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| Company Name: | BLUE CROSS BLUE SHIELD OF MONTANA |
| Employer identification number (EIN): | 810246685 |
| National Association of Insurance Commissioner's ID: | 53686 |
| NAIC Classification: | 53686 |
| TROY MINE INC. | TROY MINE INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN | 2015-01-01 |
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