 240 Venture Circle, Nashville, TN 37228, Phone: (800) 223-3104 0658010 Delta USA, P.O. Box 5402, Lisle, IL 60532, Phone: (800) 398-7203 0058015 Dental Benefit Providers, P.O. Box 30640, Bethesda, MD 20824, Phone: (800) 445-9090 0058010 Dental Service Group, 4510 13th Ave SW, Fargo, ND 58121 0906047 Deseret Health Care, P.O. Box 45530, Salt Lake City, UT 84145, Phone: (800) 869-0808 0734010 Destiny Health Plan, P.O. Box 4628, Oakbrook, IL 60522, Phone: (704) 373-0447 0656001 Diversified Administration Corp, P.O. Box 299, Marlborough, CT 06447, Phone: (888) 322-2524 0656003 Diversified Group Administrators, P.O. Box 6540, Harrisburg, PA 17112, Phone: (800) 877-6490 0215005 Doc First, P.O. Box 17098, Owings Mills, MD 21117 0705038 Dos Delta Dental of OR, 601 SW 2nd Ave, Portland, OR 97204-3154, Phone: (877) 277-7280 0900003 Dow Chemical Co, P.O. Box 1701, Group Insurance Dept, Midland, MI 48640, Phone: (989) 636-1000 0913000 East Boston Geriatric Services, 10 Gove St, Boston, MA 02128 0753001 Eastern Benefits Solution, 200 Freeway Dr E, East Orange, NJ 07019, Phone: (800) 524-0227 0700085 Eaton Benefit Payment Office, P.O. Box 8518, London, KY 40742 0687009 EBPA, P.O. Box 2364, South Burlington, VT 05407, Phone: (888) 234-1011 0687007 EBS Benefit Solutions, P.O. Box 4863, Billings, MT 59104, Phone: (406) 245-3575 0920015 Eckherd, P.O. Box 2860, Pittsburgh, PA 15238 0614040 Electrical Workers Health and Welfare, Local 103, Boston, MA 02122, Phone: (617) 288-5999 0615013 Emerald Health Network, P.O. Box 94808, Cleveland, OH 44101 0027049 Empire Blue Cross Blue Shield, P.O. Box 11800, Albany, NY 12211, Phone: (518) 367-4737 0027053 Empire Blue Cross Blue Shield, P.O. Box 5012, Middletown, NY 10940, Phone: (518) 367-4737 0027064 Empire Blue Cross Blue Shield, P.O. Box 5047, Middletown, NY 10943, Phone: (800) 635-2184 0027067 Empire Blue Cross Blue Shield, P.O. Box 420, New York, NY 10156, Phone: (518) 367-4737 0027068 Empire Blue Cross Blue Shield, P.O. Box 1407, New York, NY 10008, Phone: (212) 476-7111 0027071 Empire Blue Cross Blue Shield, 622 Third Ave, New York, NY 10017, Phone: (518) 367-4737 0027074 Empire Blue Cross Blue Shield, P.O. Box 399, New York, NY 10156, Phone: (518) 367-4737 0027077 Empire Blue Cross Blue Shield, P.O. Box 170, New York, NY 10156, Phone: (518) 367-4737 0028003 Empire Blue Cross Blue Shield, P.O. Box 5068, Middletown, NY 10940 0258001 Empire Health Choice Inc, P.O. Box 4846, Syracuse, NY 13221 0687002 Employee Benefit Administrators Inc, 64 Schoosett St, Pembroke, MA 02359, Phone: (781) 826-1177 0830008 Employee Benefit Consultants Inc, P.O. Box 928, Findlay, OH 45830, Phone: (419) 423-3823 0687003 Employee Benefit Management Service, P.O. Box 4000, Draper, UT 84020, Phone: (801) 572-0720 0687006 Employee Benefit Management Service, P.O. Box 21367, Billing, NY 13221, Phone: (315) 671-7073 0687000 Employee Benefit Plan Administration, P.O. Box 2000, Exeter, NH 03833, Phone: (800) 578-3272 0687008 Employee Benefit Plan Administrator, P.O. Box 2365, South Burlington, VT 05407-2365, Phone: (888) 234-1011 0687030 Employee Benefits Claims, 440 Lincoln St, Worcester, MA 01653 0687020 Employee Benefits Corp, 1200 East Glen Ave, Peoria Heights, IL 61616, Phone: (309) 679-0810 0223000 Employer Resource Network, P.O. Box 9137, Fort Worth, TX 76147 0905075 Employers Health Alliance, P.O. Box 10399, Eugene, OR 97440 0905029 Employers Health Insurance, P.O. Box 1100, Green Bay, WI 54344 0222002 Employer's Mutual, 326 El Bolito Ave, Glendale, CA 91204 0001004 Envision Rx Plus Standard, 2181 E Aurora Rd, Twinsburg, OH 44087, Phone: (866) 250-2005 0630065 Epoch, P.O. Box 12170, Overland Park, KS 66282, Phone: (913) 385-2052 0630070 Epoch, 10795 Watson Rd, St Louis, MO 63127, Phone: (800) 365-9036 0351055 Evercare, P.O. Box 659777, San Antonio, TX 78259-777, Phone: (800) 393-0993 0614050 EWTS Local 26, 4601 Presidents Dr, Lanham, MD 20706 0027051 Excellus BCBA of NY, 12 Rhoads Dr, Utica, NY 13502, Phone: (800) 311-3536 0711000 Excellus Benefit Services, P.O. Box 13221, Syracuse, NY 13221, Phone: (315) 448-6925 0027057 Excellus Blue Cross Blue Shield, P.O. Box 22999, Rochester, NY 14692-2999, Phone: (800) 462-0116 0920020 Express Scripts, P.O. Box 66773, St Louis, MO 63166, Phone: (800) 206-4005 0091005 Fallon Community Health Plan, P.O. Box 15121, Worcester, MA 01615, Phone: (800) 868-5200 0230000 Farm Family Life Insurance Co, P.O. Box 656, Albany, NY 12201, Phone: (800) 843-3276 0711001 FCE Benefit Administrators Inc, 1010 Foster City Blvd, Foster City, CA 94404, Phone: (800) 899-9355 0027008 Federal Blue Cross Blue Shield of MT, P.O. Box 5029, Great Falls, MT 59403 0610070 Federal Contract Employee, 445 Recoleta Rd, San Antonio, TX 78216 0235005 Federated HR Services, P.O. Box 850958, Richardson, TX 75085 0900005 FedEx Freight East, P.O. Box 5007, Harrison, AR 72602 0900010 FedEx Freight East, 419 E Main St, Middletown, NY 10940 0699000 Firestone Tire and Rubber Co, 1200 Firestone Pkwy, Attention Benefits, Akron, OH 44317 0638031 First Administrators, P.O. Box 9900, Sioux City, IA 51102-0479 0001005 First Health Premier, 2222 Ewing Rd, Moon Township, PA 15108, Phone: (866) 865-0662 0670030 First United American Life Insurance Co, P.O. Box 3125, Syracuse, NY 13220, Phone: (315) 451-2544 0602004 Fiserv Dental Claims, P.O. Box 8032, Wausau, WI 54402, Phone: (877) 559-4244 0720040 Florida First Administrators Inc, 3425 Lake Alfred Rd #2, Winter Haven, FL 33881 0920006 FLRX Pharmacy, P.O. Box 22999, Rochester, NY 14692, Phone: (800) 806-8811 0229000 FMH Benefit Services, P.O. Box 25946, Overland Park, KS 66225 0254015 Foundation Benefit Administrator, 6300 Bridgepoint Pkwy, Austin, TX 78730 0247015 Fox Everett, P.O. Box 6012, Ridgeland, MS 39158, Phone: (877) 796-7899 0717000 FRA Milicare, P.O. Box 10340, Des Moines, IA 50306, Phone: (800) 424-1120 0901092 Frank Heller Associates, 8228 Mayfield Rd, Chesterland, OH 44026, Phone: (800) 222-2184 0905094 Freedom Care, P.O. Box 1290, Worcester, MA 01613 0905095 Freedom Care Health Plan, 222 Boylston St, Boston, MA 02109 0253001 Fresenius Senior Plan Demo Project, P.O. Box 744920, Houston, TX 77274, Phone: (713) 843-6720 0771005 Galaxy Health Lab, P.O. Box 224767, Dallas, TX 75222 0908067 Gallagher Benefit Administrators, P.O. Box 162721, Dept 5010, Austin, TX 78716 0908075 Galyan's Trading Co Health Benefits, P.O. Box 39710, Colorado Springs, CO 80949, Phone: (317) 612-2439 0702022 Gateway Health Plan Medicare Assurance, P.O. Box 11 560, Albany, NY 12211-0560, Phone: (800) 685-5209 0712004 GE Capital Assurance, 1650 Los Gamos Dr, San Rafael, CA 94903 0712006 GE Group Administrators, P.O. Box 3005, Agawam, MA 01001, Phone: (888) 255-8961 0712010 GE Group Administrators, P.O. Box 100252, Columbia, SC 29202 0647020 Geisinger Health Plan, P.O. Box 8200, Danville, IA 50306, Phone: (515) 243-1776 0558000 General Dynamic Corp, 97 E Howard St, Quincy, MA 02169 0712007 General Electric Capital Assurance Co, File 56790, Los Angeles, CA 90074 0712005 General Electric Health Care Preferred, P.O. Box 740801, Atlanta, GA 30374, Phone: (800) 432-3450 0712001 General Electric Pensioners, P.O. Box 6125, Utica, NY 13504 0712015 Genworth Dental, P.O. Box 40011, Lynchburg, VA 24506 0712000 Genworth Life Insurance Co, P.O. Box 5718, Hopkins, MN 55343 0260000 Gerber Life Insurance Co, 204 W Main St, Freemont, MI 49412 0126003 Gilsbar, P.O. Box 2947, Covington, LA 70434, Phone: (800) 445-7227 0262000 Global Exchange, P.O. Box 823067, South Florida, FL 33082 0713012 GMP Employers Retiree Trust, 5245 Big Pine Way, Fort Myers, FL 33907, Phone: (239) 936-6242 0265000 Golden Rule Insurance Co, 712 Eleventh St, Lawrenceville, IL 62439, Phone: (618) 943-8000 0265001 Golden Rule Insurance Co, 7440 Woodland Dr, Indianapolis, IN 46278, Phone: (800) 265-7791 0266001 Government Employees Hospital Association, P.O. Box 4665, Independence, MO 64051, Phone: (800) 821-6136 0275020 Great West Employees Only, P.O. Box 5080, Denver, CO 80217-5080, Phone: (866) 495-2363 0275000 Great West Health Care, 850 Concord Pkwy, Maitland, FL 32751 0275015 Great West Healthcare, 1000 Great West Dr, Kennett, MO 63857, Phone: (800) 441-3234 0898030 Group Administrators Ltd, 1880 N Roselle Rd, Schaumburg, IL 60195 0898050 Group Benefit Services, P.O. Box 4368, Lutherville, MD 21094, Phone: (800) 638-6085 0898051 Group Benefit Services, 1736 E Sunshine, Springfield, MO 65804, Phone: (800) 995-3569 0906070 Group Dental Benefits, P.O. Box 1477, Greenfield, MA 01302, Phone: (800) 451-2513 0696000 Group Health Inc, P.O. Box 3000, New York, NY 10116 0600090 Group Health Insurance, P.O. Box 2832, New York, NY 10116, Phone: (800) 624-2414 0696050 Group Health Plan, P.O. Box 7374, London, KY 40742 0700081 Group Insurance Service Center, P.O. Box 9120, Marshfield, MA 02050, Phone: (800) 242-3834 0696005 Group Management Services, P.O. Box 24708, Omaha, NE 68124 0696030 Group Resources Inc, P.O. Box 100043, Duluth, GA 30096, Phone: (770) 242-7776 0280008 Guardian, P.O. Box 8019, Appleton, WI 54913, Phone: (920) 749-9200 0280035 Guardian, P.O. Box 9128, Norwell, MA 02061, Phone: (800) 524-4542 0280033 Guardian Dental, P.O. Box 2459, Spokane, WA 99210, Phone: (800) 541-7846 0280009 Guardian Insurance, P.O. Box 8007, Appleton, WI 54912, Phone: (800) 873-4542 0280032 Guardian Life, P.O. Box 8024, Appleton, WI 54912, Phone: (800) 695-4542 0280000 Guardian Short Term Disability, P.O. Box 26160, Lehigh Valley, PA 18002, Phone: (800) 268-2525 0279001 Guarantee Trust Life, P.O. Box 1144, Glenview, IL 60025-8144, Phone: (866) 851-0284 0692001 Hallmark Health Advantage, 100 Hospital Rd, Malden, MA 02148 0640000 Harborside Healthcare, P.O. Box 4925, Lancaster, PA 17604, Phone: (800) 235-9562 0863002 Harrington Benefit Services Inc, P.O. Box 730, Pueblo, CO 81002, Phone: (800) 446-8182 0876020 Harrington Benefit Services Inc, P.O. Box 1394, Duncan, OK 73534, Phone: (800) 527-4296 0602000 Harrington Health, P.O. Box 30544, Salt Lake City, UT 84130-0544, Phone: (800) 235-7160 0562000 Hartford Insurance, P.O. Box 1000, Shelton, CT 06484 0562004 Hartford Insurance, P.O. Box 11910, Alexandria, VA 22312 0092000 Harvard Pilgrim Health Care, P.O. Box 699183, Quincy, MA 02269, Phone: (800) 676-2769 0564000 Harvard University, 1350 Massachusetts Ave, Cambridge, MA 02138 0723050 HCC Life Insurance Company, P.O. Box 6222, Indianapolis, IN 46206 0623000 HCH Administrators, P.O. Box 1986, Peoria, IL 61656, Phone: (800) 447-3227 0814035 Health America Penn Inc, P.O. Box 7088, London, KY 40742-7088, Phone: (800) 788-6445 0814003 Health and Welfare, P.O. Box 64, Lexington, MA 02173 0614006 Health and Welfare Fund, 40 Commercial Way, The London Administrators, East Providence, RI 02914, Phone: (800) 343-2236 0614090 Health and Welfare Fund, 140 Wood Rd, Braintree, MA 02184 0894015 Health Care Savings, 4530 Park Rd, Charlotte, NC 28209, Phone: (828) 684-3800 0854000 Health Choice, 164 High St, Greenfield, MA 01301 0618020 Health Comp, P.O. Box 45018, Fresno, CA 93718 0126005 Health Cost Solutions, P.O. Box 1439, Hendersonville, TN 37077 0098010 Health EOS, P.O. Box 6090, De Pere, WI 54115 0615003 Health First Health Plan Inc, P.O. Box 410129, Melbourne, FL 32941 0638040 Health First Senior Plan, 25 Broadway 9th Fl, New York, NY 10041-1010 0615020 Health First TPA, P.O. Box 130217, Tyler, TX 75713 0288045 Health Links, P.O. Box 149104, St Louis, MO 63141 0814079 Health Markets Care Assured, P.O. Box 69349, Harrisburg, PA 17110-9349, Phone: (877) 219-5458 0288026 Health Net, P.O. Box 14700, Lexington, KY 40512, Phone: (800) 861-7214 0001006 Health Net Orange Option 1, 950 N Finance Center Dr, Tucson, AZ 85710, Phone: (800) 806-8811 0920007 Health Net Orange Pharmacy, P.O. Box 1054, Rancho Cordova, CA 95670 0818001 Health Net Pearl, P.O. Box 2226, Augusta, GA 30903-2226, Phone: (800) 644-8221 0817005 Health Network America, P.O. Box 307, Minneapolis, MN 55440 0901041 Health New England, One Monarch Place, Springfield, MA 01144, Phone: (413) 787-4000 0288030 Health Partners, P.O. Box 5194, New York, NY 10185, Phone: (215) 849-9606 0288070 Health Partners, P.O. Box 1289, Minneapolis, MN 55440-01289, Phone: (800) 883-2177 0906081 Health Partners, P.O. Box 750, Minneapolis, MN 55440-7500, Phone: (800) 883-2177 0700090 Health Plan Nevada, P.O. Box 15645, Las Vegas, NV 89114, Phone: (702) 242-7300 0288055 Health Plans Aces Life, P.O. Box 628, St Louis, MO 63188 0288035 Health Plans Inc, P.O. Box 5199, Westborough, MA 01581, Phone: (508) 752-2480 0817000 Health Risk Management, P.O. Bo 1479, Eatontown, NJ 07724, Phone: (800) 332-7772 0288075 Health Scope Benefits, P.O. Box 8074, Little Rock, AR 72203 0439006 Health Source, P.O. Box 180149, Farmington, CT 06034, Phone: (860) 674-5700 0439031 Health Source, P.O. Box 190023, North Charleston, SC 21419 0291015 Health Span, 4373 Harrison Blvd, Cincinnati, OH 43211 0288020 Health Net, P.O. Box 7090, Bridgeport, CT 06601 0614076 Health Net, P.O. Box 2226, Augusta, GA 30903-2226, Phone: (800) 977-8221 0288025 Health Net PPO, P.O. Van 10223, Van Nuys, CA 91410, Phone: (800) 641-7761 0001007 Healthspring Prescription Drug Plan, 44 Vantage Way, Nashville, TN 86684, Phone: (866) 845-6941 0814051 Heavy and General Laborers, Local 472 and 172, Newark, NJ 07105 0953010 Heller Associates, 8288 Mayfield Rd, Chesterland, OH 44026, Phone: (800) 552-2929 0028010 Highmark Blue Cross Blue Shield of PA, P.O. Box 1210, Pittsburgh, PA 15230, Phone: (800) 241-5703 0028001 Highmark Services, P.O. Box 535052, Pittsburgh, PA 15252, Phone: (412) 544-7000 0758000 Hillcrest Community Health Plan, 1201 Troy Rd, Latham, NY 12110 0900095 Hinchcliffe International, 11 Ascot Place, Ithaca, NY 14850 0287002 HIP Health Insurance Plan, P.O. Box 2803, New York, NY 10116-2803, Phone: (800) 447-8275 0639002 HM Benefit Administrators, P.O. Box 535078, Pittsburgh, PA 15253 0638005 HMA Direct, P.O. Box 425, Newton Upper Falls, MA 21230 0618005 HMC, P.O. Box 488, Farmington, CT 06031 0292000 Home Life Insurance Co, 253 Broadway, New York, NY 10007 0292010 Home Life Insurance Co of NY, P.O. Box 956353, Duluth, GA 30136 0292020 Hometown Health Plan, 100 Lillian Gish Blvd, Massillon, OH 44647 0028029 Horizon Blue Cross Blue Shield, P.O. Box 22439, Newark, NJ 01701, Phone: (800) 624-1110 0028033 Horizon Blue Cross Blue Shield of NJ, P.O. Box 1609, Newark, NJ 07101, Phone: (800) 414-7427 0028042 Horizon Blue Cross Blue Shield of NJ, P.O. Box 1219, Newark, NJ 07101-1219, Phone: (800) 676-2583 0291010 Horizon Health Care of NY, P.O. Box 79, Newark, NJ 07101 0814014 Hospital and Health Care Workers, 330 W 42nd St, New York, NY 10036 0619000 Hospital Benefits Inc, P.O. Box 162148, Altamonte Springs, FL 32716, Phone: (407) 862-0311 0700006 HPS Paradigm, P.O. Box 1268, Tifton, GA 31793, Phone: (229) 386-1751 0900089 HRM Claim Management Inc, P.O. Box 4089, Upjohn Claims, Kalamazoo, MI 49003 0902014 Hub Folding Box, 774 Norfolk St, Mansfield, MA 02048 0886000 Humana Care Plus, P.O. Box 2180, Louisville, KY 40202 0886001 Humana Care Plus, P.O. Box 19080, Jacksonville, FL 33245 0886005 Humana Claims, P.O. Box 14610, Lexington, KY 40512, Phone: (800) 558-4444 0886002 Humana Dental, 1100 Employers Blvd, Green Bay, WI 54344, Phone: (800) 233-4013 0886010 Humana Dental, P.O. Box 14611, Lexington, KY 40512, Phone: (800) 955-0783 0001008 Humana PDP Complete, 500 W Main St, Louisville, KY 40202, Phone: (800) 281-6918 0568001 Idealife Insurance Company, P.O. Box 12546, Pensacola, FL 32591 0295000 IDS Life Insurance Co, IDS Tower 10, Minneapolis, MN 55440 0701003 INDECS, P.O. Box 435, East Rutherford, NJ 07073, Phone: (201) 460-3200 0905040 INDECS, P.O. Box 435, East Rutherford, NJ 07073, Phone: (888) 463-3279 0028096 Independence BC/BS of PA, P.O. Box 69352, Harrisburg, PA 17106-9352, Phone: (800) 676-2583 0028056 Independence Blue Cross Blue Shield of PA, 1901 Market St, Philadelphia, PA 19103, Phone: (880) 227-3199 0204009 Independent Administrators, P.O. Box 1010, Horsham, PA 19044-8010, Phone: (888) 356-7899 0300020 Independent Health, P.O. Box 1430, Buffalo, NY 14231, Phone: (877) 593-3250 0126004 Insurers Administrative Corp, P.O. Box 828, Park Ridge, IL 60068 0953015 Integra Administrative Group, 110 S Shipley St, Seaford, DE 19973, Phone: (800) 959-3518 0304000 Inter Americas Insurance Corp, P.O. Box 9510, Wichita, KS 67277, Phone: (316) 794-2200 0832040 Interactive Corp, P.O. Box 567, Farmington, CT 06034 0305002 Intercounty Hospital Plan, 720 Blair Mill Rd, Horsham, PA 19044, Phone: (800) 492-2385 0307010 International Benefit Administration, 7083 Grand National Dr, Orlando, FL 32819 0895006 International Benefits Services, P.O. Box 996, Fort Worth, TX 76101 0307003 International Medical Group, P.O. Box 88500, Indianapolis, IN 46208-0500, Phone: (800) 628-4664 0828001 International Total Services Benefit Administration, 5005 Rockside Rd, Cleveland, OH 44131 0701080 Ironclad, 161 Granite Ave, Dorchester, MA 02124, Phone: (617) 436-3500 0614007 Ironworkers Union Local 7, 100 Charles River Plaza, Brighton, MA 02135 0310010 ITPE Health Welfare Fund, P.O. Box 13817, Savannah, GA 31416, Phone: (912) 352-7169 0614001 IUNH Health and Welfare, 1101 N Lake Destiny Rd, Maitland, FL 32751 0614041 IUOE Local #4 Health and Welfare, 177 Bedford St, Lexington, MA 02173, Phone: (781) 861-1600 0630010 J F Molloy and Associates, P.O. Box 68947, Indianapolis, IN 46268, Phone: (800) 331-3287 0638000 James Galbraith and Green, 757 E S Temple, Salt Lake City, UT 85271, Phone: (800) 937-6824 0709000 Jefferson Pilot, P.O. Box 20727, Greensboro, NC 27420 0709005 Jefferson Pilot Dental, P.O. Box 2670, Omaha, NE 68103, Phone: (800) 441-4518 0709004 Jeld-Wen Shanta Administrators, P.O. Box 1747, Redmond, OR 97756, Phone: (800) 423-2765 0719004 Jesuit Health Trust, 1205 Windham Pkwy, Romeoville, IL 60446 0895035 JM Family Enterprised, 8019 Bayberry Rd, Jacksonville, FL 32256 0313003 John Alden, P.O. Box 981652, El Paso, TX 79998, Phone: (800) 328-4316 0313005 John Alden Life Insurance, P.O. Box 4243, Woodland Hills, CA 91365 0314000 John Deere Insurance Co, 3800 Avenue of the Cities, Moline, IL 61265, Phone: (800) 747-1446 0315038 John Hancock, P.O. Box 2074, Aurora, IL 60507 0315042 John Hancock, P.O. Box 9186, Braintree, MA 02184 0315058 John Hancock, P.O. Box 4034, Schaumburg, IL 60168 0315072 John Hancock Financial Services, P.O. Box 3010, Andover, MA 01810 0315025 John Hancock Insurance, P.O. Box 833898, Richardson, TX 75083 0315000 John Hancock Mutual Life Insurance Co, P.O. Box 111, Boston, MA 02117 0315001 John Hancock Mutual Life Insurance Co, P.O. Box 4000, Braintree, MA 02184 0315004 John Hancock Mutual Life Insurance Co, P.O. Box 4061, Schaumburg, IL 60168 0315010 John Hancock Mutual Life Insurance Co, 399 Taylor Rd, Pleasant Hill, CA 94523 0315012 John Hancock Mutual Life Insurance Co, P.O. Box 8515, Exxon Claims, London, KY 47042 0315013 John Hancock Mutual Life Insurance Co, P.O. Box 4005, Schaumburg, IL 60168 0315021 John Hancock Preferred Health Plan, P.O. Box 9115, Braintree, MA 02184 0900069 John T Riley, P.O. Box 356, West Boylston, MA 01583 0895015 JP Farley, P.O. Box 268000, Cleveland, OH 44126 0762010 Kaiser Permanente, P.O. Box 190849, Atlanta, GA 31119 0762015 Kaiser Permanente, P.O. Box 370897, Denver, CO 80237, Phone: (800) 382-4661 0910014 Kanawha Employee Benefit, P.O. Box 8050, Lancaster, SC 29721, Phone: (800) 635-4252 0895010 Kepple and Company Inc, P.O. Box 1986, Peoria, IL 61656 0318020 Key Benefit Administrators, P.O. Box 55210, Indianapolis, IN 46205, Phone: (800) 871-2335 0318000 Keystone Provident Life Insurance Co, 99 High St, Boston, MA 02105 0316000 Klais Company 1867 W Market St, Akron, OH 44313, Phone: (800) 331-1096 0888010 KPS Health Plans, P.O. Box 339, Bremerton, WA 98337, Phone: (800) 552-7114 0900093 Lab Corp, P.O. Box 3137, Scottsdale, AZ 85271 0615066 Laborers Local 1298, P.O. Box 309, Fulton, NY 13069, Phone: (516) 489-3644 0814056 Laborers National P.O. Box 1100, Columbia, MD 21044 0620013 LAV Dental Security Life, 701 Highlander Blvd, Arlington, TX 76015 0700077 Legett and Platt Company, P.O. Box 757, Carthage, MO 64836, Phone: (417) 358-8131 0320000 Liberty Life Assurance Co Boston, 175 Berkeley St, Boston, MA 02117 0322011 Liberty Mutual, P.O. Box 9004, Central Islip, NY 11722 0701025 Life Wise Health Plan, P.O. Box 7709, Bend, OR 97708, Phone: (800) 777-1502 0331002 Lincoln Financial Group Dental, P.O. Box 2640, Omaha, NE 68103-2640, Phone: (800) 423-2765 0331000 Lincoln National Life Insurance Co, 1300 S Clinton St, Fort Wayne, IN 46801 0615041 LINCO IBEW Local 322, 2000 Springer Dr, Lombard, IL 60148, Phone: (800) 323-7268 0614027 LOC 371 United Food and Commercial Workers, 290 Post Rd W, Westport, CT 06881 0614022 Local 4 Health and Welfare, P.O. Box 4, Lexington, MA 02420, Phone: (781) 861-1600 0840050 Longview Fibre Company, 1220 SW Morrison, Portland, OR 97205, Phone: (503) 224-0048 0334001 Loomis Company, P.O. Box 7011, Wyomissing, PA 19610, Phone: (610) 374-4040 0336002 Lovelace Insurance Company, P.O. Box 30536, Salt Lake City, UT 84130-0536, Phone: (877) 277-7280 0337010 Lumenos, P.O. Box 69309, Harrisburg, PA 17106 0701002 Machigonne Benefit Administrators, P.O. Box 3859, Portland, ME 04104, Phone: (800) 245-3529 0650006 Macy's HR Services, P.O. Box 850958, Richardson, TX 75085, Phone: (800) 337-2363 0614045 Magna Preferred, 158-11 Harry Van Arsdale, Flushing, NY 11365 0609002 Mail Handlers Benefit Plan, P.O. Box 8402, London, KY 40742, Phone: (800) 317-6775 0908044 Managed Benefit Plan, P.O. Box 744, Hackettstown, NJ 07840 0895002 Managed Care Concepts, 900 Haddon Ave, Collingswood, NY 08108 0630000 Managed Care Strategies Network, 1 E Uwchlan Ave, Exton, PA 19341 0908045 Managed Health Funding, P.O. Box 1148, Jacksonville, FL 32229, Phone: (304) 346-0611 0650045 Marsh Insurance, P.O. Box 10432, Danville, PA 17821, Phone: (570) 271-6211 0895011 Martins Point, P.O. Box 9746, Portland, ME 04104-5040, Phone: (888) 732-7364 0650050 Mashantucket Plan Administrators, P.O. Box 3620, Mashantucket, CT 06339, Phone: (888) 779-6872 0650007 Maskin Management, P.O. Box 2525, Camden, NJ 08101, Phone: (866) 796-7899 0614021 Mason Health and Welfare Local 534, 7 Frederika St, Dorchester, MA 02145 0614004 Mass Laborers Health and Welfare Foundation, P.O. Box 4000, Burlington, MA 01803, Phone: (781) 272-1000 0348014 Mass Mutual, 35 Circle Park, Austin, TX 78753 0348020 Mass Mutual, 1320 Willard Road, Concord, CA 94520 0348025 Mass Mutual, P.O. Box 90190, Springfield, MA 01139 0348018 Mass Mutual Life Insurance, P.O. Box 9048, Springfield, MA 01151 0348003 Mass Mutual Life Insurance, P.O. Box 60004, City of Industry, CA 91716 0800000 Masters Mates and Pilots Health and Benefit Plan, 700 Maritime Blvd, Linthicum Heights, MD 21090, Phone: (410) 850-8500 0095000 Matthew Thornton Health Plan, P.O. Box 9514, Manchester, NH 03108 0614013 Maxon Local 210, P.O. Box 606, Neversink, NY 12765, Phone: (800) 762-3137 0691035 MCREW Care Planned Administrators, P.O. Box 6702, Columbus, SC 29260 0771000 MEBA, 1007 Eastern Ave, Baltimore, MD 21203 0349020 Med Pay Inc, P.O. Box 10909, Springfield, MO 65808 0643000 Med TAC, P.O. Box 9110, Newton, MA 02460, Phone: (617) 244-0222 0643010 MedBen, P.O. Box 2090C, Stow, OH 44224, Phone: (800) 423-3151 0895005 Medco Behavioral Care Service, 6 Bedford Farms, Bedford, NH 03110 0920010 Medco Health Solutions Inc, P.O. Box 14711, Lexington, KY 40512 0895030 Medco Value Plus, 7083 Grand National Dr, Orlando, FL 32819 0004001 Medco Your Rx Plan, P.O. Box 630246, Irving, TX 75063, Phone: (800) 758-4574 0693050 Medica United Health Care, P.O. Box 30990, Salt Lake City, UT 84130-0990, Phone: (800) 952-3455 0905086 Medical Benefit Administrators, P.O. Box 1401, Abington, MD 21009, Phone: (800) 547-4457 0600015 Medical Card System, P.O. Box 9023547, San Juan, PR 00902 0622000 Medical Claims Service Inc, One Wall St, Suite 2A, Ravenswood, WV 26164, Phone: (304) 273-5384 0622015 Medical Claims Services, 100 River Ridge Dr, Norwood, MA 02062 0027007 Medical Mutual of Ohio, P.O. Box 6018, Cleveland, OH 44101 0084000 Medicare A Claims, 02106 0085000 Medicare B Claims, 02370 0006009 Medicare Rx Rewards Value, P.O. Box 9092, Oxnard, CA 93031 0349000 Medico Life Insurance, 1515 S 75th St, Omaha, NE 68124, Phone: (800) 228-6080 0816001 Mediplan, 502 Valley Rd, Wayne, NJ 07470, Phone: (973) 696-3111 0349080 Medspan Inc, P.O. Box 340950, Hartford, CT 06134, Phone: (860) 541-6789 0843040 Mega Life and Health Insurance Co, P.O. Box 982009, North Richland Hills, TX 76182, Phone: (800) 527-2845 0843035 Mega Life Dental, P.O. Box 952009, North Richland Hills, TX 76182 0843045 Mega Life Student Insurance, P.O. Box 809025, Dallas, TX 75380, Phone: (800) 767-0700 0816005 Mennonite Mutual Aid Associates, P.O. Box 483, Goshen, IN 46527, Phone: (574) 533-9511 0895012 Merit Behavior Care, P.O. Box 2188, Maryland Heights, MI 63043 0397035 Meritain Health, P.O. Box 9501, Amherst, NY 14226, Phone: (716) 319-5500 0397030 Meritian Health Insurance, P.O. Box 853921, Richardson, TX 75085, Phone: (800) 423-6011 0397031 Meritian Health Insurance, P.O. Box 27267, Minneapolis, MN 55427-0267, Phone: (800) 922-2272 0351003 Met Life Dental, P.O. Box 981282, El Paso, TX 79998, Phone: (800) 942-0854 0488017 Metrahealth United Healthcare, P.O. Box 26722, Greensboro, NC 27417 0351036 Metro, P.O. Box 30195, Tampa, FL 33630 0351041 Metro, P.O. Box 470, Warwick, RI 02887 0351047 Metro Dental Claims, P.O. Box 460, Warwick, RI 02887, Phone: (800) 556-3490 0351029 Metro Insurance Co, P.O. Box 495, Warwick, RI 02887, Phone: (401) 828-2000 0351021 Metropolitan, 615 E Michigan St, Milwaukee, WI 53802 0351027 Metropolitan, 99 High St, Boston, MA 02111 0351034 Metropolitan, P.O. Box 468, Warwick, RI 30374, Phone: (877) 842-3210 0351083 Metropolitan, P.O. Box 450, Warwick, RI 02887 0351086 Metropolitan, P.O. Box 6017, Newark, DE 19714 0351090 Metropolitan, P.O. Box 2078, Aurora, IL 60507 0351060 Metropolitan Health Insurance, P.O. Box 2950, Inglewood, CO 80110 0351061 Metropolitan Health Insurance, 960 Main St, Hartford, CT 26115 0351032 Metropolitan Insurance Co, P.O. Box 7777, Utica, NY 13504 0351075 Metropolitan Life, P.O. Box 1922, Indianapolis, IN 46206 0351092 Metropolitan Life, P.O. Box 3012, Utica, NY 13504, Phone: (800) 300-4296 0351088 Metropolitan Life Dental Claims, P.O. Box 2579, Pittsburgh, PA 15230 0351053 Metropolitan Life Insurance Co Group Claims, P.O. Box 469, Warwick, RI 02886 0351000 Metropolitan Life Insurance Co, 1 Madison Ave, New York, NY 10010, Phone: (800) 848-8406 0351002 Metropolitan Life Insurance Co, P.O. Box 30430, Tampa, FL 33630 0351006 Metropolitan Life Insurance Co, Oneida County Industrial Park, C/O Kanawha, Lancaster, SC 29721 0351007 Metropolitan Life Insurance Co, 700 Quaker Ln, P.O. Box 300, Warwick, RI 02887 0351012 Metropolitan Life Insurance Co, 9797 Springboro Pike, Dayton, OH 45448, Phone: (800) 260-1093 0351015 Metropolitan Life Insurance Co, Bldg 14, The Atrium, Philadelphia, PA 19101 0351045 Metropolitan Life Insurance Co, P.O. Box 969, Latham, NY 12110 0351050 Metropolitan-Group Dental Claims, P.O. Box 5200, Greenville, SC 29606 0085010 MH Medicare B Wrap 0354000 Michigonne Benefit Administrators, P.O. Box 3859, Portland, ME 04104, Phone: (800) 245-3529 0348040 Mid Atlantic Medical Services MAMSI, P.O. Box 930, Frederick, MD 21705 0908025 Midwest Security, P.O. Box 266, Onalaska, WI 54650-0226 0357010 Midwest National Life Insurance Co, P.O. Box 982017, North Richland Hills, TX 76182, Phone: (800) 733-8880 0703000 MIT Health Plan, 77 Massachusetts Ave, Cambridge, MA 02139 0606000 MMSI, 4401 41st St NW, Rochester, MN 55901, Phone: (877) 832-1822 0701041 Mohawk Valley Health Plan, P.O. Box 1434, Schenectady, NY 12301 0700037 Montachussett Health Plan, 285 Central St, Leominster, MA 01453 0362010 Monumental Insurance, P.O. Box 97, Scranton, PA 78504 0650008 Monumental Life, Attention Claims, Valley Forge, PA 19493, Phone: (800) 523-7900 0362004 Monumentary General Insurance, 1111 N Charles, Baltimore, MD 21201 0741000 Morton Building Employee Health, P.O. Box 232, Morton, IL 61550 0900098 Motel 6, P.O. Box 809092, Claims Processing, Dallas, TX 75380 0905028 Motorola, P.O. Box 29005, Phoenix, AZ 85038, Phone: (800) 421-3973 0171020 Mountain States Administration Services, P.O. Box 98163, El Paso, TX 79998-1693, Phone: (800) 866-4731 0098000 Multi Group Health Plan, 20 Walnut St, Wellesley, MA 02181 0204004 Mutual Assurance Administrators, P.O. Box 42096, Oklahoma City, OK 73123-3096, Phone: (800) 825-3540 0366001 Mutual of Omaha, Mutual of Omaha Plaza, Omaha, NE 68175, Phone: (800) 316-7518 0366004 Mutual of Omaha, 6301 Ivy Lane 100, Greenbelt, MD 20770 0366005 Mutual of Omaha, 1160 Bay St, Springfield, MA 01109 0366006 Mutual of Omaha, P.O. Box 9, Woodward, OK 73802 0366011 Mutual of Omaha, P.O. Box 668329, Charlotte, NC 28266 0367010 Mutual Protective Medico Life, P.O. Box 3735, Omaha, NE 68103 0606002 MVP, 111 Liberty St, Schenectady, NY 12301, Phone: (800) 666-1762 0606004 MVP Select Care Inc, P.O. Box 1434, Schenectady, NY 12301 0621000 National Benefit Fund LOC 1199, P.O. Box 1007, New York, NY 10108-1007 0609003 National Association of Letter Carriers, 20547 Waverly Ct, Ashburn, VA 22093 0611002 National Association of Self Employed, 41 N Summer St, Holyoke, MA 01042 0905080 National Automatic Sprinkler Self-Insured, 800 Corporate Dr, Landover, MD 20785 0372000 National Benefit Life Insurance Co, P.O. Box 2366, Newtown Square, PA 19073, Phone: (800) 252-4611 0600060 National Benefit Plans, P.O. Box 1817, Suffolk, VA 23439, Phone: (757) 923-3400 0681001 National Benefits Inc, P.O. Box 263, Parsippany, NJ 07054, Phone: (800) 258-0103 0891038 National Claims Administrative Service, 7083 Grand National Dr, Orlando, FL 32819 0891037 National Claims Administrative Service, P.O. Box 10104, Fairfax, VA 22030, Phone: (866) 662-4084 0371000 National Elevator Industry, P.O. Box 477, New York, NY 10116, Phone: (800) 221-2554 0374000 National Financial Insurance, 110 W 7th St, Fort Worth, TX 76102, Phone: (800) 725-1407 0376003 National Health Insurance, P.O. Box 619999, Dallas/Fort Worth Airport, TX 75261, Phone: (800) 237-1900 0574003 National Union Fire, 466 Totten Pond Rd, Waltham, MA 02401 0384041 Nationwide Specialty NHP, P.O. Box 420, Springfield, MA 01101-0420, Phone: (800) 517-4791 0910010 Neighborhood Health Plan, 253 Summer St, Boston, MA 02110, Phone: (800) 433-5556 0910012 Neighborhood Health Plan of RI, 50 Holden St, Providence, RI 02908 0614011 New England Carpenters Health and Welfare, P.O. Box 7075, Wilmington, MA 01887, Phone: (978) 694-1000 0058020 New England Dental Administrators, P.O. Box 2006, Concord, NH 03302 0615024 New England Electrical Worker's Benefits, P.O. Box 5817, Wallingford, CT 06492, Phone: (800) 832-6538 0615026 New England Health Care Welfare Fund, 77 Huyshope Ave, Hartford, CT 06106, Phone: (860) 728-1100 0614043 New England Laundry Workers Insurance, 697 Broadway, Somerville, MA 02144 0614024 New England Teamsters, P.O. Box 38, North Andover, MA 01845, Phone: (978) 682-7407 0697050 New Tribes Mission, 1000 E First St, Sanford, FL 32771 0810012 New World Claims Service, 2624 N 5th St, Niles, MI 49120, Phone: (781) 762-5511 0390009 New York Life, P.O. Box 92449, Chicago, IL 60675 0390035 New York Life, 8834 Capital of Texas Hwy, Austin, TX 78759, Phone: (800) 723-5555 0390000 New York Life Insurance Co, 3316 Farnam St, Omaha, NE 68175 0390001 New York Life Insurance Co, P.O. Box 64022, Phoenix, AZ 85082 0390005 New York Life Insurance Co, 420 Lexington Ave, New York, NY 10170, Phone: (646) 227-8888 0390012 New York Life Insurance Co, 51 Madison Ave, New York, NY 10010 0390020 New York Life Insurance Co, P.O. Box 30769, Jamaica, NY 11430 0390016 New York State Health Plan, P.O. Box 1600, Kingston, NY 12402-1600, Phone: (877) 769-7447 0906020 NGS American, 27575 Harper Ave, Saint Clair Shores, MI 48080, Phone: (800) 521-1555 0393030 Nippon Life Co of America, P.O. Box 39710, Colorado Springs, CO 80949, Phone: (800) 937-6542 0005001 NMHC Medicare PDP Gold, 9343 Tech Center Dr, Sacramento, CA 95826, Phone: (866) 443-1095 0731000 North America Administrators, P.O. Box 11984, Nashville, TN 37202, Phone: (800) 411-3650 0397001 North America Life and Casualty, Med Claims Services, Boston, MA 02111 0893000 North Shore Health Plan, 1 Essex Cir Dr, Peabody, MA 01960 0893010 North Shore Health System, P.O. Box 4445, Salem, MA 01970, Phone: (978) 825-7085 0722000 Northeast Delta, 6 London St, Concord, NH 03301 0405002 Northwest National Life, P.O. Box 5222, Norwalk, CT 06856 0406001 Northwestern National, 180 Greenleaf Ave, Portsmouth, NH 03801 0406006 Northwestern National Life, P.O. Box 2264, Tacoma, WA 98401 0610010 Nippon, P.O. Box 7047, Middletown, NY 10940, Phone: (800) 582-8547 0910060 Olympus Managed Health Care, 777 Brickell Ave, Miami, FL 33131 0614066 Operating Engineers Health and Welfare, P.O. Box 217, East Longmeadow, MA 01028 0614037 Operating Engineers Local 302, P.O. Box 34684, Seattle, WA 98124 0414002 Oxford Health Plan, P.O. Box 7082, Bridgeport, CT 06601, Phone: (800) 444-6222 0414003 Oxford Health Plan, P.O. Box 2083, Nashua, NH 03061 0414000 Oxford Life Insurance Co, 2721 N Central Ave, Phoenix, AZ 85004, Phone: (888) 757-3732 0414001 Oxford Life Insurance Co, P.O. Box 46518, Madison, WI 53744, Phone: (877) 469-3073 0304050 P5 E Health Services, P.O. Box 9554, Salt Lake City, UT 84109, Phone: (800) 569-9503 0693001 P5 Electronic Health Services, P.O. Box 9554, Salt Lake City, UT 84109, Phone: (800) 551-4049 0414040 PACC Health Plans, P.O. Box 1707, Clackamas, OR 97015 0844050 Pacific Atlantic Administrators, P.O. Box 7407, San Francisco, CA 94120 0415050 Pacific Coast Administrators Inc, 2100 W Orangewood Ave, Orange, CA 92668 0416001 Pacific Fidelity Insurance Co, P.O. Box 1038, Hurst, TX 76053 0418006 Pacific Life and Annuity Company, P.O. Box 34799, Phoenix, AZ 85067, Phone: (800) 733-2285 0418002 Pacific Mutual, 100 W Clarendon, Phoenix, AZ 85026 0894010 Pacific Source Health Plans, P.O. Box 7068, Eugene, OR 97401, Phone: (541) 684-5582 0899003 PacifiCare, P.O. Box 30972, Salt Lake City, UT 84130, Phone: (866) 316-9776 0615012 Painters District Council Local 35, P.O. Box 9165, Care Link Claims, Watertown, MA 02471 0615010 Painting Industry, 8257 Dow Circle, Strongsville, OH 44136 0910030 Pan American Life Insurance, P.O. Box 61070, New Orleans, LA 70160, Phone: (877) 939-4500 0646005 Paradigm, P.O. Box 1268, Tifton, GA 31793 0421015 Patriot Health Care, 35 Industrial Way, Exeter, NC 28220 0280034 Penn Treaty Network, P.O. Box 130, Pensacola, FL 32591-0130, Phone: (800) 635-7418 0425020 Pennsylvania Employee Benefit Trust, 150 S 43rd St, Harrisburg, PA 11711, Phone: (717) 561-4750 0378000 Peoples Benefit Life Insurance Co, Claims Dept, Valley Forge, PA 19493, Phone: (610) 648-5000 0659016 Perfect Health, P.O. Box 140724, Staten Island, NY 10314-0724, Phone: (718) 370-5380 0640111 Performax, P.O. Box 1065, Amherst, NY 14226, Phone: (800) 283-9538 0641010 Performax, P.O. Box 61505, King of Prussia, PA 19406, Phone: (888) 554-7629 0113000 Personal Care Health Management, 2110 Fox Dr, Champaign, IL 61820, Phone: (800) 562-5792 0833000 Philadelphia America Life, 100 N 6th St, Suite 800, Waco, TX 76701 0910045 Phillip Administrative, P.O. Box 218, Albany, OR 97321, Phone: (800) 356-9822 0430010 Phoenix, P.O. Box 1477, Greenfield, MA 01302 0430012 Phoenix, P.O. Box 810, Greenfield, MA 01302 0430000 Phoenix Insurance Co, One Tower Square, Hartford, CT 06115 0430003 Phoenix Life, One American Row, Hartford, CT 06115 0430004 Phoenix Life, P.O. Box 677, Greenfield, MA 01302 0431040 Physician Care Plus, P.O. Box 31286, Tampa, FL 33631, Phone: (800) 794-5907 0432000 Physicians Mutual Insurance Co, P.O. Box 2018, Omaha, NE 68103, Phone: (800) 228-9100 0092050 Pilgrim Health Care, P.O. Box 699183, Quincy, MA 02269 0092013 Pilgrim Health Care Preferred 65, P.O. Box 9175, Quincy, MA 02269 0432030 Pine Health Benefits, P.O. Box 2160, Natick, MA 01760 0435000 Pinkerton, P.O. Box 5049, Costa Mesa, CA 92628 0433002 Pioneer Life Insurance, P.O. Box 5151, Janesville, WI 53547, Phone: (800) 759-7007 0433001 Pioneer Management Systems, P.O. Box 9040, West Springfield, MA 01090, Phone: (888) 234-1011 0650009 Pittman and Associates, P.O. Box 11047, Memphis, TN 38111, Phone: (800) 238-1344 0700009 Plan 21, 4550 Post Oak Pl, Houston, TX 77027 0700014 Plastek Group Dental Plan, 1250 Tower Ln, Erie, PA 16505 0814085 Platinum Safety and Claims, P.O. Box 6460, Tyler, TX 75711 0614015 Plumbers Union Health and Welfare, 1240 Mass Ave, Local 12, Boston, MA 02125 0928000 Plymouth Rock Assurance Corp, 695 Atlantic Ave, Boston, MA 02111 0580010 Polaris Benefit Administrator, P.O. Box 2090 C, Stow, OH 44224 0836040 POMCO, P.O. Box 6329, Syracuse, NY 13217 0609004 Postmaster Benefit Plan, P.O. Box 782369, San Antonio, TX 78278 0435005 PPO Next, P.O. Box 2000 214, Mission Viejo, CA 92692, Phone: (800) 800-7616 0660050 Precise Benefits, P.O. Box 9064, Jericho, NY 11753 0700008 Preferred Benefit Administrators, P.O. Box 916188, Longwood, FL 32791-6188, Phone: (888) 524-2777 0903054 Preferred Care, P.O. Box 22920, Rochester, NY 14607, Phone: (800) 999-3920 0204006 Preferred One, P.O. Box 59212, Minneapolis, MN 55459-0212, Phone: (800) 997-1750 0660010 Presbyterian Health Plan, P.O. Box 27489, Albuquerque, NM 87125, Phone: (800) 356-2219 0006008 Prescription Pathway Bronze Plan, P.O. Box 1232, Pensacola, FL 32591, Phone: (866) 684-5353 0421000 Primary Physician Care, 1515 Mockingbird Lane, Exeter, NH 03833, Phone: (603) 296-0312 0373001 Primera Blue Cross Blue Shield of AK, P.O. Box 240609, Anchorage, AK 99524-0609, Phone: (800) 508-4722 0756005 Principal Financial Group, 1 International Plaza, Philadelphia, PA 19113 0756015 Principal Life Insurance, P.O. Box 39710, Colorado Springs, CO 80949, Phone: (800) 247-4695 0756013 Principle Financial Group, 1245 Corporate Blvd, Aurora, IL 60504, Phone: (630) 978-4669 0756080 Private Health Care Systems Claims, P.O. Box 1607, Des Plaines, IL 60017, Phone: (631) 420-4100 0756075 Private Healthcare System, P.O. Box 8013, Wausau, WI 54402 0756050 Private Healthcare Systems, P.O. Box 5066, PHCS/3M, Des Plaines, IL 60017, Phone: (800) 292-9902 0756070 Private Healthcare Systems, P.O. Box 1934, Des Plaines, IL 60017 0247010 Pro America, P.O. Box 90603, Arlington, TX 76006 0815000 Pro Health Plus, P.O. Box 2385, Woburn, MA 01888 0247005 Pro Net, P.O. Box 101387, Fort Worth, TX 76185, Phone: (800) 344-5822 0823000 Professional Benefit Administrators Inc, P.O. Box 4687, Oak Brook, IL 60522-4681, Phone: (800) 435-5694 0700011 Protective Dental Care, P.O. Box 830626, Birmingham, AL 35283, Phone: (800) 866-5020 0700078 Providence Health Plan of OR, P.O. Box 3125, Portland, OR 97208, Phone: (888) 244-6643 0439024 Provident Mutual, P.O. Box 7011, Portsmouth, NH 03801 0441035 Prudential, P.O. Box 1400, Parsippany, NJ 07054 0442050 Public Employees Healthplan, 560 E 200 S, Salt Lake City, UT 84102, Phone: (800) 765-7347 0720020 Q3 Business Tech Corp for VOTAW Electric, P.O. Box 15952, Fort Wayne, IN 46885, Phone: (219) 492-9979 0720005 QualCare, P.O. Box 1030, Piscataway, NJ 08854, Phone: (800) 992-6613 0720060 QualChoice of North Carolina, P.O. Box 350, Winston-Salem, NC 27102 0784000 RE Harrington, P.O. Box 16789, Columbus, OH 43216 0028101 Regence Group Administrators, P.O. Box 52890, Bellevue, WA 98015-2890, Phone: (877) 462-1444 0448005 Reliance Standard Specialty Products, 509 S Lenola Rd, Moorestown, NJ 08057-1548, Phone: (866) 375-0775 0451010 Reserve National Insurance, P.O. Box 26620, Oklahoma City, OK 73126, Phone: (800) 654-9106 0750030 Retiree Medical Insurance, P.O. Box 10432, Des Moines, IA 50306 0444010 RMSCO, P.O. Box 6309, Syracuse, NY 13217, Phone: (877) 300-7343 0444015 RMSCO, P.O. Box 678, Liverpool, NJ 08057, Phone: (800) 321-2347 0670002 S and S Healthcare, P.O. Box 141097, Cincinnati, OH 45250, Phone: (866) 266-1110 0670003 S and S Healthcare Strategies, P.O. Box 46511, Cincinnati, OH 45246-0511 0614097 Sagamore Health Network, P.O. Box 6051, Indianapolis, IN 46206, Phone: (800) 552-6550 0006001 SAMA Script, 13900 Riverport Dr, Maryland Heights, MO 63043, Phone: (800) 605-9208 0702045 SAMBA, P.O. Box 8600, London, KY 40742-8600 0776000 SAMBA, 11301 Old Georgetown Rd, Rockville, MD 20852 0670010 Sauder Welfare Trust, P.O. Box 156, Archbold, OH 43502 0783030 Scott and White Health Plan, 2401 S 3st St, Temple, TX 76504 0783020 Screen Actors Guild Producers, P.O. Box 7830, Burbank, CA 91503 0872025 SDS, 4676 Highway 41 N, Springfield, TN 37172, Phone: (800) 591-6764 0750002 Seabury and Smith, P.O. Box 10408, Des Moines, IA 50306 0750005 Seafarers Health, P.O. Box 380, Piney Point, MD 20604 0670015 Securian Dental, P.O. Box 192, Minneapolis, MN 55440, Phone: (800) 234-9009 0900097 Sedgwick Nobles and Lownes, P.O. Box 248, Newtown, PA 18940 0614068 SEIU Local 254, 11 Beacon St, Boston, MA 02108, Phone: (617) 367-7360 0680000 Select Benefit Administrators of America, P.O. Box 440, Ashland, WI 54806, Phone: (800) 497-3699 0752001 Self Insured Services Company, P.O. Box 389, Dubuque, IA 52004, Phone: (800) 793-5235 0589000 Sentry Life Policy Benefits, P.O. Box 8025, Stevens Point, WI 54481, Phone: (800) 426-7234 0257000 Seven Corners, P.O. Box 3430, Carmel, IN 46032-3430, Phone: (866) 699-4186 0709003 Shasta Admin Services, P.O. Box 1747, Redmond, OR 97708, Phone: (800) 441-4518 0704010 Shaw Industries Inc, P.O. Box 1208, Dalton, GA 30722 0615052 Sheet Metal Workers National Health Fund, P.O. Box 1449, Goodlettsville, TN 37070, Phone: (800) 831-4914 0720050 Shenandoah Life, P.O. Box 11807, Roanoke, VA 24022 0750020 SIEBA LTD, P.O. Box 5000, Endicott, NY 13761 0462040 Sierra Health Plan, P.O. Box 18408, Las Vegas, NV 89114-8408, Phone: (800) 777-1840 0064008 Sierra Military Health System, P.O. Box 7889, Tricare for Life, Madison, WI 53707, Phone: (866) 835-7422 0006002 SilverScript, P.O. Box 52067, Phoenix, AZ 85072, Phone: (800) 605-9208 0720010 SISCO, P.O. Box 389, Dubuque, IA 52004, Phone: (800) 793-5235 0614094 South West Administrators, P.O. Box 1121, Alhambra, CA 91802, Phone: (877) 350-4792 0828005 Southern Health Services, P.O. Box 7704, London, KY 40742, Phone: (800) 627-4872 0614065 Southwest Carpenters Health Welfare Trust, P.O. Box 17973, Los Angeles, CA 90017-0973, Phone: (800) 252-9255 0828002 Southwest Employee Benefits Administrators, P.O. Box 25500, Albuquerque, NM 87125 0756081 St John Claim Administrator, P.O. Box 14230, Springfield, MO 65814-0230, Phone: (877) 875-1100 0626000 St Paul Electrical Construction, 1330 Conway St, Medical Reimbursement Plan, St Paul, MN 55106, Phone: (651) 776-4239 0905054 Standard Life and Accident Insurance, P.O. Box 1800, Galveston, TX 78730, Phone: (512) 339-4449 0895001 Star Administrative Services, P.O. Box 55270, Phoenix, AZ 85078, Phone: (800) 308-5948 0606006 Star Mark, P.O. Box 2942, Clinton, IA 52733, Phone: (800) 522-1246 0680050 Starmark, P.O. Box 420, Freeport, IL 61032, Phone: (800) 371-1633 0592003 State Farm Mutual Health Insurance Inc, P.O. Box 3070, Newark, OH 43058, Phone: (866) 855-1212 0677000 State Health Benefit Plan, P.O. Box 38342, Atlanta, GA 30334 0472014 State Mutual London Agency, 223 Newport Ave, Pawtucket, RI 02861 0398040 State of North Carolina Teachers, P.O. Box 30025, Durham, NC 27702 0006003 Sterling RX, P.O. Box 1917, Bellingham, WA 98227, Phone: (866) 235-5660 0642020 Stirling and Stirling Inc, 20 Armory Lane, Milford, CT 06460, Phone: (800) 447-6689 0906049 Strategic Resource Company, P.O. Box 14079, Lexington, KY 40512-3759, Phone: (888) 772-9682 0700076 SummaCare, P.O. Box 3620, Akron, OH 44309, Phone: (800) 996-8401 0478010 Sun Life Financial Dental, P.O. Box 81633, Wellesley Hills, MA 02481, Phone: (800) 451-2513 0814084 Sunrise Healthcare, P.O. Box 93098, Albuquerque, NM 87199 0747005 Susquehanna Administrators, 1 Executive Park Dr, Bedford, NH 03102 0708005 Team Health, P.O. Box 612768, Dallas, TX 75261, Phone: (800) 275-1171 0614062 Teamsters Health Services, 404, P O Box 1370, Springfield, MA 01101, Phone: (413) 733-2191 0614088 Teamsters Central States, P.O. Box 5103, Des Plaines, IL 60017 0614017 Teamster's Health and Welfare, 650 Beacon St, Boston, MA 02115 0614030 Teamster's Health and Welfare, Local 170, 805 Millbury St, Worcester, MA 01607 0614000 Teamsters Health Services, 400 Chapel Rd, Unit 2A, South Windsor, CT 06074, Phone: (860) 289-3409 0614052 Teamsters Local 59, 27 S Sixth St, New Bedford, MA 02740, Phone: (800) 880-5959 0614070 Teamsters Local 671, Anthem BCBS, North Haven, CT 06473 0615005 Teamsters Local 671, 18 Britton Dr, Bloomfield, CT 06002 0614002 Teamsters Union 25 Health Services, 16 Sever St, Charlestown, MA 02129, Phone: (617) 241-9220 0615049 Teamsters Union Local 20, 435 S Halley St, Toledo, OH 43609, Phone: (419) 243-8800 0226031 The Equitable, P.O. Box 3000, Lancaster, SC 29721, Phone: (800) 782-9355 0280006 The Guardian, P.O. Box 9128, Norwell, MA 02001 0844030 The TPA Inc, P.O. Box 7045, Rockford, IL 61125, Phone: (800) 842-5749 0910059 Thomas Cooper and Company, P.O. Box 2557, Charlestown, SC 29413 0750010 Thompson Agency of New England, 763 Farmington Ave, Farmington, CT 06032 0480000 Time Insurance Co, P.O. Box 624, Milwaukee, WI 53201 0900099 Tom Lange Co, 5231 S 6th St, Springfield, IL 62707 0481040 Touchstone Health PSO, P.O. Box 33519, Indianapolis, IN 46203 0844015 TPA of Connecticut, 116 Washington Ave, New Haven, CT 06473 0844016 TPA of Illinois, P.O. Box 3098, Naperville, IL 60566 0625000 TR Paul Inc, P.O. Box 5508, Newtown, CT 06470, Phone: (800) 678-8161 0625001 TR Paul Inc, P.O. Box 14669, Cincinnati, OH 45250-0669, Phone: (866) 334-4553 0394001 Trans American Insurance Company, P.O. Box 982009, North Richland Hills, TX 76182, Phone: (800) 527-2845 0484000 Transamerica Accidental Life Insurance, P.O. Box 92106, Bedford, TX 76095, Phone: (800) 227-3740 0486000 Transport Life Insurance, 714 Main St, Fort Worth, TX 76102 0488025 Travelers Insurance, P.O. Box 4215, Atlanta, GA 30302 0488051 Travelers Insurance, P.O. Box 8026, San Rafael, CA 94901, Phone: (877) 582-7767 0064060 TRICARE Pharmacy, P.O. Box 7011, Camden, SC 79020, Phone: (888) 999-5195 0028068 Trigon Blue Cross Blue Shield, 2015 Staples Mill Rd, Richmond, VA 23279, Phone: (804) 358-1551 0028095 Trigon Blue Cross Blue Shield, P.O. Box 27287, Richmond, VA 23261, Phone: (804) 354-7000 0489015 Trustmark Dental, P.O. Box 2942, Clinton, IA 52733 0489000 Trustmark Insurance, P.O. Box 9137, Fort Worth, TX 76147 0489010 Trustmark Insurance, P.O. Box 7900, Lake Forest, IL 60045, Phone: (847) 615-1300 0101001 Tufts Health Plan, P.O. Box 9163, Watertown, MA 02471, Phone: (800) 462-0224 0017003 UA Medicare Part D Rx Coverage Silver Plan, 3700 S Stonebridge Dr, McKinney, TX 75070, Phone: (866) 299-3406 0615044 UFCW District 5, 108-36 Queens Blvd, Forest Hills, NY 11375 0614016 UFCW Local 1459, 33 Eastland St, Springfield, MA 01109, Phone: (413) 733-0177 0615009 UFCW Local 371, 290 Post Rd W, Westport, CT 06880, Phone: (203) 226-4751 0615011 UFCW National Health and Welfare, P.O. Box 751, Englewood, NJ 07631, Phone: (888) 773-8329 0760031 Ullico, P.O. Box 61593, King of Prussia, PA 19406, Phone: (877) 800-2956 0767000 Ultra Benefits Inc, P.O. Box 763, Westborough, MA 01581, Phone: (866) 858-7223 0602006 UMR, P.O. Box 450, Pueblo, CO 81102-0450, Phone: (877) 233-1800 0602007 UMR, P.O. Box 30541, Salt Lake City, UT 84130-0541, Phone: (877) 233-1800 0602008 UMR, P.O. Box 2838, Clinton, IA 52733, Phone: (866) 868-9460 0315014 UniCare, P.O. Box 25307, Winston-Salem, NC 27114 0315016 UniCare, P.O. Box 5005, Bolingbrook, IL 60440, Phone: (800) 442-9300 0315020 UniCare, P.O. Box 795180, San Antonio, TX 78279-5180, Phone: (866) 364-2374 0315023 UniCare, 13523 Barrett Parkway Dr, Association National Claim, Baldwin, MO 63021 0315029 UniCare, P.O. Box 4050, Clint Service Center, Schaumburg, IL 60168, Phone: (847) 706-4050 0315030 UniCare, P.O. Box 4109, Woodland, CA 91365 0315031 UniCare, P.O. Box 7062, Schaumburg, IL 60168, Phone: (800) 258-5284 0315032 UniCare, P.O. Box 4069, Schaumburg, IL 60168, Phone: (800) 258-5284 0315035 UniCare, P.O. Box 9016, GIC Indemnity Plan, Andover, MA 01810, Phone: (800) 422-9300 0315046 UniCare, 7025 Albert Pick Rd 500, Greensboro Client Service, Greensboro, NC 60680, Phone: (800) 288-8630 0315051 UniCare, P.O. Box 4458, Chicago, IL 01151, Phone: (800) 288-8630 0315052 UniCare, P.O. Box 51990, Indian Orchard, MA 01151, Phone: (413) 858-5000 0315055 UniCare, P.O. Box 9201, Oxnard, CA 91331, Phone: (800) 627-0004 0315057 UniCare, P.O. Box 51130, Springfield, MA 01151, Phone: (800) 288-8630 0315090 UniCare, P.O. Box 51180, Indian Orchard, MA 01151, Phone: (800) 422-9300 0315092 UniCare, P.O. Box 061109, Chicago, IL 60606, Phone: (800) 438-6105 0315095 UniCare, P.O. Box 4061, Schaumburg, IL 60168, Phone: (800) 304-7258 0315079 UniCare Compaq Claims, P.O. Box 833895, Richardson, TX 75083, Phone: (800) 342-0000 0315017 UniCare Ford Visteon, 3200 Greenfield Rd, Dearborn, MI 48120 0315009 UniCare John Hancock, 233 S Wacker Dr, Chicago, IL 60606 0315019 UniCare Mass Mutual, 3820 American Dr, Plano, TX 75075 0315059 UniCare Pharmacy, P.O. Box 9282, Oxnard, CA 93031 0706000 Union Bankers Insurance Company, P.O. Box 130, Pensacola, FL 32591, Phone: (800) 789-6364 0491000 Union Fidelity Life Insurance Co, P.O. Box 10841, Clearwater, FL 33757 0493002 Union Labor Life Insurance, 161 Forbes Rd, Suite 204, Braintree, MA 02184 0493000 Union Labor Life Insurance Co, 360 Park Avenue S 2nd Fl, New York, NY 10010 0814026 Union Welfare Fund Local 202, Hunt's Point Terminal MK, Bronx, NY 10474 0498010 United Administrative Services, 33 Harrison Ave, Boston, MA 02111 0753002 United Administrative Services, P.O. Box 5057, San Jose, CA 95150, Phone: (408) 286-7663 0498005 United American, P.O. Box 26400, Oklahoma City, OK 73126 0498000 United American Insurance Co, P.O. Box 8080, McKinney, TX 75070, Phone: (972) 529-5085 0900032 United Benefits, P.O. Box 2480, Daytona Beach, FL 32115, Phone: (800) 323-4890 0659010 United Chambers, P.O. Box 3209, Covina, CA 91722 0498040 United Church of Christ, P.O. Box 197629, Louisville, KY 40259 0905035 United Commercial Travelers, 632 N Park St, P.O. Box 159019, Columbus, OH 43215, Phone: (800) 848-0128 0352012 United Concorda, P.O. Box 69421, Harrisburg, PA 17106, Phone: (800) 235-1847 0351081 United Evercare, P.O. Box 31350, Salt Lake City, UT 84313, Phone: (877) 702-5110 0614049 United Furniture Workers, P.O. Box 100037, Nashville, TN 37224 0900025 United Group Programs, 25 N Military Trail, Boca Raton, MI 48007 0351005 United Healthcare, P.O. Box 1600, Kingston, NY 12402, Phone: (800) 942-4640 0351011 United Healthcare, P.O. Box 981502, El Paso, TX 79998 0351016 United Healthcare, P.O. Box 740801, Atlanta, GA 30374, Phone: (800) 848-8406 0351017 United Healthcare, P.O. Box 74083, Verizon Claims, Atlanta, GA 30374, Phone: (800) 344-4515 0351018 United Healthcare, P.O. Box 740800, Atlanta, GA 30374, Phone: (877) 842-3210 0351020 United Healthcare, P.O. Box 809025, Dallas, TX 75380-9025, Phone: (800) 977-4698 0351024 United Healthcare, P.O. Box 740802, Atlanta, GA 03374, Phone: (800) 577-8567 0351026 United Healthcare, 450 Columbus Blvd, Hartford, CT 06103 0351037 United Healthcare, P.O. Box 699183, Quincy, MA 02269-9183 0351038 United Healthcare, P.O. Box 2517, Smyrna, GA 30081 0351057 United Healthcare, P.O. Box 5090, Rolling Meadows, IL 60008 0351064 United Healthcare, P.O. Box 30551, Salt Lake City, UT 84130, Phone: (877) 842-3210 0351079 United Healthcare, P.O. Box 659768, San Antonio, TX 78265, Phone: (877) 842-3210 0351084 United Healthcare, P.O. Box 659744, San Antonio, TX 78265, Phone: (800) 526-2414 0351094 United Healthcare, P.O. Box 30990, Salt Lake City, UT 84130-0990, Phone: (877) 842-3210 0351095 United Healthcare, P.O. Box 30755, Salt Lake City, UT 84130, Phone: (800) 357-0978 0351098 United Healthcare, 601 Brooker Creek Blvd, Oldsmar, FL 34677 0488000 United Healthcare, P.O. Box 9516, New Haven, CT 06534 0488003 United Healthcare, P.O. Box 473519, Charlotte, NC 28247 0488062 United Healthcare, P.O. Box 26722, Greensboro, NC 27417 0351063 United Healthcare Dental, P.O. Box 30567, Salt Lake City, UT 84130, Phone: (877) 816-3596 0351001 United Healthcare MetraHealth, P.O. Box 30555, Multi-Case Services, Salt Lake City, UT 84130, Phone: (877) 842-3210 0351074 United Healthcare Metropolitan Under 65, P.O. Box 3025, Utica, NY 13504 0488035 United Healthcare Railroad Active Employee, P.O. Box 30985, Salt Lake City, UT 84130 0488053 United Healthcare Railroad Medicare Over 65, P.O. Box 30304, Salt Lake City, UT 84130 0351035 United Healthcare, P.O. Box 740800, Atlanta, GA 06517 0508040 United Medical Resources, 2343 Auburn Ave, Cincinnati, OH 45221, Phone: (800) 436-3100 0508043 United Medical Resources, P.O. Box 141337, Cincinnati, OH 45250 0901051 United Plans, P.O. Box 9098, Waltham, MA 02254 0508001 United States Life Insurance, P.O. Box 1581, Neptune, NJ 07754, Phone: (732) 922-7000 0510001 Universal Health Service, P.O. Box 2843, Warminster, PA 18974, Phone: (800) 847-7718 0531002 University Health Plans, P.O. Box 7949, Lake Forest, IL 60045 0615000 University of MA Supplemental Health Insurance, University Ctr, Amherst, MA 01003 0495000 UNUM Life Insurance, 2211 Congress St, Portland, ME 04122 0388016 UNUM Provident Corp, 18 Chestnut St, Worcester, MA 01608, Phone: (508) 799-4441 0512020 Upstate Administrative Service Inc, P.O. Box 6589, Syracuse, NY 13217 0715030 US Able Administrators Blue Advantage, P.O. Box 1460, Little Rock, AR 72203 0691000 US Administrators, P.O. Box 30654, Los Angeles, CA 90030 0645050 US Family Health Plan, P.O. Box 9195, Watertown, MA 02471, Phone: (800) 818-8589 0700048 US Now, 8350 N Central Expressway, Dallas, TX 75206 0703005 USA MCO, P.O. Box 160300, Austin, TX 78716 0715025 USSA Life Insurance Company, 9800 Frederick Rd, San Antonio, TX 78288, Phone: (800) 531-8000 0513001 Utica Mutual Insurance Company, 401 Edgewater Pl, Wakefield, MA 01880 0810005 Value Options, P.O. Box 1347, Latham, NY 12110, Phone: (800) 397-1630 0810000 Vanguard Group Inc, 1979 Marcus Ave, Lake Success, NY 11042, Phone: (516) 616-6011 0600000 Veterans Aid and Attendance, JFK Building, Boston, MA 02203 0901087 Veterans Benefits, 1 Government Center, Fall River, MA 02722 0901085 Veterans Services, Framingham Town Hall, Framingham, MA 01702 0900023 Vetri Systems, P.O. Box 5028, Troy, FL 99431, Phone: (531) 997-9894 0753003 Vision Benefits of America, 300 Weyman Rd, Pittsburgh, PA 15236 0523015 Volusia Health Network, 400 N Clyde Morris Blvd, Daytona Beach, FL 32114, Phone: (386) 258-4822 0112010 Vytra Health Plans, P.O. Box 9091, Melville, MA 11747-9091, Phone: (888) 288-9872 0516050 Wal-Mart Benefit Administration, 922 W Walnut, Rogers, AR 72756, Phone: (800) 421-1362 0658020 Washington Dental, P.O. Box 75983, Seattle, WA 98125 0710014 Washington Gas Medical Claims, 6801 Industrial Rd, Springfield, VA 22151 0171000 Washington National, P.O. Box 1934, Des Plaines, IL 60017, Phone: (815) 987-0409 0805050 Watkins Assoc Industries, P.O. Box 1738, Atlanta, GA 30301, Phone: (800) 333-3841 0602001 Wausau Benefits Inc, Georgia Pacific, P.O. Box 8092, Wausau, WI 54402, Phone: (715) 841-7111 0204007 Web TPA, P.O. Box 535309, Grapevine, TX 75053-5309, Phone: (800) 808-4515 0844035 Web TPA, P.O. Box1928, Grapevine, TX 76099-1928, Phone: (888) 796-2432 0126006 Well Path, P.O. Box 7102, London, KY 40742, Phone: (800) 470-4523 0006004 WellCare Classic, 875 Henderson Blvd, Tampa, FL 33631, Phone: (888) 550-5252 0656005 WellCare of Florida Inc, P.O. Box 31372, Tampa, FL 33631, Phone: (800) 799-3081 0920035 WellPoint, P.O. Box 4165, Woodland Hills, CA 91365 0028023 WellPoint Dental Services, P.O. Box 9201, Oxnard, CA 93031, Phone: (800) 627-0004 0908055 Wells Fargo Insurance, P.O. Box 11522, Charleston, WV 25339, Phone: (800) 624-8605 0520005 Western Health, 529 Kansas City St, Rapid City, SD 57701 0705060 Westport Benefits, P.O. Box 66743, St Louis, MO 63166 0895009 Weyco All Phase Electric, PPO Corporation, Irvine, CA 92602 0895025 Weyco Inc Benefit Management, P.O. Box 30132, Lansing, MI 48909, Phone: (800) 748-0003 0774030 Willis Corroon Insurance, P.O. Box 2697, Wichita, KS 67201, Phone: (800) 235-7160 0694003 Willis of Kansas, P.O. Box 2906, Koch Industries Employee, Wichita, KS 67201, Phone: (800) 235-7160 0614060 Woodmen of the World Omaha Woodmen, 1700 Parkman St, Omaha, NE 61460, Phone: (800) 225-3108 0524002 World Insurance, P.O. Box 3160, Omaha, NE 68103, Phone: (402) 496-8000 0900078 WW Grainger Inc, 333 Knights Bridge Pkwy, Lincolnshire, IL 60069 0659005 Zenith Administrators, 101 Convention Ctr Dr, Las Vegas, NV 89109 0659008 Zenith Administrators, 33 Eastland St, Springfield, MA 01109 0659004 Zenith Administrators, 161 Forbes Rd, Braintree, MA 02184 Medicare Advantage Carrier Codes 0973005 AARP Medicare Complete/UNH/Secure Horizon, P.O. Box 31361, United Health Care, Salt Lake City, UT 84131, Phone: (888) 866-8296 0970001 Abrazo Advantage Health Plan, 787 N 16th St # 105, Phoenix, AZ 85020, Phone: (602) 824-3741 0971065 ACAN Health Plan, 3800 Kilroy Airport Way, Suite 100, Long Beach, CA 90806, Phone: (562) 989-5100 0970047 Advantage, 7711 Carondelet, Clayton, MO 63105, Phone: (314) 725-4477 0971077 Advantage Care, 250 South Australian Ave, Suite 400, West Palm Beach, FL 33401, Phone: (561) 805-8500 0970003 Advantage Health Solutions Inc, 9490 Priority Way W Drive, Indianapolis, IN 46240, Phone: (317) 573-2784 0972040 Advantage Plan from Medical Mutual of Ohio, 2060 E Ninth St, Cleveland, OH 44115, Phone: (419) 473-7844 0970061 Advantra, P.O. Box 7154, London, KY 40742, Phone: (877) 359-5331 0971027 Advantra, 11 Stanwix St, Suite 2300, Pittsburgh, PA 15222, Phone: (412) 577-5442 0970050 Advantra Freedom, P.O. Box 7154, London, KY 40742, Phone: (866) 386-2330 0970004 Aetna Medicare, 730 Holiday Dr, Building 8 MS F221, Pittsburgh, PA 15220, Phone: (800) 282-5366 0970005 Affinity Health Plan, 2500 Halsey St, Bronx, NY 10461, Phone: (718) 794-5701 0970008 Alexian Brothers Community Services, 3900 S Grand, St Louis, MO 63118, Phone: (314) 771-5800 0970009 Alexian Brothers Community Services, 425 Cumberland St, Suite 110, Chattanooga, TN 37404, Phone: (423) 698-0802 0970010 Alliance Medicare PPO, 2850 W Grand Blvd, Detroit, MI 48375, Phone: (284) 443-2036 0970007 Alliance for Health, 1240 S Loop Rd, Alameda, CA 94502, Phone: (510) 747-6243 0970011 Aloha Care, 1357 Kapiolani Blvd, Suite 1250, Honolulu, HI 96814, Phone: (808) 973-1650 0970012 AltaMed Senior BuenaCare, 5425 E Pomona Blvd, Los Angeles, CA 90022, Phone: (323) 832-7601 0970013 Altus Advantra, 10421 S Jordan Gateway, Suite 400, South Jordan, UT 84095, Phone: (801) 933-3561 0970014 Amarillo Multiservice Center for the Aging Inc, 3108 S Fillmore, Amarillo, TX 79110, Phone: (806) 374-5516 0970015 American Health Medicare, P.O. Box 11320, San Juan, PR 00922, Phone: (787) 620-1919 0970016 America's First Choice Health Plans Inc, 5600 Mariner St, Suite 227, Tampa, FL 33609, Phone: (813) 594-1027 0970017 AmeriChoice Personal Care Plus NJ, 100 Mulberry St, Four Gateway Center, 4th Floor, Newark, NJ 07102, Phone: (973) 297-5566 0970018 AmeriChoice Personal Care Plus NY, 3141 N Third Ave, Phoenix, AZ 85013, Phone: (602) 664-5483 0971092 AmeriChoice Secure Plus Complete, 3800 Avenue of the Cities, Suite 200, Moline, IL 61265, Phone: (800) 747-1446 0970019 Amerigroup Community Care, 4424 Corporation Ln, Virginia Beach, VA 23462, Phone: (757) 473-2467 0970020 AmeriHealth 65, 1901 Market St, Philadelphia, PA 19103, Phone: (267) 675-1201 0970021 Anthem Blue Cross Medicare, 145 S Pioneer Rd, Mail Stop WIW202-FDL2, Fond du Lac, WI 54935, Phone: (920) 923-8334 0970024 APIPA Personal Care Plus, 3141 N Third Ave, AZ 060-S225, Phoenix, AZ 85013, Phone: (602) 664-5396 0970022 Appalachian Agency for Senior Citizens Inc, P.O. Box 765, Cedar Bluff, VA 24609, Phone: (276) 964-4915 0970023 Arcadian Care Health Plan, 955 Overland Court, Second Floor, San Dimas, CA 91773, Phone: (800) 775-6490 0970060 ArchCare Advantage, 1339 York Ave, New York, NY 10021, Phone: (646) 233-5723 0970025 Arkansas Blue Cross Medi Pak Advantage, 320 W Capitol, Suite 400, Little Rock, AR 72201, Phone: (501) 399-3810 0978086 Arkansas Blue Cross Medi Pak Advantage, 320 W Capitol, Suite 400, Little Rock, AR 72201 0970027 Arnett HMO, P.O. Box 6108, Lafayette, IN 46903, Phone: (765) 269-2209 0970028 Arta Medicare Health Plan, 3333 Michelson Dr, Suite 735, Irvine, CA 92612, Phone: (949) 260-6515 0970030 Asuris N West Health Regence Blue Cross Blue Shield, 201 High St SE, P.O. Box 12625, Salem, OR 97309-0625, Phone: (503) 587-3274 0970031 Atrio My Advantage, 500 SE Cass Ave, Suite 230, Roseburg, OR 97470, Phone: (541) 672-8620 0970033 Avalon Insurance Co, 2500 Elmerton Ave, Harrisburg, PA 17177, Phone: (717) 541-7651 0970034 AvMed Medicare Preferred, 4300 NW 89 Blvd, Gainesville, FL 32606, Phone: (352) 337-8833 0970035 Bienvivir Senior Health Services, 2300 McKinley, El Paso, TX 79930, Phone: (915) 562-3444 0027026 Blue Cross Blue Care 65, P.O. Box 9201, N Quincy, MA 02171-9201, Phone: (800) 451-8123 0970037 Blue Cross Blue Shield of AL (Medicare), 450 Riverchase Pkwy E, Birmingham, AL 35244, Phone: (205) 220-6401 0970038 Blue Cross Blue Shield of FL (Medicare), 8400 NW 33rd St, Suite 100, Miami, FL 33122-1632, Phone: (800) 926-6565 0970036 Blue Care Network of MI (Medicare), 611 Cascade W Pkwy, Grand Rapids, MI 49546, Phone: (616) 956-5890 0970043 Blue Cross Blue Shield of MN, 3400 Yankee Dr, Eagan, MN 55122, Phone: (651) 662-9415 0970041 Blue Cross Blue Shield Northern Plains Alliance, 1901 Market St, SP-2nd Floor, Philadelphia, PA 19103, Phone: (888) 457-3009 0970042 Blue Cross Blue Shield of MI (Medicare), 27000 W Eleven Mile Rd, H 404, Southfield, MI 48034, Phone: (248) 350-4633 0970039 Blue Cross Blue Shield of RI (Medicare), 444 Westminster St, Providence, RI 02903, Phone: (401) 459-5301 0970040 Blue Cross Blue Shield of SC (Medicare), P.O. Box 6170, AX-415, Columbia, SC 29260, Phone: (803) 382-5267 0970044 Blue Cross of ID Health Services Inc, 300 E Pine Ave, Meridian, ID 83642, Phone: (208) 286-3717 0971024 Blue Medicare PPO, P.O. Box 3567, Scranton, PA 18503, Phone: (800) 718-2031 0972009 Blue Plus, 3400 Yankee Dr, Eagan, MN 55122, Phone: (651) 662-9415 0970049 Blue Shield of CA, 6300 Canoga Ave, Woodland Hills, CA 91367, Phone: (818) 228-3143 0970045 Boro Medical PC, 22-02 Steinway St, Astoria, NY 11105, Phone: (718) 423-0808 0971052 Brand New Day, 1600 E Hill St, Signal Hill, CA 90755, Phone: (562) 981-5054 0970026 Bravo Health, 3601 O’Donnell St, Baltimore, MD 21224, Phone: (800) 556-4566 0970046 Bravo Health, 3601 O’Donnell St, Baltimore, MD 21224, Phone: (800) 556-1570 0970048 C and O Employees Hospital Association, 511 Main St, Second Floor, Clifton Forge, VA 24422, Phone: (540) 862-5728 0970051 Capital Advantage Insurance Company, 2500 Elmerton Ave, Harrisburg, PA 17177, Phone: (717) 541-7561 0970053 Capital Health Plan, P.O. Box15349, Tallahassee, FL 32317, Phone: (850) 383-3421 0973001 Care First Medicare Advantage Plan, 601 Potrero Dr, Monterey Park, CA 91755, Phone: (323) 889-5258 0970054 Care Improvement Plus, 351 W Camden St, Suite 100, Baltimore, MD 21201, Phone: (410) 625-2200 0971036 Care Oregon Advantage, 315 SW Fifth Ave, Suite 900, Portland, OR 97204, Phone: (503) 416-1746 0970055 Care Plus Health Plans Inc, 101 E Main St, Louisville, KY 40202, Phone: (800) 448-6262 0970056 Care Resources, 5363 44th St, Grand Rapids, MI 49512, Phone: (616) 956-9440 0975001 Care Source, 740 SE 7th St, Grants Pass, OR 97526, Phone: (541) 471-4106 0970057 Care Wisconsin Health Plan Inc, 2802 International Lane, Madison, WI 53704, Phone: (608) 245-3437 0970086 Carelink Advantra PPO, 1000 Research Park Blvd, Charlottesville, VA 22911, Phone: (434) 951-2432 0973000 Caremore Health Plan, 12900 Park Plaza Dr, Suite 150, Cerritos, CA 90703, Phone: (562) 662-2900 0970058 Caresource, 1 S Main St, One Dayton Ctr, Dayton, OH 45402, Phone: (937) 224-3300 0970059 Cariten Senior Health, 1420 Centerpoint Blvd, Knoxville, TN 37932, Phone: (865) 670-7214 0970052 CDPHP Medicare Choice, 500 Patroon Creek Blvd, Albany, NY 12206, Phone: (518) 641-3620 0970062 Center for Elders Independence, 510 17th St, Suite 400, Oakland, CA 94612, Phone: (510) 433-1160 0970063 Central Health Medicare Plan, 1051 Park View Dr, Suite 120, Covina, CA 91724, Phone: (626) 388-2386 0970064 Cherokee Elder Care, 1387 W 4th St, Tahlequah, OK 74464, Phone: (918) 207-4936 0970066 Chinese Community Health Plan, 445 Grant Ave, Suite 700, San Francisco, CA 94108, Phone: (415) 955-8800 0970067 Choice Care Health Plan Inc, P.O. Box 1980, Melbourne, FL 32902, Phone: (123) 123-4567 0970068 CIGNA Medicare Access, P.O. Box 42005, Phoenix, AZ 85080, Phone: (800) 627-7534 0970081 CIGNA Medicare Access, 900 Cottage Grove Rd, Hartford, CT 06152, Phone: (860) 226-5405 0970069 Citizens Choice Healthplan, 17315 Studebaker Rd, Suite 200, Cerritos, CA 90706, Phone: (562) 207-4533 0970070 Citrus Health Care Inc, 5420 Bay Center Dr, Suite 250, Tampa, FL 33609, Phone: (813) 490-8900 0970071 Clear Choice Health Plans, 2650 NE Courtney Dr, Bend, OR 97701, Phone: (541) 385-5315 0970072 Colorado Access, 10065 E Harvard Ave, Suite 600, Denver, CO 80231, Phone: (720) 744-5500 0971023 Community Care, 218 W 6th St, Tulsa, OK 74119, Phone: (918) 594-5200 0975088 Community Care, 1555 S Layton Blvd, Milwaukee, WI 53215, Phone: (414) 902-2427 0970074 Community Care Senior Health Plan, 218 W 6th St, Tulsa, OK 74119, Phone: (918) 594-5200 0970076 Community Health Group, 740 Bay Blvd, Chula Vista, CA 91910-5254, Phone: (619) 498-6456 0972095 Community Health Partnership, 2240 E Ridge Center, Eau Claire, WI 54701, Phone: (715) 858-7815 0970077 Community HealthFirst Medicare Advantage Plan, 720 Olive Way, Suite 300, Seattle, WA 89101- 1830, Phone: (206) 515-7975 0972058 Community Life, 2400 Ardmore Blvd, Suite 700, Pittsburgh, PA 15221, Phone: (412) 436-1333 0970078 Comprehensive Care Management Corp, 2275 Olinville Ave, Bronx, NY 10467, Phone: (718) 944-2100 0978079 Concordia Care, 2373 Euclid Heights Blvd, Cleveland Heights, OH 44106, Phone: (216) 719-3580 0970080 ConnectiCare Insurance Co Inc, 175 Scott Swamp Rd, Farmington, CT 06032, Phone: (860) 674-2093 0970082 Contra Costa Health Plan, 595 Center Ave, Suite 100, Martinez, CA 94553, Phone: (925) 313-6000 0970083 CosviMed Care, P.O. Box 363428, San Juan, PR 00936-3428, Phone: (787) 751-5656 0970084 Coventry Health and Life Insurance Co, 3721 TecPort Dr, P.O. Box 67103, Harrisburg, PA 17106, Phone: (717) 671-6827 0970085 Coventry Health and Life Insurance Co, 8320 Ward Pkwy, Kansas City, MO 64114, Phone: (800) 727-9712 0970087 Da Vita Village Health Insurance, 3 Hawthorn Pkwy Suite 410, Vernon Hills, IL 60061, Phone: (866) 838-1962 0972075 DAKOTACARE, 2600 W 49th St, Sioux Falls, SD 57117, Phone: (605) 334-4000 0970088 Dean Health Plan Inc, 1277 Deming Way, Madison, WI 53717, Phone: (608) 827-4247 0970089 Delaware Physicians Care Advantage, 4645 E Cotton Center Blvd, Phoenix, AZ 85004, Phone: (602) 659-1862 0970090 Denver Health Medical Plan, 777 Bannock St, Mail Code 6000, Denver, CO 80204, Phone: (720) 956-2228 0970091 Deseret Mutual, 60 E South Temple, Salt Lake City, UT 84111, Phone: (801) 578-5746 0970092 Easy Choice Health Plan, 20411 SW Birch St, Suite 200, Newport Beach, CA 92660, Phone: (949) 999-3782 0970093 Educators Mutual Insurance Association, 852 E Arrowhead Lane, Murray, UT 84107, Phone: (801) 262-7476 0970094 Elderplan Inc, 6323 Seventh Ave, Brooklyn, NY 11220, Phone: (800) 353-3765 0970095 Empire Health Choice Assurance Inc, 145 S Pioneer Rd, Mailstop WIW202-FDL2, Fond du Lac, WI 54935, Phone: (920) 923-8334 0972098 Erickson Advantage, 2725 Mall Dr, W1080-1000, Eau Claire, WI 54701, Phone: (715) 858-2200 0970096 Essence Healthcare, 12655 Olive, 4th Floor, Saint Louis, MO 63141, Phone: (314) 851-3600 0972094 Evercare by United Healthcare, 2725 Mall Dr, W1080-1000, Eau Claire, WI 54701, Phone: (715) 858-2200 0970097 Evercare Health Plans, 2725 Mall Dr, WI080-1000, Eau Claire, WI 54701, Phone: (715) 858-2200 0970098 Excellus Health Plan Inc, 205 Park Club Lane, Buffalo, NY 14221, Phone: (716) 504-5579 0091001 Fallon Community Health Plan Senior, P.O. Box 15121, Attention Claims Dept, Worcester, MA 01615, Phone: (800) 333-2535 0970099 Family Care Health Plans Inc, 2121 SW Broadway # 300, Portland, OR 97201, Phone: (847) 605-0501 0972032 Fidelis Care, 40 John Glenn, Amherst, NY 14228, Phone: (716) 564-3630 0971000 Fidelis Secure Care of MI, 1700 E Golf Rd, Suite 1115, Schaumburg, IL 60173, Phone: (847) 605-0501 0972081 First Care Advantage, 1901 W Loop 289, Suite 9, Lubbock, TX 79407, Phone: (866) 229-4969 0971002 First Medical Health Plan Inc, P.O. Box 195559, San Juan, PR 00919, Phone: (787) 625-9557 0971001 First Medical Health Plan of FL Inc, P.O. Box 260308, Miami, FL 33125-0007, Phone: (939) 969-3166 0971003 First Plan Blue, 525 S Lake Ave, Suite 222, Duluth, MN 55802, Phone: (218) 740-2330 0971004 Florida Health Care Plan Inc, 1340 Ridgewood Ave, Holly Hill, FL 32117, Phone: (800) 352-9824 0971005 Florida Pace Center Inc, 5200 NE Second Ave, Miami, FL 33137, Phone: (305) 751-8826 0971007 Freedom Health, 5403 Church Ave N, Tampa, FL 33614, Phone: (813) 506-6000 0971008 Gateway Health Plan Medicare Assured, 600 Grant St, 41st Floor, Pittsburgh, PA 15219, Phone: (800) 685-5205 0971010 GEMCare Health Plan, 4550 California Ave, Suite 500, Bakersfield, CA 93309, Phone: (661) 716-7120 0971015 GHI Medicare Choice PPO, 441 Ninth Ave, Fifth Floor, New York, NY 10001, Phone: (212) 615-0503 0971017 GHI Medicare Private Fee for Service, 55 Water St, New York, NY 10041, Phone: (646) 447-6377 0971029 Golden Advantage Plus, 4645 E Cotton Center Blvd, Phoenix, AZ 85040, Phone: (602) 659-1862 0971011 Great Lakes Personal Care Plus, 17117 W Nine Mile Rd, Suite 1600, Southfield, MI 48075, Phone: (248) 331-4322 0971013 Group Health Cooperative, P.O. Box 34590, Seattle, WA 98124, Phone: (206) 901-4629 0971016 Group Health Plan Inc, 550 Maryville Center Dr, Suite 300, St Louis, MO 63141-5818, Phone: (314) 506-1808 0978087 Guardian Health Care, 33 Market Point Drive, Greenville, SC 29607 0971019 GuildNet, 15 West 65th St, New York, NY 10023, Phone: (917) 386-9129 0971020 Gundersen Lutheran Health Plan Inc, 1900 South Ave, Mail Stop NCA2-01, Lacrosse, WI 54601, Phone: (608) 775-8070 0971026 HAP Senior Plus, 2850 W Grand Blvd, Detroit, MI 48375, Phone: (248) 443-2036 0092012 Harvard First Seniority Freedom, P.O. Box 699183, Quincy, MA 02269, Phone: (800) 742-8326 0971025 Health Alliance Medical Plans, 301 S Vine St, Urbana, IL 61801, Phone: (217) 337-8090 0971028 Health Choice Generations, 1600 W Broadway, Suite 110, Tempe, AZ 74171, Phone: (480) 731-3505 0973002 Health First Medicare Plans, 6450 US Highway 1, Rockledge, FL 32955-5747, Phone: (321) 434-5660 0978084 Health Insurance Plan of New York, 55 Water St, New York, NY 10041 0970065 Health Markets Care Assured, 2005 Market St, One Commerce Sq, Suite 3110, Philadelphia, PA 19103, Phone: (215) 988-6836 0971031 Health Net, P.O. Box 14130, Lexington, KY 40512, Phone: (888) 445-8913 0971032 Health Net, P.O. Box 14225, Lexington, KY 40512-4225, Phone: (800) 289-2818 0971033 Health Net Life Insurance Co, P.O. Box 14703, Lexington, KY 40512, Phone: (818) 676-6591 0971035 Health Net of CA, P.O. Box 14703, Lexington, KY 40512, Phone: (818) 676-6591 0971034 Health Net of Connecticut, 100 Beard Sawmill Rd, MS CT 104-02-15, Shelton, CT 06484, Phone: (203) 402-4222 0971030 Health Net Pearl, 21271 Burbank Blvd, Mail Stop CA-100-04-03, Woodland Hills, CA 91367, Phone: (800) 977-8221 0978080 Health New England Medicare C, One Monarch Place, Springfield, MA 01144, Phone: (413) 787-4000 0971012 Health Partners, 8170 33rd Ave S, P.O. Box 1309, Minneapolis, MN 55440-1309, Phone: (952) 883-7699 0971037 Health Plan of Nevada Inc, 2716 N Tenaya Way, Las Vegas, NV 89128, Phone: (702) 242-7073 0971062 Health Plan of San Mateo, 701 Gateway Blvd, Suite 400, South San Francisco, CA 94080, Phone: (650) 616-2118 0971041 Health Plus of Michigan, 2050 S Linden Rd, P.O. Box 1700, Flint, MI 48501-1700, Phone: (810) 720-7787 0971043 HealthSun Health Plans Inc, 1205 SW 37th Ave, Miami, FL 33135, Phone: (305) 234-9292 0972028 HealthFirst Medicare Plan, P.O. Box 5196, New York, NY 10004, Phone: (888) 801-1660 0971039 HealthFirst NJ, P.O. Box 5196, New York, NY 10274, Phone: (866) 889-2523 0971040 HealthNow New York Inc, 257 W Genesee St, Buffalo, NY 14202, Phone: (716) 887-2069 0971042 HealthSpring Inc, 601 Mainstream Dr, Nashville, TN 37228, Phone: (615) 565-8110 0971038 Heart of America Health Plan, 810 S Main Ave, Rugby, ND 58368, Phone: (701) 776-5848 0971044 Henry Ford Health System, 7800 W Outer Dr, Suite 240, Detroit, MI 48235, Phone: (313) 653-2230 0971018 Highmark Inc, 120 Fifth Ave, Pittsburgh, PA 15222, Phone: (412) 544-7075 0971045 HIP Health Plan of Greater NY, 55 Water St, New York, NY 10041, Phone: (646) 447-3423 0971022 HMSA 65 C Plus, 818 Keeaumoku St, 8-CA, Honolulu, HI 96814, Phone: (808) 948-5288 0972022 Hometown Health Plan, 830 Harvard Way, Reno, NV 89502, Phone: (775) 982-3274 0971073 Hope Select Care, 2668 Winkler Ave, Fort Myers, FL 33901, Phone: (239) 985-6400 0972004 Hopkins ElderPlus, 4940 Eastern Ave, Mason Lord Bldg, E Tower, 1st Floor, Baltimore, MD 21224, Phone: (410) 550-7044 0972019 Horizon Blue Cross Blue Shield of NJ, 3 Penn Plaza E, PP02Q, Newark, NJ 07105-2200, Phone: (973) 466-6651 0971098 Humana Insurance Co, 500 W Main St, Louisville, KY 40202, Phone: (800) 448-6262 0971099 Humana Insurance Co, 101 E Main St, Louisville, KY 40202, Phone: (800) 448-6262 0972092 iCare, 1555 N Rivercenter Dr, Suite 202A, Milwaukee, WI 53212, Phone: (414) 231-1164 0971053 IEHP Medicare Dual Choice, 303 E Vanderbilt Way, Suite 100, San Bernardino, CA 92408, Phone: (909) 890-2790 0972024 Independent Health, 511 Farber Lakes Dr, Buffalo, NY 14221, Phone: (716) 631-3286 0972025 Independent Living for Seniors Inc, 333 Humboldt St, Rochester, NY 14610, Phone: (585) 922-1033 0972026 Independent Living Services of Central NY, 100 Malta Lane, North Syracuse, NY 13212, Phone: (315) 703-3630 0971085 InStil Health Insurance Co, P.O. Box 1466, Augusta, GA 30903-1466, Phone: (877) 907-2783 0971054 Inter Valley Health Plan, P.O. Box 6002, 300 S Park Ave, Pomona, CA 91769-6002, Phone: (800) 251-8191 0972010 Itasca Medical Care, 1219 SE Second Ave, Grand Rapids, MN 55744, Phone: (218) 327-5528 0971055 Kaiser Foundation Health Plan Inc, 3840 Murphy Canyon Rd, San Diego, CA 92123, Phone: (858) 614-3921, 0971087 Kaiser Foundation Health Plan Inc, 80 Mahalani St, Wailuku, HI 96793, Phone: (877) 875-3805 0972038 Kaiser Foundation Health Plan of Ohio, 5420 Lancaster Dr, Brooklyn Heights, OH 44131, Phone: (216) 398-3159 0971069 Kaiser Permanente, 2500 S Havana St, Aurora, CO 80014, Phone: (303) 338-3601 0972005 Kaiser Permanente Medicare Plus, 210 E Jefferson St, Rockville, MD 20852, Phone: (301) 625-2201 0972045 Kaiser Permanente Senior Advantage, 500 NE Multnomah #100, Portland, OR 97232, Phone: (503) 813-2315 0971086 Kaiser Permanente Senior Advantage, 3495 Piedmont Rd NE, Atlanta, GA 30305, Phone: (404) 364-7379 0972078 Kelsey Care Advantage, 8900 Lakes at 610 Dr, Suite 1100, Houston, TX 77054, Phone: (713) 442-2273 0972054 Keystone 65, 1901 Market St, Philadelphia, PA 19103, Phone: (267) 675-1201 0972053 Keystone Health Plan Central Inc, 2500 Elmerton Ave, Harrisburg, PA 17177, Phone: (717) 541-7561 0971056 LA Care Health Plan, 555 W 5th St, 29th Floor, Los Angeles, CA 90013, Phone: (213) 694-1250 0971074 Leon Medical Centers Health Plans Inc, 11501 SW 40th St, Miami, FL 33165, Phone: (305) 631-5337 0972027 Liberty Health Advantage, One Huntington Quadrangle, Suite 3N01, Melville, NY 11747, Phone: (631) 777-1070 0972055 Life at Home LLC, 101 East State St, Kennett Square, PA 19348, Phone: (610) 925-4077 0971009 Life Geisinger, 100 N Academy Ave, MC60-65, Danville, PA 17822-6065, Phone: (570) 373-2100 0972056 Life Pittsburgh, 875 Greentree Rd, One Parkway Center, Pittsburgh, PA 15220, Phone: (412) 388-8042 0972020 Lovelace Insurance Co, 4101 Indian School Rd NE, Albuquerque, NM 87110, Phone: (505) 262-3816 0972065 MAPFRE Life Insurance Company, P.O. Box 70297, San Juan, PR 00936-8297, Phone: (787) 250-6500 0972046 Marion Polk Community Health Plan Advantage Inc, 245 Commercial St SE, Suite 200, Salem, OR 97301, Phone: (503) 371-7701 0972006 Martins Point Generation Advantage, P.O. Box 9746, 891 Washington Ave, Portland, ME 04104, Phone: (207) 253-6137 0972066 MCS Classicare, P.O. Box 171720, San Juan, PR 00919-1720, Phone: (787) 758-2500 0971057 MD Care Inc, 10941 Bloomfield St, Suite F, Los Alamitos, CA 90720, Phone: (562) 344-3413 0971075 MD Medicare Choice, 5501 W Waters Ave, Suite 401, Tampa, FL 33634, Phone: (813) 901-9208 0971058 Medcore HP, 2609 E Hammer Lane, Stockton, CA 95210, Phone: (209) 320-2616 0972011 Medica Health Plans, 401 Carlson Parkway, Minnetonka, MN 55305, Phone: (952) 992-3601 0971076 Medica Healthcare Plans Inc, 4000 Ponce De Leon Blvd, Suite 650, Coral Gables, FL 33146, Phone: (305) 460-0618 0971088 Medical Associates Health Plan Inc, 1605 Associates Dr, Suite 101, P.O. Box 5002, Dubuque, IA 52001, Phone: (563) 584-4895 0972068 Medicare y Mucho Más, Bechara Ind. Park Marginal Ave, Segarra St, Bldg 4, San Juan, PR 00936, Phone: (878) 622-3000 0972041 Medigold, 6150 E Broad St, EE320, Columbus, OH 43213, Phone: (614) 546-3204 0972089 Mennonite Mutual Aid Association, 2219 Rimland Dr, P.O. Box 5348, Bellingham, WA 98227, Phone: (360) 392-9241 0972067 Menonita Medicare Advantage, P.O. Box 1379, Aibonito, PR 00705, Phone: (787) 535-1001 0971049 Mercy Care Advantage, 4645 E Cotton Center Blvd, Phoenix, AZ 85040, Phone: (602) 263-3000 0972016 Mercy Health Plans, 1949 E Sunshine One Corporate Ctr, Springfield, MO 65804, Phone: (417) 836-0438 0972060 Mercy Life, 1900 Broad St, Philadelphia, PA 19145, Phone: (215) 339-4533 0972029 Metroplus Health Plan, 160 Water St, Fourth Floor, New York, NY 10038, Phone: (212) 908-8600 0972012 Metropolitan Health Plan, 400 S Fourth St, Suite 201, Minneapolis, MN 55415, Phone: (612) 543-3317 0971096 Midland Pace, 200 SW Frazier Circle, Topeka, KS 66606, Phone: (785) 232-2044 0972007 Midwest Advantage, 5050 Schaefer Rd, Dearborn, MI 48126, Phone: (313) 586-6001 0971059 Molina Healthcare, 200 Oceangate, Suite 100, Long Beach, CA 90802, Phone: (562) 951-8329 0972083 Mountain Empire Pace, P.O. Box 888, Big Stone Gap, VA 24219, Phone: (276) 523-4202 0972030 MVP Gold, 220 Alexander St, Rochester, NY 14607, Phone: (585) 327-2529 0972031 Neighborhood Health Providers, 1377 Motor Pkwy, Suite 400, Islandia, NY 11749, Phone: (631) 582-5435 0972093 Network Health Insurance Corp PFFS Plan, 1570 Midway Place, Menasha, WI 54952, Phone: (920) 720-1540 0972017 New West Health Services, 130 Neil Ave, Helena, MT 59601, Phone: (406) 457-2253 0972047 ODS Health Plan Inc, 601 SW Second Ave, Portland, OR 97204, Phone: (877) 299-9062 0971060 On Lok Lifeways, 1333 Bush St, San Francisco, CA 94109, Phone: (415) 292-8742 0970075 One Care by Care 1st Health Plan of AZ, 2355 E Camelback Rd, Suite 300, Phoenix, AZ 85016, Phone: (602) 778-1850 0971061 Onecare, 1120 W La Veta Ave, Orange, CA 92868, Phone: (714) 246-8432 0972084 Optima Medicare, 4417 Corporation Lane, Virginia Beach, VA 23462, Phone: (757) 552-7401 0971078 Optimum Healthcare Inc, 5403 Church Ave N, Tampa, FL 33614, Phone: (813) 506-6000 0971072 Oxford Health Plans, 48 Monroe Turnpike, CT015-1000, Trumbull, CT 06611, Phone: (203) 459-7853 0971006 Pace Baton Rouge, 2041 Silverside Dr, Baton Rouge, LA 70808, Phone: (225) 765-8255 0972001 Pace Greater New Orleans, 4201 N Rampart St, New Orleans, LA 70117, Phone: (504) 945-1531 0972072 Pace Organization of RI, 225 Chapman St, P.O. Box 7, Providence, RI 02905, Phone: (401) 490-6566 0972088 Pace Vermont Inc, 786 College Pkwy, Colchester, VT 05446, Phone: (802) 655-6700 0971048 PacifiCare UHC, 4061 E Hilton Ave, MA AZ74-149, Phoenix, AZ 85034, Phone: (480) 377-5001 0972073 Palmetto Senior Care, 15 Richland Medical Park Dr, Suite 203, Columbia, SC 29203, Phone: (803) 434-3770 0972042 Paramount Elite, 1901 Indian Wood Circle, Maumee, OH 43537, Phone: (419) 887-2604 0972018 Partners National Health Plans, 5660 University Pkwy, Winston-Salem, NC 27105, Phone: (336) 201-4700 0971066 Partnership Health Plan of CA, 360 Campus Lane, Suite 100, Fairfield, CA 94534, Phone: (707) 863-4201 0972000 Passport Advantage, 305 W Broadway, Third Floor, Louisville, KY 40202, Phone: (800) 578-0775 0972002 Peoples Health, 3 Lakeway Center, 3838 N Causeway Blvd, Metairie, LA 70002, Phone: (504) 849-4500 0971090 PersonalCare Advantra, 2110 Fox Dr, Champaign, IL 61820, Phone: (217) 373-3911 0972052 Personal Choice 65, 1901 Market St, Philadelphia, PA 19103, Phone: (267) 675-1201 0973004 Physicians Health Choice, 8637 Fredericksburg Rd, Suite 360, San Antonio, TX 78240, Phone: (866) 550-4736 0971079 Physicians United Plan, 483 N Semoran Blvd, Winter Park, FL 32792, Phone: (407) 215-6317 0978088 Piedmont Heath Senior Care, 1214 Vaughn Rd, Burlington, NC 27217 0970006 Positive Healthcare Partners, 1001 N Martel Ave, Los Angeles, CA 90046, Phone: (323) 436-5006 0971080 Preferred Care Partners Inc, 9100 S Dadeland Blvd, Suite 1250, Miami, FL 33156, Phone: (305) 670-8440 0972069 Preferred Simplex, 1500 Ponce De Leon Ave, Suite 3, San Juan, PR 00936, Phone: (787) 641-1500 0978085 Preferred Medicare Choice Inc, 350 Avenida Chard, Suite 500, San Juan, PR 00918 0972021 Presbyterian Medicare, P.O. Box 27489, Albuquerque, NM 87125-7489, Phone: (505) 923-5915 0972039 Prime Time Health Plan, 214 Dartmouth Ave SW, Canton, OH 44710, Phone: (800) 577-5084 0972013 PrimeWest Health System, 2209 Jefferson St, Suite 101, Alexandria, MN 56308, Phone: (320) 335-5231 0972008 Priority Medicare, 1231 E Beltline Ave NE, Grand Rapids, MI 49525, Phone: (616) 464-8688 0970029 Prossam Plus, 452 Ponce De Leon Ave, San Juan, PR 00919, Phone: (787) 767-2929 0972049 Providence ElderPlace Portland, 4531 SE Belmont, Suite 100, Portland, OR 97215, Phone: (503) 215-3681 0972048 Providence Health Plan, 3601 Murray Blvd, Beaverton, OR 97005, Phone: (503) 574-5922 0972090 Providence Health System, 4515 Martin Luther King Jr Way, Suite 100, Seattle, WA 98108, Phone: (206) 320-5325 0972091 Puget Sound Health Partners, 7502 Lakewood Dr W, Suite A, Lakewood, WA 98499, Phone: (253) 779-8830 0971081 Quality Health Plans, 2435 US Hwy 19, Suite 470, Holiday, FL 34691, Phone: (727) 945-8400 0971089 Regence Blue Shield of ID, 21602 21st Ave, Lewiston, ID 83501, Phone: (208) 798-2412 0972085 Riverside Pace, 4107 W Mercury Blvd, Hampton, VA 23666, Phone: (757) 325-6084 0971070 Rocky Mountain Health Plans, P.O. Box 10600, Grand Junction, CO 81502, Phone: (970) 244-7760 0972070 Salud Dorada Con Medicare, P.O. Box 3078, Bayamon, PR 00960-3078, Phone: (787) 999-4848 0972050 Samaritan Advantage Health Plan, P.O. Box M, Corvallis, OR 97339, Phone: (541) 768-4550 0970073 San Luis Valley HMO, 700 Main St, Suite 100, Alamosa, CO 81101, Phone: (719) 589-3696 0971063 San Miguel Health Plan, 100 W Broadway, Suite 4000, Long Beach, CA 90802, Phone: (562) 435-3400 0971064 Santa Clara Family Health Plan, 210 E Hacienda Ave, Campbell, CA 95008, Phone: (408) 874-1750 0973003 Santa Fe Employees Hospital Association, 626 E San Bernardino Rd, Covina, CA 91723, Phone: (626) 967-3550 0972080 Scott and White Health Plan Senior Care, 2401 S 31st St, Temple, TX 76508, Phone: (254) 298-3110 0972097 Secure Horizons by United Healthcare, 2725 Mall Dr, W1080-1000, Eau Claire, WI 54701, Phone: (715) 858-2295 0972096 Security Health Plan of Wisconsin Inc, 1515 Saint Joseph Ave, Marshfield, WI 54449, Phone: (715) 221-9763 0972057 Select Advantage, 1901 Market St, Philadelphia, PA 19103, Phone: (267) 675-1201 0970002 Select Care of TX, 4888 Loop Central Drive, Suite 700, Houston, TX 77081, Phone: (800) 462-0628 0972034 Senior Care Connection Inc, 504 State St, Schenectady, NY 12305, Phone: (518) 382-3290 0972059 Senior Life Johnstown, 401 Broad St, Johnstown, PA 15906, Phone: (814) 535-6000 0972086 Sentara Senior Community Care, 554 Newton Rd, Suite 121, Virginia Beach, VA 23462, Phone: (757) 502-7806 0972023 Sierra Health and Life Insurance Co, 2716 N Tenaya Way, Las Vegas, NV 89128, Phone: (702) 242-7073 0972014 South Country Health Alliance, 110 W Fremont St, Owatonna, MN 55060, Phone: (507) 431-6591 0972043 SummaCare, P.O. Box 3620, Akron, OH 44309-3620, Phone: (330) 996-8414 0971050 Sun Health MediSun Inc, 13632 N 99th Ave, Suite B, P.O. Box 1489, Sun City, AZ 85372, Phone: (623) 544-7446 0971067 Sutter Senior Care, 7000 Franklin Blvd, Suite 1020, Sacramento, CA 95823, Phone: (916) 424-8412 0972037 The Health Plan, 52160 National Rd E, St Clairsville, OH 43950, Phone: (740) 695-7605 0971095 The M Plan Senior Smart Choice, 8802 N Meridian St, Suite 100, Indianapolis, IN 46260, Phone: (317) 571-5397 0972074 The Methodist Oaks Pace, P.O. Drawer 327, Orangeburg, SC 29116, Phone: (803) 534-1212 0971071 Total Community Care, 200 9th Ave, Denver, CO 80203, Phone: (303) 869-4664 0971047 Total Life Healthcare, 225 E Jackson #92, Jonesboro, AR 72401, Phone: (870) 336-5004 0972035 Touchstone Health, 14 Wall St, New York, NY 10005, Phone: (212) 294-6555 0972044 TriHealth Senior Link, 4600 Wesley Ave, Suite N, Cincinnati, OH 45212, Phone: (513) 569-5052 0972051 Trillium Advantage, 1800 Millrace Dr, Eugene, OR 97403, Phone: (541) 485-2155 0972071 Triple-S Inc, P.O. Box 363628, San Juan, PR 00936-3628, Phone: (787) 273-1110 0970032 Triple-S Inc P.O. Box 363628, San Juan, PR 00936-3628, Phone: (787) 273-1110 0101002 Tufts Medicare Preferred, P.O. Box 9183, Watertown, MA 02471, Phone: (800) 279-9022 0972061 Trustees of the University of PA, 4508 Chestnut St, Philadelphia, PA 19139, Phone: (215) 573-7201 0972076 UAHC Gold, 1769 Paragon Dr, Suite 100, Memphis, TN 38132, Phone: (901) 348-3317 0972015 UCare, 500 Stinson Blvd NE, Minneapolis, MN 55413, Phone: (612) 676-3411 0970890 UniCare Health and Life, P.O. Box 795180, San Antonio, TX 78279, Phone: (866) 364-2374 0971091 Union Medical Center, 1649 W Adams, Third Floor, Chicago, IL 60612, Phone: (312) 829-0850 0972082 Union Pacific Railroad Employees Health Systems, 1040 N 1100 W, P.O. Box 161020, Salt Lake City, UT 84116, Phone: (801) 595-4362 0972062 Unison Advantage, 1001 Brinton Rd, Pittsburgh, PA 15221, Phone: (800) 600-9007 0972099 United Healthcare Personal Care Plus, 10701 W Research Dr, Milwaukee, WI 53226, Phone: (414) 443-4072 0978081 United Mine Workers of America, 222 W Las Colinas Blvd, Suite 400N, Irving, TX 75039 0972079 Universal American, 9990 Richmond Ave, Suite 300 N, Houston, TX 77042, Phone: (713) 273-8862 0971082 Universal Health Care Inc, 150 2nd Ave N, Suite 400, Saint Petersburg, FL 33701, Phone: (866) 690-4842 0971051 University Physicians Maricopa Care Advantage, 2701 E Elvira, Tucson, AZ 85706, Phone: (520) 874-5533 0972063 UPMC Health Plan, 112 Washington St, Pittsburgh, PA 15219, Phone: (412) 454-5539 0972033 USA Care, 220 Alexander St, Rochester, NY 14607, Phone: (585) 327-2529 0972003 Vantage Health Plan Inc, 130 Desiard St, Suite 300, Monroe, LA 71201, Phone: (318) 361-0900 0971097 Via Christi Hope, 2622 W Central, Suite 100, Wichita, KS 67203, Phone: (316) 946-5211 0972087 Virginia Premium Gold, 600 E Broad St, Suite 400, Richmond, VA 23220, Phone: (804) 819-5151 0971083 Vista Healthplan Inc, 1340 Concord Terrace, Sunrise, FL 33323, Phone: (954) 858-3440 0971046 Viva Medicare Plus, 1222 14th Ave S, Birmingham, AL 35205, Phone: (205) 939-0819 0972036 VNS Choice Medicare, 1250 Broadway, 11th Floor, New York, NY 10001, Phone: (866) 783-1444 0971093 Wabash Memorial Hospital, 1340 N Water St, P.O. Box 1340, Decatur, IL 62526, Phone: (217) 429-5246 0971094 Welborn Health Plans, 101 SE Third St, Evansville, IN 47708, Phone: (812) 773-0307 0971021 WellCare, 8735 Henderson Rd, Tampa, FL 33634, Phone: (813) 290-6200 0971084 WellCare, 8735 Henderson Rd, Tampa, FL 33634, Phone: (813) 290-6200 0972064 WellCare, P.O. Box 4438, Scranton, PA 18505, Phone: (866) 235-2770 0971068 Western Health Advantage, 2349 Gateway Oaks Dr, Suite 100, Sacramento, CA 95823, Phone: (916) 563-2217 0972077 Windsor Medicare Extra, 7100 Commerce Way, Suite 285, Brentwood, TN 37027, Phone: (615) 782-7949 0971014 Wisconsin Personal Care Plan, 2503 N Hillcrest Parkway, Altoona, WI 54720, Phone: (715) 852-2600 Medicare D Carrier Codes 0980999 Medicare D Eligible, Ask Member for Copy of Card 0986011 Abrazo Advantage Health Plan, 7878 N 16th St, Phoenix, AZ 85020-4449, Phone: (602) 487-3976 0986009 Advantra, 11 Stanwix St, Suite 2300, Pittsburgh, PA 15222, Phone: (412) 577-5442 0986010 Advantra, 6705 Rockledge Dr, Bethesda, MD 20817-1814, Phone: (866) 386-2330 0985002 Aetna Life Insurance Company, 151 Farmington Ave, Hartford, CT 06156, Phone: (800) 444-5179 0986102 Aetna Medicare, 730 Holly Drive, Building 8, Pittsburgh, PA 15220 0986094 Affinity Health Plan, 2500 Halsey St, Bronx, NY 10461-3637, Phone: (718) 794-6228 0985003 Alliance Health and Life Insurance Co, 2850 W Grand Blvd, Detroit, MI 48202, Phone: (248) 443-7511 0986012 Altus Advantra, 10421, S Jordan Gateway, South Jordan, UT 84095, Phone: (801) 933-3561 0986013 American Heath Medicare, Microsoft Building, Metro Office, Guaynabo, PR 00922, Phone: (787) 620-1919 0985004 American Progressive Life and Health Insurance Co NY, 3050 Universal Blvd, Suite 150, Weston, FL 33331, Phone: (766) 766-3052 0986101 AmeriChoice Personal Care Plus, 9701 Data Park Drive, Minnetonka, MN 55343 0986014 Amerigroup Community Care, 4200 W Cypress St, Tampa, FL 33607-4156, Phone: (866) 805-4589 0985005 AmeriHealth HMO Inc, 1901 Market St, Philadelphia, PA 19103, Phone: (800) 331-0017 0985068 AmeriHealth Ins Co, 1901 Market St, Philadelphia, PA 19103, Phone: (800) 331-0017 0986015 Anthem Blue Cross Blue Shield Medicare, 1 Wellpoint Way, Thousand Oaks, CA 91362-3893, Phone: (888) 445-8916 0985006 Anthem Insurance Companies Inc, P.O. Box 34160, Louisville, KY 40232, Phone: (866) 755-2776 0986016 APIPA Personal Care Plus, 3141 N Third Ave, Phoenix, AZ 85013, Phone: (877) 614-0623 0986017 Arcadian Care Health Plan, 825 Washington St, Suite 300, Oakland, CA 94607, Phone: (800) 573-8597 0985007 Arkansas BCBA A Mutual Insurance Co, 320 W Capitol, Suite 400, Little Rock, AR 72203, Phone: (800) 634-6314 0985008 Asuris Northwest Health, 1800 Ninth Ave, Seattle, WA 98101-1322, Phone: (888) 734-3623 0985009 Avalon Insurance Co, 1400 Elmerton Ave, Harrisburg, PA 17177, Phone: (877) 234-3853 0985010 BCBA of Alabama and BCBS of TN, 450 Riverchase Pkwy E, Birmingham, AL 35244, Phone: (205) 220-2780 0985015 Blue Cross Blue Shield of MI, 27000 W Eleven Mile Rd, H404, Southfield, MI 48034, Phone: (800) 485-4415, 0985097 Blue Cross Blue Shield MA HMO Med D, Pharmacy and Patient Care Contact, Maryland Heights, MO 63043 0985011 Blue Cross Blue Shield Northern Plains Alliance, P.O. Box 995, Blue Bell, PA 19422-9987, Phone: (866) 434-2037 0985014 Blue Cross Blue Shield of FL, 8400 NW 33rd St, Suite 100, Miami, FL 33122, Phone: (800) 926-6565 0986020 Blue Cross Blue Shield of FL Medicare, 8400 NW 33rd St, Suite 100, Miami, FL 33122 0986024 Blue Cross Blue Shield of ID Medicare, 801 Pine St, Chattanooga, TN 37402, Phone: (800) 841-7434 0985012 Blue Cross Blue Shield of KS. P.O. Box 34160, Louisville, KY 40232, Phone: (866) 755-2776 0985096 Blue Cross Blue Shield of MA Med D, Pharmacy and Patient Care, Maryland Heights, MO 63043 0986021 Blue Cross Blue Shield of MI Medicare, 27000 W Eleven Mile Rd, H404, Southfield, MI 48034 0985016 Blue Cross Blue Shield of NC, 5660 University Pkwy , Winston-Salem, NC 27105, Phone: (336) 201-4700 0986019 Blue Cross Blue Shield of RI Medicare, 444 Westminster St, Providence, RI 02903 0985013 Blue Cross Blue Shield of South Carolina, 1-20 at Alpine Rd, Columbia, SC 29219, Phone: (803) 264-1440 0986022 Blue Medicare PPO Medicare D, 901 South Central Expressway, Richardson, TX 75080, Phone: (972) 766-1676 0985017 Blue Medicare RX, P.O. Box 34160, Louisville, KY 40232, Phone: (766) 755-2776 0986023 Blue Shield of CA Medicare D, 6300 Canoga Ave, Woodland Hills, CA 91367, Phone: (800) 776-4466 0985018 Bravo Health Insurance Co Inc, 360 O’Donnell St, Baltimore, MD 21224, Phone: (877) 504-7252 0985019 C and O Employees Hospital Association, 511 Main St, Second Floor, Clinton Forge, VA 24422, Phone: (800) 679-9135 0985020 CA Physicians Service DBA Blue Shield of CA, 6300 Canoga Ave, Woodland Hills, CA 91367, Phone: (800) 776-4466 0985021 Cambridge Life Insurance Co, 960 MacArthur Blvd, Mahwah, NJ 07495-9935, Phone: (800) 882-3822 0985022 Capital Advantage Insurance Co, 2500 Elmerton Ave, Harrisburg, PA 17177, Phone: (866) 987-4213 0986025 Capital Advantage Insurance Co, 2500 Elmerton Ave, Harrisburg, PA 07177 0986108 Care First Medicare Advantage Plan, 604 Potrero Grande Dr, Monterey Park, CA 91755 0986026 Care Improvement Plus, 351 W Camden St, Suite 100, Baltimore, MD 21201, Phone: (410) 625-2200 0986095 Care Oregon Advantage, 315 SW Fifth Ave, Suite 900, Portland, OR 97204, Phone: (800) 224-4840 0986027 Care Plus Health Plans, 11430 NW 20th St, Suite 300, Doral, FL 33172, Phone: (305) 441-9400 0986109 CareSource, P.O. Box 8738, Dayton, OH 45401 0985023 Carpenters Health and Welfare Trust Fund, 1419 Hampton Ave, St Louis, MO 63139, Phone: (314) 644-7226 0985024 CDPHP Universal Benefits Inc, 500 Patroon Creek Blvd, Albany, NY 12206, Phone: (518) 641-3710 0986028 Cigna Medicare Access, 900 Cottage Grove Rd, Hartford, CT 06152 0986029 Cigna Medicare Select, 11001 N Black Canyon Highway, Phoenix, AZ 85029, Phone: (800) 627-7534 0985025 Citrus Heathcare, 5420 Bay Center Dr, Suite 250, Tampa, FL 33609, Phone: (813) 490-8900 0985088 Commonwealth Care Alliance, 30 Winter St, Boston, MA 02108 0986005 Commonwealth Care Med D, 30 Winter St, Boston, MA 02108 0986030 Community Care, 218 W 6th St, Tulsa, OK 74119 0986031 Community Health Group, 740 Bay Boulevard, Chula Vista, CA 91910, Phone: (619) 498-6597 0986032 ConnectiCare Insurance Co Medicare D, 175 Scott Swamp Rd, Farmington, CT 06032, Phone: (860) 409-2400 0985026 Connecticut General Life Insurance Co, P.O. Box 269005, Weston, FL 33326-9927, Phone: (800) 222-6700 0985000 Cooperative De Seguros De Vida De Puerto Rico, P.O. Box 363428, San Juan, PR 00936, Phone: (787) 751-5656 0986033 CosviMed Care, P.O. Box 363428, San Juan, PR 00936, Phone: (787) 751-5656 0985027 Coventry Health and Life Insurance Co, 960 MacArthur Blvd, Mahwah, NJ 07495-9935, Phone: (800) 882-3822 0985028 Dean Health Insurance Inc, 1277 Deming Way, Madison, WI 53717, Phone: (608) 827-4144 0986105 Easy Choice Health Plan, 180 E Ocean Blvd, Suite 700, Long Beach, CA 90802 0985029 Educators Mutual Insurance Association, 852 E Arrowhead Lane, Murray, UT 84107, Phone: (801) 270-2974 0985094 Elder Service Plan, 270 Green St, Cambridge, MA 02139 0985095 Elder Service Plan North Shore, 13 Water St, Holliston, MA 01746 0986034 Empire Health Choice Assurance Inc, 145 S Pioneer Rd, WIW202-FDL2, Fond du Lac, WI 54935 0985030 Envision Insurance Co, 2181 E Aurora Rd, Twinsburg, OH 44087, Phone: (330) 405-8080 0986035 Erickson Advantage, 2725 Mall Dr, W1080-1000, Eau Claire, MN 55343, Phone: (888) 861-5518 0986036 Essence Healthcare, 12655 Blvd, 4th Floor, St Louis, MO 63141, Phone: (314) 851-3600 0985031 Excellus Health Plan Inc, 205 Park Club Lane, Buffalo, NY 14221, Phone: (800) 659-1986 0985032 Express Scripts Insurance Co, One Express Way, St Louis, MO 63121, Phone: (800) 332-5455 0985098 Fallon Community Health Med D, 6820 Fairfield Business Dr, Fairfield, OH 45014 0985099 Fallon Community Health Plan Med D, 6820 Fairfield Business Dr, Fairfield, OH 45014 0986037 Fidelis Care, 9300 Harris Corner Parkway, Suite 100, Charlotte, NC 28269, Phone: (847) 592-9158 0986038 Fidelis Care, 95-25 Queens Boulevard, Rego Park, NY 11374, Phone: (800) 247-1447 0985034 First Health Life and Health Insurance Co, 960 MacArthur Blvd, Mahwah, NJ 07495-9935, Phone: (800) 882-3822 0985035 First Medical Health Plan Inc, P.O. Box 195200, San Juan, PR 00919, Phone: (787) 625-9557 0985033 Fist Care Inc, 150 S Clinton St, 8th Floor, Baltimore, MD 21224, Phone: (410) 528-7897 0986098 Florida Health Care Plan, 1340 Ridgewood Ave, Holly Hill, FL 32117 0985036 Fox Insurance Co, 40 W 25th St, 6th Floor, New York, NY 10010, Phone: (469) 464-1258 0986039 Freedom Health Inc, 6403 N Church Ave, Tampa, FL 33614, Phone: (800) 401-2740 0986040 Gateway Health Plan Medicare Assured, 41st Floor, Pittsburgh, PA 15219, Phone: (800) 685-5209 0985037 Geisinger Indemnity Insurance Co, 100 N Academy Ave, Danville, PA 17822-3229, Phone: (800) 498-9731 0985038 GHI, 70 Wolf Rd, 6th Floor, Albany, NY 12205, Phone: (518) 446-6941 0986041 GHI Medicare Choice PPO Medicare D, 80 Wolf Rd, 6th Floor, Albany, NY 12206, Phone: (866) 557-7300 0986042 Group Health Plan Inc, 550 Maryville Center Dr, Suite 300, St Louis, MO 63141 0985089 Harvard Pilgrim Medicare D, MedImpact Healthcare Systems, San Diego, CA 92131 0985039 Hawaii Medical Services Association, 818 Keeaumoku St, Honolulu, HI 96814, Phone: (809) 948-6584 0985040 HCSC Insurance Services Co, P.O. Box 2190, Chester, VA 23831, Phone: (888) 285-2249 0986043 Health Alliance Medical Plans, 301 S Vine St, Urbana, IL 618013347 0986044 Health Choice Generations, 410 N 44th St, Suite 510, Phoenix, AZ 85008, Phone: (800) 656-8991 0986045 Health First Medicare Plans, 6450 US Highway 1, Rockledge, FL 32995, Phone: (321) 434-5665 0985041 Health Net Life Insurance Co of NY, 10540 White Rock Rd, Suite 280, Rancho Cordova, CA 95670, Phone: (800) 806-8811 0986046 Health Net of Arizona, 1230 W Washington St, Suite 401, Tempe, AZ 85281, Phone: (800) 977-7522 0986047 Health Net of CA, 21281 Burbank Blvd, Building B, Woodland Hills, CA 91367, Phone: (800) 275-4737 0986048 Health Net of CT, One Far Mill Crossing, Shelton, CT 06484, Phone: (800) 547-8734 0986049 Health Net Pearl, 21650 Oxnard St, Woodland Hills, CA 91387, Phone: (800) 977-8221 0986050 Health New England Medicare D, One Monarch Place, Springfield, MA 01144, Phone: (413) 787-4000 0986054 Health Partners, 8170 33rd Ave S, Bloomington, MN 55425 0986051 Health Plan of Nevada Inc, 2720 N Tenaya Way, Las Vegas, NV 89128, Phone: (702) 838-2066 0986110 Health Plus Elite, 241 37th St, Suite 412, Brooklyn, NY 11201 0986055 Health Plus of Michigan, 2050 S Linden Rd, P.O. Box 1700, Flint, MI 48501 0986106 Health Sun Health Plans Inc, 1205 SW 37th Ave, Miami, FL 33135 0985043 HealthSpring of AL Inc, 601 Mainstream Dr, Nashville, TN 37228, Phone: (800) 331-6293 0985042 HeathNow New York Inc, 30 Century Hill Dr, Latham, NY 12110, Phone: (518) 220-4699 0985044 Highmark Senior Resources Inc, 120 5th Ave, Suite 5501, Pittsburgh, PA 15222, Phone: (800) 290-3914 0985045 HIP Health Plan of NY, 55 Water St, 12th Floor, New York, NY 10041, Phone: (646) 447-7838 0985046 Horizon BCBS of NJ, Tree Penn Plaza East, PP-09F, Newark, NJ 07105, Phone: (800) 224-1234 0986099 Humana Health Plans, 101 East Main St, Louisville, KY 40202 0985047 Humana Insurance, 500 W Main St, Louisville, KY 40202, Phone: (800) 281-6918 0986056 Independent Health, 511 Farber Lakes Dr, Buffalo, NY 14221 0985048 InStil Health Insurance Co, P.O. Box 100294, Mail Code AG-790, Columbia, SC 29202, Phone: (803) 763-6539 0986057 Kaiser Foundation Health Plans Inc HI, 711 Kapiolani Blvd, Honolulu, HI 96813, Phone: (800) 805-2739 0986059 Kaiser Permanente, 10350 E Dakota Ave, P.O. Box 378066, Denver, CO 80247, Phone: (800) 632-9700 0986060 KelseyCare Advantage, 2727 W Holcombe, 4th Floor Houston, TX 77025, Phone: (713) 442-2273 0986061 Keystone 65, 1901 Market St, 45th St, Philadelphia, PA 19103, Phone: (800) 331-0017 0986062 Keystone Health Plan Central, 2500 Elmerton Ave, Harrisburg, PA 17177, Phone: (717) 541-7561 0985049 Louisiana Health Service and Indemnity Co, 5525 Reitz Ave, Baton Rouge, LA 70809, Phone: (888) 223-2583 0986063 MAPFRE Life Insurance Co, Urb Tres Monjitas Industrial Park, 297 Carlos Chard, San Juan, PR 00936 0985050 MCS Advantage Inc, 255 Ponce De Leon Ave, Second Floor, San Juan, PR 00918, Phone: (787) 758-2500 0986004 Medco Containment Med D, 100 Parsons Pond Dr, Franklin Lakes, NJ 07417 0985051 Medco Health Solutions of TX, 8111 Royal Ridge Pkwy, Irving, TX 75063, Phone: (972) 915-6113 0986064 Medica Health Plans, 401 Carlson Parkway, Minnetonka, MN 55305 0985052 Medical Mutual of Ohio, 2060 E Ninth St, Cleveland, OH 44115, Phone: (419) 473-7969 0986065 Medicare y Mucho MBS, Bechara Industrial Park, Marginal Bldg 4, San Juan, PR 00922 0985053 Mennonite General Hospital, P.O. Box 1379, Aibonito, PR 00705, Phone: (787) 735-4544 0986066 Mennonite Mutual Aid Associates, 2219 Rimland Dr, P.O. NOC 5348, Bellingham, WA 98227, Phone: (360) 392-9241 0986067 Mercy Care Advantage, 43350 E Cotton Center Blvd, Bldg D, Phoenix, AZ 85040, Phone: (602) 263-3000 0986097 Metroplus Health Plan, 160 Water St 4th Floor, New York, NY 10038 0985054 MO DOT and MSHP Medical and Life Insurance, 1061 Peruque Crossing Ct, O’Fallon, MO 63366, Phone: (636) 614-1344 0985055 National Rural Electric Cooperative Association, 4301 Wilson Blvd, Arlington, VA 22203, Phone: (866) 673-2299 0986068 New West Health Services, 130 Neil Ave, Helena, MT 59601, Phone: (406) 457-2253 0985056 NMHC Group Solution Insurance Inc, 23 British American Pkwy, Latham, NY 12110, Phone: (518) 213-1631, 0985057 ODS Health Plan Inc, 601 SW Second Ave, Portland, OR 97204, Phone: (877) 299-9062 0985058 Oklahoma State and Education Emp Grp Insurance Board, 3545 NW 58th St, Suite 110, Oklahoma City, OK 73112, Phone: (800) 865-5142 0986107 One Care, 1120 W La Veta Ave, Orange, CA 92868 0986069 Optimum Health Care Inc, 5403 N Church Ave, Tampa, FL 33614, Phone: (813) 506-6111 0985090 PacifiCare, P.O. Box 841239, Houston, TX 77284 0986070 PacifiCare UHC, 406 E Hilton Ave, Phoenix, AZ 01255 0985059 Paramount Insurance Co, 1901 Indian Wood Circle, Maumee, OH 43537, Phone: (419) 887-2525 0985060 Penn Life Insurance Co, 29100 Aurora Rd, Solon, OH 44139, Phone: (440) 248-8448 0985061 Pennsylvania Life Insurance Co, 3050 Universal Blvd, Suite 150, Weston, FL 33331, Phone: (866) 566-3050 0986071 Peoples Health, 3 Lakeway Center, 383800 Causeway Blvd, Metairie, LA 70002, Phone: (504) 849-4500 0986073 Personal Care Advantra, 2110 Fox Dr, Champaign, NC 55555 0986072 Personal Choice 65, 1901 Market St, Philadelphia, PA 19103-1400, Phone: (800) 331-0017 0985062 Pharmacy Insurance Corporation of America, P.O. Box 70232, San Juan, PR 00936-8232, Phone: (787) 625-4343 0986074 Physicians United Plan, 483 N Semoran Blvd, Winter Park, FL 32792, Phone: (866) 571-0693 0985063 Preferred Health Inc, 1550 Ponce De Leon Ave, Suite 3, Urb Caribe, San Juan, PR 00926, Phone: (787) 641-1500 0985064 Preferred Medicare Choice Inc, 350 Avenida, Suite 500, San Juan, PR 00918, Phone: (787) 622-3000 0985065 Presbyterian Insurance Co, P.O. Box 27489, Albuquerque, NM 87125-4789, Phone: (505) 923-5370 0986075 Prime Time Health Plan, 214 Dartmouth Ave SW, Canton, OH, 44710, Phone: (800) 577-5084 0985066 Priority Health Insurance Co, 1231 E Beltine Ave NE, Grand Rapids, MI 49525, Phone: (888) 389-6648 0986077 Providence ElderPlace Portland, 4531 SE Belmont, Suite 100, Portland, OR 97215, Phone: (503) 215-6556 0985067 PSERS HOP Program, 1061 Peruque Crossing Ct, O’Fallon, MO 63366, Phone: (636) 614-1344 0985069 Quality Health Plans Inc, 2435 US Highway 19, Suite 470, Holiday, FL 34691, Phone: (727) 945-8400 0985070 Regence Life and Health Insurance Co, 1800 9th Ave, Seattle, WA 98101-1322, Phone: (888) 734-3623 0985071 Rocky Mountain Health Maintenance Organization, P.O. Box 10600, Grand Junction, CO 81502, Phone: (800) 346-4643 0985072 RX America LLC, 221 N Charles Lindbergh Dr, Salt Lake City, UT 84116, Phone: (800) 429-6686 0986078 Salud Dorada Con Medicare, 28 Calle Santa Cruz, Bayamon, PR 00960, Phone: (787) 999-4848 0985073 Scott and White Health Plan, 2401 S 31st St, Temple, TX 76508, Phone: (866) 344-3141 0986079 Secure Horizons by United Healthcare, 9900 Bren Road E, Minnetonka, MN 55343, Phone: (888) 867-5517 0986081 Secure Horizons by United Healthcare, 6455 S Yosemite St, Greenwood Village, CO 80111-5139, Phone: (500) 385-5588 0986082 Secure Horizons by United Healthcare, 410 North 44th St, P.O. Box 52078, Phoenix, AZ 85034, Phone: (800) 385-5588 0986083 Secure Horizons by United Healthcare, 5995 Plaza Dr, Cypress, CA 90630, Phone: (800) 385-5588 0986084 Secure Horizons by United Healthcare, 48 Monroe Turnpike, Trumbull, CT 06611, Phone: (800) 234-1228 0986096 Secure Horizons by United Healthcare, 2725 Mall Drive, Eau Claire, WI 54701 0985074 Select Health of SC, 200 Stevens Dr, Philadelphia, PA 19113, Phone: (215) 569-9244 0986085 Senior Care Plus, 830 Harvard Way, Reno, NV 89502, Phone: (775) 982-3102 0985091 Senior Whole Health, 58 Charles St, Cambridge, MA 02141 0986006 Senior Whole Health Med D, 58 Charles St, Cambridge, MA 02141 0985075 Sierra Health and Life Insurance Co, 2716 N Tenaya Way, Las Vegas, NV 89128, Phone: (702) 838-2066 0985076 SilverScript Insurance Co, 9501 E Shea Blvd, MC132, Scottsdale, AZ 85260, Phone: (866) 552-6106 0985077 Sterling Life Insurance Co, 2219 Rimland Dr, P.O. Box 5348, Bellingham, WA 98227-5348, Phone: (360) 647-9080 0986086 SummaCare, 10 N Main St, P.O. Box 3620, Akron, OH 44308 0986104 Texas Community Care, 955 Overland Court, Second Floor, San Dimas, CA 91773 0985078 The Port of Authority of NY and NJ, 711 Ridgedale Ave, East Hanover, NJ 07936, Phone: (800) 824-0898 0986087 Touchstone Health, 14 Wall St, New York, NY 10005 0985079 Triple-S Inc, 1441 Franklin D Roosevelt Ave, San Juan, PR 00920, Phone: (800) 510-0722 0986000 Tufts Health Plan Med D, 705 Mt Auburn St, Watertown, MA 02471 0986001 Tufts Health Plan Med D, 705 Mt Auburn St, Watertown, MA 02471 0985080 UniCare Life and Health Insurance Co, P.O. Box 9092, Oxnard, CA 93031, Phone: (800) 928-6201 0985081 Union Pacific Railroad Employees Health System, 1040 N 2200, Suite 200, Salt Lake City, UT 84116, Phone: (801) 595-4309 0986088 Unison Advantage, 1001 Brinton Rd, Pittsburgh, PA 15221, Phone: (800) 290-4009 0985082 United American Insurance Co, 3700 S Stonebridge Dr, McKinney, TX 75070, Phone: (972) 569-3667 0986003 United Health Care Med D, 1417 Lake Cook Rd, Deerfield, IL 60015 0986008 UnitedHealth Care Med D, 1417 Lake Cook Rd, Deerfield, IL 60015 0986007 UnitedHealth Group, 1417 Lake Cook Rd, Deerfield, IL 60015 0986002 UnitedHealth Group Med D, 1417 Lake Cook Rd, Deerfield, IL 60015 0985083 UnitedHealth Care of NY, P.O. Box 29300, Hot Springs, AZ 71903-9300, Phone: (888) 867-5575 0986089 Universal American, 1001 Heathrow Park Ln, Lake Mary, FL 32746 0986103 Universal American, 4888 Loop Central Drive, Suite 700, Houston, TX 77081 0986111 University Physicians Maricopa Care, 2701 E Elvira, Tucson, AZ 85756 0985093 Upham Corner Health Committee, 1140 Dorchester Ave, Dorchester, MA 02125 0985084 UPMC Health Benefits Inc, 112 Washington Place, Pittsburgh, PA 15219, Phone: (877) 381-3765 0986091 USA Care, 220 Alexander St, Rochester, NY 14607, Phone: (800) 999-3920 0986092 Vista Health Plan Inc, 1340 Concord Terrace, Sunrise, FL 33323, Phone: (800) 847-3995 0986093 VNS Choice Medicare, 107 E 70th St, New York, NY 10021, Phone: (866) 783-1444 0985085 WellCare Prescription Insurance Inc, 8735 Henderson Rd, Tampa, FL 33634, Phone: (888) 423-5252 0985086 Windsor Health Plan Inc, 7100 Commerce Way, Brentwood, TN 37207, Phone: (800) 811-8483 0985087 Wisconsin Physicians Service Insurance, 1717 W Broadway, P.O. Box 8190, Madison, WI 53708, Phone: (608) 226-7883 0989098 Out of Region PDP Plan, POPS, Boston, MA 02112 This page reserved.