| Company Name: | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY |
| Employer identification number (EIN): | 620506181 |
| National Association of Insurance Commissioner's ID: | 68209 |
| NAIC Classification: | 68209 |
| FISH & RICHARDSON P.C. | FISH & RICHARDSON P.C. GROUP BENEFITS PLAN | 2014-01-01 |