NCTracks Carrier Codes

EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

NOTE: NCFast codes require lead zeros to make a six-digit number

KB6 1630 AAA- LIFE INSURANCE COMPANY 17250 NEWBURGH ROAD LIVONIA MI 48152 8774341141
AARP HEALTHCARE OPTIONS - UNITED HLTHCARE CLAIMS
579 205 UNIT PO BOX 740819 ATLANTA GA 303740819 8005235800
KT4 1717 AARP MEDICARE RX PO BOX 6083 CYPRESS CA 906300083 8888675575
V00 2019 AB CARTER, INC. PO BOX 518 GASTONIA NC 28053 7048651201
P10 1931 ABCO 100, INC. 7 TERRANCE WAY STE. C GREENSBORO NC 274033666 8002225780
GL0 1146 AC CORPORATION/ CO MBS PO BOX 25987 WINSTON SALEM NC 271145987 8007951023
003 2 ACACIA MUTUAL LIFE INS CO 51 LOUISIANA AVENUE NW WASHINGTON DC 20001 2026284506
JY6 1578 ACCORDIA NATIONAL INS./PRUDUE/WELLFARGO P O BOX 2801 CHARLESTON WV 253302801 8668695597
IA4 1440 ACEC HEALTHPLAN SERVICES PO BOX 44109 LAS VEGAS NV 89116 8888137099
B86 465 ACORDIA NATIONAL PO BOX 3262 CHARLESTON WV 25332 8006248605
BU3 529 ACORDIA NATIONAL PO BOX 3043 CHARLESTON WV 253313043 8003324732
JK9 1513 ACORDIA NATIONAL PO BOX 2451 CHARLESTON WV 253292451 8003324732
X28 2081 ACORDIA NATIONAL PO BOX 11064 CHARLESTON WV 253391064 8004354351
D80 693 ACS CONSULTING SERVICES, INC. PO BOX 2000 WINSTON-SALEM NC 271022000 8008495370
W74 2062 ACS HEALTHNET OF NORTHEAST PO BOX 14700 LEXINGTON KY 40512 8006854542
JN5 1525 ACS/HEALTH NET PO BOX 14700 LEXINGTON KY 40512 8004387886
R85 1995 ADMINISTRATION SYSTEMS RESEARCH PO BOX 6392 GRAND RAPIDS MI 495166392 8009682449
KL8 1688 ADMINISTRATIVE CONCEPTS INC 994 OLD EAGLE SCHOOL RD STE 1005 WAYNE PA 190871802 8004525772
A12 352 ADMINISTRATIVE SERVICES, INC. 5950 FAIRVIEW RD. CHARLOTTE NC 28210
DE8 717 ADMINISTRATIVE SYSTEMS RESEARCH PO BOX 6392 GRAND RAPIDS MI 49516 6169571751
GQ3 1170 ADVANCE PCS 2700 MILAN CT BIRMINGHAM AL 35211 8882916372
KX8 1739 ADVANTRA FREEDOM PO BOX 7154 LONDON KY 40742 8007111607
HO2 1358 ADVENTIST RISK MGMT PO BOX 4759 SILVER SPRING MD 209144759 8006380589
073 30 AETNA 151 FARMINGTON AVE. HARTFORD CT 06156 8006240756
A19 354 AETNA PO BOX 14079 LEXINGTON KY 405124079 8004457175
BK2 500 AETNA PO BOX 981107 EL PASO TX 799981107 8006455677
BK6 501 AETNA PO BOX 50065 SAN BERNADINO CA 92412 8006441142
BL2 505 AETNA PO BOX 14586 LEXINGTON KY 405124586 8004286111
BL5 507 AETNA PO BOX 14079 LEXINGTON KY 405124079 8002386236
BR0 522 AETNA PO BOX 150409 HARTFORD CT 061150409 8006434301
C50 560 AETNA PO BOX 14079 LEXINGTON KY 405124079 8009425210
CR1 628 AETNA PO BOX 1630 COLUMBUS OH 43216 8008330220
CY2 657 AETNA PO BOX14586 LEXINGTON KY 405124586 8004373666
GR0 1177 AETNA PO BOX 14079 LEXINGTON KY 405124079 8886323862
GS2 1183 AETNA PO BOX 981109 EL PASO TX 7998 8774534037
GT9 1191 AETNA PO BOX 14066 LEXINGTON KY 40512 8008433661
GY8 1219 AETNA PO BOX 981106 EL PASO TX 799981106 8002475482
H15 1235 AETNA PO BOX 14100 LEXINGTON KY 405124100 8775805018
HF0 1292 AETNA PO BOX 14586 LEXINGTON KY 405124586
HI5 1316 AETNA PO BOX 14100 LEXINGTON KY 405124100 8775805018
JR6 1544 AETNA
AETNA CASUALTY AND SURETY COMPANY PO BOX 14027 LEXINGTON KY 405124027 8002386200
F67 935 PO BOX 14079 LEXINGTON KY 405124079 7043717581
HZ0 1414 AETNA DENTAL PO BOX 14094 LEXINGTON KY 40512 8884429886
MA8 1810 AETNA GLOBAL BENEFITS PO BOX 981543 EL PASO TX 799981543 8002475482
H69 1254 AETNA HEALTH PLANS PO BOX 129107 SAN DIEGO CA 921129107 8008489993
007 3 AETNA INSURANCE COMPANY PO BOX 14079 LEXINGTON KY 405124079 8009425210

Page 1 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

X57 2087 AETNA INSURANCE COMPANY PO BOX 12340 FRESNO CA 93765 8002537207
AY5 439 AETNA LIFE & CASUALTY PO BOX 14079 LEXINGTON KY 405124079 8008723862
I96 1438 AETNA LIFE & CASUALTY PO BOX 14079 LEXINGTON KY 405124079 8882386277
H46 1248 AETNA LIFE & CASUALTY CO. PO BOX 31450 TAMPA FL 336313450 8008435869
I14 1420 AETNA LIFE & CASUALTY UNIT 75 3541 WINCHESTER ROAD ALLENTOWN PA 181950521 8003312363
V06 2021 AETNA LIFE AND CASUALTY PO BOX 26053 GREENSBORO NC 27420 8002370575
H81 1257 AETNA LIFE INSURANCE PO BOX 35890 LOUISVILLE KY 40232 5024297620
BG2 489 AETNA LIFE INSURANCE CO. PO BOX 7064 DOVER DE 199031512 8008233084
G67 1084 AETNA LIFE INSURANCE CO. PO BOX 5569 AKRON OH 44334 8006261987
N29 1907 AETNA LIFE INSURANCE COMPANY PO BOX 2907, LOOP STATION MINNEAPOLIS MN 55402 6123405250
P38 1935 AETNA LIFE INSURANCE COMPANY PO BOX 14586 LEXINGTON KY 405124586 8004335302
Q96 1978 AETNA LIFE INSURANCE COMPANY PO BOX 14552 LEXINGTON KY 405124552 5039370500
R29 1988 AETNA LIFE INSURANCE COMPANY PO BOX 5569 AKRON OH 44334 8006261987
R92 1997 AETNA LIFE INSURANCE COMPANY PO BOX 16516 COLUMBUS OH 43216 8003566285
V89 2043 AETNA LIFE INSURANE COMPANY PO BOX 1900 ORANGE CA 926680900 8183852600
EB0 816 AETNA PHARMACY MANAGEMENT PO BOX 36185 MINNEAPOLIS MN 55435 8887928742
FR7 1022 AETNA PHARMACY MANAGEMENT PO BOX 14024 LEXINGTON KY 40512 8002386279
HE8 1290 AETNA PHARMACY MGMT PO BOX 14024 LEXINGTON KY 40512 8002386279
EE3 825 AETNA U. S. HEALTHCARE PO BOX 27098 GREENSBORO NC 27420 8009425210
EF3 832 AETNA U. S. HEALTHCARE PO BOX 14586 LEXINGTON KY 40512 8886323862
EJ2 849 AETNA U. S. HEALTHCARE PO BOX 52122 MINNEAPOLIS MN 55402 8002386221
EK3 857 AETNA U. S. HEALTHCARE PO BOX 3932 ALLENTOWN PA 181060932 8003312363
J04 1442 AETNA U. S. HEALTHCARE PO BOX 26190 GREENSBORO NC 274026190 8009425210
582 208 AETNA U.S. HEALTHCARE PO BOX 14586 LEXINGTON KY 405124586 8004373666
A08 350 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 8009425210
BA5 472 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 8886323862
BH6 492 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 3362737706
DA8 702 AETNA U.S. HEALTHCARE PO BOX 150431 HARTFORD CT 061150431 8002900640
DJ1 735 AETNA U.S. HEALTHCARE PO BOX 26107 GREENSBORO NC 274026107 8009425210
ED6 823 AETNA U.S. HEALTHCARE PO BOX 31538 TAMPA FL 336313538 8004710351
ER0 885 AETNA U.S. HEALTHCARE PO BOX 1125 BLUE BELL PA 19422 8006240756
ES6 891 AETNA U.S. HEALTHCARE PO BOX 1125 BLUE BELL PA 19422 8003239930
EU1 896 AETNA U.S. HEALTHCARE PO BOX 660239 DALLAS TX 75266 8004244047
FG1 973 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 8886323862
FM2 1001 AETNA U.S. HEALTHCARE PO BOX 3930 ALLENTOWN PA 181060930 8002328825
GD0 1103 AETNA U.S. HEALTHCARE PO BOX 3933 ALLENTOWN PA 18106 8007520246
GF4 1118 AETNA U.S. HEALTHCARE PO BOX 14027 LEXINGTON CT 405124027 8609525527
H17 1236 AETNA U.S. HEALTHCARE PO BOX 981107 EL PASO TX 799981107 8002783106
H19 1237 AETNA U.S. HEALTHCARE PO BOX 26190 GREENSBORO NC 274026190 8009425210
I68 1433 AETNA U.S. HEALTHCARE PO BOX 7012 DOVER DE 199031512 8003387807
K74 1608 AETNA U.S. HEALTHCARE PO BOX 150437 HARTFORD CT 061150437 8002900640
L22 1756 AETNA U.S. HEALTHCARE PO BOX 981107 EL PASO TX 799981107 8005319878
M26 1782 AETNA U.S. HEALTHCARE PO BOX 150409 HARTFORD CT 061150409 8002900640
N33 1910 AETNA U.S. HEALTHCARE PO BOX 31450 TAMPA FL 33631 8138706670
N36 1911 AETNA U.S. HEALTHCARE PO BOX 26107 GREENSBORO NC 274026107 3362737706
Q10 1955 AETNA U.S. HEALTHCARE PO BOX 91555 ARLINGTON TX 760150055 8008723862
T47 2009 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 3362737706
FD8 958 AETNA US HEALTHCARE PO BOX 26107 GREENSBORO NC 274026107 8009425210
FE4 962 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 799981107 8004672006
GD6 1106 AETNA US HEALTHCARE PO BOX 353 GRAND RAPIDS MI 49501 8773686605

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

GE1 1109 AETNA US HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 8004457175

GE5 1112 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 799981107 8002456738
GH0 1121 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON KY 40512 8008723862
GL7 1152 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON KY 405124094 8772773368
GM7 1157 AETNA US HEALTHCARE PO BOX 14110 LEXINGTON KY 405124110 8774404708
GX0 1205 AETNA US HEALTHCARE PO BOX 14079 LEXINGTON KY 40512 8886323862
GY0 1213 AETNA US HEALTHCARE PO BOX 14089 LEXINGTON KY 40512 8008273986
GY4 1217 AETNA US HEALTHCARE PO BOX 14091 LEXINGTON KY 40512 8008433088
GY9 1220 AETNA US HEALTHCARE PO BOX 16423 PITTSBURGH PA 152420423 8009626842
GZ1 1221 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 799980000 8005440526
JA3 1469 AETNA US HEALTHCARE PO BOX 981204 EL PASO TX 79998 8886323862
DU7 769 AETNA/U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 3368542050
EB2 817 AETNA/US HEALTHCARE PO BOX 2245 BLUE BELL PA 194228265 8008479017
MD3 1825 AFFINITY HEALTH PLAN PO BOX 811 NEW YORK NY 100280082 8662475678
CB5 576 AFFORDABLE BENEFIT ADMIN. PO BOX 10787 BURBANK CA 915700787 8003500148
029 9 AFLAC 1932 WYNNTON ROAD COLUMBUS GA 319997251 8009923522
796 285 AID ASSOCIATION FOR LUTHERANS 4321 N. BALLARD RD. APPLETON WI 549190001 4147345721
111 48 AIR CONTROL MECHANICAL, INC. PO BOX 2636 GASTONIA NC 280532636 7044852125
DN7 749 ALAGAP DATA SYSTEMS, INC. PO DRAWER 800107 LA GRANGE GA 30241 8004105805
JR4 1543 ALLEGIS GROUP 7301 PARKWAY DRIVE HANOVER MD 21706 4105794219
CG1 592 ALLIANCE HEALTH PLAN 139 S. TRYON RD CHARLOTTE NC 28202 8002779476
Q17 1959 ALLIANCE PPO
ALLIANCE/HEALTH MARKET INSURANCE CO PO BOX 993 FREDERICK MD 217050993 8003312102
DF3 720 PO BOX 934 FREDERICK MD 217050934 8007331110
MN7 1873 ALLIANT HEALTH PLANS INC. PO BOX 3708 CORPUS CHRISTI TX 78463 8008114793
CM9 615 ALLIED BENEFIT SYSTEM 208 S. LASALLE ST. STE 1300 CHICAGO IL 60604 8002882078
JY8 1579 ALLIED
ALLIED BENEFIT SYSTEM
MAINTENANCE CO. HEALTH PLAN P O BOX 909786 CHICAGO IL 60690 3129068080
699 256 ALLIS CHALMERS RETIREE' HEALTH PLAN PO BOX 1139 WILSON NC 27893 9192914275
DQ2 754 11270 WEST PARK PLACE MILWAUKEE WI 53224 8006190621
CC7 579 ALLMERICA FINANCIALWORKFORCE DIVISION
ALLSTATE FINANCIAL 333 W. PIERCE RD. # 310 ITASCA IL 601433150 6309633580
KP8 1706 ALLSTATE FINANCIAL WORKPLACE DIVISON PO BOX 43067 JACKSONVILLE FL 322033067 8005213535
039 15 PO BOX 853916 RICHARDSON TX 750853916 8009377039
KJ6 1673 ALLSTATE HEALTH INSURANCE PO BOX 853916 RICHARDSON TX 750853916 8009377039
016 4 ALLSTATE INDEMNITY CO. 60 ALLSTATE PLAZA NORTHBROOK IL 60062
017 5 ALLSTATE INSURANCE CO. 60 ALLSTATE PLAZA NORTHBROOK IL 60062
FH4 978 ALTA HEALTH AND LIFE PO BOX 8530 KANSAS CITY MO 641140530 8008072805
L03 1750 AMALGAMATED LIFE 730 BROADWAY ST NEW YORK NY 10003 2124735700
607 219 AMALGAMATED LIFE & HEALTH INS. 333 ASHELAND BLVD. CHICAGO IL 60607 8003235000
EW4 902 AMALGAMATED LIFE INSURANCE CO. PO BOX 1451 NEW YORK NY 10116 8005434723
FH7 979 AMERIBEN SOLUTIONS PO BOX 7186 BOISE ID 837071186 8007867930
HK4 1331 AMERICA
AMERICA CHOICE HEALTH
FIDELITY ASSURANCE CO/WEB-TPA 7083 GRAND NATIONAL DR. #104 ORLANDO FL 19406
LU4 1771 PO BOX 99906 GRAPEVINE TX 760999706 8889082432
KC5 1635 AMERICAHEALTH CARE (PBM) 2217 PLAZA DRIVE, STE 100 ROCKLIN CA 95765 8008728276
K45 1597 AMERICAN ADVANTAGE CO. PO BOX 505 WAYNESVILLE NC 28786 7044525437
023 6 AMERICAN BANKERS 777 MAIN ST., STE. 900 FORT WORTH TX 761025313 8007251407
025 7 AMERICAN BANKERS LIFE OF FLORIDA PO BOX 3866 DURHAM NC 27702 9196823051
762 273 AMERICAN BARMAG-BOULIGNY CO. PO BOX 7046 CHARLOTTE NC 282417046
EP7 877 AMERICAN BENEFITS MANAGEMENT PO BOX 145804 CINCINNATI OH 452505804
X72 2089 AMERICAN BENEFITS MANAGEMENT 6520 WHIPPLE AVE., NW CANTON OH 44720 8004564002
G42 1074 AMERICAN
AMERICAN COMMERICAL BARGE LINES
COMMUNITY MUTUAL INSURANCE PO BOX 610 JEFFERSONVILLE IN 47130 8005487689
D21 671 PO BOX 3329 LIVONIA MI 48152 3135919000

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

AMERICAN CONTINENTAL LIFE INSURANCE

AT3 426 PO BOX 796 DEERFIELD IL 60015 8002224774
HA4 1266 AMERICAN DENTAL PLAN OF NC 130 EDINBURGH SOUTH SUITE 107 CARY NC 27511
028 8 AMERICAN EMPLOYERS INS. CO. ONE BEACON STREET BOSTON MA 02108 6177256000
G90 1088 AMERICAN FAMILY INSURANCE 3099 E. WASHINGTON AVE. MADISON WI 53783 6082492111
030 10 AMERICAN
AMERICAN FIDELITY
FIDELITY ASSURANCE
ASSURANCE CO/WEB-TPA PO BOX 25523 OKLAHOMA CITY OK 731250523 4055232000
LW7 1772 AMERICAN FIDELITY ASSURANCE COMPANY PO BOX 99906 GRAPEVINE TX 760999706 8009531942
C55 561 PO BOX 25160 OKLAHOMA CITY OK 73125 4055232000
031 11 AMERICAN FIRE AND CASUALTY 136 N. THIRD ST. HAMILTON OH 45025 5138673000
033 12 AMERICAN FOUNDERS LIFE INS. PO BOX 52121 PHOENIX AZ 85072 8005315067
BY7 542 AMERICAN FREIGHTWAYS, INC. PO BOX 840 HARRISON AR 726020840 8005461900
034 13 AMERICAN GENERAL PO BOX 4373 HOUSTON TX 772104373 8002313655
229 81 AMERICAN GENERAL PO BOX 307 LANGHORNE PA 190470307 8008710260
253 90 AMERICAN GENERAL AMERICAN GENERAL CENTER NASHVILLE TN 37250 6157491000
B99 470 AMERICAN
AMERICAN GENERAL
GENERAL LIFE AND ACCIDENT PO BOX 1500 NASHVILLE TN 372021500 6157491000
GK6 1144 AMERICAN GREETINGS IND. BENEFIT PLAN PO BOX 10845 CLEARWATER FL 337578845 8008710260
872 316 AMERICAN GROUP ADMINISTRATORS, INC. PINE STREET FOREST CITY NC 28043
GB0 1095 260W. MAIN STREET, STE 215 HENDERSONVILLE TN 37075 8003466509
038 14 AMERICAN HEALTH & LIFE INS. CO. 300 ST. PAUL PLACE BALTIMORE MD 21202
FL7 997 AMERICAN
AMERICAN HEALTH
HEALTH GROUP
HOLDINGS/MEDCOST PO BOX 1500 MAUMEE OH 43537 8008615770
HJ8 1326 PO BOX 25307 WINSTON SALEM NC 27114 8006415566
JP3 1531 AMERICAN HEALTHCARE 2217 PLAZA DRIVE, SUITE 100 ROCKLIN CA 95765 8008728276
FZ0 1053 AMERICAN HEALTHCARE ALLIANCE PO BOX 8530 KANSAS CITY MO 641140530 8003172324
GU5 1195 AMERICAN HEARTLAND HEALTH ADMINISTRATORS PO BOX 218967 HOUSTON TX 772188967 2182987770

AMERICAN HERITAGE BENEFITS IN A CARD

JV8 1563 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE FL 32224 8009377039
JE7 1487 AMERICAN HERITAGE LIFE INSURANCE PO BOX 10811 CLEARWATER FL 33757 8007803724
KK8 1682 AMERICAN HERITAGE LIFE INSURANCE CO. PO BOX 853916 RICHARDSON TX 750853916 8009377639
040 16 AMERICAN HOME ASSURANCE CO. 70 PINE ST. NEW YORK NY 10270 2127707000
041 17 AMERICAN INCOME LIFE INS. CO. PO BOX 2608 WACO TX 76797 8004333405
878 318 AMERICAN INSURANCE COMPANY 3333 CALIFORNIA STREET SAN FRANCISCO CA 94119
045 18 AMERICAN LIBERTY INS. CO. PO BOX 1568 BIRMINGHAM AL 35201 2059871407
046 19 AMERICAN
AMERICAN LIFE INSURANCE
MEDICAL AND LIFECO.INSURANCE 810 SEVENTH AVENUE NEW YORK NY 10019 2125811200
AX8 436 35 BROADWAY HICKSVILLE NY 11801 5163782000
KJ8 1674 AMERICAN
AMERICAN MEDICAL
MEDICAL LIFE INSURANCE
SECURITY COMPANY PO BOX 1235 FREDERICK MD 21702 8882641512
N08 1902 PO BOX 19032 GREEN BAY WI 543079032 8002325432
051 20 AMERICAN NATIONAL FIRE INS. CO. 580 WALNUT ST. CINCINNATTI OH 45202 5133695000
052 21 AMERICAN NATIONAL INS. CO. ONE MOODY PLAZA GALVESTON TX 77550 4097634661
053 22 AMERICAN NATIONAL LIFE OF TEXAS PO BOX 1520 GALVESTON TX 77553 8008996520
577 204 AMERICAN PATRIOT HEALTH INS. PO BOX 3509 ORLANDO FL 32802
054 23 AMERICAN
AMERICAN PIONEER LIFE INS. CO.
POSTAL WORKERS UNION (APWU) PO BOX 12407 PENSACOLA FL 32591 4076281776
744 267 PO BOX 1358 GLEN BURNIE MD 21060 4104241500
650 238 AMERICAN PROGRESSIVE LIFE & HEALTH INS. CO. 6 INTERNATIONAL DRIVE SUITE 190 RYE BROOK NY 10573 9149348300

055 24 AMERICAN PROTECTION INS. CO. RT. 22 LONG GROVE IL 60049 3125402000
056 25 AMERICAN
AMERICAN REPUBLIC
REPUBLIC INS. CO.
INSURANCE COMPANY PO BOX 2975 CLINTON IA 527332975 8006410366
JB3 1473 601 6TH AVENUE DES MOINES IA 50334 8006409016
057 26 AMERICAN RESERVE INS. CO. 163 ASYLUM ST. HARTFORD CT 06102
HM8 1347 AMERICAN ROLLER BEARING CO. HEALTHCARE PLAN P0 BOX 117 HIDDENITE NC 28636 8037365088

C16 551 AMERICAN SENTINEL INSURANCE PO BOX 61140 HARRISBURG PA 17105 7172384559

Page 4 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

060 27 AMERICAN STATES LIFE INS. CO. 500 N. MERIDIAN ST. INDIANAPOLIS IN 46204 3172626262
061 28 AMERICAN STATES LIFE INS. CO. 500 N. MERIDIAN ST. INDIANAPOLIS IN 46204 3172626262
G06 1060 AMERICAN TRIAL LAWYER'S ASS./ATLA 1255 23RD ST., NW SUITE 300 WASHINGTON DC 20037 8004249883
X42 2084 AMERICAN
AMERICAN TRUST ADMINISTRATORS
VETERANS GROUP INS. TRUST PO BOX 87 SHAWNEE MISSION KS 66201 9134514900
682 248 NATIONAL HOME ASSURANCE CO. VALLEY FORGE PA 19493 2156485000
JP2 1530 AMERICAN-AMICABLE LIFE INS CO PO BOX 2549 WACO TX 767022549 8007367311
FA1 944 AMERICA'S CHOICE HEALTHPLAN PO BOX 922043 HOUSTON TX 772922043 8772243627
HU4 1392 AMERICORP C/O SRC PO BOX 23907 COLUMBIA SC 29224 8037366463
GQ6 1173 AMERICORPS PO BOX 33757 INDIANAPOLIS IN 462030757 8008478217
EK6 858 AMERIHEALTH PO BOX 41574 PHILADELPHIA PA 19101 8887325555
EL0 861 AMERIHEALTH ADMINISTRATORS 720 BLAIR MILL ROAD HORSHAM PA 190440975 8004805031
080 35 AMERITAF FINANCIAL SERVICE 5900 "O" STREET LINCOLN NE 68510 4024671122
K49 1599 AMERITAS LIFE INSURANCE COMPANY PO BOX 82520 LINCOLN NE 68501 8004875553
KN9 1700 AMERITAS-DENTAL PO BOX 82520 LINCOLA NE 685012520 8004875553
C04 547 AMES INSURANCE CO. PO BOX 2069 FAYETTEVILLE NC 28302 9104833185
W68 2061 AMEX LIFE ASSURANCE CO. 1650 LOS GAMOS DR. SAN RAFAEL CA 94903
074 31 AMOCO INSURANCE CO. 306 SOUTH 15TH ST. OMAHA NE 68102 4023444500
CL7 610 ANTHEM BC/BS OF OHIO PO BOX 37180 LOUISVILLE KY 402337180 8004357618
HR7 1377 ANTHEM BCBS PO BOX 14046 ROANOKE VA 24038 8005533164
JH5 1501 ANTHEM BCBS PO BOX 18197 COLUMBUS OH 432180197 8005335240
M16 1780 ANTHEM BCBS PO BOX 37180 LOUISVILLE KY 402337180 8003675894
MA6 1809 ANTHEM BCBS PO BOX 5747 DENVER CO 802175747 8005429402
KD1 1640 ANTHEM BCBS DENTAL P O BOX 9274 OXNARD CA 930319274 8004533622
991 345 ANTHEM BCBS OF CA 21555 OXNARD ST WOODLAND HILLS CA 91367 8003330912
600 217 ANTHEM BCBS OF VIRGINIA PO BOX 27401 RICHMOND VA 23279 8004457490
HI9 1320 ANTHEM BCBS OF VIRGINIA PO BOX 27401 ROANOKE VA 23279 8004510361
KH6 1666 ANTHEM BLUE CROSS AND BLUE SHEILD PO BOX 14882 ST LOUIS MO 631784882 8004906145
EM4 865 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 37010 LOUISVILLE KY 40233 5024268423
FZ8 1056 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 37690 LOUISVILLE KY 40233 8008584948
GN1 1159 ANTHEM BLUE CROSS BLUE SHIELD 370 BASSETT ROAD NORTH HAVEN CT 064734201 8006762583
MJ5 1851 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 105187 ATLANTA, GA 30348 ATLANTA GA 30348 8007495386
EU5 898 ANTHEM HEALTH AND LIFE 10000 N. CENTRAL EXPRESSWAY STE.800 DALLAS TX 75231 8003241288
AB6 374 ANTHEM LIFE PO BOX 839000 MIAMI FL 332839000 8002745466
J54 1455 ANTHEM LIFE INSURANCE CO. PO BOX 101511 SAN ANTONIO TX 78201 8008888024
HH7 1309 ANTHEM PRESCRIPTION MGT/WELLPOINT NET RX PO BOX 145433 CINCINNATI OH 45250 8665959848

KU3 1721 ANTHEM

ANTHEM RX
RX PHARMACY/WELLPOINT NET RX PO BOX 54159 LOS ANGELES CA 90054 8664524479
EA9 815 PO BOX 145433 CINCINNATI OH 45220 8665959848
FT6 1029 APA PARTNERS PO BOX 1506 LATHAM NY 12110 8008333650
700 257 APAC
APPALACHIAN BENEFIT ADMINISTRATORS PO BOX 21088 GREENSBORO NC 27420
GW8 1203 APPALACHIAN BENEFIT ADMINISTRATORS PO BOX 1449 CANTON NC 28716 8282352404
JH6 1502 PO BOX 780 WAYNESVILLE NC 287860780 8289264040
HE9 1291 ARGUS PO BOX 419019 DEPT 173 KANSAS CITY MO 64141 8005227487
V36 2030 ARKANSAS BEST CORPORATION PO BOX 48 FORT SMITH AZ 72902 5014516907
CR7 630 ARROW TRUCKING CO. PO BOX 3097 TULSA OK 74101 8007563003
FD2 957 ARTHUR J. GALLAGHER PO BOX 14997 JACKSON MS 392364997 8008664142
T00 1998 ASI PO BOX 2510 ROCKVILLE MD 20847 3018160045
K21 1587 ASPLUNDH TREE
ASSOCIATED LIFEEXPERT CO. COMPANY
INSURANCE BLAIR MILL RD. WILLOW GROVE PA 190901701 2157844345
732 265 PO DRAWER 240 MILWAUKEE WI 53201 4147975000
BW5 532 ASSOCIATION GROUP ADMIN. PO BOX 96987 WASHINGTON DC 200906987 8008084516

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

ASSOCIATION PLAN ADMINISTRATORS, INC.

FY7 1051 2858 W. MARKET ST. #N AKRON OH 44333 8006242564
KD2 1641 ASSURANT DENTAL P O BOX 2941 CLINTON IA 52733 8004427742
KD5 1644 ASSURANT HEALTH P O BOX 42033 HAZELWOOD MO 63042 8008002412
KW6 1732 ASSURANT HEALTH PO BOX 624 MILWAUKEE WI 53201 8008001212
MK5 1857 ASSURANT HEALTH PO BOX 2806 CLINTON, IA 52733 CLINTON IA 52733 8008002412
E16 787 ASSURANT HEALTH INSURANCE CO. PO BOX 981602 EL PASO TX 799981602 8005537654
GB7 1096 ASSURECARE 340 QUADRANGLE DR. BOLINGBROOK IL 604403448 8007597422
EX3 908 ASSURED BENEFIT ADMINISTRATORS 4100 RIO BRAVO SUITE 211 EL PASO TX 79902 9155322100
KE4 1648 ASSURITY SECURITY GROUP AT WORK PO BOX 80926 LINCOLN NE 68501 8662897337
BN0 512 ATLANTIC COAST HEALTH INS. 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502 7574618091
BE5 482 ATLANTIC COAST HEALTH PLAN 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502 7574618091
CX2 651 ATLANTIC LIFE INSURANCE CO. PO BOX 31450 TAMPA FL 336313450 8002133905
CB6 577 ATLANTICARE HEALTH SYSTEMS PO BOX 1071 HAMMONTON NJ 08037 8007729599
AU7 428 AULTCARE PO BOX 6910 CANTON OH 447060910 8003448858
G91 1089 AUTO ZONE BENEFITS DEPT. 3030 POPLAR AVE., DP 8204-2 MEMPHIS TN 03811 9013254600
071 29 AUTO-OWNERS LIFE INS. CO. PO BOX 30660 LANSING MI 489098160 5173231200
HK3 1330 AVESIS INC. PO BOX 7777 PHOENIX AZ 85011 8009526674
KG2 1657 AVIA PARTNERS (RX ONLY) 20427 N. 27TH AVE. PHOENIX AZ 85027 8002739166
Q41 1962 AVMA PO BOX 909720 CHICAGO IL 606909720 8006216360
AX9 437 AVMED PO BOX 2939 GAINESVILLE FL 326022939 8008165465
801 286 BAKERY & CONFECTIONARY UNION & INDUSTRY INT. 10401 CONNECTICUT AVE. KENSINGTON MD 208953960 3014683731

KQ5 1710 BALDOR/USABLE ADMIN PO BOX 1460 LITTLE ROCK AR 722031460 8662782402
G52 1078 BALI COMPANY PO BOX 219 GASTONIA NC 28053
D27 673 BANK OF BOSTON 100 FEDERAL STREET BOSTON MA 02105 6174342465
077 32 BANKER FIDELITY LIFE INS. CO. 4370 PEACHTREE ST. NE ATLANTA GA 30319 4042665500
GZ2 1222 BANKERS LIFE AND CASUALTY PO BOX 66927 CHICAGO IL 606660927 8006543072
078 33 BANKERS LIFE AND CASUALTY CO. PO BOX 1935 CARMEL IN 460821935 3123966000
082 36 BANKERS NATIONAL LIFE INS. CO. PO BOX 11911 CARMEL IN 46032 3175736300
084 37 BANKERS STANDARD INS. CO. 1900 BISCAYNE BLVD. MIAMI FL 33132 9047697668
085 38 BANKERS UNITED LIFE INVESTORS 4333 EDGEWOOD RD., NE CEDAR RAPIDS IA 52499 3193988511
HG3 1299 BARCOLOUNGER CLAIMS UNIT PO BOX 100184 COLUMBIA SC 292023184
697 255 BASSETT FURNITURE/BCBS NC PO BOX 35 DURHAM NC 27702 8004457490
956 331 BASSETTS FAMILY PLAN/BCBS OF VA PO BOX 27401 RICHMOND VA 23279
G09 1062 BATUS PO BOX 35090 LOUISVILLE KY 40232 5025688269
944 329 BAXTER LABORATORIES PO BOX 1390 MARION NC 28752
928 326 BB&T PO BOX 25987 WINSTON-SALEM NC 271145987 8007951023
998 346 BC/BS OF ALABAMA PO BOX 830279 BIRMINGHAM AL 352830279 8002928802
FX6 1044 BC/BS OF NC - DENTAL ONLY PO BOX 2100 WINSTON SALEM NC 27102 8003056638
094 42 BC/BS OF NORTH CAROLINA/MEDCO HEALTH-RX DRUGS PO BOX 14713 LEXINGTON KY 40512
ONLY

GN7 1162 BC/BS OF ROCHESTER 165 COURT STREET ROCHESTER NY 14647 8009424254
KN5 1698 BCBS- DENTAL BLUE PO BOX 986005 BOSTON MA 02298 8008821178
649 237 BCBS FEDERAL EMPLOYEE PROGRAM PO BOX 2291 DURHAM NC 27702 8002224739
CC8 580 BCBS NC PO BOX 35 DURHAM NC 27702 8004457490
HF2 1294 BCBS OF ALABAMA PO BOX 2294 BIRMINGHAM AL 352952294 8005176425
C09 548 BCBS OF ARIZONA PO BOX 13466 PHOENIX AZ 850023466 6028644100
A97 368 BCBS OF ARKANSAS PO BOX 2181 LITTLE ROCK AR 722032181 5013782000
Y36 2112 BCBS OF CA PO BOX 70000 VAN NUYS CA 91470 8004442726
HR9 1378 BCBS OF CA/WELLPOINT PO BOX 4109 WOODLAND HILLS CA 91365 8002340111

Page 6 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

584 209 BCBS OF CALIFORNIA PO BOX 6666 OXNARD CA 930316666 8003330912

H70 1255 BCBS OF CENTRAL NEW YORK PO BOX 4809 SYRACUSE NY 38001 8006345204
936 327 BCBS OF COLORADO 700 BROADWAY DENVER CO 80273 3038312131
981 340 BCBS OF CONNECTICUT 370 BASSETT ROAD NORTH HAVEN CT 06473 2032394911
632 231 BCBS OF DELAWARE PO BOX 1991 WILMINGTON DE 19899 3024290260
MC7 1822 BCBS OF FL PO BOX 44160 JACKSONVILLE FL 32231 8009266565
613 222 BCBS OF FLORIDA PO BOX 1798 JACKSONVILLE FL 32202 9047916111
DZ4 781 BCBS OF FLORIDA 8400 N.W. 33RD ST. MIAMI FL 331221932 8009553589
715 261 BCBS OF GEORGIA PO BOX 9907 COLUMBUS GA 319089988 8004412273
R19 1986 BCBS OF GEORGIA PO BOX 9907 COLUMBUS GA 31908 8004412273
Y41 2115 BCBS OF GEORGIA PO BOX 9907 COLUMBUS GA 319086007 8008333033
B85 464 BCBS OF IDAHO PO BOX 7408 BOISE ID 83707 8006271188
JE1 1483 BCBS OF IL PRES. DRUG PROGRAM PO BOX 9082 OXNARD CA 930319082 8007533620
675 244 BCBS OF ILLINOIS PO BOX 1220 CHICAGO IL 60690 8003278497
MA9 1811 BCBS OF IN- ANTHEM PO BOX 37010 LOUISVILLE KY 40353 8008762533
827 296 BCBS OF INDIANA PO BOX 6174 INDIANAPOLIS IN 462066174 8004535747
D16 668 BCBS OF IOWA 636 GRAN AVENUE DES MOINES IA 50309 8003622218
803 288 BCBS OF KANSAS 1133 SOUTHWEST TOPEKA BLVD. TOPEKA KS 666290001
CT6 639 BCBS OF KANSAS PO BOX 419169 KANSAS CITY MO 64141 8004226804
692 252 BCBS OF KENTUCKY 13550 TRITON PARK BLVD. LOUISVILLE KY 40223 5024269000
A46 363 BCBS OF LOUISIANA PO BOX 98029 BATON ROUGE LA 70898 5042915370
595 214 BCBS OF MA PO BOX 986025 BOSTON MA 02298 6178325000
F40 931 BCBS OF MAINE 2 GANNETT DRIVE SOUTH PORTLAND ME 04106 2078227272
B20 450 BCBS OF MARYLAND PO BOX 9836 BALTIMORE MD 21204 3014945555
841 305 BCBS OF MARYLAND/ CARE FIRST P O BOX 804 OWINGS MILLS MD 211175559 8002960724
V77 2042 BCBS OF MASSACHUSETTES PO BOX 986025 BOSTON MA 02298 8004134123
679 246 BCBS OF MICHIGAN 600 LAFAYETTE EAST DETROIT MI 48226 8003448525
GQ9 1176 BCBS OF MICHIGAN PO BOX 2500 DETROIT MI 482313015 8004823146
D76 691 BCBS OF MINNESOTA PO BOX 64338 ST. PAUL MN 55164 6124568000
HH5 1307 BCBS OF MINNESOTA PO BOX 64338 ST PAUL MN 551840560 8668700411
C92 571 BCBS OF MISSISSIPPI PO BOX 1043 JACKSON MS 392151043 6019323704
T24 2003 BCBS OF MISSOURI 1831 CHESTNUT ST. ST. LOUIS MO 631032231 8008482625
B66 459 BCBS OF MISSOURI (ALLIANCE BCBS) PO BOX 14882 ST. LOUIS MO 631784882 3149234500
C48 559 BCBS OF N. HAMPSHIRE/VERMONT 3000 GOFFS FALLS ROAD MANCHESTER NH 03111 8002252666
F38 930 BCBS OF NEBRASKA PO BOX 3248 OMAHA NE 681800001 8003563485
B71 461 BCBS OF NEW HAMPSHIRE 3000 GOFFS FALLS ROAD MANCHESTER NH 03111 8002252666
646 236 BCBS OF NEW JERSEY 3 PENN PLAZA EAST NEWARK NJ 07105 2014562000
BX8 539 BCBS OF NEW JERSEY PO BOX 1609 NEWARK NJ 071012200 8004147427
JG2 1493 BCBS OF NEW JERSEY PO BOX 820 NEWARK NJ 07101 8006241110
MR8 1895 BCBS OF NEW MEXICO PO BOX 11968 ALBUQUERQUE NM 87192 8779942583
614 223 BCBS OF NEW YORK 150 E. MAIN STREET ROCHESTER NY 14647 7163253630
091 41 BCBS OF NORTH CAROLINA PO BOX 35 DURHAM NC 27702 8002225028
X14 2073 BCBS OF NORTH DAKOTA 4510 13TH AVENUE, SW FARGO ND 58121 8003424718
F33 929 BCBS OF NORTHWEST OHIO PO BOX 943 TOLEDO OH 43656 4194737100
641 233 BCBS OF OHIO 2060 E. NINTH STREET CLEVELAND OH 44115 2166877000
K87 1615 BCBS OF OHIO 1351 WILLIAM HOWARD TAFT RD. CINCINNATI OH 45206 5138728100
920 325 BCBS OF OKLAHOMA PO BOX 3283 TULSA OK 74102 9185603500
960 334 BCBS OF OREGON PO BOX 1271 PORTLAND OR 97207 5032255336
B16 449 BCBS OF RHODE ISLAND 444 WESTMINSTER ST. PROVIDENCE RI 02903 8005277290

Page 7 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

AE6 382 BCBS OF S. CAROLINA PIEDMONT SERVICE CENTER - PO BOX 6000 GREENVILLE SC 29606 8032974665

BC0 477 BCBS OF S. CAROLINA PO BOX 100605 COLUMBIA SC 292600605 8008682520

HW3 1398 BCBS OF SC DIRECT REIMBURSEMENT - DENTAL PO BOX 71519 NEWNAN GA 30271 8007944668
658 243 BCBS OF SOUTH CAROLINA 1-20 A ALPINE RD. COLUMBIA SC 29219 8003342583
N69 1917 BCBS OF SOUTH DAKOTA PO BOX 1677 SIOUX CITY IA 51102 8008314818
824 295 BCBS OF SOUTHWEST VIRGINIA PO BOX 13047 ROANOKE VA 24045 7039855000
615 224 BCBS OF TENNESSEE PO BOX 180150 CHATTANOOGA TN 37402 4237555600
E52 799 BCBS OF TENNESSEE PO BOX 180150 CHATTANOOGA TN 37401 8009247141
596 215 BCBS OF TEXAS PO BOX 660044 DALLAS TX 752660044 9727666900
685 250 BCBS OF TEXAS PO BOX 660044 DALLAS TX 75266 8005212227
BJ9 498 BCBS OF TEXAS PO BOX 660044 DALLAS TX 752660044 9727666900
HJ1 1322 BCBS OF TEXAS PO BOX 650204 DALLAS TX 752650204 8005212227
F74 938 BCBS OF UTAH PO BOX 30270 SALT LAKE CITY UT 84130 8006246519
M97 1805 BCBS OF UTICA-WATERTOWN, INC. 12 RHOADS DRIVE UTICA NY 13502 3157984200
AW0 429 BCBS OF VIRGINIA (TRIGON) PO BOX 27287 RICHMOND VA 23261
834 299 BCBS OF W. VIRGINIA PO BOX 1353 CHARLESTON WV 25325 8005238316
A03 349 BCBS OF WISCONSIN 401 W. MICHIGAN ST. MILWAUKEE WI 53203 4142265000
X22 2079 BCBS OF WYOMING 4000 HOUSE AVE. CHEYENNE WY 82001 3076344780
A22 357 BCBS UNITED OF WISCONSIN PO BOX 2025 MILWAUKEE WI 532012025 8008102583
MP6 1879 BCBSNJ
BCBSXX PRIME THERAPEUTICS (WAL MART) PO BOX 280 NEWARK NJ 7101 8006241110
JW4 1568 PO BOX 64812 ST PAUL MN 55164 8004231973
F01 921 BEATRICE FOODS 1030 HIGGINS ST., SUITE 200 PARK RIDGE IL 60068 7086927020
ME9 1834 BEECH STREET 7600 S.W. MOHAWK ST. TUALATIN, OR 97062 TUALATIN OR 97062 5034543820

JW3 1567 BEECHSTREET CORP PO BOX 853925 RICHARDSON TX 750853928 8003275926

HQ4 1370 BEHAVIORAL HEALTH
BELK EMPLOYEE RESOURCES
INSURANCE COMPANY 3333 SILAS CREEK PARKWAY WINSTON SALEM NC 27103 8002666167
581 207 BELL SOUTH DEDICATED SERVICE CENTER 2801 W. TYVOLA RD. CHARLOTTE NC 28217 7043571064
E21 792 PO BOX C 279 BIRMINGHAM AL 35283 8002928802
808 291 BELLSOUTH C/OBCBS OF ALABAMA PO BOX 2294 BIRMINGHAM AL 35201 8002928802
Q02 1953 BENEFIT ADMINISTRATION SYSTEMS 17475 JOVANNA DR., # 1B HOMEWOOD IL 60430 7087997400
ME7 1832 BENEFIT ADMINISTRATIVE SYSTEMS, LLC PO BOX 2920 MILWAUKEE, WI 53201-2920 MILWAUKEE WI 532012920 8005230582
AF1 384 BENEFIT
BENEFIT ADMINISTRATORS
ADMINISTRATORS AND COMPANY PO BOX 6279 ERIE PA 16512 8144533633
CU5 644 PO BOX 21308 COLUMBIA SC 29221 8037390001
EW6 903 BENEFIT CONCEPTS PO BOX 60608 KING OF PRUSSIA PA 19406 6103372600
FP4 1012 BENEFIT
BENEFIT MANAGEMENT
MANAGEMENT CORP. (BMC)
CORPORATION PO BOX 269000 WESTON FL 333269000 8002629175
J12 1444 PO BOX 269000 WESTON FL 33326 3053841000
G49 1077 BENEFIT MANAGEMENT SERVICES PO BOX 1178 MATTHEWS NC 28106 8002281803
F49 933 BENEFIT MANAGEMENT SERVICES, INC. PO BOX 1178 MATTHEWS NC 28106 7048455608
B15 448 BENEFIT MGMNT. OF MAINE, INC. PO BOX 3859 PORTLAND ME 04104 2077221601
GD4 1105 BENEFIT PLAN MANAGEMENT PO BOX 536 ROCKLAND MA 02370 8776427500
655 242 BENEFIT PLAN SERVICES PO BOX 2793 HIGH POINT NC 27261 9108892003
FJ4 987 BENEFIT SERVICES (LOCAL UNION 475- ELECT. WRKRS.) 1601 MARKET ST. STE 1575 PHILADELPHIA PA 19103 8003309340

CE1 583 BENEFIT SOLUTIONS, INC. PO BOX 385 TAYLORSVILLE NC 28681 8286324970
N24 1904 BENEFIT SOLUTIONS, INC. PO BOX 385, 577 NC 16 S, SUITE A TAYLORSVILLE NC 286810385 7048726611
J76 1462 BENEFIT SUPPORT, INC. PO BOX 2977 GAINSVILLE GA 30503 8007774782
J41 1451 BENEFIT SYSTEMS & SERVICES, INC. 760 PASQUINELLI DR., SUITE 320 WESTMONT IL 60559 7087892082
GQ1 1169 BENEFITS ADMINISTRATIVE SERVICES PO BOX 4509 ROCKFORD IL 611104509 8002497947
MC3 1819 BENEFITS IN A CARD 300 E MCBEE AVE STE 300 GREENVILLE SC 29061 8009081702

Page 8 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

DN9 750 BENESCRIPT (RX ONLY), ATTN: CLAIMS PO BOX 921229 NORCROSS GA 30010 8003453189
GJ5 1138 BENESIGHT PO BOX 330 PUEBLO CO 81002 8003621116
089 40 BERKSHIRE LIFE INS. CO. 700 SOUTH ST. PITTSFIELD MA 01201 4134994321
K94 1619 BERNHARDT
BLACK LUNGFURNITURE
BENEFITS ACTCOMPANY
- DEPT. OF LAB PO BOX 740 LENOIR NC 28645 7047589811
A33 360 200 CONSTITUTION NW WASHINGTON DC 20210 3017315116
GU9 1197 BLUE CARE NETWORK PO BOX 68710 GRAND RAPIDS MI 49516 8006626667
Q03 1954 BLUE CARE NETWORK PO BOX 68767 GRAND RAPIDS MI 495168767 8006626667
FM1 1000 BLUE CROSS BLUE SHIELD OF ALABAMA PO BOX 2294 BIRMINGHAM AL 352890001 8005176425
FU3 1033 BLUE
BLUE CROSS
CROSS BLUE
BLUE SHIELD
SHIELD OF
OF ALABAMA
CALIFORNIA PO BOX 360508 BIRMINGHAM AL 352360508 8003349041
KJ4 1671 BLUE CROSS BLUE SHIELD OF DELAWARE PO BOX 60007 LOS ANGELES CA 90060 8006776669
GN3 1160 PO BOX 8830 WILMINGTON DE 19899 8006332563
EF0 829 BLUE CROSS BLUE SHIELD OF FLORIDA PO BOX 44028 JACKSONVILLE FL 322314028 8002974991
KM5 1692 BLUE CROSS BLUE SHIELD OF GA PO BOX 535314 ATLANTA GA 30353 8882064697
GL1 1147 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS PO BOX 9198 NORTH QUINCY MA 02171 8003487921
GH7 1126 BLUE CROSS BLUE SHIELD OF NEW YORK PO BOX 3598 CHURCH ST. STATION NEW YORK NY 10008 2124767888
FY3 1049 BLUE CROSS BLUE SHIELD OF OREGON PO BOX 900 PORTLAND OR 97207 8002785331
FU7 1035 BLUE CROSS BLUE SHIELD OF PENNSYLVANIA (65 SPECIAL) PO BOX 898845 CAMP HILL PA 17089 8003679378

EZ5 919 BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA PO BOX 100300 COLUMBIA SC 29202 8008682500
GL4 1149 BLUE CROSS BLUE SHIELD OF TEXAS PO BOX 660044 DALLAS TX 752660044 8004510287
GI1 1130 BLUE CROSS BLUE SHIELD OF WISCONSIN PO BOX 1582 MILWAUKEE WI 53201 8002429035
A29 359 BLUE CROSS HOSPITAL SERVICE, INC. 900 PENNSYLVANIA AVE. CHARLESTON WV 25302 3043485950
FM8 1004 BLUE
BLUE CROSS
CROSS OF
OF CALIFORNIA
N. EASTERN PENNSYLVANIA PO BOX 7168 SAN FRANCISCO CA 94120 8002583091
R75 1993 70 N. MAIN STREET WILKES BARRE PA 18711 7178298500
B91 467 BLUE
BLUE CROSS
CROSS OF
OF W. PENNSYLVANIA
WASHINGTON AND ALASKA 120 FIFTH AVE., FIFTH AVE. PLACE PITTSBURGH PA 152223099 8002354999
GE9 1115 BLUE CROSS OF WESTERN NEW YORK, INC. PO BOX 327 SEATTLE WA 981110327 8003456784
CN1 616 PO BOX 80 BUFFALO NY 142400080 8009500051
GS3 1184 BLUE CROSS PUERTO RICO PO BOX 366068 SAN JUAN PR 00936 8006762583
AR5 419 BLUE SHIELD OF CALIFORNIA PO BOX 272520 CHICO CA 959272560 8003349849
F89 941 BLUE SHIELD OF NORTHEASTERN NY PO BOX 15013 ALBANY NY 12212 8008881238
KM8 1695 BLUECROSS BLUESHIELD OF IL PO BOX 805107 CHICAGO IL 606804112 8007308434
HO0 1357 BLUGRASS FAMILY HEALTH PO BOX 22889 LEXINGTON KY 405222738 8007872680
GR2 1179 BMS PO BOX 1317 MATTHEWS NC 28106 8008214398
C91 570 B'NAI B'RITH MEMBERS INSURANCE PROSPECT AT GLEN PEORIA IL 616146498 8007232624
CF9 590 BOARD OF PENSIONS EVANGELICAL LUTHERAN CHURCH 800 MARQUETTE AVE., STE. 1050 MINNEAPOLIS MN 554022885 8003622876

BOARD OF PENSIONS/PRESBYTERIAN CHURCH

969 337 PO BOX 13896 PHILADELPHIA PA 19101 8005218507
DZ1 780 BODDIE NOELL ENTERPRISES PO BOX 25987 WINSTON-SALEM NC 27114 3367744400
M35 1589 BOILERMAKER'S NATIONAL HEALTH & WELFARE FUND 754 MINNESOTA AVE., SUITE 522 KANSAS CITY KS 661012766 9133426555

K27 1786 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND 754 MINNESOTA AVE., STE. 522 KANSAS CITY KS 661012766 9133426555

MH9 1848 BOLLINGER INSURANCE PO BOX 727 SHORT HILLS, NJ 07078 SHORT HILLS NJ 7078 8662670092
M57 1791 BOON-CHAPMAN BENEFITS PO BOX 9201 AUSTIN TX 78766 8002529653
B83 463 BORDEN HEALTH BENEFITS PLAN PO BOX 189 COLUMBUS OH 43215 8008486181
KR6 1714 BRAVO HEALTH PO BOX 4433 BALTIMORE MD 21223 8005561570
AI4 400 BRIDGESTONE/FIRESTONE, INC.
BRISTOL MYERS SQUIBB C/O METRAHEALTH PO BOX 247 SHELDON IA 51201 8002378447
983 342 BROKER'S NATIONAL LIFE ASSURANCE CO. PO BOX 6135 UTICA NY 13504 8004638667
MK8 1860 PO BOX 1028 HOUSTON, TX 77251 HOUSTON TX 77251 8006534427
J91 1466 BROWN WOOTEN MILLS PO BOX 1046 MT. AIRY NC 27030 9107868379

Page 9 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

BRUNSWICK ELECTRIC MEMBERSHIP CORP.

X76 2090 PO BOX 826 SHALLOTTE NC 28459 9107544391
733 266 BUILDERS TRANSPORT PO BOX 7005 CAMDEN SC 29020 8034321400
844 307 BURLINGTON INDURSTRIES PO BOX 2048 GASTONIA NC 280532048 8002557476
JN9 1529 BUTLER BENEFIT SERVICE INC (BBSI) PO BOX 3310 DAVENPORT IA 528083310 5633272280
KL5 1685 CAIC PO BOX 6080-179 MISSION VEIJO CA 926906080 8885248778
GF0 1116 CAPITAL
CAPITAL ADMINISTRATORS
BLUE CROSS OF PENNSYLVANIA PO BOX 346 ALPHARETTA GA 30009 8886506566
820 294 PO BOX 779503 HARRISBURG PA 171779503 8009622242
W17 2048 CAPITAL
CAPITAL CARE, INC.PHYSICIANS HLTH PLAN
DISTRICT 550 12TH ST., SW WASHINGTON DC 20065 8002965555
JV7 1562 PO BOX 66602 ALBANY NY 122066602
DM6 743 CAPITAL SECURITY INSURANCE PO BOX 472 CHERAW SC 29520 8035373002
GX4 1208 CAPP CARE PO BOX 6240 NEWPORT BEACH CA 92658 8005385512
DY4 776 CARDINAL IPA/NCMM 107 EDINBURGH SOUTH, STE. 216 CARY NC 27511 9194626664
FJ0 984 CARE FIRST ADMINISTRATORS PO BOX 13303 BALTIMORE MD 21203 8004239791
FJ1 985 CARE FIRST ADMINISTRATORS PO BOX 1196 BALTIMORE MD 21297 8004239791
839 304 CARE FIRST/BCBS
CAREFIRST BCBS OF NATIONAL CAPITAL AREA PO BOX 14115 LEXINGTON KY 405124115 8006288548
836 301 CAREFIRST BLUECROSS BLUESHIELD NCAS 550 12TH STREET SW WASHINGTON DC 20065 8009502583
KP4 1702 PO BOX 10104 FAIRFAX VA 220388004 8666076272
KN6 1699 CAREFIRST-BCBS PO BOX 14116 LEXINGTON KY 405124116 8008425975
AC5 377 CAREMARK PO BOX 52195 PHOENIX AZ 850722196 9197747925
BX0 536 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8008415550
CW9 650 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8007722301
CZ9 662 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8008415550
JF2 1488 CAREMARK PO BOX 52196 PHOENIX AZ 850722196
T91 2017 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8008415550
X38 2082 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8008415550
P45 1939 CAREMARK FORMERLY ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 4803914600
DD8 713 CAREMARK -FORMERLY ECKERD HEALTH SERVICES PO BOX 52195 PHOENIX AZ 85072 8002223383

CAREMARK/ FORMERLYPHARMACARE
BX2 537 PO BOX 52010 PHOENIX AR 850722010 8007771023
AB1 371 CAREMARK/ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 8008415550
BX9 540 CAREMARK/ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 8009292524
EH7 844 CAREMARK/ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 8008415550
GI2 1131 CAREMARK/ADVANCE PCS
CAREMARK/FORMERLY/PHARMACARE PO BOX 52195 PHOENIX AZ 85072 8886937750
JE3 1485 PO BOX 52010 PHOENIX AZ 850722010 8886459303
CU6 645 CAREMARK/PHARMACARE 695 GEORGE WASHINGTON HIGHWAY LINCOLN RI 02865 8007771023
DK6 766 CAREMARK-FORMERLY ECKERD'S HEALTH SERVICES PO BOX 52195 PHOENIX AZ 85072 8003771693

DU1 741 CAREMARK-FORMERLY ECKERDS HEALTH SERVICES PO BOX 52195 PHONEIX AZ 85072 8002223383

DP5 752 CARITEN INSURANCE COMPANY PO BOX 22987 KNOXVILLE TN 37933 8002840042
729 264 CAROLINA & WESTERN EXPRESS PO BOX 3995 GASTONIA NC 28052
G57 1081 CAROLINA BENEFIT ADMINISTRATORS PO BOX 25566 WINSTON-SALEM NC 271145566 3367650297
F13 923 CAROLINA BY-PRODUCTS PO BOX 20687 GREENSBORO NC 27420 9192723121
FY6 1050 CAROLINA CARE PLAN PO BOX 100234 COLUMBIA SC 29202 8007479995
HP0 1360 CAROLINA CARE PLAN, INC PO BOX 100234 COLUMBIA SC 292023234 8008686734
KL7 1687 CAROLINA CARE RX PO BOX 31691 CHARLOTTE NC 282311691 8666976800
EP9 879 CAROLINA HEALTHCARE/MEDCOST BENEFIT SERVCES PO BOX 25987 WINSTON-SALEM NC 271145987 8007951023

AF4 385 CAROLINA STALITE COMPANY PO BOX 1040 SALISBURY NC 281451037 7046365231
FC7 954 CAROLINA SUMMIT HEALTHCARE, INC. PO BOX 14669 CINCINNATI OH 45250 8772786481

Page 10 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

D08 665 CAROLINA VA MEAT CUTTERS HEALTH & WELFARE FUND 5305 VA. BEACH BLVD. NORFOLK VA 22502 7574618091

962 336 CAROLINA-VA MEAT CUTTERS UNION 5305 VIRGINIA BEACH BLVD. NORFOLK VA 22502 7574618091
LA3 1768 CAROLINE CARE RX P O BOX 691569 ORLANDO FL 328197819 8666976800
761 272 CARSON, INC. (GROUP BENEFIT PLAN) PO BOX 14186 ARCHDALE NC 272633243 3364311101
884 320 CASCADE DIE PO BOX 8045 HIGH POINT NC 27264 3368820186
CD7 582 CATALYST (FORMERLY PHARMACY ADVANTAGE PO BOX 1069 ROCKVILLE MD 208491069 8887275560
SYSTEMS)

HC4 1279 CATALYST RX PO BOX 100759 FORT LAUDERDALE FL 33310 8003317108

HF3 1295 CATALYST RX PO BOX 1069 ROCKVILLE MD 208491069 8009973784
JM6 1518 CATALYST RX PO BOX 1069 ROCKVILLE MD 208491069 8887275560
L76 1764 CATALYST RX PO BOX 1069 ROCKVILLE MD 208491069 9198764642
GZ8 1227 CATALYST RX (FORMERLY PHARMACY ADVANTAGE PO BOX 1069 ROCKVILLE MD 208491069 8887275560
SOLUTIONS)

HM9 1348 CBA ADMINISTRATORS PO BOX 520 ROCK FALLS IL 61071 8156263445
CP6 622 CBCA PO BOX 9387 MINNEAPOLIS MN 554409387 8003358288
JM9 1520 CBCA ADMINISTRATORS PO BOX 902 BEATTYVILLE KY 413110902 8007220498
P65 1944 CC SYSTEMS PO BOX 64668 ST. PAUL MN 55164 8003652735
JV9 1564 CCN PO BOX 5190 TAMPA FL 336755190 8007491422
G56 1080 CECO BUILDINGS DIVISON PO DRAWER 2387 ROCKY MOUNT NC 278022387 9199772131
HC7 1280 CELTIC INDIVIDUAL HEALTH PO BOX 33839 INDIANAPOLIS IN 462030839 8004777870
MQ4 1884 CELTIC INDIVIDUAL HEALTH PO BOX 26440 LITTLE ROCK AR 72221 8002373968
E81 806 CELTIC LIFE INSURANCE PO BOX 8073 CHICAGO IL 606808073
EA1 811 CELTIC LIFE INSURANCE CO. PO BOX 7130 ROSEMONT IL 60018 8004777870
V22 2027 CELTIC LIFE INSURANCE COMPANY P O BOX 33839 INDIANAPOLIS IN 462030839 3123325401
LA6 1770 CELTICS P O BOX 46338 MADISON WI 53744 8007662525
G04 1059 CENTRA BENEFIT SERVICES PO BOX 869041 - DEPT. 198 PLANO TX 750869041 8006546208
KU5 1723 CENTRAL BENEFITS PO BOX 619055 DALLAS TX 752619055 8776167424
101 43 CENTRAL MUTUAL INS. CO. 800 S. WASHINGTON ST. VAN WERT OH 45891 4192381010
KR5 1713 CENTRAL PENNSYLVANIA TEAMSTER HEALTH & WELFARE PO BOX 15224 READING PA 196125224 8003310420
FUND

G44 1075 CENTRAL RESERVE LIFE 17800 ROYALTON RD. STRONGSVILLE OH 44136 8003213997
K68 1605 CENTRAL RESERVE LIFE 17800 ROYALTON RD. STRONGSVILLE OH 44136 8003213997
JX9 1574 CENTRAL RESERVE LIFE INS. CO. P O BOX 29190 SHAWANEE MISSION KS 662019190 8009458554
Q82 1972 CENTRAL SECURITY LIFE INSURANCE CO. PO BOX 833879 RICHARDSON TX 750833879 2146992770
J42 1452 CENTRAL STATES PO BOX 5116 DES PLAINES IL 600175103 8003235000
104 44 CENTRAL STATES HEALTH & LIFE CO. OF OMAHA 1212 N. 96TH ST. OMAHA NE 68114 4023971111
HY4 1410 CENTRAL STATES HEALTH & WELFARE - DENTAL ONLY PO BOX 5104 DES PLAINES IL 60017 8003232190

HY9 1413 CENTRAL STATES HEALTH & WELFARE - VISION ONLY PO BOX 5105 DES PLAINES IL 60017 8003232190

590 210 CENTRAL STATES, SE & SW HEALTH. & WELFARE FUND PO BOX 590 DES PLAINES IL 600175103 8003232190

450 156 CENTRAL UNITED LIFE PO BOX 925309 HOUSTON TX 772925309 8006699030
451 157 CENTRAL UNITED LIFE PO BOX 2728 HOUSTON TX 772522728 8006699030
105 45 CENTRY INSURANCE CO. 1800 NORTHPOINT DR. STEVENS POINT WI 54481 2032655656
691 251 CENTURY HEALTH CARE PLAN PO BOX 608 HICKORY NC 28603 7043281851
MM5 1864 CENTURY HEALTHCARE PO BOX 2256 GRAPEVINE, TX 76099 GRAPEVINE TX 76099 8776852432
W41 2053 CGA INSURANCE PLANS PO BOX 97 SCANTON PA 18504 8009824367
KY8 1745 CHAMP VA-SPINA BIFIDA PO BOX 65025 DENVER CO 802069025 8888201726

Page 11 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

832 298 CHAMPION INTERNATIONAL MAIN STREET CANTON NC 28716 7046462128

N39 1912 CHAMPION INTERNATIONAL PO BOX 580 ROANOKE RAPIDS NC 27870 9195376011
Y68 2125 CHAMPVA PO BOX 65024 DENVER CO 802069024 8007338387
I80 1436 CHARLES F. CATES & SONS, INC. PO BOX 35 DURHAM NC 27702 8002225028
GY3 1216 CHARLESTON HOISERY, INC. PO BOX 2190 CLEVELAND TN 373202190 4234725095
G30 1070 CHARLOTTE AIRCRAFT PO BOX 25555 CHARLOTTE NC 282295335 7045370212
108 47 CHARTER OAK FIRE INS. CO. ONE TOWER SQUARE HARTFORD CT 06115 2032770111
GE0 1108 CHEROKEE INSURANCE CO. PO BOX 159 WARREN MI 28090 8002010450
MP7 1880 CHESAPEAKE LIFE INS. PO BOX 60 FRISCO TX 75034 8005275504
G99 1092 CHESTERFIELD RESOURCES, INC. PO BOX 1884 AKRON OH 44309 8003210935
C57 563 CHICAGO RAWHIDE INDUSTRIES 900 NORTH STATE STREET ELGIN IL 60123 8004294201
BQ4 519 CHICKERING CLAIMS ADMIN. PO BOX 15708 BOSTON MA 022150014 8009667772
DG6 727 CHICOPEE, INC. PO BOX 6125 GREENVILLE SC 29606 8009928088
JR3 1542 CHOICE NET PO BOX 76149 COLORADO SPRINGS CO 809706149 8873214412
FA3 945 CHRISTIAN BROTHERS EMPLOYEE BENEFIT TRUST 1205 WINDHAM PARKWAY ROMEOVILLE IL 604461694 8005452858

T60 2011 CHRISTIAN FIDELITY LIFE INSURANCE 2001 BATES DRIVE WAXAHACHIE TX 75165 2149374420
V91 2044 CHRISTIAN HOSPITILIZATION AID PO BOX 336 MONTEZUMA KS 67867 3168462286
A00 347 CIGNA PO BOX 28187 RALEIGH NC 276118187 8009486759
AM8 407 CIGNA PO BOX 2048 GASTONIA NC 28052 8005424294
AR8 420 CIGNA PO BOX 180149 CHATTANOOGA TN 374017149 8006357749
AS2 422 CIGNA PO BOX 15408 WILMINGTON DE 198505408 8004417150
BF1 485 CIGNA PO BOX 28127 RALEIGH NC 276118127 8009486759
BS5 525 CIGNA PO BOX 800 UNIONVILLE CT 06085 8006549631
BW6 533 CIGNA PO BOX 8819 BRISTOL TN 37621 8003251404
BX5 538 CIGNA PO BOX 182576 CHATTANOOGA TN 374227576 8002225026
C72 567 CIGNA PO BOX 188007 CHATTANOOGA TN 374228007 8002404648
CI5 601 CIGNA PO BOX 33668 CHARLOTTE NC 282333668 8002572702
CJ0 602 CIGNA PO BOX 9317 DES MOINES IA 50306 8002352840
CQ4 624 CIGNA 2000 REGENCY EXECUTIVE PARK CHARLOTTE NC 28217 7046799109
CS3 632 CIGNA PO BOX 47068 CHARLOTTE NC 28247 7045444368
D59 685 CIGNA PO BOX 28125 RALEIGH NC 276118125 8008499000
DB6 706 CIGNA PO BOX 182553 CHATTANOOGA TN 37422 8008438953
DL2 742 CIGNA PO BOX 10447 DES MOINES IA 503060447 8003670524
DR1 756 CIGNA 701 CORPORATE CENTER DRIVE RALEIGH NC 27607 9198548100
DY7 777 CIGNA PO BOX 3058 BOURBONNAIS IL 60914 8004568700
E19 790 CIGNA PO BOX 28087 RALEIGH NC 276118087 8008499000
EF6 834 CIGNA PO BOX 171841 MEMPHIS TN 381871841 8003632434
EH6 843 CIGNA PO BOX 5200 SCRANTON PA 18505 8002446224
EH8 845 CIGNA PO BOX 188002 CHATTANOOGA TN 37422 8002510669
EP0 874 CIGNA PO BOX 188002 CHATTANOOGA TN 37422 8005424296
ER6 887 CIGNA PO BOX 33668 CHARLOTTE NC 282333668 8002572702
EX9 913 CIGNA PO BOX 49350 ATLANTA GA 30359 8004383970
EZ0 917 CIGNA PO BOX 9313 SHERMAN TX 75091 8005902233
FN5 1008 CIGNA PO BOX 8014 PLAINVILLE CT 06062 8004627486
FP1 1010 CIGNA PO BOX 188013 CHATTANOOGA TN 374228013 4233214400
FP5 1013 CIGNA PO BOX 188003 CHATTANOOGA TN 374228003 8002510670
FP6 1014 CIGNA PO BOX 182558 CHATTANOOGA TN 37422 8002510670
FP7 1015 CIGNA PO BOX 188004 CHATTANOOGA TN 37422 8008457822
FP9 1016 CIGNA PO BOX 188023 CHATTANOOGA TN 37422 8007201970

Page 12 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

G89 1087 CIGNA PO BOX 6185, STATION B GREENVILLE SC 29606 8002446224

GC1 1100 CIGNA PO BOX 5019 VISALIA CA 93278 8002522091
GI8 1135 CIGNA PO BOX 46270 EDEN PRAIRIE MN 553446270 8004622135
GJ8 1140 CIGNA PO BOX 182223 CHATTANOOGA TN 37422 8002510670
GN6 1161 CIGNA PO BOX 9300 SHERMAN TX 75091 8008323211
GX7 1210 CIGNA PO BOX 188033 CHATTANOOGA TN 37422 8002510669
GZ3 1223 CIGNA PO BOX 12047 CHATTANOOGA TN 374010000 8002446224
H42 1245 CIGNA PO BOX 188014 CHATTANOOGA TN 374228014 8003356278
H63 1253 CIGNA PO BOX 8015 PLAINVILLE CT 06062 8007220443
HN4 1352 CIGNA PO BOX 182223 CHATTANOOGA TN 374227223 8002446224
I48 1427 CIGNA PO BOX 807 HUNT VALLEY MD 21030 4107856800
I74 1434 CIGNA PO BOX 9005 JERICHO NY 117538905 5164967840
JU5 1553 CIGNA PO BOX 5008 VISALIA CA 93278 8002446224
K15 1584 CIGNA PO BOX 85455 SAN DIEGO CA 92186 8002271277
K85 1614 CIGNA PO BOX 30151 LANSING MI 489097651 8002844512
L40 1761 CIGNA PO BOX 964 BRISTOL CT 06010 8002433280
L79 1765 CIGNA PO BOX 9341 SHERMAN TX 750919341 8003829797
L88 1766 CIGNA PO BOX 171806 MEMPHIS TN 381871806 8008457822
M27 1783 CIGNA 1241 VOLUNTEER PARKWAY BRISTOL TN 37620 4239687541
M36 1787 CIGNA PO BOX 15408 WILMINGTON DE 198505408 8004417150
N26 1905 CIGNA PO BOX 850 JAMAICA NY 11430 8009623368
N32 1909 CIGNA PO BOX 2005 FARMINGTON CT 06032 8008882033
R54 1991 CIGNA PO BOX 10365 DES MOINES I 50306 8002470355
T27 2004 CIGNA PO BOX 15538 WILMINGTON DE 198505538 8002822471
X17 2075 CIGNA PO BOX 33683 CHARLOTTE NC 282333683
Y55 2121 CIGNA PO BOX 182508 CHATTANOOGA TN 374227530 6154993400
EI3 847 CIGNA DENTAL PO BOX 188045 CHATTANOOGA TN 374228003 8003555965
GU2 1192 CIGNA DENTAL PO BOX 15558 WILMINGTON DE 198505558 8004417150
HH3 1305 CIGNA DENTAL PO BOX 188040 CHATTANOOGA TN 37422 8887225505
HH9 1311 CIGNA DENTAL PO BOX 5030 VISALIA CA 93278 8889195225
HP4 1363 CIGNA DENTAL PO BOX 188037 CHATTANOOGA TN 37422 8002446224
HT6 1387 CIGNA DENTAL PO BOX 188036 CHATTANOOGA TN 374228036 8002446224
W97 2069 CIGNA DENTAL HEALTH PLAN PO BOX 189062 PLANTATION FL 333189062 3054235800
853 312 CIGNA HEALTHCARE PO BOX 188034 CHATTANOOGA TN 374228034 8003555970
EK7 859 CIGNA HEALTHCARE PO BOX 188008 CHATTANOOGA TN 374228008 8002510670
EP5 876 CIGNA HEALTHCARE PO BOX 188030 CHATTANOOGA TN 37422 8002844512
FG9 977 CIGNA HEALTHCARE PO BOX 36125 CHARLOTTE NC 28233 8003710196
FM4 1002 CIGNA HEALTHCARE PO BOX 15554 WILMINGTON DE 19850 8004417150
JV2 1557 CIGNA HEALTHCARE PO BOX 32894 CHARLOTTE NC 282322894 8002451066
X55 2086 CIGNA
CIGNA HEALTHCARE
HEALTHPLAN OF SOUTH FLORIDA PO BOX 31353 RICHMOND VA 23294 8005331708
AA6 369 PO BOX 49400 ATLANTA GA 30359 8009422471
JR2 1541 CIGNA PHARMACY OPERATIONS PO BOX 3598 SCRANTON PA 185050598 8008824462
MB6 1815 CIGNA PPO-VOLUNTARY PO BOX 5909 SCRANTON PA 18505 8008590086
KL6 1686 CIGNA -VISION PO BOX 997561 SACRAMENTO CA 95899 8774787557
CX5 654 CINCINNATI LIFE INSURANCE CO. PO BOX 145496 CINCINNATI OH 45250 5138610700
KY6 1743 CINERGY 1844 N NOB HILL RD STE 623 PLANTATION FL 33322 8008471148
MB8 1817 CINERGY HEALTH INSURANCE 1844 N NOB HILL RD # 623 PLANTATION FL 33322 8008471148
Y14 2104 CITIZENS SECURITY LIFE INSURANCE CO PO BOX 436149 LOUISVILLE KY 402536149 8002421515
113 49 CITY AGENCY INS. CO. 900 ELLISON AVE. WEST BERRY NY 11590 5166830500
T82 2015 CITY OF GREENSBORO PO BOX 26120 GREENSBORO NC 274026120 9103732504

Page 13 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

CE7 586 CLAIMS MANAGEMENT SERVICES, INC. PO BOX 10888 GREEN BAY WI 543070888 8004727130
HU3 1391 CLARITY VISION PO BOX 890500 CAMP HILL PA 170890500 8005412039
G13 1064 CNA
CNA CONTINENTAL CASUALTY COMPANY PO BOX 305181 NASHVILLE TN 37230 8002624725
KE7 1649 P O BOX 946760 MAITLAND FL 327946760 8005284582
N91 1923 COASTAL LUMBER COMPANY PO BOX 829 WELDON NC 27890 9195364211
HQ9 1373 COCHRANE FURNITURE CLAIMS PO BOX 100184 COLUMBIA SC 29202 8009917401
HC2 1278 CODE NO LONGER VALID ZZZZZZZZZZZZZZZZ ZZZZZZZZZZZ ZZ 000000000
FZ4 1054 COLE VISION CARE PO BOX 8056 TWINSBURG OH 44087 8003347591
D34 676 COLONIAL BENEFIT ADMINISTRATORS PO BOX 3770 CAPITOL HEIGHTS MD 207913770 3017318855
G27 1069 COLONIAL INSURANCE COMPANY 310 PARK BUILDING CLEVELAND OH 44114 2168615970
117 51 COLONIAL LIFE & ACCIDENT INS. CO. PO BOX 100195 COLUMBIA SC 29202 8003252467
119 52 COLONIAL PENN FRANKLIN INS. CO. 19TH & MARKET ST. PHILADELPHIA PA 191811250 8005234000
121 53 COLONIAL PENN LIFE INS. CO. 5 PENN CENTER PLAZA PHILADELPHIA PA 191811250 2159888000
592 212 COLUMBIA
COMBINED ACCIDENT
ACCIDENT & HEALTH
INS. CO. OFINS.
AMERICA PO BOX 1381 BINGHAMTON NY 13902 6077242472
863 315 COMBINED AMERICAN LIFE INSURANCE CO. 5050 BROADWAY CHICAGO IL 60640
C27 553 PO BOX 1009 LONGHORNE PA 19047 2157523122
124 54 COMBINED INS. CO. OF AMERICA 5050 N. BROADWAY ST. CHICAGO IL 60640 7732758000
MN6 1872 COMBINED INSURANCE PO BOX 6700 SCRANTON PA 185050700 8004901322
HX8 1407 COMBINED INSURANCE OF AMERICA PO BOX 638 BELLINGHAM WA 98227 8005445531
838 303 COMBINED MUTUAL CASUALTY CO. 5050 BROADWAY CHICAGO IL 60640 3122758000
FH9 980 COMMERCE BENEFITS
COMMERCIAL GROUP
TRAVELERS MUTUAL INS. PO BOX 900 ELYRIA OH 44036 8002225026
126 55 COMMONWEALTH NATIONAL INSURANCE COMMERCIAL TRAVELERS BLDG. UTICA NY 13502 3157975200
P04 1927 PO BOX 1560 CLEVELAND MS 38732 6018439091
978 339 COMMUNITY BCBS 1901 MAIN STREET BUFFALO NY 14240 8005442583
HL1 1336 COMMUNITY EYE CARE 2359 PERIMETER POINTE PKWY, STE 150 CHARLOTTE NC 28208 8882544290
HE4 1286 COMMUNITY EYECARE 2359 PERIMETER POINTE PKWY, STE 150 CHARLOTTE NC 28208 8882544290
GW4 1200 COMMUNITY HEALTH PLAN 801 FARAON STREET ST. JOSEPH MO 64501 8009909247
HW5 1399 COMP BENEFITS / VISION CARE ATTN: CLAIMS, PO BOX 30349 TAMPA FL 33630 8007495855
GK2 1143 COMPANION HEALTHCARE PO BOX 6170 COLUMBIA SC 292606170 8003273183
W37 2051 COMPANION LIFE PO BOX 100102 COLUMBIA SC 292023133 8037351251
MM9 1868 COMPASS ROSE HEALTH PLAN PO BOX 6430 ANNAPOLIS MD 21401 8773705324
KZ6 1748 COMPHENSIVE BENEFITS-MEDICARE SUPPLEMENTAL PO BOX 9009 MELVILLE NY 11747 8669143768
COVERAGE

JH4 1500 COMPLETE BENEFIT

COMPREHENSIVE SOLUTIONS
BENEFITS ADMINISTRATOR PO BOX 3649 GREENVILLE SC 29608 8662702316
D51 682 PO BOX 2365 SOUTH BURLINGTON VT 054072365 8005258788
DA9 703 COMPREHENSIVE CARE SERVICES PO BOX 64668 SAINT PAUL MN 55164 8003652735
CY0 656 CONAGRA POULTRY CO. PO BOX 7015 ELDORADO AR 717317015 5018631638
B44 454 CONCORDIA HEALTH PLAN PO BOX 26676 ST. LOUIS MO 63122 8002481930
CM5 614 CONNECTICARE 30 BATTERSON PARK RD. FARMINGTON CT 06032 8002517722
902 323 CONNECTICUT
CONNECTICUT BLUE CROSS,
GENERAL LIFEINC.
INSURANCE PO BOX 504 NORTH HAVEN CT 06473 2032394961
AG2 388 PO BOX 34336 CHARLOTTE NC 28234
132 56 CONNECTICUT MUTUAL LIFE INS. CO. 140 GARDEN ST. HARTFORD CT 06115 8609876500
HK6 1333 CONNECTICUT GENERAL LIFE INSURANCE CO-RX PO BOX 3598 SCRANTON PA 185050598
D17 669 CONSECO PO BOX 1957 CARMEL IN 46082 8005412254
FK3 990 CONSECO PO BOX 5151 JAMESVILLE WI 535475151 8009500084
FK3 1045 CONSECO 399 MARKET DR. PHILADELPHIA PA 19181 8778778052
FX7 870 CONSECO HEALTH INSURANCE PO BOX 1957 CARMEL IN 460821957 8005411225
EN2 907 CONSECO
CONSECO HEALTH
HEALTH INSURANCE
INSURANCE (PIONEER LIFE) PO BOX 1250 ROCKFORD IL 61105 8159870409
DS0 758 PO BOX 2034 CARMEL IN 460822034 8005412254
HQ0 1367 CONSECO HEALTH INSURANCE CO PO BOX 66904 CHICAGO IL 606660904 8005412254

Page 14 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

CONSECO MEDICAL INSURANCE COMPANY

GP6 1166 PO BOX 1250 ROCKFORD IL 61105 8159870409
DH7 731 CONSECO SERVICES LLC PO BOX 2034 CARMEL IN 460822034 8009470319
EH2 842 CONSOLIDATED
CONSOLIDATED BENEFITS
BENEFITS, INC./MEDCOST PO BOX 24889 COLUMBIA SC 29224 8037365088
G74 1085 PO BOX 25307 WINSTON-SALEM NC 27114 8037365088
GG5 1120 CONSOLIDATED HEALTH PLANS 195 STAFFORD ST. SPRINGFIELD MA 01104 8006337867
134 57 CONSTITUTION LIFE INS. CO. 4423 WEST LAWRENCE AVE. CHICAGO IL 60630 3122831100
JP8 1534 CONSUMER HEALTH SOLUTIONS PO BOX 3492 SPARTANBURG SC 293043492 8775739541
HQ2 1369 CONTINENTAL
CONTINENTAL AMERICAN
AMERICAN INSURANCE CO 2801 DEVINE ST COLUMBIA SC 29205 8032566265
JQ2 1536 PO BOX 427 COLUMBIA SC 292020427 8004333036
136 58 CONTINENTAL AMERICAN LIFE INS. CO. PO BOX 15750 WILMINGTON DE 19899 3024545000
FF4 969 CONTINENTAL CASUALTY PO BOX 3020 SAN CAROLOS CA 94070 8002522148
138 59 CONTINENTAL
CONTINENTAL CASUALTY CO.
GENERAL INSURANCE CO. PO BOX 13925 ORLANDO FL 32859
D20 670 PO BOX 247007 OMAHA NE 681247007 4023973200
DN5 747 CONTINENTAL GRAIN PO BOX 383 DOBSON NC 27017 3363868151
139 60 CONTINENTAL INS. CO. 3700 CRESTWOOD PARKWAY DULUTH GA 30136 4042793800
CL9 611 CONTINENTAL LIFE INSURANCE 101 CONTINENTAL PLACE BRENTWOOD TN 37027 6153771300
C63 565 COOPERATIVE BENEFIT ADMIN. INC. PO BOX 6249 LINCOLN NE 68508 8002459440
EQ2 882 CORE ADMINISTRATIVE SERVICES PO BOX 90 MACON GA 312020090 8887412673
MC6 1821 CORE HEALTH PLANS SERVICE PO BOX 610190 DALLAS TX 752610190 8002792290
789 282 CORE SOURCE 6100 FAIRVIEW RD., STE. 1000 CHARLOTTE NC 28210 7045520900
C41 556 CORESOURCE 400 FIELD DR LAKEFOREST IL 17603 8002233943
DH1 729 CORESOURCE PO BOX 8215 LITTLE ROCK AR 722218215 8886049397
DN4 746 CORESOURCE PO BOX 2920 CLINTON IA 527332920 8002532107
ES2 890 CORESOURCE PO BOX 6118 WESTERVILLE OH 430866118 8002823920
FK2 989 CORESOURCE PO BOX 168 MADISON WI 604430168 8008483012
JY3 1575 CORESOURCE PO BOX 2920 CLINTON IA 527332920 8002233943
K80 1611 CORESOURCE PO BOX 1195 MINNEAPOLIS MN 55440 8004446965
K91 1618 CORESOURCE 400 FIELD DR LAKEFOREST IL 60045 8002233943
X93 2095 CORESOURCE PO BOX 8002 LITTLE ROCK AR 72203 8009723025
FF1 967 CORESOURCE (WAS:CORESTAR) 146 INDUSTRIAL PARK JACKSON MN 561439511 8002746965
CM1 612 CORESOURCE, INC. 4940 CAMPBELL BLVD., STE. 200 BALTIMORE MD 21236 4109315060
W51 2056 CORESOURCE, INC. PO 83301 LANCASTER PA 176083301 7172959201
P70 1945 CORNING INC. / UNITED HEALTHCARE PO BOX 740800 ALANTA GA 30374 8776444334
M84 1799 CORNING, INC. 310 N. COLLEGE ROAD WILMINGTON NC 28405 9103957200
EW7 904 CORPORATE BENEFIT SERVICES PO BOX 12953 CHARLOTTE NC 28220 7043730447
EX6 910 CORPORATE BENEFIT SERVICES OF AMERICA (CBSA) P.O BOX 27267 MINNEAPOLIS MN 554270267 8009252272

D36 677 CORPORATE BENEFTIS SERVICE, INC. 145 SCALEYBARD RD., STE. B CHARLOTTE NC 28202 7043730447
BJ6 497 COUNTRY LIFE INS. CO. PO BOX 2000 BLOOMINGTON IL 617022000 3095573000
EQ1 881 COUNTRYWIDE CARE BENEFIT TRUST 100 B. CHURCH ST. MILLERSBURG PA 17061 8002933480
HJ0 1321 COVENTRY
COVENTRY HEALTH/SUNBLET BEVERAGE PO BOX 8400 LONDON KY 40742 8004934570
GP4 1165 PO BOX 8400 LONDON KY 40742 8004472471
DW5 772 COVENTRY HEALTHCARE PO BOX 7715 LONDON KY 40742 8008891457
FC0 951 COVENTRY HEALTHCARE PO BOX 7711 LONDON KY 40742 8003952545
FF7 971 COVENTRY HEALTHCARE PO BOX 7715 LONDON KY 40747 8008891947
HJ3 1324 COVENTRY
COVENTRY HEALTHCARE
HEALTHPLAN OF
OF GA
THE CAROLINAS PO BOX 7711 LONDON KY 40742 8003952545
EY8 916 PO BOX 7102 LONDON KY 40742 8008891947
MK7 1859 CRESCENT HEALTH SOLUTIONS 1200 RODGERFIELD BLVD. SUITE 215 ASHEVIL ASHVILLE NC 28806 8007077726

KK2 1676 CRESENT - TPA EXCHANGE PO BOX 4363 ST AUGUSTINE FL 320854363 8772248061

Page 15 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

KJ9 1675 CROSS AMERICA HEALTH PLAN PO BOX 5778 PARSIPPANY NJ 07054 8663027332
HE2 1284 CTI ADMINISTARTORS 100 COURT AVE STE 306 DES MOINES IA 50309 8002458813
A09 351 CUDDY FOODS C/O EBS PO BOX 1929 FORT MILL SC 29716 8002421510
L34 1760 CULINARY INSURANCE 1933 LAS VEGAS BLVD., S. LAS VEGAS NV 89104 7027339938
EE7 827 CULP, INC. PO BOX 2686 HIGH POINT NC 272612686 3368895161
652 240 CUMBERLAND LIFE INSURANCE CO. 401 BROADWAY NASHVILLE TN 37201
147 61 CUNA MUTUAL INS. SOCIETY PO BOX 1648 MADISON WI 53701 6082385851
BZ7 546 CWI BENEFITS PO BOX 6125 GREENVILLE SC 29606 8009928088
Y75 2126 DAKOTA CARE DESIGN 1323 S MINNESOTA AVE SIOUX FALLS SD 57105 6053344000
ME3 1830 DAKOTACARE PO BOX 7406 SIOUX FALLS, SD 57117-7406 SIOUX FALLS, SD 571177406 8008310785

AZ9 446 DALLAS GENERAL LIFE INS. CO. PO BOX 1080 DALLAS TX 75221 8003279961
HI4 1315 DANA CORP 2900 NW BLVD GASTONIA NC 28052 7048646711
V61 2036 DART MANAGEMENT CORPORATION PO BOX 318 MASON MI 488540318 8002480457
H40 1244 DAVIDSON AND JONES PO BOX 19067 RALEIGH NC 27619 9198286260
HI0 1312 DAVIS VISION PO BOX 1527 LATHAM NY 12110 8006320011
JU4 1552 DEFINITY HEALTHCARE PO BOX 740810 ATLANTA GA 30374 8663334648
DA4 700 DELTA DENTAL PO BOX 8690 ST. LOUIS MO 63126 8003921167
HE5 1287 DELTA DENTAL PO BOX 15965 NORTH LITTLE ROCK AR 72231
JF4 1490 DELTA DENTAL PO BOX 9085 FARMINGTON HILLS MI 483339085 8005240149
KK5 1679 DELTA DENTAL PO BOX 1609 MINNEAPOLIS MN 554401609 8006628856
EF4 833 DELTA DENTAL INSURANCE CO. PO BOX 1809 ALPHARETTA GA 300231809 8005212651
JY5 1577 DELTA DENTAL OF COLORADO P O BOX 173803 DENVER CO 802173803 3037419300
GU4 1194 DELTA DENTAL OF ILLINOIS PO BOX 5402 LISLE IL 60532 8003987203
EL4 862 DELTA DENTAL OF RHODE ISLAND PO BOX 1517 PROVIDENCE RI 029011517 8008433582
JK4 1510 DELTA DENTAL OF SD PO BOX 1157 PIERRE SD 57501 8006273961
DC7 707 DELTA DENTAL PLAN 1 DELTA DR. MECHANICSBURG PA 17055 8009320783
FL5 995 DELTA DENTAL PLAN PO BOX 9695 BOSTON MA 02114 8008720500
Y06 2099 DELTA DENTAL PLAN PO BOX 7736, MS14I SAN FRANCISCO CA 94120 4159728300
T07 2001 DELTA DENTAL PLAN OF ARIZONA PO BOX 43000 PHOENIX AZ 85080 8003526132
H55 1250 DELTA DENTAL PLAN OF ARKANSAS, INC. PO BOX 15965 NORTH LITTLE ROCK AR 722316450 5018353400
JM3 1516 DELTA DENTAL PLAN OF CA PO BOX 997330 SACRAMENTO CA 958997330 8883358227
HD3 1281 DELTA DENTAL PLAN OF CALIFORNIA PO BOX 537007 SACRAMENTO CA 958537007 8883363260
HP2 1361 DELTA DENTAL PLAN OF KANSAS CITY PO BOX 49198 WICHITA KS 67201 8002343375
HE6 1288 DELTA DENTAL PLAN OF KENTUCKY PO BOX 242810 LOUISVILLE KY 402242810 8009552030
Q67 1966 DELTA DENTAL PLAN OF KENTUCKY 9901 LINN STATION LOUISVILLE KY 40223 5024269000
H89 1259 DELTA DENTAL PLAN OF MICHIGAN PO BOX 9086 FARMINGTON HILLS MI 483389086 3034892240
148 62 DELTA DENTAL PLAN OF NC INC. 2310 MYRON DR. RALEIGH NC 27606 9197878626
N09 1903 DELTA
DELTA DENTAL
DENTAL PLAN
PLAN OF
OF NEBRASKA
NORTH CAROLINA 7807 CREEK RIDGE CIRCLE MINNEAPOLIS MN 55440 8003281188
GS6 1185 343 SIX FORKS ROAD, STE 180 RALEIGH NC 27609 8006628856
CW7 648 DELTA DENTAL PLAN OF VIRGINIA 4818 STARKEY ROAD ROANOKE VA 240144010 8002376060
FP3 1011 DELTA DENTAL PLAN OF WISCONSIN PO BOX 828 STEVENS POINT WI 54481 8002363712
R90 1996 DELTA DENTALPLAN OF TENNESSEE 240 VENTURE CIRCLE NASHVILLE TN 37228 6152553175
LW8 1773 DELTA DENTAL-WASHINGTON DENTAL SERVICE PO BOX 75983 SEATTLE WA 981750983 8005541907
DK0 739 DELTA USA PO BOX 222 PARSIPPANY NJ 07054 8003465377
FU2 1032 DELTA USA PO BOX 59238 MINNEAPOLIS MN 55459 8004483815
KB7 1631 DELTA USA P O BOX 1435 MINNEAPOLIS MN 554401435 8776164587
JJ6 1507 DENTAL BLUE/BCBSNC CLAIMS UNIT PO BOX 2100 WINSTON SALEM NC 271022100 8003056638
MJ9 1854 DENTAL CARE PLUS 100 CROWNE POINT PLACE CINICINNATI, OH 4 CINICINNATI OH 45241 8003679466

Page 16 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

MH6 1845 DENTAL EXPRESS PO BOX 36549 CHARLOTTE, NC 28236 CHARLOTTE NC 28236 8005323327
HZ4 1415 DENTAL NETWORK OF AMERICA PO BOX 23060 BELLEVILLE IL 622230060 8008209994
JR8 1546 DENTAL SERVICES BCBS PO BOX 9201 OXNARD CA 93021 8006270004
JJ3 1505 DENTEMAX PO BOX 7003 PARKERSBURG WV 261027003 8007521547
X16 2074 DESERET MUTUAL BENEFIT ADMIN. PO BOX 45530 SALT LAKE CITY UT 84145 8007773622
I98 1439 DIVERSIFIED
DIVERSIFIED GROUP BROKERAGESERVICES
PHARMACEUTICAL PO BOX 299 MARBOROUGH CT 064470299 8602950238
CQ1 623 MAIL ROUTE 2133, PO BOX 4999 INTERNATIONAL FALLS MN 56649
KP6 1704 DOCFIRST-LBA HEALTH PLAN PO BOX 981801 EL PASO TX 79998 8003604817
GJ1 1137 DOCTORS DIRECT PO BOX 14669 CINCINNATI OH 45250 8775077360
AQ8 418 DOCTORS HEALTHPLAN 2828 CROASDAILE DR. DURHAM NC 27705 8004762303
DJ7 738 DOUG YOUNG GROUP PO BOX 17786 RALEIGH NC 27619 8003263284
R07 1980 DOXEY FURNITURE PO BOX 277 ABERDEEN NC 28315 9199447101
D70 689 DUKE HEALTH SERVICES/WELLPATH PO BOX 7102 LONDON KY 40742 9194931210
AZ3 443 DUKE SELECT/WELLPATH PO BOX 7102 LONDON KY 40742 8003853636
X44 2085 DURHAM LIFE PO BOX 51436 NEWBERLIN WI 531510436 4147842630
759 271 EASTERN AVIATION & MARINE INS. CO. 411 AVIATION WAY FREDERICK MD 21701
F45 932 EASTERN BENEFIT SYSTEMS 200 FREEWAY DRIVE, EAST EAST ORANGE NJ 07018 8005240227
JV5 1560 EASTERN LIFE & HEALTH INSURANCE CO PO BOX 83888 LANCASTER PA 176083888 8002330307
F27 926 EATON BENEFITS C/O FIRST HEALTH PO BOX 8402 LONDON KY 40742 4122691178
I52 1430 EBC MID-AMERICA 9200 SHELBYVILLE RD. LOUISVILLE KY 40222 5024230505
FX8 1046 EBMS PO BOX 21367 BILLINGS MT 59104 4062453575
H28 1242 ECU PHYSICIANS
152 64 EDUCATORS MUTUAL LIFE INS. CO. PO BOX 3149 LANCASTER PA 17604
701 258 EMPIRE BCBS PO BOX 1407 NEW YORK NY 100081407 2124767111
882 319 EMPIRE BCBS PO BOX 5035 MIDDLETOWN NY 109409035 8007329762
HQ1 1368 EMPIRE BCBS PO BOX 5068 MIDDLETOWN NY 109409068 8773782448
R20 1987 EMPIRE BCBS PO BOX 5047 MIDDLETOWN NY 10940 8007134173
EJ5 851 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 1407 NEW YORK NY 100081434 8002615962
GY6 1218 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 5075 MIDDLETOWN NY 109409075 8773782449
JV3 1558 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 5076 MIDDLETOWN NY 109409076 8662198692
T01 1999 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 5078 MIDDLETOWN NY 109409035 8007134173
V21 2026 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 5577 NEW YORK NY 101635577
M74 1796 EMPIRE BLUE CROSS BLUE SHIELD OF NY PO BOX 5012 MIDDLETOWN NY 10940 8002386597
EE8 828 EMPIRE BLUE CROSS/BLUE SHIELD PO BOX 5047 MIDDLETOWN NY 109409047 8006352184
K07 1582 EMPIRE BLUE CROSS/BLUE SHIELD PO BOX 11800 ALBANY NY 122110800 5184479166
FF6 970 EMPIRE PHARMACY MANAGEMENT PO BOX 5099 MIDDLETOWN NY 10941 8008398442
HN0 1349 EMPLOYEE BENEFIT ADMINISTRATORS 424 N FIRST AVE ARCADIA CA 910062804 8008263724
M24 1781 EMPLOYEE BENEFIT CLAIMS, INC. 820 PARISH STREET PITTSBURGH PA 15220 8009224966
P85 1947 EMPLOYEE
EMPLOYEE BENEFIT
BENEFIT CONSULTANTS
MANAGEMENT CORP. PO BOX 928 FINDLAY OH 45839 8005235789
H34 1243 EMPLOYEE BENEFIT MANAGEMENT SERVICES 4789 RINGS RD. DUBLIN OH 430171599 8005520455
GN9 1163 PO BOX 21367 BILLINGS MT 591041367 4068695555
BR3 523 EMPLOYEE BENEFIT SERVICES PO BOX 1929 FORT MILL SC 29716 8002421510
H23 1239 EMPLOYEE BENEFIT SERVICES PO BOX 1929 FORT MILL SC 29716 8002421510
HI8 1319 EMPLOYEE BENEFIT SERVICES,INC PO BOX 241108 CHARLOTTE NC 28217 8002421510
DG7 728 EMPLOYEE RESOURCE NETWORK 3200 COLLINGSWORTH STREET FT. WORTH TX 76107 8003250755
GF7 1119 EMPLOYER BENEFIT SERVICES PO BOX 2568 MANSFIELD OH 44906 8004565615
GI7 1134 EMPLOYER BENEFIT SERVICES PO BOX 70100 SHREVEPORT LA 71137 3184241987
HE3 1285 EMPLOYERS DIRECT HEALTH 5050 SPRING VALLEY RD DALLAS TX 762443909 8005508009
HI7 1318 EMPLOYERS DIRECT/MEDCOST PO BOX 25307 WINSTON-SALEM NC 27114 8008729934
E28 793 EMPLOYERS HEALTH INSURANCE 1100 EMPLOYERS BLVD. GREEN BAY WI 54344 8002323040

Page 17 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

E56 801 EMPLOYERS HEALTH INSURANCE 1100 EMPLOYERS BLVD. GREENBAY WI 543440001 8002323040
DD0 709 ENCOMPASS 6000 WESTOWN PKWY # 350E DEPT. 100 WEST DES MOINES IA 502667771 8005113389
G07 1061 ENGINEERED CONTROLS INTL., INC. PO BOX 247 ELON COLLEGE NC 27244 9194497707
JY4 1576 ENVISION RX P O BOX 1298 TWINSBURG OH 44087 8003614542
JW7 1569 EPIC - PRESCRIPTION PLAN PO BOX 15024 ALBANY NY 12212 8003323742
GC2 1101 EPOCH GROUP 5317 HIGHGATE DR. STE 114 DURHAM NC 27713 8003770555
FF0 966 EPS PO BOX 720460 OKLAHOMA CITY OK 731720460 8007492631
D56 684 EQUICOR HEALTH PLAN PO BOX 31353 RICHMOND VA 23205 8042731100
990 344 EQUIFAX PO BOX 4081 ATLANTA GA 30302 4048858000
B68 460 EQUITABLE LIFE & CASUALTY INS. PO BOX 2460 SALT LAKE CITY UT 84110 8015212500
163 65 EQUITABLE LIFE INS. CO. AMERICAN GENERAL CENTER NASHVILLE TN 37250 6157491761
593 213 EQUITY LIFE & ANNUITY INSURANCE 501 WOOD LANE LITTLE ROCK AR 72203
X20 2077 ERIN GROUP ADMINISTRATORS PO BOX 7777 LANCASTER PA 17604 7172991201
BM0 508 ESTES EXPRESS LINES PO BOX 25612 RICHMOND VA 232605612 8042326793
MP5 1878 EURO-CENTER USA 140 WEST 57TH AVE. STE. 6B NEW YORK NY 10019 2122658522
KB2 1628 EVERCARE ( FORMERLY UNITED HEALTH GROUP) PO BOX 31362 SALT LAKE CITY UT 84131 8003620655
KX4 1736 EXCELLUS BCBS PO BOX 22999 ROCHESTER NY 14692 8008102583
FL4 994 EXCELLUS BENEFIT SERVICES, INC. PO BOX 22999 ROCHESTER NY 14692 8008035773
X64 2088 EXECUTIVE RISK CONSULTANTS, INC. PO BOX 916580 LONGWOOD FL 327916580 8008834000
CM3 613 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8007131983
CP0 621 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8004516245
EW8 905 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8008925119
FC2 952 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8009554879
FF9 972 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8007723980
FG5 975 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8002354357
FK4 991 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873
HX7 1406 EXPRESS SCRIPTS PO BOX 66773 ST. LOUIS MO 631666773 8884348533
KQ3 1708 EXPRESS SCRIPTS PO BOX 66583 ST LOUIS MO 63166 8008925119
KY5 1742 EXPRESS SCRIPTS 13736 RIVERPORT DRIVE MARYLAND HEIGHTS MO 63043 8004516245
R80 1994 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8004516245
T92 2018 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8007131983
KU9 1725 EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 606731216
MS6 1900 EXPRESS SCRIPTS, INC TRICARE CLAIMS PO BOX 52132 PHOENIX AZ 85082 8773631303
JJ7 1508 EY MED PO BOX 8504 MASON OH 45040 8005213605
FW0 1038 EYE CARE PLAN OF AMERICA PO BOX 51810 PHOENIX AZ 85076 8008433272
GZ6 1225 EYE CARE PLAN OF AMERICA PO BOX 498488 CINCINNATI OH 452490000 8008433272
KC8 1638 FALLON COMMUNITY HEALTH PLAN P O BOX 15121 WORCESTER MA 01615 8662753247
KR8 1716 FAMILY HERITAGE LIFE INSURANCE CO OF AMERICA PO BOX 470608 CLEVELAND OH 44147 4409225200

GD9 1107 FAMILY HERITAGE LIFE INSURANCE CO. 3 SUMMIT PARK DRIVE CLEVELAND OH 44131 2165202800
MQ8 1888 FAMILY LIFE INSURANCE CO. PO BOX 925568 HOUSTON TX 772925568 8008777703
721 263 FAMILY PROTECTION INSURANCE CO. PARK PLACE SEATTLE WA 98101
575 202 FARM BUREAU OF WAYNE CO. PO DRAWER 1958 GOLDSBORO NC 27533 9197341283
I27 1423 FCE HEALTH AND WELFARE FUND 4615 WALZEM ROAD, STE 300 SAN ANTONIO TX 782181608 2103499801
HL5 1339 FCHN 511 RUIN CREEK RD STE B-1 HENDERSON NC 27536 8009651032
171 67 FEDERAL KEMPER INS. CO. 20001 E. MOUND RD. DECATUR IL 62526
F73 937 FEDERAL PAPER BOARD PO BOX 57 RIEGELWOOD NC 28456 9106552211
ET4 893 FEDERATED BENEFITS PO BOX 850958 RICHARDSON TX 750850958 8003372363
175 68 FEDERATED LIFE INS. CO. 129 E. BROADWAY OWATONNA MN 55050 5074555200
176 69 FEDERATED MUTUAL INS. CO. PO BOX 31716 TAMPA FL 33631 8132870155

Page 18 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

KF9 1656 FEDERATED MUTUAL INSURANCE PO BOX 50487 INDIANAPOLIS IN 46250 8774124477
L89 1767 FEDERATED MUTUAL INSURANCE PO BOX 31716 TAMPA FL 336313716 8002378292
G11 1063 FELKER BENEFIT
FERGUSON SERVICES
COPELAND, LTD HEALTH PLAN PO BOX 8955 ST. LOUIS MO 63102 8002558215
FY0 1047 PO BOX 25987 WINSTON-SALEM NC 271145987 3367744400
MM4 1863 FHHS (FLORIDA HOSPITAL HEALTHCARE SYSTEM) PO BOX 536847 ORLANDO, FL 32853 ORLANDO FL 32853 8007414810

JW2 1566 FIDELIS CARE NEW YORK PO BOX 845 AMHERST NY 142260845 8883433547
E68 803 FIDELITY SECURITY LIFE 3130 BROADWAY KANSAS CITY NC 64011 8008217303
783 280 FIELDCREST
FIELDCREST MILLS
MILLS C/O
C/O CBS
CORPORATE BENEFITS PO BOX 33429 CHARLOTTE NC 28233 7043730447
C36 554 PO BOX 33429 CHARLOTTE NC 28233 7043730447
KG5 1659 FINGER LAKE RX PO BOX 22999 ROCHESTER NY 14692 8007245033
184 70 FIREMAN'S FUND INS. CO. 333 CALIFORNIA ST. SAN FRANCISCO CA 94911
C56 562 FIRESTONE TIRE & RUBBER COMPANY PO BOX 1139 WILSON NC 27893 9192914275
K88 1616 FIRST ADMINISTRATORS PO BOX 9900 SIOUX CITY IA 511020479 8002060827
FD0 956 FIRST CAROLINA CARE PO BOX 381686 BIRMINGHAM AL 35238 8008113298
FS6 1026 FIRST CAROLINA CARE PO BOX 381686 BIRMINGHAM AL 35238 8008113298
HD8 1282 FIRST CAROLINA CARE, INC PO BOX 909 PINEHURST NC 28370 9102151572
BY5 541 FIRST CHOICE BENEFITS MGMT. PO BOX 658 BELOIT WI 53512 8003035770
MD5 1826 FIRST CHOICE HEALTH/ UEBT PO BOX 8130 TACOMA WA 98419 8002232449
E63 802 FIRST HEALTH 15710 JOHN F. KENNEDY BLVD. HOUSTON TX 770322347 8008335914
GD2 1104 FIRST HEALTH PO BOX 23817 TUSCON AZ 857343817 8003343342
GW5 1201 FIRST HEALTH PO BOX 247002 OMAHA NE 68124 8003213997
H02 1230 FIRST HEALTH 10700 W. HIGGINS RD. ROSEMONT IL 60018 8472969625
JF5 1491 FIRST HEALTH PO BOX 24160 TUCSON AZ 857344160 8009952126
M95 1804 FIRST HEALTH PO BOX 945480 MAITLAND FL 32794 8003218388
P89 1948 FIRST HEALTH 100 S. CHARLES STREET BALTIMORE MD 212012762 3015390411
T05 2000 FIRST HEALTH PO BOX GG BOISE ID 83707 2083423513
V42 2032 FIRST HEALTH PO BOX 2900 CORAOPOLIS PA 151086923 4122691178
X19 2076 FIRST HEALTH PO BOX 2900 CORAOPOLIS PA 151086923 8008480938
FT5 1028 FIRST HEALTH NETWORK PO BOX 11855 TUCSON AZ 857343070 8003210297
FU1 1031 FIRST HEALTH RX PO BOX 85042 RICHMOND VA 232615042 8002254423
HT3 1384 FIRST HEALTH RX PO BOX 23815 TUSCON AZ 85734 8006274759
KC2 1633 FIRST HEALTH/CONAGRA INC. P O BOX 8507 LONDON KY 407428507 8008722257
Q15 1958 FIRST NATIONAL LIFE INSURANCE CO. PO BOX 130 PENSACOLA FL 325910130 9044321700
191 71 FIRST PROTECTION LIFE INS. CO. PO BOX 30279 RALEIGH NC 27612
H56 1251 FIRST SERVICE ADMINISTRATORS 3035 LAKELAND HILLS BLVD LAKELAND FL 33805 8632930785
B90 466 FIRST SERVICE INSURANCE PO BOX 2 ISLE OF WIGHT VA 23397 8043575355
W59 2058 FIRST UNITED INSURANCE COMPANY PO BOX 3125 SYRACUSE NY 132203125 3154512544
JR9 1547 FISERR HEALTH - KANSAS PO BOX 520 PUEBLO CO 810020520 8002357160
HA0 1264 FISERV HEALTH PO BOX 8077 WAUSAU WI 544028077 8008269781
642 234 FISERV-WAUSAU
FLEETWOOD HOMES/PRINCIPAL FINANCIAL PO BOX 450 PUBELO CO 81002 8008269781
J80 1464 4021 S. 700 E., STE. 500 SALT LAKE CITY UT 84107 8002474695
JN1 1521 FLORIDA COMBINED PO BOX 100135 COLUMBIA SC 292023135 8772039921
HU9 1394 FLRX PHARMACY PO BOX 41965 ROCHESTER NY 14604 8005520053
EX7 911 FMH BENEFIT SERVICES PO BOX 25946 OVERLAND PARK KS 662255946 8009909058
MS5 1899 FORE THOUGHT PO BOX 981721 EL PASO TX 79998 8774925870
GH6 1125 FOREMOST INSURANCE CO. PO BOX 1659 PORTLAND OR 97207 8008478217
BL1 504 FORTIS BENEFITS 501 W. MICHIGAN ST. MILWAUKEE WI 53203 8008002000
EI6 848 FORTIS BENEFITS PO BOX 7146 LONDON KY 407427146 8005537654
Y18 2105 FORTIS BENEFITS PO BOX 419876 KANSAS CITY MO 64141 8004514531

Page 19 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

P27 1933 FORTIS BENEFITS INSURANCE PO BOX 3195 MILWAUKEE WI 532013195 8005537654
N31 1908 FORTIS BENEFITS INSURANCE COMPANY PO BOX 64582 ST. PAUL MN 55164 6127384000
FZ9 1057 FORTIS FAMILY INSURANCE PO BOX 19061 GREENVILLE SC 29602 8008358953
ES0 889 FORTIS INSURANCE CO. PO BOX 2940 CLINTON IA 52733 8003258385
KA4 1622 FOUNDATION BENEFITS ADMINISTRATORS 6300 BRIDGEPOINT PARKWAY, BLDG.3 STE.400 AUSTIN TX 78730 8668688035

Y52 2119 FOX-EVERETT INC. PO BOX 23096 JACKSON MS 392253096 6013645255

D89 696 FREEDOM LIFE 110 W. 7TH ST. STE.300 FORT WORTH TX 76102 8005281057
MN4 1870 FREEDOM LIFE INS. CO. OF AMERICA 2080 N HWY 360 SUITE 375 GRAND PRAIRIE TX 75050 8003879027
KA7 1624 FRESENIUS MEDICAL CARE 401 PARK DRIVE;MAIL STOP 01-06 BOSTON MA 022153326 7043763892
JC6 1478 FSAMET C/O HUNT INSURANCE PO BOX 12969 TALLAHASSEE FL 323172969 8007634868
L02 1749 FUJICONE PO BOX 349 CLINTON NC 28328 9195920181
982 341 FURLONG INSURANCE
FUTUREPOINT ADMINISTRATIVE SERVICES 4300 SW 74TH AVE. MIAMI FL 33155
GA2 1093 215 CENTER PARK DR. STE. 1600 KNOXVILLE TN 37922 8004499137
KH7 1667 FUTURESCRIPTS PO BOX 419019, DEPT 0382 KANSAS CITY MO 64141 8886787012
JG4 1494 G E GROUP ADMINISTRATORS PO BOX 150809 FT WORTH TX 76185 8003976241
DE0 714 G.E. FINANCIAL ASSURANCE CO. EMPLOYER SERVICES PO BOX 1477 GREENFIELD MA 01302 8004512513
GROUP

HA5 1267 GE
GE FINANICIAL
HEALTHCARE ASSURANCE
PREFERRED/BCBS OF AL PO BOX 10821 CLEARWATER FL 337578821 8778259337
KP9 1707 PO BOX 2208 BIRMINGHAM AL 35201 8882175224
ER7 888 GE LIFE AND ANNUITY PO BOX 276901 RICHMOND VA 23261 8006358056
DU6 768 GE PENSIONER BENEFIT CLAIM CENTER PO BOX 740801 ATLANTA GA 30374 8008488406
GL5 1150 GE VISION CARE PO BOX 1440 LATHAM NY 12110 8004339375
KP5 1703 GEM GROUP-VISION AND DENTAL 1200 THREE GATEWAY CENTER PITTSBURGH PA 15222 8666076272
201 72 GENERAL AMERICA LIFE INS. CO. PO BOX 396 ST. LOUIS MO 63166 3142311700
CY9 661 GENERAL
GENERAL AMERICAN
AMERICAN LIFE INSURANCE CO. 716 TEACO RD., STE. B KENNATT MO 638573749 8889899890
J34 1449 719 TEACO RD. #B KENNETT MO 638573749 8889899890
EM9 869 GENERAL ELECTRIC FINANCIAL ASSURANCE CO. PO BOX 8021 SAN RAFAEL CA 94912 8004567766
GE3 1110 GENERAL PRESCRIPTIONS 305 MADISON AVE. STE. 1166 B NEW YORK NY 10165 8003412234
MM8 1867 GENWORTH PO BOX 7051 BRENTWOOD TN 37024 8002644000
KH4 1664 GENWORTH LIFE & HEALTH INSURANCE CO. PO BOX 40011 LYNCHBURG VA 24506 8004512513
AB5 373 GEORGIA PACIFIC PO BOX 489 CREEDMOOR NC 27522 9195282576
T71 2013 GEORGIA POWER COMPANY PO BOX 4545 ATLANTA GA 30302 8002486708
J23 1448 GEORGIA-PACIFIC PO BOX 589 WHITEVILLE NC 28472 9196425041
B93 468 GERBER LIFE INSURANCE CO. 66 CHURCH STREET WHITE PLAINS NY 10601 8002533074
W60 2059 GERBER LIFE INSURANCE COMPANY PO BOX 2088 GRAND RAPIDS MI 49501 0000000000
H07 1231 GERRARD TIRE COMPANY 420 W. SIXTH STREET CHARLOTTE NC 28202 7043349789
BE0 481 GHI PO BOX 2832 NEW YORK NY 101162832 2125014444
DA0 698 GIC INDEMNITY PLAN COMMONWEALTH SERVICE CENTER PO BOX 9016 ANDOVER MA 01810 8004429300

BE7 483 GILSBAR, INC. PO BOX 2947 COVINGTON LA 70434 8002844267

F82 940 GLEN RAVEN MILLS 1831 N. PARK AVE. GLEN RAVEN NC 27217 8007111507
619 225 GLENN RAVEN MILLS PO BOX 3485 KINSTON NC 28501 9195279036
214 73 GLOBE LIFE & ACCIDENT INS. GLOBE LIFE CENTER OKLAHOMA CITY OK 73184 4052701400
215 74 GLOBE
GLOBE LIFE
LIFE & ACCIDENT
AND INS.INSURANCE CO.
ACCIDENT GLOBE LIFE CENTER OKLAHOMA CITY OK 73184 4052705500
FY2 1048 PO BOX 8080 MCKINNEY TX 750708080 9725406986
K43 1596 GMP EMPLOYERS RETIREE TRUST 5245 BIG PINE WAY, SE FORT MYERS FL 339075998 8139366242
DK4 740 GMP RETIREE TRUST 5245 BIG PINEWAY S.E. FORT MYERS FL 33907 9419366242
G48 1076 GOLDEN POULTRY PO BOX 3668 SANFORD NC 27330 9197747333
B33 452 GOLDEN RULE INSURANCE CO. 7440 WOODLAND DR. INDIANAPOLIS IN 462781719 3172974123

Page 20 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

FM7 1003 GOLDEN RULE INSURANCE CO. 712 ELEVENTH ST. LAWRENCEVILLE IL 624392395 6189435465
C61 564 GOLDEN
GOLDEN STATE
STATE MUTUAL
MUTUAL LIFE
LIFE INSURANCE PO BOX 2332 LOS ANGELES CA 90018 2137311131
L21 1755 1999 W ADAMS BLVD LOS ANGELES CA 90018 8002255476
T36 2005 GOLDKIST, INC. PO BOX M ELLIJAY GA 30540 7066354991
JE2 1484 GOLDNET 1020 DISCOVERY ROAD, SUITE 100 EAGAN MN 55121 8008580723
L32 1759 GOOD SAMARITAN
GOODYEAR PROGRAM
MEDICAL BENEFITS PROGRAM PO BOX 90 NEW PALESTINE IN 46163 8009539150
945 330 PO BOX 677 AKRON OH 44309 8003349395
A38 361 GOODYEAR TIRE & RUBBER COMPANY 890 PINEVIEW ROAD ASHEBORO NC 272030556 9104952238
B53 456 GOSHEN RUBEREMPLOYEES
GOVERNMENT EMPL. BENEFIT PLAN ASSOC.
HOSPITAL 2600 WILCO BLVD. WILSON NC 27893 9192376171
984 343 PO BOX 4665 INDEPENDENCE MO 64051 8162575500
612 221 GOVERNMENT WIDE INDEMNITY PO BOX 2291 DURHAM NC 27702 8002224739
EQ4 883 GOVERNMENTAL EMPLOYEES HOSPITAL ASSOC PO BOX 4665 INDEPENDENCE MO 640514665 8008216136
220 75 GREAT AMERICAN LIFE INS. CO. PO BOX 559002 AUSTIN TX 787559002 8008802745
MJ8 1853 GREAT AMERICAN SUPPLEMENTAL PO BOX 30010 AUSTIN, TX 78755-3010 AUSTIN TX 787553010 8664594272
BENEFITS/CONTINENTAL GENERAL

CW2 646 GREAT LAKES EMPLOYER ASSOCIATION PO BOX 19040 KALAMAZOO MI 095703760 6163432611
223 76 GREAT SOUTHERN LIFE INS. CO. 3121 BUFFALO SPEEDWAY HOUSTON TX 77098 7138714600
AK1 402 GREAT WEST PO BOX 11111 FORT SCOTT KS 66701 8006638081
HH1 1304 GREAT WEST 1000 GREAT WEST DR KENNETT1 MO 63857 8006334671
Q62 1964 GREAT WEST 1000 GREAT WEST DRIVE KENNETT MO 638573749 8006638081
BP0 516 GREAT WEST BENEFIT PLAN 8505 E. ORCHARD RD. ENGLEWOOD CO 80111 3037901993
782 279 GREAT WEST CARE HEALTH PLAN 1000 GREAT WEST DRIVE KENNETT MO 638573749 8004442908
AQ6 417 GREAT WEST CARE HEALTH PLAN PO BOX 11111 FORT SCOTT KS 66701 8006638081
J13 1445 GREAT WEST HEALTH CARE PLAN PO BOX 11111 FORT SCOTT KS 66701 8006638081
BF6 487 GREAT WEST HEALTH PLAN PO BOX 11111 FORT SCOTT KS 66701 8006638081
EY1 914 GREAT WEST HEALTH SERVICE 1000 GREAT WEST DRIVE KENNETT MO 638573749 8006638081
AT2 425 GREAT WEST INSURANCE CO. PO BOX 1080 DENVER CO 80201 3038391710
CK7 606 GREAT WEST LIFE PO BOX 11111 FORT SCOTT KS 66701 8006638081
HS6 1381 GREAT WEST LIFE & ANNUITY/MEDCOST PO BOX 25307 WINSTON-SALEM NC 271145307 8006248605
224 77 GREAT WEST LIFE ASSURANCE 1000 GREAT WEST DR KENNETT MO 638573749 8006638081
BN4 513 GREAT WEST LIFE HEALTH 1000 GREAT WEST DRIVE KENNETT MO 638573749 8006638081
K59 1602 GREAT WEST LIFE INSURANCE 455 MARKET ST., SUITE 2000 SAN FRANCISCO CA 94105 8008216210
BL0 503 GREAT WEST LIFE INSURANCE CO. 1000 GREAT WEST DR KENNETT MO 638573749 8006638081
FG3 974 GREAT WEST LIFE INSURANCE CO. 1000 GREAT WEST DR KENNETT MO 638573749 8006638081
GQ5 1172 GREAT-WEST LIFE & ANNUITY CO. 719 TEACO ROAD KENNETT MO 638573749 8008547309
KV6 1729 GREEN SHIELD OF CANADA PO BOX 1606 (ZIPCODE N9A6W1) WINDSOR ON 000000000 8887111119
695 253 GREENVILLE NC GROUP BENEFIT PLAN PO BOX 7207 GREENVILLE NC 27835 9198304492
R61 1992 GROUP ADMINISTRATORS 450 REMINGOTN ROAD SCHAUMBURG IL 601734540 8003231683
Y39 2114 GROUP AND PENSION ADMINISTRATORS 300 MUNICIPAL DR RICHARDSON TX 75080 2142387900
AP8 415 GROUP BENEFIT SERVICES (GBS) PO BOX 4368 LUTHERVILLE MD 21094 8006386085
V45 2034 GROUP HEALTH COOPERATIVE PO BOX 34585 SEATTLE WA 981241585 2063263360
748 268 GROUP HEALTH INC. 80 WOLF ROAD ALBANY NY 12205 5184468000
BB3 475 GROUP HEALTH INSURANCE (GHI) PO BOX 3000 NEW YORK NY 10116 8003585500
KA3 1621 GROUP HEALTH PLAN P O BOX 7374 LONDON KY 40742 8007553901
M09 1777 GROUP INSURANCE SERVICES PO BOX 2291 DURHAM NC 27702 9194904391
151 63 GROUP MANAGEMENT SERVICES PO BOX 2263 WAUKESHA WI 531872263 4147842630
FA0 943 GROUP RESOURCES PO BOX 100043 DULUTH GA 300969343 8007499963
I53 1431 GROUP RESOURCES PO BOX 100043 DULUTH GA 30096 7706238383
225 78 GUARANTEE RESERVE 530 RIVER OAKS CALUMET CITY IL 60409 8003238764
226 79 GUARANTEE TRUST LIFE INS. CO. 1275 MILWAUKEE AVE. GLENVIEW IL 60075 8476990600

Page 21 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

CL2 609 GUARANTEED TRUST LIFE INS. CO. 1275 MILWAUKEE AVE. GLENVIEW IL 60025 8476990600
JE4 1486 GUARDIAN PO BOX 8017 APPLETON WI 10003 8006244050
228 80 GUARDIAN LIFE INS. CO. OF AMERICA PO BOX 8017 APPLETON WI 10003 8008734542
HH6 1308 GUARDIAN LIFE INSURANCE PO BOX 8007 APPLETON WI 54912 8008734542
843 306 HACKNEY SONS, INC. PO BOX 27889 WASHINGTON NC 27889 8006828520
D73 690 HAMMARY FURNITURE COMPANY PO BOX 760 LENOIR NC 28645 7047283231
MH3 1842 HAMMERMAN AND GAINER 909 LAKE CAROLYN PKWY. SWT. 1900 IRVING, IRVING TX 75039 8004934240

W75 2063 HAMPSHIRE HOSIERY

HAMRICK'S INC. EMPLOYEE BENEFIT PLAN PO BOX 528 SPRUCE PINE NC 28777 7047659011
Q76 1970 742 PEACHOID RD. GAFFNEY SC 29341 8034896095
812 292 HANES CORPORATION PO BOX 1413 WINSTON-SALEM NC 27102 9107444349
AN8 410 HARRINGTON BENEFIT SERVICES PO BOX 909772 CHICAGO IL 60690 3123462626
DZ6 782 HARRINGTON BENEFIT SERVICES PO BOX 3660 JOPLIN MO 648033660 8882336724
JR1 1540 HARRINGTON BENEFIT SERVICES PO BOX 720 PUEBLO CO 81002 8004468182
JX7 1573 HARRINGTON BENEFIT SERVICES PO BOX 765 PUEBLO CO 810020765 8006546208
CG9 594 HARRINGTON BENEFITS/PSI PO BOX 730 PUEBLO CO 81002 8007825218
MB3 1812 HARRINGTON HEALTH PO BOX 30544 SALT LAKE CITY UT 841300544 8007853420
KC4 1634 HARRINGTON/HEALTHCHOICE
HARTFORD ACCIDENT AND HEALTH CLAIMS P O BOX 24870 OKLAHOMA CITY OK 73124 4054994920
DA6 701 4900 SEMINARY RD. ALEXANDRIA VA 22311 7039142400
234 82 HARTFORD INS. CO. PO BOX 2999 HARTFORD CT 06104 8003683653
236 83 HARTFORD INS. CO. PO BOX 2999 HARTFORD CT 06104 8003683653
CX3 652 HARVARD PILGRAM HEALTHCARE PO BOX 699180 QUINCY MA 022699180 8883334742
DP2 751 HARVEST LIFE INSURANCE PO BOX 956003 LAKE MARY FL 327956003 8002530856
ED1 821 HCH ADMINISTRATION
HEALTH & WELFARE BENEFIT SYSTEMS, INC. PO BOX 1986 PEORIA IL 61656 3096737330
K38 1594 PO BOX 21109 ROANOKE VA 24018 8002834927
ED2 822 HEALTH ADVANTAGE PO BOX 8069 LITTLE ROCK AR 722038069 8008431329
KY7 1744 HEALTH ALLIANCE MEDICAL PLAN PO BOX 6003 URBANA IL 61801 8008513379
CG0 591 HEALTH ALLIANCE PLAN 2850 W. GRAND BLVD. DETROIT MI 48202 8104234195
CE6 585 HEALTH
HEALTH AMERICA/ASSURANCE
AND WELFARE FUND/LOCAL 218 PO BOX 7088 LONDON KY 407420000 8007354404
W42 2054 HEALTH ASSURANCE/HEALTH AMERICA PO BOX 115027 ATLANTA GA 303108027 4047555665
KW4 1731 PO BOX 7088 LONDON KY 40742 8007886445
HN3 1351 HEALTH COMP PO BOX 45018 FRESNO CA 93718 8004427247
HL7 1340 HEALTH DESIGN PLUS PO BOX 5085 FINDLAY OH 458395085 8008775762
D09 666 HEALTH MAINTENANCE ORGANIZATION OF PO BOX 1109 BLUE BELL PA 19422 2155428900
PENNSYLVANIA

CF2 587 HEALTH NEW ENGLAND ONE MONARCH PLACE SPRINGFIELD MA 011441006 4137874000
KQ4 1709 HEALTH PARTNERS PO BOX 1289 MINNEAPOLIS MN 554401289 9528836000
FY8 1052 HEALTH PLAN ADMINISTRATORS, INC. PO BOX 2638 ROCKFORD IL 611322638 8156335800
KH9 1669 HEALTH PLANS, INC. PO BOX 5199 WESTBOROUGH MA 01581 8666158366
K71 1607 HEALTH PLUS 7601 ORA GLEN DRIVE, SUITE 200 GREENBELT MD 20770 8006353121
L26 1757 HEALTH SPECIAL RISK ACCIDENT UNDERWRITERS HSR PLAZA 4001 N. JOSEY LANE CARROLLTON TX 75007 2142339787

JH1 1498 HEALTHAMERICA PSU HEALHTPASS

HEALTHCARE ADMINISTRATIVE SERVICES PO BOX 7089 LONDON KY 40742 8003666433
Q46 1963 3000 TROY-SCHENECTADY ROAD SCHENECTADY NY 12309 8008333650
CH4 596 HEALTHCARE MANAGEMENT ADMIN. PO BOX 85008 BELLEVUE WA 980155008 8008697093
DW6 773 HEALTHCARE, INC. PO BOX 5348 BELLINGHAM WA 982275348 8006454585
EZ4 918 HEALTHCOMP PO BOX 45018 FRESNO CA 93718 8009607247
CU0 641 HEALTHCOST SOLUTIONS/ WILLIAM C. BEELER CO. PO BOX 1439 HENDERSONVILLE TN 37077 6158220483

Page 22 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

MM3 1862 HEALTHEZ PO BOX 398220 MINNEAPOLIS, MN 55439-8220 MINNEAPOLIS MN 554398220 8002265116

EK9 860 HEALTHFIRST TPA PO BOX 130187 TYLER TX 757130187 8004772287

Y37 2113 HEALTHLINK, INC. PO BOX 419104 ST. LOUIS MO 631419104 8162637932
K12 1583 HEALTH-NET PO BOX 9103 VAN NUYS CA 91409 7148968746
AB8 376 HEALTHNET PO BOX 20000 NASHVILLE TN 372024070
AW4 430 HEALTHNET PO BOX 14700 LEXINGTON KY 40512 8004387886
EB7 819 HEALTHPARTNERS PO BOX 1289 MINNEAPOLIS MN 554401289 8008832177
BJ3 495 HEALTHPLAN OF NEVADA, INC. PO BOX 15645 LAS VEGAS NV 891145645 7022427300
CY3 658 HEALTHPLAN SERVICES, INC. PO BOX 30367 TAMPA FL 336303367 8004468182
KT7 1720 HEALTHPLEX-LOCAL 1964 DENTAL 11TEANECK RD RIDGEFIELD PARK NJ 07660 8004680600
JS1 1548 HEALTHSCOPE BENEFITS PO BOX 619059 DALLAS TX 752619059 8003335711
KA2 1620 HEALTHSCOPE BENEFITS P O BOX 2860 LITTLE ROCK AR 72203 8008840307
MH8 1847 HEALTHSCOPE BENEFITS PO BOX 99005 LUBBOCK, TX 79490-9005 LUBBOCK TX 794909005 8772262058
CH6 598 HEALTHSCOPE BENEFITS/MEDCOST PO BOX 25307 WINSTON SALEM NC 27114 5012251551
HN6 1353 HEALTHSMART PREFERRED CARE, INC PO BOX 53010 LUBBOCK TX 794533010 8667556400
CG5 593 HEALTHSTAR PO BOX 66930 CHICAGO IL 606660930 7736937827
HA1 1265 HEARTLAND HEALTH PLAN SCHALLER ANDERSON PO BOX 61958 PHOENIX AZ 85082 4052392030

HU1 1390 HEWITT COLEMAN AND ASSOCIATES PO BOX 6708 GREENVILLE SC 29606 8882986828
806 289 HEWITT, COLEMAN & ASSOCIATES, INC. PO BOX 5500 GREENVILLE SC 296065500 8642405840
FU8 1036 HEWITT, COLEMAN AND ASSOCIATES PO BOX 6528 GREENSVILLE SC 29606 8642405840
837 302 HICKORY
HICKORY PRINTING GROUP
SPRINGS MANUFACTURING CO. PO BOX 69 HICKORY NC 28601 7043223431
F03 922 235 2ND AVE., NW HICKORY NC 28601 7043282201
P54 1941 HICKORY SPRINGS MFG. COMPANY PO BOX 556 PINETOPS NC 27864 9198275133
EK2 856 HIGHMARK ADM./BCBS OF WESTERN PENNSYLVANIA PO BOX 535052 PITTSBURGH PA 152535052 8002452763

EU3 897 HIGHMARK BLUE CROSS BLUE SHIELD PO BOX 1210 PITTSBURGH PA 15230 8003461593
EU8 900 HIGHMARK BLUE CROSS BLUE SHIELD PO BOX 2700 PITTSBURGH PA 15230 8005715710
GH9 1128 HIGHMARK BLUE CROSS BLUE SHIELD PO BOX 2085 PITTSBURGH PA 15230 4125447000
E54 800 HIGHMARK BLUE CROSS/BLUE SHIELD PO BOX 2700 PITTSBURGH PA 15230 8003461593
KR4 1712 HIGHMARK BLUE SHEILD PO BOX 890173 CAMP HILL PA 170890173 8009880668
611 220 HIGHMARK BLUE SHIELD PO BOX 898845 CAMP HILL PA 170890062 8667636695
Y54 2120 HIGHMARK BLUECROSS BLUESHIELD PO BOX 3355 PITTSBURGH PA 15230 8002452763
FI3 982 HIGHMARK SERVICES PO BOX 535078 PITTSBURGH PA 152535078 8002792624
D78 692 HILLCO, LTD PO BOX 400 KINSTON NC 285020400 2525231210
KW9 1735 HIP HEALTH PLAN OF NEW YORK PO BOX 2803 NEW YORK NY 101162803 8004478255
F99 942 HIP/HEALTH INSURANCE PLAN PO BOX 2845 NEW YORK NY 101162845 8004478255
Q81 1971 HIP/HEALTH INSURANCE PLAN 55 WATER ST NEW YORK NY 100418190 8004478275
JC5 1477 HMAA CLAIMS (HAWAII MGMT ALLIANCE ASSOCIATION) PO BOX 32580 HONOLULU HI 968032580 8006216998

AH8 398 HMSA/ BC/BS OF HAWAII PO BOX 860 HONOLULU HI 968080860 8089486280
240 84 HOLIDAY LIFE INS. CO. PO BOX 1009 LONGHORNE PA 19847
D69 688 HOLT HOSIERY MILLS, INC PO BOX 38 WILLARD NC 28478 9192852136
T46 2008 HOLY CROSS SHARED SERVICES, INC. PO BOX 3898 SOUTH BEND IN 466190898 8003482616
241 85 HOME BENEFICIAL LIFE INS. PO BOX 27572 RICHMOND VA 23261 8043588431
243 86 HOME INS. CO. 59 MAIDEN LN. NEW YORK NY 10038
KQ6 1711 HOMELAND HEALTH CARE PO BOX 3726 SEATTLE WA 98124 8775039095
246 88 HORACE MANN LIFE INS. CO. 1 HORACE MANN PLAZA SPRINGFIELD IL 62715
HF6 1297 HORIZON BCBS OF NJ PO BOX 1219 NEWARK NJ 07110 8668059195

Page 23 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

JA8 1470 HORIZON BCBS OF NJ PO BOX 1184 NEWARK NJ 071011184 8882764299

JA2 1468 HORIZON BLUE CROSS BLUE SHIELD OF NJ PO BOX 247, DEPT V NEWARK NJ 071010247 8006244758
JF3 1489 HORIZON HEALTHCARE PO BOX 79 NEWARK NJ 07101 8668059195
EM2 864 HOUSING BENEFITS PLAN PO BOX 542077 DALLAS TX 753542077 8009372036
HT4 1385 HSR ADMINISTRATORS 6730 ROOSAVELT AVE. SUITE 304 FRANKLIN OH 45005 8005730009
CT8 640 HUMANA PO BOX 5620 MADISON WI 53705 8005584444
EX8 912 HUMANA PO BOX 14601 LEXINGTON KY 405124601 8003677587
GC5 1102 HUMANA PO BOX 14603 LEXINGTON KY 405124603 8006382639
GE4 1111 HUMANA PO BOX 14603 LEXINGTON KY 405124603 8592218340
GM3 1155 HUMANA PO BOX 14610 LEXINGTON KY 406124610 8664277478
GM6 1156 HUMANA PO BOX 14610 LEXINGTON KY 405124610 8009920678
MG4 1836 HUMANA PO BOX 14635 LEXINGTON, KY 40512-4635 LEXINGTON KY 405124635 8008336917
HZ8 1418 HUMANA CLAIMS OFFICE PO BOX 14602 LEXINGTON KY 40512 5025808075
D40 679 HUMANA HEALTH CARE PLANS PO BOX 740063 LOUISVILLE KY 402017463 8003677587
D66 687 HUMANA HEALTH INS. OF FL, INC. (PPO) PO BOX 19080 F JACKSONVILLE FL 32245 8004574608
E94 808 HUMANA HEALTH PLAN PO BOX 14603 LEXINGTON KY 40512 8008529554
EW9 906 HUMANA HEALTH PLAN 1100 EMPLOYERS BLVD. GREEN BAY WI 54344 8005584444
GU3 1193 HUMANA HEALTH PLAN PO BOX 14611 LEXINGTON KY 405124611 8005584444
Y29 2109 HUMANA HEALTHCARE 2350 FAIRLANE DR., SUITE 120 MONTGOMERY AL 36116 2052705542
AN9 411 HUMANA INSURANCE COMPANY PO BOX 14601 LEXINGTON KY 40512 8003677587
HJ4 1325 HUMANA/MEDCOST PO BOX 25307 WINSTON SALEM NC 271145307 8005584444
CN9 620 HUNTER CONSULTING CO. PO BOX 829 WILMINGTON OH 45177 9373824168
W40 2052 IAC (INSURERES ADMIN. CORPORATION) PO BOX 39119 PHOENIX AZ 850699119 6028701400
E17 788 IBEX BENEFITS, INC. PO BOX 37627 RALEIGH NC 27627 8003224239
J65 1459 IDEALIFE INSURANCE CO. PO BOX 9100 CLEARWATER FL 34618 8137911369
249 89 IDS LIFE INS. CO. IDS TOWER MINNEAPOLIS MN 55402
I61 1432 IFH COMPANY PO DRAWER 2947 HICKORY NC 28603 7043285301
T18 2002 IHC HEALTH PLAN PO BOX 11670 SALT LAKE CITY UT 841479956 8005385038
P39 1936 ILCO UNICAN CORPORATION 400 JEFFRIES RD. ROCKY MOUNT NC 27804 9194463321
A57 364 ILLINOIS MUTUAL LIFE & CASUALTY 300 S. W. ADAMS STREET PEORIA IL 61634 3096748255
KX5 1737 INCLUSIVE HEALTH PO BOX 2920 CLINTON IA 527332920 8666652117
MA5 1808 INDEPENDENCE
INDEPENDENCE ADMINISTRATORS
BCBS/PERSONAL CHOICE PO BOX 1010 HORSHAM PA 19044 8883567899
JQ9 1539 PO BOX 69352 HARRISBURG PA 17106 8002752583
769 275 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 2152412400
P50 1940 INDEPENDENCE BLUE CROSS 1901 MARKET ST. PHILADELPHIA PA 19103
HR6 1376 INDEPENDENT HEALTH PO BOX 9066 BUFFALO NY 14231 8005013439
M93 1803 INDPENDENT HEALTH 511 FARBER LAKES DR. BUFFALO NY 14221 7166318701
AH0 393 INFINGER TRANSPORTATION CO., INC. PO BOX 70689 CHARLESTON SC 29414 8035544433
EM5 866 INGLES DISTRIBUTION C/O BMS PO BOX 1178 MATTHEWS NC 28106 7048455608
B57 458 INGLES RETAIL DIVISION C/O BMS PO BOX 1178 MATTHEWS NC 28106 7048455608
JG7 1497 INNOVIANT PO BOX 8082 WAUSAU WI 544028082 8775592955
KY4 1741 INSURANCE ADMIN SERVICE-IAS PO BOX 96 MINNEAPOLIS MN 55440 8005333499
GI6 1133 INSURANCE ADMINISTRATOR OF AMERICA/EQUITY ONE PO BOX 5082 MOUNT LAUREL NJ 08054 8885991515

JF9 1492 INSURANCE SERVICES OF LUBBOCK 4601 66TH STREET, SUITE C LUBBOCK TX 79414 8008402161
MM7 1866 INSURANCE TPA/CORE HEALTH PO BOX 15953 LUBBOCK, TX 79490 LUBBOCK TX 79490 8002792290
MQ7 1887 INSURANCE TRUST/DELTA RETIREES PO BOX 10432 DES MOINES IA 50306 8773257265
MN9 1875 INSURERS ADMIN. CORPORATION PO BOX 21518 EAGAN MN 551210518 8665131479
KM4 1691 INTEGRITY BENEFITS INC PO BOX 4537 MARIETTA GA 30061 7704281604
847 309 INTERACTIVE MEDICAL SYSTEMS PO BOX 19108 RALEIGH NC 27619 9198779933

Page 24 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

MN8 1874 INTERACTIVE MEDICAL SYSTEMS PO BOX 1349 WAKE FOREST NC 27588 8004268739
773 277 INTERCONTINENTAL LIFE INSURANCE PO BOX 149138 AUSTIN TX 787149138 8009256000
705 259 INTER-COUNTY HOSPITALIZATION PLAN 720 BLAIR MILL ROAD HORSHAM PA 19044
Q92 1977 INTER-COUNTY HOSPITALIZATION PLAN 720 BLAIR MILL RD. HORSHAM PA 19044 8004922385
R00 1979 INTERNAITONAL
INTERNATIONAL MEDICAL
MANAGEDGROUP
CARE SERVICES 135 N. PENNSYLVANIA AVE., STE. 1730 INDIANAPOLIS IN 46204 8006284664
KF4 1652 7205 NW 19 STREET MIAMI FL 33126 3054639696
973 338 INTERNATIONAL MINERAL & CHEMICAL CO./UNITED PO BOX 30555 SALT LAKE CITY UT 841300555 8774681019
HEALTHCARE

HX0 1402 INTERNATIONAL PAPER C/O WAUSAU BENEFITS PO BOX 8032 WAUSAU WI 544028032 8003432737
MB7 1816 INTERNATIONAL UNION OF BRICKLAYERS AND ALLIED 620 F STREET NW WASHINGTON DC 20004 8005814222
CRAFTWORKERS

J59 1457 INTERNATIONAL UNION OF OPERATING ENGINEERS 166 W. KELLY METUCHEN NJ 088402952 9085489118

AD1 379 INTERSTATE BRANDS

INVALID CODE - MERITA
- PRICING COMPANY ONLY PO BOX 591 ROCKY MOUNT NC 27802 9199773400
W83 2065
E29 794 INVALID CODE (O/BUS) MASTERPIECE PO BOX 926 MORGANTON NC 28655 0000000000
264 91 INVESTORS CONSOLIDATED INS. PO DRAWER 30 DURHAM NC 27702 9192863116
267 92 INVESTORS HERITAGE LIFE 200 CAPITAL AVE. FRANKFORT KY 40602 5022332361
HM0 1343 ITPE/HEALTH WELFARE PO BOX 13817 SAVANNAH GA 314160817 8003275926
Q85 1974 ITT HARTFORD PO BOX 11910 ALEXANDRIA VA 22312 8003683653
AP5 414 J.P. FARLEY CORP. PO BOX 458022 WESTLAKE OH 441458022 8006340173
MJ4 1850 J.W. TERRAL BENEFITS ADMINISTRATORS PO BOX 6877 CHESTERFIELD, MO 63006 CHESTERFIELD MO 63006 8004675982
B37 453 JAMES M. JOHNSON AGENCY, INC. 10 COURT STREET DELHI NY 13753 6077462133
270 93 JC PENNY INS. CORP. 2700 W. PLANO PKWY. PLANO TX 75075 8005279027
CB2 573 JEFFERSON APPAREL PO BOX 235 JEFFERSON NC 28640 9109822114
522 182 JEFFERSON NATIONAL LIFE PO BOX 1951 CARMEL IN 46032
GR9 1180 JEFFERSON PILOT FINANCIAL/LINCOLN FINANCIAL GROUP DENTAL CLAIMS PO BOX 2640 OMAHA NE 681032640 8008423729

421 149 JEFFERSON PILOT INSURANCE CO. PO BOX 20727 GREENSBORO NC 27420 9196913918
W96 2068 JELD-WEN HEALTH BENEFIT PLAN PO BOX 1747 REDMOND OR 97756 5033851461
Y45 2116 JOHN ALDEN LIFE INSURANCE CO PO BOX 1599 BOISE ID 837011599 2083687770
FB3 948 JOHN ALDEN LIFE INSURANCE CO. PO BOX 1599 BOISE ID 83701 8003284316
GC0 1099 JOHN DEERE HEALTHPLAN 3800 23RD AVE. STE. 200 MOLINE IL 61265 8005274390
HL8 1341 JOHN HANCOCK LIFE ATTN: CLAIMS PO BOX 111 BOSTON MA 02117 8002316969
I31 1424 JORDAN LUMBER & SUPPLY COMPANY PO BOX 98 MT.GILEAD NC 27306 9194396121
HJ2 1323 JSL ADMINISTRATORS PO BOX 71489 NEWMAN GA 30271 7706831050
HY6 1411 JSL ADMINISTRATORS PO BOX 72749 NEWNAN GA 30271 7706831050
AG7 391 KAISER PERMANENTE PO BOX 6217 ROCKVILLE MD 208496217 3014686000
DH5 730 KAISER PERMANENTE PO BOX 500489 ATLANTA GA 31150 8002212131
E20 791 KAISER PERMANENTE PO BOX 4069 RALEIGH NC 27629 9193193070
HO9 1359 KAISER PERMANENTE PO BOX 6233 ROCKVILLE MD 208496233
K42 1595 KAISER PERMANENTE PO BOX 41916 LOS ANGELES CA 090040916
Q83 1973 KAISER PERMANENTE 3495 PIEDMONT RD., BLDG. 9 ATLANTA GA 30305 4042612590
Q90 1976 KAISER PERMANENTE 1011 NORTH CAPITAL ST., NE WASHINGTON DC 20002 2028985100
Y07 2100 KAISER PERMANENTE 1800 HARRISON ST. 10TH FLOOR OAKLAND CA 94612 5109873040
Y08 2101 KAISER PERMANENTE 450 N. LAKE AVE. PASADENA CA 91101 8004644000
HG8 1301 KANAWHA PO BOX 25307 WINSTON-SALEM NC 27114 8008221275
V08 2022 KANAWHA PO BOX 610 LANCASTER SC 29720 8008490274
BP3 517 KANAWHA EMPLOYEE BEN. ADMIN. PO BOX 5150 GREENVILLE SC 29606 8004765150
275 94 KANAWHA INS. CO. PO BOX 610 LANCASTER SC 29720 8032835300

Page 25 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

FT9 1030 KANAWHA INSURANCE PO BOX 1000 LANCASTER SC 29721 8008221274

JB2 1472 KANAWHA INSURANCE COMPANY PO BOX 2000 LANCASTER SC 297212000 8773781505
277 95 KANSAS CITY LIFE INS. PO BOX 219325 KANSAS CITY MO 641219325 8008745254
DP8 753 KANSAS CITY LIFE INSURANCE CO. PO BOX 419325 KANSAS CITY MO 641416325 8008745254
279 96 KENTUCKY CENTRAL LIFE INS. 300 W. VINE ST., KINCAID TOWERS LEXINGTON KY 40507 8592535082
591 211 KENTUCKY LIFE INSURANCE COMPANY KENTUCKY CENTRAL BUILDING LEXINGTON KY 40507 6062535111
AL1 404 KERR GROUP/BCBS OF VA PO BOX 127401 RICHMOND VA 23279 9193325151
G59 1082 KEWAUNEE SCIENTIFIC CORP. PO BOX 5400 STATESVILLE NC 28677 7048732284
DS7 762 KEY BENEFIT ADMINISTRATORS 118 EAST LUDWIG, STE. 100 FORT WAYNE IN 46825 8004467261
JX2 1571 KEY BENEFIT ADMINISTRATORS PO BOX 1279 FT MILL SC 297161279 8668676883
L58 1762 KEY BENEFIT ADMINISTRATORS PO BOX 55210 INDIANAPOLIS IN 46205 3172553822
Y11 2103 KEYSTONE HEALTHPLAN EAST PO BOX 8339 PHILADELPHIA PA 191018339 8002273114
C40 555 KINCAID FURNITURE C/O BCBS OF NC PO BOX 35 DURHAM NC 27702 8004377458
I22 1422 KLAIS & COMPANY 1867 W. MARKET STREET AKRON OH 44313 3308678443
FS1 1025 KOBE COPPER PRODUCTS INC./CO MBS PO BOX 25987 WINSTON-SALEM NC 271145987 3367744400
EN6 873 KOHLER GROUP MEDICAL BENEFITS 444 HIGHLAND DR. KOHLER WI 530441544 8004561675
KC1 1632 KPS HEALTH PLANS P O BOX 339 BREMERTON WA 98337 8005527114
C75 568 L & H ASSOCIATES
LABOR TRUST FUND OF NORTH CAROLINA PO BOX 12772 FRESNO CA 937792772 2094856480
816 293 PO BOX 13487 ROANOKE VA 24034
B54 457 LADD FURNITURE CO. PO BOX 7405 GREENSBORO NC 27417 3362945233
J90 1465 LADD FURNITURE,
LAUREL INC. CO. - EMPL. BEN. PLAN
HEALTH CARE ONE PLAZA CTR., BOX HP3 HIGH POINT NC 27261 9198890333
CK8 607 LEGGETT & PLATT EMPLOYEE BENEFIT FUND PO BOX 55210 INDIANAPOLIS IN 46205 3178480529
AK9 403 PO BOX 757 CARTHAGE MO 64836 4173588131
835 300 LEGGETT & PLATT, INC. P O BOX 757 CARTHAGE MO 64836 4173588131
D43 680 LEGGETT & PLATT, INC. PO BOX 657 CARTHAGE MO 64836 4173588131
K70 1606 LEGIONNAIRE INSURANCE TRUST PO BOX 21908 SANTA BARBARA CA 931211908 8002356943
F19 924 LENOX CHINA PO BOX 987 OXFORD MC 27565
284 97 LIBERTY LIFE ASSURANCE OF BOSTON 175 BERKELEY SQUARE BOSTON MA 02117
288 99 LIBERTY NATIONAL LIFE INS. PO BOX 2612 BIRMINGHAM AL 35202 2053252722
C12 549 LIFE CARE CENTERS OF AMERICA, INC. 3520 KEITH STREET, NW CLEVELAND TN 37311 8882295020
AH2 394 LIFE CARE PLUS 7720 RIVERS EDGE DR. COLUMBUS OH 43235 8002825300
290 100 LIFE INS. CO. OF ALABAMA PO BOX 349 GADSDEN AL 35902 2055432022
292 102 LIFE INS. CO. OF N. AMERICA 1600 ARCH ST. PHILADELPHIA PA 19101
293 103 LIFE INS. CO. OF VA PO BOX 27601 RICHMOND VA 23261 8042816000
N90 1922 LIFE INSURANCE COMPANY OF GEORGIA PO BOX 105006 ATLANTA GA 303485006 4049805100
JD2 1480 LIFE INVESTORS PO BOX 36580 LOUISVILLE KY 402336580 8662422806
164 66 LIFE INVESTORS INS. CO. PO BOX 2900 LITTLE ROCK AR 72203 5013725000
294 104 LIFE INVESTORS INS. OF AMERICA 4333 EDGEWOOD RD., NE CEDAR RAPIDS IA 52499 3193988511
807 290 LIFE OF AMERICA, WORTHAM TOWER 2727 ALLEN PARKWAY, 6TH FLOOR HOUSTON TX 77019 8006699030
291 101 LIFE OF GEORGIA PO BOX 105006 ATLANTA GA 303485006 8889685433
FL6 996 LINCOLN FINANCIAL GROUP PO BOX 2640 OMAHA NE 681032640 8008423729
MC8 1823 LINCOLN HERITAGE PO BOX 10843 CLEARWATER FL 337578843 8002877319
296 105 LINCOLN INCOME LIFE INS. PO BOX 1173 LOUISVILLE KY 40201
H58 1252 LINCOLN NATIONAL INSURANE CO. PO BOX 19103 RALEIGH NC 27619 8008683539
H27 1241 LINE CONSTRUCTION BENEFIT FUND 2000 SPRINGER DR. LOMBARD IL 60148 8003237268
ER1 886 LIONS INDUSTRIES FOR THE BLIND 2600 W. VERNON AVE. KINSTON NC 28501 2525231019
621 226 LOCAL HEALTH
LOCKARD AND WELFARE
& WILLIAMS FUND
INSURANCE SERVICES PO BOX 1432 NEW YORK NY 101161432 4047555665
LW9 1774 PO BOX 1688 PASCAGOULA MS 395681688 2287622500
AB4 372 LOOMIS COMPANY PO BOX 6843 WYOMISSING PA 19610 6103744040
301 107 LOYAL AMERICAN LIFE INS. PO BOX 30010 AUSTIN TX 787553010 5125311599

Page 26 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

KD8 1645 LOYAL

LUMBEEAMERICAN LIFE INSURANCE
RIVER ELECTRIC MEMBERSHIP CORP. P O BOX 559004 AUSTIN TX 78755 8006336752
CN4 618 605 E. 4TH AVE. RED SPRINGS NC 28377 9108434131
303 108 LUMBERMENS MUTUAL INS. LUMBERMENS HEIGHTS MANSFIELD OH 44901
KM7 1694 LUME
HY7 1412 LUMENOS PO BOX 69309 HARRISBURG PA 171069309 8775548969
858 314 LUTHERAN BROTHERHOOD
MAGNACARE/MAGNAPREFERRED DIRECT 625 FOURTH AVENUE, SOUTH MINNEAPOLIS MN 33415 6123408686
HT5 1386 825 EAST GATE BLVD., PO BOX DP-1001 GARDEN CITY NY 11530 8003526465
JT6 1550 MAIL HAMDLERS/ COVENTRY PO BOX 8402 LONDON KY 40742 8004107778
EA6 813 MAIL HANDLERS PO BOX 8402 LONDON KY 40742 8004107778
718 262 MAIL HANDLERS BENEFIT PLAN PO BOX 44242 JACKSONVILLE FL 322314242 8004107778
DA2 699 MAILHANDLERS (PRESCRIPTION DRUGS ONLY) C/O PCS PO BOX 8404 LONDON KY 40742 8004107778

794 284 MAILHANDLERS

MAILHANDLERS BENEFIT
MEDICALPLAN
CLAIMS ONLY PO BOX 44242 JACKSONVILLE FL 322314242 8004107778
KF8 1655 PO BOX 8402 LONDON KY 40742 8004107778
EJ3 850 MAMSI PO BOX 993 FREDRICK MD 217050993 8002576458
HW7 1401 MAMSI LIFE - PHARMACY / DENTAL CLAIMS ONLY PO BOX 940 FREDERICK MD 21705 8003312102

BK9 502 MAMSI LIFE & HEALTH PO BOX 930 FREDERICK MD 217050993 8003312102
K17 1585 MANAGED HEALTHCARE CONCEPTS PO BOX 77436 ATLANTA GA 30357 8007369059
GH8 1127 MANAGED PHARMACY BENEFITS (MBP) 1100 N. LINDBERGH SAINT LOUIS MO 63132 8006729540
CR2 629 MANAGED PRESCRIPTION SERVICE 9501 E SHEA BLVD #2 SCOTTSDALE AZ 852606719 8007596959
HF4 1296 MANAGEMENT HEALTH NETWORK 1600 LOS GAMOS DR STE 300 SAN RAFAEL CA 94903 4154917200
DB2 704 MANAGING UNDERWRITERS PO BOX 171120 NASHVILLE TN 37217 6156500220
KJ3 1670 MANATEE HEALTH NETWORK PO BOX 530 ST AUGUSTINE FL 32085 9417412960
C69 566 MANNINGTON MILLS, INC. PO BOX 30 SALEM NJ 08079 6099353000
CJ8 604 MARKEL UNDERWRITERS
MARQUETTE NATIONAL LIFE INSURANCE CO. PO BOX 2039 GLEN ALLEN VA 230582039 8045272700
MD7 1827 PO BOX 399127 CAMBRIDGE, MA 02139 CAMBRIDGE, MA 2139 8006268913
HF8 1298 MARSH ADVANTAGE AMERICA 145 N CHURCH ST STE 200 SPARTANBURG SC 29306 8645854338
MP3 1876 MARYLAND PHYSICIAN CARE 509 PROGRESS ST. LINTHICUM MD 21090 8009538854
311 109 MASS. CASUALTY INS. 711 ATLANTIC AVE. BOSTON MA 02205 6177288000
314 110 MASS. MUTUAL 1295 STATE STREET SPRINGFIELD MA 01111 8003332770
Y33 2111 MASSACHUSETTS MUTUAL LIFE INS. CO. 1320 WILLOW PASS RD., STE. 300 CONCORD CA 945205280 8003332280
MR5 1892 MASTER
MASTERSBRAND
MATESTRADE
& PILOTS HEALTH & BEN PO BOX 14624 LEXINGTON KY 40512 8008580723
DY9 778 5700 HAMMONDS FERRY RD. LINTHICUM HEIGHT MD 21090 4108508611
E07 784 MATURE AMERICAN INSURANCE CO. 734 15TH ST., NW, SUITE 500 WASHINGTON DC 20005 2023936600
JH8 1504 MAXOR PLUS 320 S. POLK, SUITE 200 AMARILLO TX 79101 8006870707
FF2 968 MBS PO BOX 25987 WINSTON-SALEM NC 271145987 3367744400
830 297 MCDOWELL GENERAL HOSPITAL/PENN WESTERN PO BOX 7834 GREENSBORO NC 27407 8887927828
Q75 1969 MDIPA PO BOX 75223 BALTIMORE MD 21275
KK9 1683 MECHANICS' LOCAL 701 WELFARE FUND 500 W. PLAINFIELD ROAD COUNTRYSIDE IL 60525 8007046270
EK1 855 MED IMPACT-RX 10680 TREENA STREET SAN DIEGO CA 92131 8668478279
MB9 1818 MED SURE SERVICE LTD 1206 LIBERTY SQUARE BLDG E 12TH 208 SILO BANGKOK TH 19500 0863292246

KP7 1705 MEDCO HEALTH SOLUTIONS PO BOX 14713 LEXINGTON KY 40512 8007110917
DG4 726 MEDCO HEALTH SOLUTIONS INC PO BOX 14713 LEXINGTON KY 40512 8008828879
CJ2 603 MEDCO HEALTH SOLUTIONS INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
L16 1752 MEDCO HEALTH SOLUTIONS INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
BC1 478 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
DS3 759 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
ED8 824 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879

Page 27 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

EM8 868 MEDCO

MEDCO HEALTH
HEALTH SOLUTIONS, INC.
SOLUTIONS/PROVANTAGE PO BOX 14713 LEXINGTON KY 40512 8008828879
CC5 578 PO BOX 14713 LEXINGTON KY 40512 8008828879
KF3 1651 MEDCO HLTH SOLUTIONS NC STATE EMPLOYEES HLTH PP0 PO BOX 14713 LEXINGTON KY 40512 8003365933
PLAN (RX ONLY)

EU7 899 MEDCOM SERVICES, INC. PO BOX 10269 JACKSONVILLE FL 322470269 8005237542
H99 1263 MEDCOST PO BOX 25987 WINSON SALEM NC 271145987 8008527040
HI6 1317 MEDCOST PO BOX 25307 WINSTON-SALEM NC 27114
HL2 1337 MEDCOST PO BOX 25307 WINSTON SALEM NC 27114 8008729934
HK7 1334 MEDCOST
MEDCOST BENEFIT SERVICES LLCNATIONAL
PREFERRED/ACORDIA PO BOX 25987 WINSTON SALEM NC 271145987 8007951023
HW1 1396 PO BOX 25307 WINSTON-SALEM NC 271145307 8006248605
FE9 965 MEDCOST PREFERRED/STATIC CONTROL COMPONENTS PO BOX 25987 WINSTON-SALEM NC 271145987 3367744400

GB8 1097 MEDICA CHOICE (MEDICAL) PO BOX 30990 SALT LAKE CITY UT 84130 8009523455
Y88 2129 MEDICAL BENEFITS MANAGEMENT INC. PO BOX 36269 CANTON OH 44735 8006332383
E41 797 MEDICAL CLAIMS MANAGEMENT PO BOX 12995 CHARLOTTE NC 282202951 8003340609
H00 1229 MEDICAL CLAIMS SERVICE, INC. PO BOX 513 QUINCY MA 022690513 6174268893
DM8 744 MEDICAL MUTUAL OF OHIO PO BOX 6018 CLEVELAND OH 441011018 8003627100
DS5 761 MEDICAL SECURITY CARD CO. RX DIV. PO BOX 31178 TUCSON AZ 85751 8007003957
EJ9 854 MEDICO 1515 S. 75TH STREET OMAHA NE 68124 4023916900
MK6 1858 MEDI-SHARE
MEDOCST PERFERRED PROVIDER-GUARDIAN PO BOX 674 STERLING, IL 61081 STERLING IL 61081 8002642562
HQ5 1371 PO BOX 25307 WINSTON SALEM NC 277145307 8008247406
M14 1779 MED-PAY, INC. PO BOX 10909 SPRINGFIELD MO 65808 8007779087
CR0 627 MED-TAC CLAIMS CENTER PO BOX 9110 NEWTONVILLE MA 02160 8003479355
GI0 1129 MEDTRACK SERVICES (RX DRUGS) 6400 GLENWOOD STE. 104 OVERLAND PARK KS 66202 8007714648
HH0 1303 MEDTRAK 6310 LAMAR AVE STE 230 OVERLAND PARK KS 66202 8007714648
EJ8 853 MEGA LIFE & HEALTH PO BOX 982009 NORTH RICHLAND HILLS TX 761828009 8005275504
770 276 MEGA LIFE AND HEALTH PO BOX 548801 OKLAHOMA CITY OK 73154 4058480179
W56 2057 MEGA LIFE AND HEALTH PO BOX 982017 NORTH RICHLAND HILLS TX 761828017 8007338880
AJ8 401 MEGALIFE & HEALTH PO BOX 548801 OKLAHOMA CITY OK 731548801 8007257887
J08 1443 MEGALIFE
MENNONITE& MUTUAL
HEALTH AID ASSOCIATION PO BOX 982009 NORTH RICHLAND HILLS TX 761828009 8005272845
T64 2012 PO BOX 483 GOSHEN IN 46526 8003487468
H09 1232 MERCER ADMINISTRATORS 701 MARKET ST. STE 1350 SAINT LOUIS MO 63101 8008687526
JN3 1523 MERCY HEALTH PLANS PO BOX 4568 SPRINGFIELD MO 658184568 8003270763
316 111 MERIT LIFE INSURANCE COMPANY PO BOX 39 EVANSVILLE IN 47701
HS2 1379 MERITAIN HEALTH 300 CORPORATE PARKWAY AMHERST NY 14226 8003972122
KG8 1662 MERITAIN HEALTH PO BOX 853921 RICHARDSON TX 750853921 8008286922
MB5 1814 MERTAIN HEALTH PO BOX 27267 MINNEAPOLIS MN 55427 8002265116
DH8 732 MET LIFE PO BOX 8740 DAYTON OH 45401 8008420854
EP4 875 MET LIFE DENTAL CLAIMS CENTER PO BOX 981282 EL PASO TX 79998 8883282158
696 254 METAL CREATIONS, INC./HEALTH BENEFI PO BOX 1104 HIGH POINT NC 27261
AS5 424 METLIFE PO BOX 495 WARWICK RI 02887 8004514720
BW7 534 METLIFE PO BOX 2925 ENGLEWOOD CO 801500125 8006383933
Y51 2118 METLIFE PO BOX 9007 ST. LOUIS MO 63101 3146210040
AI2 399 METLIFE CLAIMS OFFICE PO BOX 672588 MARIETTA GA 300670044 8002419964
FL9 999 METLIFE DENTAL PO BOX 14093 LEXINGTON KY 405124093 8776383379
HZ7 1417 METLIFE DENTAL CLAIMS PO BOX 981282 EL PASO TX 799981282 8883282158
MH4 1843 METLIFE/LONG TERM CARE INS. PO BOX 14407 LEXINGTON, KY 40512 LEXINGTON KY 40512 8886870977
BS8 526 METRAHEALTH/UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8008582345
M33 1785 METRO MACHINE CORPORATION PO BOX 1860 NORFOLK VA 23501 8045436801
BU5 530 METROPOLITAN PO BOX 14093 LEXINGTON KY 405124093 8002754638

Page 28 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

A61 366 MID-AMERICA SOFT DRINK BOTTLING PO BOX 966 MADISONVILLE KY 24231
321 114 MIDLAND NATL. LIFE INS. 1 MIDLAND PLAZA SIOUX FALLS SD 57193 6053355700
322 115 MID-SOUTH INSURANCE
MIDWEST NATIONAL LIFE INSURANCE CO. PO BOX 1634 SPARTANBURG SC 293041634 8645832904
FZ7 1055 PO BOX 982017 N. RICHLAND HILLS TX 76182 8005275504
EH9 846 MIDWEST NATIONAL LIFE INSURANCE CO. OF TENNESSEE PO BOX 982017 N. RICHLAND HILLS TX 761828017 8007331110

X98 2098 MIDWEST

MIDWEST SECURITY
SECURITY ADMINISTRATORS
ADMINISTRATORS, INC. PO BOX 19035 GREEN BAY WI 543079035 8002362515
DJ2 736 2700 MIDWEST DRIVE ONALASKA WI 546508764 8002368672
708 260 MINISTERS LIFE, A MUTUAL LIFE INS. PO BOX 59093 MINNEAPOLIS MN 554590093 6123337651
329 116 MINN. MUTUAL LIFE INS. 400 ROBERT ST. ST. PAUL MN 55101 6122983500
JK7 1512 MNU CLAIMS DEPT/CARECORPS PO BOX 863 INDIANAPOLIS IN 462060863 3172622132
BH0 491 MOHAWK HEALTH CARE PLAN PO BOX 1707 GREENVILLE NC 27834 9197524126
AM3 406 MOHAWK
MOHAWK INDUSTRIES
INDUSTRIES C/O ACORDIA NATIONAL PO BOX 100184 COLUMBIA SC 29202 8009917401
HU5 1393 PO BOX 2621 CHARLESTON WV 25329 8662815751
AH3 395 MOHAWK: KARASTAN BIGELOW
MOLINA HEALTHCARE OF WASHINGTON INC PO BOX 459 LANDRUM SC 29356 8034573391
KM3 1690 PO BOX 1469 BOTHELL WA 98041 8008697165
332 117 MONARCH LIFE INS. 1250 STATE STREET SPRINGFIELD MA 01101
333 118 MONTGOMERY WARD LIFELIFE
MONUMENTAL GENERAL INS.INSURANCE PO BOX 5008 CAROLS STREAM IL 601975008 8006210393
M04 1775 PO BOX 97 SCRANTON PA 18504 8004239369
245 87 MONUMENTAL LIFE INS PO BOX 61 DURHAM NC 27702 8004445431
334 119 MONUMENTAL LIFE INSURANCE 1111 N. CHARLES STREET BALTIMORE MD 21202 8007529797
N76 1920 MOTOROLA BENEFITS PO BOX 29005 PHOENIX AZ 85038 8002289737
JC4 1476 MOUNTAIN CLAIMS MANAGEMENT PO BOX 1008 FRUITLAND ID 83619 8669527979
X41 2083 MOUNTAIN STATE BC/BS PO BOX 1388 PARKERSBURG WV 26102 8006886568
N68 1916 MOUNTAIN STATE BCBS PO BOX 7026 WHEELING WV 26003 8006545028
MQ9 1889 MSH INTERNATIONAL PO BOX 29 SUGARLAND TX 774870029 4032328545
KT5 1718 MULTIPLAN/LOCAL 1964 HEALTH INS 11TEANECK RD RIDGEFIELD PARK NJ 07660 8004371964
HB1 1271 MULTIPLAN/WPPN PO BOX 6090 DEPERE WI 541156090 8008712335
885 321 MUNICIPAL INSURANCE
MUTUAL ASSURANCE TRUST OF NC
ADMINISTRATORS PO BOX 1310 RALEIGH NC 27602 9197157973
HS3 1380 PO BOX 42096 OKLAHOMA CITY OK 731232096 8008253540
338 121 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAZA OMAHA NE 68131 8005216029
DT8 765 MUTUAL OF OMAHA PO BOX 9 WOODWARD OK 73802 8004622877
X91 2094 MUTUAL OF OMAHA CLAIMS PO BOX 668329 CHARLOTTE NC 28266 8006340069
W04 2046 MUTUAL OF OMAHA INSURANCE CO. MUTUAL OF OMAHA PLAZA OMAHA NE 68131 8003344661
GW9 1204 MUTUAL OF OMAHA OMAHA HEALTH CARE SVC CTR MUTUAL OF OMAHA PLAZA OMAHA NE 681755300 8003278870

MUTUAL OF OMAHA/UNITED WORLD LIFE INS

KK7 1681 3316 FARMAN STREET OMAHA NE 68175 8776175587
B98 469 MUTUAL PROTECTIVE INSURANCE 1515 S. 75TH STREET OMAHA NE 68101 4023980881
AH7 397 MVP HEALTH PLAN PO BOX 2207 SCHENECTADY NY 123012207 8886876277
376 135 N.C. MUTUAL LIFE INS. 411 W. CHAPEL HILL ST. DURHAM NC 27701 9196829201
MA3 1806 NAHGA-NATIONAL ACCIDENT & HEALTH GENERAL PO BOX 189 BRIDGTON ME 04009 8009524320

KX9 1740 NALC PRESCRIPTION DRUG PROGRAM PO BOX 52192 PHOENIX AZ 850722192 8009336252
HR0 1374 NAPP 10333 HARWIN DR. STE 225 HOUSTON TX 77036
EQ9 884 NATIONAL ASBESTOS WORKERS MEDICAL FUND 4600 POWDER MILL ROAD BELTSVILLE MD 20705 3019379300
604 218 NATIONAL
NATIONAL ASSOC. OF LETTER
ASSOCIATION FOR CARRIERS
SELF EMPLOYED 20547 WAVERLY PL. ASHBURN VA 20149 8886366252
JH2 1499 PO BOX 982009 N RICHLAND HILLS TX 761828009 8005275504
AY9 441 NATIONAL BENEFIT ADMINISTRATORS PO BOX 690903 CHARLOTTE NC 28227 8004826736
W94 2066 NATIONAL BENEFIT ADMINISTRATORS PO BOX 690903 CHARLOTTE NC 28227 8007362734
JU3 1551 NATIONAL BENEFIT FUND PO BOX 1007 NEW YORK NY 10036 8005757771

Page 29 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

A14 353 NATIONAL

NATIONAL BENEFIT
BENEFITSTRUST
ADMINISTRATOR INC 310 WEST 43RD STREET NEW YORK NY 10036 2123077500
CR9 631 PO BOX 690903 CHARLOTTE NC 28227 8004826736
X83 2093 NATIONAL
NATIONAL ELEVATOR
EMPLOYEE INDUSTRIES
BENEFITS COMPANY PO BOX 477 NEWTOWN SQUARE PA 19073 8005234702
KA6 1623 144 METRO CENTER BLVD. STE.100 WARWICK RI 02886 8002421991
F66 934 NATIONAL FINANCIAL 777 MAIN ST., STE. 900 FORT WORTH TX 761025313 8007251407
JP4 1532 NATIONAL FINANCIAL INSURANCE CO 801 CHERRY STREET, UNIT 33 FT WORTH TX 76102 8178783304
F75 939 NATIONAL HEALTH INSURANCE CO. PO BOX 619999 DALLAS/FT. WORTH TX 752619999 8002371900
N27 1906 NATIONAL
NATIONAL INSURANCE SERVICES
MARITIME UNION OF AMERICA ITPE PO BOX 30324 TAMPA FL 336303324 8006665550
683 249 PO BOX 13817 SAVANNAH GA 31416 8003275926
EP8 878 NATIONAL MEDICAL HEALTH CARD PO BOX 1170 PORT WASHINGTON NY 11050 8006453332
HG9 1302 NATIONAL MEDICAL HEALTH CARD-ATTN: PHARMACY PO BOX 1170 PORT WASHINGTON NY 11050 8008801188
CLAIMS

CT2 636 NATIONAL TEACHER ASSOCIATES PO BOX 802207 DALLAS TX 75380 8008255682
K58 1601 NATIONAL TELEPHONE COOPERATIVE ASSOCIATION ONE WEST PACK SQUARE STE 600 ASHEVILLE NC 28801 8282529776

NATIONAL VISION ADMINISTRATORS, LLC

MG7 1839 PO BOX 2187 CLIFTON, NJ 07015 CLIFTON NJ 7015 8006727723
362 130 NATIONWIDE PO BOX 182202 COLUMBUS OH 432182202 8005433747
MR6 1893 NATIONWIDE DENTAL PO BOX 24206 SEATTLE WA 98124 8774536023
KH5 1665 NATIONWIDE HEALTH PLAN (NHP) PO BOX 8006 DUBLIN OH 43016 8006356585
JN8 1528 NATIONWIDE HEALTH PLANS PO BOX 15016 SACRAMENTO CA 958511016 8772342727
361 129 NATIONWIDE INSURANCE PO BOX 182690 COLUMBUS OH 43218 8006723159
364 131 NATIONWIDE LIFE INSURANCE CO PO BOX 130 PENSACOLA FL 32591 8888031780
KK3 1677 NATIONWIDE SPECIALTY HEALTH PO BOX 420 SPRINGFIELD MA 01101 8006356585
JR7 1545 NATIONWIDE/CHCS SERVICES
NATIONWIDE/PROVIDENT LIFE INSURANCE PO BOX 12467 PENSACOLA FL 325912467 8888031780
D86 695 P O BOX 182928 COLUMBUS OH 432182928 8006885177
347 123 NATL. FOUNDATION LIFE INS. 777 MAIN STREET FT. WORTH TX 76102 8178783300
351 125 NATL. INDEPENDENCE INS. LIBERTY PARK FAZER PA 19355
357 126 NATL. SAVINGS LIFE INS. PO BOX 1338 MURFREESBORO TN 37130 8003311494
358 127 NATL. SECURITY CORP. 200 W. MONROE STREET CHICAGO IL 60606
BG0 488 NATL.
NATL. TELEPHONE COOP.
UNION FIRE INS. ASSOC.
CO. OF PITTSBURGH, PA BB&T BLDG., SUITE 300 ASHEVILLE NC 288013457 7042529776
359 128 70 PINE STREET NEW YORK NY 10270
MC9 1824 NC
NC COMPREHENSIVE MAJOR MEDICAL
HOME BUILDERS HEALTH BENEFIT TRUST PO BOX 30111 DURHAM NC 277023111 8004224658
A60 365 PO BOX 37429 RALEIGH NC 276277429 8007222030
914 324 NC LEAGUE OF MUNICIPALITIES PO BOX 3069 RALEIGH NC 27602 9198341311
KF2 1650 NC STATE EMPLOYEES HEALTH (PPO PLAN) C/O BCBS NC PO BOX 2291 DURHAM NC 27702 8882342416

784 281 NC TEACHERS & STATE EMPLOYEES HEALTH PLAN PO BOX 30025 DURHAM NC 27702 8004224658

G95 1090 NCAS PO BOX 220367 CHARLOTTE NC 28222 7043643865

GQ8 1175 NCAS PO BOX 221209 CHARLOTTE NC 28222 8003643865
HY2 1409 NCAS PO BOX 10136 FAIRFAX VA 220300136 7043643865
P96 1952 NCAS PO BOX 220887 CHARLOTTE NC 28222 7043643865
B08 447 NCNB PO BOX 20727 GREENSBORO NC 27420 8002553604
BW9 535 NEA MEMBER CARE 1255 23RD ST. NW, STE. 300 WASHINGTON DC 20037 8005414119
MH5 1844 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 299 PROMENADE ST PROVIDENCE, RI 02908 PROVIDENCE RI 2908 8004596019

GZ7 1226 NEIGHBORHOOD HEALTHPLAN 253 SUMMER ST BOSTON MA 022100000 8004335556

901 322 NEW ERA LIFE INSURANCE CO. PO BOX 4884 HOUSTON TX 772104884 8005527879
JQ5 1537 NEW MARKET DIMENSIONS PO BOX 4339 HOUSTON TX 77210 8009727038
369 132 NEW YORK LIFE 51 MADISON AVENUE NEW YORK NY 10010 8009955991

Page 30 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

FR6 1021 NEW

NEW YORK
YORK LIFE INSURANCE
LUMBERMEN'S CO.
HEALTHCARE 3316 FARNAM ST. OMAHA NE 681753150 8009955991
DB5 705 9600 MAIN ST., STE. 3 CLARENCE NY 140312092 7167599606
D03 664 NEW YORK STATE RETIRED TEACHERS 150 STATE STREET ALBANY NY 12207 5184620715
370 133 NEW YORK UNDERWRITERS HARTFORD PLAZA HARTFORD CT 06104
HP7 1364 NEWALLIANCE HEALTH PLAN PO BOX 318 ERIE PA 16512 8007524165
371 134 NGM FIRE & CASUALTY INS. 55 WEST STREET KEENE NH 03431
D93 697 NGS AMERICA PO BOX 7676 ST. CLAIR SHORES MI 48087 8104163000
AY2 438 NIPPON LIFE INS. CO. OF AMERICA PO BOX 39710 COLORADO SPRINGS CO 809493910 8009376542
HN7 1354 NJ CARPENTERS HEALTH FUND RARITAN PLAZA II PO BOX 7818 EDISON NJ 088187818 8006243096
Q68 1967 NORANDAL USA C/O AETNA PO BOX 26102 GREENSBORO NC 274026102 8009425210
MG6 1838 NORIDIAN BENEFIT PLAN/PREMIER DENTAL GROUP PO BOX 47126 PLYMOUTH, MN 55447-0126 PLYMOUTH MN 554470126 8003923112

EW2 901 NORTH AMERICAN ADMIN (FORMERLY MERITAIN HEALTH) PO BOX 853921 RICHARDSON TX 750853921 8008286922

NORTH AMERICAN ADMINISTRATION INC.

P90 1949 PO BOX 9501 AMHERST NY 142269501 7164465500
X78 2091 NORTH AMERICAN ADMINISTRATORS PO BOX 1984 NASHVILLE TN 37202 6152563561
T88 2016 NORTH AMERICAN
NORTHERN LIFE
HOSPITAL OFPLAN ADMIN.
SURRY COUNTY 734 15TH STREET NW, SUITE 500 WASHINGTON DC 20005
GQ7 1174 PO BOX 25987 WINSTON-SALEM NC 271145987 8007951023
V14 2024 NOVA HEALTH ADMINISTRATORS 2680 GRAND ISLAND BLVD. GRAND ISLAND NY 14072 8003333195
HB3 1273 NOVENT HEALTH DENTAL PLAN PO BOX 15 WINSTON SALEM NC 27102 8003683804
K77 1610 NPA (NATIONAL PRESCRIPTION ADMINISTRATORS) 400 MARKET STREET PHILADELPHIA PA 19106 8004672006

EJ7 852 NPPN 407 E. MAIN ST. MIDDLETOWN NY 10940 8002832524

344 122 NTL. PREMIUM & BENEFIT ADMINISTRATIVE CO. 8877 N. GAINEY CTR. DR. SCOTTSDALE AZ 852582108 8002258258
NY STATE GOV'T EMPLOYEE INS. PROGRAM
D02 663 10 CORPORATE WOODS DR. ALBANY NY 122012384 8004284292
385 136 OCCIDENTAL LIFE OF NC 1001 WADE AVE. RALEIGH NC 27605 9198340751
HY1 1408 ODS 601 SOUTHWEST 2ND AVENUE PORTLAND OR 97207 8004521058
W95 2067 ODS HEALTH PLAN PO BOX 40384 PORTLAND OR 97240 8008525192
389 137 OHIO STATE LIFE INSURANCE CO. PO BOX 410288 KANSAS CITY MO 64199 8004495433
390 138 OLD AMERICAN
OMEGA INSURANCE
ADMINISTRATORS COMPANY
(DENTAL ONLY) PO BOX 418573 KANSAS CITY MO 64141 8167534900
MK9 1861 PO BOX 6007 SHERWOOD, AT 72124 SHEROOD AT 72124 8669921849
FQ5 1017 ONE HEALTH PLAN/GREAT WEST 1000 GREAT WEST KENNETT MO 638573749 8006638081
KW7 1733 ONENET (PRICING COMPANY) PO BOX 934 FREDERICK MD 217050934 8002576458
GX9 1212 OPERATING ENGINEERS PO BOX 23980 OAKLAND CA 946230980 5102710222
FI0 981 OPERATING ENGINEERS LOCAL 465 5901 HARFORD ROAD BALTIMORE MD 21214 4162549595
AH4 396 OPERATING ENGINEERS TRUST FUND 8401 COPORATE DR., SUITE 200 LANDOVER MD 20785 3014599300
FJ9 988 OPTICARE PO BOX 7548 ROCKY MOUNT NC 27084 8003686740
DW0 771 OPTIMA HEALTHPLAN 4417 CORPORATION LANE VIRGINIA BEACH VA 23462 8002571153
HP3 1362 OPTIMA HLTHCARE PO BOX 5028 TROY MI 480075028 8002298822
MG5 1837 OPTIMED 4 TERRY DR. SUITE 1 NEWTON, PA 18940 NEWTOWN PA 18940 8004828770
V23 2028 OPTIMUM CHOICE PO BOX 75223 BALTIMORE MD 21275 8003426141
GR1 1178 OPTIMUM CHOICE OF NC 627 DAVIS DRIVE SUITE 100 MORRISVILLE NC 27560 8003471965
CY4 659 OPTIMUM CHOICE OF THE CAROLINAS PO BOX 993 FREDERICK MD 217050993 8003312102
MB4 1813 OPTUM HEALTH PO BOX 30978 SALT LAKE CITY UT 84130 8006383120
397 139 ORDER OF UNITED COMMERCIAL TRAVELERS OF AMERICA 632 N. PARK STREET COLUMBUS OH 43215

AG3 389 OXFORD HEALTH PLANS PO BOX 7082 BRIDGEPORT CT 066017082 8006661353
LA5 1769 OXFORD HLTH PLAN/THE FIRST HLTH NETWORK P O BOX 2083 NASHUA NH 030612083 2127266000
D32 675 OXFORD LIFE PO BOX 46518 MADISON WI 537446518 8774693073
FG8 976 OXFORD LIFE PO BOX 46518 MADISON WI 537446518 8774693073

Page 31 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

A20 355 OXFORD LIFE INSURANCE

OZARK NATIONAL COMPANYCOMPANY
LIFE INSURANCE 2721 N. CENTAL AVE. PHOENIX AZ 85004
KK4 1678 500 EAST 9TH STREET KANSAS CITY MO 641062627 8168426300
JQ8 1538 PACIFIC DENTAL BENEFTIS 1445 NORTH LOOP WEST, STE 500 HOUSTON TX 77008 8002520972
399 140 PACIFIC FIDELITY LIFE 10100 SANTA MONICA BLVD. LOS ANGELES CA 90067
AC7 378 PACIFIC LIFE & ANNUITY PO BOX 33699 PHOENIX AZ 850673699 8007298545
Q37 1961 PACIFIC MUTUAL BENEFITS PO BOX 95009 AUBURN WA 987019509 8007333223
M32 1784 PACIFICARE PO BOX 6006 CYPRESS CA 90630 8006248822
HX2 1403 PACIFICARE PPO 2507 PACIFICARE MEDICAL CLAIMS PO BOX 6099 CYPRESS CA 90630 8006248822

N67 1915 PALM HARBOR HOMES HIGHWAY 421 NORTH SILER CITY NC 27344 9196632182
106 46 PAN AMERICAN LIFE PO BOX 19090 GREENVILLE SC 296029090 8646094777
JK1 1509 PAN AMERICAN LIFE INS/CLAIMS PO BOX 61070 NEW ORLEANS LA 701611070 8666686299
BJ2 494 PAN AMERICAN LIFE INSURANCE CO. PO BOX 19090 GREENVILLE SC 296029090 8646094777
403 141 PAN-AMERICAN LIFE PO BOX 60219 NEW ORLEANS LA 70160 5045661300
MR9 1896 PAN-AMERICAN LIFE INS. CO. PO BOX 99007 LUBBOCK TX 794909007 8774954616
J68 1460 PARADIGM CARE PLAN PO BOX 1268 TIFTON GA 31793 9123861751
M85 1800 PARAGON BENEFITS PO BOX 12288 COLUMBUS GA 31907 8002779218
W15 2047 PARAGON BENEFITS, INC. PO BOX 12288 COLUMBUS GA 319172288 4045221501
HH4 1306 PARTNERS PO BOX 17268 WINSTON-SALEM NC 271167268 8009425695
V10 2023 PARTNERS HEALTH PLAN OF ALABAMA PO BOX 830602 BIRMINGHAM AL 352830602 2059681000
563 197 PARTNERS NATIONAL HEALTH PO BOX 17268 WINSTON-SALEM NC 271167268 3367604822
A21 356 PARTNERS NATIONAL HEALTH CARE PO BOX 17268 WINSTON-SALEM NC 271167268 3367604822
E48 798 PARTNERS NATIONAL HEALTH PLAN/ CUSTOMER SERVICE PO BOX 17509 WINSTON-SALEM NC 271167509 8009425695
CENTER

HS7 1382 PARTNERS RX 47 POSTAL PARKWAY NEWNAN GA 30263 8006594112

HR5 1375 PARTNERS RX MANAGEMENT PO BOX 12119 SCOTTSDALE AZ 85260 8006594112
KF6 1654 PARTNERS RX MANAGEMENT PO BOX 12119 SCOTTSDALE AZ 85260 8006594112
HN9 1356 PARTNERS RX PLAN 1717 W. NORTHERN STE. 200 PHOENIX AZ 85021 8006594112
FR8 1023 PCN 9343 TECH CENTER DR., STE. 200 SACRAMENTO CA 958262563 8007770074
JN2 1522 PEARCE ADMINISTRATORS PO BOX 2439 FLORENCE SC 29503 8887221668
AG4 390 PEARSON COMPANY PO BOX 2838 HIGH POINT NC 27261 9108828135
E12 785 PEE DEE ELECTRIC COOPERATIVE INC. PO BOX 491 DARLINGTON SC 29532 8036654070
408 143 PENN MUTUAL LIFE 530 WALNUT STREET PHILADELPHIA PA 19172 2156299854
FE7 964 PENN TREATY NETWORK AMERICAN INSURANCE CO. 3440 LEHIGH ST. ALLENTOWN PA 18103 8002223469

959 333 PENN WESTERN BENEFITS INC. PO BOX 7834 GREENSBORO NC 27407 3366659400
BA8 473 PENN. EMPLOYEES BENEFIT TRUST FUND 150 S. 43RD STREET, SUITE 1 HARRISBURG PA 171115700 8006280174
AN4 409 PENNCORP FINANCIAL INC. 1001 WADE AVE. RALEIGH NC 27605 8002757366
407 142 PENNISULAR LIFE INSURANCE CO. PO BOX 2667 JACKSONVILLE FL 32203 9043586000
409 144 PENNSYLVANIA LIFE PO BOX 130 PENSACOLA FL 32591 8002756667
410 145 PENNSYLVANIA NATIONAL LIFE INS. 1900 DERRY STREET HARRISBURG PA 17105 7172344941
D10 667 PENSION & GROUP SERVICES INC. 5250 LOVERS LANE KALAMAZOO MI 490021564 6163820300
EA0 810 PENSION HOSPITILIZATION 158-11 HARRY VAN ARSDALE DR. FLUSHING NY 11368 7185912000
576 203 PENTECOSTAL FREE WILL BAPTIST MUTUAL BENEVOLENT PO BOX 1568 DUNN NC 28334 9198924161

CN3 617 PEOPLES BENEFIT LIFE ATTN: CUSTOMER SERVICE VALLEY FORGE PA 19493 8006676914
EG4 838 PEOPLES BENEFIT LIFE ATTN: CLAIMS SERVICE VALLEY FORGE PA 194933333 8003566271
GF2 1117 PEOPLES BENEFIT SERVICES PO BOX 78761 PHOENIX AZ 85062 8006676914
412 146 PEOPLES LIFE PO BOX 61 DURHAM NC 27702 9196828131
K82 1613 PEOPLES LIFE INSURANCE COMPANY PO BOX 2668 GREENVILLE SC 29609 8032926886

Page 32 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

HE1 1283 PERDUE / CIGNA HEALTHCARE PO BOX 188007 CHATTANOOGA TN 37422 8002404648
L68 1763 PFL LIFE INSURANCE CO. PO BOX 982009 N. RICHLAND HILL TX 761828009 8005275504
DT0 763 PHARMA LINK PO BOX 412735 KANSAS CITY MO 641412735 9132625920
KU4 1722 PHARMACARE PO BOX 619055 PHOENIX AZ 85072 8664750056
DR0 755 PHARMACY DATA MANAGEMENT 940 WINDHAM COURT, SUITE 1 BOARDMAN OH 44512 8007674226
MQ5 1885 PHARMAVAIL 3380 TRICKUM RD. BLDG. 400 UNIT 100 WOODSTOCK GA 310188 8009333734
JB4 1474 PHCS (PRIVATE HEALTH CARE SYSTEMS) VYTRA PPO PO BOX 1607 DES PLAINES IL 600171607 8004265880

G65 1083 PHILADELPHIA AMERICAN LIFE INS. 4625 WASHINGTON AVE. RACINE WI 53405 8007134680
416 147 PHILADELPHIA-UNITED LIFE INS. 4500 CITY AVENUE PHILADELPHIA PA 19131
JA9 1471 PHILLIPS ADMINISTRATIVE SERVICES PO BOX 218 ALBANY OR 97321 8003569822
GU7 1196 PHYSICIANS CARE NETWORK PO BOX 101111 COLUMBIA SC 292111111 8778400936
HG5 1300 PHYSICIANS HEALTH PLAN 201 EXECUTIVE CENTER DR STE 300 COLUMBIA SC 292108438 8037507400
Y64 2123 PHYSICIANS HEALTH SERVICES PO BOX 981 BRIDGEPORT CT 066010981 8008484747
T39 2006 PHYSICIANS LIFE INSURANCE COMPANY PO BOX 3272 OMAHA NE 281720053 4026331111
420 148 PHYSICIANS MUTUAL INSURANCE PO BOX 2018 OMAHA NE 681032018 8002289100
EA8 814 PHYSICIANS PLUS INSURANCE CORP. PO BOX 8085 WAUSAU WI 544028085 8002367742
FE6 963 PIA PO BOX 5004 THOUSAND OAKS CA 913595004 8004684343
F71 936 PIEDMONT AMERICAN LIFE 1100 CARR ROAD WILMINGTON DE 19809 3027925900
GQ0 1168 PIEDMONT BENEFITS MANAGEMENT PO BOX 349 HICKORY NC 286030843 8002765786
EY7 915 PIEDMONT
PIERCE ANDCOMMUNITY HEALTHCOMPANY
PIERCE INSURANCE PLAN PO BOX 14408 CINCINNATI OH 45250 8886743368
P06 1928 PO DRAWER 2270 FLORENCE SC 29503 8036699846
CH5 597 PILGRIM ADVANTAGE PO BOX 699183 QUINCY MA 022699176 8004433950
D28 674 PIONEER LIFE INSURANCE CO OF IL 304 N. MAIN STREET ROCKFORD IL 61101 8159875000
622 227 PIONEER LIFE INSURANCE COMPANY 304 N. MAIN STREET ROCKFORD IL 61101 8159875000
G40 1073 PIONEER MANAGEMENT PO BOX 1400 HOLYOKE MA 010411400 8004667600
GY1 1214 PIPE FITTERS WELFARE FUND LOCAL 597 45 N OGDEN AVE CHICAGO IL 60607 3128294191
FU4 1034 PITTMAN AND ASSOCIATES PO BOX 111047 MEMPHIS TN 381110047 8002381344
N72 1918 PLAN
PLAN ADMINISTRATOR
ADMINISTRATORS INCORPORATION 734 15TH STREET NW, SUITE 500 WASHINGTON DC 20005 2023936600
JX6 1572 PO BOX 6702 COLUMBIA SC 292606702 8886456410
H87 1258 PLANNED ADMINISTRATORS PO BOX 6927 COLUMBIA SC 29260 8007684387
Y19 2106 PLANNED ADMINISTRATORS PO BOX 6927 COLUMBIA SC 29260 8007684387
AB0 370 PLATINUM ROTISSERE CORP. 100 CAMBRIDGE PARK WINSTON-SALEM NC 27104 9106595000
FN1 1005 PLUMBERS & PIPEFITTERS LOCAL NO. 421 HEALTH & PO BOX 840 MACON GA 312020840 8887412673
WELFARE FUND

DX0 774 POINT OF SERVICE PO BOX 45-3219 MIAMI FL 333453219 8004415501

J63 1458 POMCO PO BOX 6329 SYRACUSE NY 13217 8006955170
KC9 1639 POMCO P O BOX 186 SYRACUSE NY 13206 8668344765
F28 927 PPG INDUSTRIES ROUTE 4 SHELBY NC 28150 7044342261
KM6 1693 PPO PLUS, LLC PO BOX 90802 LUBBOCK TX 794088802 8889651180
JP5 1533 PREFERRED ADMINISTRATIVE SERVICES 259 MONROE AVENUE ROCHESTER NY 14607 8009993920
X04 2072 PREFERRED CARE PO BOX 16610 SAINT LOUIS MO 63105 6186542371
AY8 440 PREFERRED HEALTH NETWORK 1099 WINTERSON ROAD LINTICUM MD 21090 9143432100
V54 2035 PREFERRED HEALTH PLAN PO BOX 437017 LOUISVILLE KY 402537017 5023397500
EM7 867 PREFERRED PLUSADMINISTRATIVE SERVICES
PREFERREDONE PO BOX 49318 WICHITA KS 672019318 8006608114
GS9 1187 PO BOX 59212 MINNEAPOLIS MN 554590212 8009971750
KC7 1637 PREMERA BLUE CROSS P O BOX 91059 SEATTLE WA 981119159 8006761411
KE2 1646 PREMIER CLUB BENEFITS/MEDCOST PO BOX 25307 WINSTON SALEM NC 27114 8885323467
CW8 649 PREMIER HEALTH SYSTEMS, INC. PO BOX 1640 COLUMBIA SC 292021640 8002250892
DD6 712 PREMIER PHARMACY PLAN PO BOX 5824 SPARTANBURG SC 29304 8002474526

Page 33 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

CA2 572 PRESCRIPTION SOLUTIONS PO BOX 6037 CYPRESS CA 90630 8007979791

H43 1246 PRIMARY PHYSICIAN CARE PO BOX 11088 CHARLOTTE NC 282201088 8004725001
KL9 1689 PRIMARY PHYSICIAN CARE PO BOX 11088 CHARLOTTE NC 28220 7045232758
P92 1950 PRIMARY PHYSICIAN CARE PO BOX 11499 CHARLOTTE NC 282201499 7045232758
GX3 1207 PRIMARY SELECT/DOC FIRST PO BOX 17098 OWLINGS MILLS MD 211177098 8008158240
HW0 1395 PRIME THERAPEUTICS/GOLDNET PO BOX 64812 ST. PAUL MN 55164 8008580723
FN7 1009 PRIMECARE 10701 W. RESEARCH DR. MILWAUKEE WI 532260649 8008790071
KH3 1663 PRIMETHERAPEUTICS PO BOX 650041 DALLAS TX 752650041 8004231973
E74 804 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 809493910 8008474695
I76 1435 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 809493910 8002474695
J97 1467 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 80949 8002474695
M12 1778 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 809493910 8002474695
079 34 PRINCIPAL FINANCIAL GROUP 711 HIGH ST. DES MOINES IO 50309 5152475111
AP4 413 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949 8002474695
CQ5 625 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 809493910 8003312557
FA8 946 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949 8884212917
V97 2045 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949 8884212917
M72 1795 PRINCIPAL FINANCIAL INSURANCE CO. PO BOX 39710 COLORADO SPRINGS CO 80949 8002474695
HA7 1269 PRINCIPAL LIFE INSURANCE PO BOX 39710 COLORADO SPRINGS CO 809493910 8005335044
HB0 1270 PRINCIPAL LIFE INSURANCE CO PO BOX 10826 CLEARWATER FL 337578826
H80 1256 PRINCIPAL MUTUAL PO BOX 39710 COLORADO SPRINGS CO 809493910 7195484000
K89 1617 PRINCIPAL MUTUAL PO BOX 39710 COLORADO SPRINGS CO 809493910 8002474695
MP9 1882 PRINCIPAL
PRINCIPAL MUTUAL
MUTUAL INSURANCE COMPANY PO BOX 10357 DES MOINES IA 50306 8002474695
W77 2064 PO BOX 39710 COLORADO SPRINGS CO 80949 8002474695
DE6 716 PRINCIPAL MUTUAL LIFE INS. CO. PO BOX 39710 COLORADO SPRINGS CO 809499710 8002474695
M89 1802 PRINCIPAL MUTUAL LIFE INSURANCE PO BOX 39710 COLORADO SPRINGS CO 809493910 8008261820
FC9 955 PRIORITY HEALTH
PROFESSIONAL BENEFIT ADMINISTRATORS PO BOX 232 GRAND RAPIDS MI 495010232 8009561954
HW2 1397 2040 FRONT STREET CUYAHOGA FALLS OH 44221 8009964640
EG6 839 PROFESSIONAL BENEFIT ADMINISTRATORS (PBA) PO BOX 4687 OAKBROOK IL 605224687 8004355694

X21 2078 PROFESSIONAL CLAIMS MANAGEMENT SERVICES PO BOX 35276 CANTON OH 44735 8005417846

JV1 1556 PROGENY MARKETING INNOVATIONS PO BOX 40606 NASHVILLE TN 372040606 8004776452
EG8 841 PROSERVE PO BOX 9085 OXNARD CA 930319085 8009627378
427 150 PROTECTIVE LIFE INSURANCE CO. PO BOX 830626 BIRMINGHAM AL 352830626 8779388920
JC7 1479 PROTECTIVE
PROTECTIVE LIFE
LIFE INSURANCE
INSURANCE CO.
COMPANY PO BOX 3129 BRENTWOOD TN 37024 8008663808
V40 2031 PO BOX 830626 BIRMINGHAM AL 352830626 8008665050
428 151 PROVIDENT ALLIANCE LIFE 3349 MICHELSON DR. IRVINE CA 92715 7145530700
432 152 PROVIDENT MUTUAL LIFE INS. PO BOX 7378 PHILADELPHIA PA 19101 2136365000
350 124 PROVIDIAN LIFE INS. CO. VALLEY FORGE PA 19493 8005237900
435 153 PRUDENTIAL PO BOX 4578 HOUSTON TX 77210 8005411805
BI7 493 PRUDENTIAL PO BOX 44221 JACKSONVILLE FL 322314221 8002205470
DS4 760 PRUDENTIAL PO BOX 45096 JACKSONVILLE FL 32232 8006433609
AG0 386 PRUDENTIAL INSURANCE COMPANY PO BOX 8000 LINWOOD NJ 08221 8005093566
AG9 392 PRUDENTIAL INSURANCE COMPANY PO BOX 2229 JACKSONVILLE FL 32231 8009522227
K19 1586 PRUDENTIAL INSURANCE COMPANY PO BOX 1759 CINCINNATI OH 452011759 5137847500
KF5 1653 PRUDENTIAL INSURANCE COMPANY OF AMERICA PO BOX 8519 PHILADELPHIA PA 19171 8007320416

PRUDENTIAL-AETNA INSURANCE COMPANY

K34 1592 PO BOX 14586 LEXINGTON KY 405124586 8008087277
KX6 1738 PTRX PHARMACY SERVICES PO BOX 6286 SAN ANTONIO TX 78209 8774697879

Page 34 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

625 228 PUBLIC SAVINGS LIFE INSURANCE PO BOX 472 CHERAW SC 29520 8035373002
KG6 1660 PYRAMID INSURANCE PO BOX 12922 PENSACOLA FL 325912922 8004440321
KY9 1746 PYRAMID LIFE INSURANCE CO PO BOX 391885 CAMBRIDGE MA 02139 8004440321
A23 358 PYRAMID LIFE INSURANCE CO. 6201 JOHNSON DRIVE SHAUNEE MISSION KS 66201 9137221616
EN5 872 PYRAMID LIFE INSURANCE CO. 210 EUCLID AVENUE ALLENHURST NJ 077111211
GX2 1206 QUALCARE PO BOX 249 PISCATAWAY NJ 088550249 8009926613
HP8 1365 QUALCHOICE 6000 PARKLAND BLVD CLEVELAND OH 44124 8002067279
Y30 2110 QUALCHOICE 2000 W 1ST ST., STE. 210 WINSTON-SALEM NC 27102 8008160911
629 230 QUALITY MILLS, INCOME SECURITY CORP. SOUTH STREET MT. AIRY NC 27030
G19 1066 R.L. STOWE MILLS, INC. PO BOX 351 BELMONT NC 28012 7048255314
AS1 421 RALSTON PURINA CO. PO BOX 1606 ST. LOUIS MO 63188 3149822647
KN3 1697 RANISSANCE PASSPORT DENTAL PO BOX 17250 INDIANAPOLIS IN 46217 8008663908
285 98 RBC LIBERTY LIFE INS. PO BOX 789 GREENVILLE SC 29602 8005518354
HL9 1342 REASSURE AMERICA PO BOX 749014 DALLAS TX 753749014 8007430122
300 106 REASSURE AMERICAN INSURANCE PO BOX2586 FORT WAYNE IN 46801 8882755676
961 335 REELO (SELF-INSURED) 2241 ASHEBORO STREET GREENSBORO NC 27406
F29 928 REGENCE BLUE SHIELD PO BOX 21267 SEATTLE WA 981113267 8003456784
J43 1453 REGENCY HOME FASHIONS PO BOX 878 NEWTON NC 28658 7044640152
EU0 895 REGIONAL MEDICAL ADMINISTRATORS PO BOX 4128 GLEN RAVEN NC 27215 8007111507
751 270 REGO COMPANY PO BOX 247 ELON COLLEGE NC 27244 9194997707
441 154 RELIABLE LIFE INSURANCE 231 W. LOCKWOOD WEBSTER GROVES MO 63119
EA4 812 RELIANCE STANDARD INSURANCE CO. PO BOX 82510 LINCOLN NE 68501 8004977044
DR2 757 RELIANCE STANDARD LIFE INSURANCE PO BOX 82510 LINCOLN NE 685012510 8004977044
KM9 1696 RELIANT STANDARD 505 SOUTH LANOLA STE 231 MOORESTOWN NJ 08057 8663750775
CF7 589 RELIASTAR PO BOX 5300 TACOMA WA 98415 8008511015
448 155 RESERVE LIFE C/O NATL. FINANCIAL 801 CHERRY ST UNIT 33 FORT WORTH TX 76102 8007251407
H13 1234 RESERVE NATIONAL INSURANCE CO. 6100 GRAND BLVD. OKLAHOMA CITY OK 73118 4058487931
CU2 643 RESTAT PO BOX 758 WEST BEND WI 530950758 8002481062
HK5 1332 RETAIL PHARMACY PROGRAM PO BOX 52057 PHOENIX AZ 85072 8006245060
MR4 1891 RETIREE MEDICAL INSURANCE PO BOX 10439 DES MOINES IA 50306 8882874101
M46 1790 RMSCO, INC. PO BOX 6309 SYRACUSE NY 132176309 3154748200
E32 796 ROBERT BOSCH CORPORATION
ROCKY MOUNTIAN UFCW HEALTH BENEFIT 100 BOSCH BLVD. NEW BERN NC 28560 9196334133
N95 1925 ROYAL DEVELOPMENT CO. C/O MEDCOST PO BOX 157 WESTMINSTER CO 800300157 8005271647
IA8 1441 RURAL LETTER CARRIERS ASSOC. (NRLCA) PO BOX 25307 WINSTON-SALEM NC 27114 3368892569
634 232 PO BOX 668329 CHARLOTTE NC 282668239 8006388432
EB3 818 RUSH PRUDENTIAL
RUTHERFORD HOSPITAL (EBP) C/O ACORDIA PO BOX 5597 CHICAGO IL 60680 8882347747
849 310 PO BOX 3262 CHARLESTON WV 25332 8006248605
G17 1065 RWDSU FUND OFFICE PO BOX 55728 BIRMINGHAM AL 352555728 8006338906
CS9 634 RX AMERICA 221 N. CHARLES LINDBURGH DR. SALT LAKE CITY UT 84116 8007708014
CS7 633 RX NET 6625 W. 78TH ST. MINNEAPOLIS MN 554392604
BB0 474 RX PRIME PO BOX 3598 SCRANTON PA 18505 8006225579
BQ2 518 S & S HEALTHCARE STRATEGIES, LTD. PO BOX 141097 CINCINNATI OH 452501097 8662661110
HC1 1277 SACKNER SOUTHEAST 166 ORBIT RD STATESVILLE NC 28677 7048731086
MK4 1856 SAGAMORE HEALTH NETWORK PO BOX 6051 INDIANAPOLIS, IN 46206 INDIANAPOLIS IN 46206 8003200015
EQ0 880 SAMARITANS PURSE PO BOX 25987 WINSTON-SALEM NC 271145987 8007951023
KG7 1661 SANDFORD HEALTH PLAN PO BOX 5074 SIOUX FALLS SD 57117 8776292999
HS9 1383 SAVE-RX 224 NORTH PARK AVENUE FREMONT NE 68205 8002283108
KJ5 1672 SAVERX PO BOX 8 FREEMONT NE 68026 8662334239
HL3 1338 SCOTT & WHITE HEALTH PLAN 2401 S 31ST ST TEMPLE TX 76508 8003217947
BN6 514 SCRIPT CARE, INC. 6380 FOLSOM DRIVE BEAUMONT TX 77706 8008809988

Page 35 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

KA8 1625 SCRIPTRAX 255 CHARLOIS BLVD WINSTON SALEM NC 27103 8777748729
V43 2033 SEABURY AND SMITH, INC. PO BOX 1520 IOWA CITY IA 52244 8005624023
DC8 708 SEAFARERS WELFARE PLAN PO BOX 380 PINEY POINT MD 20674 8002524674
680 247 SECURE CARE NATIONAL HOME LIFE INS. CO. VALLEY FORGE PA 19493 0000000
GW6 1202 SECURE HORIZONS DIRECT PO BOX 400055 SAN ANTONIO TX 78229 8009509355
KD4 1643 SECURIAN DENTAL PLANS P O BOX 9385 MINNEAPOLIS MN 554409385 8002349009
HQ7 1372 SECURITY LIFE PO BOX 5002 SCHENECTADY NY 12309
GZ5 1224 SECURITY LIFE/DENTAL & DAVIS VISION PO BOX 1527 LATHAM NY 12110 8003009566
MS3 1897 SELECT BENEFIT ADMINISTRATORS PO BOX 4250 HOUSTON TX 772104250 8004973699
FI9 983 SELECT BENEFITS, INC. PO BOX 440 ASHLAND WI 54806 8004973699
X27 2080 SELF FUNDED GROUP INSURANCE PO BOX 51719 KALAMAZOO MI 490051719 8003361340
H94 1261 SELF FUNDING BENEFIT
SELF-INSURED ADMIN. ADMINISTRATORS PO BOX 6596 ANNAPOLIS MD 21401 8004248611
K33 1591 PO BOX 47338 ST. PETERSBURG FL 33743 8133470082
G26 1068 SENTARA 4417 CORPORATION LANE VIRGINIA BEACH VA 23462 7575527410
MN5 1871 SENTINEL SECURITY PO BOX 16960 CLEARWATER FL 33766 8885100668
463 158 SENTRY LIFE PO BOX 8025 STEVENS POINT WI 54481 8004267234
ME8 1833 SEVEN CORNER/AMERICORPS VISTA PO BOX 3430 CARMEL, IN 46082-3430 CARMEL, IN 460823430 8666994186
KK6 1680 SHAW MEDICAL CLAIMS - WELLS FARGO PO BOX 11522 CHARLESTON WV 253391522 8003211855
DD1 710 SHAW MEDICAL CLAIMS CENTER PO BOX 468389 ATLANTA GA 311468389 8003211855
CU1 642 SHEET METAL WORKERS NATIONAL HEALTH FUND PO BOX 1449 GOODLETTSVILLE TN 370701449 8008314914

P19 1932 SHEET METAL WORKERS NATIONAL HEALTH TRUST FUND 601 N. FAIRFAX ST., SUITE 500 ALEXANDRIA VA 22314 7037397000

W45 2055 SHEET METAL WORKERS-LOCAL 85/SBA WELFARE FUND 2300 HENDERSON MILL RD. NE GOODLETTSVILLE TN 370701449 8008314914

HU0 1389 SHENANDOAH DENTAL PO BOX 11807 ROANOKE VA 24022 8004441153

464 159 SHENANDOAH LIFE INSURANCE PO BOX 12847 ROANOKE VA 24029
B45 455 SHOE SHOW 776 FLORENCE PLANCE, NW CONCORD NC 28025 7047824143
X94 2096 SIEBA LTD.
SIHO COORDINATED CARE NETWORK PLAN PO BOX 5000 ENDICOTT NY 137615000 8002524624
Q88 1975 PO BOX 1787 COLUMBUS IN 47202 8123787070
FX1 1041 SIOUX VALLEY HEALTH PLAN PO BOX 91110 SIOUX FALLS SD 57109 8007525863
I51 1429 SISCO PO BOX 389 DUBUQUE IA 52052 8004574726
E78 805 SJA BROKERAGE PO BOX 809059 DALLAS TX 753809059 2143853077
KB1 1627 SMITH ADMINISTRATORS P O BOX 161125 FORT WORTH TX 76161 8008672582
E83 807 SMITHFIELD FOODS PO BOX 1580 SMITHFIELD VA 23430 8043573131
C45 558 SMITHFIELD FOODS HEALTH CARE PLAN PO BOX 158 SMITHFIELD VA 23431 8008095916
C44 557 SMITHFIELD PACKING 2602 W. VERNON AVE. KINSTON NC 28501 2525224777
AD2 380 SONOCO PRODUCTS COMPANY PO BOX 717 LINCOLNTON NC 28093 7047350424
BS9 527 SOUTERN HEALTH INSURANCE
SOUTH CAROLINA SERVICES COMPANY PO BOX 7704 LONDON KY 40742 8049751212
846 308 PO BOX 1 COLUMBIA SC 29202
Q13 1957 SOUTH FLORIDA AV-MED PO BOX 569000 MIAMI FL 332569000 8002280660
R52 1990 SOUTHEASTERN BENEFIT PLAN 335 ARCHDALE DRIVE CHARLOTTE NC 282174246 7045295400
I49 1428 SOUTHEASTERN CONTAINER PO BOX 34609 ENKA NC 28728
H25 1240 SOUTHERN ADMINISTRATIVE SERVICES PO BOX 8069 COLUMBUS GA 319088069 8002228271
J72 1461 SOUTHERN BENEFITS 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502 8003448412
FX2 1042 SOUTHERN CALIFORNIA PIPE TRADE TRUST FUND 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 2133856161

CL1 608 SOUTHERN CONCRETE PO BOX 33038 CHARLOTTE NC 28233 7043942346

P44 1938 SOUTHERN CONCRETE 500 NORTH RICHLAND STREET WAYNESVILLE NC 28787 7042536421
M42 1788 SOUTHERN ELECTRICAL HEALTH FUND 3928 VOLUNTEER DRIVE CHATTANOOGA TN 37416 6158992593

Page 36 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

466 160 SOUTHERN FARM BUREAU LIFE PO BOX 78 JACKSON MS 39205

HK2 1329 SOUTHERN FOODS/MEDCOST PO BOX 25307 WINSTON SALEM NC 27114 8008095916
A01 348 SOUTHERN GROUP ADMINISTRATORS 200 S. MARSHALL ST. WINSTON-SALEM NC 27101 8003348159
A81 367 SOUTHERN GROUP ADMINISTRATORS 200 S. MARSHALL STREET WINSTON-SALEM NC 27101 8003348159
D26 672 SOUTHERN GROUP ADMINISTRATORS 200 S. MARSHALL ST. WINSTON-SALEM NC 27101 9107247111
HA6 1268 SOUTHERN HEALTH SERVICES, INC PO BOX 7704 LONDON KY 40742 8006274872
467 161 SOUTHERN LIFE INS. C/O LIBERTY LIFE PO BOX 789 GREENVILLE SC 29602 8646098111
R09 1982 SOUTHWEST CAR PO BOX 690450 SAN ANTONIO TX 78269 8002925386
FQ6 1018 SPECTARA
SPECTERA -- UNITED
CLAIMS HEALTHCARE
DEPT. DENTAL PO BOX 30978 SALT LAKE CITY UT 84130 8006383120
KD3 1642 P O BOX 2618 BALTIMORE MD 212150003 4102656033
K35 1593 SRC SERVICES, INS. PO BOX 23759 COLUMBIA SC 292243759 8008690808
JM1 1514 ST JOHNS CLAIMS
STANDARD ADMINISTRATOR
INSURANCE COMPANY (DENTAL) PO BOX 14230 SPRINGFIELD MO 658140230 4178413825
JV6 1561 PO BOX 82622 LINCOLN NE 685012622 8005479515
627 229 STANDARD LIFE & ACCIDENT CO. OF OKLAHOMA CITY PO BOX 1800 GALVESTON TX 775531800 8883501488

474 162 STANDARD LIFE & CASUALTY PO BOX 1514 FORT MILL SC 297161514 8035483657
EN4 871 STANDARD LIFE INSURANCE CO. PO BOX 1800 GALVESTON TX 77553 8008272524
MN3 1869 STANDARD SECURITY LIFE
STANLEY FURNITURE/UNITED HEALTHCARE PO BOX 21156 EAGAN MN 55121 8008223906
G80 1086 PO BOX 740800 ATLANTA GA 303740800 8002728970
E30 795 STANLY MEMORIAL HOSPITAL PO BOX 1489 ALBEMARLE NC 28001 7049835111
EG2 837 STAR ADMINISTRATIVE SERVICES PO BOX 55270 PHOENIX AZ 850785270 6029978400
K02 1580 STAR AMINISTRATIVE SERVICES - THE PANTRY INC. PO BOX 55270 PHOENIX AZ 850785270 8004767574

EF2 831 STAR HRG PO BOX 55270 PHOENIX AZ 850785270 8007622727

JT3 1549 STAR HRG/WALMART
STARBRIDGE ADMINISTRATIVE SERVICES PO BOX 54150 PHOENIX AZ 850784150 8002881474
GT8 1190 PO BOX 55270 PHOENIX AZ 850785270 8003085948
GH4 1123 STARMARK PO BOX 2942 CLINTON IA 527332942 8005221246
P43 1937 STARMARK PO BOX 7922 LAKE FOREST IL 600457922 7086151313
479 164 STATE FARM 1500 STATE FARM BLVD. CHARLOTTESVILLE VA 22909 8048725886
HE7 1289 STATE FARM PO BOX 2700 ATTN GM ID BLOOMINGTON IL 617022700 8668551212
478 163 STATE
STATE FARM
FARM FIRE & CASUALTY
HEALTH INSURANCE COMPANY 112 E. WASHINGTON STREET BLOOMINGTON IL 61701
877 317 1500 STATE FARM BLVD. CHARLOTTESVILLE VA 22909 7045246461
HN8 1355 STATE FARM INS CO PO BOX 3070 NEWARK OH 430583070 8668551212
V74 2040 STATE FARM INSURANCE COMPANY PO BOX 3070 NEWARK OH 430583070 8668551212
480 165 STATE FARM LIFE 1500 STATE FARM BLVD. CHARLOTTESVILLE VA 229090001 8049725000
481 166 STATE FARM MUTUAL AUTO INS. ONE STATE FARM PLAZA BLOOMINGTON IL 61701 3097662311
JJ4 1506 STATE FARM-HEALTH OPERATIONS PO BOX 3070 NEWARK OH 430583070 6147752162
749 269 STATE LIFE & HEALTH INS. CO. PO BOX 1338 MURFREESBORO TN 37130 6158961502
X00 2070 STATE MUTUAL INSURANCE COMPANY 1100 31ST STREET DOWNERS GROVE IL 60451 8003233359
483 167 STATE MUTUAL LIFE ASSURANCE 440 LINCOLN STREET WORCESTER MA 01605 5088521000
C89 569 STATE OF FLORIDA EMP. GROUP HEALTH SELF INS. PLAN PO BOX 2896 JACKSONVILLE FL 322322896

852 311 STATE OF GEORGIA HLTH. BENEFIT PLAN PO BOX 740806 ATLANTA GA 30334 8007363464
BU7 531 STERLING & STERLING, INC. 20 ARMORY LANE MILFORD CT 064603361 8004476689
KE3 1647 STERLING LIFE INSURANCE PO BOX 69314 HARRISBURG PA 17106 8888588551
JX1 1570 STONEBRIDGE LIFE INSURANCE CO. 2700 WEST PLANO PARKWAY PLANO TX 75075 8006222923
644 235 STOWE PHARR MILLS, INC. PO BOX 1939 MCADENVILLE NC 28101 7048243551
GK8 1145 STRATEGIC OUTSOURCING, INC. PO BOX 241508 CHARLOTTE NC 28224 8888367764
FL8 998 STRATEGIC OUTSOURCING, INC. C/O KEY PARTNERS, INC. PO BOX 241508 CHARLOTTE NC 282241508 8888367764

Page 37 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

DM9 745 STRATEGIC RESOURCE CO. PO BOX 23759 COLUMBIA SC 29224 8033331000
MS4 1898 STUDENT
STUDENT ASSURANCE SERVICES
INSURANCE/UNITED HEALTHCARE PO BOX 196 STILLWATER MN 55082 6514397098
GH5 1124 PO BOX 809025 DALLAS TX 753809025 8007670700
490 168 STUYVESANT INSURANCE COMPANY 1105 HAMILTON STREET ALLENTOWN PA 18101
HM1 1344 SUMMACARE HEALTH PLAN PO BOX 3620 AKRON OH 443093620 8009968701
AX5 434 SUMMIT AMERICA 7400 COLLEGE BLVD. OVERLAND KS 66210 8009551991
493 169 SUN LIFE ASSURANCE OF CANADA PO BOX 6075 MONTREAL, QUEBEC CN H2X3M7
KV7 1730 SUN LIFE FINANCIAL PO BOX 3425 STATION D ( ZIPCODE K1P1G9) OTTAWA ON 000000000 8002682893

494 170 SUN LIFE INSURANCE OF AMERICA ONE SUN LIFE EXECUTIVE PARK ELLESLEY HILLS MA 02181
KT6 1719 SUN RX 6 EXECUTIVE CAMPUS STE 600 CHERRY HILL NJ 08002 8007861791
M62 1793 SUNNYSIDE EGGS PO BOX 1946 GREENVILLE NC 27834 9197564187
GW0 1198 SUPERIOR VISION PLAN PO BOX 967 RANCHO CORDOVA CA 95741 8005073800
KH8 1668 SURE HEALTH PLANS PO BOX 15398 PLANTATION FL 33318 8003371421
MJ3 1849 SXC HEALTH SOLUTIONS PO BOX 5206 LISLE, IL 60532 LISLE IL 60532 8002823232
E18 789 SYSTEMS MANUFACTURING PO BOX 559 HENDERSON NC 27536 9194929595
HH8 1310 TDI 100 DELTA DR PITTSBURGH PA 15238 8006459303
BL3 506 TDI MANAGED CARE SERVICE 620 EPSILON DRIVE PITTSBURGH PA 15238 8005815300
BJ4 496 TEAMCARE PO BOX 5116 DES PLAINES IL 600175116 8003235000
N01 1901 TELAMON CORPORATION PO BOX 33315 RALEIGH NC 27636 9198517611
791 283 TEXTILEASE CORPORATION 4700 DWIGHT EVANS RD. CHARLOTTE NC 28210 7045239593
R10 1983 TEXTILEASE CORPORATION 800 S JOHN ST GOLDSBORO NC 27530 9197345341
E13 786 TEXTILEASE/CAREFIRST PO BOX 1196 BALTIMORE MD 21297 8004239791
H12 1233 THAXTON MANAGEMENT, INC. PO BOX 1069 LANCASTER SC 29720
AZ5 444 THE FUNDS PO BOX 4410 ALBANY NY 122040410 8006065479
BM7 509 THE GUARDIAN PO BOX 2459 SPOKANE WA 992102459 8005417846
BT7 528 THE GUARDIAN PO BOX 8007 APPLETON WI 549128007 8006854542
CX8 655 THE GUARDIAN PO BOX 8019 APPLETON WI 549128019 8006246215
D53 683 THE GUARDIAN PO BOX 8007 APPLETON WI 549128007 8008734542
KC6 1636 THE GUARDIAN P O BOX 8024 APPLETON WI 549128024 8008734542
V62 2037 THE GUARDIAN PO BOX 8007 APPLETON WI 549128007 8008734542
V63 2038 THE GUARDIAN PO BOX 8007 APPLETON WI 549128007 8008734542
766 274 THE GUARDIAN LIFE INSURANCE PO BOX 8017 APPLETON WI 54913 8006244050
AE9 383 THE GUARDIAN LIFE INSURANCE CO. PO BOX 2458 SPOKANE WA 992102458 8005417846
K46 1598 THE GUARDIAN LIFE INSURANCE CO. PO BOX 2450 SPOKANE WA 992102450 8003341332
K05 1581 THE HARTFORD SYRACUSE HEALTH PO BOX 4925 SYRACUSE NY 13221 8004485813
GP8 1167 THE HEALTH PLAN OF UPPER OHIO VALLEY, INC. 52160 NATIONAL ROAD EAST SAINT CLAIRSVILLE OH 43950 8006246961
JG6 1496 THE LOOMIS CO/SKFUSA PO BOX 13845 READING PA 196123845 8662256090
T72 2014 THE LOOMIS COMPANY PO BOX 7011 WYOMISSING PA 196107011 8007820392
HK1 1328 THE MAIL HANDLERS BENEFIT PLAN PO BOX 8402 LONDON KY 40742 8004107778
MM6 1865 THE MEGA LIFE & HEALTH INS. CO. PO BOX 981606 EL PASO, TX 79998 EL PASO TX 79998 8887570703
337 120 THE MUTUAL LIFE INSURANCE CO. PO BOX 4728 SYRACUSE NY 13221 8002214014
K24 1588 THE NEW ENGLAND EMPLOYEE BENEFIT GROUP HEALTH PO BOX 30466 TAMPA FL 33630 8006541731
PLAN
THE PRESBYTERIAN HOME OF HIGH POINT
M79 1797 201 GREENSBORO RD., BOX 500 HIGH POINT NC 27260 9198839111
M88 1801 THE SYNTHETIC GROUP FINISHING PO BOX 2141 HICKORY NC 28602 7043285522
HX4 1405 THE WELLNESS PLAN PO BOX 02577 DETROIT MI 48202 8008759355
CT4 637 THOMAS COOPER & COMPANY PO BOX 22557 CHARLESTON SC 29413 8008153314
501 171 THOMAS JEFFERSON LIFE
THOMPSON-ARTHUR OF AMERICA
PAVING COMPANY PO BOX 986 CHAMPAIGN IL 61820
599 216 PO BOX 21088 GREENSBORO NC 27420 9192745413

Page 38 of 45
 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

GN0 1158 THREE RIVERS BENEFIT CORP. PO BOX 3440 SIOUX CITY IA 51102 7122581525
KW8 1734 THRIVENT-MEDICARE SUPPLEMENT 4321 N BALLARD RD APPLETON WI 549190001 8008474836
802 287 TIDWELL EMPLOYEE BENEFIT TRUST BOX 637 ROCKWELL NC 28138 7042795531
502 172 TIME INSURANCE COMPANY 515 WEST WILLS MILWAUKEE WI 53201 4142713011
580 206 TOWER LIFE INSURANCE COMPANY 310 S. SAINT MARY'S ST., SUITE 400 SAN ANTONIO TX 782053164 2105544400
BF2 486 TPA PO BOX 121212 MARIETTA GA 300670092 8005627079
MA4 1807 TPA EXCHANGE PO BOX 1043 MATTHEWS NC 281061043 8772248061
MD8 1828 TRANSAMERICA PO BOX 99906 GRAPEVINE, TX 76099 GRAPEVINE, TX 76099 8005505287
K76 1609 TRANSAMERICA/AEGON USA PO BOX 8063 LITTLE ROCK AR 72203 8003220426
503 173 TRANSCONTINENTAL INSURANCE CNA PLAZA CHICAGO IL 60685
KB3 1629 TRANSHEALTH 910 RIDGEBROOK ROAD SPARKS MD 211529390 8004545909
507 174 TRANSPORT LIFE INSURANCE
TRAVELERS PLAN ADMIN. OF CO.
FORT WORTH/TPA 714 MAIN STREET FORT WORTH TX 76102 8004412251
V34 2029 PO BOX 901068 FORT WORTH TX 761012068 8003380327
958 332 TRAVENOL LABRATORIES INC. PO DRAWER 1390 MARION NC 29752
DF0 718 TRICARE DENTAL PO BOX 898218 CAMP HILL PA 170898218 8008668499
JW1 1565 TRICARE FOR LIFE PO BOX 7890 MADISON WI 53707 8667730404
EZ9 920 TRICARE FOR LIFE (TFL) PO BOX 7890 MADISON WI 537077890 8667730404
000 1 TRICARE NORTH REGION SERVICES PO BOX 870140 SURFSIDE BEACH SC 295879740 8778742273
EC6 820 TRICARE NORTH REGION SERVICES PO BOX 870141 SURFSIDE BEACH SC 295879740 8778742273
GT6 1189 TRICARE NORTH REGION SERVICES PO BOX 870140 SURFSIDE BEACH SC 295879740 8778742273
MG9 1841 TRICARE SOUTH/HUMANA MILITARY PO BOX 7031 CAMDEN, SC 29020-7031 CAMDEN SC 290207031 8004445445
JH7 1503 TRIDENT PLAN ADMINISTRATORS 3825 N. 24TH STREET PHOENIX AZ 850166512 6022402404
BD9 480 TRIGON ADMINISTRATORS PO BOX 85639 RICHMOND VA 23285 8005236796
DF5 721 TRIGON ADMINISTRATORS, INC. PO BOX 27287 RICHMOND VA 232617287 8005236796
GH2 1122 TRIGON BLUE CROSS BLUE SHIELD 555 MIDDLE CREEK PARKWAY MS425 COLORADO SPRINGS CO 80921 8004533622
GS0 1181 TRIGON HEALTHKEEPERS PO BOX 26623 RICHMOND VA 23261 8005335592
MC5 1820 TRIPLE S-SALUD/BCBS OF PUERTO RICO PO BOX 70299 SAN JUAN PR 009368299 7877746060
MG8 1840 TRUE CHOICE USA PO BOX 251369 PLANO, TX 75025 PLANO TX 75025 8006834856
088 39 TRUSTMARK PO BOX 7900 LAKE FOREST IL 600457900 7082345900
FK7 992 TRUSTMARK PO BOX 9055 BOARDMAN OH 445139055 8005447312
L27 1758 TRUSTMARK PO BOX 2942 CLINTON IA 527332942 8005447312
R32 1989 TRUSTMARK PO BOX 7905 LAKE FOREST IL 600457905 7082345900
GL8 1153 TRUSTMARK DENTAL PO BOX 420 FREEPORT IL 61032 8006183384
MP8 1881 TRUSTMARK DENTAL PO BOX 2980 CLINTON IA 52733 8476151500
JN4 1524 TRUSTMARK INSURANCE CO PO BOX 2942 CLINTON IA 527332942 8005447312
573 200 TUCKER ADMINISTRATORS 3800 ARCO CORPORATION DRIVE, SUITE 450 CHARLOTTE NC 28273 8003471232

A39 362 TUCKER ADMINSTRATORS 3800 ARCO CORP. DRIVE, SUITE 450 CHARLOTTE NC 28273 8003471232
AE4 381 TUFTS ASSOCIATED HEALTH PLANS PO BOX 9112 WALTHAM MA 022549112 6174669410
FR0 1019 TUFTS HEALTHPLAN PO BOX 9163 WATERTOWN MA 02471 8004420422
516 179 TWIN CITY FIRE INSURANCE HARTFORD PLAZA HARTFORD CT 06115
HN2 1350 TYSON FOODS ATTN: COBRA PO BOX 2020 SPRINGDALE AR 72765 4792904361
J39 1450 TYSON FOODS PO BOX 965 MONROE NC 28111 7042837571
R08 1981 TYSON FOODS PO BOX 88 WILKESBORO NC 286970088 3368382171
L09 1751 TYSON FOODS, INC. ROUTE 1, BOX 200 CRESWELL NC 27928 9197974123
MQ6 1886 UFCW LOCAL 1546 1649-57 W.ADAMS ST. CHICAGO IL 60612 3128292156
Q66 1965 UFCW UNION & FOOD EMPLOYER JOINT TRUST FUND PO BOX 6010 CYPRESS CA 90630 7142202297

JM5 1517 UHC SERVICES INC PO BOX 958447 LAKE MARY FL 327958447 8009894481
HM6 1346 ULTRA BENEFITS PO BOX 763 WESTBORO MA 01581 8668587223

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

BN7 515 UMR PO BOX 14804 CINCINNATI OH 452505804 8009504867

GI3 1132 UMR PO BOX 8300 LONDON KY 407428300 8778845294
GX6 1209 UMR PO BOX 30541 SALT LAKE CITY UT 84130 8668810800
JD3 1481 UMR PO BOX 30530 SALT LAKE CITY UT 841300530 8004468182
KR7 1715 UMR PO BOX 30530 SALT LAKE CITY UT 84130 8004468182
KL3 1684 UMR-DENTAL PO BOX 30541 SALT LAKE CITY UT 841300541 8008426475
654 241 UMWA
UNDERWRITERS LIFE INSURANCE COMPANY PO BOX 619099 DALLAS TX 752619741 8888655290
K63 1603 6210 CAMPBELL RD., SUITE 200 DALLAS TX 752481363 2147334955
AB7 375 UNICARE PO BOX 1993 ANDOVER MA 018100193 9726996539
B30 451 UNICARE 7025 ALBERT PICK RD., 5TH FLOOR GREENSBORO NC 27409 8477064050
BB6 476 UNICARE 5171 VERDUGO WAY CAMARILLO CA 930128603 8009698509
BG6 490 UNICARE PO BOX 5037 BOLINGBROOK IL 604405037 8002320117
D39 678 UNICARE PO BOX 4458 CHICAGO IL 606804458 8003333304
DN6 748 UNICARE PO BOX 4046 SCHAUMBURG IL 601684046 8004543262
EG7 840 UNICARE PO BOX 4458 CHICAGO IL 60680 8778642273
EL8 863 UNICARE PO BOX 9125 OXNARD CA 930319125 8002888630
FA9 947 UNICARE PO BOX 833835 RICHARDSON TX 75083 8006892690
FJ3 986 UNICARE PO BOX 1500 MAUMEE OH 43537 8004543262
FR1 1020 UNICARE PO BOX 9178 OXNARD CA 93031 8002349778
FW8 1039 UNICARE PO BOX 4458 CHICAGO IL 606804458 8004543262
GL6 1151 UNICARE PO BOX 9201 OXNARD CA 93031 8002888630
GS1 1182 UNICARE PO BOX 4458 CHICAGO IL 606804458 8009922037
HJ9 1327 UNICARE PO BOX 51180 INDIAN ORCHARD MA 01151 8008140041
I05 1419 UNICARE PO BOX 833933 RICHARDSON TX 750833933 8003333304
JN6 1526 UNICARE PO BOX 2700 BEDFORD PARK IL 604992700 8004386105
M44 1789 UNICARE PO BOX 60866 LOS ANGELES CA 90060 2133801200
N75 1919 UNICARE
UNICARE LIFE AND HEALTH INSURANCE CO. PO BOX 795180 SAN ANTONIO TX 78279 9726996500
FD9 959 PO BOX 4068 SCHAUMBURG IL 60173 8004543262
ET3 892 UNICARE PHARMACY ACCESS PO BOX 3010 ANDOVER MA 01810 8008224542
DZ0 779 UNIFIED GROUP SERVICES PO BOX 10 PENDLETON IN 46064 8002915837
KV5 1728 UNIFIED LIFE INSURANCE CO PO BOX 25326 OVERLAND PARK KS 662255326 8668469993
DI6 734 UNIFORM MEDICAL PLAN PO BOX 34850 SEATTLE WA 981241850 8007626004
EX5 909 UNION
UNION BANKERS
BANKERS INSURANCE COMPANY P.O. BOX 2555 OMAHA NE 681032555 8887819555
518 180 PO BOX 130 PENSACOLA FL 325910130 8007896364
GK0 1141 UNION FIDELITY PO BOX 10841 CLEARWATER FL 337578841 8778259336
520 181 UNION FIDELITY LIFE INSURANCE 4850 STREET ROAD TREVOSE PA 19047 8005235758
HK9 1335 UNION LABOR LIFE 111 MASSACHUSETTE AVE. NW WASHINGTON DC 20001 8004438087
D84 694 UNION LABOR LIFE INSURANCE CO. PO BOX 61813 KING OF PRUSSIA PA 19406 8005797345
523 183 UNION MUTUAL LIFE PO BOX 548 PORTLAND MA 04112 2077802211
525 184 UNION SECURITY LIFE INSURANCE PO BOX 50355 ATLANTA GA 30302
855 313 UNISON INS. CO. PO BOX 31190 CHARLESTON SC 294171190 8035710510
526 185 UNITED AMERICAN LIFE INSURANCE CO. PO BOX 8080 MCKINNEY TX 750708080 9725295085
527 186 UNITED
UNITED AMERICAN LIFE INSURANCE
BENEFITS INC/ROYAL CO.
DEVELOPMENT PO BOX 8080 MCKINNEY TX 750708080 9725295085
JC2 1475 PO BOX 730561 ORMOND FL 321730561 3368892569
FX0 1040 UNITED CHEMI-CON HEALTH PLAN C/O PO BOX 25987 WINSTON-SALEM NC 271145987 3367744400
M69 1794 UNITED COMMERICIAL TRAVELERS PO BOX 159019 COLUMBUS OH 43215 8008480123
529 187 UNITED COMPANIES LIFE INSURANCE PO BOX 1591 BATON ROUGE LA 70821
GQ4 1171 UNITED CONCORDIA COMPANIES, INC. PO BOX 69421 HARRISBURG PA 17106 8004339906
531 188 UNITED FIDELITY LIFE INSURANCE PO BOX 1778 FT. WORTH TX 76102 8173901011
BM9 511 UNITED HEALTH CARE PO BOX 30555 ST LAKE CITY UT 84130 8005667273

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

JN7 1527 UNITED HEALTH CARE PO BOX 740813 ATLANTA GA 303740813 8778423210
MK3 1855 UNITED HEALTH CARE WEST PO BOX 30968 SALT LAKE CITY, UT 84130-09 SALT LAKE CITY UT 841300968 8006248822

HW6 1400 UNITED

UNITED HEALTH
HEALTH CARE/BCBS OF CA
PLANS OF NEW ENGLAND PO BOX 30568 SALT LAKE CITY UT 841300568 8778163596
AT5 427 475 KILVERT ST., SUITE 310 WARWICK RI 02886 8004221404
317 112 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8778423210
318 113 UNITED HEALTHCARE PO BOX 495 WARWICK RI 02887 4018272586
508 175 UNITED HEALTHCARE PO BOX 740802 ATLANTA GA 303740802 8005778567
510 176 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8003433743
511 177 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 841300985 8008425252
512 178 UNITED HEALTHCARE ONE TOWER SQUARE HARTFORD CT 061836090 2032770111
651 239 UNITED HEALTHCARE 450 COLUMBUS BLVD. HARTFORD CT 061031801 8607025000
AG1 387 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
AM2 405 UNITED HEALTHCARE PO BOX 1600 KINGSTON NY 124010600 9143827500
AQ1 416 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8004325925
AS4 423 UNITED HEALTHCARE PO BOX 29050 PHOENIX AZ 85038 6028709773
AW5 431 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
AX6 435 UNITED HEALTHCARE PO BOX 8050 LANCASTER SC 29721 8006387443
AZ1 442 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 841300985 8013930843
AZ6 445 UNITED HEALTHCARE 116 WASHINGTON AVE. NORTH HAVEN CT 06473 8009928354
BA1 471 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8005537360
BC2 479 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
BE8 484 UNITED HEALTHCARE PO BOX 1630 PITTSBURGH PA 152301630 8006387785
BK0 499 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
BM8 510 UNITED HEALTHCARE PO BOX 3098 NAPERVILLE IL 60566 8008745693
BQ6 520 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
BQ9 521 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
BS3 524 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8005667273
BZ1 543 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8005667273
BZ3 544 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
BZ4 545 UNITED HEALTHCARE PO BOX 17719 IRVINE CA 927137709
C25 552 UNITED HEALTHCARE 2307 WEST CONE BLVD., SUITE 200 GREENSBORO NC 27408 8007721180
CB3 574 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8007418805
CD4 581 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8006311900
CE2 584 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
CF6 588 UNITED HEALTHCARE PO BOX 169080 DULUTH MN 558169080 2186246500
CI4 600 UNITED HEALTHCARE PO BOX 31426 ATLANTA GA 303740802 7709375500
CK2 605 UNITED HEALTHCARE PO BOX 3030 UTICA NY 13504 8003466340
CN5 619 UNITED HEALTHCARE PO BOX 26304 GREENSBORO NC 274386304 8009991147
CT5 638 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
CW3 647 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8003238520
CY8 660 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8006213000
DD3 711 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8002419964
DE3 715 UNITED HEALTHCARE PO BOX 26303 GREENSBORO NC 274386303 8009991147
DF2 719 UNITED HEALTHCARE PO BOX 740802 ATLANTA GA 303740802 7709375500
DF6 722 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
DG0 725 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
DI0 733 UNITED HEALTHCARE PO BOX 30551 SALT LAKE CITY UT 841300551 8019443722
DJ4 737 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8005667273
DX1 775 UNITED HEALTHCARE PO BOX 30304 SALT LAKE CITY UT 84130 8008090453

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

EE4 826 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8013930843
EF7 835 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740880 8778423210
ET5 894 UNITED HEALTHCARE PO BOX 26404 GREENSBORO NC 27404 8882448761
FU9 1037 UNITED HEALTHCARE PO BOX 659741 SAN ANTONIO TX 782659741 8009991147
G21 1067 UNITED HEALTHCARE PO BOX 105312 ATLANTA GA 30348 8008262211
G55 1079 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8008426563
G96 1091 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
GI9 1136 UNITED HEALTHCARE PO BOX 740801 ATLANTA GA 303740801 8005523232
GJ7 1139 UNITED HEALTHCARE PO BOX 654738 SAN ANTONIO TX 783659738 8002393214
GK1 1142 UNITED HEALTHCARE PO BOX 740803 ATLANTA GA 303740803 8003344515
GP2 1164 UNITED HEALTHCARE PO BOX 30996 SALT LAKE CITY UT 84130 8008488406
H21 1238 UNITED HEALTHCARE PO BOX 30430 TAMPA FL 336303343 8006387452
H44 1247 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007321086
H47 1249 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8006387392
H92 1260 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
H95 1262 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8006540079
HB2 1272 UNITED HEALTHCARE PO BOX 659741 SAN ANTONIO TX 78265 8009991147
HB5 1275 UNITED HEALTHCARE PO BOX 7408027 ATLANTA GA 303740802
HM5 1345 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8778423210
I15 1421 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
I36 1425 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
I40 1426 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 041300555 8006540079
I87 1437 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8003310265
J20 1447 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8003238520
J52 1454 UNITED HEALTHCARE PO BOX 10066 AUGUSTA GA 30999 4048551386
J55 1456 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8013930843
J78 1463 UNITED HEALTHCARE 9797 SPRINGSBORO PIKE DAYTON OH 45470 5138596100
JP9 1535 UNITED HEALTHCARE PO BOX 659744 SAN ANTONIO TX 782659744 8778423210
JU7 1554 UNITED HEALTHCARE PO BOX 981502 EL PASO TX 799981502 8778423210
K29 1590 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8003238520
K50 1600 UNITED HEALTHCARE PO BOX 105380 ATLANTA GA 303485380 7709353000
K64 1604 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8008426563
K81 1612 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8003238520
L17 1753 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
L19 1754 UNITED HEALTHCARE PO BOX 7579 GREENSBORO NC 27417 8003342400
M05 1776 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8778423210
ME6 1831 UNITED HEALTHCARE PO BOX 30557 SALT LAKE CITY, UT 84130-05 SALT LAKE CITY, UT 841300557 8667059767

MP4 1877 UNITED HEALTHCARE PO BOX 30884 SALT LAKE CITY UT 84130 8778423210
MR7 1894 UNITED HEALTHCARE PO BOX 740831 ATLANTA GA 303740831 8665405920
N93 1924 UNITED HEALTHCARE PO BOX 6101 AUBURN NY 13021 8005537360
P08 1929 UNITED HEALTHCARE PO BOX 650403 DALLAS TX 752650403 8008423710
P09 1930 UNITED HEALTHCARE 5214 MARYLAND WAY, SUITE 207 BRENTWOOD TN 37027 6153733207
P31 1934 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8005667273
P61 1942 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 84130 8015236446
P84 1946 UNITED HEALTHCARE PO BOX 105312 ATLANTA GA 303485312 8008262211
P95 1951 UNITED HEALTHCARE PO BOX 7045 ROCKFORD IL 61126 8006484480
Q11 1956 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8008262211
Q18 1960 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
Q70 1968 UNITED HEALTHCARE PO BOX 65971 SAN ANTONIO TX 782659741 8009991147

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

R14 1984 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805

R16 1985 UNITED HEALTHCARE PO BOX 27448 ALBUQUERQUE NM 87125 8007829883
T43 2007 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8008420116
T54 2010 UNITED HEALTHCARE PO BOX 473500 CHARLOTTE NC 28247 7045443500
V03 2020 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 841300985 8008425252
V76 2041 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8772224261
W28 2050 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8008420116
W61 2060 UNITED HEALTHCARE PO BOX 8740 DAYTON OH 454018740 9374398961
X01 2071 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 841300555 8005488947
X79 2092 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8885252083
X97 2097 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 4049828901
Y10 2102 UNITED HEALTHCARE PO BOX 2258 BREA CA 92622 8007321086
Y20 2107 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
Y48 2117 UNITED HEALTHCARE PO BOX 7045 ROCKFORD IL 61126 8006484480
Y67 2124 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
Y76 2127 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8003433743
FE2 1199 UNITED
UNITED HEALTHCARE
HEALTHCARE DENTAL CLAIMS
INTEGRATED SERVICES PO BOX 30567 SALT LAKE CITY UT 84130 8778163596
GW2 1835 PO BOX 30783 SALT LAKE CITY, UT 84130 SALT LAKE CITY, UT 84130 8665968447
MG3 635 UNITED HEALTHCARE OF FLORIDA PO BOX 740800 ATLANTA GA 30374 8002506177
CT1 950 UNITED HEALTHCARE PHARMACY PLAN/EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8008422038

UNITED HEALTHCARE PLUS CLAIMS DEPT.

FB8 961 P.O. BOX 1378 TROY MI 48099 8102741220
GE7 1114 UNITED
UNITED HEALTHCARE/CATERPILLAR
HEALTHCARE/GE MEDICAL BENEFITS PO BOX 740800 ATLANTA GA 303740800 8662284215
G34 1071 UNITED HEALTHCARE-STUDENT RESOURCES PO BOX 740801 ATLANTA GA 30374 8005523232
KP3 1701 PO BOX 809027 DALLAS TX 753809027 8882516160
114 50 UNITED INS. CO. OF AMERICA ONE E. WACKER DR. CHICAGO IL 60601 8007778467
CB4 575 UNITED INS. OF AMERICA 12115 LACKLAND RD ST LOUIS MO 63146 8007650550
DT6 764 UNITED INSURANCE CLAIMS PO BOX 3956 WILMINGTON NC 28406 8009996685
533 189 UNITED INSURANCE CO. OF AMERICA ONE E. WACKER DR. CHICAGO IL 60601 3126614500
AX2 433 UNITED INSURANCE COMPANY PO BOX 1118 WASHINGTON NC 27889 9199466459
E97 809 UNITED MEDICAL RESOURCES 2343 AUBURN AVE. CINCINNATI OH 451902815 5136513737
MQ3 1883 UNITED MEDICAL RESOURCES PO BOX 266 ONALASKA WI 54650 8008269781
V65 2039 UNITED MEDICAL RESOURCES PO BOX 145804 CINCINNATI OH 452505804 8009504867
Y58 2122 UNITED MEDICAL RESOURCES PO BOX 145804 CINCINNATI OH 452505804 8009504867
574 201 UNITED OF OMAHA INSURANCE CO. MUTUAL OF OMAHA PLAZA OMAHA NE 68175
Y86 2128 UNITED PHARMACY NETWORK PO BOX 2740 N. CANTON OH 44720 2164971816
FX3 1043 UNITED PROVIDER SERVICES PO BOX 820277 FORT WORTH TX 76182 8005198374
JD9 1482 UNITED STATES INS. COMPANY PO BOX 1581 NEPTUNE NJ 077541581 8002213480
P62 1943 UNITED
UNITED STATES
TEACHERLIFE INSURANCE
INSURANCE CO.
COMPANY PO BOX 35844 DALLAS TX 752350844 2146312422
N87 1921 PO BOX 26580 AUSTIN TX 787550580 5124512224
FL3 993 UNITED TEACHERS ASSOCIATION PO BOX 30010 AUSTIN TX 787553010 8008678986
V20 2025 UNITED TRANS. UNION INS. ASSOC. 14600 DETROIT AVE. CLEVELAND OH 44117 2162289400
539 192 UNIVERSAL UNDERWRITERS 6363 COLLEGE BLVD. OVERLAND PARK KS 66211 9133391000
JM8 1519 UNIVRA HEALTH CARE PO BOX 23000 ROCHESTER NY 14692 8662655983
G39 1072 UNUM FLEXIBLE BENEFITS PLAN 2211 CONGRESS STREET PORTLAND ME 04122 8006934988
FT3 1027 UPMC HEALTH PLAN SERVICES PO BOX 2999 CHATHAM CENTER STE 88 PITTSBURGH PA 152302999 8888762756
537 190 US FIRE INSURANCE PO BOX 2387 MORRISTOWN NJ 07960
N62 1913 US HEALTHCARE PO BOX 3013 BLUE BELL PA 19422 8002451206
538 191 US LIFE INSURANCE IN NEW YORK 125 MAIDEN LANE NEW YORK NY 10038

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

KA9 1626 US NOW CLAIMS DEPARTMENT 8350 N CENTRAL EXPRESSWAY; STE.650A DALLAS TX 75206 8006949888

KZ4 1747 US SCRIPTS PHARMACY 2425 WEST SHAW AVE FRESNO CA 93711 8004608988
DF9 724 USA HEALTHCARE PO BOX 160300, DEPT. 7090 AUSTIN TX 787160300 8007684387
542 193 USAA LIFE INSURANCE CO. USAA BUILDING SAN ANTONIO TX 78288
MH7 1846 USABLE LIFE
USA-CIVIL GROUPRETIREMENT
SERVICE HEALTH PROGRAM PO BOX 1151 LITTLE ROCK, AR 72203 LITTLE ROCK AR 72203 8005192583
677 245 1900 E. NORTHWEST STREET WASHINGTON DC 20415 2026327700
HB8 1276 USI ADMINISTRATORS PO BOX 776 MELVILLE NY 11747 8778893715
MJ7 1852 VA
VA HEALTH
MUTUALADMINISTRATION CENTER CO.
BENEFIT LIFE INSURANCE PO BOX 469065 DENVER, CO 80246-9065 DENVER CO 802469065 8888201756
779 278 4480 COX ROAD GLEN ALLEN VA 23060 8042721992
CQ9 626 VALUE RX PO BOX 390873 BLOOMINGTON MN 554390873 8008799911
AP1 412 VALUE RX CHOICE DIAGNOSTIC PO BOX 390873 BLOOMINGTON MN 55439 8008544469
Y25 2108 VALUE RX/EMPIRE PLAN PRESCRIPTION DRUG PROGRAM 433 RIVER STREET, SUITE 800 TROY NY 121809864 8006266270

KV4 1727 VANBREDA INTERNATIONAL PO BOX 69.2140 ANTWERPEN BE 000000000 3232176846

MD9 1829 VETERAN'S AFFAIRS (DIVISION OF CENTRALIZED UNIT) 1988 ROANOKE BLVD. SALEM, VA 24153 SALEM, VA 24153 8009367540

937 328 VETERANS LIFE INSURANCE COMPANY ATTN: CLAIMS SERVICE DIVISION VALLEY FORGE PA 19495 8008728387
G02 1058 VFCW OF CAROLINA AND VIRGINA 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502 8006784656
EF1 830 VIRGINIA HEALTH NETWORK 7400 BEAUFONT SPRINGS DR., STE. 505 RICHMOND VA 23225 3367592013
HP9 1366 VISION BENEFITS OF AMERICA 300 WEYMAN PLAZA STE. 400 PITTSBURG PA 15236 8004324966
HZ5 1416 VISION INSURANCE PLAN PO BOX 44077 MILWAUKEE WI 53214 4144751875
FC3 953 VISION SERVICE PLAN PO BOX 997105 SACRAMENTO CA 95899 8888774426
FN3 1006 VISION SERVICE PLAN PO BOX 997100 SACRAMENTO CA 958997100 8008777196
GA6 1094 VISION SERVICE PLAN 3333 QUALITY DR. RANCHO CORDOVA CA 95670 8008777195
GZ9 1228 VISION SERVICE PLAN PO BOX 997105 SACRAMENTO CA 958997105 8008777195
N63 1914 VISION SERVICE PLAN PO BOX 2487 COLUMBUS OH 43216 8008777195
552 194 VISTA LIFE INSURANCE COMPANY THE AMERICAN RD. DEARBORN MI 48121
JM2 1515 VISTA SOUTH FLORIDA PO BOX 453279 SUNRISE FL 333453219 8004415501
DZ8 783 VYTRA
WAFFLECORP.
HOUSECENTER (SUFFOLK
EMPLOYEE CO. HEA
BENEFIT PLAN 395 N. SERVICE RD. MELVILLE NY 117473127 8004265880
C14 550 PO BOX 6450 NORCROSS GA 30091 7707295700
HX3 1404 WALGREEN HEALTH INITIATIVE PO BOX 545 DEERFIELD IL 60015 8002072568
KU6 1724 WALGREENS PO BOX 269 DEERFIELD IL 60015 8002072568
HB4 1274 WALGREEN'S HEALTH INITIATIVE 2275 HALFDAY DR. STE 250 BANNOCKBURN IL 60015 8002072568
D47 681 WALMART EMPLOYEE'S HEALTH PLAN 922 W. WALNUT STE. A ROGERS AR 727523206 5016212929
F23 925 WAL-MART PRESCRIPTION PLAN 702 SOUTH WEST 8TH STREET BENTONVILLE AR 72716 8009720943
KG3 1658 WASHINGTON EMPLOYERS TRUST PO BOX 850898 RICHARDSON TX 75085 8007838606
DF8 723 WASHINGTON NATIONAL PO BOX 740 WHITEWATER WI 53190 8009470319
M59 1792 WASHINGTON NATIONAL INSURANCE 2929 N. CENTRAL AVE. PHOENIX AZ 85012 6022647451
556 195 WASHINGTON NATL. INS. PO BOX 1250 ROCKFORD IL 611051250 8002751896
JV4 1559 WASHINGTON WHOLESALERS 7130 COLUMBIA GATEWAY DR STE A COLUMBIA MD 21046 8008458518
JG5 1495 WAUSAU BENEFITS PO BOX 8013 WAUSAU WI 544028013 8007566938
HT7 1388 WAUSAU DENTAL ADMINISTRATORS PO BOX 8014 WAUSAU WI 544028014
EF9 836 WAUSAU INSURANCE CO. PO BOX 8092 WAUSAU WI 544028092 8884593013
FB4 949 WAUSAU INSURANCE CO. PO BOX 8079 WAUSAU WI 544028079 8005233578
HF1 1293 WAUSAU PHARMACY BENEFITS PO BOX 8046 WAUSAU WI 54402
M82 1798 WEBB FURNITURE, INC. PO BOX 1277 GALAX VA 24333 7032362984
GS8 1186 WELLCARE PO BOX 4438 SCRANTON PA 18505 8662352770
FR9 1024 WELLMARK ADMINISTRATORS PO BOX 9900 SIOUX CITY IO 51102 8005265710
GB9 1098 WELLMARK BC/BS 1601 W. MADISON AVE. SIOUX FALLS SD 57104 8007740384

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 NCTracks Carrier Codes
EIS code NCFast Code Carrier Name Address line 1 City State Zip Phone 1

KV3 1726 WELLMARK BCBS PO BOX 9291 STATION 39 DES MOINES IA 50306 8005166000
JK5 1511 WELLMARK BLUE DENTAL PO BOX 9354 DES MOINES IA 50306 8773330164
CI2 599 WELLPATH PO BOX 7102 LONDON KY 40742 8009357284
DU4 767 WELLPATH PO BOX 7102 LONDON KY 40742 8009357284
GY2 1215 WELLPATH SELECT, INC C/O COVENTRY HEALTH CARE PO BOX 7102 LONDON KY 40742 8665335155

CH0 595 WELLPATH/COVENTRY HEALTHCARE PO BOX 7102 LONDON KY 40742 8008891947

GL2 1148 WELLPOINT PO BOX 9085 OXNARD CA 93031 8882184844
GM2 1154 WELLPOINT PO BOX 9080 OXNARD CA 930319080 8009627378
HI1 1313 WELLPOINT PO BOX 9081 OXNARD CA 93031 8009627378
HI3 1314 WELLPOINT
WELLPOINT DENTAL
PHARMACY MANAGEMENT/PROSE PO BOX 9066 OXNARD CA 93031 8882097852
DU8 770 PO BOX 4165 WOODLAND HILLS CA 91365 8007002541
AW6 432 WELLPOINT PHARMACY MGMT PO BOX 4496 WOODLAND HILLS CA 913654496 8668418954
FE0 960 WELLS FARGO PO BOX 2857 FAYETTEVILLE NC 28311 8884062232
CX4 653 WELLS FARGO TPA PO BOX 3262 CHARLESTON WV 253323262 8006248605
W19 2049 WEST BROTHERS PO BOX 6365 RALEIGH NC 27628 9198788411
561 196 WESTERN & SOUTHERN LIFE 400 BROADWAY CINCINNATTI OH 45202 5136291800
JU8 1555 WESTERN CAROLINA WELL CARE PO BOX 6927 COLUMBIA SC 29260 8666530338
GX8 1211 WESTERN SOUTHERN LIFE PO BOX 5735 400 BROADWAY ST CINCINNATI OH 450215735 5136291800
J15 1446 WEYCO, INC., BENEFIT MANAGEMENT PO BOX 30132 LANSING MI 48909 5173497010
P03 1926 WILLIS CORROON CORP. OF KS PO BOX 2697 WITCHITA KS 67201 8002357160
GT0 1188 WILLIS OF KANSAS, INC. PO BOX 2697 WICHITA KS 67201 3162684775
B79 462 WILSE & ASSOCIATES, INC. PO BOX 13303 BALTIMORE MD 212970417 8004239791
AN3 408 WILSON COOK MEDICAL PLAN, INC. 4900 BETHANIA STATION RD. WINSTON-SALEM NC 27105 8002454707
MR3 1890 WISCONSIN PHYSICIAN SERVICES PO BOX 77028 MADISON WI 53707 8888749378
566 198 WOODMEN OF THE WORLD LIFE INS. 1700 FARNAM STREET OMAHA NE 681720052 3034968000
D61 686 WOODS AND GROOMS PO BOX 2549 COLUMBUS IN 47202 8123729955
FN4 1007 WORLD INSURANCE PO BOX 2558 OMAHA NE 681032558
567 199 WORLD INSURANCE COMPANY PO BOX 3160 OMAHA NE 681030160 8882083526
GE6 1113 Z. V. PATE GROUP SELF INSURANCE FUND PO BOX 159 LAUREL HILL NC 9104622122

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