| Company Name: | BLUE CROSS BLUE SHIELD OF GEORGIA |
| Employer identification number (EIN): | 590469845 |
| National Association of Insurance Commissioner's ID: | 96962 |
| NAIC Classification: | 96962 |
| SEACOAST HEALTH SYSTEMS, INC. | SENIOR CARE GROUP, INC. | 2012-10-01 |
| HOLDER CONSTRUCTION GROUP, LLC | HOLDER CONSTRUCION GROUP LLC CAFETERIA PLAN | 2009-01-01 |