Office of Personnel Management

Retirement and Insurance Service

1920 1954 1959 1986 

 

Benefits Administration Letter

Number: 97-202 Date: March 5, 1997 

SUBJECT: Federal Employees Health Benefits Enrollment

Reconciliation

 

Purpose We would like to remind you of Payroll Office Letter 92-06,

dated March 24, 1992, which requires you to report

enrollment to prepaid health plans. A copy is attached. We

also want to notify you, that beginning the first quarter in

1997, each payroll office must send the quarterly Health

Benefits Reconciliation report described in Payroll Office

Letter 92-06 to all health plans (not just prepaid plans).

 

 

Background While some of you have done a good job of reconciling with

the participating FEHB carriers, unfortunately, many others

have not. As a result, the Government now faces a number

of claims and law suits alleging we have not paid the full

premium. The size and volume of claims necessitate the

additional requirements set out in this letter. 

 

Quarterly Health

Benefits

Reconciliation

Reporting Media

We encourage payroll offices and participating Federal

Employees Health Benefits (FEHB) health plans to mutually

determine appropriate media for transmission of the

enrollment data. Paper reports are not mandatory if you can

find a mutually acceptable alternative. Please be aware that

all FEHB health plans have the capability to receive data

electronically via modem and Norton-Lamber Close-Up
communication software. We encourage you to discuss

transmission alternatives with the current health plan contact

persons listed in the attachment.

 

Forthcoming 

Regulations to

Allow

Disenrollment

Under regulations that OPM will propose shortly, failure to

verify enrollments may lead to disenrollment of those

affected.

We have encouraged participating FEHB health plans to

contact us if they encounter unresponsive payroll offices. 

We likewise encourage you to notify us if you encounter

problems with health plan administration of the

reconciliation process. We also encourage you to give us

any suggestions that would improve the reconciliation

process.

Abby L. Block, Chief

Insurance Policy and 

 Information Division

Attachments

(Attachments are available on OPM's electronic bulletin

board at (202) 606-4800
PAYROLL OFFICE LETTER

U.S. Office of Personnel Management

Number: 92-06 Date: March 24, 1992

Subject: QUARTERLY REPORTING OF ENROLLMENT IN PREPAID HEALTH

BENEFIT PLANS

The purpose of this letter is to transmit requirements for reporting FEHB enrollment data

for "prepaid" plans. Thus, payroll offices will transmit a quarterly report which lists

enrollee names and total money (withholdings and contributions) submitted to OPM for

each enrollee. The target date for implementing this requirement is June 30, 1992, at

which time it will replace the semi-annual listing to prepaid plans required by Payroll

Office Letters 91-5 and 91-11.

The quarterly report will include enrollment data for prepaid plans for the payroll paid

during the 1st through the 15th of the last month in each quarter. If there are two payrolls

paid during that period, the payroll office will only report enrollment data for the last

payroll paid. For the quarter ending June 30, 1992, the report will include the names of

individuals enrolled in each "prepaid" plan for the last pay period paid during the 1st

through the 15th of June. The data in this report will first be sorted by FEHB Enrollment

Code and then social security number. The report will provide a subtotal for each

enrollment code and a grand total for each plan.

It should be noted that this will necessitate changing the reporting period for the semiannual Headcount to coincide with the quarterly report of enrollment for prepaid plans. 

Thus, enrollment data for the purpose of the Headcount will be provided for the payroll

paid during the 1st through the 15th of March and September. Again, if two payrolls are

paid, the payroll office will report enrollment data for the last payroll paid for the

Headcount. This topic will be addressed further in a future payroll office letter.
-2-

The quarterly report of enrollment for prepaid plans will include the data elements listed in Enclosure A.

An example of the required report format is provided as Enclosure B. A brief description of each element

is provided in Enclosure C for planning purposes only. Agencies should not produce automated output at

this time.

For the June report, agencies should provide the prepaid plans with a hard copy report. In future runs,

agencies should be able to provide both a hard copy and an automated report. It has not yet been

determined whether the automated version will be a magnetic tape or a floppy disk. In fact, we are

currently surveying the plans concerning their automation capabilities. We are also asking agencies at

this time to complete the enclosed questionnaire (Enclosure D) and return it by April 27, 1992. Once the

information has been gathered from both the plans and agencies, it will be communicated to each.

once again, agency cooperation is vital to the success of our initiatives and we welcome your input. If

you feel your organization cannot conform with the time frames required herein, include your reason in a

letter to me at the following address:

U.S. Office of Personnel Management Office of Financial Control and Management

1900 E Street N.W. Room 4312 Washington, D.C. 20415

For your convenience, we have enclosed a current list of prepaid plans (Enclosure E). Direct any

questions regarding the instructions contained in this letter to our Fiscal Management Division on FTS

266-0666 or (202) 606-0666.

 //s//

William E. Flynn, III

Assistant Director

for Financial Control and Management

Enclosures
ENCLOSURE A 

REQUIRED DATA ELEMENTS FOR THE PREPAID PLANS

HEALTH BENEFITS RECONCILIATION REPORT

REPORT DATE

PAY PERIOD ENDING DATE

PAYROLL PAID DATE

PAYROLL OFFICE NUMBER

PAYROLL OFFICE NAME AND ADDRESS

PAYROLL OFFICE CONTACT PERSON

PERSONAL IDENTIFICATION NUMBER (PIN)

EMPLOYEE NAME

FEHB ENROLLMENT CODE

LWOP INDICATOR

WITHHOLDINGS & CONTRIBUTIONS (EMP. SHARE + GOV'T. SHARE)

HEADCOUNT

SUBTOTAL

GRAND TOTAL (HEADCOUNT AND WITH. & CONTR.)
ENCLOSURE B

PREPAID PLANS HEALTH BENEFITS ENROLLMENT RECONCILIATION REPORT

REPORT DATE: 92/06/25 PAYROLL OFFICE NUMBER: 00-000000

PAY PERIOD ENDING DATE: 92105/30

PAYROLL PAID DATE: 92/06/09

PAYROLL OFFICE NAME AND ADDRESS: Uncle Sam Agency

1000 Main Street

Big City, USA 20215

CONTACT PERSON: Mary Jones

TELEPHONE NUMBER: (202) 555-9999

PERSONAL IDENTIFICATION EMPLOYEE NAME FEHB ENROLLMENT LWOP WITHHOLDING &

NUMBER (PIN) (LAST) (FIRST) (MI) CODE CONTRIBUTIONS HC

123-45-6789 Doe, Jane X. 001 $ 141.95

456-78-9123 Jones, John R. 001 141.95

SUBTOTAL $283.90

2

999-99-9999 Smith, John C. 002 Y $ 130.58

888-88-8888 Tubb, Mary T. 002 299.67

SUBTOTAL $430.25

2

GRAND TOTAL $ 714.15

4
ENCLOSURE C

RECORD LAYOUT FOR HB RECONCILIATION REPORT FILE

RECORD TYPE I (HEADER)

FIELD FIELD LENGTH FIELD NAME DESCRIPTION

POSI- AND

TION FORMAT

1 1-6 6 N REPORT DATE THE DATE ON WHICH

(YYMMDD) THE REPORT WAS

PREPARED.

2 7-12 6 N PAY PERIOD THE LAST DAY OF THE

(YYMMDD) ENDING DATE PAY PERIOD INCLUDED

IN THE REPORT.

3 13-18 6 N PAYROLL THIS DATE CANNOT

(YYMMDD) PAID DATE EXCEED THE 15TH OF

THE LAST MONTH IN

EACH QUARTER.

4 19-26 8 N PAYROLL A NUMBER ASSIGNED TO

OFFICE ALL PAYROLL OFFICES 

NUMBER WHICH REPORT TO OPM.

5 27-51 25 AN PAYROLL THE NAME OF THE

OFFICE NAME PAYROLL OFFICE

SUBMITTING THE

REPORT.

6 52-73 22 AN PAYROLL FIRST LINE OF THE

OFFICE PAYROLL OFFICE

ADDRESS ADDRESS.

7 74-95 22 AN PAYROLL SECOND LINE OF THE

OFFICE PAYROLL OFFICE

ADDRESS ADDRESS

8 96-125 30 AN CONTACT THE NAME OF A PERSON

PERSON AT THE PAYROLL

OFFICE WHO PLANS MAY

CONTACT.

9 126-135 10 N TELEPHONE THE TELEPHONE NUMBER

NUMBER OF THE PAYROLL

OFFICE CONTACT

 PERSON.

1. * FIELD TYPE CODES

A = ALPHA

N = NUMERIC

AN = ALPHA-NUMERIC
ENCLOSURE C

PAGE 2

RECORD LAYOUT FOR HB RECONCILIATION REPORT FILE

RECORD TYPE 2 (DETAILED DATA)

FIELD FIELD LENGTH FIELD NAME DESCRIPTION/COMMENTS

POSI- AND

TION FORMAT

1 1-9 9 N PERSONAL THE SOCIAL SECURITY

IDENTIFICA NUMBER PREFERRED. IF NOT

-TION AVAILABLE, USE DATE OF

NUMBER BIRTH FOR EMPLOYEES OR

(PIN) CLAIM NUMBER FOR

ANNUITANTS.

2 10-26 17 A EMPLOYEE THE FIRST 17 LETTERS OF

NAME THE EMPLOYEE'S LAST NAME.

(LAST)

3 27-38 12 A EMPLOYEE THE FIRST 12 LETTERS OF

NAME THE EMPLOYEE'S FIRST

(FIRST) NAME.

4 39 1 A EMPLOYEE THE FIRST INITIAL OF THE

NAME (MI) EMPLOYEE'S MIDDLE NAME,

IF APPLICABLE.

5 40-42 3 AN FEHB THE THREE DIGIT CODE

ENROLLMENT WHICH IDENTIFIES THE PLAN

CODE AND OPTION.

6 43 1 A LWOP A "Y" INDICATES THE

INDICATOR EMPLOYEE WAS IN LWOP

STATUS DURING THE REPORT

PERIOD. LEAVE BLANK IF

NOT APPLICABLE.

7 44-51 6.2 N WITH- THE AMOUNT OF MONEY

HOLDINGS WITHHELD PLUS THE AGENCY

/CONTRIBU- CONTRIBUTION. ANY

TIONS ADJUSTMENTS WILL BE

INCLUDED IN THIS TOTAL.

8 52-61 8.2 N SUBTOTAL $ THIS FIELD PROVIDES A

SUBTOTAL OF WITHHOLDINGS/

CONTRIBUTIONS FOR EACH

ENROLLMENT CODE.

9 62-68 7 N HEADCOUNT THIS FIELD PROVIDES

TOTALS FOR THE NUMBER

 ENROLLED IN EACH OPTION.

1. FIELD TYPE CODES

A = ALPHA

N = NUMERIC

AN = ALPHA-NUMERIC
ENCLOSURE C

PAGE 3

RECORD LAYOUT FOR HB RECONCILIATION REPORT FILE

RECORD TYPE 3 (TRAILER)

FIELD FIELD LENGTH FIELD NAME DESCRIPTION/COMMENTS

POSI_ AND

TION FORMAT

1 1-10 8.2 N GRAND TOTAL THE TOTAL MONEY

(WITHHOLDINGS PLUS

CONTRIBUTIONS AND

ADJUSTMENTS)

SUBMITTED TO OPM FOR

EACH PLAN. THIS

SHOULD EQUAL THE SUM

OF ALL DETAIL

RECORDS FOR FIELD 7

RECORD TYPE 2.

2 11-17 7 N HEADCOUNT

THE TOTAL NUMBER

ENROLLED IN EACH PLAN. THIS

FIELD SHOULD EQUAL THE SUM OF

ALL SUBTOTALS (FIELD 8 RECORD

TYPE 2).

1. FIELD TYPE CODES

A = ALPHA

N = NUMERIC

AN = ALPHA-NUMERIC
Benefits Administration Letter 97-202

NOTE: There is no Enclosure D
ENCLOSURE E

EMPLOYEE HEALTH INSURANCE CARRIER CONTACT LIST 2/24/97

10 42 Y7 

MARY STETLER LYNN W BAST ROSA BORRERO 

BLUE CROSS BLUE SHIELD SERVICE BENEFIT PO BOX 463 SSEHA HEALTH PLAN 

550 12TH ST SW WASHINGTON DC 20044-0463 1800 G ST NW RM 901 

WASHINGTON DC 20065-1462 Phone: 703/613-7788 WASHINGTON DC 20223-0002

Phone: 202/479-6407 Fax: 703/734-7013 Phone: 202/435-5635 

 Fax: 202/479-5054

31 MARIA REYES COLLEEN M GOMLAK 

SANDY MOLDER PANAMA CANAL AREA BENEFIT PLAN BACE HEALTH BENEFIT PLAN 

GEHA INTERNATIONAL OPERATIONS 19TH FL 11301 OLD GEORGETOWN RD 

PO BOX 10304 601 POYDRAS ST N BETHESDA MD 20852-2875

KANSAS CITY MO 64171-0304 NEW ORLEANS LA 70130-6060 Phone: 301/881-0510 

Phone: 816/257-5500 6302 Phone: 504/566-3568 Fax: 301/881-0452

32 YQ 

PATTI SCOTT FREDERICO GALINDO 

NALC HEALTH BENEFIT PLAN ALLIANCE HEALTH BENEFIT PLAN 

20547 WAVERLY COURT 1628 11TH ST NW 

ASHBURN VA 22093-0001 WASHINGTON DC 20001- 

Phone: 703/729-4677 8619 44 Phone: 202/939-6325 

 Fax: 703/729-8109 CINDY BREWBAKER Fax: 202/939-6389

36 11301 OLD GEORGETOWN RD 5F

FRANK AUGUSTOSKY ROCKVILLE MD 20852-2800 LONNIE GREEN 

POSTMASTERS BENEFIT PLAN Phone: 301/984-4115 9115 HEALTH PARTNERS OF ALABAMA INC 

1019 N ROYAL ST 600 BEACON PKY W STE 500 

ALEXANDRIA VA 22314-1596 45 BIRMINGHAM AL 35209-3115

Phone: 703/683-1664 RON HESS Phone: 205/912-1501 

 Fax: 703/683-4829 MAIL HANDLERS BENEFIT PLAN/CNA Fax: 205/912-1426

40 ROCKVILLE MD 20849-6222

LARRY NEWFELD Phone: 301/517-2606 

FOREIGN SERVICE BENEFIT PLAN Fax: 301/517-2127

1716 N ST NW 

WASHINGTON DC 20036-2902 47 

Phone: 202/833-4910 DONNA SONDLO AA 

 Fax: 202/833-4918 APWU HEALTH PLAN EILEEN SCHWARZ 

43 YD

 Fax: 504/566-3914

SAMBA 

P O BOX 6222 

12345 NEW COLUMBIA PIKE MOBILE HEALTH PLAN DBA PRIMEHEALTH 

SILVER SPRING MD 20904- 1400 UNIVERSITY BLVD S 

Phone: 301/622-5530 MOBILE AL 36609-2999

 Fax: 301/622-5591 Phone: 334/342-6360

 
Page 2

C2 WV 2S 

CHARLES SEILER Kaye Brasher Pamela Cooper-Wapinsky 

PRINCIPAL HEALTH CARE OF FLORIDA PCA HEALTH PLANS OF ALABAMA SAMARITAN HEALTH PLAN 

1801 ROCKVILLE PIKE STE 601 600 Beacon Parkway West 333 East Wetmore Road 

ROCKVILLE MD 20852-1633 Suite 500 Tucson AZ 85705 

Phone: 301/881-1033 2696 Birmingham AL 35209 Phone: 520/696-4277 

 Fax: 301/984-6592 Phone: 205/912-1525 Fax: 520/696-4289

DF 5T 

LONNIE GREEN XS DIANA CROWELL 

HEALTH PARTNERS OF ALABAMA INC Kaye Brasher BLUE CROSS BLUE SHIELD OF AZ 

600 BEACON PKY W STE 500 PCA HEALTH PLANS OF ALABAMA PO BOX 13466 

BIRMINGHAM AL 32509-3115 600 Beacon Parkway West PHOENIX AZ 85002-3466

Phone: 205/912-1501 Suite 500 Phone: 602/431-3677 

 Fax: 205/912-1426 Birmingham AL 35209 

NJ Fax: 205/941-9880 DIANA CROWELL 

SAM WYATT BLUE CROSS BLUE SHIELD OF AZ 

UNITED HEALTHCARE OF ALABAMA FQ INC XY PO BOX 13466 

3700 COLONNADE PKWY Kaye Brasher PHOENIX AS 85002-3466

BIRMINGHAM AL 35243-2361 PCA HEALTH PLANS OF ALABAMA Phone: 602/431-3677 

Phone: 205/977-6597 600 Beacon Parkway West 

 Fax: 205/977-6585 Suite 500 

NL Phone: 205/912-1525 NORM LATINO 

SAM WYATT Fax: 205/941-9880 PREMIER HEATHCARE OF ARIZONA 

UNITED HEALTHCARE OF ALABAMA FQ INC 100 W CLARENDON STE 400 

3700 COLONNADE PKWY Z9 PHOENIX AZ 85013-9845

BIRMINGHAM AL 35243-2361 LONNIE GREEN Phone: 800/914-4474 

Phone: 205/977-6597 HEALTH PARTNERS OF ALABAMA INC Fax: 602/248-7771

 Fax: 205/977-6585 600 BEACON PKY W STE 500 

NY Phone: 205/912-1501 NORM LATINO 

SAM WYATT Fax: 205/912-1426 PREMIER HEALTHCARE OF ARIZONA 

UNITED HEALTHCARE OF ALABAMA FQ INC 100 W CLARENDON STE 400 

3700 COLONNADE PKWY 16 PHOENIX AZ 85013-9845

BIRMINGHAM AL 35243-2361 DEBBIE MINARSICH Phone: 800/914-7747 

Phone: 205/977-6597 4129 CIGNA HEALTHCARE Fax: 602/248-7771

 Fax: 205/977-6585 PO BOX 42017 

 Fax: 205/941-9880

Phone: 205/912-1525 5V 

Birmingham AL 35209 9A 

BIRMINGHAM AL 35209-3115 9B 

PHOENIX AZ 85080-2017 A3 

Phone: 602/516-7000 PAM STANHOPE 

FHP INC 

410 N 44TH ST 

PHOENIX AZ 85008-7605

Phone: 602/244-2707 4807
Page 3

A7 BLUE BELL PA 19422 BLUE BELL PA 19422 

MARY A RAGAN Phone: 215/283-6744 Phone: 215/283-6744 

INTERGROUP OF ARIZONA Fax: 215/542-5246 Fax: 215/542-5246

1010 N FINANCE CENTER DR 

TUCSON AZ 85710-1361 1H 59

Phone: 800/289-2818 7568 LISA BELEW MARY QUINONES 

 Fax: 916/631-9778 HEALTHSOURCE ARKANSAS INC KAISER FNDTN HP NORTHERN CAL 

DY LITTLE ROCK AR 72205-4548 SAN DIEGO CA 92123-4403

KIM ROMMEL Phone: 501/227-3114 Phone: 619/614-3820 

HUMANA HEALTH PLAN INC ARIZONA 

101 E MAIN ST 9TH FL SE 3D 62 

LOUISVILLE KY 40201 MARVIN MOODY MARY QUINONES 

Phone: 502/580-7949 HEALTH ADVANTAGE KAISER FNDTN HP SOUTHERN CAL 

 Fax: 502/580-6225 26 CORPORATE HILL DR 3840 MURPHY CANYON RD 

K9 Phone: 501/228-8660 Phone: 619/614-3820 

GWEN SANGER Fax: 501/228-8669

FHP INC 6R 

5725 MARK DABLING BLVD QC PAUL WEBER 

COLORADO SPRINGS CO 80919 SAM WYATT FOUNDATION HEALTH 

Phone: 719/522-6877 UNITED HEALTHCARE OF ARKANSAS INC 3400 DATA DR 

 3700 COLONNADE PKWY RANCHO CORDOVA CA 95670-4502

QS BIRMINGHAM AL 35243-2361 Phone: 916/935-3127 

BRENDA MAINOR Phone: 205/977-6597 Fax: 916/351-1401

PARTNERS HEALTH PLAN Fax: 205/977-6585

333 E WETMORE RD BG 

TUCSON AZ 85705-1759 RB STACEY NIVICHANOV 

Phone: 520/696-1373 DAVE WALLACE CAREAMERICA HEALTH PLANS 

 Fax: 520/696-4294 AMERICAN HEALTH CARE PROVIDERS INC 6300 CANOGA AVE 

TD MATTESON IL 60443- Phone: 818/228-3082 

BRENDA MAINOR Phone: 708/503-5000 6262 Fax: 714/964-9829

PARTNERS HEALTH PLAN Fax: 708/503-5001

333 E WETMORE RD BU 

TUCSON AZ 85705-1759 KELBOURNE RITTER 

Phone: 520/696-1373 AETNA US HEALTHCARE 

 Fax: 520/696-4294 AR 1425 UNION MEETING RD 

WQ 2X 

KELBOURNE RITTER KELBOURNE RITTER 

AETNA US HEALTHCARE AETNA US HEALTHCARE 

1425 UNION MEETING RD 1425 UNION MEETING RD 

333 EXECUTIVE CT 3840 MURPHY CANYON RD 

LITTLE ROCK AR 72205 4538 SAN DIEGO CA 92123-4403

142 TOWN CENTER RD WOODLAND HILLS CA 91367-2555

MELANIE ARMSTRONG BLUE BELL PA 19422 

PRUDENTIAL HEALTH PLAN Phone: 215/283-6744 

ONE PRUDENTIAL CIR MS 400 Fax: 215/542-5246

SUGAR LAND TX 77478-3833

Phone: 713/276-5371 
Page 4

C4 HN SK 

JIM YONCHIK BARRY GLARROW PATTI LITTLETON 

UNITED HEALTH PLAN OMNI HEALTHCARE CIGNA HEALTHCARE 

3405 W IMPERIAL HWY 1776 W MARCH LN STE 240 21030 N 19TH AVE 

INGLEWOOD CA 90303-2299 STOCKTON CA 95207-7425 PHOENIX AZ 85027-2701

Phone: 310/671-3465 3383 Phone: 800/342-8462 7405 Phone: 800/592-9219 

 Fax: 310/671-5698

C6 JEFF RASHOFF LUPE INMAN 

PAUL WEBER HEALTH NET METRAHEALTH CARE PLAN OF CALIFORNIA INC 

FOUNDATION HEALTH PO BOX 9103 4500 E PACIFIC COAST HWY STE 120 

3400 DATA DR WOODLAND HILLS CA 91409-9103 LONG BEACH CA 90804-3273

RANCHO CORDOVA CA 95670-4502 Phone: 818/719-7043 Phone: 310/498-5200 

Phone: 916/935-3127 

 Fax: 916/351-1401 M5 1C 

CM CALIFORNIACARE CIGNA HEALTHCARE OF COLORADO INC 

RICK LARA 21555 OXNARD ST STE 1250 

MAXICARE HEALTH PLAN WOODLAND HILLS CA 91367-4999 3900 E MEXICO AVE 

1149 S BROADWAY ST Phone: 818/703-3527 DENVER CO 80210 

LOS ANGELES CA 90015-2213 Phone: 303/691-3124 

Phone: 213/765-2701 Fax: 303/691-3197

 Fax: 310/641-6270

CQ 

CHERYL WALKER 2D 

PACIFICARE HEALTH SYSTEMS DAVID A DOENCH 

10803 HOPE ST FOUNDATION HEALTH 

CYPRESS CA 90630-5019 MN PO BOX 1128 

Phone: 714/226-8188 PENNY OLIVER RANCHO CORDOVA CA 95741-1128

CX 1005 W ORANGEBURG AVE 65 

RICK LARA MODESTO CA 95350 BRENDA LOPEZ 

MAXICARE HEALTH INSURANCE Phone: 209/527-3350 522 KAISER HEALTH PLAN COLORADO 

1149 S BROADWAY ST Fax: 209/527-5353 2077 CAMP BOWIE BLVD 

LOS ANGELES CA 90015-2213 FORT WORTH TX 76116-7151

Phone: 213/765-2701 SJ Phone: 817/570-4755 

 Fax: 310/641-6270 CANDI SEVIER Fax: 817/735-9257

CY P O BOX 3008 6F 

SCOTT GREGORY 121 N GUILD AVE NEAL LURIE 

FHP HEALTH PLAN LODI CA 95240-4232 FRONTIER COMMUNITY HEALTH PLANS 

2300 CLAYTON RD STE 1000 PO BOX 4059 Phone: 209/367-6353 6312 S FIDDLERS GREEN CIR STE 260N 

CONCORD CA 94524-4059 Fax: 209/367-6490 ENGLEWOOD CO 80111-4925

Phone: 510/602-2998 Phone: 303/771-7200 2531

 Fax: 510/602-2985 

LB WA 

JOELLEN SMAZENKA COLLEEN WILBUR 

NATIONAL HEALTH PLANS Phone: 800/224-8808 5292

STE B 

BLUE SHIELD OF CALIFORNIA ACCESS+ HMO 
Page 5

88 1M 1S 

GAIL GIANDONATO DREW HOFFMAN PETER GIMENEZ 

ROCKY MOUNTAIN HMO MD HEALTH PLAN SUBURBAN HEALTH PLAN 

2775 CROSSROADS BLVD 6 DEVINE ST 680 BRIDGEPORT AVE 

PO BOX 10600 NORTH HAVEN CT 06473-2174 SHELTON CT 06484 

GRAND JUNCTION CO 81502-5500 Phone: 203/407-2519 Phone: 203/926-8882 3011

Phone: 800/843-0719 7849 Fax: 203/230-9507 Fax: 203/925-1202

 Fax: 970/244-7880

9C LINDA PINO MKTNG OPS MGR 

MELANIE ARMSTRONG MIS COORD WELLCARE OF NEW YORK 

PRUDENTIAL HEALTH CARE PO BOX 3786 

ONE PRUDENTIAL CIR MS 400 120 WOOD RD 

SUGAR LAND TX 77478-3833 KINGSTON NY 12402-0909

Phone: 719/276-5371 Phone: 914/334-4000 4035

9X 

KRISTI BOOTHE ACCOUNT ASSISTANT 68 

ANTERO HEALTH PLANS MARIA L DOHERTY 

6940 O ST STE 210 HARVARD COMMUNITY HEALTH PLAN 

LINCOLN NE 68510-2458 20 OVERLAND ST 

Phone: 402/465-5500 BOSTON MA 02215-3300

D6 Fax: 617/421-3570

MARK HARRELL 

FHP OF COLORADO 8C 

6455 S YOSEMITE THOMAS RABBE 

ENGLEWOOD CO 80111-5109 PRUDENTIAL HEALTHCARE HMO-CONNECTICUT 

Phone: 303/714-3114 250 GIBRALTAR RD 

 Fax: 303/714-3994 HORSHAM PA 19044-2360

L2 Fax: 215/442-4051

ERIC CARLSON 

HMO COLORADO DJ 

700 BROADWAY CATHYE ALLEN 

DENVER CO 80273-0002 HEALTH NEW ENGLAND 

Phone: 303/831-2374 ONE MONARCH PL 

MT Phone: 413/787-4000 3376

RHYS W JONES 

QUALMED PLANS FOR HEALTH OF COLORADO 

225 N MAIN ST 

PUEBLO CO 81003-3234

Phone: 719/585-8014 

3V 

 Fax: 914/331-0041

Phone: 617/421-6261 

Phone: 215/442-3855 

SPRINGFIELD MA 01144-1006
Page 6

DM NK 4P

BRENDA LOPEZ KAREN STUMPO MARION MULLAVER 

KAISER HEALTH PLAN CONNECTICUT US HEALTHCARE INC PREFERRED HEALTH NETWORK 

6777 CAMP BOWIE BLVD 930 HARVEST DR MS 23I 5700 EXECUTIVE DR 

FORT WORTH TX 76116-7151 BLUE BELL PA 19422-0763 BALTIMORE MD 21228-1798

Phone: 817/570-4755 Phone: 215/628-4800 Phone: 410/850-7461 

 Fax: 817/735-9257 Fax: 215/654-5862 Fax: 410/788-7543

DP SP 50

TONY CAROUSONE JENNIFER DUHART KIM ROMMEL 

PHYSICIANS HEALTH SERVICES-CT AMERIHEALTH HMO HUMANA GROUP HEALTH PLAN INC 

120 HAWLEY LN PO BOX 41574 101 E MAIN ST 9TH FL SE 

TRUMBULL CT 06611-5343 925 CHESTNUT ST 3RD FL LOUISVILLE KY 40201-7421

Phone: 203/381-6655 PHILADELPHIA PA 19103 Phone: 502/580-7949 

 Fax: 203/381-6678 Phone: 215/241-4862 

H1 BONNIE HARKLESS 

KAREN STUMPO WS CHESAPEAKE HEALTH PLAN 

US HEALTHCARE INC CHARLES SEILER 814 LIGHT ST 

930 HARVEST DR MS 23I PRINCIPAL HEALTH CARE OF DELAWARE BALTIMORE MD 21230 

BLUE BELL PA 19422-0763 1801 ROCKVILLE PIKE STE 601 Phone: 410/223-1089 

Phone: 215/628-4800 ROCKVILLE MD 20852-1633 Fax: 410/539-0774

 Fax: 215/654-5862 Phone: 301/881-1033 2696

HV KAREN MAZZE 

STEPHEN SALMON ZR KAISER HEALTH PLAN MID-ATLANTIC 

NYLCARE HEALTH PLANS OF NEW YORK GREG WOOD 2101 E JEFFERSON ST 

75-20 ASTORIA BLVD AETNA HEALTH PLANS ROCKVILLE MD 20852-6611

JACKSON HEIGHTS NY 11370-1131 3541 WINCHESTER RD Phone: 301/816-6283 

Phone: 718/899-5200 ALLENTOWN PA 18195-4526

 Fax: 718/898-5793 Phone: 610/391-4684 

TE BARBARA BENSON 

ELSIE BROWN GEORGE WASHINGTON UNIVERSITY HEALTH PLAN

CONNECTICARE INC 4550 MONTGOMERY AVE STE 800 

30 BATTERSON PARK RD BETHESDA MD 20814 

FARMINGTON CT 06032-2574 2G Phone: 301/941-2044 

Phone: 860/674-2050 SOPHIA ALLEYNE Fax: 301/941-2051

ZW WASHINGTON DC 20065-5671 DIANE CHECKETTS 

RICH HEAD Phone: 202/479-1404 PRUDENTIAL HEALTH CARE PLAN MID ATLANTIC

OXFORD HEALTH PLANS Fax: 202/479-7743 2800 N CHARLES ST 

1133 AVE OF THE AMERICAS BALTIMORE MD 21218-4107

NEW YORK NY 10036-6710 Phone: 410/554-7151 

Phone: 914/467-2498 Fax: 410/554-8850

 Fax: 914/467-4075

 Fax: 215/241-0426 BL 

 Fax: 301/984-6592 E3 

 Fax: 610/366-5727 E5 

CAPITALCARE BCBSNCA 

550 12TH ST SW JB 
Page 7

JN XF 5E 

JEFF LEVINE VALERIE A DIGGS SR MARITZA MONTES 

NYLCARE HEALTH PLANS OF THE MIDATLANTIC CIGNA HEALTHCARE MID ATLANTIC INC CARE FLORIDA HEALTH PLAN 

7901 ORA GLEN DR 100 WAYNE AVE STE 910 STE 101 

GREENBELT MD 20770-3641 SILVER SPRING MD 20910-5603 8400 NW 52ND ST 

Phone: 301/489-5325 Phone: 301/650-1855 MIAMI FL 33166 

 Fax: 301/489-5677 Fax: 301/588-2161 Phone: 305/593-8199 3112

JP 1X 

ANDREW DILLER FRANK FOUCE D7 

M.D. IPA UNITED HEALTHCARE OF FLORIDA KEITH COKER 

4 TAFT CT 75 VALENCIA AVE HEALTH OPTIONS, INC. 

ROCKVILLE MD 20850-5310 CORAL GABLES FL 33134-6141 8665 BAYPINE ROAD, STE. 100 

Phone: 301/294-5146 Phone: 305/460-8389 JACKSONVILLE FL 32256 

 Fax: 301/762-6155 Phone: 904/828-1432 

JQ CHARLES SEILER 

PHYLLIS ATKINS PRINCIPAL HEALTH CARE OF FLORIDA 

CAREFIRST HEALTHCARE CORP MIDATLANTIC 1801 ROCKVILLE PIKE STE 601 

10455 MILL RUN CIR MS 01 310 ROCKVILLE MD 20852-1633 E8 

OWINGS MILLS MD 21117-5559 Phone: 301/881-1033 2696 Keith Coker 

Phone: 410/998-5621 Fax: 301/984-6592 HEALTH OPTIONS, Inc. 

US Phone: 800/833-2169 714 CEDRIC SMITH 

KAREN STUMPO Fax: 904/668-3133 CAPITAL HEALTH PLAN 

US HEALTHCARE INC PO BOX 15349

930 HARVEST DR MS 23I 5C 2140 CENTERVILLE RD 

BLUE BELL PA 19422-0763 Maritza Montes TALLAHASSEE FL 32317-5349

Phone: 215/628-4800 CAREFLORIDA HEALTH PLAN INC Phone: 904/386-3161 289 

 Fax: 215/654-5862 STE 101 Fax: 904/422-3180

V8 MIAMI FL 33166- EC 

ANN HENSLER Phone: 305/593-8199 3112 SHERRIE DAVIS 

AETNA HEALTH PLANS OF THE MID-ATLANTIC Fax: 305/593-1967 PRUDENTIAL HEALTHCARE HMO JACKSONVILLE 

80 LAMBERTON RD 5D 841 PRUDENTIAL DR 6M 

WINDSOR CT 06095-0706 MARITZA MONTES JACKSONVILLE FL 32232-5075

Phone: 860/298-4223 CARE FLORIDA Phone: 904/313-5814 

 Fax: 860/298-4264 STE 101 Fax: 904/313-5814

2Z Fax: 904/828-1434

3E JACKSONVILLE FL 32256 

BOB GILLILAND Phone: 904/828-1432 

HEALTHPLAN SOUTHEAST Fax: 904/828-1434

3520 THOMASVILLE RD STE 200 

TALLAHASSEE FL 32308- EA 

8400 NW 52ND ST 

8400 NW 52ND ST 

MIAMI FL 33166 

Phone: 305/593-8199 3112

 Fax: 305/593-1967

 Fax: 305/593-1967

8664 BAYPINE RD STE 100 
Page 8

EE GP K7 

KIM ROMMEL JOSE ROCHA SHERRI KNIGHT PROJ MGR ENROLL 

HUMANA MEDICAL PLAN INC AVMED HEALTH PLAN HIP HEALTH PLAN OF FLORIDA 

101 E MAIN ST 9TH FL SE 9400 S DADELAND BLVD 300 S PARK RD STE 400 

LOUISVILLE KY 40201 MIAMI FL 33156-2784 HOLLYWOOD FL 33021-9787

Phone: 502/580-7949 Phone: 305/671-3191 Phone: 954/962-3008 4168

 Fax: 502/580-6225 Fax: 305/671-6135 Fax: 954/961-3135

EH H5 

JENNY DAVIS JOSE ROCHA 

PRUDENTIAL HEALTHCARE HMO CENTRAL FL AVMED HEALTH PLAN 

PO BOX 45075 9400 S DADELAND BLVD 

JACKSONVILLE FL 32232-5075 MIAMI FL 33156-2784

Phone: 904/313-5344 Phone: 305/671-5437 3191 P5 

EM 841 PRUDENTIAL DR 6 FL 

JOSE ROCHA JACKSONVILLE FL 32232-5075 P7 

AVMED HEALTH PLAN Phone: 904/391-5814 KIM ROMMEL 

9400 S DADELAND BLVD HUMANA MEDICAL PLAN INC 

MIAMI FL 33156-2784 HW 101 E MAIN ST 9TH FL SE 

Phone: 305/671-5437 3191 JOSE ROCHA LOUISVILLE KY 40201 

 Fax: 305/671-6135 AVMED HEALTH PLAN Phone: 502/580-7949 

FQ MIAMI FL 33156-2784

WENDY SPECTER Phone: 305/671-5437 3191 PJ 

PCA FAMILY HEALTH PLANS OF FLORIDA Fax: 605/671-6135 WENDY SPECTER 

STE 100 PCA HEALTH PLANS OF FLORIDA 

5835 BLUE LAGOON DR JF STE 100 

MIAMI FL 33126-2069 JOSE ROCHA 5835 BLUE LAGOON DR 

Phone: 305/265-2580 AVMED HELATH PLAN MIAMI FL 33126-2069

 Fax: 305/265-2816 9400 S DADELAND BLVD Phone: 305/265-2580 

FR Phone: 305/671-5437 3191

KEITH COKER Fax: 305/671-6135 QK 

BLUE CROSS BLUE SHIELD OF FLORIDA INC DWAYNE FLOWERS 

8669 BAYPINE RD JH UNITED HEALTHCARE CORPORATION 

JACKSONVILLE FL 32256-7513 KIM ROMMEL 400 E BROAD STREET 

Phone: 904/828-1433 HUMANA MEDICAL PLAN INC COLUMBUS OH 43213-1360

 Fax: 904/828-1434 101 E MAIN ST 9TH FL SE Phone: 614/751-5935 

 Fax: 305/671-6135 KIM ROMMEL 

HE LOUISVILLE KY 40201 

SHERRIE DAVIS Phone: 502/580-7949 

PRUCARE OF SOUTH FLORIDA Fax: 502/580-6225

9400 S DADELAND BLVD Fax: 502/580-6225

MIAMI FL 33156-2784 Fax: 305/265-2816

LOUISVILLE KY 40201 Fax: 614/751-5953

Phone: 502/580-7949 

 Fax: 502/580-6225

HUMANA MEDICAL PLAN INC 

101 E MAIN ST 9TH FL SE 
Page 9

TH 7H

KAREN S FRECHE BRIAN LORD 

HEALTH OPTIONS CENTRAL FLORIDA REGION HEALTHSOURCE GEORGIA INC 

31191 MAGUIRE BLVD STE 100 4000 AERIAL CENTER PKWY 

ORLANDO FL 32803 MORRISVILLE NC 27560-8508 

Phone: 407/228-9216 Phone: 919/460-1610 7496 WU 

 Fax: 407/898-6636 Fax: 919/460-1624 Diane Brown 

XN PRUDENTIAL HEALTHCARE Phone: 404/817-8320 2320

KEITH COKER 2859 PACES FERRY RD STE 1000 Fax: 404/817-8205

HEALTH OPTIONS INC ATLANTA GA 30339-5301

8665 BAYPINE RD STE 100 Phone: 770/801-7800 63 

JACKSONVILLE FL 32256 Fax: 770/801-6709 MUPPARAJU SRIHARI 

Phone: 904/828-1432 KAISER HEALTH PLAN HAWAII 

 Fax: 904/828-1434 F3 711 KAPIOLANI BLVD 

1B AETNA HEALTH PLANS OF GEORGIA Phone: 808/597-5484 

RONALD KJAR 3500 PIEDMONT RD NE STE 300 

HMO GEORGIA INC ATLANTA GA 30305-1565 87 

3350 PEACHTREE RD NE Phone: 404/814-4260 MERLE PAK 

ATLANTA GA 30326 Fax: 404/814-4337 HAWAII MEDICAL SERVICE ASSOCIATION 

Phone: 404/842-8514 PO BOX 860 

 Fax: 404/842-8588 F8 HONOLULU HI 96808-0860

2H KAISER HEALTH PLAN GEORGIA Fax: 808/948-6600

BRIAN LORD 6777 CAMP BOWIE BLVD 

HEALTHSOURCE SAVANNAH, INC FORT WORTH TX 76116-7151 F6 

4000 AERIAL CENTER PKW Phone: 817/570-4755 MERLE PAK 

MORRISVILLE NC 27560 Fax: 817/735-9257 HMSA'S COMMUNITY HEALTH PLAN 

Phone: 919/450-1610 7496 P O BOX 860 

 Fax: 919/460-1624 UQ HONOLULU HI 96808-0860

2U UNITED HEALTHCARE OF GEORGIA Fax: 808/948-6600

KAREN STUMPO 2970 CLAIRMONT RD STE 500 

US HEALTHCARE INC ATLANTA GA 30329-1634 F9 

930 HARVEST DR MS23I Phone: 404/982-8874 BERNADETTE MANOA 

BLUE BELL PA 19422-0763 Fax: 404/320-8350 QUEENS ISLAND CARE 

Phone: 215/628-4800 2 WATERFRONT PLZ STE 200 

 Fax: 215/654-5862 WE 500 ALA MOANA BLVD 

EZ Street N.E. Suite 1000 

JERRY SANDERS Atlanta GA 30309 

DARLA WEST HONOLULU HI 96813-5249

BRENDA LOPEZ Phone: 808/948-5248 

MAY TUCKER Phone: 808/948-5273 

CAMILLE TEGIGLIL HONOLULU HI 96813-4920

METRAHEALTH CARE PLAN Phone: 808/532-6964 

501 US HWY 22W Fax: 808/522-7561

BRIDGEWATER NJ 08807-2438

Phone: 908/253-2650 

PCA HEALTH PLANS OF GEORGIA INC 

Two Mid Town Plaza, 1349 West Peachtree 
Page 10

GM ZK ROSS OLSON 

JAN MARSHALL JAN MARSHALL HERITAGE NATIONAL HEALTHPLAN 

IDAHO PREFERRED HEALTHCARE IDAHO PREFERRED HEALTHCARE 909 RIVER DR 

1501 FEDERAL WAY PO BOX 7408 MOLINE IL 61265-1285

BOISE ID 83705-2550 1501 FEDERAL WAY Phone: 309/765-0424 

Phone: 208/331-7345 BOISE ID 83705-2550 Fax: 309/748-0401

 Fax: 208/331-7571 Phone: 208/331-7345 

TM KIM ROMMEL 

JASON BIRKLID ZL HUMANA HEALTH PLAN INC CHICAGO 

QUALMED WASHINGTON HEALTH PLAN JAN MARSHALL 101 E MAIN ST 9TH FL SE 

PO BOX 3387 IDAHO PREFERRED HEALTHCARE LOUISVILLE KY 40201-7421

BELLVUE WA 98009-3387 PO BOX 7408 Phone: 502/580-7949 

Phone: 206/869-3566 1501 FEDERAL WAY 

 Fax: 206/869-3522 BOISE ID 83705-2550 76 

VR Fax: 208/331-7571 UNION HEALTH SERVICE INC 

CHARLOTTE FOX 1634 W POLK ST 

GROUP HEALTH NORTHWEST 12 CHICAGO IL 60612-4398

5615 W SUNSET HWY MARIA DORN Phone: 312/829-4224 280

SPOKANE WA 99224-9454 METRAHEALTH CARE PLAN OF ST LOUIS Fax: 312/829-2706

Phone: 800/497-2210 7101 12312 OLIVE BLVD STE 150 

 Fax: 208/331-7571 75 

Phone: 208/331-7345 BETTY ROSS 

ST LOUIS MO 63141-6448 AC 

Phone: 314/434-6990 160 DAVE WALLACE 

AMERICAN HEALTH CARE PROVIDERS INC 

17 142 TOWN CENTER RD 

KAREN CIERLIK MATTESON IL 60443 

RUSH PRUDENTIAL HEALTH PLANS Phone: 708/503-5000 6262

233 S WACKER DR Fax: 708/503-5001

CHICAGO IL 60606-6309

Phone: 312/234-7789 FJ 

 Fax: 312/234-8959 MARIA V FRIAS 

3B PO BOX 909714 

DORETTAN YOUNG 1 S WACKER DR RTE IL14-0590 

BCI HMO CHICAGO IL 60690-9714

233 N MICHIGAN 3 FL Phone: 312/424-4663 

CHICAGO IL 60601-5655 Fax: 312/424-4978

Phone: 312/938-5690 

 Fax: 312/240-9500

3I 

CHICAGO HMO LTD 
Page 11

FP M4 XC 

MARIA FRIAS LISA FIX KAREN BERENSON 

SHARE HEALTH PLAN OF ILLINOIS BLUECHOICE AETNA HEALTH PLANS OF THE MIDWEST 

PO BOX 909714 1831 CHESTNUT ST 100 N RIVERSIDE PLZ 

1 S WACKER DR RTE#IL14-0590 ST LOUIS MO 63103-2275 CHICAGO IL 60606-1518

CHICAGO IL 60690-9714 Phone: 314/923-6225 Phone: 312/441-3240 

Phone: 312/424-4663 Fax: 314/923-6239 Fax: 312/441-3122

 Fax: 312/424-4978

FX CHRISTINE WILSON-PROSPERI KIM ROMMEL 

KEITH WALKER GROUP HEALTH PLAN HUMANA CARE PLAN KY 

HEALTH ALLIANCE MEDICAL PLANS 940 W PORT PLZ STE 300 101 E MAIN ST 9TH FL SE 

PO BOX 6003 ST LOUIS MO 63146-9791 LOUISVILLE KY 40201-7421

URBANA IL 61801-6003 Phone: 314/453-1917 Phone: 502/580-7949 

Phone: 800/851-3379 8199 Fax: 314/453-1858 Fax: 502/580-6225

 Fax: 217/337-8017

FY SUSAN ROBINSON CAREN ROTHSTEIN 

JAMES OCONNELL PARTNERS HMO PRUDENTIAL HEALTHCARE HMO INDIANA 

FHP OF ILLINOIS INC 901 MARQUETTE AVE STE 2100 250 GIBRALTOR RD 

1 LINCILN CENTRE STE 700 MINNEAPOLIS MN 55402-3205 HORSHAM PA 19044-2360

OAKBROOK TERRACE IL 60181-4260 Phone: 612/399-2453 Phone: 215/442-3067 

Phone: 708/916-4288 Fax: 612/399-2023 Fax: 215/443-4992

 Fax: 708/916-4275

GE RICK LARA D2 

MARIE RASMUSSEN MAXICARE HEALTH PLAN KIM ROMMEL 

PERSONALCARE 1149 S BROADWAY ST HUMANA HEALTH PLAN INC KY 

510 DEVONSHIRE DR LOS ANGELES CA 90015-2213 101 E MAIN ST 9TH FL SE 

CHAMPAIGN IL 61820-7399 Phone: 213/765-2701 LOUISVILLE KY 40201-7421

Phone: 217/366-5541 Fax: 310/641-6270 Phone: 502/580-7949 

 Fax: 217/366-6201

GQ VZ GREG LAMASTER 

KIM ROMMEL MELANIE ARMSTONG PHYSICIANS HEALTH PLAN OF N INDIANA 

HUMANA HEALTHCHICAGO PRUDENTIAL HEALTHCARE HMO ST LOUIS 8101 W JEFFERSON BLVD 

101 E MAIN ST 9TH FL SE ONE PRUDENTIAL CIR MS 400 FORT WAYNE IN 46804-2230

LOUISVILLE KY 40201-7421 SUGAR LAND TX 77478-3833 Phone: 219/432-6690 336 

Phone: 502/580-7949 Phone: 713/276-5371 Fax: 219/432-0493

H8 XA G2 

KATHLENE PASCOE STEPHANIE SUE KLOSTER ARNETT MANAGED HEALTHPLANS 

GENCARE HEALTH SYSTEMS NYLCARE HEALTH PLANS OF THE MIDWEST P O BOX 6108 

77 WEST PORT PLZ STE 500 1111 W 22ND ST STE 800 LAFAYETTE IN 47903-6108

ST LOUIS MO 63146 OAK BROOK IL 60521-0170 Phone: 317/448-2800 8833

Phone: 314/523-1307 Phone: 630/684-5215 Fax: 317/448-8844

 Fax: 314/523-1336 Fax: 630/684-5778

MM 18 

RN 2I 

VG 

DQ
Page 12

GK 3J FA 

RICK LARA ROSS OLSON NANCY MOORE 

MAXICARE HEALTH PLANS HERITAGE NATIONAL HEALTHPLAN MERCY HEALTH PLANS CARE CHOICES 

1149 S BROADWAY ST 909 RIVER DR 34605 TWELVE MILE RD 

LOS ANGELES CA 90015-2213 MOLINE IL 61265-1285 FARMINGTON HILLS MI 48331-3219

Phone: 213/765-2701 Phone: 309/765-0424 Phone: 810/489-6214 

 Fax: 310/641-6270 Fax: 309/748-0401 Fax: 810/489-6233

H3 FV 

CAROLYN F MILLER RICK LARA 

WELBORN HMO MAXICARE HEALTH PLAN 

19 N W 4TH ST 3K 1149 S BROADWAY ST 

EVANSVILLE IN 47708-1771 ROSS OLSON LOS ANGELES CA 90015-2213

Phone: 812/426-9319 HERITAGE NATIONAL HEALTHPLAN Phone: 213/765-2701 

 Fax: 812/426-9476 909 RIVER DR Fax: 310/641-6270

IN PRINCIPAL HEALTH CARE OF NEBRASKA INC 

GARY WALKUP 3L 1801 ROCKVILLE PIKE STE 601 

M PLAN ROSS OLSON ROCKVILLE MD 20852-1633

8802 N MERIDIAN ST STE 100 HERITAGE NATIONAL HEALTHPLAN Phone: 301/881-1033 2696

INDIANAPOLIS IN 46260-5318 909 RIVER DR Fax: 301/984-6592

Phone: 317/571-5300 MOLINE IL 61265-1285

 Fax: 317/580-4672 Phone: 309/765-0424 NF

MC UNITED HEALTHCARE 

DENISE HIATT 3Q STE 100 

PARTNERS NATIONAL HEALTH PLAN MARIA EDGERLY 450 REGENCY PKY 

100 E WAYNE ST SECURECARE OF IOWA OMAHA NE 68114-3787

SOUTH BEND IN 46601-2349 500 SW 7TH ST STE 201 Phone: 402/255-5634 

Phone: 800/876-2655 743 DES MOINES IA 50309-4506 Fax: 402/361-3200

XE SV 

CHARLES SEILER 3S CHARLES SEILER 

PRINCIPAL HEALTH CARE OF INDIANA MARIA EDGERLY PRINCIPAL HEALTH CARE OF IOWA 

1801 ROCKVILLE PIKE STE 601 SECURECARE OF IOWA 1801 ROCKVILLE PIKE STE 601 

ROCKVILLE MD 20852-1633 500 SW 7TH ST STE 201 ROCKVILLE MD 20852-1633

Phone: 301/881-1033 2696 DES MOINES IA 50309-4506 Phone: 301/881-1033 2696

Phone: 515/248-6302 Fax: 301/984-6592

1J 

ROSS OLSON 9Y 1K 

JOHN DEERE FAMILY HEALTHPLAN INC KRISTI BOOTHE MELANIE ARMSTRONG 

909 RIVER DR EXCLUSIVE HEALTH CARE PRUDENTIAL HEALTH CARE 

MOLINE IL 61265-4459 6940 O ST STE 210 ONE PRUDENTIAL CIR MS 400 

Phone: 309/765-0424 LINCOLN NE 68510-2458 SUGAR LAND TX 77478-3833

 Fax: 309/765-7750 Phone: 402/465-5500 Phone: 713/276-5371 

MOLINE IL 61265-1285

Phone: 309/765-0424 GU 

 Fax: 309/748-0401 CHARLES SEILER 

 Fax: 309/748-0401 LORI WOOD 

Phone: 515/248-6302 
Page 13

4M 1801 ROCKVILLE PIKE CINCINNATI OH 45246-4056

RUDY MURRAY ROCKVILLE MD 20852-1633 Phone: 513/772-7325 

METRAHEALTH PLAN OF KC Phone: 301/881-1033 2696 Fax: 513/772-1466

184 SHUMAN BLVD Fax: 301/984-6592

NAPERVILLE IL 60563-3127 RD 

Phone: 708/961-8096 VA KATHY JENSON 

 Fax: 708/961-8100 SUSAN SMARSH AETNA HEALTH PLANS OF OHIO 

5N PO BOX 49288 WESTERVILLE OH 43081-3860

MARY KOOSER 345 RIVERVIEW STE 100 Phone: 614/899-3546 

PREMIER BLUE WICHITA KS 67201-9288 Fax: 614/890-8665

PO BOX 110 Phone: 316/268-0390 0332

TOPEKA KS 66629-0001 Fax: 316/263-3673

Phone: 913/291-8891 S3 

7W ROSA FLORES PRUDENTIAL HEALTHCARE CINCINATTI 

CHARLES SEILER BLUEGRASS FAMILY HEALTH INC 312 ELM ST STE 1400 

PRINCIPAL HEALTH CARE OF KANSAS CITY 651 PERIMETER PARK STE 2B CINCINNATI OH 45202-2700

STE 601 LEXINGTON KY 40517-4131 Phone: 513/784-7067 

1801 ROCKVILLE PIKE Phone: 606/269-4475 236 

ROCKVILLE MD 20852-1633 Fax: 606/266-3663 XW 

Phone: 301/881-1033 2696 KEITH ARNOLD 

 Fax: 301/984-6592 8H ADVANTAGE CARE INC 

HA HEALTHSOURCE OHIO LEXINGTON KY 40504-3760

BRENDA LOPEZ 225 S EAST ST STE 240 Phone: 606/276-0306 636 

KAISER FNDTN HP KANSAS CITY INDIANAPOLIS IN 46202-4059 Fax: 606/276-2298

6777 CAMP BOWIE BLVD Phone: 317/685-8300 5429

FORT WORTH TX 76116-7151 Fax: 317/655-5429

Phone: 817/570-4755 

 Fax: 817/735-9257 DU 

MS HEALTHWISE OF KENTUCKY LTD 

KIM ROMMEL 2409 HARRODSBURG RD 

HUMANA KANSAS CITY INC LEXINGTON KY 40504-4789

101 E MAIN ST 9TH FL SE Phone: 606/296-6019 1215 1A 

LOUISVILLE KY 40201-7421 MERIDITH BENNINGTON 

Phone: 502/580-7949 HR ADVANTAGE HEALTH PLAN 

N3 R8 

CHARLES SEILER TRACY BALLIETT 

PRINCIPAL HEALTH CARE OF KANSAS CITY FHP OF OHIO INC 

STE 601 11260 CHESTER RD STE 800 

PREFERRED PLUS OF KANSAS 4151 EXECUTIVE PKY STE 110 

2B CATHY HOLLOWAY 

DAVID WRIGHT 700 BOB O LINK DR STE 200 

DONNA HOLLANS 

KIM ROMMEL 829 ST CHARLES AVE 

HUMANA CARE PLAN KY NEW ORLEANS LA 70130 

101 E MAIN ST 9TH FL SE Phone: 504/568-9009 155 

LOUISVILLE KY 40201-7421 Fax: 504/568-9661

Phone: 502/580-7949 
Page 14

2A 4W S6 

MERIDITH BENNINGTON SUSAN ROSS DARLENE SENS 

ADVANTAGE HEALTH PLAN OCHSNER SISTERS OF CHARITY HEALTH PLAN COMMUNITY HEALTH NETWORK OF LOUISIANA 

829 ST CHARLES AVE ONE GALLERIA BLVD STE 1224 3850 N CAUSEWAY BLVD STE 1050 

P O BOX 58259 METAIRIE LA 70001-7508 METAIRIE LA 70002-1746

NEW ORLEANS LA 70158-8259 Phone: 504/836-8031 Phone: 504/833-1999 3408

Phone: 504/568-9009 155 Fax: 504/836-8021 Fax: 504/833-2181

 Fax: 504/568-0301

2M RICK LARA DARLENE SENS 

RON JOHNSON MAXICARE HEALTH INSURANCE COMMUNITY HEALTH NETWORK OF LOUISIANA 

MEDFIRST HEALTH PLANS OF LOUISIANA INC. 1149 S BROADWAY ST 3850 N CAUSEWAY BLVD STE 1050 

3500 N CAUSEWAY BLVD STE 520 LOS ANGELES CA 90015-2213 METAIRIE LA 70002-1746

METAIRIE LA 70002-3529 Phone: 213/765-2701 Phone: 504/833-1999 3408

Phone: 504/837-4000 Fax: 310/641-6270 Fax: 504/237-2125

 Fax: 504/835-0899

4Q 15 CORPORATE BLVD STE 5 DARLA WEST 

SUSAN ROSS BATON ROUGE LA 70808 AETNA HEALTH PLANS OF LOUISIANA 

OCHSNER SISTERS OF CHARITY HEALTH PLAN Phone: 504/927-7212 PO BOX 141177 

ONE GALLERIA BLVD STE 1224 Fax: 504/927-7212 IRVING TX 75014-1177

METAIRIE LA 70001-7508 Phone: 800/787-2901 

Phone: 504/836-8031 NG Fax: 214/869-7084

 Fax: 504/836-8021 DARLA WEST 

4R PO BOX 141177 

SUSAN ROSS IRVING TX 75014-1177

OCHSNER SISTERS OF CHARITY HEALTH PLAN Phone: 800/787-2901 

ONE GALLERIA BLVD STE 1224 Fax: 214/869-7084

METAIRIE LA 70001-7508

Phone: 504/836-8031 

 Fax: 504/836-8021 X7

4S ROCKVILLE MD 20852-1633 Phone: 504/832-7627 

SUSAN ROSS Phone: 301/881-1033 2596 Fax: 504/237-2125

OCHSNER SISTERS OF CHARITY HEALTH PLAN Fax: 301/984-6592

ONE GALLERIA BLVD STE 1224 CU 

METAIRIE LA 70001-7508 RY PATRICIA CRAFTS

Phone: 504/836-8031 DARLENE SENS HMO MAINE 

 Fax: 504/836-8021 COMMUNITY HEALTH NETWORK OF LOUISIANA 2 GANNETT DR 

JA S8 

LY TK 

AETNA HEALTH PLANS OF LOUISIANA 

RP TINA MIRA 

CHARLES SEILER METRAHEALTH CARE PLAN OF LOUISIANA INC 

PRINCIPAL HEALTH CARE OF LOUISIANA INC 3900 N CAUSEWAY 

1801 ROCKVILLE PIKE STE 601 METAIRIE LA 70002 

3850 N CAUSEWAY BLVD STE 1050 SOUTH PORTLAND ME 04106-6911

METAIRIE LA 70002-1746 Phone: 207/822-7080 

Phone: 504/833-1999 3408 Fax: 207/822-7065

 Fax: 504/237-2125
Page 15

MY DA SM

ELIZABETH A ROSS GITA AFSHAR MATTHEW D TEDESCHI

HEALTHSOURCE MAINE INC HMO RHODE ISLAND COMMUNITY HEALTH PLAN 

P O BOX 447 30 CHESTNUT ST 1 CHP PLAZA 

2 STONEWOOD DR PROVIDENCE RI 02903-4100 LATHAM NY 12110-1-13

FREEPORT ME 04032-0447 Phone: 401/459-5546 Phone: 518/783-1864 

Phone: 207/865-5897 Fax: 518/782-9976

 Fax: 207/865-5633 J1

67 HEALTHSOURCE CMHC 

PHYLLIS ATKINS BANK OF BOSTON TOWERS VF 

COLUMBIA MEDICAL PLAN INC 100 FRONT ST STE 300 DEBORAH DALEY 

MAIL STOP 01310 WORCESTER MA 01608-1449 UNITED HEALTH PLANS OF NEW ENGLAND 

10455 MILL RUN CIR Phone: 800/922-8380 4501 475 KILVERT ST 

OWINGS MILLS MD 21117-5559 Fax: 508/849-4601 WARWICK RI 02886-1360

Phone: 410/998-5621 Phone: 401/732-7107 

JV Fax: 401/732-7211

LD EMILY WEST 

PHYLLIS ATKINS FALLON COMMUNITY HEALTH PLAN 52 

FREE STATE HEALTH PLAN INC 10 CHESTNUT ST TED ROBINSON 

10455 MILL RUN CIR MS 01 310 WORCESTER MA 01608 HEALTH ALLIANCE PLAN 

OWINGS MILLS MD 21117-5559 Phone: 508/799-2100 9592 2850 W GRAND BLVD 

Phone: 410/998-5621 Fax: 508/831-0912 DETROIT MI 48202-9912

ZY K1 

DIANE DERBY BRENDA LOPEZ BA 

AETNA HEALTH PLANS OF THE MID-ATLANTIC KAISER HEALTH PLAN MASSACHUSETTS NANCY MOORE 

PO BOX 1111 6777 CAMP BOWIE BLVD MERCY HEALTH PLANS CARE CHOICES 

MIDDLETOWN CT 06457- FORT WORTH TX 76116-7151 34605 TWELVE MILE RD 

Phone: 860/298-4223 Phone: 817/570-4755 FARMINGTON HILLS MI 48331-3291

 Fax: 860/298-4264 Fax: 817/735-9257 Phone: 810/489-6214 

6M NE

THOMAS RABBE CIE-B KAREN STUMPO BQ 

PRUDENTIAL HEALTHCARE HMO-MASSACHUSETTS US HEALTHCARE INC TERRY SOMERVILLE 

250 GIBRALTAR RD 930 HARVEST DR MS 23I PRIORITY HEALTH 

HORSHAM PA 19044-2360 BLUE BELL PA 19422-0763 1231 E BELTLINE NE 

Phone: 908/632-7362 Phone: 215/628-4800 GRAND RAPIDS MI 49505-4501

 Fax: 908/632-7973 Fax: 215/654-5862 Phone: 616/975-8191 

70 NX EG 

ROBERT DONAHUE LORI RUOTOLO DEITRA GATES 

HARVARD PILGRIM HEALTH CARE OF NE INC MATTHEW THORNTON HEALTH PLAN M CARE 

ONE HOPPIN ST 43 CONSTITUTION DR 2301 COMMONWEALTH 

PROVIDENCE RI 02903-4199 BEDFORD NH 03110-9514 ANN ARBOR MI 48105-1573

Phone: 401/331-4034 Phone: 603/695-1100 Phone: 313/747-8700 2318

 Fax: 617/421-3570 Fax: 603/695-1123 Fax: 313/998-0862

JOE BRUNO 

Phone: 313/874-7420 

 Fax: 810/489-6233
Page 16

EV LX 

RON MAZER MARYANN SCHUMMER 

MEDICAL VALUE PLAN BLUE CARE NETWORK OF SOUTHEAST MICHIGAN 

405 MADISON AVE KF 25925 TELEGRAPH 

TOLEDO OH 43603-2147 RICHARD FORTON SOUTHFIELD MI 48086-5043

Phone: 419/245-5174 BLUE CARE NETWORK GREAT LAKES Phone: 810/799-6627 

G7 GRAND RAPIDS MI 49512-2044 N2 

RICHARD FORTON Phone: 616/285-2008 GARY M FRANCIS 

BLUE CARE NETWORK GREAT LAKES Fax: 616/285-2115 TOTAL HEALTH CARE 

5540 GLENWOOD HLS PKY SE 1600 FISHER BLDG 

GRAND RAPIDS MI 49512-2044 KN DETROIT MI 48202-3099

Phone: 616/285-2008 Kathy Bogues Phone: 313/871-7805 

 Fax: 616/285-2115 BLUE CARE NETWORK OF EAST MICHIGAN Fax: 313/871-2741

K3 Saginaw MI 48603 RL 

REBECCA ZMUDA Phone: 810/733-9702 JASON NICKEL 

THE WELLNESS PLAN Fax: 810/733-9778 GRAND VALLEY HEALTH PLAN 

2875 W GRAND BLVD 29 FOREST HILL AVE SE 

DETROIT MI 48202-9842 KR GRAND RAPIDS MI 49546-4714

Phone: 313/234-9050 RICHARD FORTON Phone: 616/949-2410 

 Fax: 313/234-9059 BLUE CARE NETWORK GREAT LAKES 

K5 GRAND RAPIDS MI 49512-2044 MICHELLE CONNELL 

Kathy Bogues Phone: 616/285-2008 PHYSICIANS HEALTH PLAN 

BLUE CARE NETWORK OF EAST MICHIGAN Fax: 616/285-2115 PO BOX 30377 

4200 Fashion Square Boulevard LANSING MI 48909-7877

Saginaw MI 48603 KZ Phone: 517/347-9472 

Phone: 810/733-9702 NANCY MOORE Fax: 517/347-9460

 Fax: 810/733-9778 MERCY HEALTH PLANS CARE CHOICES 

K6 FARMINGTON HILLS MI 48331-3291 MICHELLE CONNELL

DIANE HEMGESBERG Phone: 810/489-6241 PHYSICIANS HEALTH PLAN 

SELECTCARE Fax: 810/489-6233 PO BOX 30377 

2401 WEST BIG BEAVER RD STE 700 LANSING MI 48909-7877

TROY MI 48048-2401 LN Phone: 517/347-9472 

Phone: 810/637-5329 PAMELLA BLEIBTREY Fax: 517/347-9460

 Fax: 810/637-6746 BLUE CARE NETWORK 

KA LANSING MI 48917-8507 U7 

ANGELA PATTERSON Phone: 517/322-8194 MICHELLE CONNELL 

OMNICARE HEALTH PLAN Fax: 517/322-8270 PHYSICIANS HEALTH PLAN 

STE 250 PO BOX 30377 

1155 BREWERY PARK BLVD LANSING MI 48909-7877

DETROIT MI 48207-2699 Phone: 517/347-9472 

Phone: 313/393-4590 2247 Fax: 517/347-9460

 Fax: 313/393-7944

5540 GLENWOOD HLS PKY SE 

4200 Fashion Square Boulevard 

5540 GLENWOOD HLS PKY SE U5 

34605 TWELVE MILE RD U6 

1403 S CREYTS RD 
Page 17

U8 HQ 2Y

MICHELLE CONNELL SUE HOEL CAROL A BEAM 

PHYSICIANS HEALTH PLAN HEALTHPARTNERS HEALTH PLAN YELLOWSTONE COMMUNITY HEALTH PLAN 

PO BOX 30377 8100 34TH AVE S SUITE 201 

LANSING MI 48909-7877 PO BOX 1309 1222 N 27TH STREET 

Phone: 517/347-9472 MINNEAPOLIS MN 55440-1309 BILLINGS MT 59101 0106

 Fax: 517/347-9460 Phone: 612/883-5288 Phone: 406/238-6864 

X5 

SHERI TUFFORD QV 4H

HEALTHPLUS OF MICHIGAN SAM WYATT BETH MEDINA 

G-2050 S LINDEN RD UNITED HEALTHCARE OF MISSISSIPPI INC HOMETOWN HEALTH PLAN 

P O BOX 1700 3700 COLONNADE PKWY 400 S WELLS AVE 

FLINT MI 48501-1700 BIRMINGHAM AL 35243-2361 RENO NV 89502-1893

Phone: 810/230-2070 Phone: 205/977-6597 Phone: 702/325-3145 

 Fax: 810/230-1504 Fax: 205/977-6585

11 7S NANCY WALCKER 

CAROL DALTON KIM ROMMEL HEALTH PLAN OF NEVADA INC 

MEDICA HEALTH PLANS HUMANA 2724 N TENAYA WAY 

5601 SMETANA DR RTE 80530 101 E MAIN ST 9TH FL SE LAS VEGAS NV 89128 

PO BOX 9310 LOUISVILLE KY 40201-7421 Phone: 702/242-7395 

MINNEAPOLIS MN 55440-9310 Phone: 502/580-7949 Fax: 702/242-7931

Phone: 612/992-3706 

 Fax: 612/992-3700 VB TL 

2R PHYSICIANS HEALTH PLAN HUMANA HEALTH PLAN INC NEVADA 

JULIE AMUNDSON 77 W PORT PLZ STE 500 101 E MAIN ST 9TH FL SE 

NORTHERN PLAINS HEALTH PLAN ST LOUIS MO 63146-3126 LOUISVILLE KY 40201-7421

1000 S COLUMBIA RD Phone: 314/523-1308 Phone: 502/580-7949 

GRAND FORKS ND 58201-6003

Phone: 701/780-6538 

53 DENVER CO 80273-0002

SUE HOEL Phone: 303/831-2374 

HEALTHPARTNERS SELECT Fax: 303/839-9411

8100 34TH AVE S ZM 

PO BOX 1309 SUSAN ROBINSON UJ 

MINNEAPOLIS MN 55440-1309 PARTNERS HMO KAREN STUMPO 

Phone: 612/883-5288 901 MARQUETTE AVE STE 2100 US HEALTHCARE INC 

 Fax: 612/883-5260 MINNEAPOLIS MN 55402-3205 930 HARVEST DR MS 23I 

 Fax: 612/883-5260 Fax: 406/238-6898

AMY IDEL KIM ROMMEL 

Phone: 612/399-2453 BLUE BELL PA 19422-0763

 Fax: 612/399-2023 Phone: 215/628-4800 

NM

VS 

ERIC CARLSON 

HMO COLORADO 

700 BROADWAY 

 Fax: 215/654-5862
Page 18

27 P3 

MARK FARRELL KAREN STUMPO PX 

QUALMED PLANS FOR HEALTH US HEALTHCARE INC LINDA SALAZAR 

3550 MARKET ST 930 HARVEST DR MS 23I QUALMED PLANS FOR HEALTH 

PHILADELPHIA PA 19104-9963 BLUE BELL PA 19422-0763 6100 UPTOWN BLVD NE STE 400 

Phone: 215/823-8962 Phone: 215/628-4800 ALBUQUERQUE NM 87110-4143

2F Fax: 505/889-3193

DAVID GUTWALD P4 

FIRST OPTION HEALTH PLAN OF NJ RODNEY A WILLIAMS Q1 

3501 STATE HWY 66 CIGNA HEALTHCARE COMED HMO LISA WILLIAMS 

NEPTUNE NJ 07754-2602 STE 202 LOVELACE HEALTH PLAN 

Phone: 908/918-6800 25 A VREELAND RD 5301 CENTRAL AVE NE ST 400 

 Fax: 908/918-6991 FLORHAM PARK NJ 07932-1907 ALBUQUERQUE NM 87108-1513

80 Fax: 201/593-6888 Fax: 505/262-7363

JOSE CANDELARIA 

GROUP HEALTH INCORPORATED W8 

441 9TH AVE TERRI PARASCANDOLA 

NEW YORK NY 10001-1681 P9 PRESBYTERIAN HEALTH PLAN 

Phone: 215/615-0770 KEVIN BORDEN P O BOX 27489 

8P XK BILL VAN DEUSEN 

THOMAS RABBE GREG WOOD METRAHEALTH CARE PLAN OF NEW YORK INC 

PRUDENTIAL HEALTHCARE HMO NEW JERSEY AETNA HEATLH PLANS 2929 EXPRESS DR N 

250 GIBRALTAR RD 3541 WINCHESTER RD HAUPPAUGE NY 11788-5390

HORSHAM PA 19044-0920 ALLENTOWN PA 18195-4526 Phone: 516/348-5820 

Phone: 215/442-3855 Phone: 610/391-4684 Fax: 516/348-5980

FK 4E 

BETZAIDA BORRERO 5H DONALD KEELER 

AMERIHEALTH HMO INC KAREN REED HMO CNY INC 

1901 MARKET ST 43RD FL HMO NEW MEXICO 344 S WARREN ST 

PHILADELPHIA PA 19101-1480 12800 INDIAN SCHOOL RD SYRACUSE NY 13221-4712

Phone: 215/241-2082 ALBUQUERQUE NM 87192-0968 Phone: 315/448-6844 

HV 51 

STEPHEN SALMON P2 WILLIE YOUNG 

NYLCARE HEALTH PLANS OF NEW YORK GWEN SANGER HEALTH INSURANCE PLAN OF GREATER NY 

75-20 ASTORIA BLVD FHP INC 7 W 34TH ST 

JACKSON HEIGHTS NY 11370-1131 5725 MARK DABLING BLVD NEW YORK NY 10001-8190

Phone: 718/899-5200 COLORADO SPRINGS CO 80919- Phone: 212/630-5000 8340

 Fax: 718/898-5793 Phone: 719/522-6877 Fax: 212/630-8342

 Fax: 215/654-5862 Phone: 505/880-2947 

Phone: 201/660-4036 Phone: 505/262-7363 3701

HIP HEALTH PLAN OF NEW JERSEY ALBUQUERQUE NM 87125-7489

1 HIP PLZ Phone: 505/823-0787 

NORTH BRUNSWICK NJ 08902-3391 Fax: 505/823-0718

Phone: 609/631-0200 5221

 Fax: 610/366-5727

Phone: 505/237-5329 

3M 
Page 19

5K AH GV 

GEORGIA SPRINGER ROBIN BUNCE SHARON KRESS 

EMPIRE BC/BS HEALTHNET HMO BLUE PREFERRED CARE 

PO BOX 11806 12 RHOADS DR 259 MONROE AVE 

ALBANY NY 12211-0806 UTICA NY 13502-6398 ROCHESTER NY 14607-9980

Phone: 518/367-3273 Phone: 315/798-4245 Phone: 716/327-2266 

 Fax: 315/792-9763

5L INDEPENDENT HEALTH Phone: 201/660-4036 

GEORGIA SPRINGER 511 FARBER LKS DR Fax: 201/593-6888

EMPIRE BC/BS HEALTHNET BUFFALO NY 14221-5782

PO BOX 11806 Phone: 716/635-3592 J6 

ALBANY NY 12211-0806 SUSAN PEPE 

Phone: 518/367-3273 CE VYTRA HEALTHCARE 

 DONALD KEELER 395 NORTH SERVICE RD 

6V HOM-CNY INC MELVILLE NY 11747-3127

LINDA PINO 344 S WARREN ST Phone: 516/577-5215 

WELLCARE OF NEW YORK SYRACUSE NY 13221-4712 Fax: 516/249-6695

PO BOX 3786 Phone: 315/448-6844 

120 WOOD RD J7 

KINGSTON NY 12402-0909 EB DEAN A CASTREN 

Phone: 914/334-4000 4035 DONALD KEELER COMMUNITY BLUE 

 Fax: 914/334-0041 HMO-CNY INC 1901 MAIN ST 

6Z SYRACUSE NY 13221-4712 BUFFALO NY 14240-0159

BRENDA LEE Phone: 315/448-6844 Phone: 716/887-8710 

COMMUNITY BLUE Fax: 716/887-8993

187 WOLF RD GA 

PO BOX 15013 KAREN MARTIN JC 

ALBANY NY 12212-5013 MVP HEALTH PLAN KAREN STUMPO 

Phone: 518/453-5761 PO BOX 2207 US HEALTHCARE INC 

 Fax: 518/453-5372 SCHENECTADY NY 12301-2207 930 HARVEST DR MS 23I 

9P Fax: 518/357-5285 Phone: 215/628-4800 

THOMAS RABBE Fax: 215/654-5862

PRUDENTIAL HEALTHCARE HMO NEW YORK GC 

250 GIBRALTAR RD RICH HEAD 

HORSHAM PA 19044-0920 OXFORD HEALTH PLANS 

Phone: 215/442-3855 1133 AVE OF THE AMERICAS 

 Fax: 215/442-4051 NEW YORK NY 10036-6710

C1 25 A VREELAND RD 

MARY MAISANO FLORHAM PARK NJ 07932-1907

344 S WARREN ST PO BOX 159 

Phone: 518/370-4793 2337 BLUE BELL PA 19422-0763

Phone: 914/467-2498 

 Fax: 914/467-4075

HU 

RODNEY A WILLIAMS 

CIGNA HEALTHCARE OF NEW YORK INC 

STE 202 
Page 20

GA

MVP Health Plan 

KAREN MARTIN SG

MVP HEALTH PLAN ROBIN HUNT 

PO BOX 2207 CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN

SCHENECTADY NY 12301-2207 17 COLUMBIA CIR 

Phone: 518/370-4793 2337 QA ALBANY NY 12203-5190

 Fax: 518/357-5285 MARY MAISANO Phone: 518/862-3918 

MK BUFFALO NY 14221-5782 SH

CHERYL MAGGIO Phone: 716/635-3592 BEVERLY COULTER 

BLUE CHOICE PHP/SLOCUM-DICKSON MEDICAL NETWORK 

150 E MAIN ST QB 8278 WILLETT PARKWAY 

ROCHESTER NY 14647-0002 MATTHEW TEDESCHI BALDWINSVILLE NY 13027-1398

Phone: 716/238-4577 CHP HUDSON VALLEY REGION Phone: 315/638-2133 738 

MX LATHAM NY 12110-1013

KAREN MARTIN Phone: 518/783-1864 X4 

MVP HEALTH PLAN Fax: 518/782-9976 LINDA PINO 

PO BOX 2207 WELLCARE OF NEW YORK 

SCHENECTADY NY 12301-2207 QE PO BOX 3786 

Phone: 518/370-4793 2337 BEVERLY COULTER 120 WOOD RD 

 Fax: 518/357-5285 PREPAID HEALTH PLAN KINGSTON NY 12402-0909

PD BALDWINSVILLE NY 13027-1398 Fax: 914/331-0041

TONY CARUSONE Phone: 315/638-2133 738 

PHYSICIANS HEALTH SERVICES-NY Fax: 315/638-2230 XL 

120 HAWLEY LN JIM VIVELO 

TRUMBULL CT 06611-5343 QH HEALTHSOURCE HMO OF NEW YORK 

Phone: 203/381-6655 BRENDA LOPEZ PO BOX 1498 

 Fax: 203/381-6678 KAISER HEALTH PLAN NEW YORK SYRACUSE NY 13201-1498

PW FORT WORTH TX 76116-7151

MATTHEW D TEDESCHI Phone: 817/570-4755 ZV 

COMMUNITY HEALTH PLAN Fax: 817/735-9257 LINDA PINO 

1 CHP PLAZA WELLCARE OF NEW YORK 

LATHAM NY 12110-1013 S7 PO BOX 3786 

Phone: 518/783-1864 GEORGIA SPRINGER 120 WOOD RD 

 Fax: 518/782-9976 EMPIRE BLUE CROSS BLUE SHIELD HEALTHNET KINGSTON NY 12402-0909

Q8 ALBANY NY 12211-0806 Fax: 914/331-0041

RITA HAIRSTON Phone: 518/367-3273 

HEALTH CARE PLAN 

900 GUARANTY BLDG 

BUFFALO NY 14202-9937

Phone: 716/847-0881 6138

INDEPENDENT HEALTH Fax: 518/452-6810

511 FARBER LKS DR 

1 CHP PLZ Fax: 315/638-2230

8278 WILLETT PARKWAY Phone: 914/334-4000 4035

6777 CAMP BOWIE BLVD Phone: 315/445-7260 

PO BOX 11806 Phone: 914/334-4000 4035
Page 21

1P EQ XP 

CHARLES SEILER GINA STOLTZ MICHEAL COLBURN 

PRINCIPAL HEALTH CARE OF THE CAROLINAS PARTNERS HEALTH PLANS OF NORTH CAROLINA CIGNA HEALTHCARE OF NORTH CAROLINA INC 

1801 ROCKVILLE PIKE STE 601 2085 FRONTIS PLZ BLVD PO BOX 24907 900 COTTAGE GROVE RD C 308 

ROCKVILLE MD 20852-1633 WINSTON-SALEM NC 27114-4907 BLOOMFIELD CT 06152-0002

Phone: 301/881-1033 2696 Phone: 910/659-2524 Phone: 860/726-7787 

2E 

TERRY WILLMAN Q4 RU 

WELLPATH COMMUNITY HEALTH PLANS JERRY SANDERS PAM HOOKER 

6330 QUADRANGLE DR STE 500 PRUDENTIAL HEALTHCARE NORTH CAROLINA HEART OF AMERICA HMO 

CHAPLE HILL NC 27514-7815 2859 PACES FERRY ROAD STE 1000 802 S MAIN 

Phone: 919/493-1210 3825 ATLANTA GA 30339 RUGBY ND 58368-2131

 Fax: 919/419-3891 Phone: 770/801-7800 Phone: 701/776-5848 341 

3G

NINA VALENTINO Q5 1Q 

US HEALTHCARE INC RICK LARA DOUG ZAMBO 

MS 36A MAXICARE HEALTH INSURANCE QUALCHOICE HEALTH PLAN INC 

1425 UNION MEETING RD 1149 S BROADWAY ST 6000 PARKLAND BLVD 

BLUE BELL PA 19422-0763 LOS ANGELES CA 90015-2213 CLEVELAND OH 44124-6119

Phone: 215/628-4800 Phone: 213/765-2701 Phone: 216/460-4150 4204

 Fax: 215/654-5870 Fax: 310/641-6270 Fax: 216/460-4173

4X QT 3A 

MICHELLE GRAHAM LYNNE GEORGE JIM SMITH 

PERSONAL CARE PLAN OF NORTH CAROLINA KAISER HEALTH PLAN NORTH CAROLINA AULTCARE 

1830 US 15 501 N 3120 HIGHWOODS BLVD STE 213 2600 SIXTH ST 

5901 CHAPEL HILL RD RALEIGH NC 27604-1018 CANTON OH 44710-0910

DURHAM NC 27707-0718 Phone: 919/981-5951 Phone: 330/438-6360 

Phone: 919/490-2750 Fax: 330/454-7845

 Fax: 919/419-7115 U1 

6D CIGNA HEALTHCARE OF NORTH CAROLINA INC 

TOM MESSICK 900 COTTAGE GROVE RD C 308 

DOCTORS HEALTH PLAN BLOOMFIELD CT 06152-0002

2828 CROASDAILE DR Phone: 860/726-7787 3H 

DURHAM NC 27705-2505 DAVID WRIGHT 

Phone: 919/383-4175 6125 HEALTHSOURCE OHIO 

 Fax: 919/383-3286 225 S EAST ST STE 240 

 Fax: 910/760-8357 Fax: 860/726-1774

 Fax: 770/801-6709 Fax: 701/776-5425

MICHEAL COLBURN 

XM INDIANAPOLIS IN 46202-4059

PHIL KURTIAK Phone: 317/685-8300 5429

PHP INC Fax: 317/655-5429

2307 W CONE BLVD 

GREENSBORO NC 27408-4027

Phone: 910/282-6295 291 

 Fax: 910/288-2851
Page 22

3R MD Q9 

NANCY GOBEY PEGGY SIMS AKILAH TAYLOR 

HEALTH POWER HMO INC HMO HEALTH OHIO PRUDENTIAL HEALTHCARE 

560 E TOWN ST COST CENTER 6200 250 GIBRALTAR RD 

COLUMBYS OH 43215-6005 2060 E 9TH ST HORSHAM PA 19044-0950

Phone: 314/431-9900 0286 CLEVELAND OH 44115-1355 Phone: 215/443-4391 

 Fax: 614/461-0960 Phone: 216/687-7179 Fax: 215/443-4992

3U QJ 

ROBERT MOSLEY MG BARBARA E NOLAN 

UNITED HEALTHCARE OF OHIO INC TERRY BRENNAN ADVANTAGE HEALTH PLAN 

6601 CENTERVILLE BUSINESS PKWY COMMUNITY HEALTH PLAN OF OHIO 121 SEVENTH ST 

CENTERVILLE OH 45479-1090 15 MESSEMER DR PITTSBURGH PA 15222-3408

Phone: 513/439-6487 NEWARK OH 43055-1841 Phone: 412/391-9300 510 

 Fax: 513/436-8836 Phone: 614/348-4901 4940 Fax: 412/471-3768

5M OH QL 

PEGGY SIMS PEGGY SIMMS BARBARA E NOLAN 

SUPER BLUE HMO HMO HEALTH OHIO ADVANTAGE HEALTH PLAN 

2060 E 9TH ST COST CTR 6200 2060 E 9TH ST COST CTR 6200 121 SEVENTH ST 

CLEVELAND OH 44115-1355 CLEVELAND OH 44115-1355 PITTSBURGH PA 15222-3408

Phone: 216/687-7179 Phone: 216/687-7179 Phone: 412/391-9300 510 

 Fax: 216/687-6352 Fax: 216/687-6352 Fax: 412/471-3768

64 

DENISE PITTS R4 

KAISER FNDN HEALTH PLAN OHIO PAUL BOLDUC 

1001 LAKESIDE AVE CIGNA HEALTHCARE 

CLEVELAND OH 44114-1153 PO BOX 5023 

Phone: 216/479-5172 HARTFORD CT 06152-1308

AY CHERYL FRATALONIE 

AKILAH TAYLOR PERSONAL PHYSICIAN CARE INC R5 

PRUCARE OF CENTRAL OHIO 1255 EUCLID AVE STE 500 DANIEL J DUNDES 

PO BOX 905 CLEVELAND OH 44115-1807 HMP 

HORSHAM PA 19044-0905 Phone: 216/687-0015 106 1351 WILLIAM H TAFT RD 

Phone: 215/443-4391 Fax: 216/694-4518 CINCINNATI OH 45206-1775

 Fax: 215/442-3390 Phone: 513/872-6546 

L4 DAVID E HICKMAN RF 

PEGGY SIMS DAYMED HEALTH MAINTENANCE PLAN INC DAVE ABRAHAM 

HMO HEALTH HEALTH OHIO STE 200 HEALTHFIRST 

COST CENTER 6200 9797 SPRINGBORO PIKE PO BOX 1820 

2060 E 9TH ST MIAMISBURG OH 45342-4472 MARION OH 43301-1820

CLEVELAND OH 44115-1355 Phone: 513/847-5646 108 Phone: 614/387-6355 

Phone: 216/687-7179 Fax: 513/847-5620 Fax: 614/387-0768

 Fax: 216/687-6352

 Fax: 216/687-6352

PL Phone: 860/726-8273 

Q3 
Page 23

U2 N1 57 

KEVIN GOTTFRIED CHERYL WALKER DAVID SMITH 

PARAMOUNT HEALTH CARE PACIFICARE HEALTH SYSTEMS KAISER HEALTH PLAN NORTHWEST 

1715 INDIAN WOOD CIR STE 200 10803 HOPE ST STE 100 

P O BOX 928 CYPRESS CA 90630-5019 500 NE MULTNOMAH 

TOLEDO OH 43697-0928 Phone: 714/226-8188 PORTLAND OR 97232-2099

Phone: 419/891-2500 2581 Phone: 503/813-4421 

 Fax: 419/897-2938 Fax: 503/813-4838

U4 

BOB ROSET 

THE HEALTH PLAN 6B 

52160 NATIONAL RD E ROY LUM 

ST CLAIRSVILLE OH 43950-9365 HEALTH MAINTENANCE OF OREGON INC 

Phone: 614/695-3585 7684 100 SW MARKET MS 6B 

 Fax: 614/695-7882 PORTLAND OR 97207-1271

VC KATHLEEN SALIBA 

ROBERT MOSLEY BLUELINCS HMO 7A 

UNITED HEALTHCARE OF OHIO 3401 NW 63RD ROY LUM 

6601 CENTERVILLE BUSINESS PKWY OKLAHOMA CITY OK 73116-0545 HMO OREGON 

PO BOX 751090 Phone: 405/841-9618 100 SW MARKET MS 6B 

DAYTON OH 45479-1090 Fax: 405/841-9575 PORTLAND OR 97207-1271

Phone: 513/439-6487 Phone: 503/225-5441 

 Fax: 513/436-8836 RR 

XR PRUDENTIAL HEALTH CARE JASON BIRKLID 

NANCY GOBEY ONE PRUDENTIAL CIR MS 400 QUALMED OREGON HEALTH PLAN INC 

HEALTH HMO INC SUGAR LAND TX 77478-3833 4800 SW MACADAM AVE STE 400 

560 E TOWN ST Phone: 713/276-5371 PORTLAND OR 97201-3926

COLUMBUS OH 43215-6005 Phone: 206/869-3566 

Phone: 614/461-9900 0286 RS Fax: 206/869-3522

2N PRUDENTIAL HEALTH PLAN SD 

CHERYL WALKER ONE PRUDENTIAL CIR MS 400 CLIFF CARVER 

PACIFICARE HEALTH SYSTEMS SURGAR LAND TX 77478-3833 SELECTCARE 

10803 HOPE ST Phone: 713/276-5371 600 COUNTRY CLUB RD 

CYPRESS CA 90630-5019 EUGENE OR 97401-2240

Phone: 714/226-8188 2P Phone: 541/686-3745 

6W PACC HMO SS 

CURTIS ADAMS PO BOX 286 CHERYL WALKER 

HEALTHCARE OKLAHOMA INC 12901 SE 97 AVE PACIFICARE HEALTH SYSTEMS 

3030 NW EXPY STE 1500 CLACKAMAS OR 97015-0286 10803 HOPE ST 

OKLAHOMA CITY OK 73112-4481 Phone: 503/652-5370 CYPRESS CA 90630-5019

Phone: 405/951-4723 Fax: 503/659-2899 Phone: 714/226-8188 

 Fax: 405/951-4783

N5 Phone: 503/225-5441 

MEALNIE ARMSTRONG AF 

MELANIE ARMSTRONG 

DIANE MCMILLAN 
Page 24

1N EF 

GAIL A WINTER CHRISTINE KOBUS 

HEALTHAMERICA PENNSYLVANIA INC KEYSTONE HEALTH PLAN WEST INC 

60 BLVD OF THE ALLIES STE 3018 

PITTSBURGH PA 15222-1209 4N 120 FIFTH AVE 

Phone: 412/553-7510 GAIL A WINTER PITTSBURGH PA 15222 

 Fax: 412/577-4360 HEALTHAMERICA PENNSYLVANIA INC Phone: 412/255-8259 

24 PITTSBURGH PA 15222-1209

BARBARA E NOLAN Phone: 412/553-7510 KJ 

ADVANTAGE HEALTH PLAN PA LOUISE MOHN 

121 SEVENTH ST 5A AETNA HEALTH PLANS OF C AND E PA 

PITTSBURGH PA 15222-3408 KEVIN MULLEN 201 PENN ST 

Phone: 412/391-9300 510 ALLIANCE HEALTH NETWORK READING PA 196001 

 Fax: 412/471-3768 1700 PEACH ST STE 244 Phone: 610/371-3314 

26 Phone: 800/255-4281 1724

GAIL A WINTER Fax: 814/878-1823 KL 

HEALTHAMERICA PENNSYLVANIA INC KAREN STUMPO 

60 BLVD OF THE ALLIES 5J US HEALTHCARE INC 

PITTSBURGH PA 15222-1209 KEVIN BORDEN 930 HARVEST DR MS 23I 

Phone: 412/553-7510 HIP HEALTH PLAN OF PENNSYLVANIA BLUE BELL PA 19422-0763

 Fax: 412/577-4360 1 HIP PLZ Phone: 215/628-4800 

2K Phone: 609/631-0200 5221

T MARK FARRELL N9 

QUALMED PLANS FOR HEALTH C8 RANDY COUP 

3550 MARKET ST DIAN FORTE GEISINGER HEALTH PLAN 

PHILADELPHIA PA 19104-9663 FIRST PRIORITY HEALTH 100 N ACADEMY AVE 

Phone: 215/823-8962 70 N MAIN ST DANVILLE PA 17822-3027

 Fax: 215/823-8020 WILKES-BARRE PA 18711-0350 Phone: 717/271-8760 1501

3W 

RICH HEAD CT NQ 

OXFORD HEALTH PLANS LOUISE MOHN TOM BARGMAN 

1133 AVE OF THE AMERICAS AETNA HEALTH PLANS HEALTHGUARD 

NEW YORK NY 10036-6710 201 PENN ST 280 GRANITE RUN DR 

Phone: 914/467-2498 READING PA 19601 LANCASTER PA 17601-6810

 Fax: 914/467-4075 Phone: 610/371-3314 Phone: 717/581-4569 

4J 

LOUISE MOHN ED

AETNA HEALTH PLANS OF C AND E PA BELTZALDA BORRERO 

201 PENN ST KEYSTONE HEALTH PLAN EAST 

READING PA 19601 1901 MARKET ST 

Phone: 610/371-3314 PHILADELPHIA PA 19103-9681

 Fax: 610/371-3237 Phone: 215/241-2082 

60 BLVD OF THE ALLIES Fax: 412/255-8159

ERIE PA 16501-2118 Fax: 610/371-3237

NORTH BRUNSWICK NJ 08902-3397 Fax: 215/654-5862

Phone: 717/831-2141 Fax: 717/271-1501

 Fax: 610/371-3237
Page 25

S4 Z3 SE 

CLIFF PASSUELLO CLIFF PASSUELLO BONNY RANDLE 

KEYSTONE HEALTH PLAN CENTRAL KEYSTONE HEALTH PLAN CENTRAL COMPANION HEALTHCARE 

300 CORPORATE CTR DR 3RD FL 300 CORPORATE CTR DR 3RD FL PO BOX 6170 

PO BOX 898812 PO BOX 898812 COLUMBIA SC 29223-4516

CAMP HILL PA 17089-8812 CAMP HILL PA 17089-8812 Phone: 803/786-8466 

Phone: 717/730-1541 Phone: 717/730-1541 

 Fax: 717/730-1650 Fax: 717/730-1650 TA 

ST ZN MAXICARE HEALTH PLAN 

CHRISTINE LAWRENCE GAIL A WINTER 1149 S BROADWAY ST 

KEYSTONE HEALTH PLAN CENTRAL HEALTHAMERICA PENNSYLVANIA INC LOS ANGELES CA 90015-2213

PO BOX 898812 60 BLVD OF THE ALLIES Phone: 213/765-2701 

300 CORPORATE CTR DR PITTSBURGH PA 15222-1209 Fax: 310/641-6270

CAMP HILL PA 17089-8812 Phone: 412/553-7510 

Phone: 717/730-8853 7177 Fax: 412/577-4360 3T 

 Fax: 717/730-1111 ROSS OLSON 

SU CHRISTINE KOBUS 909 RIVER DR 

KAREN STUMPO KEYSTONE HEALTH PLAN WEST INC MOLINE IL 61265-1285

US HEALTHCARE INC STE 3018 Phone: 309/765-0424 

930 HARVEST DR MS 23I 120 FIFTH AVE Fax: 309/748-0401

BLUE BELL PA 19422-0763 PITTSBURGH PA 15222 

Phone: 215/628-4800 Phone: 412/255-8259 4T 

 Fax: 215/654-5862 Fax: 412/255-8159 ROSS OLSON 

SW 909 RIVER DR 

GAIL A WINTER ZU MOLINE IL 61265-1285

HEALTHAMERICA PENNSYLVANIA INC CHRISTINE KOBUS Phone: 309/765-0424 

60 BLVD OF THE ALLIES KEYSTONE HEALTH PLAN WEST INC Fax: 309/748-0401

PITTSBURGH PA 15222-1209 STE 3018 

Phone: 412/553-7510 120 FIFTH AVE 

 Fax: 412/577-4360 PITTSBURGH PA 15222 

VV Fax: 412/255-8159 NANCY CORBIN 

KEN MONTGOMERY CARECHOICE 

PRUDENTIAL HEALTHCARE OF PHILADELPHIA PO BOX 1407 

220 GIBRALTAR RD STE 200 5U CHATTANOOGA TN 37401-1407

HORSHAM PA 19044-0918 KAREN STUMPO Phone: 423/755-2187 

Phone: 800/258-8250 2925 US HEALTHCARE INC 

XU BLUE BELL PA 19422-0763 BOB EAKINS 

MICHEAL COLBURN Phone: 215/628-4800 HEALTHSOURCE TENNESSEE INC 

CIGNA HEALTHCARE OF PA Fax: 215/654-5862 625 S GAY ST STE 300 

900 COTTAGE GROVE RD C 308 KNOXVILLE TN 37902-1656

BLOOMFIELD CT 06152-0002 Phone: 423/544-4840 

Phone: 860/726-7787 

ZT HERITAGE NATIONAL HEALTHPLAN OF TN 

Phone: 412/255-8259 6C 

930 HARVEST DR MS 23I HT

RICK LARA 

HERITAGE NATIONAL HEALTHPLAN OF TN 
Page 26

QR 4Z GF 

SAM WYATT HILDA MCCOMAS CHERYL WALKER 

UNITED HEALTHCARE OF TENNESSEE INC RIO GRANDE HMO INC PACIFICARE HEALTH SYSTEMS 

3700 COLONNADE PKWY 4150 PINNACLE STE 203 10803 HOPE ST 

BIRMINGHAM AL 35243-2361 EL PASO TX 79902-1035 CYPRESS CA 90630-5019

Phone: 205/977-6597 Phone: 915/542-1547 Phone: 714/226-8188 

 Fax: 205/977-6585 Fax: 915/532-6528

UA 5Q KIM ROMMEL 

JERRY SANDERS MICHAEL HUESMAN HUMANA HEALTH PLAN OF TEXAS 

PRUDENTIAL HEALTHCARE HMO NASHVILLE HMO BLUE WEST TEXAS 101 E MAIN ST 9TH FL SE 

2859 PACES FERRY ROAD STE 100 5225 S LOOP 289 STE 117 LOUISVILLE KY 40201-7421

ATLANTA GA 30339 LUBBOCK TX 79424 Phone: 502/580-7949 

Phone: 770/801-7800 Phone: 806/798-6362 

 Fax: 770/801-6709 Fax: 806/798-6364 SC 

UB HARRIS METHODIST HEALTH PLAN 

SHERRIE DAVIS 5R 611 RYAN PLAZA DR STE 800 

PRUDENTIAL HEALTHCARE HMO MEMPHIS HILDA MCCOMAS ARLINGTON TX 76011-4008

841 PRUDENTIAL DR 6M HMO BLUE SOUTHWEST TEXAS Phone: 817/462-7846 

JACKSONVILLE FL 32232-5075 STE 203 Fax: 817/462-7929

Phone: 904/313-5817 4150 PINNACLE 

 Fax: 904/313-5953 EL PASO TX 79902-1062 T5 

2T 1801 ROCKVILLE PIKE STE 601 

NANCY WALCKER 6H ROCKVILLE MD 20852-1633

HMO TEXAS LC KEN LIBERATORE Phone: 301/881-1033 2696

2724 N TENAYA WAY HEALTHSOURCE NORTH TEXAS INC Fax: 301/984-6592

LAS VEGAS NV 89128 1612 SUMMIT AVE STE 300 

Phone: 702/242-7395 FORT WORTH TX 76102-5916 T6 

 Fax: 702/242-7931 Phone: 817/336-1044 1350 CHERYL WALKER 

4F 6P 10803 HOPE ST 

GWEN SANGER MELANIE ARMSTRONG CYPRESS CA 90630-5019

FHP INC PRUDENTIAL HEALTH CARE Phone: 714/226-8188 

5725 MARK DABLING BLVD 1 PRUDENTIAL CIR MS 400 

COLORADO SPRINGS CO 80919 SUGAR LAND TX 77478-3833 TS 

Phone: 719/522-6877 Phone: 713/276-5371 DEBORAH COLLINS 

4Y CK PO BOX 140789 

HILDA MCCOMAS CHUCK HENDRICKSON IRVING TX 75014-0789

RIO GRANDE HMO INC FIRSTCARE Phone: 214/401-7719 

4150 PINNACLE STE 203 12940 RESEARCH BLVD Fax: 214/401-7733

EL PASO TX 79902-1035 AUSTIN TX 78750-3235

Phone: 915/542-1547 Phone: 512/257-6250 

 Fax: 915/532-6528 Fax: 512/257-5026

Phone: 915/542-1547 CHARLES SEILER 

 Fax: 915/532-6434 PRINCIPAL HEALTH CARE OF TEXAS INC 

 PACIFICARE HEALTH SYSTEMS 

S5

REBECCA BARNETT 

AETNA HEALTH PLANS OF NORTH TEXAS INC 
Page 27

TW UM VN 

WENDY SPECTER BRENDA SUMMERLIN CHERYL WALKER 

PCA HEALTH PLANS OF TEXAS NYLCARE HEALTH PLANS OF THE GULF COAST PACIFICARE HEALTH SYSTEMS 

STE 100 2425 W LOOP S STE 1000 10803 HOPE ST 

5835 BLUE LAGOON DR HOUSTON TX 77027-4208 CYPRESS CA 90630-5019

MIAMI FL 33126-2069 Phone: 713/624-5092 Phone: 714/226-8188 

Phone: 305/265-2580 Fax: 713/621-0712

 Fax: 305/265-2816 VX 

TX ONE PRUDENTIAL CIR MS 400 SUGARLAND TX 77478-3833

KIM ROMMEL SUGAR LAND TX 77478-3833 Phone: 713/276-8891 

HUMANA HEALTH PLAN OF CORPUS CHRISTI Phone: 713/276-5371 Fax: 713/276-5980

101 E MAIN ST 9TH FL SE 

LOUISVILLE KY 40201-7421 UP ZE 

Phone: 502/580-7949 MELANIE ARMSTRONG BRENDA SUMMERLIN 

U3 ONE PRUDENTIAL CIR MS 400 2425 W LOOP S STE 1000 

CAMILLE TEGIGLIL SUGAR LAND TX 77478-3833 HOUSTON TX 77027-4208

METRAHEALTH CARE PLAN Phone: 281/276-5371 Phone: 713/624-5092 

501 US HWY 22W Fax: 713/621-0712

BRIDGEWATER NY 08807-2438 UR 

Phone: 908/253-2650 KIM ROMMEL ZF 

UE 101 E MAIN ST 9TH FL SE NYLCARE HEALTH PLANS OF THE GULF COAST 

KIM ROMMEL LOUISVILLE KY 40201-7421 2425 W LOOP S STE 1000 

HUMANA HEALTH PLAN OF TEXAS Phone: 502/580-7949 HOUSTON TX 77027-4208

101 E MAIN ST 9TH FL SE Phone: 713/624-5092 

LOUISVILLE KY 40201-7421 UV Fax: 713/621-0712

Phone: 502/580-7949 KIM ROMMEL 6S 

 HUMANA HEALTH PLAN OF TEXAS DAVID COMSON 

UF 101 E MAIN ST 9TH FL SE IHC SELECT MED HELATH PLAN 

LAURA JAMES LOUISVILLE KY 40201-7421 36 S STATE STE 1400 

SCOTT AND WHITE HEALTH PLAN Phone: 502/580-7949 PO BOX 11670 

2401 S 31ST ST SALTY LAKE CITY UT 84147-9956

TEMPLE TX 76508-3000 V2 Phone: 801/442-5000 5879

Phone: 817/742-3300 KELLY ROBINSON Fax: 801/442-5003

 Fax: 817/742-3044 NYLCARE HEALTH PLANS OF THE SOUTHWEST 

UK IRVING TX 75038-6597 LAURA WEBB 

BRENDA LOPEZ Phone: 214/650-5500 8390 FHP INC 

KAISER FNDN HEALTH PLAN TEXAS Fax: 214/650-5704 35 W BROADWAY 

6777 CAMP BOWIE BLVD SALT LAKE CITY UT 84101-2020

FORT WORTH TX 76116-7151 Phone: 801/933-3662 

Phone: 817/570-4755 

 Fax: 817/735-9257

UN CAROLYN SCOTT 

MELANIE ARMSTRONG PRUDENTIAL HEALTH CARE PLAN SAN ANTONIO 

PRUDENTIAL HEALTH CARE ONE PRUDENTIAL CIR MS 400 

PRUDENTIAL HEALTH CARE NYLCARE HEALTH PLANS OF THE GULF COAST 

HUMANA HEALTH PLAN OF TEXAS BRENDA SUMMERLIN MIS SUP 

4500 FULLER DR KU 
Page 28

8M PO BOX 26623 PO BOX 31353 

MATTHEW D TEDESCHI 2220 EDWARD HOLLAND DR 61M RICHMOND VA 23294-1353

UNITY HEALTH PLAN RICHMOND VA 23285-0031 Phone: 804/273-1181 

1 CHP PLAZA Phone: 804/354-7244 Fax: 804/273-1250

LATHAM NY 12110-1080 Fax: 804/354-3936

Phone: 518/783-1864 W7

 Fax: 518/782-9976 5S BERNADINE HAYES 

VW SOUTHERN HEALTH SERVICES 621 LYNNHAVEN PKY STE 450 

KAREN MARTIN PO BOX 85603 VIRGINIA BEACH VA 23452-7330

MVP HEALTH PLAN RICHMOND VA 23285-5603 Phone: 804/431-5276 

PO BOX 2207 Phone: 804/747-3700 6401 Fax: 804/463-7172

SCHENECTADY NY 12301-2207

Phone: 518/370-4793 2337 V6 X8 

 Fax: 518/357-5285 JERRY SANDERS GARY HARLESS 

1U 2859 PACES FERRY RD STE 1000 PO BOX 26623 

KAREN STUMPO ATLANTA GA 30339 2220 EDWARD HOLLAND DR 61M 

US HEALTHCARE INC Phone: 770/801-7800 RICHMOND VA 23285-0031

930 HARVEST DR MS 23I Fax: 770/881-6709 Phone: 804/354-7244 

BLUE BELL PA 19422-0763 Fax: 804/354-3936

Phone: 215/628-4800 V7 

 Fax: 215/654-5862 GARY HARLESS Z1 

2Q PO BOX 26623 AETNA HEALTH PLANS OF THE MID-ATLANTIC 

SCOTT FRAZIER 2220 EDWARD HOLLAND DR 61M PO BOX 1111 

QUALCHOICE OF VIRGINIA HEALTH PLAN INC RICHMOND VA 23285-0031 MIDDLETOWN CT 06457 

1807 SEMINOLE TRAIL STE 201 Phone: 804/354-7244 Phone: 860/298-4223 

CHARLOTTESVILLE VA 22901-1129 Fax: 804/354-3936 Fax: 860/298-4264

Phone: 804/975-1212 

 Fax: 804/975-4580 V9 

3X OPTIMA HEALTH PLAN 

ROSS OLSON 4417 CORPORATION LN 

HERITAGE NATIONAL HEALTHPLAN VIRGINIA BEACH VA 23462-3162

909 RIVER DR Phone: 804/552-7330 

MOLINE IL 61265-1285

Phone: 309/765-0424 W2 54 

 Fax: 309/748-0401 CAROL GIBSON DAVID R GARRISON 

4V W3 

GARY HARLESS CAROL GIBSON 

HMO VIRGINIA CIGNA HEALTHCARE OF VIRGINIA 

DANIEL GALLAGHER PRIORITY HEALTH CARE PLAN 

PRUDENTIAL HEALTHCARE HMO RICHMOND HMO VIRGINIA 

HMO VIRGINIA DIANE DERBY 

KELLY THOMAS 

CIGNA HEALTHCARE OF VIRGINIA GROUP HEALTH COOPERATIVE OF PUGET SOUND 

PO BOX 31353 521 WALL STREET 

RICHMOND VA 23294-1353 SEATTLE WA 98121-1524

Phone: 804/273-1181 Phone: 206/448-2891 

 Fax: 804/273-1250
Page 29

8N 69 

STEVE ROBERTS JAQUELINE FAULKNER WG 

NYLCARE HEALTH PLANS INC COMPCARE HEALTH SERVICES INS CORP RICK LARA 

1400 ONE UNION SQ /ANYTIME 401 W MICHIGAN ST MAXICARE HEALTH INSURANCE CO 

600 UNIVERSITY ST MILWAUKEE WI 53203-2896 1149 S BROADWAY ST 

SEATTLE WA 98101-1158 Phone: 414/226-5505 LOS ANGELES CA 90015-2213

Phone: 206/447-0757 541 Phone: 213/765-2701 

 Fax: 206/447-0906 7P Fax: 310/641-6270

VT PHYSICIANS PLUS INSURANCE CORP WH 

DEBBIE STEWART 340 W WASHINGTON AVE ROBERT PARR 

KPS HEALTH PLANS MADISON WI 53703-2700 FAMILY HEALTH PLAN 

PO BOX 339 Phone: 800/545-5015 3032 PO BOX 44260 

BREMERTON WA 98337-0039 Fax: 608/282-8958 11524 W THEODORE TRECKER WAY 

Phone: 360/478-2610 MILWAUKEE WI 53124-7260

 Fax: 360/478-2643 CV Phone: 414/256-0040 

WB ATRIUM HEALTH PLAN INC 

CHERYL WALKER 2215 VINE ST WJ 

PACIFICARE HEALTH SYSTEMS HUDSON WI 54016-5802 JUDITH M ANDERSON 

10803 HOPE ST Phone: 800/535-4041 GROUP HEALTH COOPERATIVE OF SCW 

CYPRESS CA 90630-5019 Fax: 715/386-8326 PO BOX 44971 

Phone: 714/226-8188 MADISON WI 53744-4971

4C JAN LEVENDUSKY 

MARLA BIRD VALLEY HEALTH PLAN WK 

CARELINK HEALTH PLANS PO BOX 3128 SARA STIEFVATER 

141 SUMMERS SQUARE EAU CLAIRE WI 54702-3128 METRAMECARE HEALTH PLAN 

CHARLESTON WV 25304-1711 Phone: 800/472-5411 1216 PO BOX 26649 RTE W130 N350 

Phone: 304/348-2923 MILWAUKEE WI 53226-0649

9W Phone: 608/643-1425 Fax: 715/836-7683

ROBERT PACKTOR Fax: 608/643-2564

PRIMEONE X1 

PO BOX 1109 WD KIM ROMMEL 

602 VIRGINIA ST E PAUL MCGUIRE HUMANA WISCONSIN HEALTH ORGANIZATION 

CHARLESTON WV 25331-3043 DEAN HEALTH PLAN INC 101 E MAIN ST 9TH FL SE 

Phone: 304/353-8837 PO BOX 56099 LOUISVILLE KY 40201-7421

 Fax: 340/353-8724 MADISON WI 53705-9399 Phone: 502/580-7949 

DONNA PETERSON 

MARGE HAGEN Fax: 414/256-0069

VH Phone 715-836-8552

 WT 

W4 RON KOPP 

RICHARD BOLTON GROUP HEALTH COOPERATIVE OF EAU CLAIRE 

UNITY HEALTH PLANS 2503 NORTH HILLCREST PARKWAY 

840 CAROLINA ST ALTOONA WI 54720-2567

SAUK CITY WI 53583-1374 Phone: 715/836-8552 

Phone: 608/836-1400 1216

Phone: 414/443-4733 

 
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28 DF 

HELEN MARTIN LONNIE GREEN 

FHP INC HEALTH PARTNERS OF ALABAMA INC 

231 GUERRERO DR 600 BEACON PKY W STE 500 

TAMUNING GU 96911-3808 BIRMINGHAM AL 32509-3115

Phone: 671/647-3492 Phone: 205/912-1501 

JK 

HELEN MARTIN NJ

FHP INC SAM WYATT 

231 GUERRERO DR UNITED HEALTHCARE OF ALABAMA FQ INC 

TAMUNING GU 96911-3808 3700 COLONNADE PKWY 

Phone: 671/647-3492 BIRMINGHAM AL 35243-2361

ZA Fax: 205/977-6585

BAILEY LAZARTE 

GUAM MEMORIAL HEALTH PLAN 

142 W SEATON BLVD 

AGANA GU 96910-5136 NL 

Phone: 671/472-4647 112 SAM WYATT 

 Fax: 671/477-1784 UNITED HEALTHCARE OF ALABAMA FQ INC 

5P BIRMINGHAM AL 35243-2361

WENDY SPECTER Phone: 205/977-6597 

PCA HEALTH PLANS OF PUERTO RICO Fax: 205/977-6585

STE 100 

5835 BLUE LAGOON DR NY 

MIAMI FL 33126-2069 SAM WYATT 

Phone: 305/265-2580 UNITED HEALTHCARE OF ALABAMA FQ INC 

 Fax: 305/265-2816 3700 COLONNADE PKWY 

89 Phone: 205/977-6597 4129

GENARITA ONEILL Fax: 205/977-6585

TRIPLE S PLAN 

OPERATIONS DIVISION WV

GPO BOX 363628 Kaye Brasher 

SAN JUAN PR 00936-3628 PCA HEALTH PLANS OF ALABAMA 

Phone: 787/749-4949 600 Beacon Parkway West 

 Fax: 787/749-4190 Suite 500 

C2 Phone: 205/912-1525 

CHARLES SEILER Fax: 205/941-9880

PRINCIPAL HEALTH CARE OF FLORIDA 

1801 ROCKVILLE PIKE STE 601 

ROCKVILLE MD 20852-1633

Phone: 301/881-1033 2696

 Fax: 301/984-6592

 Fax: 205/912-1426

Phone: 205/977-6597 

3700 COLONNADE PKWY 

BIRMINGHAM AL 35243-2361

Birmingham AL 35209