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| Company Name: | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Employer identification number (EIN): | 392536979 |
| National Association of Insurance Commissioner's ID: | 95610 |
| NAIC Classification: | 95610 |
| UNITED WAY FOR SOUTHEASTERN MICHIGAN | UNITED WAY FOR SOUTHEASTERN MICHIGAN EMPLOYEE BENEFITS PLAN | 2015-01-01 |
| C. L. RIECKHOFF COMPANY, INC. | C. L. RIECKHOFF EMPLOYEE BENEFIT PLAN | 2015-01-01 |
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