| Company Name: | UNION SECURITY DENTALCARE OF GEORGIA, INC |
| Employer identification number (EIN): | 591652420 |
| National Association of Insurance Commissioner's ID: | 52016 |
| NAIC Classification: | 52016 |
| SOURCE REFRIGERATION & HVAC INC. | SOURCE REFRIGERATION & HVAC INC. WELFARE BENEFITS PLAN | 2017-10-01 |