NAIC # NAMES OF INSURANCE COMPANY Address 1 Address 2 City State Zip
66672 American General Life Associations Health Claims P. O. Box 305800 Nashville TN 37230-5800
60054 Antna Life Insurance Aetna P. O. Box 14079 Lexington KY 40512-4079
95002 Antna Health Aetna P. O. Box 14079 Lexington KY 40512-4079
60534 American Heritage Life Insurance Attention: Group Claim Department P. O. Box 853916 Richardson TX 75085-3916
81949 American Insurance Company of Texas 3100 Burnett Plaza 801 Cherry Street Fort Worth TX 76102
97179 American Medical Security Life P. O. Box 19032 Greenbay WI 54307
60739 American National Insurance P. O. Box 1520 Galveston TX 77553-1520
71773 American National Life Insurance Company of Texas P. O. Box 1520 Galveston TX 77553-1520
60801 American Public Life Insurance Company P. O. Box 925 Jackson MS 39205-0925
17965 American Sentinel Insurance Company P.O. Box 61140 Harrisburg PA 17106-1140
81200 Blue Cross/Blue Sheild of Louisiana P. O. Box 98029 Baton Rouge LA 70898-9029
95643 HMO of Louisiana Inc. P. O. Box 98029 Baton Rouge LA 70898-9916
74900 Brokers National Life Assurance Company 7010 Hwy. 71 West, Suite 100 Austin TX 78735
80799 Celtic Insurance Company Claims/Correspondence P. O. Box 33839 Indianapolis IN 46203-0839
61751 Central States H & L of Omaha P. O. Box 34350 Omaha NB 68134
67784 Philadelphia American Life Insurance Company P. O. Box 4545 Houston TX 77210-4554
61727 Central Reserve Life Insurance Company P. O. Box 29190 Shawnee Mission KS 66201-9190
61883 Central United Life Insurance Company 10700 Northwest Freeway Houston TX 77092
65870 Manhattan Life Insurance Company 10700 Northwest Freeway Houston TX 77092
85189 Investors Consolidated Insurance Company 10700 Northwest Freeway Houston TX 77092
62308 Connecticut General Life Insurance Company use address on back of ID card
62103 Columbian Mutual Life Insurance Company 4704 Vestal Parkway East P. O. Box 1381 Binghamton NY 13902-1381
76023 Columbian Life Insurance Company 4704 Vestal Parkway East P. O. Box 1381 Binghamton NY 13902-1381
as on 07/01/2007
NAIC # NAMES OF INSURANCE COMPANY Address 1 Address 2 City State Zip
62146 Combined Insurance Company of America 5050 North Brodway Chicago IL 60640
76325 Conseco Senior Health Insurance Company P. O. Box 2034 Carmel IN 46082
78174 Capitol American Life Insurance Company P. O. Box 2034 Carmel IN 46082
60682 American Life and Casualty Insurance Company P. O. Box 2034 Carmel IN 46082
71404 Continental General Insurance Company (HCFA Claims) P. O. Box 2830 Clinton IA 52733
71404 Continental General Insurance Company (UB92 Claims) First Health Network P. O. Box 2830 Clinton IA 52733
95173 Coventry Healthcare of Louisiana Inc. use address on ID card P. O. Box 7707 London KY 40742
71870 Fidelity Security Life Insurance Company Attention: Claims Department P. O. Box 418131 Kansas City MO 64141-9131
62324 Freedom Life Insurance Company of America 3100 Burnett Plaza 801 Cherry Street, Unit 33 Fort Worth TX 76102
70939 Gerber Life Insurance Company Claims Department 445 State Street Fremont MI 49412
62286 Golden Rule Insurance Company 712 Eleventh Street Lawrenceville IL 62439
63312 Great American Life Insurance Company P. O. Box 5416 Cincinnati OH 45201
64211 Guarentee Trust Life Insurance Company 1275 Milwaukee Avenue Glenview IL 60025
95009 Health Plus of Louisiana Inc. P. O. Box 1144 Harrisburg PA 17106-9316
95642 Human Helath Benefit Plan of Louisiana Humana Claims Office P. O. Box 14610 Lexington KY 40512-4610
64017 Jefferson National Life Insurance Company 11825 N. Pennsylvania Street Carmel IN 46082
64130 Life Investors Insurance Company of America 4333 Edgewood Rd. NE Cedar Rapids IA 524999
67083 Manhattan National Life Insurance Company P. O. Box 5420 Cincinnati OH 45201
38970 Markel Insurance Company P. O. Box 3870 Gken Allen VA 230580
97055 Mega Life and Health Insurance Company P. O. Box 982010 North Richland Hills TX 76182-8010
66087 Mid-West National Life Insurance Company of Tennes
s
P. O. Box 982010 North Richland Hills TX 76182-8010
71412 Mutual of Omaha Insurance Company use address on ID card
90956 National Financial Insurance Company 3100 Burnett Plaza 801 Cherry Street, Unit 33 Fort Worth TX 76102
as on 07/01/2007
NAIC # NAMES OF INSURANCE COMPANY Address 1 Address 2 City State Zip
98205 National Foundation Life Insurance Company 3100 Burnett Plaza 801 Cherry Street, Unit 33 Fort Worth TX 76102
65978 Metropolitan Life Insurance Company P. O. Box 30264 Tampa FL 33630-3264
91626 New England Life Insurance Company P. O. Box 30264 Tampa FL 33630-3264
83538 National Health Insurance Copany P. O. Box 619999 Dallas TX 75261-6199
60593 National States Insurance Company 1830 Craig Park Court St. Louis MO 63146
66915 New York Life Insurance Company use address on ID card
78743 New Era Life Insurance Company P. O. Box 4884 Houston TX 77210-4884
67784 Philadelphia American Life Insurance Company P. O. Box 4884 Houston TX 77210-4884
97268 Pacific Life and Annuity Company P. O. Box 6390 New Port Beach CA 92658-6390
66605 Peoples Benefit Life Insurance Company (Baltimore) 520 Park Avenue Mail Station A370 Baltimore MD 21201-4500
66605 Peoples Benefit Life Insurance Company (Frazer) 20 Moores Road Frazer PA 19355
61271 Pricipal Life Insurance Company P. O. Box 39710 Colorado Springs CO 80949-3910
67903 Provident Amera Life and Health Insurance Company (HCFA Claims) P. O. Box 2988 Parkersburg WV 26101
67903 Provident Amera Life and Health Insurance Company (UB92 Claims) First Health Network P. O. Box 23803 Tucson AZ 85734
68241 Prudential Insurance Company of America Antares Management Solutions P. O. Box 477917 Broadview Heights OH 44147-7917
68462 Reserve National Insurance Company 6100 N.W. Grand Boulevard Oklahoma City OK 73118-1082
86355 Standard Life and Accident Insurance Company P. O. Box 1800 Galveston TX 77553-1800
77399 Sterling Life Insurance Company Sterling SELECT - Medicare Supplement P. O. Box 5348 Bellingham WA 98227
77399 Sterling Life Insurance Company Sterling Medicare Advantage Claims P. O. Box 69314 Harrisburg PA 17106
67121 Transamerica Occidental Life Insurance Company 4333 Edgewood Rd. NE Cedar Rapids IA 52499
61425 Trustmark Insurance Company 400 Field Dr. Lake Forest IL 60045-7900
62863 Trustmark Life Insurance Company 400 Field Dr. King of Prussia IA 52733-2942
69744 Union Labor Life Insurance Company 1100 First Ave. P. O. Box 61593 King of Prussia PA 19406
as on 07/01/2007
NAIC # NAMES OF INSURANCE COMPANY Address 1 Address 2 City State Zip
95690 Tenet Choices Inc. 3838 North Cosway Suite 2200 Medrie LA 70002
95833 United Healthcare of Louisiana Inc. use address on back of ID Card
69868 United of Omaha Life Insurance Company use address on ID card
72850 United World Life Insurance Company use address on ID card
95584 Vantage Health Plan Inc. 130 DeSiard Street, Suite 300 Monroe LA 71201
81027 Veteran's Life Insurance Company Vally Forge PA 19493
70319 Washington National Insurance Company 11825 N. Pennsylvania Street Carmel IN 46082
70629 World Insurance Company P. O. Box 2529 Omaha NE 68103
as on 07/01/2007
