| Company Name: | BLUE CROSS BLUE SHIELD OF ARIZONA |
| Employer identification number (EIN): | 860004553 |
| National Association of Insurance Commissioner's ID: | 53589 |
| NAIC Classification: | 53589 |
| PRISMA GRAPHIC CORPORATION | PRISMA GRAPHIC CORPORATION HEALTH AND WELFARE BENEFIT PLAN | 2015-01-01 |