| Company Name: | HUMANA BENEFIT PLAN OF LOUISIANA |
| Employer identification number (EIN): | 711279235 |
| National Association of Insurance Commissioner's ID: | 95642 |
| NAIC Classification: | 95642 |
| ADP TOTALSOURCE, INC. | ADP TOTALSOURCE, INC. HEALTH AND WELFARE PLAN | 2015-06-01 |