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| Company Name: | EXCELLUS BLUECROSS BLUESHIELD PLAN |
| Employer identification number (EIN): | 150239043 |
| National Association of Insurance Commissioner's ID: | 55107 |
| NAIC Classification: | 55107 |
| EMPLOYEE BENEFITS PLUS, INC. | THIRD SALINA INSURANCE FUND | 2015-01-01 |
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