This document is a report listing insurance carriers in Arkansas. It contains over 100 entries with the insurance carrier name, addresses, city, state and zip code. The report is dated September 23, 2017 and provides carrier information in a table format ordered by non-Medicaid carriers.
This document is a report listing insurance carriers in Arkansas. It contains over 100 entries with the insurance carrier name, addresses, city, state and zip code. The report is dated September 23, 2017 and provides carrier information in a table format ordered by non-Medicaid carriers.
This document is a report listing insurance carriers in Arkansas. It contains over 100 entries with the insurance carrier name, addresses, city, state and zip code. The report is dated September 23, 2017 and provides carrier information in a table format ordered by non-Medicaid carriers.
This document is a report listing insurance carriers in Arkansas. It contains over 100 entries with the insurance carrier name, addresses, city, state and zip code. The report is dated September 23, 2017 and provides carrier information in a table format ordered by non-Medicaid carriers.
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REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 1
DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM
TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- S56 A AND H ADMINISTRATORS INC P O BOX 10223 MILWAUKEE WI 53223 Q19 A E STALEY MFG CO P O BOX 151 DECATUR IL 62525 RZ* A H AND L PO BOX 88260 ATLANTA GA 30356 UB* A H AND L P O BOX 11111 FORT SCOTT KS 66701 E85 A I G LIFE INSURANCE ACCIDENT AND HEALTH CLAIM PO BOX 15701 WILMINGTON DE 19850-5701 S82 A R G I S P O BOX 802516 DALLAS TX 75380 BJ7 AAA COOPER TRANSPORT P. O. BOX 6827 DOTHAN AL 36302 C8* AAA GROUP HOSPITAL INDEMNI AAA NEW MEXICO DIVISION 2201A SAN PEDRO BLVD NE ALBUQUERQUE NM 87110 U40 AAA OF WASHINGTON GROUP INSURANCE CO 222 NO MISSION WENATCHIE WA 98801 X95 AAC INC 16010 BARKERS PT LN 265 HOUSTON TX 77079 FI* AARP HEALTHCARE OPTIONS UNITED HEALTHCARE CLAIMS P O BOX 740819 ATLANTA GA 30374-0819 CG8 ABAS AMER BENEFIT ADMIN SER 1733 PARK ST STE 300 NAPERVILLE IL 60564 J47 ABC ADVANTAGE PLAN P O BOX 2546 SHERMAN TX 75090 F99 ABC BENEFITS OF ARK 1500 RIVERFRONT DR P O BOX 3198 LITTLE ROCK AR 72203 S26 ABC INSURANCE P O BOX 3148 BALLWIN MO 63022 Q93 ABC INSURANCE TRUST 729 15TH ST. NW WASHINGTON DC 20005 BX7 ABC INSURANCE TRUST FUND KAM TECH INC 1300 N 17TH ST 8TH FLOOR ROSSLYN VA 22209 V94 ABI ADMINISTRATIVE SERVICES INC 14482 MCCORMICK DR TAMPA FL 33626 K97 ABI ADMINISTRATIVE SERVICE CORP 10159 WAYZAT BOULEVARD MINNETONKA MN 55343 FV5 ABP ADMINISTRATION PO BOX 82060 ROCHESTER MI 48308 RL* ACADEMY INSURANCE GROUP P O BOX 3074 SOUTHEASTERN PA 19398 HF7 ACCESS ADMINISTRTORS 7430 REMCON CIRCLE BLDG C EL PASO TX 79912 BE5 ACCORDIA PO BOX 11111 FORT SCOTT KS 66701-7111 B88 ACCORDIA BENEFIT OF TX P O BOX 130217 TYLER TX 75713 AM9 ACCORDIA BUSINESS BENEFITS P.O. BOX 419 EVANSVILLE IN 47703 FU3 ACCORDIA NATIONAL P O BOX 2621 CHARLESTON WV 25329 P20 ACCORDIA OF LEXINGTON EAGLES ADMINISTRATORS P O BOX 13307 LEXINGTON KY 40583 CI3 ACCOUNTABLE HEALTH PLAN 600 SIX FLAGS DR SUITE200 ARLINGTON TX 76011 AR8 ACORDIA BUSINESS BENEFITS P.O. BOX 957 EVANSVILLE IN 47706 DN4 ACORDIA OF CENTRAL INDIANA P O BOX 567 GREENWOOD IN 46142 EZ2 ACORDIA OF LEXINGTON P O BOX 14061 LEXINGTON KY 40512-4061 RK* ACORDIA SENIOR OF THE SW P O BOX 37710 LOUISVILLE KY 40233-7710 GV3 ACS BENEFIT SERVICES PO BOX 2000 WINSTON SALEM NC 27102-2000 BV6 ACTION LANE P O BOX A PONTOTOC MS 38863 EH8 ADAMS LAND COMPANY HEALTH FUND P O BOX 49 LEACHVILLE AR 72438 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 2 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- V95 ADJUSTCO INC P O BOX 945005 MAITLAND FL 32794 BK* ADMIN AND CONSULTANTS FOODCRAFT EQUIP CO P O BOX 4925 LANCASTER PA 17604 FK3 ADMIN ONE CORPORATION PO BOX 2619 ROGERS AR 72757 H7* ADMIN SERVICES OF INDIANA P O BOX 6245 SOUTH BEND IN 46660 BQ3 ADMINASTAR SOLUTIONS P O BOX 40509 INDIANAPOLIS IN 46240-0509 L87 ADMINICORP CO P O BOX 938 SAN JOSE CA 95108-0938 Z47 ADMINISTRATIVE BENEF SVCS 1255 LYNNFIELD RD SUITE 140 MEMPHIS TN 38119 H75 ADMINISTRATIVE BENEFITS CONSOLIDATED FREIGHTWAYS PO BOX 3988 PORTLAND OR 97208 DP2 ADMINISTRATIVE CONCEPTS P O BOX 1749 ROCKWALL TX 75087 IE7 ADMINISTRATIVE ENTERPRISES 5810 WEST BEVERLY LANE GLENDALE AZ 85306 W87 ADMINISTRATIVE ENTERPRISES 3404 WEST CHERYL DRIVE SUITE 281 PHOENIX AZ 85051 M66 ADMINISTRATIVE SERVICE 3301 E ROYALTON ROAD CLEVELAND OH 44147 P59 ADMINISTRATIVE SERVICES P O BOX 839000 MIAMI FL 33283-9000 AE9 ADMINISTRATIVE SERVICES P.O. BOX 219325 KANSAS CITY MO 64121-9325 Q26 ADMINISTRATIVE SYSTEMS 1310 MECER ST SUITE 200 SEATTLE WA 98109 EQ2 ADMINITRON INC P O BOX 5095 BRENTWOOD TN 37024-5095 HU5 ADMIRAL LIFE INSRUANCE COMPANY OF AMERICA PO BOX 10861 CLEARWATER FL 33757-8861 Z82 ADVANCE INSURANCE ADMIN 1525 MERRILL DRIVE SUITE 2000 LITTLE ROCK AR 72211 FY7 ADVANCE PCS INC 9501 EAST SHEA BOULEVARD SCOTTSDALE AZ 85260-6719 B59 ADVANCED INSURANCE SERVICE P O BOX 19 MEMPHIS TN 38101 AR3 ADVANCED PRESCRIPTION 909 E COLLINS BLVD P O BOX 853901 RICHARDSON TX 75085-3901 FU8 ADVANCEPCS PHARMACY CLAIM WALMART CLAIM ADMIN 922 W WALNUT STE A ROGERS AR 72756-3540 AF8 ADVANTAGE BENEFITS CO ADMAR CORP P.O. BOX 4067 SANTA ANA CA 92701 HN2 ADVANTAGE HEALTH SOLUTIONS PO BOX 502530 INDIANAPOLIS IN 46209 HN1 ADVANTRA PO BOX 7154 LONDON KY 40742-7154 DO1 ADVENTIST RISK MGE CHRISTIAN RECORD SERVICE P O BOX 8007 RIVERSIDE CA 92515 K37 AEROQUIP RR 2 BOX IDD MOUNTAIN HOME AR 72653 GY* AETNA P O BOX 5696 LONGVIEW TX 75604 IY* AETNA REVERE COPPER BRASS HWY 67 NORTH NEWPORT AR 72112 FO2 AETNA PO BOX 14089 LEXINGTON KY 40512-4089 FZ3 AETNA PO BOX 981109 EL PASO TX 79998-1109 FZ2 AETNA 4630 WOODLANDS CORPORATE TAMPA FL 33614-2415 FZ4 AETNA PO BOX 3935 ALLENTOWN PA 18106-0935 GM8 AETNA P O BOX 1837 MARYLAND HEIGHTS MO 63043 GK9 AETNA 4050 PIEDMONT PARKWAY HIGH POINT NC 27262 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 3 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- GG4 AETNA PO BOX 14094 LEXINGTON KY 40512-4094 ET1 AETNA P O BOX 795083 SAN ANTONIO TX 78279-5083 EQ5 AETNA P O BOX 209010 18004355597 AUSTIN TX 78720 E91 AETNA DALLAS MARKET CENTER 2100 STEMMONS FRWY 80 DALLAS TX 75207 EN2 AETNA P O BOX 14586 18003459908 LEXINGTON KY 40512-4586 S99 AETNA P O BOX 11000 ORANGE CA 92668-8100 SV* AETNA 151 NORTH MAIN ST WICHITA KS 67202 T31 AETNA C/O ACC 1300 W OAK ST INDEPENDENCE KS 67301 ZH* AETNA 1001 ESE LOOP 323 STE 300 P O BOX 2520 TYLER TX 75710 Z48 AETNA EMPLOYEE BENEFIT DIVISION P.O. BOX 129122 SAN DIEGO CA 92112-9122 XJ* AETNA P O BOX 120 GRAND RAPIDS MI 49501 AO7 AETNA PO BOX 85079 RICHMOND VA 23285-5079 DE9 AETNA PO BOX 3907 ALLENTOWN PA 18106 DT7 AETNA P O BOX 23285 RICHMOND VA 23285 DZ1 AETNA PO BOX 6259 PEORIA IL 61601-6259 CC8 AETNA P O BOX 1211 TEWKSBURY MA 01876 B21 AETNA PO BOX 1058 MACON GA 31298 BP4 AETNA HEALTH PLAN 8023 E 63RD PLACE STE 310 TULSA OK 74133 EA2 AETNA HEALTH PLAN P O BOX 5367 ROCKFORD IL 61125 FB9 AETNA HEALTH PLAN 10459 MOUNTAIN VIEW AVE LOMA LINDA CA 92354 EW8 AETNA HEALTH PLAN P O BOX 7064 DOVER DE 19903-1512 FB3 AETNA HEALTH PLANS LOOP STATION P O BOX 2949 MINNEAPOLIS MN 55402-0949 D59 AETNA HEALTH PLANS 3541 WINCHESTER RD UNIT 73 ALLENTOWN PA 18195-0519 ED8 AETNA HEALTH PLANS P O BOX 12122 OKLAHOMA CITY OK 73157-2122 EI6 AETNA HEALTH PLANS P O BOX 3903 ALLENTOWN PA 18106-0903 EI1 AETNA HEALTH PLANS DELTA BEVERAGE CLAIMS P O BOX 26125 GREENSBORO NC 27402 BG7 AETNA HEALTH PLANS P O BOX 35890 LOUISVILLE KY 40232-5890 CE4 AETNA HEALTH PLANS P O BOX 21645 SEATTLE WA 98111 CI2 AETNA HEALTH PLANS P O BOX 91411 ARLINGTON TX 76015 AC7 AETNA HEALTH PLANS CLAIMS OFFICE P.O. BOX 91533 ARLINGTON TX 76015 X57 AETNA HEALTH PLANS P O BOX 1630 COLUMBUS OH 43216 Z27 AETNA HEALTH PLANS P.O. BOX 26190 GREENSBORO NC 27402-6190 X96 AETNA HEALTH PLANS UPS UNIT 52F PO BOX 26053 GREENSBORO NC 27420 Q65 AETNA HEALTH PLANS PO BOX 7012 DOVER DE 19903 V66 AETNA HEALTH PLANS OF TENN INC P O BOX 141176 IRVING TX 75014-1176 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 4 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- CA3 AETNA HEALTH PLANS OF CA P.O. BOX 50035 SAN BERNARDINO CA 92412 X97 AETNA HEALTH SERVICE 400 E SPRING STR BLUFTON TN 46714 FC8 AETNA HEALTHCARE P O BOX 1816 MACON GA 31202 K24 AETNA HEALTHCARE P O BOX 150417 HARTFORD CT 06115-0417 H98 AETNA INSURANCE CO P O BOX 26107 GREENSBORO NC 27402-6107 V41 AETNA INSURANCE CO P O BOX 709 WINDSOR CT 06095-0709 BD4 AETNA INSURANCE CO C/O BOB EVANS 3776 S. HIGH ST COLUMBUS OH 43207 MV* AETNA LIFE AND CAASUALTY GROUP CLAIMS P O BOX 12340 FRESNO CA 93765 KX* AETNA LIFE AND CASUALTY GLEN HILL N BLDG 8 800 ROOSEVELT RD GLEN ELLYN IL 60137 JW* AETNA LIFE AND CASUALTY P O BOX 2117 FALL RIVER MA 02722 G77 AETNA LIFE AND CASUALTY 435 CAPTAIN THOMAS BLVD WEST HAVEN CT 06516 D62 AETNA LIFE AND CASUALTY P O BOX 6519 JACKSONVILLE FL 32236 VS* AETNA LIFE AND CASUALTY P O BOX 26200 NEW ORLEANS LA 70186 R42 AETNA LIFE AND CASUALTY 150 4TH AVE N NASHVILLE AR 37219 QI* AETNA LIFE AND CASUALTY CIVIL SERVICE RETIREMENT WASHINGTON DC 20415 WQ* AETNA LIFE AND CASUALTY GULF MEDICAL PYMNT UNIT 900 CHATHAM CNTR OFC BLDG PITTSBURGH PA 15259 AL5 AETNA LIFE AND CASUALTY P.O. BOX 795982 SAN ANTONIO TX 78279-5082 V52 AETNA LIFE AND CAUSALTY 301 INDUSTRIAL PARK MARKED TREE AR 72365 F56 AETNA LIFE INS POBOX DRAWER 11000 RUSTON LA 71270 F81 AETNA LIFE INS CO PO BOX 795080 SAN ANTONIO TX 78279-5080 H58 AETNA LIFE INS CO P.O. BOX 31450 TAMPA FL 33631-3450 EF6 AETNA LIFE INS CO P O BOX 578800 OKLAHOMA CITY OK 73157-8800 ED4 AETNA LIFE INS CO COCA COLA CLAIMS 166 16TH ST N W ATLANTA GA 30318 A64 AETNA LIFE INS CO LOOP STATION P O BOX 2907 MINNEAPOLIS MN 55402 CT4 AETNA LIFE INS CO P O BOX 91511 ARLINGTON TX 76015 AT* AETNA LIFE INS CO CLM DEPT EMPLOYEE BENEFITS DIV P O BOX 5060 ARLINGTON TX 76011 DE2 AETNA LIFE INSURANCE P O BOX 2523 FORT WAYNE IN 46801-0871 C28 AETNA LIFE INSURANCE P O BOX 59180 BIRMINGHAM AL 35259 DR6 AETNA LIFE INSURANCE P O BOX 26117 GREENSBORO NC 27402 DR5 AETNA LIFE INSURANCE P O BOX 28902 SAN ANTONIO TX 78228 DR4 AETNA LIFE INSURANCE P O BOX 3000 GRAND RAPIDS MI 49501 DK8 AETNA LIFE INSURANCE P O BOX 3901 ALLENTOWN PA 18106-0901 DF5 AETNA LIFE INSURANCE 2677 NORTH MAIN ST SUITE 600 SANTA ANA CA 92701 DG1 AETNA LIFE INSURANCE 2365 NORTHSIDE DRIVE SAN DIEGO CA 97207 DF9 AETNA LIFE INSURANCE P O BOX 16516 COLUMBUS OH 43216 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 5 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- DG2 AETNA LIFE INSURANCE P O BOX 871 FORT WAYNE IN 46801 D82 AETNA LIFE INSURANCE P O BOX 26279 MILWAUKEE WI 53226 E90 AETNA LIFE INSURANCE P O BOX 300 PORTLAND OR 97207 E65 AETNA LIFE INSURANCE LOOP STATION P O BOX 2947 MINNEAPOLIS MN 55402 DI6 AETNA LIFE INSURANCE CO P O BOX 91522 ARLINGTON TX 76015-0022 DI2 AETNA LIFE INSURANCE CO P O BOX 7027 ROCKFORD IL 61126-7027 DV2 AETNA LIFE INSURANCE CO P O BOX 50065 SAN BERNARDINO CA 92412 BW5 AETNA LIFE INSURANCE CO P O BOX 9070 TYLER TX 75711 WX* AETNA LIFE INSURANCE CO P O BOX 2539 HOUSTON TX 77001 X56 AETNA LIFE INSURANCE CO 350 SRPINGSIDE DRIVE P O BOX 5569 AKRON OH 44340-5690 X98 AETNA LIFE INSURANCE CO PO BOX 5048 ROCKFORD IL 61125 X58 AETNA LIFE INSURANCE CO P O BOX 18040 COLUMBUS OH 43218 OF* AETNA LIFE INSURANCE CO P O BOX 2369 FORT WORTH TX 76113 N5* AETNA LIFE INSURANCE CO PO BOX 129107 SAN DIEGO CA 92112-9107 FY4 AETNA PHARMACY MANAGEMENT AETRX SUITE 400 11100 WAYZATA BLVD MINNETONKA MN 55305 FJ7 AETNA PPO PO BOX 44128 JACKSONVILLE FL 32231 AP3 AETNA PPO P O BOX 981107 EL PASO TX 79988-1107 HT1 AETNA RX MANAGEMENT PO BOX 14024 LEXINGTON KY 40512 HE9 AETNA U S HEALTHCARE P O BOX 12626 FRESNO CA 93778 FD8 AETNA U S HEALTHCARE PEPSICO CLAIMS P O BOX 52117 MINNEAPOLIS MN 55402-5117 CW8 AETNA U S HEALTHCARE P O BOX 14079 LEXINGTON KY 40512-4079 DC7 AETNA U S HEALTHCARE P O BOX 981107 18004482180 EL PASO TX 79998 AH8 AETNA US HEALTHCARE PO BOX 91533 ARLINGTON TX 76015-0033 A59 AETNA US HEALTHCARE P O BOX 182082 COLUMBUS OH 43218-2082 AX8 AETNA US HEALTHCARE PO BOX 578802 OKLAHOMA CITY OK 73157-8802 NO* AETNA US HEALTHCARE HOME DEPOT P O BOX 26106 GREENSBORO NC 27402-6106 OE* AETNA US HEALTHCARE P O BOX 52120 MINNEAPOLIS MN 55402-5120 N55 AETNA US HEALTHCARE P O BOX 91544 ARLINGTON TX 76015-0044 QJ* AETNA US HEALTHCARE GROUP CLAIMS P O BOX 26102 GREENSBORO NC 27402-6102 PI* AETNA US HEALTHCARE P O BOX 150409 HARTFORD CT 06115-0409 UP* AETNA US HEALTHCARE 4151 EXECUTIVE PKWY SUITE 105 WESTERVILLE OH 43081 ZN* AETNA US HEALTHCARE PO BOX 44128 JACKSONVILLE AR 32231-4128 XX* AETNA US HEALTHCARE EMPLOYEE BENEFIT DIV PO BOX 2295 FORT WAYNE IN 46801 CA4 AETNA US HEALTHCARE PO BOX 14110 LEXINGTON KY 40512 BM* AETNA US HEALTHCARE P O BOX 24024 FRESNO CA 93765 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 6 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- DW8 AETNA US HEALTHCARE PO BOX 353 GRAND RAPIDS MI 49501 DK* AETNA US HEALTHCARE P O BOX 2265 BLUE BELL PA 19422 DH9 AETNA US HEALTHCARE PO BOX 129219 SAN DIEGO CA 92112-9219 FE1 AETNA US HEALTHCARE P O BOX 182756 COLUMBUS OH 43218-2756 FF4 AETNA US HEALTHCARE PO BOX 981106 EL PASO TX 79998-1106 FF3 AETNA US HEALTHCARE PO BOX 3924 ALLENTOWN PA 18106-3924 E26 AETNA US HEALTHCARE LOOP STATION P O BOX 2909 MINNEAPOLIS MN 55402 EZ8 AETNA US HEALTHCARE P O BOX 30555 SALT LAKE CITY UT 84130-0555 EU* AETNA US HEALTHCARE P O BOX 2301 BLUE BELL PA 19422-2301 EC1 AETNA US HEALTHCARE 7400 W CAMPUS ROAD NEW ALBANY OH 43054 EM9 AETNA US HEALTHCARE PO BO X52119 MINNEAPOLIS MN 55402 EK8 AETNA US HEALTHCARE P O BOX 2954 HARTFORD CT 06143-2954 EO5 AETNA US HEALTHCARE P O BOX 2170 COLUMBUS OH 43216-2170 EQ* AETNA US HEALTHCARE P O BOX 2250 BLUE BELL PA 19422-8250 EP7 AETNA US HEALTHCARE LOCKHEED MARTIN BENEFITS P O BOX 12495 OKLAHOMA CITY OK 73157 IV* AETNA US HEALTHCARE P O BOX 2095 BISMARCK ND 58504 KE* AETNA US HEALTHCARE CENTIMARK CLAIMS P O BOX 16423 PITTSBURG PA 15242-0423 MQ* AETNA US HEALTHCARE P O BOX 660239 DALLAS TX 75266 LA* AETNA US HEALTHCARE P O BOX 916 BISMARCK ND 58502-0916 FJ1 AETNA US HEALTHCARE PO BOX 14100 LEXINGTON KY 40512-4100 FN7 AETNA US HEALTHCARE PO BOX 54159 LOS ANGELES CA 90054 FY* AETNA US HEALTHCARE P O BOX 3909 ALLENTOWN PA 18106-0909 FV2 AETNA US HEALTHCARE PO BOX 14066 LEXINGTON KY 40512 FS3 AETNA US HEALTHCARE PO BOX 981204 EL PASO TX 79998 FP9 AETNA US HEALTHCARE PO BOX 9160 VANNUYS CA 91410-0160 FO7 AETNA US HEALTHCARE PO BOX 4266 BISMARCK ND 93765 F43 AETNA US HEALTHCARE PO BOX 91555 ARLINGTON TX 76015-0033 GD4 AETNA US HEALTHCARE 4400 NW LOOP 410 SAN ANTONIO TX 78229 GD3 AETNA US HEALTHCARE PO BOX 1125 BLUE BELL PA 19422 GC2 AETNA US HEALTHCARE PO BOX 14091 LEXINGTON KY 40512-4091 AO8 AFCO METALS HEALTH CARE P.O. BOX 6026 FT SMITH AR 72906 T48 AFCO METALS P O BOX 95010 LITTLE ROCK AR 72209 V14 AFCO STEEL HEALTH CARE P O BOX 231 LITTLE ROCK AR 72203 K23 AFFILATED FOOD STORES P O BOX 802516 DALLAS TX 75380 Y52 AFFILIATED FOOD STORE EMPLOYEES INS PLAN P.O. BOX 3627 LITTLE ROCK AR 72203 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 7 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- RU* AFG INDUSTRIES INC P O BOX 929 KINGSPORT TN 37662 ZB* AFGE INSURANCE DEPT 1325 MASSACHUSETTS AVE NW WASHINGTON DC 20005 R36 AFLAC AMERICAN FAMILY LIFE 1932 WEYNNTON RD COLUMBUS GA 31999 EX4 AFLAC P O BOX 715 TEXARKANA TX 75503 V31 AG PROCESSING INC P O BOX 9120 DES MOINE IA 50306 BS1 AGA AUTOMATED GROUP ADMIN PO BOX 15568 FORT WAYNE IN 46885-5568 P89 AGENCY RENT A CAR 30000 AURORA RD SOLON OH 44139 K52 AGENCY SERVICE INC P.O. BOX 17237 MEMPHIS TN 38187-0237 T98 AHA CARE P O BOX 809 RIDGELAND MS 39158-0809 EE3 AIA INSURANCE P O BOX 2198 SHAWNEE MISSION KS 66201 AR1 AIA UNIVERSE P.O. BOX 538 LEWISTON ID 83501 KF* AID ASSOCIATION FOR LUTHERANS 4321 N BALLARD ROAD APPLETON WI 54919 HK6 AIG CLAIMS SERVICE P O BOX 44139 LAS VEGAS NV 89116 JO1 AIG DOMESTIC CLAIMS A AND H CLAIMS DEPARTMENT PO BOX 25987 SHAWNEE MISSION KS 66225 F60 AIR LOGISTICS POBOX 53178 LAFAYETTE LA 70505 X25 AIR PRODUCTS AND CHEMICALS P O BOX 252 FT SMITH AR 72902 AD* AIRTHERM PRODUCTS INSURANCE DEPT P O BOX 1895 FORREST CITY AR 72335 CE6 ALADDIN INDUSTRIES INC 703 MURFREESBORO RD NASHVILLE TN 37210 E73 ALAN WHITE CO P O BOX 249 STAMPS AR 71860 IK9 ALASKA LABORERS H S FUND P O BOX 34567 SEATTLE WA 98124-1567 HV7 ALCOHOL DRUG ABUSE PREVENT 305 SOUTH PALM STREET LITTLE ROCK AR 72205 A10 ALL AMERICAN LIFE INSUR CO 8501 WEST HIGGINS ROAD CHICAGO IL 60631 HN3 ALLEGIANCE BENEFIT PLAN MA PO BOX 3018 MISSOULA MT 59806 CI9 ALLIANCE BLUE CROSS BLUE S P O BOX 14882 ST LOUIS MO 63178-4882 CB7 ALLIANZE LIFE INS CO CITICORP INS P O BOX 7055 DOVER DE 19903-7055 V98 ALLIED ADMINISTRATORS P O BOX 419257 KANSAS CITY MO 64141 M89 ALLIED BENEFIT SYSTEMS P O BOX 909786 CHICAGO IL 60690 J07 ALLIED NATIONAL P O BOX 247 ALPHARETA GA 30009-0247 BS6 ALLMERICA FINANCE P O BOX 79059 HOUSTON TX 77279-9059 BV1 ALLMERICA FINANCIAL 440 LINCOLN STREET BOX 1014 WORCESTER MA 01653-1014 DX5 ALLMERICA FINANCIAL 333 PIERCE RD SUITE 310 ITASCA IL 60143-3116 CD5 ALLMERICA FINANCIAL EMPLOYEE BENEFIT CLAIMS 440 LINCOLN ST BOX 1018 WORCESTER MA 01605-1959 ER6 ALLMERICA FINANCIAL 440 LINCOLN ST BOX 3844 WORCESTER MA 01653-3844 EJ8 ALLMERICA FINANCIAL P O BOX 105893 ATLANTA GA 30348-5893 E13 ALLSTATE 3090 W MARKER ST FAIRLAWN OH 44313 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 8 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- J95 ALLSTATE 1510 A AIRPORT ROAD HOT SPRINGS AR 71913 UW* ALLSTATE 5500 INTERSTATE N PARKWAY ATLANTA GA 30328 SO* ALLSTATE 1230 RAYMOND RD P O BOX 2031 JACKSON MS 39205 A65 ALLSTATE PO BOX 26743 AUSTIN TX 78731 I32 ALLSTATE INS CO 2330 GRAVEL ROAD FORTH WORTH TX 76118 V45 ALLSTATE INSURANCE 3996 FRONTAGE RD FAYETTEVILLE AR 72703 Q77 ALLSTATE INSURANCE 201 EXECUTIVE COURT LITTLE ROCK AR 72205 AR2 ALLSTATE INSURANCE CO P.O. 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BOX 2806 CLINTON IA 52733-2806 FH2 ASSURE CARE OF ILLINOIS 340 QUADRANGEL DRIVE BOLINGBURG IL 60440 J41 ASSURED BENEFITS ADMINISTRATORS 4100 RIO BRAVO SUITE 211 EL PASO TX 79902 L84 ATCO RUBBER PRODUCTS GROUP BENEFIT PLAN 3007 CENTRAL DRIVE PLANT CITY FL 33567 FK9 ATENA US HEALTHCARE P O BOX 1858 BISMARCK ND 58502-1858 ZT* ATKINS INSURANCE COMPANY 5TH AND LOUISIANA LITTLE ROCK AR 72203 L12 ATKINS PICKLE CO 602 SE FIRST STREET P O BOX 158 ATKINS AR 72823 AO* ATLANTA LIFE INS CO 148 AUBURN AVENUE NE ATLANTA GA 30308 F9* ATLANTA LIFE INSURANCE P O BOX 289 MARSHALL TX 75679 P4* ATLANTIC AMERICAN LIFE P O BOX 190750 4370 PEACHTREE RD NE ATLANTA GA 31119 U33 ATLANTIC HOME TRUST P O BOX 1362 PISCATAWAY NJ 08855 S30 ATLANTIC RESEARCH CORP 5390 CHEROKEE AVE ALEXANDRIA VA 22312 GK2 ATLAS ADMINISTRATORS PO BOX 801234 DALLAS TX 75038 HL* ATLAS LIFE INSURANCE BOX 1919 TULSA OK 74102 AP1 ATS INC P.O. BOX 36 9503 LAMAR OLIVE BRANCH MS 38654 Z86 AUDIO TECHNIA C/O WOODMAN ACCIDENT LIFE 1221 COMMERCE DR STOW OH 44224 HS3 AULTCARE PO BOX 6910 CANTON OH 44706-0910 IB8 AUTOMATED BENEFIT SERVICES 8220 IRVING ROAD STERLING HEIGHTS MI 48312 BU1 AUTOMOTIVE PETROLEUM ALLIE EMPLOYEE WELFARE FUND 300 S. GRAND STE 232 ST LOUIS MO 63103 D38 AUTOMOTIVE WHOLESALERS OF P O BOX 788 DALLAS TX 78767 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 16 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- T89 AUTOZONE BENEFITS DEPT 3030 POPLAR AVE MEMPHIS TN 38111 HO9 AUXIANT PO BOX 75008 CEDAR RAPIDS IA 52407-5008 GE4 AV MED 9400 SOUTH DADELAND BLVD MIAMI FL 33156 HL2 AVERA HEALTH PLAN P.O. 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BOX 5989 628 BROADWAY NORTH LITTLE ROCK AR 72119 HR8 BENESCRIPT SERVICES PO BOX 921229 NORCROSS GA 30010 GU6 BENESIGHT PO BOX 360 PUEBLO CO 81002 FH4 BENESIGHT PO BOX 385 PUEBLO CO 81002 GD7 BENESIGHT 317 NORTH MAIN STREET PO BOX 320 PUEBLO CO 81002 BK2 BENESIGHT PO BOX 300 PUEBLO CO 81002 CH4 BENESIGHT PO BOX 340 PUEBLO CO 81002 GR6 BENESYS INC PO BOX 81189 LAFAYETTE LA 70598-1189 H65 BENICOMP INC 8210 CLINTON PARK DR FORT WAYNE IN 46825 CJ3 BENICORP INSURANCE COMPANY PO BOX 58917 INDIANAPOLIS IN 46268 H37 BENMARK INCORPORATED P O BOX 16767 JACKSON MS 39236-0767 N75 BENTONVILLE CASTING CO EMPLOYEE HEALTH BENEFITS P.O. 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BOX 98018 BATON ROUE LA 70898-8018 ET7 BLUE CARE NETWORK OF SOUTHEAST MI P O BOX 5043 SOUTHFIELD MI 48086-5043 R61 BLUE CARE NETWORK 3624 SO WESTRIDGE KALAMAZOO MI 49008 GH4 BLUE CHOICE 165 COURT STREET ROCHESTER NY 14647 T19 BLUE CHOICE CLAIMS P O BOX 66834 ST LOUIS MO 63166-6834 HY* BLUE CROSS 1950 FRANKLIN STREET OAKLAND CA 94659 DN6 BLUE CROSS WASTE MGMT TECH P O BOX 4204 WOODLAND HILLS CA 91365 CD3 BLUE CROSS BLUE SHEILD OF UNITED WISCONSIN P O BOX 2025 MILWAUKEE WI 53201-2025 GM6 BLUE CROSS BLUE SHEILD OF MINNESOTA PO BOX 64653 ST PAUL MN 55164-0653 GW5 BLUE CROSS BLUE SHIELD DENTAL P O BOX 9201 OXNARD CA 93031-9201 GD* BLUE CROSS BLUE SHIELD NATIONAL ACCOUNT SERV CTR P O BOX 1870 INDIANAPOLIS IN 46206-1870 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 20 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- GA2 BLUE CROSS BLUE SHIELD OF OHIO 13550 TRITON PARK BLVD LOUISVILLE KY 40223 F96 BLUE CROSS BLUE SHIELD P O BOX 210 MONTICELLO AR 71655 F37 BLUE CROSS BLUE SHIELD 10455 RUN MILL CIRCLE OWINGS MILLS MD 21117 FZ9 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 100 HANCOCK STREET NORTH QUINCY MA 02171 FZ8 BLUE CROSS BLUE SHIELD OF KENTUCKY PO BOX 37690 LOUISVILLE KY 40233-7690 FZ7 BLUE CROSS BLUE SHIELD OF INDIANA PO BOX 37010 LOUISVILLE KY 40233 HQ5 BLUE CROSS BLUE SHIELD OF OKLAHOMA DENTAL CLAIMS PO BOX 23100 BELLEVILLE IL 62223 H12 BLUE CROSS BLUE SHIELD P O BOX 2709 2400 MARKET SQUARE YOUNGSTOWN OH 44507 HK* BLUE CROSS BLUE SHIELD OF OKLAHOMA P O BOX 3283 TULSA OK 74102-3283 HH* BLUE CROSS BLUE SHIELD BELLSOUTH DEDICATED SERV P O BOX 830279 BIRMINGHAM AL 35283-0279 EW* BLUE CROSS BLUE SHIELD OF TEXAS P O BOX 833888 RICHARDSON TX 75083-3888 EQ9 BLUE CROSS BLUE SHIELD 818 KEEAUMOKO ST PO BOX 860 HONOLULU HI 96814-2365 EP2 BLUE CROSS BLUE SHIELD OF TEXAS P O BOX 655488 DALLAS TX 75265 FE2 BLUE CROSS BLUE SHIELD OF WESTERN PA P O BOX 176 PITTSBURG PA 15230 FB* BLUE CROSS BLUE SHIELD 233 NORTH MICHIGAN AV PO BOX 1220 CHICAGO IL 60690-1220 E15 BLUE CROSS BLUE SHIELD OF NEW JERSEY THREE PENN PLAZA E NEWARK NJ 07105-2247 FM7 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 2089 DETROIT MI 48231 FL* BLUE CROSS BLUE SHIELD P O BOX 2141 MILWAUKEE WI 53201 FT7 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 1528 DETROIT MI 48231 FT6 BLUE CROSS BLUE SHIELD OF TENNESSEE PO BOX 182277 CHATTANOOGA TN 37422-7277 FQ8 BLUE CROSS BLUE SHIELD PO BOX 3001 LANCASTER PA 17604-3001 B82 BLUE CROSS BLUE SHIELD OF MAINE TWO GANNETT DR PORTLAND ME 04106-6911 B80 BLUE CROSS BLUE SHIELD P O BOX 64560 ST PAUL MN 55164 BY9 BLUE CROSS BLUE SHIELD OF CALIFORNIA P O BOX 272540 CHICO CA 95927-2540 BY4 BLUE CROSS BLUE SHIELD OF UTAH P O BOX 30270 SALT LAKE CITY UT 84130-0270 BL6 BLUE CROSS BLUE SHIELD OF CENTRAL NEW YORK P O BOX 4809 SYRACUSE NY 13221-4809 CT* BLUE CROSS BLUE SHIELD INDEPENDENCE BLUE CROSS P O BOX 13400 PHILADELPHA PA 19107 CI5 BLUE CROSS BLUE SHIELD OF NORTHEASTERN PA 70 N MAIN ST WILKES BARRE PA 18703-0029 CF5 BLUE CROSS BLUE SHIELD ATTN NASCO PROCESSING P O BOX 13427 BIRMINGHAM AL 35202-3427 BL* BLUE CROSS BLUE SHIELD 801 PINE STREET P O BOX 180150 CHATTANOOGA TN 37401-7150 BJ3 BLUE CROSS BLUE SHIELD 700 BROADWAY P O BOX 173660 DENVER CO 80273-0001 BF7 BLUE CROSS BLUE SHIELD OF TEXAS CLAIMS DEPT P O BOX 660044 DALLAS TX 75266-0044 BD8 BLUE CROSS BLUE SHIELD 1901 MAIN ST P. 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BOX 4055 ATLANTA GA 30302 AV9 BLUE CROSS BLUE SHIELD 8515 PHOENIX DR MANASSAS VA 22110 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 21 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- AV4 BLUE CROSS BLUE SHIELD 1901 MARKET STREET P O BOX 13400 PHILADELPHIA PA 19107 DH1 BLUE CROSS BLUE SHIELD OF ILLINOIS P O BOX 1220 CHICAGO IL 60690 C51 BLUE CROSS BLUE SHIELD 150 E MAIN ROCHESTER NY 14647 EB7 BLUE CROSS BLUE SHIELD PREFERRED CARE 450 RIVERCHASE PKWY EAST BIRMINGHAM AL 35205 EA9 BLUE CROSS BLUE SHIELD NASCO SERVICE UNIT P O BOX 2988 JACKSONVILLE FL 32232-9925 EA8 BLUE CROSS BLUE SHIELD OF TEXAS P O BOX 660152 DALLAS TX 75266-2227 D30 BLUE CROSS BLUE SHIELD NEW HAMPSHIRE AND VERMONT 2 PILLSBURY STRET CONCORD NH 03306 D19 BLUE CROSS BLUE SHIELD 3405 LIBERTY DRIVE SPRINGFIELD IL 62704 EP* BLUE CROSS BLUE SHIELD EMPLOYEE RETIREMENT SYSTE P O BOX 13207 AUSTIN TX 78711-3207 EO8 BLUE CROSS BLUE SHIELD KMART CLAIMS P O BOX 33249 DETROIT MI 48232 EO* BLUE CROSS BLUE SHIELD OF ALABAMA P O BOX 995 BIRMINGHAM AL 35298 EN1 BLUE CROSS BLUE SHIELD OF KENTUCKY P O BOX 23300 LEXINGTON KY 40223 EF9 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 2500 DETROIT MI 48231 TU* BLUE CROSS BLUE SHIELD OF FLORIDA P O BOX 1798 JACKSONVILLE FL 32231-0014 S62 BLUE CROSS BLUE SHIELD OF TEXAS INC P O BOX 655730 DALLAS TX 75265-5730 S35 BLUE CROSS BLUE SHIELD OF DELAWARE P O BOX 1991 WILMINGTON DE 19899-1991 S16 BLUE CROSS BLUE SHIELD OF VERMONT P O BOX 186 MONTPELIER VT 05602-0186 SN* BLUE CROSS BLUE SHIELD OF NATIONS CAPITAL 1021 14TH STREET NW WASHINGTON DC 20005 SG* BLUE CROSS BLUE SHIELD OF KANSAS P O BOX 239 TOPEKA KS 66601-0239 RO* BLUE CROSS BLUE SHIELD OF CONNECTICUT P O BOX 504 NORTH HAVEN CT 06473 QD* BLUE CROSS BLUE SHIELD CUSTOMER SERVICE P O BOX 98029 BATON ROUGE LA 70898-8029 PH* BLUE CROSS BLUE SHIELD OF ARIZONA P O BOX 13466 PHOENIX AZ 85002 OT* BLUE CROSS BLUE SHIELD 85 N DANNY THOMAS BLVD P O BOX 79 MEMPHIS TN 38101 NX* BLUE CROSS BLUE SHIELD OF MISSISSIPPI P O BOX 23071 JACKSON MS 39215-3071 N49 BLUE CROSS BLUE SHIELD OF MICHIGAN 600 E LAFAYETTE BLVD DETROIT MI 48226-2998 M22 BLUE CROSS BLUE SHIELD 4000 HOUSE AVENUE P O BOX 2266 CHEYENNE WY 82003 MK* BLUE CROSS BLUE SHIELD OF WASHINGTON ALASKA P O BOX 327 SEATTLE WA 98111-0327 ME* BLUE CROSS BLUE SHIELD OF WESTERN PA P O BOX 19 UNIT 4004 PITTSBURGH PA 15230 L73 BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA 1601 W MADISON SIOUX FALLS SD 57104-5710 L44 BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA I 20 E AT ALPINE RD COLUMBIA SC 29219-0001 LJ* BLUE CROSS BLUE SHIELD OF MISSOURI 1831 CHESNUT STREET ST LOUIS MO 63103-2275 J46 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS P O BOX 1658 BOSTON MA 02105 J32 BLUE CROSS BLUE SHIELD OF RHODE ISLAND 444 WESTMINISTER ST PROVIDENCE RI 02903-3279 JS* BLUE CROSS BLUE SHIELD OF KANSAS P O BOX 419169 KANSAS CITY MO 64141-6169 JO6 BLUE CROSS BLUE SHIELD OF HAWAII PO BOX 13400 HONOLULU HI 96801 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 22 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- I17 BLUE CROSS BLUE SHIELD OF WESTERN PENNSYLVANIA P O BOX 3355 PITTSBURGH PA 15230 II0 BLUE CROSS BLUE SHIELD DENTAL CLAIMS PO BOX 69436 HARRISBURG PA 17106-9436 H8* BLUE CROSS BLUE SHIELD OF GEORGIA P O BOX 9907 COLUMBUS GA 31908-6007 H4* BLUE CROSS BLUE SHIELD OF COLORADO 700 BROADWAY DENVER CO 80273 XF* BLUE CROSS BLUE SHIELD OF NEW MEXICO P O BOX 27630 ALBUQUERQUE NM 87112-7630 W58 BLUE CROSS BLUE SHIELD 85 N DANNY THOMAS BLVD P O BOX 98 MEMPHIS TN 38101 WC* BLUE CROSS BLUE SHIELD OF NORTH DAKOTA 4510 13TH AVENUE SW FARGO ND 58121-0001 V81 BLUE CROSS BLUE SHIELD P O BOX 3850 GRAND CENTRAL STATION NEW YORK NY 10017 V67 BLUE CROSS BLUE SHIELD OF CENTRAL NEW YORK P O BOX 536 AUBURN NY 13021-0536 VC* BLUE CROSS BLUE SHIELD MAIN STATION P O BOX 3248 OMAHA NE 68180-0001 U73 BLUE CROSS BLUE SHIELD THE NATIONAL CAPITAL AREA 550 12TH ST SW WASHINGTON DC 20065 UA* BLUE CROSS BLUE SHIELD OF KANSAS CITY P O BOX 419169 KANSAS CITY MO 64141-6169 T51 BLUE CROSS BLUE SHIELD P O BOX 35 DURHAM NC 27702 T32 BLUE CROSS BLUE SHIELD OF WATERTOWN 12 RHOADS DR UTICA NY 13502-6306 0C* BLUE CROSS BLUE SHIELD CUSTOMER SERVICE P O BOX 2181 LITTLE ROCK AR 72203-2181 Z29 BLUE CROSS BLUE SHIELD OF CALIFORNIA P.O. 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BOX 9144 MOBILE AL 35591 AS5 BLUE CROSS BLUE SHIELD OF ALABAMA PO BOX 830389 BIRMINGHAM AL 35283-0389 FG8 BLUE CROSS BLUE SHIELD FOR FEDERAL EMPLOYEES PO BOX 2181 LITTLE ROCK AR 72203-2181 AF* BLUE CROSS BLUE SHIELD OF ATTN NATL SERV CTR B450 P O BOX 341 DETROIT MI 48231 IC4 BLUE CROSS BLUE SHIELD TEN FEDERAL EMPLOYEES PO BOX 52610 KNOXVILLE TN 37950-2610 H3* BLUE CROSS E SYSTEM 7700 ARLINGTON BLVD FALLS CHURCH VA 22046 OK* BLUE CROSS OF CA P O BOX 4255 WOODLAND HILLS CA 91365-4255 PM* BLUE CROSS OF CALIFORNIA PERSCARE P.O. BOX 4386 WOODLAND HILLS CA 91365 AN3 BLUE CROSS OF CALIFORNIA PO BOX 4217 WOODLAND HILLS CA 91365 FU5 BLUE CROSS OF CALIFORNIA PO BOX 60007 LOS ANGELES CA 90060-0007 FM9 BLUE CROSS OF CALIFORNIA PO BOX 4347 WOODLAND HILLS CA 91365-4347 EE6 BLUE CROSS OF CALIFORNIA NATIONAL ACCOUNTS P O BOX 9271 VAN NUYS CA 91409 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 23 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- DX9 BLUE CROSS OF CALIFORNIA PO BOX 4239 WOODLAND HILLS CA 91368 CX7 BLUE CROSS OF CALIFORNIA PO BOX 9041 OXNARD CA 93031-9041 DL3 BLUE CROSS OF CALIFORNIA PRUDENT BUYER PLAN P O BOX 4124 WOODLAND HILLS CA 91365 IN5 BLUE CROSS OF GEORGIA P O BOX 445 ATLANTA GA 30302 IN3 BLUE CROSS OF ILLINOIS 1400 NORTH 30TH STREET QUINCY IL 62301 DB7 BLUE CROSS OF NEW JERSEY 33 WASHINGTON STREET NEWARK NJ 07102 DB3 BLUE SHIELD OF CALIFORNIA P O BOX 4202 WOODLAND HILLS CA 93165 AV3 BLUE SHIELD OF CALIFORNIA PERSCARE SERVICE CENTER RIVERBANK CA 95390-0001 BI8 BLUE SHIELD OF CALIFORNIA P O BOX 272570 CHICO CA 95927-2570 FY5 BLUE SHIELD OF CALIFORNIA 4203 TOWN CENTER BLVD EL DORADO HILLS CA 95762 K5* BLUE SHIELD OF IDAHO BOX 1106 LEWISTON ID 83501 EE5 BLUE SHIELD OF PENNSYLVANI VISION CLAIMS P O BOX 890500 CAMP HILL PA 17089-0500 EE4 BLUE SHIELD OF PENNSYLVANI DENTAL CLAIMS P O BOX 890400 CAMP HILL PA 17089-0400 AS3 BLUE SHIELD OF PHILADELPHI P.O. BOX 890062 CAMP HILL PA 17089-0062 PT* BLUE SHIELD 65 PLUS P O BOX 5014 WOODLAND HILLS CA 91365-9623 HA9 BLUECARE DENTAL PPO P.O. BOX 23059 BELLEVILLE IL 62223-0059 FH3 BLUECROSS BLUESHIELD OF ALABAMA PO BOX 2208 BIRMINGHAM AL 35201 GR7 BLUECROSS BLUESHIELD OF IL PO BOX 1364 CHICAGO IL 60690-1364 DE4 BLUECROSS BLUESHIELD OF MI PO BOX 14882 ST LOUIS MO 63178 ON* BLUEGRASS FAMILY HEALTH P O BOX 21970 LEXINGTON KY 40522-1970 HI9 BMI HEALTHPLANS PO BOX 9416 NORTH LITTLE ROCK AR 72119 HF8 BMI HEALTHPLANS PO BOX 9416 NORTH LITTLE ROCK AR 72119 A6* BOARD OF PENSIONS U PRESBYTERIAN CHURCH 200 KRAMS AVENUE PHILADELPHIA PA 19127 Y14 BOARD OF TRUSTEES GROUP BENEFITS PROGRAM PO BOX 44036 BATTON ROUGE LA 70804 M40 BOB HUNT TRUST ACCOUNT OSCEOLA TIMES P O BOX 408 OSCEOLA AR 72370 TO* BOILERMAKERS HEALTH AND WELFARE 522 BROTHERHOOD BLDG KANSAS CITY KS 66101 VF* BOILERMAKERS NAT HEALTH AN ALFARE FUND NO HOSP RE UU 754 MINNESOTA AVE STE 522 KANSAS CITY KS 66101-2766 GY3 BOILERMAKERS NATL HEALTH A WELFARE FUND P O BOX 23825 TUCSON AZ 85734 N47 BOISE CASCADE CORP GP BENEFITS DEPT P.O. BOX 61 BOISE ID 83707 HK8 BOLLINGER INC PO BOX 706 SHORT HILLS NJ 07078-0706 GP7 BOON CHAPMAN PAID DENTAL PO BOX 9150 AUSTIN TX 78766 EQ6 BOON CHAPMAN HEALTH SMART PO BOX 53010 LUBBOCK TX 79453 HP5 BOON CHAPMAN PO BOX 9201 AUSTIN TX 78766 DG5 BOON CHAPMAN BENEFIT ADMIN P O BOX 6269 FORT SMITH AR 72906 Y53 BOONE RITTER INSURANCE P.O. BOX 867 109 N SPRING SPRINGDALE AR 72764 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 24 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- M30 BORDEN HEALTH BENFITS P O BOX 189 COLUMBUS OH 43216 AD3 BORDER CITY FOODS C/O TIME INS P.O. BOX 1383 FORT SMITH AR 72901 DD8 BOYLE VAUGHAN AND ASSC PROTECTIVE LIFE INS P O BOX 8628 COLUMBIA SC 29202 AA6 BPS INCORPORATED 201 HENRY PLACE SPARTANBURG SC 29306 Z51 BRADEN MANUFACTURING 2100 WHEELER FT SMITH AR 72901 C52 BRANWOOD CORPORATION P O BOX 550 WARREN AR 71671 CD9 BRAVELL CLAIMS MGMT P O BOX 846 BROOKFIELD WI 53008-0846 M18 BRENCO INCORP P O BOX 389 PETERSBURG VA 23804 W94 BRENT TRANSPORTATION P O BOX 5758 GREENVILLE MS 38704 HL5 BRIDGESTONE AMERICAS HOLDI P.O. 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BOX 948 TAHLEQUAH OK 74465 F98 BURLINGTON NORTHERN EMPLOY 20 WASHINGTON AVE MINNEAPOLIS MN 55440 H28 BURNETT INSURANCE CO 2015 S BROADWAY LITTLE ROCK AR 72203 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 25 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- Z53 BURNS INTERNATL SCTY SVCS HEALTH WELFARE TRUST FUND 39429 LIBERTY ST STE 260 FREEMONT CA 94538 X3* BURROUGHS HEALTH AND DRUG 13003 ECKLES ROAD PLYMOUTH MI 48170 R54 BUSINESS MENS ASSURANCE 20 MAGUIRE RD LEXINGTON MA 02173 DA* BUSINESS MENS ASSURANCE BMA TOWER P O BOX 419315 KANSAS CITY MO 64141 V10 BUSINESS MENS INSURANCE 555MARRIOTT DRIVE SUITE 305 NASHVILLE TN 37210 BO8 BUYERS HEALTH COOPERATIVE PO BOX 150500 NASHVILLE TN 37215 M60 C AND L ELECTRIC P O DRAWER 9 STAR CITY AR 71667 J42 C C SYSTEM A AND G OF LEXA 6 PINE STREET LEXA AR 72355 Q38 C C SYSTEMS CORP 4660 S. 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BOX 806 LAGRANGE TX 78945 FQ9 CAMBRIDGE PO BOX 1687 GRAND RAPIDS MI 49501 J48 CAMDEN WIRE CO INC 731 JAMES STREET SYRACUSE NY 13203 S43 CAMPBELL AND COMPANY P O BOX 1085 MAGNOLIA AR 71753 DQ5 CAMPFIRE CHARCOAL CO HEALTH CLAIMS P O BOX 1389 JACKSONVILLE TX 75766 FP5 CANADA LIFE PO BOX 1379 BUFFALO NY 14240-1379 EX1 CANNON COCHRAN MANAGEMENT SERVICES P O BOX 1430 DANVILLE IL 61834-1430 FA8 CAPCARE 100 W CLARENDON SUITE 2000 PHOENIX AZ 85013 X37 CAPCO PIPE COMPANY 603 SOUTH 28TH VAN BUREN AR 72956 FU2 CAPITAL BLUE CROSS 2500 ELMERTON AVENUE HARRISBURG PA 17110-9764 FB1 CAPITAL DISTRICT PHYSICIAN HEALTH PLAN 5 WASHINGTON SQUARE ALBANY NY 12205 M5* CAPITOL AMERICAN LIFE INS 1001 LAKE SIDE AVENUE CLEVELAND OH 44114 YL* CAPITOL LIFE INSURANCE 8383 SLEMMONS SUITE 217 DALLAS TX 75247 BS5 CAPP CARE P O BOX 6240 NEWPORT BEACH CA 92658 Z54 CAPPERS INSURANCE SVCS INC CLAIM SERVICE BUREAU 1503 S,W, 42 ST TOPEKA KS 66609-1265 BS8 CARE AMERICA P O BOX 946 WOODLAND HILLS CA 91365-0946 BX2 CARE CHOICE PO BOX 1407 CHATTANOOGA TN 37401-1407 IM1 CARE IMPROVEMENT PLUS 351 W CAMDEN STREET SUITE 100 BALTIMORE MD 21201 HJ4 CARE IMPROVEMENT PLUS PO BOX 4347 SCRANTON PA 18505 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 26 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- E24 CARE SCAN P O BOX 899 CLEARWATER FL 34617 Y58 CARE SOURCE P.O. BOX 2305 MT CLEMENS MI 48046-2305 HT6 CAREFIRST PO BOX B900 MERRIFIELD VA 22116-3900 HV8 CAREFIRST ADMINISTRATORS PO BOX 3800 MERRIFIELD VA 27116 IE5 CAREFIRST ADMISTRATORS P.O. BOX 981608 EL PASO TX 79998 HR3 CAREMARK P O BOX 52116 PHOENIZ AZ 85072-2116 HQ7 CAREMARK PO BOX 52196 PHOENIX AZ 85072-2196 HI5 CAREMARK P O BOX 52136 PHOENIX AZ 85072-2136 GY5 CAREMARK P O BOX 52154 PHOENIX AZ 85072-2154 CG4 CAREMARK 625 BERKLEY BLVD LINCOLINSHIRE IL 60069-4310 GR8 CAREMARK INC MEDICARE D CLAIM PO BOX 686007 SAN ANTONIO TX 78268 BM8 CAREMARK PRESCRIPTION SERV 7034 ALAMO DOWNS PARKWAY P.O. BOX 686005 SAN ANTONIO TX 78238 QE* CARITEN HEALTHCARE PO BOX 22337 KNOXVILLE TN 37933 HD3 CARITEN TPA SERVICES PO BOX 22987 KNOXVILLE TN 37933 U76 CAROLINA PREFERRED CARE P O BOX 25307 WINSTON SALEM NC 27114-5307 A93 CAROON AND BLACK BENEFITS P O BOX 1280 NASHVILLE TN 37202 E23 CARPENTERS HEALTH AND WELF 1401 HAMPTON AVE ST LOUIS MO 63139 F74 CARPENTERS HEALTH FUND 2233 WISCONSIN AVE NW SUITE 216 WASHINGTON DC 20007 B14 CARPENTERS HLTH AND WELFAR TRUST FOR SO CALIFORNIA 520 SOUTH VIRGIL AVE LOS ANGELES CA 90020 D16 CARPENTERS TRUST FUND P O BOX 2380 OAKLAND CA 94614 ED2 CARPENTERS WELFARE FUND P O BOX 791 GENEVA IL 60134-0791 K67 CARPET CUSHION CO P O BOX 156 HOPE AR 71801 IG8 CARRIE GOINS 832 MAIL ROUTE ROAD MALVERN AR 72104 P19 CARROLL ELECTRIC COOP ATTN BENEFITS ADM BOX 4000 BERRYVILLE AR 72616 C67 CARSON DOBBS HLTH CARE PLA 5100 POPLAR AVE MEMPHIS TN 38137 DC4 CASINO MAGIC 100 BUSINESS PARK DRIVE SUITE I JACKSON MS 39213 GJ7 CATALYST RX 800 KING FARM BLVD 4TH FL ROCKVILLE MD 20850 YD* CATERPILLAR BENEFITS 600 W WASHINGTON LD 1100 EAST PEORIA IL 61630 FH1 CATERPILLAR INC PO BOX 62920 COLORADO SPRINGS CO 80962-2920 G95 CATHOLIC DAUGHTERS OF AMER P O BOX 1140 FAIR FAX VA 22030 ZS* CATHOLIC KNIGHTS INS SOC STAR PLAN DIVISION 11100 WEST WELLS STREET MILWAUKEE WI 53201 IG6 CATRS P O BOX 30803 SALT LAKE CITY UT 84103 D51 CAULKINS P O BOX 458 INDIANTOWN FL 33456 MY* CBA COLONIAL BENEFIT ADM P O BOX 3770 CAPITOL HEIGHTS MD 78797-3770 X21 CBAGT AMIN BOX 130 PENSACOLA FL 32591-0130 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 27 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- GC8 CBCA PO BOX 9007 LONDON KY 40742 FU9 CBCA ADMINISTRATORS INC PO BOX 1181 MINNEAPOLIS MN 55440-1181 HU4 CBCA ADMINISTRATORS INC PO BOX 1339 MINNEAPOLIS MN 55440 A37 CC SYSTEMS CORPORATION 2001 KILLEBREW DRIVE BLN OFFICE PARK STE 141 MINNEAPOLIS MN 55420 DG8 CCEBT GROUP BENEFITS P O BOX 1755 MINNEAPOLIS MN 55440 EY7 CCI ADMINISTRATORS P O BOX 7152 DUBLIN OH 43017 CZ7 CCO INC 2740 SOUTH GLENSTONE SUITE 202 SPRINGFIELD MO 65804 GS8 CELTIC PO BOX 33839 INDIANAPOLIS IN 46203 XY* CELTIC INDIVIDUAL HEALTH 233 S WACKER DRIVE SUITE 700 CHICAGO IL 60606 HE7 CELTIC INSURANCE COMPANY P O BOX 46337 MADISON WI 53744-6337 H18 CELTIC LIFE INS CO SPECIAL HEALTH PRODUCTS P O BOX 96386 CHICAGO IL 60693 DV7 CEMARA HEALTH INC CENTENNIAL LIFE INS P O BOX 8902 WICHITA KS 67208 DC3 CEMENT MASON HEALTH AND WELFARE TRUST FUND 220 CAMPUS LANE SUISUN CA 94585 TN* CEMENT MASONS HEALTH FUND LBJ BUSINESS PK NO BLDG 2997 LBJ FREEWAY DALLAS TX 75234 W98 CENTENNIAL LIFE INS CO PLAN SERV INC P O BOX 30024 TAMPA FL 33630-3024 P28 CENTENNIAL LIFE INS CO PO BOX 470 SHAWNEE MISSION KS 66201 F13 CENTERAL LIFE INSURANCE 6401 CAMP BOWIE BLVD FT WORTH TX 76116 FL1 CENTRA PO BOX 34866 SEATTLE WA 98124 Q80 CENTRA TARGET STORES BENEFIT SERVICES P.O. BOX 869041 DEPT 198 PLANO TX 75086-9041 ES3 CENTRA BENEFIT SERVICE P O BOX 5420 JACKSON MS 39288 U61 CENTRA BENEFIT SERVICES 1255 WEST 15TH STREET PLANO TX 75075 Y16 CENTRA BENEFIT SERVICES PLAN ADMINISTRATOR PO BOX 869043 PLANO TX 75086-9043 N44 CENTRA HEALTHCARE CLAIMS DEPARTMENT PO BOX 42820 HOUSTON TX 77242-2820 Q13 CENTRA HEALTHCARE ADM SRV 1302 N HIGHWAY 81 P O BOX 6000 DUNCAN OK 73534-6000 CK1 CENTRAL AR BENEFIT SER P.O. BOX 5250 NORTH LITTLE ROCK AR 72119 M59 CENTRAL AR DEVELOPMENT COU 425 WALNUTTER PLAZA P O BOX 646 BENTON AR 72015 HK7 CENTRAL ARK NURSING CENTER FIRST DOLLAR PLAN 415 ROGER AVE FT SMITH AR 72901 HF1 CENTRAL BENEFITS P O BOX 612900 DALLAS TX 75261 I13 CENTRAL BENEFITS MUTUAL BCBS OF CENTRAL OHIO P O BOX 182042 COLUMBUS OH 43218 T74 CENTRAL BENEFITS OF OHIO P O BOX 16526 COLUMBUS OH 43216-6526 HB4 CENTRAL COAST ALLIANCE FOR 375 ENCINAL STREET SUITE A SANTA CRUZ CA 95060 DU4 CENTRAL FREIGHT LINES P O BOX 2638 WACO TX 76702 P91 CENTRAL HEALTH BENEFITS PO BOX 149 CLINTON AR 72031 B65 CENTRAL HLTH AND WELFARE F 6000 PATTERSON AVE P O BOX 9338 LITTLE ROCK AR 72219 J12 CENTRAL MOLONEY 200 E 11TH PINE BLUFF AR 71601 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 28 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- J52 CENTRAL NATIONAL LIFE INS 5001 ROYAL LANE IRVING TX 75063 R88 CENTRAL RESERVE LIFE 17800 ROYALTON ROAD STRONGSVILLE OH 44136 GY7 CENTRAL RESERVE LIFE INS C P O BOX 29190 SHAWNEE MISSION KS 66201-9190 C5* CENTRAL S W SYSTEMS MED PL P O BOX 21106 SHREVEPORT LA 71156 OA* CENTRAL SECURITY LIFE INS P.O. BOX 833879 RICHARDSON TX 75083-3879 LW* CENTRAL STATE HEALTH AND WELFARE 9377 W HIGGINS ROAD ROSEMONT IL 60018-4901 H97 CENTRAL STATE HEALTH AND LIFE OF OMAHA P.O. BOX 1139 HOT SPRINGS AR 71902 I20 CENTRAL STATES P O BOX 5103 DES PLAINES IL 60017-5103 AI3 CENTRAL STATES HEALTH AND WELFARE TEAMCARE P.O. BOX 5116 DES PLAINES IL 60017-5116 AK* CENTRAL STATES HEALTH AND LIFE CO OF OMAHA P O BOX 34350 OMAHA NE 68134-0350 EZ4 CENTRAL STATES SE SW AREAS HEALTH/WELFARE FUND P O BOX 5111 DES PLAINES IL 60017-5111 Y60 CENTRAL STATES SE SW AREAS TEAMSTERS LOCAL 604 300 SOUTH GRAND ST LOUIS MO 63103 E38 CENTRAL STATES SOUTHEAST A SOUTHWEST AREAS HEALTH P O BOX 5122 DES PLAINES IL 60017-5122 B56 CENTRAL TEXAS HLTH PLAN 3307 NORTHLAND DRIVE SUITE 300 AUSTIN TX 78766 HA3 CENTRAL UNITED LIFE P O BOX 925309 HOUSTON TX 77292-5309 BU3 CENTRAL UNITED LIFE INS WORTHAM TOWER 6TH FLOOR 2727 ALLEN PARKWAY HOUSTON TX 77019-2115 HT5 CENTURY HEALTHCARE PO BOX 2256 GRAPEVINE TX 76099 HR1 CENTURY LIFE INSURANCE PO BOX 8025 STEVENS POINT WI 54481 L79 CENTURY PLANNERS 9201 WATSON RD SUITE 350 ST LOUIS MO 63126-1533 BA5 CENTURY TELEPHONE ENTERPRISES P.O. BOX 4065 MONROE LA 71211-4065 WF* CERTIFIED LIFE INS 14724 VENTURA BLVD SHERMAN OAKS CA 91403 W51 CERTIFIED LIFE INS CO CLAIM DEPT 4800 N KENNETH AVE CHICAGO IL 60630 D32 CERTIFIED LIFE INS CO P O BOX 650209 DALLAS TX 75265-0209 LE* CHAMPION PARTS P O BOX 579 HOPE AR 70812 0E* CHAMPUS CLAIMS PROCESSING TRICARE PRIME/FHF P O BOX 8999 MADISON WI 53708-8999 GN9 CHAMPUS TRICARE WPS TRICARE FOR LIFE PO BOX 7890 MADISON WI 53707-7890 CJ4 CHAMPUS TRICARE PO BOX 7031 CAMDEN SC 29020 BR6 CHAMPVA CENTER ATTN CLAIMS P O BOX 469064 DENVER CO 80246-9064 EW2 CHAMS CHILD HEALTH ALLIANCE P O BOX 845 BRENTWOOD TN 37027 T44 CHARTER BENEFIT ADMINISTRATOR P O BOX 1328 FRANKLIN TN 37065-1328 TM* CHARTER NATIONAL INSURANCE 8301 MARYLAND AVENUE ST LOUIS MO 63105 EZ6 CHATWINS HEALTHCARE ADM 300 WEYMAN PLAZA SUITE 305 PITTSBURGH PA 15236 BE8 CHER A BUMP ASSOC P O BOX 18108 OKLAHOMA CITY OK 73154 HQ0 CHEROKEE INSURANCE COMPANY PO BOX 629 WARREN MI 48090 QH* CHEROKEE NATION ENTERPRISE PO BOX 3028 TULSA OK 74101 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 29 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- F1* CHICAGO HEALTH AND WELFARE FUND LOCAL 245 332 SOUTH MICHIGAN AVENUE CHICAGO IL 60604 BO7 CHICAGO METALLIC CORP CRESCO STEEL PO DRAWER 1409 BENTON AR 72018 G47 CHIROPRACTIC BENEFITS TRUS INSURANCE PROGRAM PO BOX 1326 FORT WORTH TX 76101 JC0 CHOICE BENEFITS P O BOX 10048 FORT SMITH AR 72917-0048 H03 CHOICE CARE PO BOX 3188 CINCINNATI OH 45201 II8 CHOICE NET INTERCARE P O BOX 76149 COLORADO SPRINGS CO 80976 BK3 CHOICE PLUS P. O. BOX 36007 MINNEAPOLIS MN 55435-6007 L58 CHRISTIAN BROTHERS EMPLOYE BENEFIT TRUST 1205 WINDHAM PARKWAY ROMEOVILLE IL 60446-1693 FS2 CHRISTIAN CARE MEDI SHARE CCMS PO BOX 674 STERLING IL 61081 HB5 CHRISTIAN FIDELITY INS CO P.O. BOX 44990 MADISON WI 53744 ZZ* CHRISTIAN FIDELITY LIFE INSURANCE COMPANY 316 DALLAS HIGHWAY WAXAHACHIE TX 75165 T84 CHRISTIAN HOSPITALIZATION P O BOX 336 MONTEZUMA KS 67867 M7* CHRISTIAN ORGANIZATION MEDICAL SOCIETY P O BOX 18752 FORT WORTH TX 76118 HP1 CHRISTUS DENTAL PO BOX 1339 MINNEAPOLIS MN 55440 Q72 CIBA GEIGY CORP 444 SAW MILL RIVER RD ARDSLEY NY 10502 SH* CIGNA PO BOX 188002 CHATTANOOGA TN 37422-8002 HC4 CIGNA FEDEX PPO P.O. BOX 5909 SCRANTON PA 18505 JA3 CIGNA P O BOX 188061 CHATTANOOGO TN 37422-8061 XL* CIGNA PO BOX 188007 CHATTANOOGA TN 37422-8007 FX1 CIGNA PO BOX 1976 BOURBONNAIS IL 60914-5003 FW9 CIGNA PO BOX 962 BRISTOL CT 06011-0962 FW8 CIGNA PO BOX 10397 DES MOINES IA 50306-0397 FW7 CIGNA PO BOX 8012 PLAINVILLE CT 06062-8012 FW6 CIGNA PO BOX 182331 COLUMBUS OH 43218-2331 FW5 CIGNA PO BOX 31353 RICHMOND VA 23294-1353 FW4 CIGNA PO BOX 33638 CHARLOTTE NC 28233-3638 FW3 CIGNA 4025 WEST MINERAL KING VISALIA CA 93277-1631 FW2 CIGNA PO BOX 15553 WILMINGTON DE 19850 FW1 CIGNA PO BOX 16672 COLUMBUS OH 43216-6672 FV9 CIGNA PO BOX 9018 SHERMAN TX 75060-6018 FZ6 CIGNA 200 REGENCY EXECUTIVE PARK DRIVE CHARLOTTE NC 28233 GC4 CIGNA PO BOX 188036 CHATTANOOGA TN 37422 GC1 CIGNA PO BOX 188037 CHATTANOOGA TN 37422 GL4 CIGNA PO BOX 3077 BOURBONNAIS IL 60914 GJ4 CIGNA PO BOX 5200 SCRANTON PA 18505 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 30 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- GD2 CIGNA PO BOX 1068 VISALIA CA 93279 FN4 CIGNA P O BOX 46270 EDEN PRAIRE MN 55344 CS8 CIGNA P O BOX 188034 18003341033 CHATTANOOGA TN 37422-8034 CS1 CIGNA P O BOX 68947 18003313287 INDIANAPOLIS IN 46268 HL7 CIGNA DENTAL PO BOX 188045 CHATTANOOGA TN 37422 S79 CIGNA EQUICOR EAGLE WINGS IND 400 SHELHOUSE DR RANTOUL IL 61866 V18 CIGNA ETHIX MIDWEST 8500 MORMANDALE LAKE RD BLOOMINGTON MN 55437 BI5 CIGNA HEALTH PLAN P O BOX 2125 GLENDALE CA 91209 BQ7 CIGNA HEALTHCARE P O BOX 7100 WOOLRIDGE IL 60517-7100 CL2 CIGNA HEALTHCARE P O BOX 8200 LONDON KY 40742-8200 CJ6 CIGNA HEALTHCARE P O BOX 182352 COLUMBUS OH 43218 CF4 CIGNA HEALTHCARE P O BOX 219900 HOUSTON TX 77218-9900 CA5 CIGNA HEALTHCARE PO BOX 188031 CHATTANOOGA TN 37422 B71 CIGNA HEALTHCARE P O BOX 182546 COLUMBUS OH 43218-2546 BU4 CIGNA HEALTHCARE PO BOX 188023 CHATTANOOGA TN 37422 BA6 CIGNA HEALTHCARE P.O. BOX 10392 DES MOINES IA 50306 BA4 CIGNA HEALTHCARE P O BOX 9318 SHERMAN TX 75091-9318 BA2 CIGNA HEALTHCARE PO BOX 9304 SHERMAN TX 75091 BG6 CIGNA HEALTHCARE P O BOX 590 RICHMOND VA 23205-0590 BG1 CIGNA HEALTHCARE 101 S WEBB ROAD SUITE 200 WICHITA KS 67202 BE3 CIGNA HEALTHCARE P O BOX 3050 EASTON PA 18043-3050 AV6 CIGNA HEALTHCARE P O BOX 182544 COLUMBUS OH 43218-2544 AU2 CIGNA HEALTHCARE P O BOX 9013 SHERMAN TX 75091-9310 AT9 CIGNA HEALTHCARE VISALIA CLAIMS PO BOX 5034 VISALIA CA 93278 AS2 CIGNA HEALTHCARE P O BOX 9337 SHERMAN TX 75091 AX1 CIGNA HEALTHCARE 2502 ROCKY POINT RD SUITE 400 TAMPA FL 33607 A62 CIGNA HEALTHCARE P O BOX 2307 PITTSBURGH PA 15230-2307 A61 CIGNA HEALTHCARE PO BOX 8014 PLAINSVILLE CT 06062 AK3 CIGNA HEALTHCARE PO BOX 188008 CHATTANOOGA TN 37422-8006 AI1 CIGNA HEALTHCARE PO BOX 188027 CHATTANOOGA TN 37422-8027 AG8 CIGNA HEALTHCARE P O BOX 7378 PHILADELPHIA PA 19101 AG2 CIGNA HEALTHCARE UTC SERVICE CENTER P O BOX 4010 FARMINGTON CT 06034 AE7 CIGNA HEALTHCARE BUNGE CORP PO BOX 182565 CHATTANNOGA TN 37422 AA8 CIGNA HEALTHCARE P O BOX 77350 ATLANTA GA 30309 AA3 CIGNA HEALTHCARE P O BOX 10367 DES MOINES IA 50306 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 31 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- 0A* CIGNA HEALTHCARE P O BOX 9341 SHERMAN TX 75091-9341 Z83 CIGNA HEALTHCARE P O BOX 3100 BOURBONNAIS IL 60914 Z5* CIGNA HEALTHCARE PO BOX 10307 GREENSBORO NC 27404 ZA* CIGNA HEALTHCARE P O BOX 29000 ATLANTA GA 30359 Y95 CIGNA HEALTHCARE P O BOX 2300 PITTSBURG PA 15230-2300 Y81 CIGNA HEALTHCARE PO BOX 188021 CHATTANOOGA TN 37422-8021 U93 CIGNA HEALTHCARE P O BOX 85903 SAN DIEGO CA 92186-5903 U23 CIGNA HEALTHCARE P O BOX 3025 BOURBONNAISE IL 60914 W72 CIGNA HEALTHCARE P O BOX 182014 COLUMBUS OH 43218 X81 CIGNA HEALTHCARE P O BOX 9076 MELVILLE NY 11747-9076 X62 CIGNA HEALTHCARE EQUITABLE P O BOX 34336 CHARLOTTE NC 28234 X59 CIGNA HEALTHCARE P O BOX 32876 CHARLOTTE NC 28232 X49 CIGNA HEALTHCARE CONNECTICUT GENERAL P O BOX 3316 STATION D ALBUQUERQUE NM 87190 Y6* CIGNA HEALTHCARE P O BOX 32200 PHOENIX AZ 85064 Y18 CIGNA HEALTHCARE PO BOX 850 JFK AIRPORT STATION JAMAICA NY 11430 S64 CIGNA HEALTHCARE GROUP CLAIMS P O BOX 15124 WILMINGTON DE 19850-5124 T60 CIGNA HEALTHCARE 3M MEDICAL PLAN P O BOX 64143 ST PAUL MN 55164 T50 CIGNA HEALTHCARE 263 RT 17K 2ND FLOOR NEWBURGH NY 12550 T27 CIGNA HEALTHCARE CONNECTICUT GEN SERV CTR P O BOX 5038 VISALIA CA 93278-5038 T12 CIGNA HEALTHCARE P O BOX 2005 FARMINGTON CT 06032 S81 CIGNA HEALTHCARE P O BOX 9317 DES MOINES IA 50306 R7* CIGNA HEALTHCARE P O BOX 968 BRISTOL CT 06010 P76 CIGNA HEALTHCARE P O BOX 2V RICHMOND VA 23205 Q97 CIGNA HEALTHCARE P O BOX 419 CINCINNATI OH 45202 Q92 CIGNA HEALTHCARE P O BOX 50000 ATLANTA GA 30359 HC2 CIGNA HEALTHCARE P.O. BOX 188006 CHATTANOOGA TN 37422-8006 LO* CIGNA HEALTHCARE NFL PLAYERS MEDICAL P O BOX 34337 CHARLOTTE NC 28234-4337 K12 CIGNA HEALTHCARE P O BOX 24005 FRESNO CA 93779 KT* CIGNA HEALTHCARE DENTAL CLAIMS P O BOX 15558 WILMINGTON DE 19850 J96 CIGNA HEALTHCARE P O BOX 10365 DES MOINES IA 50306 J25 CIGNA HEALTHCARE OF ARIZONA P.O. BOX 9321 SHERMAN TX 75091-9321 JF* CIGNA HEALTHCARE P O BOX 3310 STATION D ALBUQUERQUE NM 87190 OJ* CIGNA HEALTHCARE P O BOX 182717 COLUMBUS OH 43218-2717 MX* CIGNA HEALTHCARE P O BOX 3087 BOURBONNAIS IL 60914 MG* CIGNA HEALTHCARE P O BOX 33683 CHARLOTTE NC 28233 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 32 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- CP5 CIGNA HEALTHCARE ATTN BETTY ELIG SERV C315 900 COTTAGE GROVE ROAD HARTFORD CT 06152 CO6 CIGNA HEALTHCARE PO BOX 188029 CHATTANOOGA TN 37422 CO* CIGNA HEALTHCARE P O BOX 12001 CHATTANOOGA TN 37401 CM9 CIGNA HEALTHCARE PO BOX 978 BRISTOL CT 06011 CM* CIGNA HEALTHCARE P O BOX 12830 WILMINGTON DE 19850 CT8 CIGNA HEALTHCARE P O BOX 800 UNIONVILLE CT 06085 CY8 CIGNA HEALTHCARE KRAFT CLAIMS P O BOX 10485 DES MOINES IA 50306 CW7 CIGNA HEALTHCARE DELTA AIRLINES CLAIMS P O BOX 15538 WILMINGTON DE 19850-5553 DC1 CIGNA HEALTHCARE 60 CHARLES LINDBERGH BLVD MITCHEL FIELD NY 11553 DB* CIGNA HEALTHCARE P O BOX 31066 CHARLOTTE NC 28231 C83 CIGNA HEALTHCARE P O BOX 4000 BOURBONNAISE IL 60914 C64 CIGNA HEALTHCARE P O BOX 5046 SOUTHFIELD MI 48086 C41 CIGNA HEALTHCARE P O BOX 10433 DES MOINES IA 50306 C24 CIGNA HEALTHCARE 600 E LAS COLINAS BLVD P O BOX 152036 IRVING TX 75015 DS1 CIGNA HEALTHCARE 32 VALLEY ST P O BOX 969 BRISTOL CT 06010 DR9 CIGNA HEALTHCARE 1000 POLARIS PARKWAY COLUMBUS OH 43240-2005 DR8 CIGNA HEALTHCARE 600 TAYLOR ST SHERMAN TX 75090 DR7 CIGNA HEALTHCARE P O BOX 8019 PLAINSVILLE CT 06062 DQ1 CIGNA HEALTHCARE BOEING CO P O BOX 85455 SAN DIEGO CA 92186 DG4 CIGNA HEALTHCARE 5500 CENEX DRIVE SUITE 100 INVER GROVE MN 55077 DG3 CIGNA HEALTHCARE P O BOX 9155 DES MOINES IA 50306 DE8 CIGNA HEALTHCARE 26877 NORTHWESTERN SUUITE 350 SOUTHFIELD MI 48034 DE7 CIGNA HEALTHCARE 1630 E SHAW AVE STE 106 P O BOX 24031 FRESNO CA 93779-4031 EC9 CIGNA HEALTHCARE P O BOX 12035 CHATTANOOGA TN 37401 EB2 CIGNA HEALTHCARE CONN GEN SERV CENTER 1001 B MENAUL BLVD NE ALBUQUERQUE NM 87107 D41 CIGNA HEALTHCARE 21 HERITAGE PLAZA P O BOX 2100 BOURBONNAIS IL 60914 D26 CIGNA HEALTHCARE P O BOX 9361 SHERMAN TX 75091-9361 D17 CIGNA HEALTHCARE 12160 ABRAMS SUITE 211 DALLAS TX 75243 EE8 CIGNA HEALTHCARE EQUICOR PO BOX 13011 MERRILLVILLE IN 46411 EK3 CIGNA HEALTHCARE 2220 PARKLAKE DRIVE ATLANTA GA 30345 FL5 CIGNA HEALTHCARE PO BOX 188003 CHATTANOOGA TN 37422 FL2 CIGNA HEALTHCARE PO BOX 31552 CHARLOTTE NC 28231 FK2 CIGNA HEALTHCARE 1 800 654 9631 P O BOX 5008 VISALIA CA 93278-5008 FI8 CIGNA HEALTHCARE PO BOX 5019 VISALIA CA 93278 FH8 CIGNA HEALTHCARE PO BOX 188033 CHATTANOOGA TN 37422-8033 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 33 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- FH5 CIGNA HEALTHCARE PO BOX 182223 CHATTANOOGA TN 37422-7223 FF2 CIGNA HEALTHCARE PO BOX 188030 CHATTANOOGA TN 37422-8030 FE7 CIGNA HEALTHCARE 5005 LBJ FREEWAY SUITE 830 DALLAS TX 75244 FE* CIGNA HEALTHCARE RUAN TRANSPORTATION P O BOX 30151 LANSING MI 48909-7651 EY9 CIGNA HEALTHCARE P O BOX 16782 COLUMBUS OH 43216 EU7 CIGNA HEALTHCARE CITY OF PHOENIX P O BOX 9325 SHERMAN TX 75091 ES4 CIGNA HEALTHCARE P O BOX 3012 BOURBONNAIS IL 60914 ES2 CIGNA HEALTHCARE P O BOX 3099 BOURBONNAIS IL 60914 EQ3 CIGNA HEALTHCARE P O BOX 9313 SHERMAN TX 75091-9313 EO2 CIGNA HEALTHCARE P O BOX 129 ITASCA IL 60143 EN9 CIGNA HEALTHCARE DENTAL CLAIMS P O BOX 4029 FARMINGTON CT 06034 EK4 CIGNA HEALTHCARE P O BOX 24867 NASHVILLE TN 37202 EM6 CIGNA HEALTHCARE P O BOX 34335 CHARLOTTE NC 28234-4335 EL8 CIGNA HEALTHCARE DANAHER CORP P O BOX 15408 WILMINGTON DE 19850-5408 GL3 CIGNA HEALTHCARE P O BOX 14621 LEXINGTON KY 40512 G28 CIGNA HEALTHCARE P O BOX 2546 SHERMAN TX 75090 GU9 CIGNA HEALTHCARE PO BOX 1650 VISALIA CA 93279 GO7 CIGNA HEALTHCARE P O BOX 188020 CHATTANOOGA TN 37422 GO1 CIGNA HEALTHCARE P O BOX 15050 WILMINGTON DE 19850 F50 CIGNA HEALTHCARE 201 INTERNATIONAL CIRCLE SUITE 300 HUNT VALLEY MD 21030 FV6 CIGNA HEALTHCARE P O BOX 188017 CHATTANOOGA TN 37422-8017 FS4 CIGNA HEALTHCARE PO BOX 188018 CHATTANOOGA TN 37422-8018 FR5 CIGNA HEALTHCARE PO BOX 9339 SHERMAN TX 75091-9339 FP2 CIGNA HEALTHCARE PO BOX 188014 CHATTANOOGA TN 37422 FP1 CIGNA HEALTHCARE PO BOX 10447 DES MOINES IA 50306 FO5 CIGNA HEALTHCARE PO BOX 188004 CHATTANOOGA TN 37422-8004 EK7 CIGNA HEALTHSOURCE PROV P O BOX 182571 CHATTANOOGA TN 37421 FA4 CIGNA HEALTHSOURCE PROV P O BOX 28125 RALEIGH NC 27611-8125 EI9 CIGNA HEALTHSOURCE PROV P O BOX 182575 CHATTANOOGA TN 37422 EF8 CIGNA HEALTHSOURCE PROV P O BOX 8911 BRISTOL TN 37621-8911 DX3 CIGNA HEALTHSOURCE PROV P O BOX 188009 CHATTANOOGA TN 37422-8009 DT5 CIGNA HEALTHSOURCE PROV LEVI STRAUSS P O BOX 180149 CHATTANOOGA TN 37422-7537 DS9 CIGNA HEALTHSOURCE PROV P O BOX 40 6300 CINCINNATI OH 45240-6300 DC8 CIGNA HEALTHSOURCE PROV P O BOX 5148 STATION B GREENVILLE SC 29606 DN2 CIGNA HEALTHSOURCE PROV P O BOX 30298 LANSING MI 48909-7798 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 34 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- DL9 CIGNA HEALTHSOURCE PROV P O BOX 21189 LANSING MI 48909 DJ4 CIGNA HEALTHSOURCE PROV DENTAL CLAIMS P O BOX 182559 CHATTANOOGA TN 37422-7559 C18 CIGNA HEALTHSOURCE PROV P O BOX 2048 GASTONIA NC 28053 CZ5 CIGNA HEALTHSOURCE PROV P O BOX 188013 CHATTANOOGA TN 37422 CP2 CIGNA HEALTHSOURCE PROV RUBBERMAID 2180 BARLOW RD HUDSON OH 44224 S33 CIGNA HEALTHSOURCE PROV 1241 VOLUNTEER PARKWAY P O BOX 8902 BRISTOL TN 37620 S17 CIGNA HEALTHSOURCE PROV P O BOX 30289 LANSING MI 48909 S57 CIGNA HEALTHSOURCE PROV PANHANDLE EASTERN CORP P O BOX 182524 CHATTANOOGA TN 37422 S73 CIGNA HEALTHSOURCE PROV P O BOX 171806 MEMPHIS TN 38117 Y65 CIGNA HEALTHSOURCE PROV BFI CLAIMS P O BOX 219788 HOUSTON TX 77218 V3* CIGNA HEALTHSOURCE PROV P.O. 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BOX 15230 DALLAS TX 75201 DI1 CITY OF LAFAYETTE GROUP INSURANCE P O BOX 4017C LAFAYETTE LA 70502 W92 CITY OF LONGVIEW 300 W COTTON ST LONGVIEW TX 75601 P13 CITY OF SANTA FE EMP BENF GLEN SLAUGHTER ASSC ADM P O BOX 9054 SANTA FE NM 87504 BW6 CLAIM MANAGEMENT SERVICES P O BOX 10888 GREEN BAY WI 54307-0888 CZ2 CLAIMS ADMINISTRATIVE SERVICES P O BOX 7500 TYLER TX 75711 NB* CLAIMS ADMINISTRATIVE SERV STUDENT INSURANCE P O BOX 3968 BOCA RATON FL 33427-3968 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 35 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- FA6 CLAIMS DEVELOPEMENT CORP 1575 SAN IGNACIO SUITE 402 CORAL GABLES FL 33146 DT8 CLAIMSWARE MANAGEMED SINGER RETIREE VEBA TRUST P O BOX 17264 GREENVILLE SC 29606-8264 E71 CLALLAN COUNTY PHYSICIANS P O BOX 1307 PORT ANGELES WA 98362 Z55 CLAY CO ELECTRIC CO OP COR BENEFIT SECTION P.O. 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BOX 8504 MASON OH 45040-7111 DC2 COLE VISION 18903 S MILES ROAD WARRENSVILLE HTS OH 44128 W50 COLEMAN DAIRY INC P O BOX 4187 LITTLE ROCK AR 72214 D52 COLLEGE LIFE INS COMPANY OF AMERICA P O BOX 68759 INDIANAPOLIS IN 46268 D94 COLLEGE LIFE INSURANCE CO OF AMERICA P O BOX 1005 DELAWARE OH 43301 E66 COLONIAL INSURANCE CO P O BOX 4208 NORCROSS GA 30091 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 36 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- VX* COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY PO BOX 1365 COLUMBIA SC 29202-1365 R83 COLONIAL LIFE AND ACCIDENT INSURANCE CO 2 FINANCIAL CENTER LITTLE ROCK AR 72211 VR* COLONIAL LIFE INSURANCE PALCO CONNECTOR INC 75 CENTER STREET BRISTOL CT 06010 HU6 COLONIAL LIFE INSURANCE PO BOX 100195 COLUMBIA SC 29202-3195 IM6 COLONIAL PENN LIFE INSURAN 399 MARKET STREET PHILADELPHIA PA 19181 CA6 COLONIALPENN MATURITY CARE 5 PENN CENTER PLAZA PHILADELPHIA PA 19185 ZR* COLONY CHARTER LIFE 3243 WILSHIRE BLVD LOS ANGELES CA 90005 RV* COLORADO LABORER HEALTH FUND 838 GRANT STREET PARACHUTE CO 80201 L64 COLUMBIA CO AMBULANCE 629 WEST MAIN STREET MAGNOLIA AR 71753 BT8 COLUMBIA FOREST PRODUCTS ATTN CLAIMS DEPT P O BOX 3768 PORTLAND OR 97208 HK1 COLUMBIA INSURANCE GROUP 950 CARSON COVE SUITE 103 CONWAY AR 72034 A78 COLUMBIA MUTUAL INSURANCE PO BOX 618 COLUMBIA MO 00000 W43 COLUMBUS HOSP HEALTH PLAN 1242 NO 28TH SUITE 300 A BILLINGS MT 59101 XT* COLUMBUS MUTUAL LIFE INSURANCE BOX 900 COLUMBUS OH 43216 DG* COMBINED INS CO OF AMERICA HOME OFFICE 5050 BROADWAY CHICAGO IL 60640 E54 COMBINED INS OF AMERICA 4860 STREET ROAD TREVOSE PA 19047 GT4 COMBINED INSURANCE PO BOX 638 BELLINGHAM WA 98227-0638 SX* COMBINED INSURANCE CO SOUTHWEST SERVICE CENTER 3141 HOOD STREET DALLAS TX 75219 B97 COMBINED INSURANCE CO P O BOX 568 LANGHORNE PA 19047 IN0 COMBINED INSURANCE OF AMER P O BOX 981625 EL PASO TX 79998 Z31 COMBINED INSURANCE SVCS P.O. 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BOX 542814 DALLAS TX 75354 HW1 CONNECTICUT GENERAL PO BOX 55270 PHOENIX AZ 85078 FI7 CONNECTICUT GENERAL PO BOX 10397 DES MOINES IA 50306 F15 CONNECTICUT GENERAL 600 GRANT ST, STE 1200 PITTSBURGH PA 15219 EX6 CONNECTICUT GENERAL LIFE 31 READS WAY NEW CASTLE DE 19720 GT* CONNECTICUT GENERAL LIFE 425 MAIN STREET ROOM 508 RACINE WI 53403 ZF* CONNECTICUT GENERAL LIFE 2400 POPLAR MEMPHIS TN 38112 RP* CONNECTICUT MEDICAL SERVIC 221 WHITNEY AVENUE NEW HAVEN CT 06511 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 38 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- R32 CONNETICUT GENERAL LIFE IN P O BOX 6468 LAKELAND FL 33807-6468 DM1 CONSECO COMPANIES 11815 N PENNSYLVANIA P O BOX 2024 CARMEL IN 46082-2024 FW* CONSECO DIRECT COLONIAL PENN 399 MARKET STREET PHILADELPHIA PA 19181-1250 FG7 CONSECO HEALTH INS CO PO BOX 66909 CHICAGO IL 60666 BD2 CONSECO MEDICAL INS CO PIONEER LIFE MEDICAL P O BOX 1250 ROCKFORD IL 61105-1250 DI* CONSECO PIONEER LIFE MEDICARE SUPPLEMENT P O BOX 100 ROCKFORD IL 61105-0100 HL3 CONSECO SENIOR HEALTH PO BOX 2002 CARMEL IN 46082 BX1 CONSECO VARIABLE INS CO PO BOX 66967 CHICAGO IL 60666 HV2 CONSOCIATE GROUP PO BOX 1068 DECATUR IL 62525 S87 CONSOLIDAED EMPLOYEE BENEF PLAN WISCONSIN RAPIDS WI 54494 PE* CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES P O BOX 6130 TEMPLE TX 76503 CG6 CONSOLIDATED BENEFITS P O BOX 23686 COLUMBIA SC 29224 L93 CONSOLIDATED FREIGHT P O BOX 3988 PORTLAND OR 97208 CF2 CONSOLIDATED GROUP P O BOX 248 BRATTLEBORO VT 05302 BR1 CONSOLIDATED GROUP P O BOX 1350 FREEMONT OH 43420 AD9 CONSOLIDATED GROUP P O BOX 2070 NASHUA NH 03060-2070 B16 CONSOLIDATED INS PLANS INC FREEDOM TRUST P O BOX 1739 MUFREESBORO TN 37133-1739 H67 CONSOLIDATED MEDICAL PENROD 2200 THANKSGIVING TOWER DALLAS TX 75201 AI5 CONSOLIDATED NATIONAL LIFE INSURANCE COMPANY P.O. 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BOX 83301 LANCASTER PA 17608-3301 BN9 CORESOURCE P O BOX 879 ANDERSON IN 46015 BN3 CORESOURCE P O BOX 6179 WESTERFIELD OH 43081 BM6 CORESOURCE P O BOX 168 MATTESON IL 60443 AP9 CORESOURCE RELIASTAR 146 INDUSTRIAL PARK JACKSON MN 56143 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 40 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- CN4 CORESOURCE P O BOX 6994 WAYNE PA 19087 CY7 CORESOURCE 6100 FAIRVIEW ROAD SUITE 1000 CHARLOTTE NC 28210 V24 CORESOURCE RELIASTAR P O BOX 29016 GLENDALE CA 91209-9016 GI1 CORESOURCE REPRICING DIVISION PO BOX 2181 LITTLE ROCK AR 72203-2181 FR3 CORESOURCE PO BOX 8215 LITTLE ROCK AR 72221 IB* CORESOURCE RELISTAR BOX 1195 MINNEAPOLIS MN 55440 GM9 CORESOURCE P O BOX 22920 CLINTON IA 52733 EV1 CORESOURCE FORMERLY CORPORATE BENEFIT SOLUTIO P O BOX 8215 LITTLE ROCK AR 72221 CX2 CORESOURCE INC 4940 CAMPBELL BLVD SUITE 200 BALTIMORE MD 21236 F67 CORKEN INTERNATIONAL CORP P O BOX 12338 OKLAHOMA CITY OK 73157 EF7 CORPORATE BENEFIT SERVICE CBSA P O BOX 5367 HOPKINS MN 55343-5367 GJ3 CORPORATE BENEFIT SERVICES 400 HWY 169 SOUTH MINNEAPOLIS MN 55426 CT7 CORPORATE BENEFIT SERVICES CBSA P O BOX 738 HOPKINS MN 55343 DT4 CORPORATE BENEFIT SERVICES 10159 WAYZATA BLVD MINNETONKA MN 55305 GC3 CORPORATE BENEFITS SERV IN PO BOX 12953 CHARLOTTE NC 28220-2953 W17 CORPORATE DIVERSIFIED SERVICES INC P O BOX 2835 OMAHA NE 68103-2835 K6* CORPORATE GROUP SYSTEMS HERTZ CLAIM MGMT CORP P O BOX 5710 LIVONIA MI 48151-5710 R44 CORPORATE GROUP SYSTEMS IN P O BOX 1470 BENTONVILLE AR 72712-1470 CT1 CORPORATE HEALTH ADM 1800 E INTERSTATE AVE P O BOX 1858 BISMARCK ND 58502 GC7 CORPORATE HEALTH BENEFITS PO BOX 27267 MINNEAPOLIS MN 55427 CX4 CORPORATE HEALTH INC 1300 SUMMIT AVENUE SUITE 600 FORT WORTH TX 76102-4420 CK7 CORPORATE PLAN MGE P O BOX 4651 TOPEKA KS 66604 D73 CORPORATION BENEFITS DIVIS 200 S LAMAS STREET P O BOX 101 JACKSON MS 39205-0101 AG3 CORRELL INC UNITED OF OMAHA PO BOX 417 CHARLESTON AR 72933 AJ5 CORVEL 1701 CENTERVIEW DRIVE SUITE 320 LITTLE ROCK AR 72211-4313 BC9 COST CARE UNICARE P O BOX 2006 ANDOVER MA 01810-0106 F32 COST CARE INCORPORATED 17011 BEACH BOULEVARD HUNTINGTON BEACH CA 92647 BG2 COST MANAGEMENT TECHNOLOGI 4435 MAIN SUITE 810 KANSAS CITY MO 64111 CR5 COST MANAGEMENT TECHNOLOGI PO BOX 29122 SHAWNEE MISSION KS 66201-1422 G35 COTTER MEMBERS INSURANCE 203 JANDUS ROAD CARY IL 60013 AU3 COTTON CLUB CASINO P.O. BOX 1777 GREENVILLE MS 38701-1777 K86 COUNTRY LIFE INS COUNTRY COMPANIES P O BOX 2000 BLOOMINGTON IL 61701 R51 COUNTRY LIFE INS CO 900 HILLSBORO EDWARDVILLE IL 62025 GY6 COVENANT ADMINISTRATORS IN P O BOX 105738 ATLANTA GA 30348-5738 HP2 COVENTRY HEALTH CARE OF NEBRASKA PO BOX 7705 LONDON KY 40742 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 41 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- GF8 COVENTRY HEALTH CARE 8301 E 21ST ST N STE 300 WICHITA KS 67206 GJ2 COVENTRY HEALTH CARE 2751 CENTERVILLE RD STE 400 WILMINGTON DE 19808 IL8 COVENTRY HEALTH CARE P O BOX 7121 LONDON KY 40742 IK2 COVENTRY HEALTH CARE P O BOX 7374 LONDON KY 40742 GS2 COVENTRY HEALTHCARE PO BOX 8400 LONDON KY 40742 GX8 COVENTRY HEALTHCARE OF IOW P O BOX 7709 LONDON KY 40742 J75 COWLITZ MEDICAL SERVICE PO BOX 2039 LONGVIEW WA 98351 GG7 COX HEALTH PLAN 1443 N ROBBERSON STE 70 PO BOX 5750 SPRINGFIELD MO 65801-5750 HP9 COX HEALTH SYSTEMS INSURAN PO BOX 5750 SPRINGFIELD MO 65801-5750 X53 CRAIGHEAD ELECTRIC CORP P O BOX 7503 JONESBORO AR 72403 X27 CRANE COMPANY 201 NORTH 8TH STREET ROGERS AR 72756 CF3 CRANE KEMLITE C/O CIGNA 8500 C W POST ROAD JONESBORO AR 72401 K62 CRAWFORD AGENCY P O BOX 199 SEARCY AR 72143 L14 CRAWFORD COUNTY MEMORIAL EAST MAIN 20TH STREETS VAN BUREN AR 72956 AX7 CROUZET CORPORATION ATTN GLENDA KATE 2445 MIDWAY ROAD CARROLLTON TX 75006-2503 R71 CROWN CORK AND SEAL CO EMPLOYEE HEALTH PLAN 9300 ASHTON ROAD PHILADELPHIA PA 19136 W1* CROWN LIFE INS CO 546 STADIUM RD PORT ARTHUR TX 77642 KU* CROWN LIFE INS CO SOUTHERN CAST PROD 5701 KRUEGER DR JONESBORO AR 72401 D48 CROWN LIFE INSURANCE P O BOX 8222 CHICAGO IL 60680-8222 DZ* CROWN LIFE INSURANCE 100 FM 1960W STE 109 HOUSTON TX 77090 FS* CROWN LIFE INSURANCE CO P O BOX 30138 TAMPA FL 33630 WZ* CROWN LIFE INSURANCE CO 100 PINE STREET TWENTY THIRD FLOOR SAN FRANCISCO CA 94111 WE* CROWN LIFE INSURANCE CO 1601 PERIMETER CNTR EAST ATLANTA GA 30308 NG* CROWN LIFE INSURANCE CO 11500 NO RODNEY PARHAM RD LITTLE ROCK AR 72212 MI* CRUMP BENEFITS P O BOX 171377 MEMPHIS TN 38117 X13 CSWS CLAIM PROCESSING CENTRAL SOUTHWESTERN SERV P O BOX 21928 TULSA OK 74121-1928 DV8 CULINARY INS CO INTERNATIONAL UNION W F 1901 LAS VEGAS BLVD SO LAS VEGAS NV 89104 G76 CUNA MUTUAL INS SOCIETY CREDIT UNION MEMBERS INS MALVERN PA 19355 B52 CUNA MUTUAL INSURANCE CORP CU MEMBERS HOSP PLAN ATTN CLAIMS DIVISION VALLEY FORGE PA 19494 FY1 CURASCRIPT 7101 TPC DRIVE SUITE 150 ORLANDO FL 32822 G46 CUSTOM SECURITY MUTUAL LIF P O BOX 27247 AUSTIN TX 78755-2247 VL* CYANAMID PERSONAL PROTECTION 859 BERDAN AVENUE WAYNE NJ 07406 BJ9 D CANALE CO P. 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BOX 1739 MEMPHIS TN 38101-1739 L63 DAISY MANUFACTING HWY 71 ROGERS AR 72756 ES6 DAKOTA WESTERN HEALTH PLAN BROTHERHOOD OF ELECT WKRS P O BOX 1951 FARGO ND 58107 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 42 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- FA9 DAKOTACARE P O BOX 89310 SIOUX FALLS SD 57109 A24 DALLAS NATIONAL CORP PO BOX 809059 DALLAS TX 75380-9059 BT3 DAVID REES P O BOX 1573 2110 EAST MATTHEWS ST JONESBORO AR 72403-1573 N25 DAVID SMITH INS AGENCY 108 HERON BRANDON MS 39042 G23 DAVIS AND GARVIN POBOX 21627 COLUMBIA SC 29221 EJ5 DAVIS VISION P O BOX 2270 SCHENECTADY NY 12301 FF5 DBL NORTH AMERICAN POB 853921 RICHARDSON TX PO BOX 9501 AMHERST NY 14226-9501 V86 DBL SERVICES 515 OLIVE STE 700 P O BOX 66714 ST LOUIS MO 63166 M70 DCA HEALTHCARE MGT 13100 WAYZATTA BLVD MINNETONKA MN 55343 IG9 DCDNT P O BOX 1348 MINNEAPOLIS MN 55440-1348 EC4 DEAN HEALTH PLAN P O BOX 56099 MADISON WI 53705 IJ8 DEARBORN NATIONAL DENTAL S P O BOX 23060 BALEVILLE IL 62223 GT9 DEFINITY 500 COLVIN WOODS PKWY TONAWANDA LA 14150 GT8 DEFINITY HEALTH 1600 UTICA AVE S STE 900 ST LOUIS PARK MN 55416-1465 GS4 DEFINITY HEALTH A UNITED HEALTH GROUP CO PO BOX 740810 ATLANTA GA 30374-0810 GB6 DEFINITY HEALTH P O BOX 9525 AMHERST NY 14226-9525 HE6 DEFINITY HEALTH EMPLOYERS HEALTH COALITIO P O BOX 250009 PLANO TX 75025 Q6* DELAM AM HEALTH TRUST P O BOX 899 CLEARWATER FL 33517 BJ5 DELPHI GROUP PO BOX 3611 BARRINGTON IL 60010 T75 DELTA AIR LINES HARTSFIELD ATLANTA INTNL ATLANTA GA 30320 L67 DELTA BENEFIT PLANS P O BOX 80 STOCKTON CA 95201 H72 DELTA BEVERAGE GROUP INC MINNEAPOLIS GRP CLA CT II P.O. 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BOX 419104 ST LOUIS MO 63141 U54 HEALTH MANAGEMENT ASSOCIATION INC P O 450989 ATLANTA GA 30345-0989 HY2 HEALTH MARKETS 9151 BLVD 26 RICHLAND HILLS TX 76180-5605 BV2 HEALTH NET P O BOX 35 NASHVILLE TN 37202-0035 CG2 HEALTH NET PO BOX 9103 VAN NUYS CA 91409-9103 FT2 HEALTH NET PO BOX 10223 VAN NUYS CA 91410-0223 FI1 HEALTH NET PO BOX 10196 VAN NUYS CA 91410-0196 DH4 HEALTH NET 650 E HOSPITALITY LANE SUITE 200 SAN BERNARDINO CA 92408 EV2 HEALTH NETWORK AMERICA 187 MONMOUTH PARKWAY WEST LONG BRANCH NJ 07764 N52 HEALTH NETWORK INC 1420 KENSINGTON STE 203 P O BOX 5105 OAK BROOK IL 60521 HX4 HEALTH NEW ENGLAND 1 MONARCH PLACE SUIT 1500 SPRINGFIELD MA 01144 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 61 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- Y78 HEALTH OPTIONS 3191 MAGUIRE BLVD STE 200 ORLANDO FL 35254-7912 HX6 HEALTH PARTNERS PO BOX 1309 MINNEAPOLIS MN 55440 GW4 HEALTH PARTNERS PO BOX 3730 JACKSON TN 38303-3730 FZ1 HEALTH PARTNERS PO BOX 3490 JACKSON TN 38303 DA5 HEALTH PLAN ADMINISTRATORS P O BOX 2638 ROCKFORD IL 61132-2638 R91 HEALTH PLAN ADMINISTRATORS INC BICOASTAL UNIT P O BOX 3986 DONBURY CT 06813-3986 HG7 HEALTH PLAN NEVADA PO BOX 15645 LAS VEGAS NV 89114-5645 GG5 HEALTH PLAN OF MICHIGAN PO BOX 1700 FLINT MI 48501 HX5 HEALTH PLAN OF OHIO VALLEY 52160 NATIONAL RD EAST ST CLAIRSVILLE OH 43950 CV6 HEALTH PLAN SERVICE DUNN AND BRADSTREET PO BOX 26220 OKLAHOMA CITY OK 73120 CL9 HEALTH PLAN SERVICES P O BOX 30075 TAMPA FL 33630-3075 DR1 HEALTH PLAN SERVICES DARDEN RESTAURANTS PO BOX 30367 TAMPA FL 33630 EP5 HEALTH PLAN SERVICES P O BOX 30351 TAMPA FL 33630 EH2 HEALTH PLAN SERVICES P O BOX 419 MARLBOROUGH CT 06447 HT7 HEALTH PLAN SERVICES PO BOX 3726 SEATTLE WA 98124 GT1 HEALTH PLAN SERVICES PO BOX 44109 LAS VEGAS NV 89116 K83 HEALTH PLAN SERVICES P O BOX 2085 NASHUA NH 03061-2085 Y1* HEALTH PLAN SERVICES CONSOLIDATED GROUP P O BOX 2062 NASHUA NH 03061-2062 GE5 HEALTH PLAN SOUTHEAST PO BOX 459011 SUNRISE FL 33345-9011 CU7 HEALTH PLUS 7601 ORA GLEN DR STE 200 GREENBELT MD 20770-3647 Q57 HEALTH PLUS PO BOX 30086 TAMPA FL 33630-3086 CX3 HEALTH PLUS OF LOUISIANA P O BOX 32625 SHREVEPORT LA 71130-2625 F63 HEALTH PLUS OF NEW MEXICO P O BOX 27489 ALBUQUQUERQUE NM 87125 AQ1 HEALTH POINT ADMIN BY SEABURY AND SMIT 2 WEST SECOND ST STE 1750 TULSA OK 74103-2131 FJ5 HEALTH RESOURCES INC 123 SOUTH GREEN RIVER RD P O BOX 15660 EVANSVILLE IN 47716-0660 AR5 HEALTH RISK MANAGEMENT P.O. 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BOX 12625 SALEM OR 97309 G73 HOFFINGER INDUSTRIES INC P O BOX 2457 WEST HELENA AR 72390 EA3 HOLDEN AND COMPANY INC 20 EAST BAY STREET P O BOX 9360 SAVANNAH GA 31419 YM* HOLY FAMILY SOCIETY OF USA ONE FAIRLANE DRIVE JOLIET IL 60434 BR4 HOME LIFE FINANCIAL NEWELL HORNER GUNER INC P O DRAWER 22610 LITTLE ROCK AR 72221-2610 R13 HOME LIFE INSURANCE P O BOX 29005 GLENDALE CA 91209 V76 HOME LIFE INSURANCE CO P O BOX 85 HOLLANDALE MS 38748 C89 HOMESTEADERS LIFE CO GENERAL DELIVERY DES MOINES IA 50309 L9* HORACE MANN 1 HORACE MANN PLAZA SPRINGFIELD IL 62715 FX4 HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY PO BOX 247 DEPT V NEWARK NJ 07101-0247 BO4 HORIZON HEALTH 3841 W CHARLESTON BLVD SUITE 203 LAS VEGAS NV 89102 FR8 HOSPICE CARE SERVICES 1501 S UNIVERSITY LITTLE ROCK AR 72207 LY* HOSPITAL BENEFITS INC P O BOX 162148 ALTAMONTE SPRINGS FL 32716-2148 E18 HOSPITAL CASUALTY CO 720 N W 50TH BOX 18328 OKLAHOMA CITY OK 73154 M90 HOTEL EMPLOYEE INTL UNION WELFARE FUND 1933 LAS VEGAS BLVD LAS VEGAS NV 89104 EW3 HOUSING BENEFIT PLAN P O BOX 542077 DALLAS TX 75354-2077 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 64 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- Z50 HPA INC BICOASTAL DIVISION P.O. 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BOX 94776 CLEVELAND OH 44101-4776 E35 OHIO STATE LIFE INSURANCE P O BOX 910 COLUMBUS OH 43216 0Q* OHS DENTAL CLAIMS P O BOX 830842 BIRMINGHAM AL 35283 ID0 OK AND AR CARPENTER HLTH W P O BOX 860007 PLANO TX 75086 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 89 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- L97 OK INDUSTRIES P O BOX 1119 FORT SMITH AR 72902 V60 OKLAHOMA STATE EDUCATION E GROUP INS BOARD BOX 24870 OKLAHOMA CITY OK 73124 P16 OKLAHOMER SMITH P O BOX 1148 FORT SMITH AR 72902 QX* OLAN MILLS INC 4325 AMNICOLA HIGHWAY P O BOX 391 CHATTANOOGA TN 37401 KG* OLD AMERICAN INSURANCE CO 4900 OAK STREET P O BOX 41873 KANSAS CITY MO 64141 AI* OLD EQUITY LIFE EVANSTON IL 60201 A55 OLD LINE LIFE INS CO 3535 N W 58TH STREET OKLAHOMA CITY OK 73100 ZD* OLD RELIANCE INS CO P O BOX 13150 PHOENIX AZ 85002 IF* OLD SOUTHWEST INS CO P O BOX 823 JACKSONVILLE AR 72076 H94 OLD SURETY LIFE INS CO P O BOX 54407 OKLAHOMA CITY OK 73154 N19 OLIN CORPORATION P O BOX 4500 NORWALK CT 06856-4500 AB6 OMAHA CONSTRUCTION IND HEALTH AND WELFARE PLAN 121 65TH W. 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INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 91 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- HK4 PAI MCDONALDS INSURANCE PO BOX 6702 COLUMBIA SC 29260 IJ1 PAI PO BOX 6702 COLUMBIA SC 29260 A86 PAID PRESCRIPTIONS 190 POLLITT DRIVE P O BOX 6121 FAIRLAWN NJ 07410 IE6 PAN AM LIFE INSURANCE PO BOX 619008 DALLAS TX 75261 W91 PAN AMERICAN 245 WAGNER PLACE STE 300 MEMPHIS TN 38100 Y84 PAN AMERICAN GP CLAIMS 8550 UNITED PLAZA BLVD SUITE 801 BATON ROUGE LA 70809 Y33 PAN AMERICAN GROUP CLAIMS PO BOX 4548 JACKSON MS 39296 GU4 PAN AMERICAN INSURANCE PO BOX 61070 NEW ORLEANS LA 70160-1070 HM9 PAN AMERICAN LIFE P.O. 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BOX 550 JONESBORO AR 72401 I82 RICHARD V REESE AND ASSOCA CARPENTARS LOCAL 3100 BROADWAY 511 KANSAS CITY MO 64111 MH* RINGIER AMERICA INC P O BOX 129 ITASCA IL 60143 CZ3 RISK MANAGEMENT P O BOX 8007 RIVERSIDE CA 92515-8007 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 103 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- YN* RISK MANAGEMENT RESOURCES PO BOX 251770 LITTLE ROCK AR 72205 G54 RMSCO INC 115 CONTINUUM DRIVE LIVERPOOL NY 13088-4387 GG8 RMSCO INC PO BOX 6309 SYRACUSE NY 13217-6309 M36 ROBERT A YOUNG FARMS P O BOX 48 FORT SMITH AR 72902 M68 ROBERTSON AND ASSOCIATES P O BOX DRAWER C BENTON AR 72015 DA2 ROBINSON AND JULIENNE BAILEY AND COMPANY P O BOX 101 JACKSON MS 39205-0101 X70 ROCK TENN COMPANY 198 COMMERCE ROAD CONWAY AR 72032 EB9 ROCKFORD HEALTH PLANS HMO PRODUCT CLINICARE 3401 PERRYVILLE RD ROCKFORD IL 61114 C48 ROCKWELL INTERNATIONAL 600 GRANT ST STE 4747 PITTSBURG PA 15219 M88 ROGER TOOL WORK 1602 E CENTRAL ROGERS AR 72756 V80 ROGERS GROUP INC P O BOX 2545 NASHVILLE TN 37219 DN9 ROGERS MACHINERY FAMILY HEALTHCARE PLAN PO BOX 25775 PORTLAND OR 97225-0775 BC5 ROLLINS LEASING CORP EMPLOYEE BENEFITS TRUST P.O. BOX 8788 WILMINGTON DE 19899 TY* ROSS LOOS HEALTH PLAN GENERAL DELIVERY INGLEWOOD CA 90301 N74 ROWLAND GROUP SERVICES SUITE 1302A 4210 SHAWNEE MISSION PKWY SHAWNEE MISSION KS 66205 HO8 ROYAL NEIGHBORS OF AMERICA PO BOX 10850 CLEARWATER FL 33757-8850 U45 ROYAL OAK ENTERPRISES P O BOX 1517 BRANSON MO 65616 HI1 RSL SPECIALITY PRODUCTS AD 505 SOUTH LENOLA RD SUITE 231 MOORESTOWN NJ 08057 T4* RURAL CARRIER BENEFIT PLAN PO BOX 7404 LONDON KY 40742 J23 RURAL SECURITY LIFE P.O. BOX 5535 MADISON WI 53705 Y36 RWDSU INTERNATIONAL UNION FUND OFFICE PO BOX 55728 BIRMINGHAM AL 35255-0509 HG8 RX AMERICA 221 N CHARLES LINDBERGH SALT LAKE CITY UT 84116 GM3 RX OPTIONS 2181 EAST AURORA ROAD TWINSBURG OH 44087 DJ3 RX PRIME RTG 1 121 HARTFORD CT 06152-1121 A42 RYDER SYSTEMS INC P O BOX 020816 MIAMI FL 33102 L18 S B HOWARD CO PO BOX 1627 ROGERS AR 72757 X89 S B POWER TOOL ROUTE 2 BOX 438 WALNUT RIDGE AR 72476 F71 S L M A P E BARNES LUMBER CO P O BOX 2527 WEST HELENA AR 72390 W59 S R OF ARKANSAS 68 UNION AVE WILSON AR 72395 E42 SAFECO BOX1214 STONE MOUNTAIN GA 30086-1214 VZ* SAFECO LIFE INSURANCE SAFECO PLAZA GENERAL DELIVERY SEATTLE WA 98185 I04 SAFEHEALTH LIFE INSURANCE P O BOX 30930 LAGUNA HILLS CA 92654 AQ5 SAFEWAY GROUP INSURANCE P.O. BOX 2099 OAKLAND CA 94604 AB9 SAFEWAY INC GROUP INS 2950 MERCED STREET SAN LEANDRO CA 94577 FB6 SAGAMORE HEALTH NETWORK 11555 N MERIDAN ST SUITE 400 CARMAL IN 46032 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 104 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- HR6 SAINT MARYS HELATH PLANS 1510 MEADOW WOOD LANE RENO NV 89502 T11 SALLEE BROTHERS 409 SO MCDONALD P O BOX 190 POCAHONTAS AR 72455 L92 SALVATION ARMY P O BOX 1884 AKRON OH 44309 F48 SAMBA 6209 EXECUTIVE BLVD ROCKVILLE MD 43216 IE4 SAN LUIS HMO 700 MAIN STREET ALAMOSA CO 81101 HJ9 SANDFORD HEALTH PLAN 5300 BROADBAND LANE STE 300 SIOUX FALLS SD 57104 Y66 SANUS HEALTH PLAN P.O. BOX 56228 HOUSTON TX 77256 A57 SANYO MANUFACTURING CO C/0 GENERAL AMERICAN 3333 SANYO RD FORREST CITY AR 72335 J76 SCHUMACHER FINANCIAL SERVI P O BOX 549 SIKESTON MO 63801 E22 SCOTT WHITE HEALTH PLAN 2401 SOUTH 31ST ST TEMPLE TX 76508 BG5 SCRIPT CARE INC 6380 FOLSOM DRIVE BEAUMONT TX 77706 HX9 SCRIPT WORLD 250 NORTH REDWOOD ROAD SUIT 210 N SALT LAKE CITY UT 84054 R94 SE AND SW HEALTH AND WELFARE P O BOX 5103 DES PLAINES IA 60017 D29 SEA FARERS WELFARE PLAN 5201 AUTH WAY CAMP SPRINGS MD 20746 CN8 SEACOR MARINE INC P O BOX 2291 MORGAN CITY LA 70380 HK2 SEARS LIFE INSURANCE 3001 MEACHAM BLVE. 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BOX 1 COLUMBIA SC 29202 HY1 SEIU 1199 DENTAL 330 WEST 42ND STREET NEW YORK NY 10036-6977 T15 SELECT BENEFIT ADMINISTRATORS P O BOX 8339 DES MOINES IA 50301 BT5 SELECT BENEFIT ADMINISTRAT OF AMERICA PO BOX 440 ASHLAND WI 54806 GT6 SELECT HEALTH PO BOX 30192 SALT LAKE CITY UT 84130-0192 BA9 SELECT MED P O BOX 11670 SALT LAKE CITY UT 84147-1670 U31 SELECTCARE PRO P O BOX 7036 TROY MI 48077-7036 N20 SELF FUNDED PLANS 1432 HAMILTON AVENUE CLEVELAND OH 44114 BU8 SELF FUNDED PLANS INC 401 W STATE ST GENEVA IL 60134 M2* SELF INSURED SERVICES CO SISCO P O BOX 389 DUBUQUE IA 52004-0389 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 105 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- YE* SELF INSURERS BENEFIT SVC 222 SOUTH PROSPECT PARK RIDGE IL 60068 P36 SENIOR CARE METHODIST HOSPITAL 3024 STADIUM BLVD JONESBORO AR 72401 IC7 SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK VA 23502 BS3 SENTARA POINT OF SERVICE 4417 CORPORATION LANE VIRGINIA BEACH VA 23462 BR* SENTRY INSURANCE P O BOX 35728 RICHMOND VA 23235 E94 SENTRY LIFE PO BOX 17237 MEMPHIS TN 38187 P46 SENTRY LIFE HEALTH INS PO BOX 8888 STEVENS POINT WI 54481 JG* SENTRY LIFE INS CO P O BOX 105047 ATLANTA GA 30348 UT* SENTRY SELECT P O BOX 1387 18005384693 ST LOUIS MO 63188 CQ2 SERV U PRESCRIPTION PLAN P O BOX 23237 MILWAUKEE WI 53223-0237 J49 SERVCO INS AGENCY 501 FALL BLVD WYNNE AR 72396 IB5 SEVEN CORNERS ATTN CLAIMS P O BOX 3430 CARMEL IN 46082-3420 A73 SFA 125 WEST CENTRAL SUITE 319 BENTONVILLE AR 72712 GB5 SHARP INC PO BOX 690450 SAN ANTONIO TX 78269-0450 DB2 SHARP INC CLAIMS DEPT P O BOX 7097 JONESBORO AR 72403 FP4 SHASTA ADMIN SERV PO BOX 1747 REDMOND OR 97756 Q59 SHAW INDUSTRIES INC PO DRAWER 2128 DALTON GA 30722-2128 T42 SHEET METAL LOCAL 249 3721 PHILLIS NO LITTLE ROCK AR 72118 W64 SHEET METAL WORKERS FUND LOCAL 265 1065 SCHANLE RD CAROL STREAM IL 00000 B92 SHEET METAL WORKERS FUND 601 N FAIRFAX STREET SUITE 500 ALEXANDRIA VA 22314 DI7 SHEET METAL WORKERS FUND P O BOX 10067 MANHATTAN BEACH CA 90266-8567 J81 SHEET METAL WORKERS LOCAL H W FUND P O BOX 50440 INDIANAPOLIS IN 46250 IH2 SHEFFIELD OLSON AND MCQUEE 2145 FPRD PKWY STE 300 ST PAUL MN 55116 AG* SHELTER INSURANCE CO 1817 W BROADWAY COLUMBIA MO 65218 U21 SHELTER LIFE INSURANCE CO 508 W PLEASURE SEARCY AR 72143 GY4 SHENANDOAH LIFE GROUP DENTAL CLAIMS P O BOX 8112 PARK RIDGE IL 60068 G08 SHENANDOAH LIFE INSURANCE P O BOX 11807 ROANOKE VA 24022 FQ7 SHIPPERS RENTAL COMPANY PO BOX 3156 QUINCY IL 62305-3156 H64 SHIPPING SYSTEMS EMP HEALT GREEN BAY WI 54344 BN5 SHIRLEY TILLEY TRUSTEE FOR MELISSA TILLEY GEN DEL REYNO AR 72462 K10 SHOEMAKERS EMPLOYEES BENEF P O BOX 690450 SAN ANTONIO TX 78269-0450 ZJ* SHONEYS SOUTH INC 2158 UNION AVENUE P O BOX 41379 MEMPHIS TN 38104 S91 SHONEYS TPA P O BOX 290489 NASHVILLE TN 37229 K74 SIBS 222 SO PROSPECT PARK RIDGE IL 60068 Z73 SIDACO INC 17314 FM 249 SUITE 105 HOUSTON TX 77064 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 106 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- AU9 SIERRA HEALTH AND LIFE P.O. BOX 18408 LAS VEGAS NV 89114 GN* SIERRA HEALTHCARE OPTIONS P O BOX 15392 LAS VEGAS NV 89114-5392 FE3 SILVER DOLLAR CITY INC BENEFITS ADMINISTRATOR HC 1 BOX 791 BRANSON MO 65616 GS1 SILVER SCRIPT PO BOX 280200 NASHVILLE TN 37228 GS3 SILVER SCRIPT PO BOX 52092 PHOENIX AZ 85072-2092 EC6 SILVER STATE MEDICAL ADM 2059 E SAHARA AVE LAS VEGAS NV 89104 QQ* SIMMONS PO DRAWER V VAN BUREN AR 72956 A36 SIMMONS INDUSTRIES PO BOX 430 SILOAM SPRINGS AR 72761 L53 SIMPLEK TIME RECORDER 1509 MART DRIVE LITTLE ROCK AR 72202 W30 SISTERS OF CHARITY CLAIMS PO BOX 922013 2600 NO LOOP WEST DR SUIT HOUSTON TX 77292-2013 Z43 SJA BROKERAGE INC PO BOX 101627 FORT WORTH TX 76185-1627 I73 SKIL CORPORATION 2 BOLTON SULLIUAN HWY 110 HEBER SPRINGS AR 72543 ZK* SKILL INSURANCE CORP HIGHWAY 67 NORTH P O BOX 689 WALNUT RIDGE AR 72476 S15 SLOAN VALVE COMPANY PRUDENTIAL HWY 33 SOUTH AUGUSTA AR 72006 V22 SLOANS LAKE MANAGED CARE MASSACHUSETTS MUTUAL 1355 S COLORADO STE 902 DENVER CO 80222 AQ4 SMC INC P.O. 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O. BOX 87 DANVILLE AR 72833 DM5 STATE FARM INS JIM BOYETTE AGENT P O BOX 774 CAMDEN AR 71701 A58 STATE FARM INS CO P O BOX 569 HEBER SPRINGS AR 72543 AF4 STATE FARM INS CO MID SOUTH OFFICE P O BOX 1221 HOT SPRINGS AR 71902 DW* STATE FARM INS CO 205 PINE CROSSETT AR 71635 Z99 STATE FARM INS CO 1305 ARKANSAS BOULEVARD SUITE 101 TEXARKANA AR 75502 NE* STATE FARM INSURANCE GROUP MEDICAL DIVISION P O BOX 2700 BLOOMINGTON IL 61702-2700 FN6 STATE FARM INSURANCE PO BOX 2978 CLINTON IA 52733-2978 IK3 STATE FARM INSURANCE 1512 HIGHWAY 675 SUITE E POCAHONTAS AR 72455 DC6 STATE FARM INSURANCE PO BOX 11107 FORT SMITH AR 72917-1107 B68 STATE FARM INSURANCE 5 LAKE SHORE DRIVE LAKE VILLAGE AR 71653 B13 STATE FARM INSURANCE CO COURT HOUSE SQUARE TRENTON GA 30752 Z9* STATE FARM INSURANCE CO PO BOX 1471 HOPE AR 71801 S10 STATE FARM INSURANCE CO P O BOX 546 EL DORADO AR 00000 JQ* STATE FARM MUTUAL 1327 AIRPORT RD HOT SPRINGS AR 71901 B67 STATE FARM MUTUAL PO BOX 2696 WEST HELENA AR 72390 B33 STATE FARM MUTUAL GENERAL DELIVERY VAN BUREN AR 72956 FO3 STATE FARM MUTUAL AUTOMOBI INSURANCE COMPANY PO BOX 339403 GREELEY CO 80633-8403 L13 STATE FARM NOEL WILLIAMS WALKER STREET GREENVILLE MS 38701 BO6 STATE GENERAL LIFE INSURAN 115 W 7TH STREET FORT WORTH TX 76102 A82 STATE MERIT SYSTEMS HEALTH BENEFIT SERVICE PO BOX 38342 ATLANTA GA 30334 C21 STATE MUTUAL ONE STATE MUTUAL DR P O BOX 153 ROME GA 30162-0153 FI4 STATE MUTUAL CLAIMS PROCES 1 877 872 5500 P O BOX 10811 CLEARWATER FL 33757-8811 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 110 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- A60 STATE MUTUAL INSURANCE CO 4828 LOOP CENTRAL DRIVE SUITE 560 HOUSTON TX 77081 FJ3 STATE MUTUAL INSURANCE COM PO BOX 10811 CLEARWATER FL 33757-8811 F2* STATE MUTUAL LIFE ASSURANCE CO OF AMERICA WORCESTER MA 01600 K2* STATE MUTUAL LIFE ASSURANCE P O BOX 13029 ST PETERSBURG FL 33733 I33 STATE MUTUAL LIFE ASSURANC GROUP CLAIM ADMIN 1030 15TH ST NW STE200 WASHINGTON DC 20005 G1* STATE MUTUAL UNIFORM PRINTING SUPPLY 7460 NORTH LEHIGH AVE NILES IL 60648 ZU* STATE OF LOUISIANA GROUP INSURANCE SECTION BOX 44036 BATON ROUGE LA 70804 E4* STATE OF NORTH CAROLINA COMPREHENSIVE HEALTH BENEFIT RALEIGH NC 27600 G34 STATE OF OKLAHOMA GROUP INSURANCE PO BOX 24870 OKLAHOMA CITY OK 73124 DL8 STATELINE TPA INC P O BOX 1777 TOLEDO OH 43603-1777 C80 STATESMAN NATL INS CO 4701 W GATE BLVD STE A102 AUSTIN TX 78745-1479 Y89 STATESMANS LIFE INSURANCE P.O. BOX 2526 MONROE LA 71207 UL* STEAMFITTER LOCAL UNION 614 3746 JACKSON AVE MEMPHIS AVENUE TN 38108 BQ8 STEDMAN INSURANCE GROUP COOPER CLINIC HEALTH CARE 1360 WHITFIELD AVE SARASOTA FL 34243 HC7 STERLING INVESTORS LIFE IN P.O. BOX 10844 CLEARWATER FL 33757-8844 GM5 STERLING OPTION ONE P O BOX 69314 HARRISBURG PA 17106 FA2 STERLING PREMIER PO BOX 5348 BELLINGHAM WA 98227 CN2 STEVENS INDUSTRIES INC 1734 GELSINN LANE FENTON MO 63026 AW9 STEWART AND STEVENSON ATTN INSURANCE CLAIMS 4516 HARRISBURG BLVD HOUSTON TX 77011 T63 STEWART KANE INS INC 11300 N RODNEY PARHAM 222 LITTLE ROCK AR 72212 I08 STM CLAIMS DEPARTMENT P O BOX 21456 EAGEN MN 55121-0456 HU7 STONEBRIDGE PO BOX 30567 SALT LAKE CITY UT 84130-0567 BN2 STONEBRIDGE LIFE INS CO 2700 W PLANO PARKWAY PO BOX 869090 PLANO TX 75086 J93 STORAGE TEK CLORADO GROUP P O BOX 378710 DENVER CO 80237 H05 STOWE ASSOCIATES 2951 FLOWERS RD STE 217 ATLANTA GA 30341 BH4 STOWE ASSOCIATES 3084 MERCURY AVE STE 210 ATLANTA GA 30341 GE1 STRATEGIC OUTSOURCING INC PO BOX 241508 CHARLOTTE NC 27224 BY6 STRATEGIC RESOURCE CO PIZZA HUT CLAIMS P O BOX 23759 COLUMBIA SC 29224-3759 FQ1 STUDENT ASSURANCE SERVICE P O BOX 196 STILLWATER MN 55082 HD7 STUDENT INSURANCE P O BOX 809027 DALLAS TX 75380-9027 CQ3 STUDENT PLANS INC P O BOX 1390 WHEATON IL 60189-1390 N77 SUBURBAN TEAMSTERS OF NORTHERN IL WELFARE FUND 1000 NE 1 55 FRONTAGE JOLIET IL 60435 GL7 SUMMACARE PO BOX 3620 AKRON OH 44309 CI4 SUN HEALTH GROUP 5131 MOSTHEAD NE ALBUQUERQUE NM 87109 AH7 SUNBEAN OUTDOOR PRODUCTS 1600 JONES ROAD PARAGOULD AR 72450 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 111 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- E80 SUNDERBRUCH CORP SUITE 1850 1034 S BRENTWOOD BLVD ST LOUIS MO 63117 HT0 SUNLIFE FINANCIAL PO BOX 81633 WELLESLEY HILLS MA 02481 F70 SUNMARK INC ONE FINANCIAL CTR STE 141 650 S SHACKLEFORD RD LITTLE ROCK AR 72211 G68 SUNNYFRESH INS CO P O BOX 40 LINCOLN AR 72744 E44 SUNSTRAND COPR GROUP BENEF 3007 HARRISON AVE ROCKFORD IL 61102 HN7 SUPERIEN HEALTH NETWORK PO BOX 2388 STOW OH 44224 K14 SUPERIOR 7800 WOODLEY AVENUE VAN NUYS CA 91406 DO3 SUPERIOR FEDERAL BANK TRUST FOR DESIREA BARTLET 1104 BROADWAY VAN BUREN AR 72956 BJ1 SUPERIOR FEDERAL BANK P O BOX 17012 FORT SMITH AR 72917 X48 SUPERIOR GRAPHITE CO CNA 3225 DOW DR RUSSELLVILLE AR 72801 V17 SUPERIOR GRAPHITE CO 120 SOUTH RIVERSIDE PLAZA CHICAGO IL 60606 GN2 SUPERIOR HELATH PLAN PO BOX 3003 FARMINGTON MO 63640 I85 SUPERIOR INDUSTRIES INTERNATIONAL INC 7800 WOODLEY AVE VAN NUYS CA 91406 Z76 SUPERIOR INSURANCE FORMERLY TAYSON INS ADMIN 3741 MERCED DR STE K RIVERSIDE CA 92503 UJ* SUPERIOR INSURANCE CO 3741 MERCED DRIVE SUITE K RIVERSIDE CA 92503-4974 J99 SUPERIOR SURGICAL MFG 100 2ND AVE SOUTH 11TH FL ST PETERSBURG FL 33701 HP3 SUPERIOR VISION PO BOX 967 RANCHO CORDOVA CA 95741 U55 SUPERMARKET EMPLOYEES BENEFIT PLAN P O BOX 14970 SHAWNEE MISSION KS 66215 T10 SUSQUEHANNA ADMIN INC P O BOX 1523 LANCASTER PA 17603 S52 SUTTER PREFERRED HEALTH P O BOX 162287 SACRAMENT CA 95816 IE9 SW CARPENTERS NV HEALTH AND WELFARE PO BOX 17973 LOS ANGELES CA 90017-0973 U8* SW GENERAL LIFE INSURANCE PO BOX 10575 LYNCHBURG VA 24506-0575 M95 SWADC P O BOX 450 TEXARKANA TX 75504 N14 SWEPCO P O BOX 1328 FAYETTEVILLE AR 72702 H04 SXC HEALTH SOLUTIONS CORP 2441 WARRENVILLE ROAD SUITE 610 LISLE IL 60532-3101 H02 SYMETRA SELECT BENEFIT ADM PO BOX 440 ASHLAND WI 54806 G51 SYNCOR ADMINISTRATIVE SERV 3000 WEST DUNDEE ROAD PO BOX 1327 NORTHBROOK IL 60065 YK* SYNERGY GROUP 175 PRICE PARKWAY FARMINGDALE NY 11735 DU7 SYSTEM ELECTR INC SOUTHWEST MOBILE SEI BOX 196 THORNBG/MCDANIEL WEST PLAINS MO 65775 A68 SYSTEMATIC HEALTH CARE PLA 4001 N RODNEY PARHAM RD LITTLE ROCK AR 72212 J18 T AND D METAL PRODUCTS INC EAST WALNUT STREET WATSEKA IL 60970 DR3 T H ROGERS LUMBER CO P O BOX 5770 EDMUND OK 73083-5770 N96 T L JAMES CO P O BOX 1260 RUSTON LA 71273-1260 DY4 T M G LIFE INS CO 2800 DAUPHIN ST P O BOX 6548 MOBILE AL 36606-0548 L82 T N ELECTRIC CO 5800 EVERGREEN SUITE 101 LITTLE ROCK AR 72205 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 112 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- Q46 TABER BROKERAGE SERV INC 519 NW 9TH STREET OKLAHOMA CITY OK 73102 L17 TANDYCRAFTS INC P O BOX 2903 FORT WORTH TX 76113 E92 TANG INDUSTRIES 1965 PRATT BLVD ELK GROVE VILLAGE IL 60007 AO2 TARGET BENEFIT SERVICES P.O. BOX 869041 DEPT 198 PLANO TX 75086 JA2 TAYLOR BENEFIT RESOURCE P O BOX 6580 THOMASVILLE GA 31758 AJ* TBG USA INC P O BOX 5383 PARSIPPANY NJ 07054 DD4 TDI MANAGED CARE P O BOX 2860 PITTSBURG PA 15230 D80 TEACHERS RETIREMENT SYSTEM OF KENTUCKY 216 W MAIN ST FRANKFORT KY 40601 HH3 TEAM ELECTRIC INC 1455 SOUTH LIPAN STREET DENVER CO 80223-3005 AS9 TEAMSTER UNION LOCAL 815 467 SYLVAN AVENUE ENGLEWOOD CLIFFS NJ 06632 M78 TEAMSTERS JOINT COUNCIL 8814 FARGO ROAD RICHMOND VA 23229 F18 TEAMSTERS LOCAL 627 4201 TEAMSTERS DRIVE PEORIA IL 61614 D54 TEAMSTERS MEDICARE TRUST 300 SOUTH GRAND ST LOUIS MO 63103 J2* TEAMSTERS 667 796 EAST BROOKS AVENUE MEMPHIS TN 38116 C37 TEMPLE EASTEX 540 EAST BARTON ST WEST MEMPHIS AR 72301 J3* TENNECO AUTOMOTIVE BENEFIT PROGRAM 4625 WASHINGTON AVE RACINE WI 53405 U75 TENNESSEE HEALTH CARE NETW 51 STONEBRIDGE BLVD JACKSON TN 38305 BL4 TENNESSEE HEALTH PARTNERS PO BOX 3490 JACKSON TN 38303-3490 C62 TENNESSEE NATIONAL 1201 W 8TH LITTLE ROCK AR 72203 M50 TERRA INTERNATIONAL INC 600 4TH STREET SIOUX CITY IA 51101 FC6 TETCO EMPLOYEE BENEFIT PLA P O BOX 171720 SAN ANTONIO TX 78217 L11 TEXANA TANK CAR MFG INC P O BOX 550 NASH TX 75569 M61 TEXAS GAS TRANSMISSION COR P O BOX 1160 OWENSBORO KY 43302 FM6 TEXAS IMPERIAL LIFE INSURA PO BOX 42813 HOUSTON TX 77242-2813 HJ8 TEXAS INTERNATINAL LIFE IN CITIZENS NATIONAL LIFE IN PO BOX 11007 WINSTON SALEM NC 27116 I92 TEXAS NATIONAL GROUP ADMIN P.O. BOX 820923 HOUSTON TX 77282-0929 Q22 TEXAS NEW MEXICO POWER CO PO BOX 433 FORT WORTH TX 76634 I36 TEXAS OIL MARKETERS ASSC TRUST AND WELFARE PLAN 701 WEST 15TH STREET AUSTIN TX 78701 Q82 TEXAS PIPE TRADE HEALTH BENEFIT FUND, SUITE 210 11910 GREENVILLE AV DALLAS TX 75243 UE* TEXAS PIPE TRADES HEALTH BENFIT FUND P O BOX 860037 PLANO TX 75086-0037 HP6 TEXAS TRUE CHOICE PO BOX 250089 PLANO TX 75025 M26 TEXTRON P O BOX 38813 AUGUSTA GA 30913 AX5 TFE MEDICAL SYSTEMS 3665 WHEELER RD SUITE 101 AUGUSTA GA 30909-6510 IB9 THE BRAD HENDRICKS LAW FIR 500 C PLESANT VALLEY DR LITTLE ROCK AR 72227 TD* THE BRINKLEY COMPANY P O BOX 80817 INDIANAPOLIS IN 46280 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 113 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- TE* THE EATON BENEFITS OFFICE P O BOX 2900 CORAOPOLIS PA 15108 TB* THE GATE GROUP P O BOX 8219 LITTLE ROCK AR 72221 HB9 THE HEALTH PLAN GROUP M PLAN 8802 NORTH MERIDAN ST INDIANAPOLIS IN 46260 AQ7 THE INSURANCE CENTER 321 EAST 4TH JOSLIN MO 64801 I03 THE LINCOLN NATIONAL LIFE DENTAL CLAIMS INPUT CTR P O BOX 2640 OMAHA NE 68103-2640 GO2 THE LOOMIS COMPANY PO BOX 13814 READING PA 19612 GM7 THE LOOMIS COMPANY P O BOX 7011 WYOMISSING PA 19610-6011 GX4 THE MAIL HANDLERS BENEFIT P O BOX 8402 LONDON KY 40742 FN3 THE ONE BENEFIT SOURCE PO BOX 2775 ELKHART IN 46515 IJ3 THE TENNESSEE PLAN GOVERNMENT RETIREE PO BOX 118 SYRACUSE NY 13206 D2* THIRD PARTY ADMINISTRATORS 1919 S SHILOH SUITE 500 GARLAND TX 75042 EL2 THIRD PARTY CLAIM MGMT P O BOX 268814 OKLAHOMA CITY OK 73126-8814 EL1 THIRD PARTY CLAIM MGMT P O BOX 268820 OKLAHOMA CITY OK 73126-8820 AM4 THORNAPPLE VALLEY INC 26999 CENTRAL PARK BLVD SUITE 300 SOUTHFIELD MI 48076 HR9 THREE RIVERS BENEFIT CORP PO BOX 3440 SIOUX CITY IA 57101 DX4 THURSTON CO BLUE SHIELD P O BOX 91048 SEATTLE WA 98111 K8* TIDELANDS LIFE INS CO P O BOX 2991 FORT WORTH TX 76100 X24 TIGG 2549 PANGBURN ROAD HEBER SPRINGS AR 72543 GP2 TIME INSURANCE COMPANY FOR ASSURANT HEALTH PO BOX 42033 HAZELWOOD MO 63042 V26 TOLLIE FREIGHTWAYS INC 1020 SUNSHINE RD KANSA CITY KS 66115 P85 TOMA TRUST 701W 15 STREET AUSTIN TX 78701-1599 M91 TOMFORD INS ADMIN 21032 DEVONSHIRE SUITE202 CHANTSWORTH CA 91311 EC5 TOTAL BENEFIT SERVICES P O BOX 30180 NEW ORLEANS LA 70190 GO8 TOTAL CLAIMS SOLUTION TCS PO BOX 10888 GREEN BAY WI 54307 F85 TOTAL GROUP SERVICES INC P O BOX 1687 GRAND RAPIDS MI 49501 EX7 TOTAL PLAN ADM TPA LIFE OF THE SOUTH P O BOX 12288 COLUMBUS GA 31907 GW3 TOTAL PLAN SERVICES 14001 DALLAS PKWY NORTH SUITE 700 DALLAS TX 75240 X72 TOTAL PROGRAM ADMINISTRATORS P O BOX C85012 RICHMOND VA 23261-5012 G82 TOTAL PROGRAM ADMINISTATOR WORRELL ENTERPRISE INC PO BOX C32011 RICHMOND VA 23200 S93 TOWER LIFE INS CO P O BOX 21130 SAN ANTONIO TX 78221-0130 H31 TOWNSEND LIFE ASSOCIATES I 18 N 6TH ST PO BOX 2210 HAINES CITY FL 33844 H49 TOY R US 2501MCKENIZE DR CAROLLTON TX 75006 DK2 TPA PO BOX 320 PUEBLO CO 81002-0320 RI* TPA PO BOX 52125 PHOENIX AZ 85072 DC* TPA 5214 MARYLAND WAY SUITE 207 BRENTWOOD TN 37027 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 114 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- I37 TPA MICHIGAN 5455 CORPORATR DRIVE TROY MI 48098 CT2 TPA OF FLORIDA P O BOX 121212 MARIETTA GA 30067-0092 Q52 TPA OF PENNSYLVANIA INC PO BOX 1127 BLUE BELL PA 19422 AV8 TPA PLAN ADMINISTRATORS P.O. BOX 901066 FORT WORTH TX 76101 DB4 TR PAUL GROUP SERVICES 14 COMMERCE ROAD NEWTOWN CT 06470 BF1 TRACKER MARINE 1935C. S. CAMPBELL SPRINGFIELD MO 65898 D5* TRACOR MBA P O BOX 3297 CAMDEN AR 71701 A13 TRANAMERICA OCCIDENTAL CO 10300 NO CEN EXPRESSWAY DALLAS TX 75231 K90 TRANS AMERICA FORMERLY AEGON USA PO BOX 8063 LITTLE ROCK AR 72203 LM* TRANS AMERICAN INDIVIDUAL HEALTH CLAIMS 1600 WORTHERN BANK BLDG LITTLE ROCK AR 72201 Z77 TRANS STATE LINES INC ATTN HEALTH CLAIMS DIV P.O. BOX 17011 FT SMITH AR 72917 S6* TRANSAMERICA ACCIDENTAL LI 1400 CENTERVIEW DRIVE LITTLE ROCK AR 72211 W10 TRANSAMERICA OCCIDENTAL LIFE P O BOX 5803 ROCKFORD IL 61125-0803 EV3 TRANSAMERICA OCCIDENTAL LIFE INSURANCE CO P O BOX 2101 LOS ANGELES CA 90051-0101 E52 TRANSAMERICA OCCIDENTAL ABT TOWERS P O BOX 1558 HOT SPRINGS AR 71902 E8* TRANSCONTINENTAL ENERGY CO GROUP INSURANCE COMPANY P O BOX 21568 SHREVEPORT LA 71120 S80 TRANSPORT CO INC P O BOX 190625 LITTLE ROCK AR 00000 J31 TRANSPORT COMPANY HIGHWAY 15 SOUTH EL DORADO AR 71730 C2* TRANSPORT LIFE INSURANCE P O BOX 66953 CHICAGO IL 60666-0953 EB1 TRAVELERS CONSOLIDATED GROUP 110000 P O BOX 2070 NASHUA NH 03061 RG* TRAVELERS 3316 FARNAM STREET OMAHA NE 68175 NY* TRAVELERS METRA HEALTH GROUP HEALTH ONE MERCANTILE TOWER ST LOUIS MO 63101 PO* TRAVELERS METRAHEALTH 6435 CASTLEWAY DRIVE P O BOX 50863 INDIANAPOLIS IN 46250 OB* TRAVELERS METRAHEALTH 600 CITY PARKWAY WEST P O BOX 5170 ORANGE CA 92667 I48 TRAVELERS METRAHEALTH 1701 CENTERVIEW LITTLE ROCK AR 72221 G86 TRAVELERS METRAHEALTH OF ILLINOIS INC P O BOX 7045 ROCKFORD IL 61126-7045 R62 TRAVELERS METRAHEALTH OF ILLINOIS 929 SI ALPINE RD ROCKFORD IL 61108 R21 TRAVELERS METRAHEALTH P O BOX 22545 JACKSON MS 39225-2545 S68 TRAVELERS METRAHEALTH SOUTHWESTERN ENERGY CO P O BOX 1408 FAYETTEVILLE AR 72702-1408 W63 TRAVELERS METRAHEALTH P O BOX 59049 MINNEAPOLIS MN 55459-0049 Z44 TRAVELERS METRAHEALTH P.O. BOX 660451 DALLAS TX 75266 Y35 TRAVELERS METRAHEALTH 1901 N ROSELLE RD STE 600 SCHAUMBURG IL 60195 DF8 TRAVELERS METRAHEALTH 500 GRANT STREET PITTSBURG PA 15219 DF6 TRAVELERS METRAHEALTH 7090 SOUTH UNION PARK AVE MIDVALE UT 84047 FR* TRAVELERS METRAHEALTH 4 GREENWAY PLAZA EAST HOUSTON TX 77046 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 115 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- E19 TRAVELERS METRAHEALTH P O BOX 5472 ALEXANDRIA LA 71301 AT1 TRAVELERS METRAHEALTH P.O. 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BOX 30541 SALT LAKE UT 84130-0541 IO9 UMR PO BOX 145804 CINCINNATI OH 45250 IA9 UMR 675 BROOKSEDGE BOULEVARD WESTERVILLE OH 43081 KO* UMR FISER HLTH FORMERLY WAUSAU BENEFITS P O BOX 8013 WAUSAU WI 54402-8013 RM* UMWA HEALTH AND RETIREMENT FUNDS 2021 K STREET WASHINGTON DC 20006 DJ6 UMWA HEALTH RETIREMENT THE FUNDS P O BOX 4410 ALBANY NY 12204-0410 L71 UNC ALTA REVIEW SUITE 750 4 STATION SQUARE PITTSBURGH PA 15219 G50 UNDERWRITER LIFE INS CO 6210 CAMPBELL RD DALLAS TX 75248 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 117 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- BF2 UNDERWRITERS AND ADMINISTR P O BOX 6250 HARRISBURG PA 17112 Q7* UNDERWRITERS NATIONAL ASSURANCE COMPANY 3637 MERIDIAN STREET INDIANAPOLIS IN 46208 S61 UNICARE MASS MUTUAL P O BOX 9088 OXNARD CA 93031-9088 GT3 UNICARE PO BOX 4458 CHICAGO IL 60680-4458 GL5 UNICARE PO BOX 4006 SCHAUMBURG IL 60168-4006 GG6 UNICARE PO BOX 4239 WOODLAND HILLS CA 91365 GF6 UNICARE PO BOX 70000 VAN NUYS CA 91470 GF5 UNICARE PO BOX 833882 RICHARDSON TX 75083 GF4 UNICARE PO BOX 4444 OXNARD CA 93031 GF3 UNICARE PO BOX 4124 WOODLAND HILL CA 91365 BZ9 UNICARE MASS MUTUAL P O BOX 5005 BOLLINGBROOK IL 60440 CS5 UNICARE P O BOX 4061 18003047258 SCHAUMBURG IL 60168-4061 CR6 UNICARE PO BOX 4069 SCHAUMBURG IL 60168-4069 CJ2 UNICARE P O BOX 4005 SCHAUMBERG IL 60168-4005 B29 UNICARE 24650 CENTER RD SUITE 310 WESTLAKE OH 44145 WU* UNICARE PO BOX 5037 BOLINGBROOK IL 60440-5037 Z74 UNICARE SOUTHEAST MEDICAL ALLIANC 111 VETERANS MEM BLVD 500 METAIRIE LA 70005 0U* UNICARE NCR CORPORATION BOX 4050 SCHAUMBURG IL 60188-4050 DX2 UNICARE P O BOX 4054 SCHAUMBERG IL 60168-4054 DO5 UNICARE CARGILL CLAIMS P O BOX 4061 SCHAUMBERG IL 60168 DQ* UNICARE 1295 STATE ST P O BOX 51130 SPRINGFIELD MA 01151 FC1 UNICARE DALLAS SERVICE CENTER P O BOX 833933 RICHARDSON TX 75083-3933 NM* UNICARE HEALTH AND LIFE MEMBERS INSURANCE PROGRAM 203 JANDUS RD CARY IL 60013 GJ6 UNICARE HEALTH PLANS PO BOX 5036 BOLINGBROOK IL 60440-5036 J83 UNICARE HOMES INC 105 WEST MICHIGAN STREET MILWAUKEE WI 53203 J11 UNICARE INSURANCE CO 5171 VERDUGO WAY CAMARILLO CA 93012-8603 OU* UNICARE LIFE AND HEALTH 3820 AMERICAN DRIVE PLANO TX 75075 DO6 UNICARE LIFE AND HEALTH INSURANCE COMPANY PO BOX 833876 RICHARDSON TX 75083 AD8 UNICARE LIFE HEALTH ITT HARTFORD P O BOX 5010 FORT SCOTT KS 66701-5010 Y26 UNICARE MASS MUTUAL 700 VETERANS HWY STE 202 P O BOX 18037 HAUPPAUGE NY 11788 CG9 UNICARE MASS MUTUAL 1 CORPORATE CTR STE 300 1320 WILLOW PASS RD CONCORD CA 94520-5280 BS2 UNICARE MASS MUTUAL REGIONAL SERVICE CENTER BOX 5012 FORT SCOTT KS 66701-5010 BR8 UNICARE MASS MUTUAL GROUP CLAIMS PO BOX 5024 WOODBRIDGE NJ 07095-5024 C22 UNICARE MASS MUTUAL 24650 CENTER RIDGE RD SUITE 310 WESTLAKE OH 44145 C78 UNICARE MASS MUTUAL 315 W PONCE DE LEON P O BOX 100008 DECATUR GA 30031-7008 * - 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INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 119 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- EG4 UNISYS P O BOX 8090 LINDEN KY 40742-8090 I74 UNISYS CORPORATION P.O. 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BOX 3098 NAPERVILLE IL 60566 I58 UNITED HEALTHCARE METRAHEALTH P.O. BOX 7202 SAN FRANCISCO CA 94120-7202 IJ5 UNITED HEALTHCARE P O BOX 30783 SALT LAKE CITY UT 84130-0783 X55 UNITED HEALTHCARE ADM THE TPA P O BOX 862 SEATTLE WA 98111-0862 EQ4 UNITED HEALTHCARE ADM INC WEST PLAINS CHARCOAL PO BOX 121212 MARIETTA GA 30006-0092 FX3 UNITED HEALTHCARE DENTAL PO BOX 30560 BETHESDA MD 20804-0560 WB* UNITED HEALTHCARE INS CO P O BOX 30557 SALT LAKE CITY UT 84130-0557 DU3 UNITED HEALTHCARE INS CO PO BOX 740802 ATLANATA GA 30374-0802 CX8 UNITED HEALTHCARE METLIFE GENUINE PARTS CLAIMS P O BOX 30170 TAMPA FL 33630-3170 BV8 UNITED HEALTHCARE METRAHEA ALCOA CLAIMS P O BOX 105380 ATLANTA GA 30348 IC3 UNITED HEALTHCARE OF RIVER VALLEY PO BOX 5230 KINGSTON NY 12402 W41 UNITED HEALTHCARE OF AR P O BOX 830638 BIRMINGHAM AL 35283-0638 L10 UNITED HEALTHCARE TPA 6160 SUMMITT DRIVE SUITE 360 BROOKLYN CENTER MN 55430 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 123 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- UI* UNITED INSURANCE 46 STILL FOREST HOUSTON TX 77024 AG9 UNITED INSURANCE 211 N. WASHINGTON P O BOX 1604 EL DORADO AR 71730 SU* UNITED INSURANCE COMPANY 1324 EAST THIRD STREET P O BOX 699 TULSA OK 74101 AU1 UNITED LIFE INSURANCE P.O. BOX 33513 SAN ANTONIO TX 78265 HT3 UNITED MEDICAL ALLIANCE 2021 BATTLECREEK DRIVE SUITE A FORT COLLINS CO 80528 M67 UNITED MEDICAL RESOURCES P O BOX 141337 CINCINNATI OH 45250-1337 Z23 UNITED MEDICAL RESOURCES I P O BOX 145804 CINCINNATI OH 45214 KY* UNITED MINE WORKERS OF AMERICA 945 BOND STREET EVANSVILLE IL 47708 V64 UNITED MINE WORKERS OF AMERICA P O BOX 9224 VAN NUYS CA 91409 HH5 UNITED MINE WORKERS OF AME PO BOX 619099 DALLAS TX 75261-9741 Y42 UNITED MINE WORKERS OF AME HEALTH RET 1950 PENSION T 4455 CONNECTICUT AVE NW WASHINGTON DC 20008 IL3 UNITED NATIONAL LIFE INSUR P O BOX 1154 GLENVIEW IL 60025-1154 ZY* UNITED OF OMAHA MUTUAL OF OMAHA PLAZA GENERAL DELIVERY OMAHA NE 68175 AM6 UNITED OF OMAHA P.O. BOX 1332 MINNEAPOLIS MN 55440 AK1 UNITED OF OMAHA P.O. BOX 590 ADDISON TX 75001 JB1 UNITED OF OMAHA LIFE INSUR ATTEN CLAIMS 3300 MUTUAL OF OMAHA PLAZ OMAHA NE 68175 X41 UNITED OF OMAHA MOTOC 3100 BROADWAY SUITE 1300 KANSAS CITY MO 64111 FG1 UNITED OPTICAL SPECTER ATTN MEMBER REIMBURSEMENT 2811 LORD BALTIMORE DR BALTIMORE MD 21244 I64 UNITED PARCEL SERVICE HEALTH PROGRAM 5501 FOURCHE DAM PIKE LITTLE ROCK AR 72206 J35 UNITED PARCEL SERVICE OF A 51 WEAVER STREET GREENWICH OFFICE PARK 5 GREENWICH CT 06830 Z45 UNITED PARCELL SERVICE 3215 EAST 50TH TEXARKANA AR 75502 AS1 UNITED PROVIDER SERVICES PO BOX 71120 BOSSIER CITY LA 71171 J1* UNITED SAVINGS LIFE INS 901 ELM STRET HINSDALE IL 60521 T65 UNITED SECURITY LIFE INSURANCE CO 10275 W HIGGINS RD ROSEMONT IL 60018 S66 UNITED SECURITY LIFE INSURANCE CO P O BOX 2186 HOT SPRINGS AR 71914 HQ1 UNITED SECURITY LIFE PO BOX 2870 CLINTON IA 52733-2870 CS4 UNITED SECURITY LIFE INS P O BOX 13587 JACKSON MS 39236 A84 UNITED SR CITIZENS SUPP ME FIDELITY SECURITY LIFE P O BOX 131 KANSAS CITY MO 64141-0131 DG7 UNITED STATE LIFE INS P O BOX 15205 READING PA 19612-5205 HJ1 UNITED STATES DEPT OF STAT SEVEN CORNERS PO BOX 3724 CARMEL IN 46082-3724 HI4 UNITED TEACHER ASSOCIATES P O BOX 30010 DALLAS TX 78755 GV5 UNITED TEACHER ASSOCIATES PO BOX 33010 AUSTIN TX 78755-3001 ZP* UNITED TECHNOLOGIES CARRIER 100 MURPHY DRIVE MAUMELLE AR 72118 OX* UNITED THOROUGHBRED TRAINERS OF AMERICA 19363 JAMES COUZENS HWY DETROIT MI 48235 G91 UNITED TRANSPORTATION UNIO 14600 DETROIT AVE CLEVELAND OH 44107 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 124 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- SM* UNITED WESTERN LIFE INS CO GENERAL DELIVERY AUSTIN TX 78776 EG9 UNITED WISCONSIN GROUP UWG PO BOX 2013 MILWAUKEE WI 53201-2013 HB2 UNITED WORLD LIFE INS CO 3316 FARNAM ST OMAHA NE 68175 IE2 UNIVERA HEALTHCARE PO BOX 23000 ROCHESTER NY 14692 GT7 UNIVERSAL CARE INC 1600 EAST HILL STREET SIGNAL HILL CA 90755 Q33 UNIVERSAL FIDELITY LIFE 2211 N HIGHWAY 81 DUNCAN OK 73533 U22 UNIVERSAL INS CO HWY 67 W CORNING AR 72422 KI* UNIVERSAL INSURANCE CO P O BOX 1569 WEST MEMPHIS AR 72301 WA* UNIVERSAL LIFE 1516 SOUTH IZARD LITTLE ROCK AR 72206 CD* UNIVERSAL LIFE 840 BISCOE P O BOX 308 HELENA AR 72342 GF* UNIVERSAL LIFE INS CO P O BOX 834 TEXARKANA AR 75502 IH* UNIVERSAL LIFE INS CO 113 SOUTH FIFTH STREET BLYTHEVILLE AR 72315 U6* UNIVERSAL LIFE INSUR CO 834 LAUREL STREET TEXARKANA AR 75502 UO* UNIVERSAL LIFE INSURANCE P O BOX 1645 EL DORADO AR 71730 ED* UNIVERSAL LIFE INSURANCE 480 LINDEN AVE MEMPHIS TN 38126 Y43 UNIVERSE LIFE GRAIN GROWERS MEMBERSHIP PO BOX 2272 FORT WAYNE IN 46801 P15 UNIVERSE LIFE P O BOX 538 LEWISTON ID 83501 CM8 UNIVERSITY HEALTH PLAN ATTN PAT JINKERSON 3635 VISTA AT GRAND AVE ST LOUIS MO 63110 HS1 UPMC FOR YOU 112 WASHINGTON PLACE PITTSBURGH PA 15219 I06 UPREHS 795 NORTH 400 WEST SALT LAKE CITY UT 84103 FC5 US HEALTH INSURANCE P O BOX 2156 BISMARCK ND 58502 U72 US LIFE INS CO P O BOX 15205 READING PA 19612-5205 CJ9 US LIFE INS CO 3600 ROUTE 66 P O BOX 1581 NEPTUNE NJ 07754-1581 U16 US MOTORS 401 NORTH MORROW MENA AR 71953 GX7 US NOW 8350 N CENTRAL EXPRESSWAY SUITE 650A DALLAS TX 75206 IA3 US SCRIPT 2425 WEST SHAW AVENUE FRESNO CA 93711 T17 US STEEL AND CARNEGIE PENSION FUND 600 GRANT ST PITTSBURG PA 15230 DS7 USA CORPORATE CARE 150 2ND AVE N STE 500 P O BOX 3942 ST PETERSBURG FL 33731-3942 Z78 USA HEALTH NET INC P O BOX 142709 IRVING TX 75014 EY4 USA HEALTH NETWORK P O BOX 163930 DEPARTMENT 195 AUSTIN TX 78716-3930 II4 USA PLUS PO BOX 6080 MISSION VIEJO CA 00000 S95 USA PLUS P O BOX 619999 D FW AIRPORT TX 75261-9999 AH1 USA TRUCK INC P.O. BOX 449 VAN BUREN AR 72956 FT8 USAA BALDOR ELECTRIC PO BOX 34050 LITTLE ROCK AR 72203 T91 USAA LIFE INSURANCE CO 9800 FREDERICKSBURG ROAD USAA BLDG SAN ANTONIO TX 78288-0346 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 125 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- AF5 USABLE LIFE INSURANCE CO P O BO 1650 LITTLE ROCK AR 72203 FJ2 USI ADMINISTRATORS P O BOX 1539 1 800 546 2550 FORT WORTH TX 76101 CC7 USI ADMINSTRATORS PO BOX 16579 SAVANNAH GA 31416 D93 UTAH PUBLIC EMPLOYEES HEALTH PROGRAM 540 EAST 200 SOUTH SALT LAKE CITY UT 84102 AH2 VALLEY CLERKS TRUST FUND 2200 FROFESSIONAL DRIVE SUITE 190 ROSEVILLE CA 95661 TK* VALMAC GENERAL DELIVERY WILSON STREET CLARKSVILLE AR 72830 ET8 VALUE BEHAVIORAL HEALTH P O BOX 1002 MERRIFIELD VA 22116 ET9 VALUE BEHAVORIAL HEALTH P O BOX 1570 MERRIFIELD VA 22116 U18 VALUE LINE CO 1205 N 10TH ST ARKADELPHIA AR 71923 FM1 VALUE OPTIONS P O BOX 140489 IRVING TX 75014-0489 BE7 VALUE OPTIONS PO BOX 1347 LATHAN NY 12110 AO6 VALUE RX 30445 NORTHWESTERN HWY SUITE 300 FARMINGTON HILLS MI 48334 EJ7 VALUE RX PRESCRIPTION DRUG PLAN P O BOX 421150 PLYMOUTH MN 55442-1050 HC1 VANTAGE HEALTH PLAN 130 DESIARD ST STE 300 MONROE LA 71201-7363 H30 VARCO PRUDENTIAL BUILDING P O BOX 6868 PINE BLUFF AR 71611 T5* VARIABLE PROTECTION ADMINT 7123 PEARL RD CLEVELAND OH 44130 V39 VEBA BENEFIT DEPT 3RD AVE AND PEARL PARAGOULD AR 72450 HT9 VENTURA CITY HEALTH 2220 EAST GONZALES ROAD SUITE 210B VENTURA CA 93036 M47 VERMONT AMERICAN CORP P O BOX 1759 CINCINNATI OH 45201 AL3 VERY BEST BAKING CO 1111 E. 8TH MILE FERNDALE MI 48220 HO2 VETERAINS ASSOCIATION 1100 NORTH COLLAGE FAYETTEVILLE AR 72703 W7* VFW INSURANCE DEPARTMENT 406 WEST 34TH STREET KANSAS CITY MO 64111 Q64 VIC WEST STEEL PO BOX 6280 SPRINGDALE AR 72766 C45 VICKERS GROUP 400 E LINCOLN AVE SEARCY AR 72143 EZ1 VIGORTONE PMAG PRODUCTS CLAIMS ADMINISTRATOR P O BOX 5769 LAFAYETTE IN 47903-5769 FR6 VISION SERVICE PLAN PO BOX 997100 SACRAMENTO CA 95899-7100 AA2 VISION SERVICE PLAN P O BOX 28639 DALLAS TX 75228-0639 GV1 VISION SERVICE PLAN PO BOX 997105 SACRAMENTO CA 95899 FR2 VISSION CARE PLAN 1511 N WESTSHORE BLVD SUITE 1000 TAMPA FL 33607 GJ8 VISTA HEALTHPLAN PO BOX 819006 HOLLYWOOD FL 33081 IH3 VIVA HEALTH INC 1222 14TH AVENUE SOUTH BRIMINGHAM AL 35205 G11 VIVIAN INDUSTRIAL PLASTICS P O BOX 232 VIVIAN LA 71082 W74 VIVIAN M RUFFIN 310 S WOOD STUTTGART AR 72160-4221 CQ9 VOLUNTARY BENEFITS INTER P O BOX 830626 BIRMINGHAM AL 35283-0626 M9* VULCAN LIFE INSURANCE CO P O BOX 1886 BIRMINGHAM AL 35201 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 126 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- H81 W H P 100 2ND AVE 11TH FLOOR ST PETERSBURG FL 33701 AL2 W J JONES COMPANIES THREE STATES SUPPLY 1979 MARCUS AVE LAKE SUCCESS NY 11042 L43 W M BARR AND CO 2105 CHANNEL AVENUE MEMPHIS TN 38100 Y68 WABASH FIBER BOX COMPANY HEALTH CARE BENEFITS P.O. BOX 1540 JONESBORO AR 72403 FN* WABASH LIFE INS CO 2929 NORTH MERIDIAN ST INDIANAPOLIS IN 46208 CH* WAL MART CLAIMS ADM GROUP HEALTH PLAN 922 W WALNUT STE A ROGERS AR 72756-3206 HG9 WALGREENS PO BOX 545 DEERFIELD IL 60015 F30 WALTON BANK GROUP REARICH PO BOX 400073 DALLAS TX 75240 X93 WARREN AND ASSOCIATES 2100 S BROADWAY SUITE 101 LITTLE ROCK AR 72206 CK3 WASH NAT GROUP HEALTH INS SOUTH CENTRAL REGIONAL 106 PARK PLACE SUITE 101 COVINGTON LA 70433 CU3 WASHINGTON AREA CARPENTER 6196 OXON HILL SUITE 500 OXON HILL MD 20745 P35 WASHINGTON DC GROUP CLM CT 5900 PRINCESS GARDEN PKWY STE 500 LANHAM MD 20706 EU8 WASHINGTON EMPLOYERS TRUST P O BOX 12068 SEATTLE WA 98102 AY7 WASHINGTON NATIONAL P O BOX 740 WHITE WATER WI 53190 T53 WASHINGTON NATIONAL 303 N MAIN ST ROCKFORD IL 61101-1018 R90 WASHINGTON NATIONAL INS ADMINISTRATIVE OFFICES 4850 STREET RD TREVOSE PA 19049-8002 CQ5 WASHINGTON NATIONAL INS CO 2600 N CENTRAL SUITE 400 PHOENIX AZ 85004 Y90 WASHINGTON NATIONAL INSURA 3348 FONTAINE ROAD MEMPHIS TN 38116 LX* WASHINGTON NATL INSURANCE 1630 CHICAGO AVE P O BOX 3071 EVANSTON IL 60201 S84 WASTE MANAGEMANE INC HEALTH BENEFIT PLAN 6300 W 4TH AVE PINE BLUFF AR 71602 T43 WASTE MANAGEMENT P O BOX 2408 NORCROSS GA 30091 Y46 WASTE MANAGEMENT HEALTH BENEFIT PLAN 100 GLENBOROUGH SUITE 500 HOUSTON TX 77067 UG* WATER TRANSPORT INC 50 CRESTWOOD EXECUTIVE BLDG STE 501 CRESTWOOD MO 63126 EC8 WATKINS ASSOCIATED IND P O BOX 1738 ATLANTA GA 30301-1738 GI3 WAUSAU BENEFITS PO BOX 7050 MIDDLETOWN NY 10940-7050 GX1 WAUSAU BENEFITS P O BOX 8014 WAUSAU WI 54402-8014 GW1 WAUSAU BENEFITS PO BOX 8031 WAUSAU WI 54402-8031 DV5 WAUSAU BENEFITS INC PO BOX 8079 WAUSAU WI 54402-8079 FP3 WAUSAU INSURANCE PO BOX 8032 WAUSAU WI 54402-8032 Y45 WAUSAU INSURANCE CO PO BOX 8092 WAUSAU WI 54402-8092 H43 WAVERLEY GROUP INC PO BOX 12000 JACKSON MS 39236-2000 I26 WAYNE FARMS INSURANCE DEPT P.O. BOX 909 DANVILLE AR 72833 IJ0 WEB TPA P O BOX 99906 GRAPEVINE TX 76009-9706 FS8 WEB TPA PO BOX 536269 GRAND PRAIRIE TX 75053 AQ8 WEBB AND ASSOCIATES INSURANCE 530 N. COLLEGE FAYETTEVILLE AR 72701 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 127 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- BR2 WEBB WHEEL PRODUCTS INC 1111 E LAKE FRANCES DRIVE SILOAM SPRINGS AR 72761 XR* WEHCO MEDIA INCORPORATED BOX 2221 LITTLE ROCK AR 72203 GJ1 WELBORN HEALTH PLANS 421 CHESTNUT STREET EVANSVILLE IN 47713 A1* WELDON WILLIAMS AND LICK 711 NORTH A FORT SMITH AR 72901 M17 WELDON WILLIAMS LICK P O BOX 168 FORT SMITH AR 72902 D20 WELFARE AND PENSION SERVIC P O BOX C 34203 SEATTLE WA 98124 HH4 WELL CARE PO BOX 795184 SAN ANTONIO TX 77072 IO7 WELL FARGO TPA PO BOX 3262 CHARLESTON WV 25332 V47 WELL TECH BOX 623 VAN BUREN AR 00000 R24 WELL TECH INC 1000 LOUISIANA SUITE 2600 HOUSTON TX 77002 HJ6 WELLCARE P.O. BOX 25237 TAMPA FL 33622 I01 WELLDYNE RX PO BOX 4517 ENGLEWOOD CO 80155 N57 WELLMARK ADMINISTRATORS BAAI/AALFS P O BOX 9912 SIOUX CITY IA 51102 X79 WELLMARK ADMINISTRATORS BENEFIT ADMIN OF AMERICA P O BOX 9910 SIOUX CITY IA 51102 D95 WELLMARK ADMINISTRATORS BENEFIT ADM OF AMERICA P O BOX 9120 DES MOINES IA 50306 E93 WELLMARK ADMINISTRATORS BAAI P O BOX 9232 DES MOINES IA 50306 JT* WELLMARK BLUE CROSS BLUE SHIELD OF IOWA 636 GRAND AVE DES MOINES IA 50309-2502 GE9 WELLPOINT DENTAL SERVICES PO BOX 9085 OXNARD CA 93031 GE8 WELLPOINT PO BOX 4165 WOODLAND HILL CA 91365 HJ* WELLPOINT DENTAL SERVICES P O BOX 9125 OXNARD CA 93031-9125 GW7 WELLPOINT PHARMACY P O BOX 3249 TULSA OK 74101 GV2 WELLPOINT RX PO BOX 4458 CHICAGO IL 60680-4458 IO8 WELLS FARGO INSURANCE SERV 150 NORTH MICHIGAN AVE STE 3900 CHICAGO IL 60601 H07 WELLS FARGO TPA PO BOX 3262 CHARLESTON WV 25322 K69 WEST GENERAL INSURANCE CO PO BOX 2549 TULSA OK 74101 EH1 WEST LAKE GROUP P O BOX 1413 DUNCAN OK 73534-1413 FJ* WESTERN AMERICAN LIFE INS P O BOX 832687 RICHARDSON TX 75083 W81 WESTERN AMERICAN LIFE INS P O BOX 1788 AUSTIN TX 78767 K21 WESTERN AND SOUTHERN LIFE P O BOX 1119 CINCINNATI OH 45201 K18 WESTERN AR COUNSELING AND GUIDANCE CENTER 3111 SOUTH 70TH FORTH SMITH AR 72903 H51 WESTERN FEDELITY INSURANCE POBOX 901010 FT WORTH TX 76101 HW4 WESTERN HEALTH ADVANTAGE 1331 GARDEN HIGHWAY SUITE 100 SACRAMENTO CA 95833 S90 WESTERN LIFE INSURANCE P O BOX 64530 ST PAUL MN 55164-0530 QY* WESTERN LIFE INSURANCE CO P O BOX 64442 ST PAUL MN 55100 R55 WESTERN LOUISIANA LABORERS WELFARE FUND 4200 S1 10, SER. RD W134 METAIRIE LA 70001 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 128 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- FF8 WESTERN SOUTHERN LIFE BENEFITS DEPT P O BOX 5735 CINCINNATI OH 45201-5735 I56 WESTERN SOUTHERN LIFE 7405 N WESTERN AVE CHICAGO IL 60645 C23 WESTERN STATES ADMINISTRAT P O BOX 8082 FRESNO CA 93747 D83 WESTERN TEAMSTERS HLTH WLF NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE EAST SEATTLE WA 98102 N79 WESTERN UNION CORP ONE LAKE STREET UPPER SADDLE RIVER NJ 07458 L86 WESTERN US REGIONAL P O BOX 38058 TUSCON AZ 85740-8058 HP0 WESTLAKE FINANCIAL GROUP PO BOX 981805 EL PASO TX 79998-1805 PX* WESTLAKE GROUP HEALTHCARE BOX 16789 COLUMBUS OH 43216 G48 WESTLAND LIFE INSURANCE CO 1255 POST ST SAN FRANCISCO CA 94120 I69 WESTPHAL HEALTH 109 NORTH 6TH FORT SMITH AR 72901 KQ* WESTPORT BENEFITS INC P.O. BOX 66743 ST LOUIS MO 63166-6743 F64 WEYCO INC P O BOX 30132 LANSING MI 48907 N42 WHITAKER FURNITURE ATTN INSURANCE DEPT 409 REMINGTON STREET SEARCY AR 72143 SL* WHITE AND COMPANY 920 WEST SECOND ST P O BOX 2459 LITTLE ROCK AR 72203 LK* WHITE RIVER INDIAN FUND BOX 40 CUTTER AR 72626 S65 WHITE ROGERS CO P O BOX 2117 BATESVILLE AR 72503 BJ4 WI PREFERRED PROVIDER NETW WPPN 301 N BROADWAY STE 301 DEPERE WI 54115 C47 WILAMETTA INDUSTRIES P O DRAWER 1100 RUSTON LA 71270 CF1 WILLAMETTE INDUSTRIES C/O AETNA HEALTH PLANS P O DRAWER 190 MALVERN AR 72104 AF2 WILLAMETTE INDUSTRIES C/O AETNA 1235 NORTH 7TH STREET WEST MEMPHIS AR 72301 Y47 WILLAMETTE INDUSTRIES PO BOX 2667 FORT SMITH AR 72902 T79 WILLIAM AND GENICE HARLAN P O BOX 448 AUGUSTA AR 72006 L55 WILLIAM BUERGLER TRUST OFF FIRST NATL BANK OF FORT SMITH SIXTH AND GARRISON FORT SMITH AR 72902 FA5 WILLIS CORROON P O BOX 305154 NASHVILLE TN 37230-5154 BT7 WILLIS CORROON P O BOX 2697 WICHITA KS 67201 H73 WILSON INSURANCE 116 SOUTH ELM HOPE AR 71801 HV9 WINDSOR MEDICARE EXTRA PO BOX 269025 PLANO TX 75026 AX3 WINE AND ALLIED WORKERS UNION LOCAL 45 2918 N. WEST AVENUE FRESNO CA 93705 U20 WINN FLEX N TEXAS HEALTHCARE NETWK P O BOX 1540 FT WORTH TX 76101 AL4 WINSTON FURNITURE CO C/O JEFFERSON PILOT BOX 868 HALEYVILLE AL 35565-0868 Z81 WISCONSIN HEALTH ORGANIZTN CORP, 111 W. PLEASANT ST P.O. BOX 12359 MILWAUKE WI 53212 W88 WISCONSIN PHYSICIANS SER INS CO P O BOX 9 MADISON WI 53701 Z80 WISE COMPANY INC 5535 PLEASANT VIEW ROAD MEMPHIS TN 38134 CD8 WITTNER AND COMPANY ATTN JUDY WACHA P O BOX 11629 ST PETERSBURG FL 33733 EI3 WMS PRESCRIPTION DRUG PLAN 702 S W 8TH STREET BENTONVILLE AR 72716-9113 * - INDICATES SPACES IN RESOURCE CODE KEY REPORT: HMTR785J A R K A N S A S T I T L E X I X PAGE 129 DATE: SEPTEMBER 23, 2017 TPL SUBSYSTEM TIME: 20:31:23 COMPANY NAME ORDER - NON-MEDICAID CARRIERS EXCLUDED RES CODE INSURANCE CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE ---------------------------------------------------------------------------------------------------------------------------------- BT6 WOODMEN INSURANCE CO P O BOX 82288 LINCOLN NE 68501 HG6 WOODMEN OF THE WORLD ASSURED LIFE ASSOC. PO BOX 16960 CLEARWATER FL 33766 I07 WOODMEN OF THE WORLD ATTN CLAIMS P O BOX 2397 OMAHA NE 68103 KR* WOODMEN OF THE WORLD WOODMEN TOWER 1700 FARNHAM STREET OMAHA NE 68102 L30 WORLD HEALTH FOUNDATION P O BOX 45212 SUITE 282 BATON ROUGE LA 70896 FV4 WORLD INSURANCE PO BOX 2558 OMAHA NE 68103-2558 E78 WORLD INSURANCE CO P O BOX 3160 OMAHA NE 68103-0160 P8* WORLD MUTUAL HLTH INS CO OF PENNSYLVANIA 215 WEST CHURCH ROAD KING OF PRUSSIA PA 19406 T41 WORTHINGTON TRACTOR PARTS INC 1010 2ND AVE WORTHINGTON MN 56187 K27 WSTERN GROWERS ASSURANCE P O BOX 7240 NEWPORT AR 72658 F14 WYATTS CAFETERIA INC ATTN INSURANCE DEPT P O BOX 38388 DALLAS TX 75238 G41 YALE INDUSTRIALPRODUCTS IN PO BOX 1000 FORREST AR 72335 I6* YMM ADMINISTRATORS INC ALLIED PRODUCTS 170 BOULEVARD SE ATLANTA GA 30324 W44 ZAPATA OFF SHORE CO BENEFI P O BOX 2085 HOUSTON TX 77252 S5* ZEBA P O BOX 6000 NATICK MA 01760 BK9 ZEBA P. O. BOX 8092 LONDON KY 40742-8092 CB2 ZENITH ADMINISTRATORS 7645 METRO BLVD PO BOX 124 MINNEAPOLIS MN 55440-0124 EO6 ZENITH ADMINISTRATORS 12160 ABRAMS RD SUITE 211 DALLAS TX 75243 AV1 ZENITH ADMINISTRATORS 5421 SW 27TH ST OKLAHOMA CITY OK 73128-5805 BQ6 ZENITH ADMINISTRATORS INC 8700 TURNPIKE DR STE 200 WESTMINSTER CO 80030 R72 ZERO MOUNTAIN INC P O BOX 6209 FT SMITH AR 72906 C3* ZURICH INSURANCE COMPANY P O BOX 56466 HOUSTON TX 77256 UU* 1ST HEALTH DEPT BMN HOSP O REF VF FOR OTHER CLAIMS P O BOX 10907 SCOTTSDALE AZ 85271-0907 HW6 1199 NATIONAL BENEFIT FUND 300 WEST 42ND STREET NEW YORK NY 10108-0933 EF5 21ST CENTURY HEALTH BENEFI 1760 MARKET STREET PO BOX 42930 PHILADELPHIA PA 19101 G96 55 PLUS BAPTIST HOSPITAL MEMMPHIS TN 38108 U24 65 SECURITY PLAN 3348 FONTAINE RD MEMPHIS TN 38116 U98 76 TRUCKSTOP P O BOX 15850 NO LITTLE ROCK AR 72231 * - INDICATES SPACES IN RESOURCE CODE KEY TOTAL CARRIERS REPORTED = 4508 *** END OF REPORT ***