| Company Name: | BLUE CROSS BLUE SHIELD MINNESOTA |
| Employer identification number (EIN): | 418019132 |
| National Association of Insurance Commissioner's ID: | 61522 |
| NAIC Classification: | 61522 |
| AG PARTNERS COOP | AG PARTNERS PREFERRED PROVIDER PLAN (PPO) HSA HEALTH CARE PLAN | 2016-01-01 |