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NAIC # NAMES OF INSURANCE COMPANY Address 1 Address 2 ...

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<strong>NAIC</strong> # <strong>NAMES</strong> <strong>OF</strong> <strong>INSURANCE</strong> <strong>COMPANY</strong> <strong>Address</strong> 1 <strong>Address</strong> 2 City State Zip<br />

66672 American General Life Associations Health Claims P. O. Box 305800 Nashville TN 37230-5800<br />

60054 Antna Life Insurance Aetna P. O. Box 14079 Lexington KY 40512-4079<br />

95002 Antna Health Aetna P. O. Box 14079 Lexington KY 40512-4079<br />

60534 American Heritage Life Insurance Attention: Group Claim Department P. O. Box 853916 Richardson TX 75085-3916<br />

81949 American Insurance Company of Texas 3100 Burnett Plaza 801 Cherry Street Fort Worth TX 76102<br />

97179 American Medical Security Life P. O. Box 19032 Greenbay WI 54307<br />

60739 American National Insurance P. O. Box 1520 Galveston TX 77553-1520<br />

71773 American National Life Insurance Company of Texas P. O. Box 1520 Galveston TX 77553-1520<br />

60801 American Public Life Insurance Company P. O. Box 925 Jackson MS 39205-0925<br />

17965 American Sentinel Insurance Company P.O. Box 61140 Harrisburg PA 17106-1140<br />

81200 Blue Cross/Blue Sheild of Louisiana P. O. Box 98029 Baton Rouge LA 70898-9029<br />

95643 HMO of Louisiana Inc. P. O. Box 98029 Baton Rouge LA 70898-9916<br />

74900 Brokers National Life Assurance Company 7010 Hwy. 71 West, Suite 100 Austin TX 78735<br />

80799 Celtic Insurance Company Claims/Correspondence P. O. Box 33839 Indianapolis IN 46203-0839<br />

61751 Central States H & L of Omaha P. O. Box 34350 Omaha NB 68134<br />

67784 Philadelphia American Life Insurance Company P. O. Box 4545 Houston TX 77210-4554<br />

61727 Central Reserve Life Insurance Company P. O. Box 29190 Shawnee Mission KS 66201-9190<br />

61883 Central United Life Insurance Company 10700 Northwest Freeway Houston TX 77092<br />

65870 Manhattan Life Insurance Company 10700 Northwest Freeway Houston TX 77092<br />

85189 Investors Consolidated Insurance Company 10700 Northwest Freeway Houston TX 77092<br />

62308 Connecticut General Life Insurance Company use address on back of ID card<br />

62103 Columbian Mutual Life Insurance Company 4704 Vestal Parkway East P. O. Box 1381 Binghamton NY 13902-1381<br />

76023 Columbian Life Insurance Company 4704 Vestal Parkway East P. O. Box 1381 Binghamton NY 13902-1381<br />

as on 07/01/2007


<strong>NAIC</strong> # <strong>NAMES</strong> <strong>OF</strong> <strong>INSURANCE</strong> <strong>COMPANY</strong> <strong>Address</strong> 1 <strong>Address</strong> 2 City State Zip<br />

62146 Combined Insurance Company of America 5050 North Brodway Chicago IL 60640<br />

76325 Conseco Senior Health Insurance Company P. O. Box 2034 Carmel IN 46082<br />

78174 Capitol American Life Insurance Company P. O. Box 2034 Carmel IN 46082<br />

60682 American Life and Casualty Insurance Company P. O. Box 2034 Carmel IN 46082<br />

71404 Continental General Insurance Company (HCFA Claims) P. O. Box 2830 Clinton IA 52733<br />

71404 Continental General Insurance Company (UB92 Claims) First Health Network P. O. Box 2830 Clinton IA 52733<br />

95173 Coventry Healthcare of Louisiana Inc. use address on ID card P. O. Box 7707 London KY 40742<br />

71870 Fidelity Security Life Insurance Company Attention: Claims Department P. O. Box 418131 Kansas City MO 64141-9131<br />

62324 Freedom Life Insurance Company of America 3100 Burnett Plaza 801 Cherry Street, Unit 33 Fort Worth TX 76102<br />

70939 Gerber Life Insurance Company Claims Department 445 State Street Fremont MI 49412<br />

62286 Golden Rule Insurance Company 712 Eleventh Street Lawrenceville IL 62439<br />

63312 Great American Life Insurance Company P. O. Box 5416 Cincinnati OH 45201<br />

64211 Guarentee Trust Life Insurance Company 1275 Milwaukee Avenue Glenview IL 60025<br />

95009 Health Plus of Louisiana Inc. P. O. Box 1144 Harrisburg PA 17106-9316<br />

95642 Human Helath Benefit Plan of Louisiana Humana Claims Office P. O. Box 14610 Lexington KY 40512-4610<br />

64017 Jefferson National Life Insurance Company 11825 N. Pennsylvania Street Carmel IN 46082<br />

64130 Life Investors Insurance Company of America 4333 Edgewood Rd. NE Cedar Rapids IA 524999<br />

67083 Manhattan National Life Insurance Company P. O. Box 5420 Cincinnati OH 45201<br />

38970 Markel Insurance Company P. O. Box 3870 Gken Allen VA 230580<br />

97055 Mega Life and Health Insurance Company P. O. Box 982010 North Richland Hills TX 76182-8010<br />

66087 Mid-West National Life Insurance Company of TennessP. O. Box 982010 North Richland Hills TX 76182-8010<br />

71412 Mutual of Omaha Insurance Company use address on ID card<br />

90956 National Financial Insurance Company 3100 Burnett Plaza 801 Cherry Street, Unit 33 Fort Worth TX 76102<br />

as on 07/01/2007


<strong>NAIC</strong> # <strong>NAMES</strong> <strong>OF</strong> <strong>INSURANCE</strong> <strong>COMPANY</strong> <strong>Address</strong> 1 <strong>Address</strong> 2 City State Zip<br />

98205 National Foundation Life Insurance Company 3100 Burnett Plaza 801 Cherry Street, Unit 33 Fort Worth TX 76102<br />

65978 Metropolitan Life Insurance Company P. O. Box 30264 Tampa FL 33630-3264<br />

91626 New England Life Insurance Company P. O. Box 30264 Tampa FL 33630-3264<br />

83538 National Health Insurance Copany P. O. Box 619999 Dallas TX 75261-6199<br />

60593 National States Insurance Company 1830 Craig Park Court St. Louis MO 63146<br />

66915 New York Life Insurance Company use address on ID card<br />

78743 New Era Life Insurance Company P. O. Box 4884 Houston TX 77210-4884<br />

67784 Philadelphia American Life Insurance Company P. O. Box 4884 Houston TX 77210-4884<br />

97268 Pacific Life and Annuity Company P. O. Box 6390 New Port Beach CA 92658-6390<br />

66605 Peoples Benefit Life Insurance Company (Baltimore) 520 Park Avenue Mail Station A370 Baltimore MD 21201-4500<br />

66605 Peoples Benefit Life Insurance Company (Frazer) 20 Moores Road Frazer PA 19355<br />

61271 Pricipal Life Insurance Company P. O. Box 39710 Colorado Springs CO 80949-3910<br />

67903 Provident Amera Life and Health Insurance Company (HCFA Claims) P. O. Box 2988 Parkersburg WV 26101<br />

67903 Provident Amera Life and Health Insurance Company (UB92 Claims) First Health Network P. O. Box 23803 Tucson AZ 85734<br />

68241 Prudential Insurance Company of America Antares Management Solutions P. O. Box 477917 Broadview Heights OH 44147-7917<br />

68462 Reserve National Insurance Company 6100 N.W. Grand Boulevard Oklahoma City OK 73118-1082<br />

86355 Standard Life and Accident Insurance Company P. O. Box 1800 Galveston TX 77553-1800<br />

77399 Sterling Life Insurance Company Sterling SELECT - Medicare Supplement P. O. Box 5348 Bellingham WA 98227<br />

77399 Sterling Life Insurance Company Sterling Medicare Advantage Claims P. O. Box 69314 Harrisburg PA 17106<br />

67121 Transamerica Occidental Life Insurance Company 4333 Edgewood Rd. NE Cedar Rapids IA 52499<br />

61425 Trustmark Insurance Company 400 Field Dr. Lake Forest IL 60045-7900<br />

62863 Trustmark Life Insurance Company 400 Field Dr. King of Prussia IA 52733-2942<br />

69744 Union Labor Life Insurance Company 1100 First Ave. P. O. Box 61593 King of Prussia PA 19406<br />

as on 07/01/2007


<strong>NAIC</strong> # <strong>NAMES</strong> <strong>OF</strong> <strong>INSURANCE</strong> <strong>COMPANY</strong> <strong>Address</strong> 1 <strong>Address</strong> 2 City State Zip<br />

95690 Tenet Choices Inc. 3838 North Cosway Suite 2200 Medrie LA 70002<br />

95833 United Healthcare of Louisiana Inc. use address on back of ID Card<br />

69868 United of Omaha Life Insurance Company use address on ID card<br />

72850 United World Life Insurance Company use address on ID card<br />

95584 Vantage Health Plan Inc. 130 DeSiard Street, Suite 300 Monroe LA 71201<br />

81027 Veteran's Life Insurance Company Vally Forge PA 19493<br />

70319 Washington National Insurance Company 11825 N. Pennsylvania Street Carmel IN 46082<br />

70629 World Insurance Company P. O. Box 2529 Omaha NE 68103<br />

as on 07/01/2007

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