| Company Name: | BLUE CROSS BLUE SHIELD OF WNY |
| Employer identification number (EIN): | 161015741 |
| National Association of Insurance Commissioner's ID: | 55204 |
| NAIC Classification: | 55204 |
| TRUSTEES OF BUFFALO LABORERS' WELFARE FUND | BUFFALO LABORERS' WELFARE FUND | 2014-07-01 |