Insurance Company/Payer Address City, State Zip

1 Insurance Company/Payer Address city , State Zip AARP Box Atlanta, GA 3037L Accordia National P O Box 2521 Charleston, WV 2 ACE AMERICAN Insurance company 997 OLD SUITE 215 RADNOR PA 19( ACEC Health Plan Services Inc BOX LAS VEGAS, NV ACORDlA NATIONAL PO BOX 3262 CHARLSTON. IN' Adrninastar Federal Po Box 7027 Indianapolis. IN 4( Administrative Concepts Inc 997 Old Wayne, PA 19087 Adventist Risk Management Sharp P. O. Box 4088 Silver Springs, M[ Aetna P. O. Box El Paso, TX 7999 Aetna P. O. Box 1125 Blue Bell, PA 194: Aetna BOX 1125 Blue Bell, PA 194; Aetna BOX 14089 Lexington, KY 40 , Aetna Box 981107 El Paso, TX 7999 Aetna Choice It Box El Paso.))]

2 TX 7999, Aetna Choice Pos IL P. O. Box 14586 . Lexington, KY 40: Aetna Choice Pos 11 Box El Paso. TX 7999 AFLAC 1932 COLUMBUS,GA AFTRA Health Fund 261 Madison .. New York, NY 10( AGVA Welfare Trust Fund 184 Fifth New York, NY 10( AIM ADMINISTRATORS 4645 SUGAR LAND, T: Alicare Inc P. O. Box 1442 NEW YORK, NY Alico American Life Insurance P.))

3 O. Box 2226 WILMINGTON, D Allied Benefit Systems P. O. BOX CHICAGO, IL 60E AMA Insurance Agency 200 North Chicago, IL 6050? AMD HEALTH PLAN P. O. BOX 42 .. SAN FANCISCO, AMERIBEN SOLUTIONS P. O. BOX 7186 BOISE, ID 83707 American Administrative Group, Inc P. O. Box 5227 Lisle, IL 60532-52 American Community P. O. Box 960 .. Miami, FL 33296-i American Family Insurance 6000 Madison, WI 537E American Hardware Mutual 471 E Broad .. Columbus, OH 43 American Health Benefits P. O. Box Mission Viejo. CA American Healthcare Alliance P.

4 O. Box 8530 Kansas city , MO American Medical Security Box 19032 Green bay, WI 54,` American Republic 1424 Oak Brook, IL 60525 AMERICAN REPUBLIC Insurance Box 1 DES MOINES IA American Republic Insurance company P. O. Box 2975 Clinton. IA 52733 AMERICAS CHOICE P O Box 922.. HOUSTON, TX 7 AMERIHEALTH 720 BLAIE MI.. HORSHAM. PA 1 Amtrust North America P. O. Box , ATLANTA. GA 3c: ANTHEM BLUE CROSS P. O. Box 1268 COLUMBUS, OH Eye Physicians & Surgeons of Chicago Insurance Companies Contracted Updated October 2006 1 APWU Health Plan P.

5 O. Box 1358 Glen Burnie, MD Assure Care Inc 340 BOLINGBROOK, Auxiant P. O. Box 90991 Milwaukee, WI Avma Group Health And Life Ins P. O. Box CHICAGO, IL 60E AXA Equitable Financial Companies P. O. Box 3000 Lancaster, SC 29 BAC P. O. Box 107 REYNOLDSBUR( Bakery And Confectionery Union 10401 Kensington, MD 2 BANKERS FIDELITY LIFE INS P. O. Box ATLANTA, GA 30 Bankers Life 4801 W. Chicago, IL 6064E Bankers Life & Casualty 222 Chicago, IL 6065z Bankers Life And Casualty P.)

6 O. Box 66927 Chicago, IL 6066E BCE EMERGIS P. O. Box Arlington, TX 760( BEECH STREET- WEYCO P. O. Box 30319 LANSING, MI 48~ Benefit Administrative 17475 Jovanna Homewood, IL 60,BENEFIT PLANNERS Box SAN ANTONIO, 1 Benefit Services 3636 Akron, OH 44321 BENEFITSYSTEM 760 Pasquinelli Drive, Suite 320 WESTMONT, IL F BENESIGHT P.)

7 O. Box 395 PUEBLO, CO 81C Benesight P. O. Box 375 PUEBLO, CO 81C BENESIGHT P O Box 350 PUEBLO, CO 81C BLUE ADVANTAGE PPO PO BOX 1364 CHICAGO, IL 60E Blue Cross 300 E Chicago, IL 60601 BLUE CROSS NJ (HORIZON) PO BOX 247 NEWARK, NJ 07' BLUE CROSS OF IOWA 636 GRAND .. DES MOINE, IA 5 BLUE CROSS PPO PO BOX 1364 CHICAGO, IL 60E BLUE CROSS PPO PO BOX 1220 CHICAGO, IL 60E BLUE PLUS P O BOX ST PAUL, MN 55 BLUECHOICE PO BOX 1364 CHICAGO, IL 60E Cambridge Integrated Service 34820 Mt Clemens, MI 4 CAP BOX 3357 FORT WORTH, 1 CAREMARK PO BOX 29005 PHOENIS, AZ 851 CBCA ADMINISTRATORS PO BOX2522 FORT WORTH, 1 CBSA BOX MINNEAPOLIS, h CCMSI PO BOX 1430 DENVILLE, IL 61f CCN PO BOX 5096 PORTLAND, OR CCN P O Box3000 Scottsdale, AZ 85 CCN P O BOX 5319 TAMPA.

8 FL 3367E CELTIC INDIVIDUAL HEALTH P O BOX 06.. CHICAGO, IL 60E Celtic Insurance company P O Box 33839 Indianapolis, IN 4( CHAMPVA P O BOX DENVER, CO 80: Chesterfield Resources Inc Po Box 1884 Akron, OH 44309 Chicago Graphic Arts Health And WelfareP O BOX CHICAGO, IL 60E Eye Physicians & Surgeons of Chicago Insurance Companies Contracted Updated October 2006 2 CHICAGO NORTH SIDE ROOFING & CONST CO 3915 W ARMI. Chicago, IL 6064i Chicago Police, IOD Unite 3510 S Michigan Chicago. IL 6065: Chicago Teachers Union 222 Merchandise Mart Suite400 Chicago, IL 6065z CHICKERING CLAIMS P O BOX BOSTON, MA 02: Chickering Claims Adm.)

9 Inc P O Box 410- Cambridge, MA 0: Christian Brothers Employee 1205 Romeoville, IL 60,Cigna Po Box 5200 Scranton, PA 185 Cigna P .O. Box 5200 Scranton, PA 185 CIGNA PO BOX 2100 BOURBONNAIS, CIGNA PO BOX 3025 BOURBONNAIS, city Of Chicago 121 N LaSalle RCHICAGO, IL 60E Claims Administration P O Box 8200 Danville PA 1782 CNA PO BOX 23759 COLUMBIA. SC Cnic Health Solutions P O Box 3559 Englewood, CO 8 Cole Vision 1925 Tweinsburg OH 4 Colonial Penn 399 Market St Philadelphia, PA ' Combined Insurance company Of AiP O Box 638 Bellinsham, WA 9 Concert Health Plan 2605 W 22nd.

10 SOak Brook, IL 60: CONSECO PO BOX 66904 Chicago, IL 6066E Consociate Dansig 151 E Decatur, IL 62525 CONSTITUTION P O BOX 130 Pensacola, FL 32 CONTINENTAL LIFE INS PO BOX 1188 BRENTWOOD, T CoreSource 7830 East Tucson, AZ 8571( CORESOURCE P O BOX 1195 MINNEAPOLIS. h Coresource Box 83301 Lancaster, PA 17E CORESOURCE 146 Industrial .. Jackson, MN 561. Country Life Insurance Box 2000 Bloomington, IL 6 Crown Cork & Seal One Crown .. Philadelphia, PA ' Dakotacare Administrative Services 1323 S Sioux Falls, MD 5 DEFINITY HEALTH CLAIMS PO BOX9525 AMHERST, IL 14: DELAMLIFE P O BOX 2226 WILMINGTON, D Destiny Health Box 9219 Oak Brook, IL 60F Destiny Health Plan P O Box 4628 OAK BROOK, IL E DGA Producer Health Plan P O Box 48127 Los Angeles, CA!)