Carrier ID Carrier Name Carrier Address1 2171 HEALTH COST SOLUTIONS PO .

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Carrier ID Carrier Name Carrier Address1 2171 0177 0267 0720 9029 8416 7851 0124 0176 0148 0238 7332 9024 0061 8306 9004 0246 8307 7877 8305 0170 0323 0237 8284 0282 0276 0375 2590 9039 3780 8207 0063 9037 0174 4170 8212 3170 6660 5700 PO BOX 1439 330 WEST 42ND STREET PO BOX 247 PO Box 740819 PO BOX 31362 HEALTH & WELFARE PO Box 2000 994 OLD EAGLE SCHOOL ROAD 5810 WEST BEVERLY LANE 2187 NORTHLAKE PARKWAY 9490 PRIORITY WASY 121 SEVENTH ST PO BOX 7822 PO Box 4759 PO Box 98106 PO BOX 981107 800 CRESCENT DRIVE PO Box 14091 PO Box 398106 PO Box 981109 1932 WYNNTON RD 2425 N CENTRAL EXPRESSWAY 72 WALL STREET, 14TH FLOOR PO Box 66237 PO BOX 981801 PO BOX 3018 PO BOX 211577 PO Box 59 PO BOX 10420 PO Box 1440 PO Box 380786 PO Box 7186 250 BERRYHILL ROAD #311 PO BOX 55690 PO Box 2687 PO Box 35008 PO Box 1009 PO Box 610 39201 SEVEN MILE RD HEALTH COST SOLUTIONS 1199 SEIU LOCAL 144 WELFARE & PENSION FUND 3P ADMINISTRATORS AARP AARP MEDICARE COMPLETE (M-HMO) ABATEMENT WORKERS NATIONAL ACS ADMINISTRATIVE CONCEPTS INC ADMINISTRATIVE ENTERPRISES IN ADMINISTRATIVE SERVICES INC ADVANTAGE HEALTH SOLUTIONS ADVANTAGE HLTH CONGRESS LIFE ADVANTRA COVENTRY (M-HMO) ADVENTIST RISK MANAGEMENT AETNA AETNA (M-HMO) AETNA CONTINENTAL LIFE INS CO (SUPPLEMENTAL A&B) AETNA DENTAL AETNA PHARMACY MANAGEMENT AETNA VISION AFLAC (AMERICAN FAMILY LIFE AH - IDAHO TEAMSTERS AIG LIFE INSURANCE ALL RISK ADMINISTRATORS, INC ALLEGEANT ACCOUNTABLE CARE SOLUTIONS ALLEGIANCE BENEFIT PLAN MANGEMENT INC ALLIANCE COAL HEALTH PLAN ALLIED BENEFIT ADMIN ALLWELL MEDICARE HMO AMALGAMATED LIFE INSURANCE C AMERI HEALTH AMERIBEN SOLUTIONS AMERICA'S 1st CHOICE of SC AMERICA'S CHOICE HEALTH PLAN AMERICAN BENEFIT CORP. AMERICAN BENEFIT MANAGEMENT AMERICAN COMBINED LIFE INS CO AMERICAN COMMERCIAL TERMINAL AMERICAN COMMUNITY Run Date and Time: 7/3/2021 5:32:19 AM Page 2 of 2

3630 0184 0175 7254 7035 9011 0194 0247 8246 7704 7312 0339 0338 8140 0070 6710 0299 0296 8419 2334 8128 8309 2180 1125 0341 0244 9022 1950 8004 0288 2832 5110 7536 8095 0337 7939 7653 9018 6408 0289 AMERICAN GENERAL LIFE & ACCI AMERICAN HEALTHCARE AMERICAN HERITAGE LIFE AMERICAN MEDICAL SECURITY/UHC AMERICAN NATIONAL LIFE of TX AMERICAN PROG/TODAY'S OPTIONS (M-HMO) AMERICAN REPUBLIC INSURANCE COMPNAY AMERICAN RETIREMENT LIFE INSURANCE COM AMERIHEALTH ADMINISTRATORS AMERISCRIPT (RX) AMERITAS LIFE INS. CORP. ANTHEM BCBS MAINE ANTHEM BCBS NEW HAMPSHIRE FEDERAL EMPLOYEES ANTHEM BCBS of CALIFORNIA ANTHEM BCBS of KENTUCKY ANTHEM BCBS of MISSOURI ANTHEM BCBS of NEVADA ANTHEM BCBS of NEW HAMPSHIRE ANTHEM BCBS of VA ANTHEM BCBS of VIRGINIA ANTHEM BENEFITS ANTHEM DENTAL ANTHEM of VA NATIONAL ACCOUNTS ANTHEM VISION APEX BENEFIT SERVICES APPRO RX APWU (M-HMO) APWU--AMERICAN POSTAL WORKERS UNION ASC ADMIN. SERVICE CONSULT. ASR CORPORATION ASSURANT HEALTH ASSURANT HEALTH [FORTIS] ASSURE CARE/GMP HLTH & WELFARE FUND ASSURED HEALTH (formally FORTIS) ATLAS (ZENITH ADMINISTRATORS) ATRIUM HLTH PLAN (HMO-MIDWES AULT CARE INC AULT CARE/PRIMETIME HEALTH PLAN (M-HMO) AULTRA ADMINISTRATIVE GROUP AUTOMATED BENEFITS SERVICES INC Run Date and Time: 7/3/2021 5:32:19 AM PO Box 1500 2217 Plaza Drive 1776 AMERICAN HERITAGE DRIVE PO Box 19032 One Moody Plaza 6 International Drive PO BOX 1 PO BOX 30010 720 BLAIRMILL RD. 4301 Darrow Road PO Box 82520 2 GANNETT DRIVE PO BOX 105557 PO BOX 4152 PO Box 37690 PO Box 14882 PO BOX 5747 1155 ELM STREET #200 PO Box 27401 120 MONUMENT CIRCLE PO Box 18015 555 MIDDLE CREEK PARKWAY PO Box 27401 555 Middle Creek PO BOX 3620 415 SOUTH MAIN STREET PO BOX 967 PO Box 967 PO Box 928 PO BOX 6392 PO BOX 42033 PO BOX 624 PO BOX 1849 501 W MICHIGAN ST 18861 90th AVENUE, SUITE A PO Box 64338 PO Box 6910 Dueber Station PO Box 6905 PO Box 6060 PO BOX 37506 Page 2 of 2

0342 0316 0127 0188 2006 2890 2350 0280 6592 0294 6605 0028 1310 0550 2200 0215 0344 0301 0302 0345 6210 0303 0346 0347 0161 5008 2080 0334 1131 0107 7725 4840 8338 1574 8406 0197 8420 1010 6618 0017 AUXIANT AVERA HEALTH PLANS AVESIS AVMA (AMERICAN VETERINARY MEDICAL ASSOC) AVMED HEALTH PLAN BABB INC. BANKERS FIDELITY BANKERS LIFE & CASUALTY CO. BC of WESTERN PA (ABRAXAS) BCBC of WYOMING BCBS CAPITAL BCBS DENTAL of ILLINOIS BCBS FEDERAL BCBS HIGHMARK of PENNSYLVANIA BCBS HIGHMARK of WV BCBS HORIZON of NEW JERSEY BCBS KANSAS FEDERAL EMPLOYEES BCBS MAINE FEP BCBS MASS FEP BCBS MASSACHUSETTS FEDERAL EMPLOYEES BCBS MASTER HEALTH PLUS BCBS MISSOURI & NEVADA FEP BCBS NEW YORK HEALTHNOW FEDERAL EMPLOYEES BCBS NORTH DAKOTA FEDERAL EMPLOYEES BCBS NY EXCELLUS ROCHESTER BCBS of ALABAMA BCBS of ALBANY NEW YORK BCBS of ARKANSAS BCBS of COLORADO BCBS of CONNECTICUT ANTHEM BCBS of FLORIDA BCBS of ILLINOIS BCBS of INDIANA/ANTHEM BCBS of IOWA BCBS of KANSAS CITY BCBS of LOUISIANA BCBS of MASSACHUSETTS BCBS of MICHIGAN BCBS of MINNESOTA BCBS of MISSISSIPPI Run Date and Time: 7/3/2021 5:32:19 AM PO BOX 75008 3816 S ELMWOOD AVE STE 100 PO BOX 7777 PO BOX 909720 PO Box 569000 850 RIDGE AVENUE PO Box 105652 PO Box 66927 PO Box 540 PO BOX 2266 2500 ELMERTON AVE PO Box 23059 POB 33932 PO BOX 70 POB 7026 PO BOX 1219 1133 SOUTHWEST TOPEKA BLVD PO BOX 105557 401 PARK DRIVE LANDMARK CENTER 401 PARK DRIVE PO Box 1560 PO BOX 105557 PO BOX 80 4510 13th AVENUE SOUTHWEST 165 COURT ST PO Box 995 PO Box 15013 PO Box 2181 PO BOX 5747 370 BASSETT ROAD PO Box 1798 PO Box 1220 PO Box 37010 PO BOX 9291 PO Box 419169 PO BOX 98024 PO Box 14061 PO Box 2888 PO Box 64061 PO Box 1043 Page 2 of 2

0151 2410 7445 7604 3590 6800 6631 0123 2020 8383 8298 8313 1850 9033 7369 7757 2584 7017 7377 0152 9019 1570 2347 8293 7431 7036 1311 8133 0304 1312 7285 6665 0384 0243 0242 0348 7452 8279 5600 7318 BCBS of MONTANA BCBS of NATIONAL CAPITAL AREA BCBS of NEBRASKA BCBS of NEW JERSEY BCBS of NEW YORK EMPIRE BCBS of NJ DENTAL BCBS of NORTH CAROLINA BCBS of NORTH DAKOTA BCBS of OHIO BCBS of OKLAHOMA BCBS of OREGON (REGENCE) BCBS of PENNSYLVANIA BCBS of PENNSYLVANIA HIGHMARK BCBS of PENNSYLVANIA HIGHMARK (M-HMO) BCBS of RHODE ISLAND BCBS of SOUTH CAROLINA BCBS of SOUTH DAKOTA BCBS of TENNESSEE BCBS of TEXAS BCBS of TEXAS DENTAL SERVICES BCBS of TN BLUE ADVANTAGE [M-HMO] BCBS of UTAH BCBS of VERMONT BCBS of WASH PREMERA BCBS of WESTERN NEW YORK (TRAD.BLUE) BCBS of WISCONSIN BCBS OKLAHOMA FEDERAL (FEP) BCBS or GEORGIA BCBS SOUTH DAKOTA FEP BCBS TEXAS FEDERAL (FEP) BCBS WASH / ALASKA PREMERA BELL ATLANTIC SERVICE UNIT BENECARD RX/BENECARD SERVICES BENEFIT ADMINISTRATIVE SYSTEMS LLC BENEFIT ADMINISTRATORS INC BENEFIT AND RISK MANAGEMENT BENEFIT ASSISTANCE CORP BENEFIT CONCEPTS, INC BENEFIT COORDINATORS CORP. BENEFIT MANAGEMENT SERVICES Run Date and Time: 7/3/2021 5:32:19 AM PO BOX 14882 550 12th ST. S.W. PO Box 3248 PO Box 387 11 W. 42nd Street PO BOX 1938 PO Box 2291 4510 13th Ave, South PO Box 956 PO Box 3028 PO Box 1071 PO Box 3355 PO BOX 890062 PO BOX 890062 PO Box 1507 PO Box 6000 PO BOX 5023 PO Box 180150 PO Box 660044 PO BOX 660247 1 CAMERON HILL CIRCLE PO Box 30270 PO Box 186 PO Box 91080 PO Box 1199 PO Box 2141 1400 S BOSTON PO Box 9907 PO BOX 9291 1001 E LOOKOUT DRIVE PO Box 327 PO Box 3742 5040 RITTER ROAD 17475 JOVANNA DRIVE 14214 U STREET PO BOX 2140 PO Box 950 PO Box 61505 111 Ryan Street PO Box 1178 Page 2 of 2

7317 5010 7722 8263 0216 9026 0305 0343 0179 5270 8294 5271 5272 8304 0173 3290 0292 0306 0591 0322 8278 1540 0273 0349 4650 9014 7294 9028 0277 7912 4610 0141 1762 8151 0143 0172 6806 5480 8112 8407 BENEFIT MANAGEMENT SYSTEMS BENEFIT PLAN ADMIN (BPA) BENEFIT SERVICES INC. BENESIGHT BENESYS, INC BLUE CARE NETWORK CLAIMS (M-HMO) BLUE CHOICE BLUE CROSS AR FEDERAL EMPLOYEES BLUE CROSS NEPA--FIRST PRIORITY HEALTH BLUE CROSS of CALIFORNIA BLUE CROSS of IDAHO BLUE SHIELD of CA PHARMACY BLUE SHIELD of CALIFORNIA BLUE VIEW VISION BLUEGRASS FAMILY HEALTH BOILERMAKERS NATIONAL BOON GROUP ADMINISTRATORS BROKERAGE CONCEPTS BROKERS NATIONAL LIFE ASSURANCE CO (BNLAC) BUSINESS ADMINISTRATORS & CONSULTS, INC C & O EMPLOYEES HOSPITAL ASSOC. CAMBRIDGE INTEGRATED CAPITOL ADMINISTRATORS CAPROCK CAREFIRST BCBS MD CARELINK ADVANTRA SILVER (M-HMO) CAREMARK ADVANCE PCS CAREPLUS HEALTH PLANS (M-HMO) CARESOURCE WV EXCHANGE CARILION HLTH PLANS CARPENTERS HEALTH. & WELFARE WV CATALYST RX CATAMARAN (SXC HEALTH SOLUTIONS) CCNN PPO CEBA CLAIMS CELTIC INSURANCE COMPANY CENTRAL PA TEAMSTERS HLTH & WELFARE CENTRAL RESERVE LIFE CENTRAL RESERVE LIFE CENTRAL RESERVE LIFE Run Date and Time: 7/3/2021 5:32:19 AM 6650 BELAIR RD. PO Box 7060 PO Box 4138 PO Box 320 700 TOWER DRIVE, SUITE 300 PO BOX 68710 PO BOX 14115 PO BOX 2181 19 NORTH MAIN STREET PO BOX 60007 POB 7408 PO BOX 7168 PO BOX 272540 PO BOX 8504 PO BOX 21973 PO Box 23825 PO BOX 14079 801 LAKEVIEW DRIVE STE 301 PO Box 1028 PO BOX 107 511 MAIN ST. 110 GIBRALTAR ROAD PO BOX 2318 PO BOX 54139 10455 MILL RUN CIRCLE PO Box 7101 PO Box 686005 PO BOX 14697 PO BOX 8738 PO Box 1531 401 ELEVENTH STREET 800 King Farm Blve 4th Floor PO BOX 3163 PO Box 939032 6300 BRIDGEPOINT PARKWAY, BLD 3 SU500 PO BOX 46337 PO Box 15224 17800 ROYALTON ROAD PO Box 934 PO Box 13429 Page 2 of 2

8216 7240 1845 8442 7459 7283 0134 7350 8318 8160 8500 0214 8320 0196 0327 8425 0008 8163 3530 0450 0490 7268 9030 3650 0135 0115 0275 0378 0307 0211 0264 0713 6614 7443 3990 0336 6990 0208 7765 0199 CENTRAL RESERVE LIFE-ONE SOU CENTRAL STATES FUNDS CENTURY HEALTHCARE CHA HEALTH CHAMPVA CENTER DEPT OF VETERANS AFF -- CHAMPUS CHAPMAN PRINTING CO. CHARTIS [ASRM CLAIMS] CHESTERFIELD RESOUCES CIGNA CIGNA DENTAL CIGNA HEALTH CARE (WALMART PT EMPLOYEE) CIGNA HEALTHCARE (A&B) CIGNA PHARMACY CIGNA VISION CARE CLAIMS CITIZENS SECURITY LIFE CLARITY VISION CM ADMINISTRATORS COLE VISION COLONIAL BENEFITS ADMINISTRATOR COLONIAL PENN INSURANCE COMBINED INS. CO. OF AMERICA COMMERCE GROUP COMMUNITY BLUE (M-HMO) COMP I CENTER DENTAL (BC/BS) COMPASS ROSE HEALTH PLAN COMPBENEFITS DENTAL, INC CONIFER HEALTH SOLUTIONS CONNECTCARE CONNECTICARE CONSECO SENIOR HEALTH INSURANCE COMPANY CONSOLIDATED HEALTH PLANS--CHP CONSTITUTION LIFE INSURANCE COMPANY CONTINENTAL GENERAL INS. CO, CORESOURCE CORPORATE SYSTEMS ADMINISTRATION COVENTRY - PERSONAL CARE COVENTRY DENTAL COVENTRY HEALTH CARE of DELAWARE COVENTRY HEALTH CARE of WV INC COVENTRY HEALTHCARE of GA, INC Run Date and Time: 7/3/2021 5:32:19 AM PO Box 5190 PO Box 5103 PO Box 2256 PO Box 269009 PO Box 65024 PO Box 2968 505 SOUTH LENOLA ROAD PO Box 1884 PO Box 5200 PO Box 8921 PO Box 55270 PO BOX 182223 PO Box 3598 PO BOX 997561 PO BOX 436149 PO Box 890500 PO Box 87269 POB 18903 PO Box 3770 1818 MARKET ST 5050 N. BROADWAY 9TH FLOOR NW PO Box 900 PO BOX 890173 PO Box 898857 PO Box 6430 200 West Jackson Blvd, 9th Floor PO BOX 981637 1218 SOUTH BROADWAY PO BOX 546 PO BOX 2034 2077 ROOSEVELT AVENUE PO BOX 130 PO Box 247007 6100 FAIRVIEW RD PO Box 4985 PO Box 7141 PO BOX 7402 PO BOX 7713 PO Box 7373 PO BOX 7711 Page 2 of 2

0236 0248 0235 0203 0198 0350 0013 0278 0206 0202 8426 6066 7281 7981 0149 0205 8368 0234 6025 0023 0207 0031 8446 8455 8017 0032 0036 0044 7787 0279 6714 6630 0178 8354 8288 0308 0039 7321 0103 5260 COVENTRY HEALTHCARE of LA COVENTRY HEALTHCARE of MISSOURI COVENTRY HEALTHCARE of TENNESSEE COVENTRY HEALTHCARE of THE CAROLINAS COVENTRY HEALTHCARE of VA COX HEALTH PLANS CUSTOM DESIGN BENEFITS CYPRESS BENEFIT ADMINISTRATORS DAKOTA CARE DATA RX DAVIS VISION / FASHION FOCUS DEFINITY HEALTH [DIVISION of UHC] DELTA DENTAL of ARKANSAS DELTA DENTAL of CA DELTA DENTAL of COLORADO DELTA DENTAL of GEORGIA DELTA DENTAL of ILLINIOS DELTA DENTAL of IOWA DELTA DENTAL of KANSAS DELTA DENTAL of KENTUCKY DELTA DENTAL of MASSACHUSETTS DELTA DENTAL of MICHIGAN DELTA DENTAL of MISSOURI DELTA DENTAL of NEW JERSEY DELTA DENTAL of PENNSYLVANIA DELTA DENTAL of VIRGINIA DELTA DENTAL of WISCONSIN DELTA U S A - MN DELTA USA - TN DELTAVISION DENTAL SERVICES DERMOX CORP. G.H.C.P.HEALTH.CR.FD DESERET MUTUAL DOCFIRST DONLEY & CO. DUNN & ASSOCIATES EBRX EBSO--EXPERT BENEFIT SERVICE CONSULTANTS EBSO-EMPLOYEE BENEFIT CONSULTANTS EDUCATORS MUTUAL LIFE INS. C Run Date and Time: 7/3/2021 5:32:19 AM 3838 N CAUSEWAY BLVD 550 MARYVILLE CENTRE DRIVE PO BOX 7170 P O BOX 7102 PO BOX 7704 PO BOX 5750 5589 CHEVLOT ROAD 1235 S 75TH STREET PO Box 7406 5029 O'DELL STREET PO Box 1525 PO Box 9525 PO Box 15965 PO Box 997330 4582 S. ULSTER STREET PO BOX 1809 801 OGDEN AVENUE PO BOX 9000 PO Box 789769 PO Box 242810 PO BOX 9695 PO Box 9085 PO Box 8690 PO Box 222 ONE DELTA DRIVE 4818 STARKEY ROAD PO Box 828 PO Box 59238 95 WHITEBRIDGE RD PO BOX 2105 PO Box 9274 PO Box 6219 60 EAST SOUTH TEMPLE PO Box 17098 6330 EAST 75th STREET PO BOX 2369 2045 MIDWAY DRIVE 9200 SHELBYVILLE RD. 3303 E ROYALTON ROAD PO BOX 83888 Page 2 of 2

7781 7108 5120 8290 7110 0003 0351 0317 2860 0193 6118 6551 7846 8165 0352 8137 8093 1960 8275 9012 0145 9025 8388 0700 0353 0182 0111 0386 0108 7779 0245 0354 4320 0251 0271 6820 8270 0263 8053 0360 ELECTRICAL WORKERS #369 EMERALD HEALTH EMPLOYEE BENEFIT MANAGEMENT COR EMPLOYEE BENEFIT MGMT SVCS (EMBS) EMPLOYEE BENEFIT SERVICE- SE EMPLOYEE BENEFITS ADMINISTRATORS (EBA) EMPLOYEE HEALTH INSURANCE MANAGEMENT RX EMPLOYER PLAN SERVICES EMPLOYER-TEAMSTERS JOINT COUNCIL ENTERPRISE GROUP PLANNING ENVISION RX EQUITABLE PLAN SERVICES (EPS) EXPRESS SCRIPTS EYE MED VISION CARE FALLON HEALTHCARE FCE BENEFITS FEDERAL MUTUAL FEDERATED MUTUAL INSURANCE COMPANY FEDEX FREIGHT, NPPN FELRA & UFCW HLTH&WELFARE FUND (M-HMO) FHM BENEFITS FIDELIS CARE of NY FIDELITY BENEFITS ADMIN FIDELITY SECURITY LIFE INSURANC FIRST AMERITAS LIFE INSURANCE FIRST SERVICES ADMINISTRATORS FL (FINGER LAKES) RX/BCBS OF CENTRAL NEW YORK FLEX BENEFITS/WELLDYNE FLORIDA LIFE & HEALTH GUARANTEE FOLA COAL CO. FORETHOUGHT LIFE INSURANCE COMPANY FOX EVERETT FRANK, VACCARO & ASSOC - WV PIPE TRADES H&W FUND FREEDOM LIFE INSURANCE COMPANY of AMERICA FRINGE BENEFIT GROUP FUTURE SCRIPTS GALLAGHER BENEFIT ADMINSTRATORS GATEWAY HEALTH GE VISION CARE GEHA / GOVERNMENT EMPLOYEES HOSP ASSOC Run Date and Time: 7/3/2021 5:32:19 AM 906 Minoma Ave PO BOX 308014 4789 RINGS ROAD PO BOX 21367 PO Box 8130 PO BOX21875 26711 NORTHWESTERN HIGHWAY 2180 NORTH LOP WEST SUITE 400 6810 MACCORKLE AVE. SE 5910 HARPER ROAD 2182 E Aurora Rd Suite 201 PO Box 720480 PO BOX 247 PO Box 8504 PO BOX 15121 445 RECOLETA ROAD PO BOX 50487 PO BOX 991 419 E MAIN STREET 911 Ridge Brook Road 13160 Foster Street 95-25 QUEENS BLVD 201 INTERNATIONAL CIRCLE 4TH FLOO PO 418131 400 RELLA BLVD 3035 LAKELAND HILLS BLVD 165 Court St. PO BOX 90369 3740 BEACH BLVD SUITE 201A PO BOX 180 ADMINISTRATION OFFICE PO BOX 6006 600 CHARLES STREET 801 CHERRY STREET PO BOX 21854 BOX 419019 PO Box 43297 PO BOX 11088 PO BOX 2243 PO BOX 4665 Page 2 of 2

3408 5750 0231 0209 0760 7040 8328 0147 7562 0355 0800 8283 7165 0155 0201 0387 0233 1775 0232 9013 8116 0035 9035 0153 0074 0813 7695 6965 0356 8285 2040 0357 0358 0075 8461 0158 9006 0164 9027 0309 GEISHP (GEISINGER HEALTH PLAN) GENERAL INS. EXCHANGE AGENCY GENERAL PRESCRIPTION PROGRAM GLOBE LIFE and ACCIDENT INSURANCE COMPANY GOLDEN RULE INS. CO. GOODYEAR TIRE & RUBBER CO. GREAT WEST HEALTHCARE GROUP & PENSION ADMINISTRATORS GROUP BENEFITS SERV. BEECH S GROUP HEALTH COOPERATIVE GUARANTEE TRUST LIFE INS.CO. GUARDIAN INSURANCE HAGERSTOWN TMSTRS & MTR.CARRIER HAMMERMAN AND GARNIER (HOMELAND HEALTHCARE) HARRINGTON BENEFITS / FISERV HEALTH HARRISON COUNTY BOE DENTAL AND VISION BEN PLAN HARVARD PILGRIM INSURANCE HEALTH & WELFARE BENEFIT SYSTEMS HEALTH ADVANTAGE HMO PARTNERS HEALTH ALLIANCE (M-HMO) HEALTH AMERICA HEALTH ASSURANCE HEALTH ASSURANCE (M-HMO) HEALTH CHOICE HEALTH DESIGN PLUS HEALTH FIRST HEALTH NET HEALTH NET CA HEALTH NEW ENGLAND HEALTH PARTNERS CLAIM DEPT HEALTH PLAN OF UPPER OHIO VALLEY HEALTH PLANS INC HEALTH PLUS of MICHIGAN HEALTH REACH RX HEALTH SMART BENEFIT SOLUTIONS was AAG HEALTH SMART LLC HEALTH SPRING of TENNESSEE (M-HMO) HEALTH TRANS FORMULARY MANAGEMENT HEALTHAMERICA of PENNSYLAVANIA (M-HMO) HEALTHCARE MANAGEMENT ADMI Run Date and Time: 7/3/2021 5:32:19 AM PO Box 82200 PO BOX 1849 305 Madison Ave Suite 1166 B PO BOX 8080 419E Main Street STATE RT. 2 1000 Great West Drive 12770 Merit Drive PO BOX 4368 PO BOX 34585 1275 MILWAUKEE AVE PO BOX 2459 10312 REMINGTON DR. 909 LAKE CAROLYN PARKWAY 130 W 2ND ST 3150 US ROUTE 60 PO BOX 8699193 PO BOX 21109 PO BOX 8069 2850 W. Grand Blvd. PO Box 7088 PO BOX 8103 PO BOX 8103 PO BOX 24870 CS 5060 PO Box 5196 PO BOX 470 PO BOX 14702 1 MONARCH PLACE PO BOX 1289 52160 NATIONAL RD 1500 WEST PARK DRIVE PO BOX 1700 445 HUTCHINSON AVENUE PO Box 167768 PO BOX 6743 PO Box 20000 ATTN: DMR PO BOX 7088 220 120th AVENUE NE Page 2 of 2

2333 0241 0283 5190 0204 7836 8505 1670 9034 1671 0239 1672 0125 0012 9007 7823 0183 0181 0229 0228 9002 2111 2110 2114 2113 2645 0077 0254 0038 2841 2141 8289 0324 1634 0291 0227 0359 0185 0293 4800 HEALTHCARE SAVINGS HEALTHEZ HEALTHGRAM, INC HEALTHLINK (GENELCO) HEALTHNOW HEALTHSCOPE HEALTHSCOPE/CENTRAL BENEFITS MUTUAL INSURANCE CO HEALTHSMART HEALTHSMART (M-HMO) HEALTHSMART DENTAL HEALTHSMART PREFERRED CARE HEALTHSMART RX HEALTHSMART VISION HEALTHSPAN HHIC FREEDOM BLUE PPO (M-HMO) HIGHMARK DELAWARE HIP (HEALTH INS PLAN OF GREATER NY) HM BENEFITS ADMINISTRATORS HOSPITAL BENEFITS, INC HOTEL & RESTAURANT EMPLOYEES INT'L UNION WELFARE HUMANA (M-HMO) HUMANA DENTAL HUMANA INSURANCE CO HUMANA MEDICARE SUPLLEMENT HUMMA RX IAA INSURANCE ADMINISTRATORS of AMERICA IBEW INTERNATIONAL BROTHERHOOD ELECTRICAL ENGINEERS IMG INTERNATIONAL MEDICAL GORUP INDEPENDENCE BCBS INDEPENDENT ADMINISTRATORS INDIANA LABORERS WELFARE FUND INFOR MED INGENIO RX INNOVIANT INS ADMIN GROUP INSURANCE MANAGEMENT SERVICES OF TEXAS INSURERS ADMIN CORPORATION INTERACTIVE MEDICAL SYSTEMS INTOTAL HEALTH IRON WORKERS BENEFIT TRUST Run Date and Time: 7/3/2021 5:32:19 AM 4530 PARKROAD SUITE 110 7201 W 78TH STREET PO BOX 11086 PO BOX 41904 PO BOX 211034 PO Box 8002 PO Box 182424 PO Box 3043 PO BOX 3043 PO BOX 3043 PO BOX 93670 3320 W MARKET STREET 10100 Linn Station Road PO BOX 58339 PO BOX 7004 PO Box 1991 55 WATER STREET PO BOX 535078 PO BOX 162148 PO BOX 6020 PO Box 740036 PO BOX 14611 PO BOx 740036 PO BOX 14601 PO Box 14610 PO BOX 5082 PO BOX 2967 PO BOX 88506 PO BOX 13038 PO Box 1010 PO BOX 20490 PO BOX 6752 PO BOX 52065 PO BOX 8082 IAC 3200 EAST MEMORIAL ROAD PO BOX 15688 PO BOX 21456 11635 NORTHPARK DRIVE 3190 FAIRVIEW PARK DRIVE PO BOX 398 Page 2 of 2

7399 2580 0385 7884 0361 8274 7956 7153 2833 5885 8390 0318 1711 8302 0256 0261 0257 0376 0258 0311 6626 0186 7298 0268 0389 0113 5911 0226 0272 0163 0501 7769 6450 8262 5530 0284 0312 7185 8098 8397 IRON WORKERS HEALTH & WELFARE FUND IUOE JFP BENEFITS MGMT JOHN DEER HEALTH.INS. JOHNS HOPKINS HEALTHCARE JSL ADMINISTRATORS KAISER PERMANENTE KANAWHA INS. CO. KBA (KEY BENEFIT ADMINISTRATORS) KENTUCKY LABORERS HEALTH & WELFARE KLAIS & COMPANY KROGER PRESCRIPTION PLAN LABORERS AGC TRUST of MONTANA LABORERS' NATL HEALTH & WELF LDI INTEGRATED PHARMACY SERVICES LIFESTYLE HEALTH PLANS LIFETIME BENEFITS SOLUTIONS LINCOLN FINANCIAL GROUP LINCOLN HERITAGE-STATE MUTUAL LINECO (LINE CONSTRUCTION BENEFIT FUND) LOCAL NO. 1 HEALTH FUND LOCKARD & WILLIAMS LOOMIS CO. LOYAL AMERICAN INSURANCE CO LUCENT HEALTH LUMENOS MADISON NATIONAL LIFE INSURANCE CO MAGELLAN BEHAVIORAL HEALTH MAGELLAN RX MAGNACARE MAIL HANDLERS HEALTH PLAN MANAGE MED MANAGED CARE OF AMERICA - MCA MANAGED PHARMACY BENEFITS MARTIN ASSOCIATES, INC. MARYLAND ELECTRICAL INDUSTRY HEALTH FUND MAYO HEALTH - MMSI INC MDIPA (HMO) MED COST PREFERRED MED IMPACT Run Date and Time: 7/3/2021 5:32:19 AM 119 South Centre Street, Room 6 PO BOX 2626 PO BOX 18903 380 KINGS DAUGHTER DR. 6704 CURTIS COURT PO BOX 9580 PO BOX 6473 PO Box 610 PO Box 1239 1996 Bypass Circle 1867 W MARKET STREET PO BOX 509098 PO BOX 5434 PO BOX 1100 701 EMERSON ROAD, #301 345 N RIVERVIEW, STE 600 115 CONTINUUM DRIVE PO BOX 614008 PO BOX 10843 821 PARKVIEW BOULEVARD PO BOX 11137 PO BOX 1688 PO BOX 7011 PO BOX 559004 PO BOX 880 PO Box 69309 PO Box 828 PO BOX 1958 4801 WASHINGTON STREET PO BOX 1001 PO BOX 8402 PO BOX 6125 1910 COCHRAN RD MANOR OAK BLD 2 1100 NORTH LINDBERGH PO BOX 1158 9411 PHILADELPHIA ROAD 4001 41st STREET NW 4 TAFT CT. PO BOX 25307 10680 TREENA STREET Page 2 of 2

2520 3337 7258 0362 8247 7031 8066 8336 0128 0329 1761 0037 0363 0105 0139 8429 0138 0331 1035 8337 7996 8126 3850 6693 7806 0253 0146 0189 0388 8258 0379 0364 8198 6617 0137 1050 9020 7001 7643 5670 MED-BEN MEDI-SHARE MEDI-SUN HEALTH MEDCARE (FIRST HEALTH) MEDICA MEDICAL CLAIMS MANAGEMENT CO MEDICAL CLAIMS SERV. MEDICAL MUTUAL of OHIO MEDICARE SUPPLEMENT MEDICO INSURANCE COMPANY MEDIGOLD MEDTRAK MEGA LIFE MEGALIFE - MIDWEST NATIONAL LIFE MEMBER HEALTH MENNONITE MUTUAL AID MERCER ADMINISTRATION MERCYCARE HEALTH PLANS MERIDIAN RX MERITAN HEALTH METLIFE METLIFE DENTAL METLIFE DENTAL METLIFE DENTAL SERVICES METRAHEALTH METLIFE METROPOLITAN LIFE MID-ATLANTIC REGIONAL CARPENTERS HEALTH FUND MIDLAND CHOICE MIDLAND-COLT RETIREE MEDICAL PLAN MIDWAY OIL MIM - PHARMACY SOLUTIONS MODA HEALTH PLAN MONTEFIORE MONTERRA HEALTH SYSTEM MONUMENTAL GENERAL INS. GROUP MUTUAL ASSURANCE ADMINISTRATORS MUTUAL of OMAHA INSURANCE CO. MVP HEALTH CARE PLAN of NY [M-HMO] MYLAN PHARMACEUTICALS INC. NASE - NATL ASSOC SELF EMPLOYEE NASI WELFARE FUND Run Date and Time: 7/3/2021 5:32:19 AM PO BOX 1099 PO BOX 981652 13632 NORTH 99TH AVENUE PO BOX 30990 PO BOX 12995 ONE WALL ST. PO BOX 6018 CLAIMS PROCESSING CENTER 1515 SOUTH 75TH STREET 5150 E BROAD STREET 6310 Lamar Ave. Suite 230 PO BOX 982017 PO BOX 981606 PO BOX 391180 PO BOX 483 1220 BUTTERWORK CT PO BOX 4568 1 CAMPUS MARTIUS, SUITE 750 PO Box 853921 PO BOX 14093 PO BOX 6106 PO Box 981282 PO BOX 30434 PO BOX 30429 PO Box 2078 3 GATEWAY CTR PO Box 5809 60 BLVD of the ALLIES PO BOX 2207 33 NORTH ROAD PO BOX 40384 200 CORPORATE DRIVE PO BOX 567 PO BOX 97 PO BOX 42096 MUTUAL OF OMAHA PLAZA PO BOX 2207 PO BOX 4310 PO BOX 982009 8000 CORPORATE DR. Page 2 of 2

5640 9015 7083 1700 7482 2338 6500 6501 0383 7983 0249 8245 0365 7203 7959 0366 1785 8211 6645 0367 8340 0033 7655 7612 7236 2151 8234 7688 3870 7491 0315 9032 0225 7932 8235 0162 8029 2331 7780 7697 NAT'L ASSOC LETTER CARRIERS HLTH BENEFIT PLAN (NALC) NAT'L ASSOC of LETTER CARRIERS (NALC) (M-HMO) NATIONAL ASBESTOS WORKERS NATIONAL FOUNDATION LIFE (WESTBRIDGE CAP.) NATIONAL HEALTH INS. CO NATIONAL TELECOMMUNICATIONS COOP ASSN (NTCA) NATIONWIDE INSURANCE NATIONWIDE SPECIALTY HEALTH NAVITUS RX NCAS (NATIONAL CLAIMS ADMIN SERVICES) NEA MEMBERCARE GROUP INS NEIGHBORHOOD HEALTH PLAN NEIGHBORHOOD HEALTH PLAN FLORIDA NEW ERA LIFE INS. NGS AMERICAN INC.--CORESOURCE NIWU HEALTH & WELFARE FUND NLI AMERICA (NIPPON LIFE INSURANCE CO) NORTH AMERICAN ADMINISTRATOR NORTH AMERICAN BENEFITS NETWORK NORTHWEST ADMINISTRATORS NPA [NATIONAL PRESCRIPTION ASSOC] NVA NATIONAL VISION ADMINISTORS NYHART INS. OHIO BRICKLAYERS H&W FUND OHIO CARPENTERS H&W FUND OHIO CONFERENCE of PLASTERERS & CEMENT MASONS OHIO HEALTH GROUP OHIO OPERATING ENGINEERS H & W OPERATING ENGINEERS BENEFIT OPTIMA HEALTH PLAN OPTIMED HEALTH PLANS OPTIMUM HEALTHCARE INC (M-HMO) OPTIMUM HEALTHCARE, INC OPTUM RX OPTUMHEALTH VISION (UHC) OXFORD HEALTH PLAN OXFORD LIFE INS. P5 HEALTH SERVICES PACIFIC LIFE AND ANNUITY PACIFICARE Run Date and Time: 7/3/2021 5:32:19 AM 20547 WAVERLY ST. 20547 Waverly Court 4600 Powder Mill Rd Ste 100 777 MAIN ST./SU 900 PO BOX 619999 ONE WEST PACK SQ, SUITE 600 One Nationwide Plaza PO Box 42033 PO BOX 9906 PO BOX 1227 PO BOX 10424 214 SOUTH WAY 3 PO BOX 5210 PO BOX 4884 PO BOX 2310 1981 MARCUS AVENUE PO BOX 39710 PO BOX 9501 PO BOX 94928 2323 EASTLAKE AVENUE EAST PO BOX 1981 PO BOX 2187 PO BOX 80884 120 W. 5TH ST. #1100 6281 YOUNGSTOWN/WARREN RD SU/240 33 FITCH BLVD PO BOX 6029 PO BOX 12009 5901 HARFORD RD. SUITE C PO box 5028 4 TERRY DRIVE PO BOX 151258 5403 N CHURCH AVENUE LC07-190 PO BOX 6037 PO BOX 30978 PO BOX 7082 2721 N. CENTRAL AVE. PO BOX 9554 PO BOX 33699 PO BOX 6035 Page 2 of 2

0129 7335 7916 0136 0084 8301 1530 7028 4340 1750 7513 8450 0368 8182 6713 7945 7709 0118 0321 7563 0169 0168 0260 7069 8249 7211 8228 7940 4905 9023 7868 0165 8079 2142 8411 0259 8203 8206 3041 8143 PAI PLANNED ADMINISTRATORS INC ESSENTIAL STAFF CARE PAN AMERICAN LIFE INS. CO. PARADIGM CARE PLANS PARAMOUNT HEALTH PLANS PARTNERS RX MANAGEMENT PCN PEIA UMR PENN TREATY LIFE INS. CO. PENN WESTERN BENEFITS INC. PEOPLES BENEFIT LIFE PEOPLES SECURITY LIFE INS CO PGBA [PALMETTO] PHARMACEUTICAL TECHNOLOGIES PHARMACY CARE NETWORK PHARMACY DATA MANAGEMENT (PDM) PHARMACY NETWORK (PNNC) PHARMALINK PHARMAVAIL PHCS PHILADELPHIA AMERICAN LIFE PHYSICIANS HEALTH PLAN OF MID MICHIGAN PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA PHYSICIANS MUTUAL INSURANCE COMP PIEDMONT ADMIN. PIKA GROUP SERVICES PIMCO PIONEER LIFE PIPELINE INDUSTRY BEN. FUND PLANNED ADMINISTRATORS STAFFMARK CARE PLUMBERS & PIPE FITTERS LOCAL UNION 354 (M-HMO) PLUMBERS & PIPEFITERS LOCAL PLUMBERS AND PIPEFITTERS #123 PLUMBERS AND STEAMFITTERS PREFERRED ONE ADMINISTRATIVE SERVICES PREMIER PHARMACY PLAN PRESCRIPTION NETWORK RX PRIMARY PHYSICIAN CARE PRIMARY SELECT PRIME THERAPUTIC RX PRINCIPAL FINANCIAL GRP. Run Date and Time: 7/3/2021 5:32:19 AM PO BOX 6702 PO Box 61070 PO BOX 1268 1901 INDIAN WOOD CIRCLE PO BOX 35007 9343 TECH CENTER DRIVE PO BOX 30541 PO BOX 151 PO BOX 7834 MEM. CAPITAL HOLDING FAMILY PO BOX 1144 PO BOX 870133 13660 CALIFORNIA STREET 9343 TECH CENTER DR. 940 Windham Ct Suite 1 4000 WAKE FOREST RD. PO BOX 9007 3380 TRICKUM ROAD 15560 NORTH FLW BLVD PO BOX 2465 1400 EAST MICHIGAN AVENUE PO BOX 2359 PO Box 2018 PO BOX 78030 110 WESTWOOD PLACE SUITE 100 CLAI PO BOX 2005 PO BOX 5151 PO BOX 470950 PO BOX 6702 THREE GATEWAY CENTER, SUITE 1625 1230 KINNEAR RD. 8657 BAY PINE RD PO BOX 2648 PO BOX 59212 PO BOX 5824 4125 SW GAGE CENTER DRIVE, STE 203 PO BOX 11088 P O BOX 1323 PO BOX 64812 POB 39710 Page 2 of 2

3250 2336 0286 8395 8346 0022 0224 8299 0223 0087 6697 2065 0212 5141 7764 6711 0500 2339 0222 0191 0369 0142 4043 0313 0332 0167 6870 3420 8248 0011 0089 7921 0281 0287 0381 7609 7891 3871 7953 8209 PRINCIPAL MUTUAL INS. PRIORITY HEALTH CARE PRO CARE RX---HEALTH SOLUTIONS PROFESSIONAL BENEFITS PROVIDENCE HEALTHCARE PRUDENTIAL PUBLIC EMPLOYEES HEALTH PROGRAM QUAD MED QUALCARE QUALCHOICE RAVENSWOOD ALUMINUM CORP. RELIANCE RENAISSANCE DENTAL RICHARDSON INS CO (JAN CARE AMBULANCE) RISK MNGT SERV (RMSC) ROYAL NEIGHBORS of AMERICA RR HEALTH & WELFARE FUNDS RX AMERICA S & S HEALTHCARE STRATEGIES SAMBA FEDERAL EMPLOYEE BENEFIT ASSOCIATION SANDFORD HEALTH PLAN SAVRX SCRIPT CARE SCRIPT WORLD SECURITY HEALTH PLAN WI SEGBP (STATE EMPLOYEES GRP BEN LOUISIANA] SELECT BENEFIT ADIMINISTRATORS--SYMETRA SELF-FUNDED PLANS INC. SENTARA HEALTH PLANS SHASTA ADMINISTRATORS SHEET METAL WORKERS LOCAL #292 SHENANDOAH LIFE INS. SIERRA HEALTH & LIFE INSURANCE CO INC SIGNIFICA BENEFIT SERVICES SIHO TPA SIMPLIFI ESO [CBCA of HCA] SISCO (SELF INSURED SERV.CO.) SOUTHERN BENEFITS ADMINISTRATORS SOUTHERN ELECTRICAL HLTH FUN SOUTHERN GROUP ADMIN. Run Date and Time: 7/3/2021 5:32:19 AM 401 EAST CITY AVE. 621 LYNNHAVEN PKWY 30 HUNTER LANE 2040 FRONT STREET PO BOX 12846 PO BOX 7001 560 EAST 200 S 555S 108th Street 30 KNIGHTSBRIDGE ROAD 6000 PARKLAND BLVD RT. 1 BOX 37 PO BOX 82510 PO BOX 17250 127 Dove Lane PO BOX 6309 PO Box 10850 PO BOX 44242 221 N CHARLES ST PO BOX 46511 PO BOX 1880007 PO BOX 91110 224 N PARK AVENUE 5380 Folsom Drive 4246 RIVERBOAT ROAD STE 175 1515 ST JOSEPH AVE PO BOX 44036 PO Box 440 2535 WASHINGTON RD. 6015 POPLAR HALL DRIVE PO BOX 1747 PO Box 1449 PO BOX 12847 2724 N TENAYA WAY PO BOX 7777 PO BOX 1787 PO BOX 1479 PO BOX 389 5305 Virginia Beach Blvd 3928 VOLUNTEER DR. 200 SOUTH MARSHALLS ST. Page 2 of 2

8002 7821 7847 0156 8412 7120 8456 7690 9016 8281 6460 2261 0218 8282 0298 0285 0371 8185 7702 7833 8286 0266 9001 7534 8077 0325 4330 8264 1772 0026 7207 0157 7740 8113 6991 6999 8457 8236 8186 9036 SPECTERA UNITED HEALTH OPTIC SRC STRATEGIC RESOURCE CO. STANDARD LIFE STANDARD SECURITY LIFE STAR MARK STAR MARKETING & ADMIN. INC. STARBRIDGE - CIGNA VOLUNTARY STATE FARM INSURANCE STERLING LIFE INSURANCE (M-HMO) STEWART C. MILLER CO, INC STRATEGIC HEALTH SERVICES SUMMA CARE SUMMIT AMERICA INSURANCE SERVICES INC SUPERIOR VISION SYMETRA LIFE INSURANCE TALL TREE ADMINISTRATORS TCC - THOMAS COOPER & COMPANY TDI / CIGNA TEAMCARE TEAMSTERS #639 HLTH TRUST FU TEAMSTERS BENEFITS TENNESSEE VALLEY OPERATING ENGINEERS THE HEALTH PLAN (M-HMO) THE NEW ENGLAND MUTUAL THE RIGHT CHOICE / EPOCH THRIVENT FINANCIAL TIME INSURANCE COMPANY TOTAL SCRIPT TOWER LIFE INSURANCE CO TPA TRANS-GEN.SERV.CO INC TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY TRI-COUNTY BUILDING & TRADES TRICARE TRICARE DENTAL METLIFE [MILITARY ONLY] TRICARE EXPRESS SCRIPTS TRICARE FOR LIFE / WISCONSIN PHYSICIANS SVCS TRUSTMARK TUFTS ASSOC. HEALTH PLAN UCARE MEDICARE ADVANTAGE Run Date and Time: 7/3/2021 5:32:19 AM 2211 LORD BALTIMORE DR. PO BOX 23759 PO BOX 25097 PO BOX 21156 PO Box 7060 PO BOX 7922 PO BOX 5909 ONE STATE FARM PLAZA PO Box 69314 PO BOX 5769 ADMIN FOR:INDIANA ST PO BOX 2633 PO BOX 3620 7400 COLLEGE BOULEVARD 11050 OLSEN DRIVE PO BOX 34690 PO BOX 1807 PO BOX 22557 PO BOX 2860 PO BOX 5116 PO BOX 1399 LOCAL #710 865 CONFERENCE DRIVE 52160 National Road, East PO BOX 30466 10795 WATSON RD. PO BOX 14057 PO 624 10901 WEST 120TH AVE. 310 S St. Mary's Street Suite 400 PO BOX 742168 POBX 16532 BOX 97 PO BOX 4138 PO Box 7011 PO BOX 14181 PO BOX 66518 PO BOX 7890 PO BOX 9055 PO BOX 9163 PO BOX 70 Page 2 of 2

1880 0221 9038 8387 0171 1720 9009 3810 8147 9010 0314 0595 1120 1110 0122 9017 0372 8021 0126 0192 8348 8062 9003 0270 1099 0213 7422 7951 6370 0269 9008 1266 0255 0382 9021 8415 0166 0217 0099 8149 UFCW LOCAL UFCW SOUTHERN CALIFORNIA ULTIMATE HEALTH PLUS UMR UMR--COOPERATIVE BENEFIT ADMINISTRATORS INC UMWA UMWA UNITED MINE WORKER (M-HMO) UNDERWRITERS SAFETY & CLAIMS IN UNICARE UNICARE SECURITY CHOICE (M-HMO) UNIFIED GROUP SERVICE UNIFIED LIFE INSURANCE CO UNIION FIDELITY LIFE INSURANCE CO UNION BANKERS INS. CO. UNION CONSTRUCTION WORKERS HEALTH PLAN UNISON ADVANTAGE (M-HMO) UNISON HEALTH PLAN UNITED AMERICAN INS CO UNITED BEHAVIORAL (UHCBH) UNITED COMMERCIAL TRAVELERS UNITED CONCORDIA UNITED HEALTH CARE UNI

Jul 3, 2021

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