Newly Assigned COBA ID For Billing Purposes (replaces .

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Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareActuarial Management ResourcesAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAs-of-September, 76702A001316316M6015M6015M6015G00201Newly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims 002

Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareNewly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims after10/1/07)American Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance CompanyAmerican Income Life Insurance 5002550025500255002Bankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty CompanyBankers Life and Casualty 0005500055000Global Life Insurance Company NYGlobal Life Insurance Company NYM0056M00575500355003As-of-September, 20202

Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareNewly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims after10/1/07)Global Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company NYGlobal Life Insurance Company 0035500355003Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance 155001As-of-September, 20203

Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareGlobe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.Globe Life & Accident Insurance Co.116391391G0123G0123G0123G0123G6010Newly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims 001Golden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule InsuranceGolden Rule ty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance 005550055500555005As-of-September, 20204

Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareNewly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims after10/1/07)Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance Co.Liberty National Life Insurance 55500555005Shelter Life Insurance CompanyN/A55015TorchmarkM022655004United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance mber, 20205

Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareNewly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims after10/1/07)United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance Co.United American Insurance 004550045500455004550045500455004As-of-September, 20206

Medigap Claim-based COBA IDs To Be Used on Incoming Claims As Of September, 2020Insurer NamePrevious OCNA or N-keyIdentifier Under MedicareNewly Assigned COBA ID for BillingPurposes (replaces current OCNA orN-key IDs) {Valid on incoming Part Bcarrier & DMAC claims after10/1/07)United American Insurance Co.United American Insurance Co.UNITDT001U22115500455004WMI Mutual Insurance CompanyN/A55149As-of-September, 20207

Shelter Life Insurance Company N/A 55015 Torchmark M0226 55004 United American Insurance Co. M0155 55004 United American Insurance Co. M0156 55004 United American Insurance Co. M0187 55004 United American Insurance Co. M0190 55004 United American Insurance

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