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| Company Name: | MAINE WELLNESS ASSOCIATION CAPTIVE, LLC |
| Employer identification number (EIN): | 422826080 |
| National Association of Insurance Commissioner's ID: |
| C.N. BROWN COMPANY | C.N. BROWN CO. EMPLOYEE BENEFITS PLAN | 2015-01-01 |
| SHAW BROTHERS CONSTRUCTION, INC. | SHAW BROTHERS CONSTRUCTION, INC. EMPLOYEE WELFARE BENEFIT PLAN | 2014-04-01 |
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