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| Company Name: | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| Employer identification number (EIN): | 020649208 |
| National Association of Insurance Commissioner's ID: | 00000 |
| NAIC Classification: | 00000 |
| CLARENCE DAVIDS AND COMPANY | CLARENCE DAVIDS & COMPANY HEALTH AND WELFARE BENEFIT PLAN | 2022-01-01 |
| MOTOR PARTS & EQUIPMENT CORPORATION | MOTOR PARTS & EQUIPMENT CORPORATION WELFARE PLAN | 2015-01-01 |
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