National Group Roster and Delta Dental Addresses

Transcription

National Group Roster and Delta Dental Addresses
OHIO
National Group Roster and
Delta Dental Addresses
Delta Dental National Groups
The national Delta Dental system provides seamless benefit administration for all groups, even those with
employees/members in more than one state. Delta Dental Premier, Delta Dental PPO (Point-of-Service), Delta
Dental PPO (Standard) and DeltaCare are available nationwide. Please note Delta Dental PPO (Point-ofService) will be referenced as POS on the following pages.
Administration, enrollment, and claims are handled by the Delta Dental that contracts with the national group.
The contracting Delta Dental is designated as the control plan for that group, and all claims, inquiries, eligibility
requests, and other communications regarding that group’s enrollees must be directed to the control plan.
Usually, the state in which a company’s corporate headquarters is located determines which Delta Dental is the
control plan.
In each state, local Delta Dental participation agreements include national groups. Participating dentists have
the advantage of extending their patient base to enrollees of all national groups in their area. Delta Dental serves
nearly one-quarter of Americans with dental insurance and provides dental coverage to more than 54 million
people in more than 93,000 groups across the nation. This means that dentists and their staff may work with a
number of different Delta Dental member companies.
Administration of claims is similar and consistent throughout the Delta Dental system. The following
information applies to all national groups:
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To identify the control plan, go to www.deltadental.com and access the National Portal to look up
information on any Delta Dental enrollee. (Due to the sensitive nature of the information on this Web site,
dentists are required to register and select a password.)
Always mail claims and/or predeterminations to the Delta Dental listed as the control plan for that group.
The control plan processes claims and issues payments to the participating dentist. Usually, the control plan
follows the same processing policies as the local Delta Dental. Inquiries about claims should be addressed to
the Delta Dental listed as the control plan for that group.
If the patient is covered by a Delta Dental Premier plan, Delta Dental will base the allowed amount on Delta
Dental’s maximum payable amount for the geographic region where treatment was rendered.
If the patient is covered by a Delta Dental PPO plan, Delta Dental will base the allowed amount on the fee
table for the geographic region where treatment was rendered.
Regardless of program type, the amount payable depends on the enrollee’s benefits, including copayment
percentages, limitations, exclusions, maximums, and deductibles.
Enrollees of DeltaCare, our national dental HMO-type plan, are covered only for treatment provided by the
dental office they selected when enrolling or by a DeltaCare specialist to whom they were referred by that
office.
Following is a list of national groups that have employees located in Ohio as of April 1, 2013. All claims,
inquiries, and confirmation of program type should be directed to their respective control plan.
*Please note: Some groups may have two states listed under the control plan column. The first state is the
control plan; the second state processes claims for that group. Please send claims to the address for the second
state.
XX Call the control plan to confirm the group number or program type for appropriate benefits.
OH National Group Roster-PRRL
1
04/2013
Group Name
Group Number
Program Type
Control Plan
(PMI – FL) Tri State Healthcare Mgmt (PMI – NY) Lutheran Medical Center 1st Source Corporation 2Checkout.com 3L Media, Inc. 3PD A & P Tool, Inc. A.C.N., Inc. A B C Supply Co Inc. A. Duie Pyle, Inc. A. Finkl & Sons Co. AAA Allied Group, Inc. AAF McQuay, Inc A.J. Rose Manufacturing Company A123 Systems AAA Allied Group, Inc. AAA Northwest Ohio AARP AMMCO Transmissions, Inc. A.T. Cross Ability Center of Greater Toledo, The Abiomed Abatement Worker’s National Health and Welfare Fund ABM Industries Incorporated ABN-­‐AMRO Academy Graphic Communication ACH Food Companies, INC. ACI Worldwide ACS State and Local Accelerated Health Systems AccentCare/Guardian Homecare Accessory Associates, Inc. Accor Hospitality ACD Cash Express, Inc. Achievement Technologies Acrisure Business Outsourcing, LLC Act Test Panels, LLC Acuity Healthcare, LP Acxiom Adams Communications Management Corp. Adams Keegan, Inc Add Inc. Adena Health System/dba Adena Regional Medical Center Adminserver Administrative Employer Services Administrative Employer Services Admiral Metals Adobe Systems, Inc. Adrian & Blissfield Rail Road Company Adrian Dominican Sisters XX XX 0000104 0005056 0000051 11-­‐3469 0000236 0801043 XX XX XX 0000116 5484 0007522 XX 0000116 0002209 5461 5024 1427 0000033 007505 0000207 XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental PPO (POS) DDIC Pennsylvania Indiana/Michigan* Ohio/Michigan* Ohio/Michigan* Georgia Ohio/Michigan* North Carolina/Michigan* Wisconsin Pennsylvania Illinois Ohio/Michigan* Minnesota Ohio/Michigan* Massachusetts Ohio/Michigan* Ohio/Michigan* Pennsylvania Pennsylvania Rhode Island Ohio/Michigan* Massachusetts Michigan XX XX 0001243 0004129 XX XX XX XX 5473 XX XX 001260 0000251 0005876 15311 9180 XX XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX XX Delta Dental Premier XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX XX New York Illinois Ohio/Michigan* Tennessee Nebraska Texas Illinois DDIC Rhode Island DDIC DDIC Massachusetts Michigan Michigan Texas Arkansas Minnesota 0001916 52498 0001731 Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Tennessee Wisconsin Ohio/Michigan* XX 0005170 0009684 XX 2700 0000721 0000897 XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Pennsylvania Michigan Michigan Massachusetts California Michigan Michigan OH National Group Roster-PRRL
2
04/2013
Group Name
Group Number
Adrian Public Schools Adrian Steel Company ADTRAN Advance America Cash Advance Centers, Inc. Advance Auto Parts Advance Engineering Company Advance Packaging Technologies Advanced Home Medical, Inc. Advanced Home Health Care Advanstar Communications Advanstar Communications Inc Advantage IQ Advantage Management Group Advest, Inc. ADVICS North America, Inc. ADVO, Inc Advocates for Basic Legal Equality, Inc. Aegis Media Aegon USA, Inc. AEI Music Network AEI Resources & IN W. VA Coal Aero filter, Inc. Aeropostale, Inc. Aether Systems Affiliated Computer Services (ACS) Affina AFL Telecommunications, Inc. Aftermarket Technologies AGCO Corporation Ag-­‐Chem AGFA Corporation Aggreko Agilent Technologies AGL Resources, Inc. AgReliant Genetics Agrigenetics AHED of Ohio, Inc. Ahresty Wilmington Corporation AIM Air Force One, Inc. Air Medical Group Holdings Air Products and Chemicals, Inc. Air T, Inc. Airport Community Schools AirServ Corporation AirTran Airways AirWorx Aisin Holdings of America, Inc. AK Steel – Ashland Works AK Tube LLC Akima LLC 0006214 0002945 019562 6102 Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Michigan Michigan Alabama South Carolina 61590000 0009997 0001585 0000293 0000218 50568 2778 XX 0005431 4545 0000100 4060-­‐0001 0005244 XX XX 5521 XX 0000993 2393 XX 3780 2043 XX 2026 11-­‐3763 50592 9352 XX XX 11-­‐5039 0000112 0000081 0000196 0000222 8000 0001073 XX XX 433538 0006478 03887 XX 0000206 0005751 0005374 0000145 0554931 Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental Premier XX Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental PPO XX Delta Dental PPO (XX) Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) XX Delta Dental PPO (Standard) XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Virginia Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Minnesota California Washington Michigan New Jersey Indiana/Michigan* New Jersey Ohio/Michigan* New York Iowa Washington Kentucky Michigan New York Pennsylvania Texas Illinois Missouri Illinois Georgia Minnesota New Jersey Louisiana California Georgia Indiana/Michigan* Indiana/Michigan* Ohio/Michigan* Ohio/Michigan* Massachusetts Ohio/Michigan* DDIC Pennsylvania North Carolina/Michigan* Michigan Georgia DDIC Indiana/Michigan* Indiana/Michigan* Ohio/Michigan* Ohio/Michigan* North Carolina/Michigan* OH National Group Roster-PRRL
Program Type
3
Control Plan
04/2013
Group Name
Group Number
Akron City School District Akzo Coatings Alabama Farmers Federation Alaniz LLC Albertson’s Inc. Albertson’s, Inc. Aldrich Chemical Co Inc Aleris Ohio Management, Inc. Alfe Heat Treating, Inc. Algis Sirvaitis & Associates Alkernes, Inc. All State Industries, Inc. Allegheny Valley School Allegiance Health Allegiance Health Allen County Public Library Allen Edmonds Shoe Corporation Alliance Castings Company, LLC Alliance Entertainment Alliant Corporation Alliant Energy Alliant Pharmaceuticals Allianz Global Investors of America Allied Advertising Allied Aerospace Industries, Inc. Allied Mineral Products, Inc. Allied Specialty Vehicles (ASV) Allison Transmission Alloy Merchandising Group, Inc. Alltel Corp. Alpha Natural Resources Alpine Manufacturing Alps Electric ALSAC Altarum Institute Altegrity, Inc. Alterra Healthcare Corp Altius Education, Inc. Altra Industrial Motion Aluminum Precision Products Am General LLC Am WINS Group, Inc. Amarr Garage Doors Ambulatory Services Of America AMCOR Amcor Flexibles AMCOR RIGID PLASTICS USA, INC. AMCOR Sunclipse, North America/CNC Containers Amdocs, Inc. Amedistaff, LLC dba The Right Solutions American Achievement Corporation American Automobile Association 0000300 5915 XX XX XX 009610 50604 0005089 0005774 0002016 007588 518 5223 0003779 0007165 0000440 51706 0009957 15329 0005682 XX 11-­‐3697 XX 000512 4061 0000128 0000065 0001030 2400 90870001 XX 0000864 0000028 0004143 9961-­‐0001 600253 90802 0000309 006272 2965 0009665 1498 0002839 XX XX 0005474 XX Delta Dental PPO (POS) Delta Dental Premier XX XX XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) DeltaCare Delta Dental PPO (POS) XX XX XX Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) 0000065 Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO Delta Dental PPO (POS) XX Ohio/Michigan* Kentucky DDIC Iowa Idaho Minnesota Wisconsin Ohio/Michigan* Indiana/Michigan* Ohio/Michigan* Massachusetts Iowa Pennsylvania Michigan Michigan Indiana/Michigan* Wisconsin Ohio/Michigan* Florida Tennessee Wisconsin Georgia California Massachusetts Tennessee Ohio/Michigan* Indiana/Michigan* Indiana/Michigan* New York Arkansas Virginia Michigan Michigan Tennessee Michigan Virginia Wisconsin Ohio/Michigan* Massachusetts California Indiana/Michigan* Kansas Tennessee Illinois Washington Michigan Washington XX 9452 XX 5198 XX XX XX Delta Dental PPO (XX) Missouri Arkansas Texas Florida OH National Group Roster-PRRL
Program Type
4
Control Plan
04/2013
Group Name
Group Number
American Axle & Manufacturing Inc. 0008370 & 0009706 50594 5919 XX 016827 XX 4049 0001190 XX XX 5651 20032 0002116 Delta Dental PPO (POS) Michigan Delta Dental Premier Delta Dental Premier XX XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental Premier XX Delta Dental PPO (POS) Minnesota California Pennsylvania Alabama Massachusetts Tennessee Indiana/Michigan* Pennsylvania Pennsylvania Minnesota Illinois Michigan 0001035 5938 44-­‐4088 4096 91304 XX 0001738 10-­‐3773 2524 0005772 0005423 Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) XX XX Delta Dental Premier XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Minnesota Texas Tennessee Kansas Pennsylvania Ohio/Michigan* Florida Pennsylvania Michigan Ohio/Michigan* XX 0002085 0002716 53898 0000078 0005975 003903 XX 1245 0001513 & 0001514 6938 051002 5963 8626 5813 0000122 5698 4543 0000233 20051 0001378 0005636 5494 0001021 XX Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) XX DeltaCare XX Delta Dental PPO (POS) Louisiana Ohio/Michigan* Tennessee Wisconsin Indiana/Michigan* Ohio/Michigan* Massachusetts District of Columbia District of Columbia Michigan Delta Dental Premier XX Delta Dental Premier Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Missouri Minnesota Pennsylvania Virginia Rhode Island Ohio/Michigan* California New Jersey Ohio/Michigan* Illinois Tennessee Ohio/Michigan* Rhode Island North Carolina/Michigan* California American Biosystems, Inc. American Bldg. Maintenance Industry American Bridge 9/20/11 American Cancer Society American Capital Energy American Color Graphics American Commercial Lines American Eagle Outfitters American Express American Express Financial Corp. American Farm Bureau American Federation of Gov. Employees AFGE Local 1658 American Financial Group American Hardware Insurance Group American Heart Associations American Home Patient American Identity American Jewish Committee American Legion, Dept. of Ohio, The American Media Operations American Meter Co. American Mitsuba Corporation American Nursing Care dba Consolidated Health Services American Nursing Services American Red Cross American Roamer American Roller Co American Senior Communities American Steel Associated Products, Inc. American Tower Corporation American University Americans Institute for Research Americas Styrenics LLC Americomm Direct Marketing, Inc AmeriPride Services Inc. Ametek AMF Bowling Worldwide, Inc. Amica Mutual Insurance Company Ampac Holdings, LLC Ampex Corporation Amphenol Corp Amsdell Construction, Inc. Amsted Industries, Inc. Amsurg Corp. Amtex Amtrol AmWINS Group, Inc. Amylin Pharmaceuticals, Inc. OH National Group Roster-PRRL
Program Type
5
Control Plan
04/2013
Group Name
Group Number
Analogic Corp. Anchor Lamina America, Inc. Andersen Corporation Anderson Development Company Anderson Erickson Anderson Tully Angio Dynamics, Inc. Anheuser-­‐Busch Annett Holdings, Inc. APAC Apertus Technologies, Inc. APEX Contractors Apex Pest Control APG L.P. API Group, Inc. Apogee Enterprises Apple Tree Nursery School, Inc. Appleton Coated. Appleton Papers Inc Applied Materials, Inc 04/16/2012 Applied Research Associates Aptalis Pharma Aptima, Inc. APW Aquent Aquidneck Systems International Aramark Uniform & Career Apparel ArcelorMittal Ferndale, Inc. Arch Coal Inc. Archdiocese of Newark Archer Daniel Midland Architectural Iron Workers Local No. 63 Welfare Fund ARCOS, Inc. Ardent Health Services AREVA Inc. Argonne National Laboratory Ariens Company Arkema Arkwright Insurance Agency Arlington County Government Armstrong Relocation Armstrong World Industries, Inc. Arnold Vending Co., Inc. Aro Welding Technologies, Inc. Arthur J Gallagher & Co Art Van Furniture Artisan Entertainment Asahi Kasei Plastics North America, Inc. ASC Group Ascension Health Ascira Partners Asec, Inc. XX 0009022 XX 0009155 99998 1007 XX 6903 XX 6936 5625 6333 0000203 44-­‐4706 XX 5706 0002142 5768 XX XX 0008537 0000013 009497 5448 006127 1496 XX 0009691 5996 9196 2103 20078 XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX Delta Dental Premier XX Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) XX XX Delta Dental Premier Delta Dental Premier Delta Dental Premier XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier XX Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (XX) XX Massachusetts Michigan Minnesota Michigan Iowa Tennessee Pennsylvania Missouri Iowa Kentucky Minnesota Virginia Ohio/Michigan* Texas Minnesota Minnesota Ohio/Michigan* Wisconsin Wisconsin California New Mexico Ohio/Michigan* Massachusetts Wisconsin Massachusetts Rhode Island Pennsylvania Michigan Missouri New Jersey Illinois Illinois 0000301 4086 700006 20084 XX 9344 5519 6289 2895 XX 0000065 0005595 20211 0007151 2200 0000186 5101 XX 0005383 5117 Delta Dental PPO (POS) XX XX XX XX XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier Ohio/Michigan* Tennessee Virginia Illinois Wisconsin Pennsylvania Massachusetts Virginia Tennessee Pennsylvania Ohio/Michigan Michigan Illinois Michigan California Michigan Kansas Missouri Tennessee Massachusetts OH National Group Roster-PRRL
Program Type
6
Control Plan
04/2013
Group Name
Group Number
Ashland University Ashley Furniture Home Stores Ashtabula County Ashtabula Metropolitan Housing Authority, The ASML/Silicon Valley Group Aspen Surgical Aspen Technology, Inc. ASSA ABLOY Inc Asset Acceptance, LLC and its Affiliates Asset Plus Companies Associated Builders & Contractors Associated Group, Inc. (The) Astaris, LLC Astra Tech Inc. Astro Manufacturing & Design Asurion ATI Atlanta Public Schools Atlantic Aviation/Avport Atlantic Container Line Atlas America ATLAS COPCO NORTH AMERICAN LLC Atlas Machine and Supply Atlas Oil Company Atlas Roofing Atos Origin Atria Communities, Inc. Atrium Living Centers Attachmate Corporation ATTC Mfg. Atwell, LLC Au Bon Pain Inc. Augat Corporation Aurora Academy Aurora Bank Fsb Autism Academy of Learning, The Autism MODEL School Auto Club Group, The AutoGate, Inc. Automated Packaging Systems Automobile Club Insurance Company Automobile Racing club of American, Inc. Autoport Ltd. Avanade, Inc. Avanti Press, Inc. Averitt Express Avery Dennison Corporation Avid Technology Aviva USA Corporation AVL North America Avocent, Inc. Avon Rubber & Plastics, Inc. 0000014 XX 0009860 0000289 Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental PPO (POS Oho/Michigan* Wisconsin Ohio/Michigan* Ohio/Michigan* 4014 0000081 003849 4644 0001600 XX XX 5582 6950 007137 0009295 0004106 9360 11-­‐3769 XX 9154 XX 9224 XX 0000328 XX XX 6682 0001003 0609 0000115 0005520 000556 XX 0000087 9701, 9702 0000089 0000086 0009191 0000019 0000119 XX 0000025 0000112 XX 0000730 0004014 XX 006866 XX 0000195 XX 0005604 Delta Dental Premier Delta Dental PPO (POS XX XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX XX XX XX XX Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) DeltaCare XX Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Arizona Michigan Massachusetts New Jersey Michigan Texas Oregon Pennsylvania Missouri Massachusetts Ohio/Michigan* Tennessee Arkansas Georgia Texas New Jersey Pennsylvania New Jersey Kentucky Michigan DDIC Texas Kentucky Ohio/Michigan* Washington Indiana/Michigan* Michigan Massachusetts Massachusetts Ohio/Michigan* Colorado Ohio/Michigan* Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Rhode Island Michigan Michigan Washington Michigan Tennessee California Massachusetts Iowa Michigan DDIC Michigan OH National Group Roster-PRRL
Program Type
7
Control Plan
04/2013
Group Name
Group Number
AXA Equitable Axcess Financial Axia Consulting Axletech International B & H Foto & Electronic Corp B I Performance B J’s Wholesale Club, Inc. B & P Process Equipment & Systems, LLC B.B. Bradley Co., The Bacardi U.S.A., Inc. & Affiliates Badger Meter Bahwan Cybertek Technologies Baker & Hostetler LLP Balestra, Harr & Scherer, CPA’s, Inc. Bally Technologies/Rainbow Casino XX 0000002 0005692 0009757 XX 50585 5555 0009650 0005147 XX 50302 XX 0009650 0002185 29-­‐9180 & 29-­‐9182 20213 5079 0000122 XX 50198 1526 0000171 XX XX 0004030 20015 0001524 0005794 9226 XX 0000297 XX XX XX 0009808 0000127 005372 9096-­‐0001 9317 0000250 0001033 1924 0007576 9152 XX 2652 05372 0009452 & 0009453 XX 3780 0000898 Bally Total Fitness Baltimore Life Insurance Co Bamal Corporation Bank of the West Banta Corporation Bantam Doubleday Dell Barb’s Graffiti Barclays Bank of Delaware Bare Escentuals Barge Waggoner Sumner Barilla America Barnesville Hospital Association Barnhart Crane & Rigging Co. BARR LABORATORIES INC Barr-­‐Nunn Transportation, Inc. Barren & Merry Co., L.P.A. BarrierSafe Solutions International Barry-­‐Wehmiller Companies, Inc. Barry White Bartech Group, The Bartholomew Consolidated Schools Bartlett Incorporated Barton Marlow Company BASF Basic Holdings, Inc. Battelle Memorial Institute Battenfeld of America Bay Corrugated Container, Inc. Bayer Corporation Baystate Health, Inc. BBN Technologies BCBG Max Azaria Group, Inc. BCN Services Beam Global Spirits & Wine, Inc. Becton Dickinson & Co. Bedford Public Schools OH National Group Roster-PRRL
Program Type
Control Plan
Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) DeltaCare Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental Premier XX New York Ohio/Michigan* Ohio/Michigan* Michigan New York Minnesota Massachusetts Michigan Ohio/Michigan* DDIC Wisconsin Massachusetts Ohio/Michigan* Ohio/Michigan* Nevada Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) DeltaCare Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier XX XX XX Delta Dental PPO (POS) Illinois Pennsylvania Michigan California Wisconsin New York Ohio/Michigan* Delaware California Tennessee Illinois Ohio/Michigan* Tennessee New Jersey Iowa Ohio/Michigan* Illinois Missouri Wisconsin Michigan Indiana/Michigan* Massachusetts Michigan New Jersey Ohio/Michigan* Ohio/Michigan* Rhode Island Michigan Pennsylvania Massachusetts Massachusetts Connecticut Michigan XX Delta Dental PPO (XX) Delta Dental PPO (POS) Illinois New Jersey Michigan 8
04/2013
Group Name
Group Number
Bedford Township Beebe Medical Center Beech Brook Behavioral Centers of America Behler-­‐Young Company Behr America Inc BEI Technologies, Inc. Bekaert Corp. Bel Brands Belcan Corporation Bel-­‐Kur, Inc. Bell Partners, Inc. Bellcare Bellisio Foods dba Michelina’s Belmont County Bel-­‐Terr China, Inc. Belvedere USA Corporation Bemis Company Bemis Manufacturing Co Benjamin Steel Company, Inc. Benson Eye Care Benton Harbor Area Schools Berbee Information Networks Corp Berger Hospital Berklee College of Music Berkley Mid-­‐Atlantic Group Berryville Graphics Bertelsmann, Inc Best Buy Company, Inc Bethesda Lutheran Communities 0009038 XX 0007444 0005589 0000203 0009676 4513 009796 XX 0009565 0001507 276728 XX 747207 0001504 0000195 20010 XX 54505 0001745 5146 0006113 52005 0000394 00319 700068 1523 1517 50602 54111 & 54211 0000121 XX Delta Dental PPO (POS) XX Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental Premier Delta Dental Premier XX XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO Michigan Delaware Ohio/Michigan* Tennessee Michigan Michigan Arkansas Ohio/Michigan* Wisconsin Ohio/Michigan* Ohio/Michigan* North Carolina/Michigan* New Jersey/Michigan* Minnesota Ohio/Michigan* Ohio/Michigan* Illinois Minnesota Wisconsin Ohio/Michigan* Texas Michigan Wisconsin Ohio/Michigan* Massachusetts Virginia New York/Pennsylvania* New York/Pennsylvania* Minnesota Wisconsin Delta Dental PPO (POS) XX Ohio/Michigan* District of Columbia 0007192 XX 0000097 0008178 0002038 0000399 5774 XX XX 5619 9046 XX XX 0006967 0000688 9193 XX XX 6951 Delta Dental PPO (POS) XX Delta Dental PPO (POS) DeltaCare Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental PPO (Standard) XX XX XX XX Delta Dental PPO (POS) XX XX XX Delta Dental Premier Ohio/Michigan* Colorado Michigan Michigan Ohio/Michigan* Michigan New Jersey Illinois Pennsylvania California New Jersey Massachusetts California North Carolina/Michigan* Michigan New Jersey Missouri California Missouri Bettcher Industries, Inc. Beverage Drivers Health & Welfare Trust Fund Bexley City Schools BI Incorporated Bielomatik & Leuze Electronics, Inc. Bielomatik & Leuze Electronics, Inc. Big Walnut Local Schools Biggs/Gilmore Communications, Inc. Bilco Company (The) Bimbo Bakeries USA Bimbo Foods, Inc./f.k.a. Weston Foods, Inc. Bio Rad Laboratories Biocon Inc. Biogen Inc. Biomarin Pharmaceuticals bioMerieux Bio-­‐Serv Corporation Biovail Bi-­‐State Development Agency dba metro BJ’s Restaurants Black & Veatch Non-­‐Union OH National Group Roster-PRRL
Program Type
9
Control Plan
04/2013
Group Name
Group Number
Black & Veatch Blackwell North America, Inc. Blanchard Valley Health System Blissfield Community Schools Bloom Insurance Company Blount Blum, Inc. BMAC BMG Entertainment (Bertlesmann, Inc.) Bodine Electric Company Boilermakers Books A Million Booz Allen Hamilton Boscov’s, Inc. Bose Corporation Boston Red Sox Baseball Club Boston Scientific Corporation Botsford General Hospital Bottomline Ink Bowater, Inc. Bowling Green State University Bowser-­‐Morner, Inc. Bradford Soap Works, Inc. Bradley Arant Boult Cummings Bradley Pharmaceuticals, Inc. Brady Corporation Braintree Laboratories Breyden Products, Inc. Bricklayers and Allied Workers Health and Welfare Fund Bridgestone/Firestone Briggs Medical Service Briggs & Stratton Brightheart Veterinary Centers, LLC Brighton Properties Britton-­‐Deerfield Schools Bronson Healthcare Group, Inc. Brookfield RPS, LLC Brooks Insurance Brother International Corporation Brotherhood Health Plan Brothers Trading Co., Inc. Brown & Caldwell Brown Memorial Home Brown University Brown University Student Plan Broyhill Brunswick Corporation BSH Appliances Corporation BSI Financial Services, Inc. BTU Retired Teachers Chapter Buca Inc. Bucher Hydraulics 6945 5038 0002073 0006283 XX D8933 077183 6424 1517 20165 XX XX 700093 XX 1532 000653 XX 0001922 0000098 XX 0009811 0001732 5320 0001938 9165 51898 8883-­‐6601 0000002 0005022 Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO XX XX XX Delta Dental Premier XX XX XX Delta Dental PPO XX XX Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Missouri Oregon Ohio/Michigan* Michigan Indiana/Michigan* Oregon North Carolina/Michigan* Virginia New York/Pennsylvania* Illinois Kansas DDIC Virginia Pennsylvania Massachusetts Massachusetts Massachusetts Michigan Ohio/Michigan* Missouri Ohio/Michigan* Ohio/Michigan* Rhode Island Tennessee New Jersey Wisconsin Massachusetts Indiana/Michigan* Indiana/Michigan* 5712 XX XX XX XX 0006233 0002006 20162 0005297 9009 XX 0000275 XX 0001380 3054 4385 XX 20080 XX XX XX XX 0003365 Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX XX XX Delta Dental PPO XX XX XX Delta Dental Premier Tennessee Iowa Wisconsin New York Kentucky Michigan Michigan Illinois Ohio/Michigan* New Jersey Pennsylvania Ohio/Michigan* California Ohio/Michigan* Rhode Island Rhode Island Missouri Illinois California Pennsylvania Massachusetts Minnesota Michigan OH National Group Roster-PRRL
Program Type
10
Control Plan
04/2013
Group Name
Group Number
Buckeye Pipe Line Company Buckman Laboratories Budgetext Buffalo Wild Wings Bellevue Board of Education Building Laborers' Local #310 Health/Welfare Fund Bulgari USA Inc. Bunge North America Bunzl Distribution USA, Inc. Bureau Veritas USA Burlington Coat Factory Burrelle Busch’s Bush Industries Butler University Butterball LLC C & A Industries, Inc. C & H Distributors C&S Wholesale, Inc. C.N.H. (Case New Holland) C.F. Sauer Company (The) C.I.S. Technologies, Incorporated C.M. Offray & Sons C.R. Bard C2 Portfolio Inc Cabela’s Cabletron Systems Cabot Corporation CACI International, Inc. Cal-­‐Ark Trucking Calhoun County Intermediate School District Calibre Systems, Inc California Field Ironworkers Welfare Plan Trust Callan Salvage & Appraisal Co., Inc. Callaway Golf/Callaway Golf Ball Operations, Inc. Calpine Corporation Cambridge Information Group, Inc. Camden Frontier Schools Camp Dresser & McKee Canam Steel Corporation Canberra Corporation Canberra Industries, Inc. Candle-­‐Lite, Division of Lancaster Colony Cannon Solutions Cannondale Corp Canon Communications CAPE, Inc. Capgemini Financial Strategic Services Capital Tire, Inc. XX 4092 9281 XX XX 0007493 XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (POS) Pennsylvania Tennessee Arkansas Minnesota Kentucky Ohio/Michigan* XX 6958 5158 2010 5507 3989 5025-­‐0001 XX 0007070 0008120 XX 51002 XX 51401 700005 XX 3981 3732-­‐0001 6105 XX 4786 9850 700085 5477 0000406 XX Delta Dental Premier Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental PPO (XX) XX XX Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) New York Missouri Missouri New York New Jersey New Jersey Michigan New York Indiana/Michigan* North Carolina/Michigan* Nebraska Wisconsin New Hampshire Wisconsin Virginia Oklahoma New Jersey New Jersey Virginia Nebraska New Hampshire Massachusetts Virginia Arkansas Michigan XX XX Delta Dental Premier XX Virginia California 0005275 XX Delta Dental PPO (Standard) DeltaCare Tennessee California XX XX 0006111 5896 XX 0002200 5276 0001547 051084 4597 XX XX 20135 0000228 XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX XX XX XX XX Delta Dental PPO (POS) DDIC Pennsylvania Michigan Massachusetts Pennsylvania Ohio/Michigan* New Jersey Ohio/Michigan* Minnesota Connecticut California DDIC Illinois Ohio/Michigan* OH National Group Roster-PRRL
Program Type
11
Control Plan
04/2013
Group Name
Group Number
Capital University Capitol Bancorp, Ltd. Capmark Financial Group Caps Group, The (formerly Group 20136 and 329) Capstone Companies Captain D’S, L.L.C. Captive Plastics Car Toys / Wireless Advocates Ancillary Caraco Pharmaceutical Laboratories, Ltd. 0005493 0005198 XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX Ohio/Michigan* Michigan Pennsylvania Illinois 01-­‐1368 0005484 3927 XX 0318, 0319, 8205 XX 0005764 0002401 0000114 0000004 0009734 051043 XX 0004138 8081 6403 2168 11-­‐5951 7713 XX 5323 XX XX 0009950 XX XX 0000036 0005777 2747 0009702 XX XX 006130 XX XX 5002 XX XX XX 90153 03258 9082 XX XX 0003531 0000147 XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO Delta Dental PPO Alabama Tennessee New Jersey Washington Michigan XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX XX Delta Dental Premier Delta Dental PPO Delta Dental PPO XX XX XX XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX XX XX Delta Dental Premier XX Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental PPO (XX) XX XX XX Delta Dental PPO (POS) Delta Dental Premier Wisconsin Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Ohio/Michigan* Minnesota Minnesota Tennessee Pennsylvania Virginia Pennsylvania Georgia Missouri Massachusetts Massachusetts Pennsylvania Virginia Ohio/Michigan* Pennsylvania District of Columbia Michigan Ohio/Michigan* Tennessee Michigan Missouri Texas Massachusetts Colorado Massachusetts Arkansas Colorado Iowa Pennsylvania Iowa Texas Washington Minnesota Missouri Michigan Ohio/Michigan* Cardiac Science Corporation Care Source Management Group Co. Career Connections CarePoint Partners CareTech Solutions Careworks of Ohio, ltd. Cargill Incorporated Cargill – Meat Solutions Carlex Glass America, LLC Carlisle Companies Carpenter Co. Carpenter Technology Corporation Carustar Industries Cass Information Systems Casual Male Casual Male Retail Group, Inc. Catalyst RX Health Extras Catholic Charities USA Catholic Healthcare Partners Catholic Relief Services Catholic University of America (The) Cayman Chemical Company CBC Companies, Inc. CBL & Associates Management, Inc. CBS Boring & Machine Company, Inc. CCA Global Partners CCI/Triad CCL Industries Corporation CCOERA CDC IXIS CDI Contractors CDI Headstart 7/1/2012 CDS Cecil County Public Schools Cedarapids, Inc. Celanese Americas Corporation Cell Therapeutics, Inc. Cenex Harvest States Centene Management Center Steel Sales, Inc. Centerless Grinding Service OH National Group Roster-PRRL
Program Type
12
Control Plan
04/2013
Group Name
Group Number
Centerline Capital Group Inc. & Related Companies Central Dauphin School District Central Ohio Health Care Consortium (COHCC) Central Parking System Central Pennsylvania Teamsters Health & Welfare Fund Central State University Centria Centric Group Centurion Medical Products Century Business Services Century, Inc. Century Lending/Century Mortgage CenturyLink Cephalon, Inc. Cequel III Ceridian Corporation Certified Document Destruction CFI Group USA, L.L.C. CFM Religion Publishing Group, LLC CFS 2907 (formerly Packing Company of America) CGI Group, Inc. (CGI) XX XX New York XX 0000273 Delta Dental PPO Delta Dental PPO (POS) Pennsylvania Ohio/Michigan* 0007404 XX Delta Dental PPO (POS) XX Tennessee Pennsylvania 0000208 9199 XX 0000250 90604 0003384 690830 51204 XX XX 50575 0007354 0009574 0000253 20216 Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO XX XX Delta Dental PPO (XX) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Ohio/Michigan* Pennsylvania Missouri Michigan Kansas Michigan Kentucky Kansas Pennsylvania Missouri Minnesota Ohio/Michigan* Michigan Ohio/Michigan* Illinois 700095 & 600257 50598 0000205 0000269 11-­‐6667 0005130 44-­‐3960 2087 7362 XX 5783 XX 004076 2564 5253 Delta Dental PPO Virginia Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental Premier XX XX Delta Dental Premier XX XX XX Delta Dental Premier Minnesota Ohio/Michigan* Ohio/Michigan* Georgia Ohio/Michigan* Texas Illinois Massachusetts Massachusetts California Massachusetts Massachusetts Massachusetts New Jersey 0000226 20060 0005643 6296 XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX Ohio/Michigan* Illinois Michigan Washington Illinois 0000212 XX 006111 XX 3665 53599 Delta Dental PPO (POS) XX XX XX Delta Dental PPO (XX) Delta Dental Premier Ohio/Michigan* Pennsylvania Massachusetts Colorado Georgia Wisconsin CH Robinson Worldwide Chagrin Falls Exempted Village Schools Challenge Electric II, Ltd. Chamberlin Edmonds & Associates Champaign County Chapparral Steel Company Chargeurs Protective, Inc. Charles River Associates, Inc. Charles River Laboratories Charles Schwab & Co., Inc. Charles Start Draper Laboratory Charm Sciences, Inc. Charrette LLC Checkpoint Systems & Security Systems Group Checksmart Financial LLC Chef Solutions Inc. Chemical Analytics, Inc. ChemTreat, Inc Chicago Regional Council of Carpenters Benefit Funds Childhood League, Inc., The Children’s Defense Fund Children’s Hospital Boston Chipotle ChoicePoint CHR Hansen OH National Group Roster-PRRL
Program Type
13
Control Plan
04/2013
Group Name
Group Number
Christian Broadcasting Network Christian Church (Disciples of Christ) Health Care Benefit Trust Christian Church Homes Christie Medical Holdings, Inc. Christopher & Banks Corporation Chrysler XX 0009823 XX Delta Dental PPO (POS) Virginia Indiana/Michigan* DU 6647 0005086 051065 5220/5223/ 5224 0008220 Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Kentucky Tennessee Minnesota Michigan Michigan XX 9696 Delta Dental PPO (point of service) XX Delta Dental PPO (POS) 051048 0000054 20173 5673 0009535 6198 0007600 0003153 0000038 0001271 0005866 0009474 44-­‐4094 0007040 0001820
0001054 0005829 0007470 006408 0000274 0002081 0005312 0000558 0000044 1105 001029 0000280 0000229 0001584 0007490 0000282 0009617 0000115 0001136 0000724 01-­‐0306 5992 4118 2005 0339 XX Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental PPO (POS) DeltaCare Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX XX Minnesota Ohio/Michigan* Illinois Rhode Island Michigan California Michigan Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Texas Indiana/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Massachusetts Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Rhode Island Massachusetts Ohio/Michigan* Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Michigan Alabama Illinois Tennessee Massachusetts Massachusetts Chrysler Church of the Nazarene Cincinnati Insurance Company, its Subsidiaries and Affiliates, The Cirrus Design Corporation Cisco Companies, The Citadel Plastics Holdings Inc. Citizens Financial Group Citizens Republic Bancorp City of Anaheim City of Ann Arbor City of Battle Creek City of Bexley City of St. Clairsville, Ohio, The City of Columbus City of Dearborn -­‐ Retirees City of Garland City of Indianapolis City of Lansing City of Mansfield City of Marion City of Marysville City of Medford City of Mentor City of Monroe City of Oregon City of Perrysburg City of Pickerington City of Providence City of Quincy City of Reynoldsburg City of Rocky River City of Royal Oak City of Sylvania City of Tallmadge City of Toledo City of Upper Arlington City of Westland City of Wyandotte Civilian Marksmanship Program Claire’s Stores, Inc. Clarcor, Inc. Clarks Companies Clean Harbors Environmental Services OH National Group Roster-PRRL
Program Type
14
Control Plan
Missouri Ohio/Michigan* 04/2013
Group Name
Group Number
Clean Harbors Environmental Services, Inc. Clear Channel Communications Clearcreek Township Clearwater Paper Corporation Clearwire Corporation Cleveland and Vicinity Carpenters Hospitalization Plan Cleveland Brothers Cleveland Electric Laboratories Cleveland Institute of Music Cleveland Public Library Cleveland Tool and Machine Cline Machine and Automation, Inc. DBA: Suburban Metal Products, Inc. Clovis Municipal Schools Cloyes Gear ClubCorp, Inc. ClubCorp USA, Inc. CMC Steel CMR CNO Services, LLC 000339 XX Massachusetts XX 0000290 XX XX 0009755 XX Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) DDIC Ohio/Michigan* Washington Washington Ohio/Michigan* XX 0000050 0005998 0001964 0000159 0001860 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Pennsylvania Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* 0001523 9500 44-­‐4226 6217 XX XX 0005489 & 0009523 XX 0005055 Advantage Plan Delta Dental Premier XX DeltaCare XX XX Delta Dental PPO (POS) New Mexico Arkansas Texas California Texas Pennsylvania Indiana/Michigan* XX Delta Dental PPO (POS) DDIC Michigan XX XX XX 0000204 XX 0597461 XX XX 0000224 XX 0000085 004616 3727 XX 0001052 2248 XX 0000257 6700 1758 XX XX 0005845 XX 0002159 0000140 0000311 XX XX XX Delta Dental PPO (Standard) XX XX Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX XX XX Delta Dental PPO (Standard) XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) DDIC Washington Massachusetts Ohio/Michigan* Missouri North Carolina/Michigan* Washington Rhode Island Ohio/Michigan* Maine Ohio/Michigan* Massachusetts Virginia New York Ohio/Michigan* New York Minnesota Ohio/Michigan* Virginia Rhode Island Kansas DDIC Michigan Kentucky Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Coach – USA Coalition of Public Safety Employees Health Trust Coca-­‐Cola company Cobolt Group (The) Cognex Coilplus Berwick Coin Acceptors Coinmach Corporation Coinstar, Inc. Colbri, Parklane Associates Coldwater Machine Company, LLC Cole Haan Cole Tool & Die Company Coler & Colantonio, Inc. Colfax Colgate University Collaborative, Inc., The College Entrance Examination Board, The College of St. Scholastica College of Wooster, The Collegiate Funding Services Collette Travel Service Collins Industries Colonial Properties Colorbok, LLC Columbia Sussex Columbus Academy, The Columbus Arthritis Center Columbus Baseball Team, Inc. OH National Group Roster-PRRL
Program Type
15
Control Plan
04/2013
Group Name
Group Number
Columbus Board of Education Columbus Medical Association Columbus Metropolitan Library Columbus Regional Airport Authority Columbus State Community College Columbus Urban League, Inc. Columbus Zoo and Aquarium Comcast Spectator, Inc. Comerica Bank Cometic Gasket Comfort Line Comfortex, Inc. Commerce Insurance Commercial Millwork And Installation Commercial Vehicle Group, Inc. Committee for Steelworkers Rockwell Retirees Health Care Trust Common Payment Corporation Commonwealth of Virginia Commonwealth of Virginia Retiree Health Benefits Program Communication Workers of America Communicare Health Services Community Action Agency Community Bank System, Inc. Community Health Network Community Health Systems, Inc. Community Living Services Compass Bancshares, Inc. Compass Corporation for Recovery Services Comprehensive Health Management Comprehensive Health Management, Inc. Computer Sciences Corporation (CSC) Comtex Conair Corporation Conair Group (The) Concur Technologies Confederated Tribes of the Grand Ronde Community (The) CONGOLEUM CORPORATION Conley Group (The) Consolidated Delivery Construction Management Services Consulting Orthopaedic Associates, Inc. Consumers/CMS Energy Continental Carbon Company Continental Mills Controllix Corporation Cooper Communities Coors Brewing Company Copart, Inc. Coral Graphic Services 0000215 0002181 0007302 0000174 0007414 0000153 0000142 9207 0005397 0005874 0009894 XX 7323 0003137 0004016 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX XX Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Pennsylvania Michigan Ohio/Michigan* Ohio/Michigan* New York Massachusetts Tennessee Tennessee Pennsylvania XX XX 020222222 XX XX Delta Dental PPO (XX) Florida Virginia Virginia 5905 0005346 0003756 XX 0009941 0004097 0007421 XX 0005322 Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) District of Columbia Ohio/Michigan* Michigan New York Indiana/Michigan* Tennessee Michigan DDIC Ohio/Michigan* 05835 6205 700080 0009878 9255 9194 9049 XX XX DeltaCare Delta Dental PPO Delta Dental PPO (POS) XX XX Delta Dental Premier XX Florida California Virginia Ohio/Michigan* New Jersey Pennsylvania Washington Oregon 9233 XX 3757-­‐0001 9044 0005141 0009203 15272 XX 0007337 9206 5702 XX 2292 XX Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO Delta Dental PPO (Standard) XX Delta Dental Premier XX XX NEW JERSEY Rhode Island New Jersey Arkansas Ohio/Michigan* Michigan Texas Washington Ohio/Michigan* Arkansas Colorado California New York OH National Group Roster-PRRL
Program Type
16
Control Plan
04/2013
Group Name
Group Number
Corbus, LLC Cornerstone Of Recovery Inc Correctional Healthcare Coshocton Public Library COSI Columbus Cosmo Corporation Country Financial COUNTRY Insurance & Financial Services Countryside Rentals Inc. dba Rent to Own County Employee Benefits Consortium of Ohio, Inc. 0005207 0002153 3763 0000189 0007428 0001937 20054 20054 0005921 0009910, 0009913, 0009914, 0009916 & 0009917 0000100 0001982 0000552 3851 XX XX 0007103 0001659 0002013 XX 0007215 0000023 4612 5560 0000313 0005210 2016 XX XX 0000192 0000191 0001905 0007436 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Tennessee New Jersey Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Illinois Illinois Ohio/Michigan* Ohio/Michigan* Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (Standard) XX XX Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Michigan North Carolina/Michigan* New Jersey New Jersey Illinois Michigan Tennessee Ohio/Michigan* DDIC Michigan Ohio/Michigan* New Jersey Rhode Island North Carolina/Michigan* Ohio/Michigan* Illinois California Wisconsin Michigan Michigan Michigan Ohio/Michigan* 0001050 77017 5571 0005439 0000091 009804 0001727 0009871 0005422 XX XX XX 9002 XX 11-­‐3749 Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX XX Delta Dental PPO (XX) XX XX Ohio/Michigan* Iowa Kentucky Michigan Indiana/Michigan* Massachusetts Tennessee Indiana/Michigan* Indiana/Michigan* Georgia Wisconsin Pennsylvania New Jersey New Jersey Georgia County of Lorain County of Monroe Coval Vacuum Technology Inc Covance, Inc. Covanta Energy Corporation Covenant Church, The Covenant HealthCare System Covenant Transport Coventry Steel Services, Inc. Coverall North America Cranbrook Educational Community Crane America Services, Inc. Crane Co. Cranston Print Works Company Craven County Schools Crawford County Craword Supply Company CRC Health Corp Creative Group Creative Techniques, Inc. Credit Acceptance Corporation Credit Union Master Group Crisis Intervention and Recovery Center, Inc. Crown Equipment Corporation CRST International CMS Industries CSI Insurance Plan and Trust Fund CSN, LLC Cubist Pharmaceuticals, Inc. Cumberland Consulting Group, L.L.C. Cummins Bridgeway LLC Cummins Inc. Cumulus Media CUNA Mutual Group Curative Health Services Curtis Wright Curtiss Wright Corp Custard Insurance Adjusters OH National Group Roster-PRRL
Program Type
17
Control Plan
04/2013
Group Name
Group Number
Cutting Systems, Inc. Cuyahoga Valley Christian Academy CVS Caremark Cyberonics, Inc. Cygnus Business Media Cynosure Cyprus RAG D & S Creative Communications, Inc. D T R Industries 0000262 0000234 7000 XX 52503 005768 5909 0001063 0009098 Dairy Farmers of America Dairy Farmers of America Danby Products Inc. DANLAW, Inc. Darling International Dart Container of Michigan, LLC DAS Inc. Data Card Corporation Data Dimensions DataPath, Inc. Datascope Corporation Davco Technology Dawn Food Products, Inc. Dayton Board of Education Dayton Power & Light Dayton Power & Light Dayton Power & Light Dayton Progress Corp. Dayton -­‐ Rogers Manufacturing Co. Dayton Superior Corporation Deaf Services Center, Inc. DealerTrack.com, Inc. De Boer Inc De La Rue Systems Dean Foods Deca Health Decrane Aerospace Defense Support Services, LLC Del Monte Foods Del Monte Fresh Produce Del Monte Fresh Produce Company Delaware Christian Schools Delaware City Schools Board of Education Delaware County Bank (DCB) Delaware General Health District Delaware-­‐Morrow Mental Health & Recovery Services Board Delaware North Companies, Inc. dELia*s, Inc Delta Air Lines, Inc. Delta Dental Plan of Michigan, Inc. Demandware Dematic Corp OH National Group Roster-PRRL
Program Type
Control Plan
Ohio/Michigan* Ohio/Michigan* Rhode Island Texas Wisconsin Massachusetts Pennsylvania Ohio/Michigan* Ohio/Michigan* 6910 6922 0000305 0000246 XX 0001168 XX 5870 9032 11-­‐3762 5784 0009143 0009165 0001037 0001268 0001556 0009436 0005930 5548 0009818 0000287 XX 51710 53700 3720 0005528 51650 9174 5790 10-­‐05576 6317 0000597 0001958 0000230 0005832 0000680 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (point of service) Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO Delta Dental PPO (XX) XX Delta Dental PPO (Standard) Delta Dental PPO (XX) XX Delta Dental Premier XX DeltaCare Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier 1995 XX XX 0009700 000137 0000187 XX XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) New York Pennsylvania Minnesota Michigan Massachusetts Michigan 18
Missouri Missouri Ohio/Michigan* Michigan Texas Michigan Pennsylvania Minnesota Washington Georgia New Jersey Michigan Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Minnesota Ohio/Michigan* Ohio/Michigan* New York Wisconsin Wisconsin Texas Ohio/Michigan* Kansas New Jersey California Florida California Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* 04/2013
Group Name
Denison Consulting, LLC Denso International America, Inc. Denso Sales California, Inc. DENTSPLY International Denuke Contracting Services, Inc. DePaul University DePauw University Derby Industries Deroyal Industries Design Surfaces Detroit Board of Education Detroit Diesel Corporation Detroit Diesel Corporation Detroit Renewable Energy Devon Facility Management, LLC Dewetron Inc. DFS Group & Sephora DHR / Terra Firma 7/1/2011 Group Number
0000915 0004222 0004227 XX 0005385 XX 0000210 DU6651 0007400 0002309 0002355 0001260 0009086 0000995 0000021 5490 2046 8908, 8909, 9920, 9921 Dia Sorin 50635 Dialogue Marketing 0000672 DiCarlo's of Northeast Ohio 0002030 Dickenson Financial Corp. XX Dickinson Wright PLLC 0007262 Die-­‐Namic, Inc. 0009896 Dietz & Watson, Inc. 9369 Digital Color International, LLC 0002117 Digital Management XX Digital Media Group, Inc. 0000073 Dillard’s, Inc. XX Direct General Corp 0007406 Directors Guild of America 480 Disc Environmental Services, Inc. 0000302 Discount Tire XX Disney Worldwide Services, Inc. 3000 Dispatch Printing Company, The) 9003 Dixon Hughes Goodman LLP 0001020 DJO, Inc. XX DNE Group Ltd./Demetrios Group, The XX Dobson Communications Corporation 5139 Doctors Management Company, The XX Document Solutions, Inc. 0003271 Dollar Tree Stores Inc 600061 Dominican Sisters of Peace 0000047 Domino’s Pizza LLC 0009408 Don Coffey Company XX Donald R. Nettis Co. 0000279 Donaldson Company, Inc. 504 Donegal Mutual Insurance Co. 5544 Dorma Group North America XX Douglas Dynamics LLC / Western Products XX Dove CD's Inc. dba Dove Enterprises 0001445 OH National Group Roster-PRRL
Program Type
Control Plan
Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Michigan Tennessee Tennessee Pennsylvania Tennessee Illinois Indiana/Michigan* Kentucky Tennessee Ohio/Michigan* Michigan Ohio/Michigan* Michigan Michigan Michigan Rhode Island California Colorado Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (Standard) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX XX XX XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (Standard) Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (XX) Delta Dental Premier Minnesota Michigan Ohio/Michigan* Missouri Michigan Michigan Pennsylvania Ohio/Michigan* Pennsylvania Ohio/Michigan* Arkansas Tennessee California Ohio/Michigan* Illinois California Ohio/Michigan* North Carolina/Michigan* California Pennsylvania Oklahoma California Tennessee Virginia Ohio/Michigan* Michigan Kansas Ohio/Michigan* Minnesota Pennsylvania Pennsylvania Wisconsin Ohio/Michigan* 19
04/2013
Group Name
Group Number
Dover Corporation The Dow Chemical Company XX 0005432 & 0009014 0005452 09310 0005948 44-­‐4120 838010 20189 1182 0000110 20018 6696 XX 0008118 XX 0009631 0009810 0005387 & 0005388 0009686 0007486 0004063 0005940 XX 0000387 728113 0009826 0009772 003668 XX 0009510 0000546 XX XX XX 0000934 0002325 0000082 2235 XX 5505 0000478 0001873 0001649 XX Delta Dental PPO (POS) New York Michigan Delta Dental PPO (POS) XX Delta Dental PPO (Standard) XX XX Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Michigan Washington Ohio/Michigan* Texas North Carolina/Michigan* Illinois Rhode Island Ohio/Michigan* Illinois Kentucky North Carolina/Michigan* Missouri Michigan Michigan Michigan Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (Standard) XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Michigan Ohio/Michigan* Tennessee Ohio/Michigan* Nebraska Ohio/Michigan* Minnesota Michigan Ohio/Michigan* Massachusetts Florida Michigan North Carolina/Michigan* Massachusetts DDIC Utah Michigan Ohio/Michigan* Indiana/Michigan* California Pennsylvania Missouri Ohio/Michigan* Michigan Ohio/Michigan* 5071 0000360 1780 0005085 1690 20029 0000108 Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Massachusetts North Carolina/Michigan* Oklahoma Ohio/Michigan* California Illinois Ohio/Michigan* Dow Corning Corp. Dow Hotel Company (The) Drew Shoe Corporation Dr. Pepper/7UP Bottling Group Driven Brands, Inc. Drives, LLC Dryvit Systems, Inc. DRT Holdings, Inc. DSC Logistics, Inc. DSI Transportation DSM Pharmaceuticals DSM Services USA, Inc. DST Systems, Inc DTE Energy Co. DTE Energy Company DTE Energy Corporate Services, LLC DTE Energy Non-­‐Regulated Affiliates Dublin City Schools Ducks Unlimited Dugan & Meyers Construction Company Duncan Aviation, Inc. Dundee Community Schools Dungarvin, Inc. Dunn Paper, Inc. Dunnhumby USA, LLC DUSA Pharmaceuticals, Inc. Dycom Dykema Gossett, P.L.L.C. Dynacast, Inc. Dynamics Research Corp Dynegy Dyno Nobel E & R Industrial Sales E G C Enterprises, Inc. Eagle Adjusting Services, Inc. Earle M. Jorgensen Company Earth Networks, Inc. Earthgrains Company (The) Easter Seal Central & Southeast Ohio, Inc. Eastern Michigan University Eastern Ohio Regional Wastewater Authority Eastman Software East Wake Academy Eateries Eaton Corporation ebay Eby-­‐Brown Company, L.P. ECS Tuning, Inc. OH National Group Roster-PRRL
Program Type
20
Control Plan
04/2013
Group Name
Group Number
Eddie Bauer LLC d.b.a. Trilogy Fulfillment EDP Holdings Edison Brothers Stores, Inc. Edison Schools, Inc. Edison Welding Institute Education America, Inc. Educational Service Center of Lake Erie West Edvantages Edward D. Jones Edwards and Kelcey EG & G Sealol 0000220 XX 5898 2399 0009931 9031 0001718 Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan* Florida Missouri New York Ohio/Michigan* Arkansas Ohio/Michigan* 0000276 5752 9180 1249-­‐0001 to 0005 5064 XX 0000095 50643 15308 11-­‐3803 50569 0005800 0005367 XX 0000066 0009175 XX 5711 0002080 XX 0000613 0004509 0007518 9563 20070 0000168 XX 20207 XX 0001669 0005334 9684 9141 50802 10303 0000080 0005658 XX XX XX XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental Premier Ohio/Michigan* Missouri New Jersey Rhode Island Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO XX Delta Dental PPO (XX) Delta Dental PPO (Standard) Delta Dental Premier XX Delta Dental PPO (Standard) Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX XX Delta Dental PPO Washington Colorado Ohio/Michigan* Minnesota Georgia Georgia Minnesota Michigan Ohio/Michigan* Illinois Indiana/Michigan* Ohio/Michigan* DDIC Pennsylvania Ohio/Michigan* Georgia Ohio/Michigan* Michigan Ohio/Michigan* Massachusetts Illinois Michigan Washington Illinois New York Michigan Tennessee Ohio/Michigan* Ohio/Michigan* Wisconsin Illinois Tennessee Michigan New York Pennsylvania Missouri Texas XX XX XX XX DDIC Massachusetts Egghead Software, Inc. Einstein Noah Restaurant Group, Inc. eInformatics, LLC ELCA Board of Pensions Electa Holdings Electa Holdings, U.S.A. Electric Machinery, Inc. Electrical Workers Insurance Fund Electrocraft Ohio, Inc. Electro-­‐Motive Diesel, Inc. Electronic Evolutions Electronic Merchant Systems Elekta Holdings Elf Atochem Elizabeth Scott Community, The Ellis & Everard (U.S. Holdings), Inc. Elmwood Centers, Inc. Elring Klinger Of North America Elyria City Schools EMC Corporation EMD/Greenbriar Emergent Biosolutions Emeritus Senior Living Emerson Network Power EMI Music EMM Group, Inc. Empire Food Brokers, Inc. Employee Leasing Systems Employee Management Services Employer Group (The) Empower HR Encore Express LTD Encore Rehabilitation Services, LLC Endicott/Maines Endo Pharmaceuticals Inc. Energizer Holding company Energy Transfer Equity (aka Energy Transfer Partners) EnergySolutions EnerNOC OH National Group Roster-PRRL
Program Type
21
Control Plan
04/2013
Group Name
Group Number
EnerSys Engelhard Corporation Engineered Endeavors Enhanced Wireless Ennis, Inc. Ennis Paint EnSafe Ensign-­‐Bickford Enterasys Networks, Inc. Enterprise Associates Enterprise Rent-­‐A-­‐Car Environmental Science Corporation ESC Lab Sciences Environmental Tectonics Corporation Envista Corporation Enzymatic Therapy Inc. Epicor Software Corporation Episcopal Diocese of Penn Epixtar EPKO Industries, Inc. EQ: The Environmental Quality Company Equity Residential Ergotron Erie Construction Erie County Board of Developmental Disabilities Erie Insurance Ervin Industries Eskimo Pie Corporation Essilor of America Essroc Cement Esurance Inc ETNA Supply Company Euclid Board of Education Eurofins Scientific, Inc. Everett Smith Group LTD EWIE Companies Exagrid Systems Executive Care, LTD Executive Council of the Protestant Episcopal Church for the Diocese of Michigan Exel North America Exhibit Works, Inc. Expedia, Inc. Exponentia US, Inc. Express Personnel Services Express Scripts Extang, Inc. Extend Benefits Group, LLC Extendicare Health Services Extra Space Storage Extreme Networks XX 5707 0000303 XX XX XX 0002983 4677 4786 XX 6927 0005020 Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) Delta Dental PPO XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Pennsylvania New Jersey Ohio/Michigan* Virginia Texas DDIC Tennessee Connecticut New Hampshire Massachusetts Missouri Tennessee XX XX XX XX XX XX XX 0009472 20056 XX 0001022 0005553 XX XX XX XX XX XX Delta Dental PPO Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Pennsylvania Massachusetts Wisconsin California Pennsylvania Florida Illinois Michigan Illinois Rhode Island Ohio/Michigan* Ohio/Michigan* XX 0009410 6228 3772 8067 XX 0000283 0009865 XX XX 0005560 XX 0000124 0005781 XX Delta Dental PPO (POS) Delta Dental Premier XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Pennsylvania Michigan Virginia Texas Pennsylvania California Michigan Ohio/Michigan* Iowa Wisconsin Michigan Massachusetts Ohio/Michigan* Michigan 0000391 0009145 09307 0009867 XX 6932 0007577 45-­‐3482 51309 45-­‐3430 XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX Delta Dental PPO Michigan Michigan Washington Ohio/Michigan* Oklahoma Missouri Michigan Utah Wisconsin Utah California OH National Group Roster-PRRL
Program Type
22
Control Plan
04/2013
Group Name
Group Number
Eye Center of Columbus Eye Surgery Center of Ohio, Inc., The EYT, Inc. FAAC, Inc. Facil-­‐Flexalloy Faegre Baker Daniels, LLP Fahey Banking Company, The Fairchild Semiconductor International, Inc. Fairfield Communities Fairfield Metro Housing Authority Fairport Harbor Exempted Village Schools Falcon Industries, Inc. Family Christian Stores Family Meds, Inc. Family Service of Northwest Ohio Fastenal Company and Subsidiaries Faurecia Fayette County Department of Job & Family Services FDH Engineering Inc. FDR Safety, LLC Federal Signal Corporation FedEx National LTL Fenner Dunlop Ferguson Enterprises, Inc. Ferguson Perforating Ferndale Pharma Group, Inc. Ferno Washington, Inc. Ferrellgas Ferris State University Ferro Corporation FIAMM America Holdings, Inc. Fidelity National Financial Fifth Third Bank Findlay Family YMCA Findlay's Tall Timbers Distribution Center, Inc. Find/SVP Inc. Fingerhut Corporation Finova Group First Acceptance Corporation First American Financial Services First Choice Holdings First Church of Christ (The) First Energy First Federal Savings and Loan Association of Lakewood First Financial Bancorp First Horizon National Corporation FirstMerit Corporation First Niagara Financial Group Fiskars Brands 0000177 0000149 6046 0001342 0001347 0000457 0000197 6331 Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Ohio/Michigan* Ohio/Michigan* Virginia Michigan Michigan Indiana/Michigan* Ohio/Michigan* Maine XX 0000294 0000164 0001026 0000641 4156 0005292 063755 0005483 0001957 XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) DDIC Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Connecticut Ohio/Michigan* Minnesota Michigan Ohio/Michigan* 0000543 0003134 2049 9381 06494 700090 XX 0001595 9283 5751 0006272 5696 0005889 10-­‐3745 9513 0000312 0000247 XX Delta Dental Premier Delta Dental PPO (Standard) XX Delta Dental PPO DeltaCare XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) North Carolina/Michigan* Tennessee Illinois Arkansas Georgia Virginia Rhode Island Michigan Ohio/Michigan* Missouri Michigan Ohio/Michigan* Michigan Florida Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* XX 50603 5733 3240 4069 XX 006158 9673 0000252 XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) XX DeltaCare XX Delta Dental PPO (POS) Delta Dental PPO (POS) New York Minnesota Arizona Tennessee Tennessee Florida Massachusetts Ohio/Michigan* Ohio/Michigan* 00055551 1881 9814 XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX Ohio/Michigan* Tennessee Ohio/Michigan* New York Wisconsin OH National Group Roster-PRRL
Program Type
23
Control Plan
04/2013
Group Name
Group Number
Fitzpatrick Companies, The Fives Corporation Flagstar Bancorp & Subsidiaries Flat Rock Metal Flat Rock Metal Flexsteel Industries Inc Flint Energy Florilli Corporation (The) Flow International Corporation Flowserve FME Federal Credit Union Footstar Forest City Trading Group Forest Resources Ford Component Sales, LLC Ford Field Ford Motor Company Retirees Ford UAW Retirees Forever 21 Formica Corporation Fortegra Financial Fortier, Inc. Forward Air Corporation Fox Valley Corporation FPO Solutions (formerly RSM McGladrey Financial) Fram Group, The Framatome ANP, Inc Framatome Connectors Franciscan Alliance Frank Gates Service Company, The Frankenmuth Mutual Insurance Franke’s Wood Products, Inc. Franklin American Mortgage Company Franklin County Board of Developmental Disabilities FRC Holding Company Frederick County Public Schools Freedom Communications Inc. Freeman Manufacturing and Supply Company Fremont Plastic Products, Inc. Fresh Market, The Freudenberg Freudenberg – NOK General Partnership Freudenberg Nonwovens Friendly’s Ice Cream Corporation Frontier Engineering Frontrunner Inc. Frontstream Payments, Inc. Fru-­‐Con Construction Fry, Inc. FSC Semiconductor XX 0000657 9025 0005217 0005218 90501 XX 600 09341 44-­‐4228 0000147 3991 XX 10402 0009578 0000723 5667 1166 XX 5268 XX 9466 0001809 XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental Premier XX Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO XX Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX XX Massachusetts Michigan Michigan Michigan Michigan Iowa Oklahoma Iowa Washington Texas Michigan New Jersey ODS Illinois Michigan Michigan Michigan Michigan California Ohio/Michigan* DDIC Arkansas Tennessee Wisconsin Illinois XX 700006 4541 0009975 0000005 0000461 0001077 1606 0005802 XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Illinois Virginia New Jersey Indiana/Michigan* Ohio/Michigan* Michigan Ohio/Michigan* Tennessee Ohio/Michigan* 20206 7141 2335 0000210 Delta Dental PPO XX XX Delta Dental PPO (POS) Illinois Pennsylvania California Ohio/Michigan* 2047 0264144 0008104 1158 8104 003689 5590 0005958 0003426 XX 0005927 6331 Delta Dental Premier XX XX XX XX XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier Illinois North Carolina/Michigan* North Carolina/Michigan* New Hampshire North Carolina/Michigan* Massachusetts Oklahoma Ohio/Michigan* Tennessee Missouri Michigan Massachusetts OH National Group Roster-PRRL
Program Type
24
Control Plan
04/2013
Group Name
Group Number
Fujitsu Synergy Group Fund Evaluation Group funeralOne, LLC Furniture Brands International FusionStorm Future Brands LLC G.S.F. Mortgage Corporation G & J Pepsi-­‐Cola Bottlers G & J Pepsi-­‐Cola Bottlers G B Manufacturing G N Netcom, Inc. G.L.R. Inc. GAF MATERIALS CORPORATION GCA Services Group Galderma Laboratories Gale Industries Gallia County Council on Aging Galliano Marine Service Gallon, Takacs, Boissoneault & Schaffer Co., L.P.A. Gannett Co Inc Garden City Hospital Gardens Alive! Gateway Freight Gateway Hospitality Group, Inc. Gaylord Entertainment Company GCA Services Group, Inc. Geauga Anesthesia Inc. Geauga County Board of MR/DD Gecom Corporation Gehl Company Geisinger Health System Genentech, Inc. General Chemical General Dynamics Land Systems General Investment and Development General Mills, Inc. General Motors Corporation General Motors – Salaried Retirees General Nutrition, Inc. General Re Corporation Genesco Genesee County Genesis Consolidated Genesis Direct Genito-­‐Urinary Surgeons, Inc. Genova Diagnostics, Inc. Genus Americas dba ABS Global, Inc – PIC Genworth Financial, Inc. Genzyme Corporation Geo Group Geo Synthetics GeometricResults, Inc. XX 0000185 0000288 XX 000323 20064 54698 9094 9034 0005880 927 0000239 9222 XX XX 1418 0005913 0291 0001780 Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) California Ohio/Michigan* Michigan Missouri Massachusetts Illinois Arizona Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* New Hampshire Ohio/Michigan* New Jersey Ohio/Michigan* DDIC DDIC/Florida Ohio/Michigan* Louisiana Ohio/Michigan* 700038 0009659 0000041 560 0000200 0004051 0009242 0001973 0002317 5261 XX XX 376 5286 0008580 7965 501 8330 8908 5343 5344 5221 0001888 XX 3713 0008330 0000522 XX XX 001125 XX XX 5314 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX XX XX XX Delta Dental Premier Virginia Michigan Ohio/Michigan* California Ohio/Michigan* Tennessee Ohio/Michigan* Ohio/Michigan* Oho/Michigan* Indiana/Michigan* Wisconsin Pennsylvania California New Jersey Michigan Massachusetts Minnesota Michigan Michigan Pennsylvania New Jersey Tennessee Michigan Massachusetts New Jersey Michigan North Carolina/Michigan* Wisconsin Virginia Massachusetts DDID Wisconsin California OH National Group Roster-PRRL
Program Type
25
Control Plan
04/2013
Group Name
Group Number
George P. Johnson Georgetown University GEO/UAW Local 2322 Georgia Gulf Corporation Gerber’s Poultry, Inc. Gerson Companies (The) Gestamp North America, Inc. Ghafari Associates GHGRI Gibson Guitar Corporation Gilbane, Inc. Gill Podiatry Supply & Equipment Company Gilmore, Jasion & Mahler, LTD Glass City Academy Glasshouse Technologies Glasstech, Inc. Glo Quartz Electric Heater Global Broadcasting Global Education Excellence Global Hue Global Transportation Services Globe Express Services (Overseas Group) GMAC Insurance Management Corporation Godiva Chocolatier, Inc. Gold Bond, Inc Gold Metal Products Golden Corral Golden Living Golden Peanut Company Goodman Networks Goodworks Unlimited, LLC Goodyear Dunlop Hourly Associates Goodyear Dunlop Tires North American, Ltd Goodyear Tire & Rubber Company, The Goodyear Tire & Rubber Co., The Goodyear Tire & Rubber Company Gordon Flesh Company Inc Gorton’s Graco, Inc. Graebel Companies Graham Field Graham Packaging Grand Lake Health System Grand Valley State University Grandview Heights City Schools Granite Construction, Inc. Granite Industries, Inc. Granville Exempted Village Schools Graphic Communication National Health & Welfare Fund XX XX 02388 11-­‐6891 0002135 XX 0000642 0183 5885 0004119 XX 0000417 Delta Dental PPO (XX) DeltaCare XX XX Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental Premier Michigan District of Columbia Massachusetts Georgia Ohio/Michigan* Kansas Michigan Michigan Rhode Island Tennessee Rhode Island Ohio/Michigan* 0000231 0000092 003530 0001935 0007471 5637 0003380 XX 09332 0174561 0174561 Delta Dental PPO (POS) Delta Dental PPO (POS XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX XX Ohio/Michigan* Ohio/Michigan Massachusetts Ohio/Michigan* Ohio/Michigan* Rhode Island Michigan Michigan Washington North Carolina/Michigan* North Carolina/Michigan* XX 0001697 9776 351697 XX XX XX 0001931 0009800 0005816 XX Delta Dental Premier XX Delta Dental Premier XX XX Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) New York Tennessee Ohio/Michigan* North Carolina/Michigan* Arkansas Georgia Texas Tennessee Ohio/Michigan* Ohio/Michigan* 0005115 0005550 0005768 XX 000242 50587 9675 1686 XX 0005775 0007410 0007551 5396 0002122 0000076 1249 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO (XX) Delta Dental PPO Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Wisconsin Massachusetts Minnesota Colorado New York Pennsylvania Ohio/Michigan* Michigan Ohio/Michigan* California Ohio/Michigan* Ohio/Michigan* District of Columbia OH National Group Roster-PRRL
Program Type
26
Control Plan
04/2013
Group Name
Group Number
Great Lakes Assemblies, LLC Great Lakes Cheese Co., Inc. Great Lakes Higher Education Corp Great Lakes Management Greatwide Logistic Services Green Path, Inc. Green Tree Acceptance Green Tree Servicing Greenfield Transport Co, Inc. Greenford Christian Church Gresham, Smith And Partners Gresham Smith & Partners Greyhound Lines, Inc. Greyhound Lines, Inc. Greyhound Lines, Inc.-­‐ATU National Local 1700 Greyhound Retirees (ATU) Greyhound Retirees (salaried) Greystone & Co Griffin Industries Grifols Griswold Machine & Engineering Grolier Group 329 formerly known as Caps 57 Group Management Services Group Voyagers, Inc. Groupon Growmark, Inc. Grundfos Pumps Company Grupo Antolin Wayne GS1 US GSI Commerce Gtech Holdings Corp. Guardian Alarm Company Guardian Auto Glass, LLC Guardian Industries Corporation Guckenheimer Enterprises, Inc. Guidance Center, The GuideOne Services, L.L.C. Gund Inc. Guthrie Healthcare System and Guthrie Clinic Guttman Oil Company GVW Group, LLC Gyrus ACMI, Inc. H & D Steel Service Center, Inc. H & H Machine Shop H & R Block Tax Services, Inc. HCI Technologies, Inc. H P Hood H. T. Hackney Habasit America, Inc. Habitat for Humanity International 0000232 0009699 52603 0000296 44-­‐4230 0005511 5950 XX 126783 0000295 0001655 1656 3851 5165 3850 Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental Premier XX Ohio/Michigan* Ohio/Michigan* Wisconsin Ohio/Michigan* Texas Michigan Minnesota Minnesota Iowa Ohio/Michigan* Tennessee Tennessee Texas California Texas 5070 5060 XX 6673 0008108 9268 5806 20092 0001084 XX 20227 20117 500 0000447 0005241 XX XX 0009628 0001117 5799 XX 0000087 XX 9023 2494 Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO XX Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental Premier California California Pennsylvania Kentucky North Carolina/Michigan* Ohio/Michigan* New Jersey Illinois Ohio/Michigan* Colorado Illinois Illinois California Michigan Ohio/Michigan* Pennsylvania Rhode Island Michigan Ohio/Michigan* Michigan California Michigan Iowa New Jersey Pennsylvania XX 0009742 000264 0000123 0001295 7702 5090 XX 2715 XX 05098 XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO Pennsylvania Indiana/Michigan* Massachusetts Ohio/Michigan* Ohio/Michigan* Missouri Virginia Massachusetts Tennessee DDIC Georgia OH National Group Roster-PRRL
Program Type
27
Control Plan
04/2013
Group Name
Group Number
Hafele America Hagemeyer, N.A. Hagerty Insurance Agency, LLC Halcyon Solutions, Inc. Hale Performance Coatings, Inc. Haley & Aldrich Halo BrandedSolutions Inc./Lee Wayne Hancock Fabrics, Inc. Hanover Company (The) Hanover Foods Hanson Group Hanson Productions Hapag Lloyd Harbor Steel Harden Auto Body Inc. Hardin County Hardwoods Of Michigan Harford County Public Entities Harland Clarke Harleysville Group Harnischfeger/Joy Mining Machinery Harris Calorific Harris N.A. Harris Steel, Inc. Harte Hanks Hartford Steam Boiler Inspection & Insurance Co. Harvard University – Active Harvard University Retirees (open) Hasbro, Inc. Hastings Mutual Insurance Company Haugland Learning Center Haven Behavioral Healthcare Haworth, Inc. Haynes International Haynes International, Inc. Hazen and Sawyer, PC HCA Management Services L.P. HCR ManorCare Hdg Mansur Investment Services HDT Global, Inc. Health Care Management Services Health Dialog Health Plan, The Healthcare Management Systems, Inc. Healthscope Benefits, Inc. Healthworks, Inc. Hearthside Food Solutions LLC Heartland Conference Retreat Center Heartland Healthcare Services HEB Grocery Company Hecla Mining company HECO, Inc. 291517 XX 005185 0005094 0002197 000235 XX XX 44-­‐4111 XX 3195 0007200 3802 0005555 0007363 0001933 0003504 XX 440154 5257 54901 11-­‐3752 XX XX 5008 5666 XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX XX XX XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO Delta Dental Premier Delta Dental Premier XX XX XX Delta Dental Premier Delta Dental Premier North Carolina/Michigan* Missouri Michigan Ohio/Michigan* Ohio/Michigan* Massachusetts Illinois Mississippi Texas Pennsylvania Massachusetts Ohio/Michigan* New Jersey Michigan Ohio/Michigan* Ohio/Michigan* Michigan Pennsylvania Texas Pennsylvania Wisconsin Georgia Illinois Massachusetts Massachusetts New Jersey XX XX 3900 0000005 0000055 0003994 0009090 8706 0009092 XX 0003324 0001040 0005579 0009761 0001020 XX 0009821 0001672 9006 0005345 20214 0000138 5531 XX XX 0000261 XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO Delta Dental PPO (POS) Massachusetts Massachusetts Rhode Island Michigan Ohio/Michigan* Tennessee Michigan Indiana/Michigan* Indiana/Michigan* New York Indiana/Michigan* Ohio/Michigan* Indiana/Michigan* Ohio/Michigan* Ohio/Michigan* Massachusetts Ohio/Michigan* Tennessee Arkansas Ohio/Michigan* Illinois Ohio/Michigan* Ohio/Michigan* Texas Idaho Michigan OH National Group Roster-PRRL
Program Type
28
Control Plan
04/2013
Group Name
Group Number
Heidelberg Web System, Inc Heifer Project International Heinen’s Inc. Henniges Automotive Holdings, Inc. Henry Ford Health System Henry M. Jackson Foundation for the Advancement of Military Medicine (The) Herff-­‐Jones, Inc. Heritage Food Service Group, Inc. Herman Miller Inc Herman Miller Inc (Retirees) Hermes Abrasives, Ltd. Hess Industries Heublein, Inc. Hewlett Packard Company Hexcel Corporation HHI Form Tech High Temperature Systems Highland District Hospital Highlights for Children Inc and Participating Subsidiaries Hilb, Rogal and Hobbs Hilex Poly Co., LLC Hillel Day School Hilliard City Schools Hillman Group, The Hills Group, Ltd. Hillsboro City Schools Hillsdale Community Schools Hilti, Inc. Hilton Hotels Corporation Hines Corporation Hines Horticulture Hino Motors Manufacturing Hiram College Hirsh Industries Hitachi Data Systems Corporation Hitachi Metals America HLI Operating Company, Inc. HNTB Hobsons Inc. Hoffman-­‐Laroche, Inc. Holcim (US) Inc Holder Construction Holiday Companies Hologic, Inc. Holy Cross Children’s Services HomeDirect USA Homesite Group Incorporated Hon Industries Honeymoon Paper Honeywell Honigman Miller Schwartz and Cohn LLP 1038 9049 0007567 0005516 0009692 XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO New Hampshire Arkansas Ohio/Michigan* Michigan Michigan Pennsylvania 0005978 0000349 9525 XX 8625 5624 5675 XX 4583 0000181 0001739 0007473 9494 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX XX Delta Dental Premier DeltaCare Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Indiana/Michigan* Indiana/Michigan* Michigan Michigan Virginia Michigan New Jersey California Connecticut Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* 700045 6099-­‐1000 0000917 0001030 0009588 0002157 0000094 0006379 8324 XX 0009056 XX 1468 0007191 XX XX 0004985 0009827 6905 0000166 5860 9834 XX 502 001495 0000826 20186 XX 5671 5138 150 0007116 XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental PPO (POS) DeltaCare XX Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Virginia South Carolina Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Oklahoma California Michigan California Michigan Ohio/Michigan* Iowa California Michigan Michigan Missouri Ohio/Michigan* New Jersey Michigan DDIC Minnesota Massachusetts Michigan Illinois Massachusetts Iowa Ohio/Michigan* Minnesota Michigan OH National Group Roster-PRRL
Program Type
29
Control Plan
04/2013
Group Name
Group Number
HOP Energy Horizon Bay Senior Communications Hormel Foods Corporation Hornbeck Offshore Operators Hospice Compassus Hospice of Northwest Ohio Hospitalists Management Group LLC dba Cogent HMG Hospitality Mints, LLC Howard County, Maryland Howard Hughes Medical Institute Howden Buffalo, Inc. HSC – AFSCME HSC – Non Union HTC America Hudson Area Schools Hudson City Savings Bank Hufcor, Inc. Hughes Supply, Inc. Human Capital Hunter Defense Technologies Hunter Douglas, Inc Hurley Medical Center Hurley Medical Center Hurley Medical Center Huron Schools Huron Valley Schools Husqvarna Outdoor Products, Inc. Huttig Building Products Hydraulic Technologies Hydro Automotive Structures Hylant Group Hyundai America Tech Center IAI International IAM Benefit Trust IBEW IBEW Local 640 IBEW Local 666 IBEW − NECA SW ICC Industries I.A.T.S.E. National Health & Welfare Fund IATSE IATSE Local 160 Health and Welfare Fund ICSS, Inc. ICAHN & Co., Inc. Identity Group Ida Public Schools I-­‐Deal Optics Holdings, Inc. IDEX Corporation IDEXX Laboratories, Inc. IDEXX Laboratories, Inc. IDLX XX 10-­‐0119 50582 19-­‐3579 0003523 0005293 0003077 XX XX Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) New York Florida Minnesota Louisiana Tennessee Ohio/Michigan* Tennessee 0442174 XX XX XX 0005833 0005834 XX 0006329 XX 52600 1629 0005506 9761 9003 0001745 0001785 0002114 0000647 0006482 11-­‐5874 XX 90033 0005068 0099 0000266 2264 5103 5904 XX 600133 5622 XX 2430 2430 0000181 5094 2125 2124 0000892 0000135 5873 1573 6686 50593 XX XX Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) DeltaCare Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier XX XX Delta Dental Premier Delta Dental PPO XX XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental Premier North Carolina/Michigan* Pennsylvania Pennsylvania Missouri Ohio/Michigan* Ohio/Michigan* Washington Michigan New Jersey Wisconsin Florida Michigan Ohio/Michigan* New Jersey Michigan Michigan Michigan Michigan POS (POS) Georgia Missouri Iowa Michigan Ohio/Michigan* Michigan New York DDIC Pennsylvania Arizona Virginia DDIC New York New York New York Ohio/Michigan* Ohio/Michigan* New York Illinois Michigan Michigan Illinois Maine Maine Minnesota OH National Group Roster-PRRL
Program Type
30
Control Plan
04/2013
Group Name
Group Number
IDX IHS, Inc. I Know I Can I Supply Company I T & E Retiree Supplemental Benefit Trust Illitch Holdings, Inc. Ilmor Engineering Inc. Imation Corporation Imo Industries Impact Products IMS InChord Communications Inc Independent Concrete Pipe Independent Health Indiana Area United Food Indiana Credit Union League Indiana Hemophilia & Thrombosis Center, Inc. Indiana Laborers Welfare Fund Indiana State Teacher’s Association (ISTA) Indiana State University Indiana University Health Indiana Wesleyan University Indiana/Kentucky Carpenters Welfare Fund Indianapolis Public Schools Inductoheat Industrial Defender, Inc. InDyne Inc Inficon, Inc. Infinisource, Inc. Infinite Computer Solutions Infinity Property and Casualty Corporation InFocus Corporation Infopartners, Inc. Informatics Corporation of America Information Control Corporation Information Management Associates ING North American Insurance Corporation Ingenuity IEQ Ingham County Ingram Entertainment, Inc/DBI Beverage, Inc. Ingram Industries, Inc. Ingram Micro Injectronics, Inc. and Gilreath Mfg., Inc. Inland Western Retail Real Estate InnoCentive, Inc. Innovative Dialysis Systems, Inc. Innovia Films INSL-­‐X Products Corp. Insitu Group (The) XX XX 0002004 0007384 0009100 0001170 0005375 5384 3727 0002215 XX 9593 0000055 XX 0000700 0000356 0005419 XX XX Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Missouri Colorado Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Michigan Minnesota New Jersey Ohio/Michigan* Pennsylvania Ohio/Michigan* Indiana/Michigan* New York Indiana/Michigan* Indiana/Michigan* Indiana/Michigan* 0005617 0001101 0007001 0007082 0005754 0005966 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Indiana/Michigan* Indiana/Michigan* Indiana/Michigan* Indiana/Michigan* Indiana/Michigan* Indiana/Michigan* 0000096 0005968 XX 600159 2246 0009981 XX 01-­‐1634 622 0001454 0005137 5196 4096 XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental Premier Delta Dental PPO XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Indiana/Michigan* Michigan Massachusetts Virginia New York Michigan Pennsylvania Alabama Oregon Tennessee Tennessee Ohio/Michigan* Connecticut Georgia 0005105 0009898 4038 Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (XX) Michigan Michigan Tennessee 4084 XX 3228 XX XX 692 XX 2447 09318 Delta Dental PPO (POS) XX XX XX XX Delta Dental PPO (Standard) XX XX XX Tennessee California Massachusetts Illinois Massachusetts California Kansas New York Washington OH National Group Roster-PRRL
Program Type
31
Control Plan
04/2013
Group Name
Group Number
Instituform Technologies, Inc. Insulet Corporation INTAT Precision, Inc. Integer Group (The) Integra Life Sciences Corporation Integrated Electric Services Integrated Manufacturing and Assembly, LLC (Brownstown Division) Integrys Energy Group Interactive Business Systems Interactive Data Corporation Interactive Teleservices Corp Interface Interface Data Systems Intergen Intermec Corporation International Automotive Components of America (IAC) International Automotive Components Group of North American International Brotherhood of Electrical Workers International Dairy Queen International Specialty Products International Union of Operating Engineers International Union of Operating Engineers Local #478 International Union UAW Insurance Office Interstate Brands Companies Intown Lessee Services LLC InvestLinc Group, LLC (The) Investors management Corporation IOSIL Energy Corporation Iron Mountain Corporation Iron Workers’ Health Fund of Eastern Michigan Iron Workers Local 17 Insurance Benefit Fund ISC Group Nevada LLC & Companies (The) ITC Holdings Corp. ITC Nexus Holding Company, Inc. ITR Concession Company, LLC ITT Corporation IUOE & Pipe Line Employers H & W Fund Ivey Mechanical Ivy Tech Community College of Indiana J L French J & R Electronics J W Aluminum J.B. Hunt Transport J.B. Hunt Transport J. Fred Schmidt Packing co. XX XX 0000116 6756 XX 44-­‐4108 0005368 XX XX Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental PPO (XX) Missouri Massachusetts Indiana/Michigan* Colorado New Jersey Texas Michigan 20109 2074 XX 9883 113613 2494 XX 5300 5753 XX Delta Dental PPO (XX) Delta Dental PPO XX Delta Dental PPO (XX) Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental PPO (POS) Illinois Illinois Massachusetts Ohio/Michigan* Georgia Arizona Massachusetts Washington Michigan 0005754 Delta Dental PPO (POS) Michigan 5904 50617 9220 1244 Delta Dental Premier Delta Dental PPO (XX) XX XX Pennsylvania Minnesota New Jersey District of Columbia 4634 XX Connecticut 0005974 44-­‐03299 XX 44-­‐3940 0351697 0012001 004895 9830 Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX XX Delta Dental PPO (Standard) XX Delta Dental PPO (Standard) Michigan Texas Georgia Texas North Carolina/Michigan* New Mexico Massachusetts Michigan 0001017 Delta Dental PPO (POS) Ohio/Michigan* 19-­‐3739 0005934 9364 XX 9452 1250 XX 0007054 51805 2460 XX 5380 5281 0000264 XX Delta Dental PPO (POS) DeltaCare XX Delta Dental PPO XX XX Delta Dental PPO (POS) XX XX XX Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (POS) Louisiana Michigan New Jersey Indiana/Michigan* Colorado District of Columbia Mississippi Indiana/Michigan* Wisconsin New York Missouri Arkansas Arkansas Ohio/Michigan* OH National Group Roster-PRRL
Program Type
32
Control Plan
04/2013
Group Name
Group Number
J. Jeffery Cameron M.D. J.M. Smucker Company, The J. Rettenmaier USA LP J.T.M. Industries J.W. Harris Co., Inc. dba The Harris Products Group JAC Products Jack A. Russo Corp Jackson County Employees Jackson National Life Jackson Products, Inc. Jaco, Inc Jacobs Engineering Group, Inc. Jacuzzi Brands Corp James A. Rhodes State college JanPak, Inc. Jarvis Caster Company Jason Incorporated Jay School Corporation, The Jefferson Schools Jefferson Wells International Jeffrey Chain, LP Jenkins Memorial Home Jess Howard Electrical Company Jet Aviation Holdings, Inc. Jewish Community Federation of Cleveland Jim Beam Brands Co. JM Industries, Inc. JMC Steel Joerns Healthcare John Hancock John Hancock Financial Network John Henry Company (The) John Morrell Co. John O. Butler Company Johnson & Wales University Johnson Brothers Distributing Johnson Controls Johnson Matthey, Inc. Johnson Outdoors Johnsonite, Inc / Tarkett, Inc. Johnstown Monroe Local School District Joint Commission on Accreditation Jointly Administered Trust Fund for the Benefit of Lorain City School District Employees Jones – Hamilton Company Jonesville Community Schools Jorge Scientific Corporation Jos. A. Bank Josina Lott Residential and Community Services 0002024 0001038 0009854 XX 0005847 Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (XX) Ohio/Michigan* Ohio/Michigan* Michigan Utah Ohio/Michigan* 0620 0009236 0001280 0009224 6942 000631 XX XX 0005399 0000557 0003116 XX 0001157 0000459 52704 0003982 0001390 0000641 9082 9791 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX XX Michigan Michigan Ohio/Michigan* Michigan Missouri Massachusetts California California Ohio/Michigan* North Carolina/Michigan* Tennessee Wisconsin Indiana/Michigan* Michigan Wisconsin Tennessee Tennessee Ohio/Michigan* New Jersey Ohio/Michigan* 20061 0000472 XX 52908 8728 & 8729 XX 5252 0009200 2149 5815 50578 3718 XX 53200 XX 0000021 2033 0001048 XX Delta Dental PPO (Standard) XX XX Delta Dental Premier XX XX XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (XX) XX XX Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (Standard) Illinois Michigan Illinois Wisconsin Massachusetts Massachusetts Michigan Ohio/Michigan* Illinois Rhode Island Minnesota Florida Pennsylvania Wisconsin Ohio/Michigan* Ohio/Michigan* Illinois Ohio/Michigan* 0005794 0006162 XX XX 0000243 Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental Premier Ohio/Michigan* Michigan Virginia Pennsylvania Ohio/Michigan* OH National Group Roster-PRRL
Program Type
33
Control Plan
04/2013
Group Name
Group Number
Jostens JP Health Plans JSJ Corporation Juniper Networks Jupiter Communities, LLC/Jupiter Realty Corp K & K Technical Group, Inc. K O N E Inc. Kable News Kaiser Foundation Health Plan Kaiser Foundation Health Plan Kaiser Permanente Kaiser Permanente Senior Advantage Medicare Kanawha County Schools KapStone Kraft Paper Co. Kar Auction Services, Inc. Karmanos Cancer Institute Katzinger’s Delicatessen Kawasaki Robotics (USA), Inc. KCS International Inc. Kearfott Corporation Keller-­‐Crescent Co., Inc. KeHE Distributors, LLC Keihin Thermal Technology of America, Inc. Keller Foundation Keller Group, Inc. Kellermeyer Company Kellwood Company Kelly Services Kelly Services-­‐Salaried Employees Kelly Staff Leasing Kenco Kendal at Oberlin Kendal Corp Kenna Metal Kenney Machinery Kent State University Kentrox, Inc. Kentucky Conference of the United Methodist Church Kenwal Steel Corporation Keurig, Inc. Key Safety Systems, Inc. Keystone Automotive Keystone Threaded Products KHS America, Inc. Kiddie Kandids Kimball International, Inc. Kimco Realty Corporation Kinetic concepts Kinetico Incorporated 5653 15304 0005494 XX 20144 Delta Dental Premier DeltaCare Delta Dental PPO (POS) XX XX Illinois Georgia Michigan California Illinois 5011 2139 2120 5454 8802 7500 9689 Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental Premier Delta Dental PPO (Standard) Delta Dental PPO Ohio/Michigan* Illinois Illinois Alabama California Ohio/Michigan* Colorado 1094 10380 0005697 0007157 0002061 0005517 54011 9368 5142 XX 0000263 XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO Delta Dental Premier XX Delta Dental PPO (POS) West Virginia Illinois Indiana/Michigan* Michigan Ohio/Michigan* Michigan Wisconsin New Jersey Indiana/Michigan* Illinois Ohio/Michigan* XX 20059 0005879 XX 0009146 0009419 9285 0004101 0002179 XX 20107 0000094 0001010 0005954 690650 XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Pennsylvania Illinois Ohio/Michigan* Massachusetts Michigan Michigan Michigan Tennessee Ohio/Michigan* Pennsylvania Illinois Indiana/Michigan* Ohio/Michigan* Ohio/Michigan* Kentucky 0005126 008843 0005613 XX 0002110 0002977 XX 0000154 2262 XX 9281 Delta Dental PPO (Standard) XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Michigan Massachusetts Michigan Pennsylvania Ohio/Michigan* Tennessee Utah Indiana/Michigan* New York DDIC Ohio/Michigan* OH National Group Roster-PRRL
Program Type
34
Control Plan
04/2013
Group Name
Group Number
King’s Medical Group Kirkland & Ellis, LLP Kitch Drutchas Wagner Valitutti & Sherbrook Kitchen Collection, The Kleen Air Research KLLM Transport Services Knight Transportation, Inc. Knoll, Inc. Knowledge Learning Corporation Knox County Board Of Education Knutson Mortgage Koch Industries Koch Industries, Inc./Georgia Pacific LLC Kohl’s Corporation Kohner Properties Komatsu America Corporation Komet of America Kongsberg Automotive, Inc. Kos Pharmaceuticals Kreher Steel Krone Na Inc Kronos KS Personnel Management, LLC KSEA Transportation KTA-­‐Tator, Inc. KUKA Systems Corporation Kuss Filtration, Inc. KV Pharmaceutical Company Ky State District Council of Carpenters Kyklos Bearing International, LLC Kyocera L + P Converters Corporation L & W Engineering Company L.D. Kichler Company, Inc. L.J. Lewis Enterprises LA Fitness International Laborers International Union of North America Laborers’ Local Union #158 Health & Welfare Fund Laborer’s Metropolitan Detroit Health Care Fund Laborers’ Metropolitan Detroit health Care Fund Laird Technologies Lake Health Lakeland Services, Inc. Lakes Golf & Country Club, Inc., The Lakeshore Utility Trailer, Inc. Lakewood Local Schools Lam Research Corp. Lamar Construction 0005153 20089 0003182 Delta Dental PPO (POS) XX Delta Dental PPO (POS) Ohio/Michigan* Illinois 0005656 XX XX 407 2317 XX 0001559 3058 XX XX 5879 6928 20083 2075 0000206 XX 20168 0003699 XX 0000175 9258 5143 0000189 0000266 XX 5054 0000053 2419 8268 0000053 9633 0000043 XX XX Delta Dental PPO (POS) XX XX Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental PPO (XX) Delta Dental PPO (XX) XX Delta Dental PPO (XX) Delta Dental PPO (POS) XX XX Delta Dental Premier XX Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Ohio/Michigan* DDIC Alabama Arizona Pennsylvania Oregon Tennessee Minnesota Kansas Kansas Wisconsin Missouri Illinois Illinois Michigan Florida Illinois Tennessee Massachusetts Ohio/Michigan* New Jersey Pennsylvania Michigan Ohio/Michigan* Missouri Kentucky Ohio/Michigan* California Massachusetts Michigan Ohio/Michigan* Ohio/Michigan* California Pennsylvania 5240 Delta Dental Premier Pennsylvania 1653 Delta Dental PPO Michigan 0001657 Delta Dental PPO (POS) Michigan 7716 0005238 0005194 0000151 0000350 0007523 5659 0001167 Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Missouri Ohio/Michigan* Michigan Ohio/Michigan* Michigan Ohio/Michigan* California Michigan OH National Group Roster-PRRL
Program Type
35
Control Plan
04/2013
Group Name
Group Number
Lancaster Colony Corporation Hourly Employees Plan & Trust Land America Property Inspection Services Landscape Forms, Inc. Landmark Media Enterprises LLC and Dominion Enterprises Land O’Lakes Corp Lane Furniture Langeveld Bulb Company, Inc. Lansing Board of Water & Light Lantheus Medical Imaging, Inc. Lanxess Lapham-­‐Hickey Steel Lastar, Inc. Laurel Lake Lavender and Wyatt Systems, Inc. 0000632 Delta Dental PPO (POS) Ohio/Michigan* XX XX DDIC 0009144 XX Delta Dental Premier Delta Dental PPO Michigan Virginia 5654 XX 524 0005100 XX XX 20133 0005824 0002186 9353-­‐0001, 0099 0007400 589 9200 0000249 0005247 9600 0001187 1524 XX XX 0007434 0209572 0003217 4260 5872 006134 54201 0000843 0001964 0006287 Delta Dental Premier XX Delta Dental PPO (XX) Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) Delta Dental Premier XX Minnesota Missouri New Jersey Michigan Massachusetts Pennsylvania Illinois Ohio/Michigan* Ohio/Michigan* Arkansas Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) XX XX XX Delta Dental PPO (Standard) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan* Minnesota Michigan Ohio/Michigan* Michigan Michigan Michigan Tennessee Iowa Florida Ohio/Michigan* North Carolina/Michigan* Michigan Connecticut Pennsylvania Massachusetts Wisconsin Michigan Michigan Michigan 9421 6180 0005394 XX 0005352 5282 691710 9488 20178 0000156 9057 3874 4310 0000235 Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO Delta Dental PPO Delta Dental PPO (Standard) XX XX XX Delta Dental PPO (POS) Ohio/Michigan* Florida Michigan Minnesota Michigan Illinois Kentucky Colorado Illinois Indiana/Michigan* Pennsylvania New Hampshire Massachusetts Ohio/Michigan* Lawrence Binding Systems, Inc. Lawson Associates, Inc. La−Z−Boy Incorporated LCP Enterprises, LLC dba LifeCenter Plus Lear Corporation Lear Corporation Learning Care Group Lee Company Lee Enterprises, Inc. Lee Memorial Health Systems Legacy Health Services Legacy Healthcare Services, Inc. Legal Services of South Central Michigan LeGrand North America Lehigh Portland Cement LeMaitre Vascular LeMans Corporation Lenawee Christian School/Ministries Lenawee County Administrators Office Lenawee County Intermediate School District Lenawee Health Alliance Lender Processing Svcs Inc Leona Group, L.L.C., The Lester Building Systems Letica Corporation Levy Restaurants Lexmark International, Inc. Lextron, Inc. LG Electronics USA, Inc. LHP Software Liberty Bell Equipment Corporation Liberty Lane Partners Liberty Mutual Insurance Liberty Township of Delaware County OH National Group Roster-PRRL
Program Type
36
Control Plan
04/2013
Group Name
Group Number
Libra Industries, Inc. Licking Heights Local Schools Lifeline Christian Mission Lifeline Systems Lifepoint Hospitals, Inc. Lifetime Brands Corporation LifeTime Fitness Lifetouch Inc. Lifeway Christian Resources Lightning Enterprises, LP Lima Memorial Health System Lincoln Consolidates Schools Linear Technology Corporation Link Engineering Linkage Inc. Lion Apparel Lion Apparel Inc. Lionbridge Technologies, Inc. Litton-­‐Sperry Marine, Inc. Live Technologies LLC Living Social LMC (SI Organization) Local 707 National Production Workers Union Lockheed Martin Corp. Lodgian, Inc. Logan Clutch Corporation Logan Machine company Logan’s Roadhouse Logic Soft, Inc. Logica Logicalis Logistics Company, Inc., The Logistics Express, Inc. Logix Corp. Logtec, Inc. Lomeda Services, LLC London City Schools Lonza Group Los Alamos Technical Associates, Inc. Loudon County & Public Schools LPL Financial Services LSI Corporation Lube Stop, Inc., The Lucas Metropolitan Housing Authority Lufthansa German Airlines Lunar Tool & Mold, Inc. Lutheran Homes of Michigan, Inc. Luvata Company Luxar Corporation Lyden Oil Company Lyndall, Inc. Lyons Companies (The) 0007462 0000001 0000162 XX 0004075 XX XX 5065 0007416 10-­‐0960 0001197 0000786 2558 0005007 2492 5554 0000256 09338 6007 0002305 XX XX 10468 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) DeltaCare XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO XX Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Massachusetts Tennessee New York Minnesota Minnesota Tennessee Florida Ohio/Michigan* Michigan California Michigan Massachusetts Ohio/Michigan* Ohio/Michigan* Washington Virginia Ohio/Michigan* Pennsylvania Pennsylvania Illinois 3001 11-­‐6099 0001062 0000148 0005735 0005808 TX-­‐0333 0005287 0000424 768 5149 9037 0001086 0001021 XX 0011739 61110000 XX XX 0007406 9594 5617 0001849 0004737 XX 5387 0000032 4633 690340 Delta Dental Premier Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO California Georgia Ohio/Michigan* Ohio/Michigan* Tennessee Ohio/Michigan* Texas Michigan North Carolina/Michigan* Alabama Illinois Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* New Jersey New Mexico Virginia California California Ohio/Michigan* Ohio/Michigan* New York/Pennsylvania* Ohio/Michigan* Michigan New York Washington Ohio/Michigan* New Jersey Kentucky OH National Group Roster-PRRL
Program Type
37
Control Plan
04/2013
Group Name
M. Argueso & Co., Inc. M.C. Sports M/I Homes, Inc. M & T Bank M/I Schottenstein Homes Maax Holding MacLean Fogg Company Macomb County Madison County Hospital Madison Marquette Retail Services Madison School District Madison Research Corporation MAG IAS, LLC Mail Contractors Majestic Star Casino, LLC, The Major League Soccer Malcolm Meats Company, Inc. Mane USA, Inc. Manhattan Associates, Inc. MANN+HUMMEL USA, INC. MANP Group Number
0000276 0007618 0009737 2160 XX 50922 5557 0007346 0000271 XX 0006457 01-­‐1369 0009301 9347 0001003 XX 0000063 3703 11-­‐3749 0000625 9371, 9372, 9373, 9374 Manpower of Lansing, Inc. 9023-­‐0001 Mansfield-­‐Richland County Public Library 0000097 ManTech International Corporation 700007 Marathon Electric 1657 MARC Global Services 64020000 Marcus Corporation 51406, 51506, 51606 Marel Holding LP and Affiliated Companies 15322 Marigold Foods 5993 Maritz XX MarketVision Research 0000056 Marposs Corporation 0005861 Marquette General Hospital 0005428 Marquette Financial Companies 201356 Marrik Dish Company 0007435 Mars Advertising, Inc. 0009473 Marshall & Ilsley Corp. 50300 MARTA (Metro Atlanta Rapid Transit XX Authority) Marten Transport Ltd XX Marubeni-­‐Itochu Steel America, Inc. 2413 Mascari Sales & marketing, LLC 0000680 Masco Corporation XX Mason Consolidated Schools 0006005 Mass Laborers H & W 7867 Mass State Carpenters H & W Fund 7525 Massachusetts Bankers Association XX Massachusetts Financial Services 9247 Massachusetts Institute of Technology 004577 Massey Energy Company 700047 MasTec, Inc. XX OH National Group Roster-PRRL
Program Type
Control Plan
Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO (POS) XX Michigan Michigan Ohio/Michigan* New York Ohio Minnesota Illinois Michigan Ohio/Michigan* District of Columbia Michigan Alabama Michigan Arkansas Indiana/Michigan* New York Ohio/Michigan* New Jersey Georgia Michigan Pennsylvania Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier XX Michigan Ohio/Michigan* Virginia Wisconsin Virginia Wisconsin Delta Dental PPO Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO Georgia Minnesota Missouri Ohio/Michigan* Michigan Michigan Minnesota Ohio/Michigan* Michigan Wisconsin Georgia Delta Dental PPO (XX) XX Delta Dental PPO (POS) XX XX XX XX XX XX XX XX XX Wisconsin New York Michigan Michigan Michigan Massachusetts Massachusetts Massachusetts Massachusetts Massachusetts Virginia DDIC 38
04/2013
Group Name
Group Number
Masterbrand Cabinets, Inc. Masterbrand Cabinets, Inc. Mastercraft Boat Company Masters, Mates and Pilots Health & Benefit Plan MATCOM Mate Precision Tooling Inc. Material Sciences Corporation Mathews Ford Oregon, Inc. MathWorks (The) Mattel, Inc. Mattingly Foods Mattress Matters Matrix Service Company Maumee Pattern Company, The Maurice Sporting Goods Maurices Maverick Specialized, LLC Maverick Transportation MAXIMUS Mayo Clinic Mazel Company (The) May Institute, Inc. Mayo Clinic Maytag Corporation MBT Financial Corporation McAlister’s Corporation McArdle, Ltd. McCain Foods USA, Inc. McCormack Baron McCoy Group, Inc. (The) McCullough-­‐Hyde Memorial Hospital McDonald’s Licensees McDonnell Technical Services McLaren Medical Center-­‐Flint McFarland Cascade Holdings MCHCP (State & Public Entity) McMaster-­‐Carr Supply Company McNaughton-­‐McKay Electric Company McNichols Company McPherson’s-­‐Artcraft MCR, LLC McVean Trading & Investments, LLC McWane Cast Iron Pipe Company MDU Resources Meadow Winds Health Care Medar, Inc. MedAssist, Inc. Medcentral Health Systems Medco Containment MedData, Inc. MedData, Inc. Media Planning Group USA 0005765 0005766 0004047 7117 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Indiana/Michigan* Indiana/Michigan* Tennessee Pennsylvania 600022 051034 20023 0001478 003264 2667 0001064 0009618 XX 0001750 5312 NY 2370 XX 72231 XX XX 9657 XX XX 90354 0007587 25-­‐1165 20024 20030 XX XX 0000134 20150 646 0007154 XX XX 20239 0005482 XX 2089 600129 0001643 XX XX 0009980 5597 XX 0002202 XX 0001056 09311 2234 XX XX XX Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier XX XX XX XX Delta Dental PPO Delta Dental PPO (POS) XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX XX XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO XX Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX XX Virginia Minnesota Illinois Ohio/Michigan* Massachusetts California Ohio/Michigan* Ohio/Michigan* Oklahoma Ohio/Michigan* Illinois New York Arkansas Arkansas Virginia Minnesota Ohio/Michigan* Massachusetts Minnesota Iowa Michigan Mississippi Illinois Illinois Missouri Iowa Ohio/Michigan* Illinois California Michigan Washington Missouri Illinois Michigan Florida California Virginia Tennessee DDIC North Dakota Ohio/Michigan* Michigan Kentucky Ohio/Michigan New Jersey Ohio/Michigan* Washington New York OH National Group Roster-PRRL
Program Type
39
Control Plan
04/2013
Group Name
Group Number
Medical Action Industries, Inc. Medical Staffing Network Medigold Mediq/PRN MedPlus Inc. (A Quest Diagnostics Company) MEDRAD, Inc. Medtronic Sofamor Danek, Inc. Medtronic, Inc. Meggitt USA Meharry Medical College Meijer, Inc. Melling Tool Company MEMC Electronic Materials Inc. Memorial Hospital of Union County Memphis Scale Works, Inc. Menard Inc. Menasha Corporation Men’s Wearhouse Mentor Graphics Mentor Network/REM (The) Mentor Surgery Center Mercer Transportation Mercury Instruments Mercy Mercy Health Partners Mercy Hospital – Tiffin Mercy Hospital – Willard Mercy Housing Mercy Medical Center Mercy Memorial Hospital Mercy Montessori School Mercy St. Anne Hospital Mercy St. Charles Hospital Mercy St. Vincent Medical Center Mercy Tiffin Hospital Mercy Willard Hospital Meredith Corporation Meridian Automotive Systems Meritor Meritor Merkle Merrill Corporation Merz Inc. Mesa Industries, Inc. Metal Forming & Coining Corporation Metaldyne, LLC Metavante Methodist Hospital, Inc., The Metro Medical Supply, Inc. Metro Nashville Public Schools Metropolitan Government of Nashville and Davidson Co. XX 10-­‐6909 0001046 3996 9736 XX XX Delta Dental PPO (Standard) Delta Dental PPO (XX) Delta Dental PPO (POS) Pennsylvania Florida Ohio/Michigan New Jersey Ohio/Michigan* XX 4050 XX 2497 0005622 0005695 0000943 7717 & 7718 0000129 0003023 56006 50398 XX 6937 1615 0002025 6578-­‐DU 9158 0009017 9017 9018 9019 XX 0001007 0004701 0000037 0009835 0009015 0009016 0009018 0009019 XX XX 0000835 0005001 XX 50523 XX 0005929 0000126 0000952 51808 0000150 0002616 1477 1600 Delta Dental PPO Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental Premier XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Pennsylvania Tennessee Minnesota California Tennessee Michigan Michigan Missouri Ohio/Michigan* Tennessee Wisconsin Wisconsin California Oregon Massachusetts Ohio/Michigan* Kentucky Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Colorado Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Iowa Michigan Michigan Michigan Pennsylvania Minnesota Wisconsin Ohio/Michigan* Ohio/Michigan* Michigan Wisconsin Indiana/Michigan* Tennessee Tennessee Tennessee OH National Group Roster-PRRL
Program Type
40
Control Plan
04/2013
Group Name
Group Number
Metropolitan Govt Of Nashville & Davidson County Metropolitan Nashville Public Schools Metropolitan Veterinary Hospital Metso Minerals Industries Inc. Metso USA MFRI, Inc. MGI PHARMA, Inc. MGM Grand Detroit MH Equipment Corporation MHM Services Inc. Miami-­‐Dade County Government Miami Trace Local Schools Miami University Michael Foods Michaels Development Michigan 2 to 9 Lives Plan A Michigan 2 to 9 Lives Plan C Michigan Bankers Insurance Plan Michigan Carpenters Michigan Catholic Conference Michigan Chamber of Commerce Michigan Conference of Teamsters Welfare Fund Michigan Council #25 A.F.S.C.M.E. Michigan Health & Hospital Association Michigan Institute of Aviation and Technology Michigan Manufacture Technology Center Michigan Multispecialty Physicians, PC Michigan Public School Employees Retirement System Michigan Retailers Services, Inc. Michigan Seamless Tube Michigan State Painters Insurance fund Michigan State University Michigan State University Student Dental Plan Michigan Sugar Company Mid Ohio Electric MidAmerican Energy Midas Middletown Medical Group, Inc. Midwest Express Airlines Midwest Eye-­‐Banks Midwest Property maintenance Midwestern National Life Insurance MILA, Inc. Millenium Hotels & Resorts Millennium Inorganic Chemicals Millennium Pharmaceuticals, Inc. Mills/James, Inc. 0008800 Delta Dental PPO (Standard) Tennessee 0004113 0000281 XX 50303 10321 51079 0001048 20158 XX 06756 0001500 0007188 XX 0005341 0007775 0007777 0009035 XX 0009253 0005515 9275 0000718 0002064 0000416 Delta Dental PPO (POS) Delta Dental PPO (Standard) XX XX XX XX Delta Dental PPO (POS) XX XX Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Tennessee Ohio/Michigan* Wisconsin Wisconsin Idaho Minnesota Michigan Illinois Virginia Florida Ohio/Michigan* Ohio/Michigan* Minnesota Ohio/Michigan* Michigan Michigan Michigan Michigan Michigan Michigan Michigan Michigan Michigan Michigan 0003612 0001092 0003250 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Michigan Michigan Michigan 0004279 0000107 0001655 0003100 0001172 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Michigan Michigan Michigan Michigan Michigan 0004611 0005817 5308 5749 0002105 50601 0009532 0000314 0001147 XX 9112 5809 007571 0001944 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (XX) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental Premier XX Delta Dental PPO Delta Dental Premier XX Delta Dental PPO (POS) Michigan Ohio/Michigan* Iowa Illinois Ohio/Michigan* Wisconsin Michigan Michigan Ohio/Michigan* Washington Colorado Maryland Massachusetts Ohio/Michigan* OH National Group Roster-PRRL
Program Type
41
Control Plan
04/2013
Group Name
Group Number
Millwrights Local 1102 Health & Welfare Fund Milwaukee Electric Tool Corporation Mineral Technologies, Inc. Minnesota Auto Dealers Association Minolta Minster Machine Company, The MinuteClinic Group of Employers., The MiraMed Global Services, Inc. Mission Essential Personnel, LLC MIT Retirees Mitel, Inc. MMC Corporation Mobis North American, LLC Moderne Glass Company, Inc. Moen Inc Mold Masters Company Molina Healthcare MoInlycke Health Care US, LLC Monet Group, The Moneygram International Monsanto Monroe County Community College Monroe County Community Mental Health Authority Monroe County Library System Monroe Public Schools Monroe Truck Equipment Inc. Monrovia Nursery Montana University System Montessori Children’s House, Saint Joseph Academy Montreat College Moody’s Corporation Moreland Management Company Morenci Area Schools Morgal Machine Tool Company, Inc. Morgan County MR/DD Morgan Industries Morgan Stanley – Smith Barney MORI SEIKI USA Morrow County Hospital Mosaica Education, Inc. Moulding Millwork, Wellington Investment, Sauder Mouldings Mount Carmel Ambulatory Services MRA Management, Inc. MSC Industrial MSD of Lawrence Township MSI Insurance Mt. Vernon Community School Corporation MTS Seating 0005797 Delta Dental PPO (Standard) Michigan 53198 1593 50637 5687 0001049 6999 0009482 0001031 XX 6203 50037 0005967 9264 5761 0000217 XX 06509 XX XX 6952 0000758 0004476 Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) DeltaCare Delta Dental PPO XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Wisconsin New York Minnesota New Jersey Ohio/Michigan* Rhode Island Michigan Ohio/Michigan* Massachusetts Virginia Kansas Ohio/Michigan* Pennsylvania Ohio/Michigan* Michigan California Georgia Rhode Island Minnesota Missouri Michigan Michigan 0000244 0000913 XX 369 XX 0004847 Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental Premier Michigan Michigan Wisconsin California DDIC Michigan 0113629 XX 9184 0006269 0007449 0001845 10-­‐05632 X 44−1232 0005254 0433 XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX North Carolina/Michigan* Pennsylvania Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* Florida New York DDIC Ohio/Michigan* Michigan Washington 0001028 0003391 XX 0007007 5819 0001136 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan* Tennessee New York Indiana/Michigan* Minnesota Indiana/Michigan* 9794 Delta Dental PPO (POS) Michigan OH National Group Roster-PRRL
Program Type
42
Control Plan
04/2013
Group Name
Group Number
MTS Systems Corporation MTS3 Multi Color Corporation Multifoods Multiquip, Inc. Muncie Community Schools Munice Power Products, Inc. Munters Corporation Murata Machinery USA Holdings, Inc. Muscular Dystrophy Association Musicland (Division of Best Buy) Mutual of American Inc. Myers Industries Incorporated MyFamily.com, Inc. Myr Group, Inc. (formerly The L.E. Meyers Co.) Myriad Genetics NACA Logistics Group NACM Great Lakes Region NAMIC Group Insurance Trust NAMSA NASCO, Inc. Nash Finch Companies Nashville Dental, Inc. National Assoc. for Female Executives National Automatic Sprinkler Industry (NASI) Welfare Fund National Benevolent Association National Cinemedia National Computer Systems National Concrete Polishing & Grinding National Court Reporters, Inc. National Dairy Holdings National Data Corp. National Electronics Warranty, LLC National Entertainment Network, Inc. National Federation of Independent Business National Flight Services National Fraternal Order of Police National Heritage Academies, Inc. a Michigan Corporation National Nail Corporation National Print Group Nat’l Railroad Passenger Corp. (Amtrak) National Seating Mobility National Sign & Signal and Intelligent Perimeter National Steel National Vision, Inc. Nation Steel Corporation National Tech Team, Inc 5303 6203 0106 5629 2752 0001160 0000400 000257 0000541 4375 XX 2222 0005933 3888 5549 Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX XX XX Delta Dental PPO (POS) XX Delta Dental Premier Minnesota Virginia Ohio/Michigan* Minnesota California Indiana/Michigan* Indiana/Michigan* Massachusetts North Carolina/Michigan* Arizona Minnesota New York Ohio/Michigan* Utah Illinois XX XX 0000111 0000105 0000017 5729 XX 0001568 5129 XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental Premier XX DDIC California Indiana/Michigan* Indiana/Michigan* Ohio/Michigan* Minnesota Minnesota Tennessee California Pennsylvania 5073 XX 50527 0005476 0000306 XX 5285 0004127 XX 1429 Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Montana Colorado Minnesota Ohio/Michigan* Ohio/Michigan* Texas DDIC Tennessee Colorado Tennessee 0005583 0005461 0001180 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Tennessee Michigan 9584 1486 1210 Delta Dental Premier XX Delta Dental Premier Michigan Tennessee District of Columbia/PA* 1575 0001389 XX Delta Dental PPO (POS) Tennessee Michigan 9544 XX 9543 9221 Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier Indiana/Michigan* DDIC Indiana/Michigan* Michigan OH National Group Roster-PRRL
Program Type
43
Control Plan
04/2013
Group Name
Group Number
Natural Alternatives Inc. Nationwide Children’s Hospital, Inc. Navidea Biopharmaceuticals Navigant Consulting, Inc. Navilyst Medical Navistar Supplemental Benefit Plan NAVTEQ North America LLC NBBJ NBTY, Inc. NCH Corporation-­‐DDIC Nebraska Book Company, Inc. NEC America, Inc. Neighbor Care Neighborhood Assistance Corporation of America Nen Life Science Products NER Data Products, Inc. Netcare Corporation NetScout Systems, Inc. Network General Corporation Neutral Tandem New Balance Athletic Shoe, Inc. New Bedford Thread Co New Directions, Inc. New England Biolabs New England Carpenters New Horizons Youth & Family Center New Resources Corporation New Rochelle Administrators New World Systems New York Times Company (The) Newark City Schools Newco Newport Corporation Nexeo Solutions LLC Nexteer Automotive Corporation NFIB NFO, Inc. Niagara LaSalle Corporation Nicholas J. Bouras, Inc. Nielsen Company (The) Nighthawk Radiology Nintendo Nishikawa Standard Company Nissan Nissan North American, Inc. Nixon Peabody NMRHCA -­‐ Basic Plan NMRHCA -­‐ Comprehensive Plan Noodles and Company Norcraft Companies NordicTrack Norfolk Southern Corporation 20204 0001024 0000291 2084 XX 9100 20157 XX XX XX XX 44-­‐3947 XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental PPO Delta Dental PPO XX XX XX XX XX XX Iowa Ohio/Michigan* Ohio/Michigan* Illinois Massachusetts Michigan Illinois Washington New York Texas Nebraska Texas Pennsylvania Massachusetts 8796 9151 0007387 000268 2651 20142 7543 XX 0001857 XX XX 0001354 55099 XX 0000196 2411 5378 XX 507 XX 0001138 1429 90092 2242 3719 9032 XX 5930 0023 4057 0004015 XX 0011578 0011579 XX XX 5662 6469 Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental Premier XX XX XX Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (Standard) XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (XX) XX Delta Dental PPO (Standard) XX Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (XX XX XX Delta Dental Premier Delta Dental Premier Massachusetts New Jersey Ohio/Michigan* Massachusetts California Illinois Massachusetts Massachusetts Ohio/Michigan* Massachusetts Massachusetts Ohio/Michigan* Wisconsin Pennsylvania Michigan New York Ohio/Michigan* Pennsylvania California Kentucky Michigan Tennessee Iowa New York New Jersey Ohio/Michigan* Idaho Washington Indiana/Michigan* Tennessee Tennessee New York New Mexico New Mexico Colorado Minnesota Minnesota Virginia OH National Group Roster-PRRL
Program Type
44
Control Plan
04/2013
Group Name
Group Number
Norman Noble, Inc. Norsk-­‐Hydro Americas Norstan Communications Nortek, Inc. North American Energy Services North American Family Institute North American Mission Board North American Seal & Supply Co. North Coast Container Corp. North Highland Company North Metro Advisor Network North Starr BHP Steel, LTD Northeast Foods, Inc. Northeastern Ohio University College of Medicine Northgate Arinso Northrop EE’s Federal Credit Union Northrop Grumman Corp. Northeast Michigan Community Service Agency Northeast Ohio Medical University (NEOMED) Northern Ohio Roofing & Sheet Metal, Inc. Northwest Airlines, Inc. Norweigan Cruise Lines Novacare Novametrix Medical Center Novartis Nutrition Corporation Novartis Seeds, Inc. Novitron International, Inc. NPL Construction company NSK Americas NSK Corp/NSK Steering NSS Enterprises Inc. Ntelagent, Inc. NTH Consultants, Ltd. NuCentury Textile Services Nucon International Incorporated NuFarm Americans, Inc. Nutone Nuveen Investments, LLC Nu-­‐Wool Company, Inc. NVR Incorporated NYK North America Nyman Mfg. Co. NYU Langone Medical Center NxStage Medical, Inc. O’Charley’s O’Connell Companies (The) O R A U Oak Street Funding LLC Oakland County Oakland County 0000049 7124 5917 5750 9014 XX 113632 0002311 0002039 11-­‐3810 0009662 7521 7123 XX Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Ohio/Michigan* Pennsylvania Minnesota Rhode Island Washington Massachusetts Georgia Ohio/Michigan* Ohio/Michigan* Georgia Michigan Ohio/Michigan* Pennsylvania Ohio/Michigan* 11-­‐5752 5646 XX 0000610 Delta Dental PPO Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) Georgia California California Michigan 0000206 Delta Dental PPO (POS) Ohio/Michigan* 0000653 50522 10-­‐3664 4166 4159 50518 50517 4859 4432 0000169 XX 9537 0003252 0009279 0005576 0005514 20164 1740 20180 0003776 6268 1786 5089 XX XX 0004102 2035 0001188 0000039 5438 0009936 Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental Premier DeltaCare XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan* Minnesota Florida Pennsylvania Connecticut Minnesota Massachusetts Rhode Island Arizona Michigan Michigan Ohio/Michigan* Tennessee Michigan Ohio/Michigan* Ohio/Michigan* Illinois Massachusetts Illinois Michigan Virginia Tennessee Rhode Island New York Massachusetts Tennessee Massachusetts Tennessee Indiana/Michigan* Michigan Michigan OH National Group Roster-PRRL
Program Type
45
Control Plan
04/2013
Group Name
Group Number
Oakley Industries Sub Assembly Oakwood Management Company Oasis Outsourcing Holdings, Inc. Oasis Systems, Inc. Obars Machine & Tool Co. OBIE Media Oblates of St. Francis De Sales, Inc. Ocean Spray Cranberries, Inc. OCI Chemical Corporation OCLC Online Computer Library Center, Inc. Office Max/Boise Ohio Association of County Boards of MR/DD Ohio 2 to 9 Lives -­‐ Plan B Ohio 2 to 9 Lives Plan A Ohio 2 to 9 Lives Plan C Ohio 2 to 9 Lives Plan E Ohio Association of County Boards of MR/DDS Health Care Plan and Trust Ohio Auto Club Ohio Carpenters Health & Welfare Ohio Carpenter’s Health Fund Ohio Commerce Bank Ohio Decorative Products, Inc. Ohio District Council Ohio Dominican University Ohio Education Association Ohio Grantmakers Forum Ohio Health Information Partnership Ohio Historical Society Ohio Municipal League, The Ohio National Financial Services Ohio Police & Fire Pension Ohio Public Entity Consortium Ohio Roofing and Siding Company, Inc. Ohio Shared Information Services, Inc. Ohio State Highway Patrol Ohio State University, The Ohio State University Comprehensive Student Dental Plan, The Ohio Surgery Center LTD Ohio Transmission & Pump Company Ohio Turnpike Commission Ohio Valley Health Services and Education Corporation OhioHealth Corporation O-­‐I Old Time Pottery Oldcastle Materials Group, Inc. Olin Corporation Olmsted Ice Inc. Olympic Steel Olympic Steel, Inc. 0001213 0000240 0009285 XX 2160 XX 0001071 XX 11-­‐0694 1002 20048 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Michigan Ohio/Michigan* Michigan Massachusetts Ohio/Michigan* Oregon Ohio/Michigan* Massachusetts Georgia Ohio/Michigan* Illinois Ohio/Michigan* 0007776 0007775 0007777 0007779 0001015 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* 0005594 XX 0001055 0000201 0001060 0000143 0000117 0002060 0000039 0000277 0001081 0001846 0005782 5402 0007524 0001057 0000156 5403 0001733 0001960 Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* 0005349 0005532 0214 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Pennsylvania 0009711 1167 1718 XX 4540 0000083 3925 0000107 Delta Dental PPO (POS) Delta Dental PPO (XX) XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan Ohio/Michigan* Tennessee Utah New Jersey Ohio/Michigan* New Jersey Ohio/Michigan* OH National Group Roster-PRRL
Program Type
46
Control Plan
04/2013
Group Name
Group Number
Olympus NDT, Inc. Omega Engineering OMG Americas Omgeo Omni Guide, Inc. Omnicare Clinical Research, Inc. Omnicell, Inc. OMNOVA SOLUTIONS Inc. OMYA Inc. Oncure One Calls of America One Calls of America O’neal Steel Ontario Systems LLC Ontario Systems LLC ONYX North America Group OPEIU Local #55 Open Systems Technology Operating Engineers Public & Miscellaneous health & Welfare Trust Fund Operating Engineers Local 77 Operating Engineers Local 324 Health Care Plan Operating Engineers Public & Miscellaneous Health & Welfare Trust Fund Opinion Research Corporation OPNET Technologies, Inc. Opteum Opticon Medical, Inc. Optos, Inc. Opus Corporation Orbit Tech Orchard Brands Oreck Corporation (the) O’Reilly Automotive, Inc. –CSK Auto Organogenesis, Inc. Oriana House Orica USA, Inc. Ortholink Physicians Corporation Orthorpedic Systems, Inc. Orvis Company (The) Osteotech Otis Spunkmeyer Otter Tail Corp Otterbein University Outsource Group, LLC (The) Overland Solutions Overnite Transportation Owens Corning Owens & Minor Owens State Community College XX 4142 0225 XX XX 16 XX 0001023 0007 XX 9715 0005024 XX 9813 0000089 XX 10-­‐1405 2473 XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX XX Massachusetts Connecticut Ohio/Michigan* Massachusetts Massachusetts Kentucky California Ohio/Michigan* Ohio/Michigan* Colorado Ohio/Michigan* Ohio/Michigan* Alabama Indiana/Michigan* Indiana/Michigan* Wisconsin Florida New York California XX 0002324 XX Delta Dental PPO (POS) Pennsylvania Michigan XX XX California XX XX 9185 XX 005027 51066 0004295 0636 3205 69073000 006037 0005860 XX 1384 848 7752 9186 XX XX 0007359 XX XX 6377 9401 8627 0009667 XX XX XX Delta Dental PPO (XX) XX XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Pennsylvania Maryland New Jersey Iowa Massachusetts Minnesota Michigan Massachusetts Tennessee Missouri Massachusetts Ohio/Michigan* Colorado Tennessee California Vermont New Jersey California Minnesota Ohio/Michigan* California Kansas Virginia Ohio/Michigan* Virginia Ohio/Michigan* OH National Group Roster-PRRL
Program Type
47
Control Plan
04/2013
Group Name
Group Number
Owens-­‐Illinois, Inc. Oxford Financial Group, Ltd. Oxford University Press Ozburn Hessey Logistics, LLC Ozer Group, The P & O Nedloyd P.A. USA, Inc. P.A.M. Transport P.J.’s United Pacer International Inc Pacific Cycle LLC Packaging Dynamics Packaging Personified, Inc. Packerware/Berry Plastics Pactiv Paddington Corporation (The) Painters District Council #30 Benefits Fund Palace Sports & Entertainment, LLC Paladin Brands Pamida Stores Operating Co. LLC PanAm Railways PanariaGroup Panduit Corporation Pantheos Group (The) Panther Racing LLC Paradies Shops, The Paragon Properties Parametric Technologies Parexel International Park-­‐Ohio Industries, Inc. Park Place Entertainment Parker Hannifin Corporation, Hydraulic Systems Division Parker Ionics Parking Company of America, The Parksite Group, The Parkway School District Parkwood Corporation Partners Healthcare System, Inc. Patient Keeper, Inc. Patton-­‐Tully Marine LLC Pavement Technology, Inc. Payless Shoe Source, Inc. PayPros, Inc. PC Connection, Inc. PCCW Teleservices (US), Inc. Peabody Holding Company, Inc. Pearl Corporation PEBA, Public Employee Benefits Association PEEHIP Pella Corporation 0001167 0007032 XX 1668 4424 3912 0005671 9402 AL15202 2705 XX 2073 20039 90197 XX 5297 20156 Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental Premier XX XX Delta Dental PPO (XX) XX Delta Dental Premier XX Delta Dental Premier XX Ohio/Michigan* Indiana/Michigan* Pennsylvania Tennessee Massachusetts New Jersey Tennessee Arkansas Alabama California Wisconsin Illinois Illinois Kansas Illinois New Jersey Illinois 0005851 XX XX XX XX 20067 20187 0009897 XX 0001556 0407 007990 9028 29-­‐9070 0005306 Delta Dental PPO (POS) XX XX XX Delta Dental PPO XX Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental Premier Delta Dental PPO (Standard) Delta Dental PPO (POS) Michigan Iowa Nebraska Massachusetts Florida Illinois Illinois Indiana/Michigan* DDIC Michigan Massachusetts Massachusetts Ohio/Michigan* Georgia Michigan 0000905 0007472 XX XX 0000283 XX XX 0002760 0002033 1000 XX 4141 0009883 5325 1540 0007187 Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (Standard) XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (XX) Delta Dental Premier XX Delta Dental PPO (POS) Michigan Ohio/Michigan* Illinois Missouri Ohio/Michigan* Massachusetts Massachusetts Tennessee Ohio/Michigan* Kansas DDIC New Hampshire Ohio/Michigan Missouri Tennessee Ohio/Michigan* XX XX XX XX DDIC Iowa OH National Group Roster-PRRL
Program Type
48
Control Plan
04/2013
Group Name
Group Number
Pendum, LLC PENGO Corporation Penn Engineering Penn Mutual Life Insurance Co. Penn Traffic Company Pennoni associates Penske Automotive Group Pentagon Federal Credit Union Pentair Pepsi Bottling Group PepsiAmericas Pepsico Per Se Technologies PeraCare Perceptron Perfetti Van Melle USA Performance Food Group Performance Systematix PerkinElmer Permabit Technology Corporation Permacel Permatex Pet, Inc. (hourly) Pet Processors, L.L.C. Peterson American Corporation Peterson Spring Corp. Peterson Tool Company PFPC Enterprises Inc. Pharmco Phico Insurance Co Philadelphia Glass Bending & Sea Gull Lighting Philip Services Corporation Philip Services Corporation-­‐DDIC Phillips Edison & Company, LTD Philips Electronics North America Corporation Phillips Services Industries Physician Service Group, Inc. Physician Service Group, Inc. Physicians Formula Physicians Health Plan Pickaway Metropolitan Housing Authority Pickerington Local School District Pillar Data Systems Pillar Technology Group, LLC Pillsbury Pilot Oil Pilot Travel Centers, LLC Pine Rest Christian Mental Hospital Pinnacle Data Systems, Inc. Pinnacle Foods Pinnacle Recycling, LLC 9466 599 XX 4482 5255 XX 0001103 600255 50577 XX 5747 XX XX 9426 0000608 DU8006 700065 0005546 XX XX 3997 4089 XX 0001405 0005283 5183 0003490 0000182 9685 499 3486 Delta Dental PPO (XX) Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental PPO Delta Dental PPO (POS) XX XX Delta Dental Premier XX XX Delta Dental PPO (XX) Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (XX) Colorado Iowa Pennsylvania Pennsylvania New York Pennsylvania Michigan Virginia Minnesota Georgia Illinois Florida Georgia Colorado Michigan Kentucky Virginia Michigan Massachusetts Massachusetts New Jersey Connecticut Missouri Ohio/Michigan* Michigan Michigan Tennessee Ohio/Michigan* Ohio/Michigan* Pennsylvania New Jersey XX XX 0000133 1681 XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) New York Texas Ohio/Michigan* New York 0009168 0007176 0009061 06308 0005175 000308 0001039 XX 0000251 XX XX 4059 XX 0005840 9032 0000194 Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) DeltaCare Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (Standard) Michigan Michigan Ohio/Michigan* California Michigan Ohio/Michigan* Ohio/Michigan* California Ohio/Michigan* Minnesota Tennessee Tennessee Michigan Ohio/Michigan* New Jersey Ohio/Michigan* OH National Group Roster-PRRL
Program Type
49
Control Plan
04/2013
Group Name
Group Number
Pinnacle Treatment Centers, Inc. Pioneer Balloon Company Pioneer Hi-­‐Bred International, Inc. Pioneer Metal Finishing Pipefitters Local Union #636 Insurance Fund Pitney Bowes Pittsford Area Schools Pittston Company (The) PK Controls Plain Dealer/Northeast Ohio Newspaper Guild Health Care Pl (The) Plante & Moran L.L.P. Planned Parenthood of Northeast Ohio Plantronics, Inc. Plastic Moldings Company Plastic Trim, LLC Plasti-­‐Line Group Pleasant Valley Joint Fire District Ply Gem, Inc. Plumbers & Pipefitters Local 162 Insurance Fund Plumbers & Pipefitters Local 189 Health & Welfare Fund Plumbers’ Welfare Fund 130 U.A. Ply Gem Industries Ply Gem Industries, Inc. Ply-­‐Gem Manufacturing Plymouth County Plymouth Foam Inc. Polaris Industries, L.P. Polycel Structural Foam PolyOne Corporation Portage Area Schools Consortium Portage Path Behavioral Health Portage Surgical Associates Porter Precision Products Portola Packaging Post, Buckley, Schuh, Jernigan Post Glover Resistors, Inc. PPS Holdings, Inc. XX 90804 77773 54301 5030 XX XX Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) Pennsylvania Kansas Iowa Wisconsin Michigan 5855 0006311 61310000 0000127 0009930 Delta Dental PPO (Standard) Delta Dental PPO (POS) XX Delta Dental PPO (Standard) Delta Dental PPO (POS) New Jersey Michigan Virginia Ohio/Michigan* Ohio/Michigan* 9726 0005646 XX 9247 0001091 4028 0007432 316974 0000170 Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Michigan Ohio/Michigan* California Ohio/Michigan* Michigan Tennessee Ohio/Michigan* North Carolina/Michigan* Ohio/Michigan* 9148 Delta Dental PPO (POS) Ohio/Michigan* 20079 XX 0316974 0299-­‐0001 001057 XX XX 3995 0001189 0005990 0007494 0007402 0009180 XX 5137 690310 0001610 & 0001620 0002097 000630 004325 XX 1003695 XX XX XX XX Delta Dental Premier XX XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (XX) XX Illinois Missouri North Carolina/Michigan* New Jersey Massachusetts Wisconsin Minnesota New Jersey Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan Ohio/Michigan* Pennsylvania Florida Kentucky Tennessee Delta Dental PPO (POS) Delta Dental PPO XX XX Delta Dental PPO (XX) XX Michigan Massachusetts Massachusetts Missouri Florida New York XX 50591 5756 XX Delta Dental PPO (XX) Delta Dental Premier Washington Minnesota Minnesota Precision Devices, Inc. Predictive Biosciences Preficiency, Inc. Premcor Premdor US Holdings Delta Dental Premier Home Healthcare Services, Inc. Delta Dental Premier Industries, Inc. Delta Dental Premier Salons Delta Dental Premier Salons International (GEMM) OH National Group Roster-PRRL
Program Type
50
Control Plan
04/2013
Group Name
Group Number
Pres Metro Member Option Presbyterian Homes, Inc. Primary Solutions Princess Cruise Lines Princeton City Schools Printpack, Inc. Priority Health Medicare Plan PriorityHealth Pri-­‐Pak, Inc. Pro Ag Management Pro Mach Inc. Pro Marketing Production Resource Group LLC Professional Dental Technologies, Inc. Professional Services Industries Progress Software Progressive Medical, Inc. Project: WorldWide Prolift Industrial ProMedica Health System 0011494 6580-­‐DU 0000036 XX 0001045 XX 0001179 0005791 0000083 XX 0000011 11-­‐9861 6250 9191 20102 1799 0005902 0000354 XX 0009005, 0009006 & 0009007 9359-­‐subs 0005009 90401 XX XX 62320000 1417 XX 0008517 XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO Delta Dental PPO (POS) XX DeltaCare XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) New Mexico Pennsylvania Ohio/Michigan* California Ohio/Michigan* DDIC Michigan Michigan Indiana/Michigan* Texas Ohio/Michigan* Georgia California Arkansas Illinois Massachusetts Ohio/Michigan* Michigan Kentucky Ohio/Michigan* XX Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO Arkansas Tennessee Kansas DDIC New York Virginia DDIC Pennsylvania New Mexico New York DU-­‐6671 XX 0005186 & 0009824 25-­‐05668 0000548 7777 9262 XX 0009586 700039 XX XX 600224 10-­‐3761 0000378 0001044 XX XX 0001034 Delta Dental PPO (POS) XX Delta Dental PPO (XX) Kentucky Missouri Indiana/Michigan* Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO Delta Dental PPO (POS) XX XX Delta Dental Premier Delta Dental PPO XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Mississippi Ohio/Michigan* Massachusetts Pennsylvania New York Michigan Virginia Pennsylvania Minnesota Virginia Florida Michigan Ohio/Michigan* New York Texas Ohio/Michigan* Propak Logistics, Inc. Protech Systems Group Protection One Protective Life Insurance PSC-­‐CUNY Welfare Fund PSINet, Inc PSS/World Medical, Inc. Public Financial Management Public Service Company of New Mexico Publicis Group International – MMS US Holdings, Inc. Publishers Printing Pulitzer, Inc. Purdue University Pure Air/Lott Enterprises Purina Mills, Inc. Putnam Investments Pyrotek qbe QEK Global Solutions QinetiQ Qol Meds, LLC Quadion Corporation QuadraMed Affinity Corporation Quality Distribution, Inc. Quality MetalCraft, Inc. Quality Synthetic Rubber, Inc. QualxServ Quanex Building Products Corporation Quest Business Centers OH National Group Roster-PRRL
Program Type
51
Control Plan
04/2013
Group Name
Group Number
Quest Specialty Chemicals, Inc. Questex Media Group Quick Tab II, Inc. Quinton Instrument Company R/D Tech R & B Plastics Machinery, LLC R & L Carriers Shared Services Inc. Welfare Benefit Plan R. L. Bondy Insulation, Inc. R.L. Polk & Company R.A. Jones – DU1570 R. W. Beck, Inc. Rabobank RADAC Radco Industries, Inc. Radiant Research, Inc. RailAmerica, Inc. Railtech Boutet, Inc. Railworks Corporation Rainbow Rehabilitation Centers Ralcorp Company – St. Louis Rally Software Ralston Purina RAM Construction Services RAMPCO Randstad L.L.D. Raymond James Financial Raytheon Raytheon Aircraft Co & Raytheon Aircraft Services RCM Technologies, Inc. Re Transportation ReAble Therapeutics, Inc. (formerly EMPI-­‐
Encore Medical Group) Reading Community Schools Red Coats, Inc. Red Lion Controls, Inc. Red Robin International RedcatsUSA RedPrairie Corp Reebok Refectory, The Refrigerated Holdings, Inc. Regal Cinemas, Inc. Regis Corporation RegionalCare Hospital Partners Rehmann Rehoboth Mckinley Christian Health Services Reit Management LLC Reliance Steel & Aluminum Reliant Capital Solutions, LLC 0000706 XX 0001067 9007 2118 0009648 0001005 0001601 0009538 1570 XX XX 5200 0001890 0001005 106962 0005647 XX 0000051 6920 XX 8700−8702 0009506 0000172 8999 XX XX 90105 & 90205 3923 0005670 051063 Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Michigan Massachusetts Ohio/Michigan* Washington Massachusetts Michigan Ohio/Michigan* Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (Standard) Delta Dental Premier XX Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental Premier XX DeltaCare XX Michigan Michigan Kentucky Washington New York Kentucky Ohio/Michigan* Ohio/Michigan* Florida Ohio/Michigan* New York Michigan Missouri Colorado Missouri Michigan Ohio/Michigan* Massachusetts DDIC Massachusetts Kansas Delta Dental Premier Delta Dental PPO (POS) XX New Jersey Tennessee Minnesota 0006476 XX 4550 XX 0000080 XX XX 0000512 06772 0004095 5901 0004131 0005689 0008528 Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental PPO (POS) XX XX Delta Dental Premier Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Michigan Pennsylvania Pennsylvania Colorado Indiana/Michigan* Wisconsin Massachusetts Ohio/Michigan* Georgia Tennessee Minnesota Tennessee Michigan New Mexico 000374 XX 0000211 XX XX Delta Dental PPO (POS) Massachusetts California Ohio/Michigan* OH National Group Roster-PRRL
Program Type
52
Control Plan
04/2013
Group Name
Group Number
Reliant Energy 3971/3972/ 3973 0000019 5392 685 5779 11-­‐9737 thru 11-­‐9743 0009693 5246 0000080 XX Texas Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental Premier XX Michigan Virginia California DDIC Georgia Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan* Kentucky Michigan 0000238 0001042 XX 6098-­‐1000 XX XX 0001011 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX XX XX Delta Dental PPO (POS) Ohio/Michigan* Ohio/Michigan* Washington South Carolina California Massachusetts Ohio/Michigan* 0001012 Delta Dental PPO (POS) Ohio/Michigan* 1582 XX 0003496 XX XX 5781 XX XX 0001882 0000373 11-­‐6996 0009004 5401 0007369 XX XX 36171819 0007190 0005890 0002303 Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (Standard) XX Delta Dental Premier XX Delta Dental PPO (Standard) XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) New York District of Columbia Tennessee Pennsylvania Pennsylvania Virginia Texas Minnesota Tennessee Michigan Georgia Michigan Utah Ohio/Michigan* Pennsylvania Pennsylvania Georgia Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* XX 0000167 XX Delta Dental PPO (POS) New York Ohio/Michigan* 0002053 5576 0009103 0003669 0007372 Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Wisconsin Ohio/Michigan* Tennessee Ohio/Michigan* XX XX Vermont/New Hampshire* Relume Technologies Rem Organization, The Remedy Temp., Inc. Renter’s Choice Republic National Distributing Company Republic Steel Res-­‐Care Resource Technologies Corporation dba Brightwing Resource Title National Agency, Inc. Resource Ventures, LLC Restaurants Unlimited Resurgent Capital Services, L.P. Reta Trust Retail Convergence Retirees of the Goodyear Tire & Rubber Co Health Care Trust, The Retirees of Veyance Technologies, Inc. Health Care Trust Revlon, Inc. Revolution LLC Rezult Technology, Inc. Rex Energy Rexall Sundown Reynolds Metals Company Reynolds & Reynolds RFC Corporation Rgt Management RHM Fluid Power Rheem Manufacturing Richfield Iron Works Rio Tinto America, Inc. Risher and Company Rite Aid Ritz Camera and Image Ritz Carlton Hotel River Valley Schools Riverain Medical Group Riverside Community Urban Redevelopment Corp Riverside Company/Savings Rx Plan Riverside Radiology and Interventional Associates, Inc. RMC USA, Inc. RMT, Inc. Robbins & Myers, Inc. Robinson Reagan and Young PLLC Rock and Roll Hall of Fame and Museum, The Rock of Ages Memorials Inc. OH National Group Roster-PRRL
Program Type
53
Control Plan
04/2013
Group Name
Group Number
RockTenn Rockwood Service Corporation Rockwell International Rocky River Public Library Rocor International Roehl Transport Inc Roger C. Perry & Co. Rogers Group Inc. Rohrer Corporation Roki America Co., Ltd. Rolex Watch USA, Inc. Roll Global, LLC Rolls-­‐Royce North America, Inc. Roof Management LLC RoomStore, Inc. Rosemount, Inc. Rossi American Hardwoods Roto Group, LLC Roto-­‐Rooter Services Company Roundy’s Rowe Furniture Company Roy Jorgensen Associates Royal Bank of Canada (formerly Dain Rauscher Corporation) Royal Caribbean Cruises Royal Group Technologies Royco Hotels RRI Energy (previously Reliant Energy) Ruan Transportation Rudolph/Libbe & Companies, Inc. Ruth’s Chris Steakhouse, Inc. Ryan International Airlines Ryerson Tull S C Johnson & Son Inc S.D.M. Inc. S.M. Stoller Corporation, The S&K Technologies Saba Software, Inc. Sacramento Municipal Utilities District Safeco Safenet, Inc. Safety Kleen Safeworks SAF-­‐HOLLAND USA, Inc. Safran USA, Inc. Safway Steel Products Saga Communications Saginaw Chippewa Indian Tribe Saginaw Control & Engineering, Inc. Saginaw Public Schools Saks, Incorporated Saline Area Schools Sallie Mae, Inc. (SLM Corp.) XX 4179 XX 0000292 5580 XX 0000061 0006520 0009540 0000165 XX XX 0009220 0000265 600196 50605 XX 0000084 0009564 51298 6229 XX XX XX XX XX Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier XX XX DDIC New Jersey California Ohio/Michigan* Oklahoma Wisconsin Ohio/Michigan* Tennessee Ohio/Michigan* Ohio/Michigan* New York California Indiana/Michigan* Ohio/Michigan* Virginia Minnesota New Jersey Ohio/Michigan* Ohio/Michigan* Wisconsin Virginia Pennsylvania Minnesota XX 1586 473156 XX 90332 0005653 19-­‐3572 94092 5390 50111 0010951 XX XX XX XX 9004 XX 44-­‐4390 XX 0009719 XX XX 0000211 0001188 0003343 0000980 XX 0000787 600220 Delta Dental PPO XX Delta Dental PPO XX Delta Dental PPO (XX) Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental PPO (XX) Delta Dental PPO (Standard) XX XX XX XX Delta Dental PPO (XX) XX XX Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) Florida Tennessee Nebraska DDIC Iowa Ohio/Michigan* Louisiana Kansas Illinois Wisconsin New Mexico Colorado DDIC California California Washington Pennsylvania Texas Washington Michigan DDIC Wisconsin Michigan Michigan Michigan Michigan New York Michigan Virginia OH National Group Roster-PRRL
Program Type
54
Control Plan
04/2013
Group Name
Group Number
Sam Dong, Inc. Samartania, Inc. San Diego County Employees Retirement Association Sandia National Laboratories SanDisk Corporation SanMar Corporation Santek Waste Services, Inc. Sara Lee Sargent & Lundy LLC Sarnova HC, LLC dba Boundtree Medical and Tri-­‐anim Health Services, Inc. Sartorious N.A. Corporation Sauder’s Penn Dutch Eggs, Inc. Savage Companies Sazerac Company SBA Network Services, Inc. SCA Americas Scan Optics Schaeffler Group USA Schawk, Inc. Schenectady International, Inc. Schering Berlin, Inc. (Berley Labs) Schneider National, Inc. School District of LaCrosse School Master Group School Specialty Inc. Schreiber Foods Schulte Corporation Schupan & Sons, Inc. Scientific Games Corp Scientific Image Center Management Scioto County Board of MRDD Scout Productions, Inc. Sealant Equipment & Engineering, Inc. Seattle Mariners Secure 24, Inc. sedgwick See Inc. Seiko Instruments USA, Inc. SEIU – Health Care Access Trust Benefits Staff Plan SEIU – Health & Welfare Fund SEIU Local 1 Cleveland Welfare Fund Select Comfort Select Sires, Inc. Selective Insurance Co Senior Operations, Inc. Sensata Technologies, Inc. Sepracor, Inc. Sequoia Consulting Group Serious Materials Serrot Corporation/National Seal Co. 0005073 9544 2472 Delta Dental PPO (POS) Delta Dental Premier XX Tennessee Massachusetts California 0009550 XX 09309 0001975 2057 2108 0005804 Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (Standard) New Mexico California Washington Tennessee Illinois Illinois Ohio/Michigan* 2150 5594 45-­‐6351 XX 101485 9400 4076 XX 20075 2232 5442 50201 XX 0001350 XX XX 0005459 0005266 113766 0000010 0005592 004010 0004994 XX 0000046 0004133 0009240 2138 XX XX XX 0007361 XX 0000096 3933 20097 000537 XX 0000019 XX 1638 XX Delta Dental Premier Delta Dental PPO (XX) XX Delta Dental PPO (XX) XX Delta Dental Premier XX XX XX Delta Dental Premier Delta Dental PPO (XX) XX Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX XX Delta Dental PPO (Standard) XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) New York Pennsylvania Utah Kentucky Florida Pennsylvania New Jersey Missouri Illinois New York New Jersey Wisconsin Wisconsin Ohio/Michigan* Wisconsin Wisconsin Ohio/Michigan* Michigan Georgia Michigan Ohio/Michigan* Massachusetts Michigan Washington Michigan Tennessee Michigan California District of Columbia Pennsylvania Pennsylvania Ohio/Michigan* Minnesota Ohio/Michigan New Jersey Illinois Massachusetts Massachusetts Indiana/Michigan* California California OH National Group Roster-PRRL
Program Type
55
Control Plan
04/2013
Group Name
Group Number
Serta Restokraft Manufacturing Co. Service Link Service Spring Corporation Setzer Corporation SGP Acquisition Shape Up Inc. Shawmut Design and Construction Shawmut National Corporation Sheet Metal Workers Local #20 Welfare & Benefit Plan Sheet Metal Workers' Local 73 Welfare Fund Sheet Metal Workers Local No. 33 Youngstown District Health & Welfare Fund Sheet Metal Workers’ International Association Sheet Metal Workers’ Intl Local Union 104 Sheet Metal Workers Local 7 Sheet Metal Workers Local 20 Shelby County Government Shelby Printing, Inc. Shelley Metz Baumann, Inc. Sherry Holdings, LLC Shimadzu Scientific Instruments, Inc. Shionogi USA Holding, Inc. Shire US Shiseido Americas Corporation Shopko, Inc. Shopko, Inc. – SV Pharmacies Shopko, Inc. − Twin Value Shopmen's Local No. 508 Showa Aluminum Corporation of America Shrader Tire & Oil, Inc. Siemon Company Sigma Aldrich Signature Health, Inc. Signature Worldwide Silbond Corporation Silversmith, Inc. Simione Central Sinclair Broadcast Group, Inc. Sinsinawa Dominicans SIRIUS Satellite Radio, Inc. SIRVA, Inc. Sisters of Charity Sisters of Notre Dame, The Sisters of St. Dominic of the Congregation of the Most Holy Rosary of Adrian Michigan Sisters of the Good Shepard Sisters, Servants of the Immaculate Heart of Mary, Monroe, MI, Inc. 0007507 XX 0005904 0007442 65001005 XX 7699 5558 0001020 XX Delta Dental PPO (Standard) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental Premier Delta Dental PPO (POS) Michigan Pennsylvania Michigan Ohio/Michigan* South Carolina Rhode Island Massachusetts Rhode Island Indiana/Michigan* 0009765 Delta Dental PPO (POS) Michigan 0005846 Delta Dental PPO (POS) Ohio/Michigan* 1243 XX District of Columbia XX XX XX 0005319 0000268 0000237 0009112 7100 XX 7154 9362 90176 91491 91391 0009786 0002101 0001085 4154 XX 0001082 0005969 0000063 0005659 XX XX XX NY 2351 XX 5615 0000074 0000685 XX XX Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental PPO Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO XX XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) California Michigan Indiana/Michigan* Tennessee Ohio/Michigan Ohio/Michigan Indiana/Michigan* Pennsylvania DDIC Pennsylvania New Jersey Wisconsin Wisconsin Wisconsin Michigan Ohio/Michigan Ohio/Michigan* Connecticut Missouri Ohio/Michigan* Ohio/Michigan* Michigan Michigan Georgia Pennsylvania Wisconsin New York Illinois Colorado Ohio/Michigan* Indiana/Michigan* XX 0000024 XX Delta Dental PPO (POS) Missouri Michigan OH National Group Roster-PRRL
Program Type
56
Control Plan
04/2013
Group Name
Group Number
Sivyer Steel Sizzle Holdings Corp. SJ Distribution/ICM Distributing Skanska USA Skechers USA SKW Bio Systems, Inc. Skillsoft Corporation Skyline Corporation Skyway Airlines Inc. Sleep Products, Inc. Small Business Plan B Smart Papers Smarte Carte, Inc. Smead Manufacturing Company (The) Smith & Schaeffer, Inc. Smiths Group North America, Inc. Smithsonian Institution Smithway Motor Xpress, Inc. SMP Industries, Inc. SMS Holdings, Inc Smurfit-­‐Stone Container SNE Enterprises, Inc. Snyders Drug Stores Society for Handicapped Citizens Society of Manufacturing Engineers Solae Solutia, Inc Somat Engineering, Inc. Sommer Barnard Ackerson Attorneys PC Sonicseo.Com, Inc. Sony/BMG Soo Line Railroad Source Code Source Interlink Companies South Lyon Community Schools Southco, Inc. Southcomm Communications, Inc. Southeast, Inc. Southeastern Michigan Health Association Southern States Cooperative, Inc. Southern Union Company Southwest Airlines Southwest Gas Corp South-­‐Western City Schools Southwestern Ohio Educational Purchasing Council (EPC Schools) Southworth International Sovereign Bank Spartan Motors, Inc. Spartan Supply Company, Inc. Spear USA Special Design Products, Inc. Specialtycare, Inc. XX 20209 0001014 9108 XX 5256 1142 0005905 52806 0005839 9509 9783 50570 5385 5049 9156 1248 XX 0001481 0001767 7610 5222 XX 0001401 0000193 7700 6954 0001516 9703 0010699 XX XX 000112 06090 0006342 2520 0003613 0002170 0003126 86120000 XX 44-­‐4084 XX 0009984 0005630 XX Delta Dental PPO Delta Dental PPO (POS) XX XX Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX XX Delta Dental PPO (XX) Delta Dental Premier Delta Dental Premier X XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (Standard) Delta Dental PPO (POS) XX Delta Dental PPO (Standard) XX XX XX Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Iowa Illinois Ohio/Michigan* New Jersey California Pennsylvania New Hampshire Indiana/Michigan* Wisconsin Indiana/Michigan* Massachusetts Ohio/Michigan* Minnesota Minnesota Ohio/Michigan* Pennsylvania District of Columbia Iowa Tennessee Tennessee Missouri Wisconsin Minnesota Ohio/Michigan* Michigan Missouri Missouri Michigan Indiana/Michigan* New Mexico New York Minnesota Massachusetts Florida Michigan Pennsylvania Tennessee Ohio/Michigan* Michigan Virginia DDIC Texas Nevada Ohio/Michigan* Ohio/Michigan* 6328-­‐5000 2330 0000654 0000304 0005980 0000152 0003507 Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Massachusetts Pennsylvania Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Tennessee OH National Group Roster-PRRL
Program Type
57
Control Plan
04/2013
Group Name
Group Number
Spectrum Brands Inc. Spectrum Control Spectrum Health Spectrum Machine, Inc. Spencer Gifts LLC Spiegel Group (The) Sports Medicine Grant & Orthopedic Associates Sportech Springfield Township Springs Window Fashions Sprint Square D / Schneider Electric SSOE, Inc. Stabilus Stabler Companies Staff Management Staffmark Holdings, Inc. Stallion OilField Services Standard Aero Standard Motor Products Standard – Knapp, Inc. Staples, Inc. Star Transportation, Inc. State Industrial Products State of Delaware State of Illinois State of Indiana State of Iowa State of Michigan XX XX 0004512 0001814 9168 20004 0005896 XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Wisconsin Pennsylvania Michigan Ohio/Michigan* New Jersey Illinois Ohio/Michigan* XX 0000288 XX XX 20049 0009111 0000517 8082 XX 0009141 XX XX XX 4544 XX 0004144 0000125 XX XX 9840 2330 0008700 & 0008800 0008600 & 0008601 XX 0009273 XX 8350 0001800 701 0007492 0000260 XX Delta Dental PPO Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (Standard) XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delaware Ohio/Michigan* Wisconsin Kansas Illinois Ohio/Michigan* North Carolina/Michigan* Pennsylvania Illilnois Ohio/Michigan* DDIC Arizona New York New Jersey Massachusetts Tennessee Ohio/Michigan* Delaware Illinois Indiana/Michigan* Iowa Michigan Delta Dental PPO (POS) Michigan XX XX XX XX Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Montana Ohio/Michigan* Missouri Rhode Island Tennessee Kansas Ohio/Michigan* Ohio/Michigan* Pennsylvania DU 6655 0009756 0009221 XX XX 0005236 XX 0005943 XX 0001620 Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Kentucky Michigan Michigan Arkansas Pennsylvania Ohio/Michigan* New York Michigan Virginia Michigan State of Michigan-­‐Retirees State of Montana State of Ohio State of Missouri State of Rhode Island Employee Plan State of Tennessee St. Francis Academy St. Ignatius High School St. Wendelin Parish & Schools Steamfitters Local 3449 Medical and Benefit Plan Steel Technologies, Inc. Steelcase Employee Benefit Plan Stefanini TechTeam Stephens Media Group Sterling Info Systems Sterling Jewelers Steve Madden, Ltd. Stevens Group STIHL, Inc Stiles Machinery, Inc. OH National Group Roster-PRRL
Program Type
58
Control Plan
04/2013
Group Name
Group Number
Stolle Machinery Stonepeak Ceramics, Inc. Stout Risius Ross Inc. Stream International/Corp. Tech. Division Stream International, Inc. STRS (State Teachers Retirement System of Ohio) – Retirees STRS (State Teachers Retirement System of Ohio) – Staff Plan Stricker Refinishing Company, Inc. Stryker Styron, LLC Sub Zero Freezer Co Inc. Student Exchange Program Suffolk Construction Company Sugar Creek Pizza, LLC Sulzer US Holding Inc. Sumitomo Marine Mgmt Summa Care Health Plan Summer Hill, Inc. Summerfield Public Schools Summerville Senior Living Summit Racing Equipment Summit Training Source, Inc. Sun Communities Operating Limited Partnership Sun Pharmaceutical Industries, Inc. Sun HealthCare Group Inc. Sunflower Group (The) Sungard Data Systems, Inc. Sunkist Growers and Fruit Growers Sunoco, Inc. (Retirees) Sunstar f/n/a John O. Butler Company Superior Energy Services, Inc. Superior Essex Superior Group Inc Superior Tool Corporation Superior Trim Supervalu Supreme Corporation Sur La Table Surgical Development Partners, LLC Sutphen Corporation Sutter Home Winery SVS Vision Swank Audio Visual Swankmotion Pictures, Inc. Swedish Match North America, Inc. Swift & Company Swiss Air Transport Co., Ltd. Switzerland of Ohio Local School District Sybex, Inc. XX 0002939 0009585 5098 XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Colorado Tennessee Michigan Massachusetts 000633 0009888 Delta Dental PPO Delta Dental PPO (POS) Massachusetts Ohio/Michigan* 0009976 Delta Dental PPO (POS) Ohio/Michigan* 0002032 0005480 0000359 XX 5787 001317 0001066 44-­‐4137 5338 0001534 0000285 0006160 XX 0005918 0001555 0009987 Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Michigan Michigan Wisconsin California Massachusetts Ohio/Michigan* Texas New Jersey Ohio/Michigan* Ohio/Michigan* Michigan California Ohio/Michigan* Michigan Michigan 0000319 2485 23602 5595 6219 XX XX XX 15269 2173 0005946 0000258 50521 0005407 XX 0004100 0009563 XX 0009622 XX XX XX XX 5311 0000259 2093 Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier DeltaCare XX XX Delta Dental PPO (XX) Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (Standard) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX XX XX XX Delta Dental Premier Delta Dental PPO (POS) XX Michigan California Kansas Pennsylvania California Pennsylvania Illinois Louisiana Georgia Pennsylvania Ohio/Michigan* Ohio/Michigan* Minnesota Indiana/Michigan* Washington Tennessee Ohio/Michigan* California Michigan Missouri Missouri Virginia Colorado New York/Pennsylvania* Ohio/Michigan* California OH National Group Roster-PRRL
Program Type
59
Control Plan
04/2013
Group Name
Group Number
Sylvania Schools Sylvania Township Symbion Arc Management Services, Inc. syncreon America Inc. Syncreon North America Syntegra Sypris Solutions, Inc. Syracuse University Sysco Food Services of Detroit, LLC Systagenix Wound Management Systems Contracting Systems Resources Corp Taft, Stettinius & Hollister LLC Taggart Global Talaris (formerly De La Rue, Inc.) Talbots Talisman Group Management, Inc. Talmer Bank and Trust Talus Brokerage Services, LLC Tanco Engineering, Inc. Tandem Health Care Target Corporation Tarkett Enterprises, Inc. TASC Inc. TASC of Northwest Ohio TATA Technologies, Inc. Tate & Lyle Taylor Corporation TCA Management Services TD Auto Finance LLC Team Rahal Inc. Team Staff Inc Team Services, LLC dba Team Acquisitions Teamhealth Teamsters Local 631 – DDIC Teamster Local Union 422 Health & Welfare Fund Teamsters Union Local No. 52 Health & Welfare Fund Tec, Inc. Tech Company Technical Aid Corporation TechTarget, Inc. Tecumseh Products Company Tecumseh Public Schools Teknor Apex Telcordia Teledyne Technologies, Inc. Telelogic Telespectrum Worldwide, Inc. Tele-­‐Tech Company, Inc. Temple Inland Temple Tifereth Israel 0001051 0000034 0005333 0009259 0000259 50632 684440 XX 0009822 000555 9455 5912 0000113 XX 20145 007000 0001025 0007606 0000255 XX 10-­‐3762 XX 0000163 XX 0005294 0000153 2113 XX 3604 0005670 9520 9256 0005619 0004073 XX 0005888 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental PPO (Standard) Delta Dental PPO XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (POS) Ohio/Michigan* Ohio/Michigan* Tennessee Michigan Michigan Minnesota Kentucky New York Michigan Massachusetts Arkansas Massachusetts Ohio/Michigan* Pennsylvania Illinois Massachusetts Ohio/Michigan* Michigan Ohio/Michigan* Colorado Florida Minnesota Ohio/Michigan* Virginia Ohio/Michigan* Michigan Illinois Minnesota Texas Michigan Ohio/Michigan* New Jersey Michigan Tennessee DDIC Ohio/Michigan* 0009963 Delta Dental PPO (POS) Michigan 0002097 XX XX 005483 0009815 0006198 XX 3789 2343 9195 5293 DU 6592 XX 0000154 Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) XX XX Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) Ohio/Michigan* Rhode Island Massachusetts Massachusetts Michigan Michigan Rhode Island New Jersey California New Jersey Pennsylvania Kentucky DDIC Ohio/Michigan* OH National Group Roster-PRRL
Program Type
60
Control Plan
04/2013
Group Name
Group Number
Tennant Company TennDent Tenneco Automotive Tennessee Orthopaedic Alliance Tennis Corporation of America Teradyne, Inc. Tessco Technologies, Inc. Test Company, Incorporated TestAmerica Laboratories, Inc. Textileather Corporation TFO Tech Company, LTD TGS Holdings, LLC Thermadyne Thermal Solutions Manufacturing, Inc. Thermo fisher Scientific Inc. Thomas & Betts Corp Thomasville Home Furnishings Three Saint’s Bay Thule Inc Thyssen Elevator Thyssenkrupp Materials NA, Inc. Thyssenkrupp Stainless/VDM TIAA Cref Tier Technologies Time Warner Telecom Tire Centers, LLC Titeflex Corporation TLC Trucking TMD Friction, Inc. TMD Friction Inc. TMP Worldwide T-­‐Mobile USA, Inc TNT Logistics North America Toledo Cardiology Consultants, Inc. Toledo Clinic Toledo Club, The Toledo Firefighters Health Plan Toledo Humane Society Toledo Lucas County Public Library Toledo Museum of Art Toledo Orthopaedic Surgeons, Inc. Toledo Regional Chamber of Commerce Toledo School for the Arts Toledo Society For The Blind Tom James Company XX 0009400 3671 0005309 20123 5936 7204 XX XX 0009856 0007566 0002767 7706 0005743 XX 0005525 690750 600229 4223 1116 0005190 XX XX 700041 XX XX 001054 XX 0000890 XX 2125 XX 1491 0000048 0005062 0002072 0001008 0005562 0005296 0000286 0005138 0001828 0000088 0002199 0007479 & 0007522 XX XX 2601 50529 Delta Dental PPO (XX) TennDent XX Delta Dental PPO (POS) XX XX XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (XX) XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX XX XX XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Minnesota Tennessee Illinois Tennessee Illinois Massachusetts Pennsylvania Illinois Vermont/New Hampshire* Ohio/Michigan* Ohio/Michigan* Tennessee Missouri Tennessee New Hampshire Tennessee Kentucky Virginia Connecticut DDIC Michigan DDIC New York Virginia Colorado Missouri Massachusetts Minnesota Michigan Virginia New York Washington Florida Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Tennessee Delta Dental Premier XX Delta Dental Premier XX Iowa California Kansas Minnesota 0005906 20190 Delta Dental PPO (POS) Delta Dental PPO Ohio/Michigan* Illinois Tones, Brothers, Inc. Toshiba American, Inc. Total Entertainment Restaurants Total Logistics Control (wholly owned subsidiary of SuperValu) Toth Industries, Inc. Touchpoint Print Solutions OH National Group Roster-PRRL
Program Type
61
Control Plan
04/2013
Group Name
Group Number
Tower International Town of Lexington Towne Air Freight Township Master Group Toyota Industrial Equipment TPSOS America Inc Tracor Tractor Supply Company Trak Auto Corp. & Forest City Auto Parts Trans National Travel Trans States Holding Transcore TransMontaigne Product Services Inc. Transport Corporation of American Transport Workers Union of America AFL-­‐
CIO Staff Transportation Insurance Service Tn, Llc Travelink, Inc. TRC Companies Tredegar Corporation TreeHouse Foods, Inc. Trelleborg Corporation 0005525 XX 0000085 0000483 0000077 4646 XX 0004126 7058 Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental PPO (XX) Michigan Massachusetts Indiana/Michigan* Ohio/Michigan* Indiana/Michigan* New Jersey Texas Tennessee Pennsylvania XX 7725 XX XX XX XX XX Delta Dental PPO XX XX XX XX Massachusetts Missouri Pennsylvania Colorado Minnesota Pennsylvania 0002858 0005654 000248 700020 20081 0000020 & 0000030 0007478 XX 0007483 XX Delta Dental Premier Delta Dental PPO (POS) XX XX XX Delta Dental PPO (POS) Tennessee Tennessee Massachusetts Virginia Illinois Michigan Delta Dental PPO (POS) XX Delta Dental PPO (POS) XX Tennessee California Ohio/Michigan* California XX 000613 0009839 3714 XX 9839 XX XX XX DeltaCare Delta Dental PPO (POS) XX Delta Dental PPO XX XX XX Pennsylvania Massachusetts Michigan DDIC Florida Michigan California California 0009558 0009557 2156 XX 0000299 5882 0000011 0000199 0000075 20065 0000676 62550000 XX 0009978 XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) XX Michigan Michigan Illinois Missouri Ohio/Michigan* DDIC Michigan Ohio/Michigan* Indiana/Michigan* Illinois Ohio/Michigan* Virginia Georgia Ohio/Michigan* California Trevecca Nazarene University Tri Tool Inc. Triad Local Schools Tribal Members of the Pechanga Band of Luiseno Indians TRICARE Retiree Dental Program TriMark United Trimas Corporation Tri-­‐State Healthcare Management Triad Digital Media Trimas Corporation Trimble Navigation Limited Trinchero Family Estates – Sutter Home Winery Trinity Health Trinity Health Corporation Tripp Lite Triumph Foods Stores Triumph Group, Inc. Tropicana Products, Inc. Trott & Trott True North Management, LLC True Speed Enterprises, Inc. True Value Co. Truline Industries TruSecure TRX, Inc. Tryzub Inc. dba West Park Animal Hospital TTM Technologies OH National Group Roster-PRRL
Program Type
62
Control Plan
04/2013
Group Name
Group Number
Tucker Ellis, LLP Tufco Technologies, Inc. Tufts University Tulane University Turf Care Supply Corporation Turner Industries Group, LLC TWB Company, LLC Twin City Fan & Blower Twin Oaks Twin Rivers Technol, LP Tyson Foods, Inc. U A Local 190 Health Care Plan U.S. Epperson Underwriting Company U.S. Farathane Corporation U.S. Industries, Inc. U.S. Medical Management, Inc. U.S. Military Retirees (AKA Tricare) U.S. Sugar Corporation U.S. Tsubaki U.S. Xpress UAW Legal Services Plan UAW Retiree Medical Benefits Trust UFCW of Southwestern Ohio UFCW Unions and Employers Health and Welfare Plan of Central Ohio UFE Incorporated U-­‐Haul International, Inc. Unica Corporation Unified Brands Unified Financial Services Unified Government of Wyandotte County Union Benefits Trust Union County Union County Board of Developmental Disabilities Union Special Unite UNITE! ACTWU Staff United Business Media United Collection Bureau United Components, Inc. United Conveyor Corporation United Dairy Farmers United Defense, L.P. United Drug, PLC United Insurance Co. – Home SVCS. United Laboratories, Inc. United Launch Alliance United Medical Systems United Methodist Children's Home United Natural Foods, Inc. United Plastics United Road Services, Inc. 0000003 54699 XX XX 0000118 XX 0009721 913 0001222 009880 9429 0009053 XX 0000018 XX 0009773 4600 XX 20091 7496 0009058 0001166 0005763 0001059 Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Ohio/Michigan* Wisconsin Massachusetts Louisiana Ohio/Michigan* Louisiana Michigan Minnesota Ohio/Michigan* Massachusetts Arkansas Michigan Florida Michigan New Jersey Michigan California Florida Illinois Tennessee Michigan Michigan Ohio/Michigan* Ohio/Michigan* 5613 XX XX 25-­‐6811 6944 90102 0001009 0007467 0000245 Delta Dental Premier Delta Dental PPO (XX) XX XX Delta Dental PPO (XX) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Minnesota Arizona Massachusetts Mississippi Kentucky Kansas Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* 5583 5434 5349 2124 0009498 20047 20166 0009735 6222 XX 5717 5513 XX XX 0005344 4226 2152 0009778 Delta Dental Premier Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental Premier Delta Dental Premier XX XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO (POS) Illinois Pennsylvania Pennsylvania New York/Pennsylvania* Ohio/Michigan* Illinois Illinois Ohio/Michigan* Virginia Pennsylvania California Illinois Colorado Massachusetts Ohio/Michigan* Connecticut Illinois Michigan OH National Group Roster-PRRL
Program Type
63
Control Plan
04/2013
Group Name
Group Number
United Security Seals, Inc. United State Bowling Congress United Surgical Partners International United University Professions (UUP) Benefit Trust Fund United Way Agencies of Allen County Univar USA Universal Health Services, Inc. (UHS) Universal Hospital SVCS Universal Music Group University of Akron, The University of Illinois/Grad Assistants University of Indianapolis University of Michigan, The University of Missouri (The) University of New Mexico University of New Mexico House Staff University of Notre Dame Du Lac 0000180 XX XX 5829 Delta Dental PPO (POS) XX XX Delta Dental Premier Ohio/Michigan* DDIC Texas Pennsylvania 0000325 XX XX 5988 XX 0001036 XX 0007067 0005970 XX 0008532 0008533 0005541 & 0009541 5968 0000325 Delta Dental PPO Delta Dental PPO Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Washington Pennsylvania Minnesota California Ohio/Michigan* Illinois Indiana/Michigan* Ohio/Michigan* Missouri New Mexico New Mexico Indiana/Michigan* Delta Dental Premier Texas 0005686 0009541 0001001 0005445 0007317 0000169 XX 0000219 0007496 4500 3791 385 XX XX 6101 0001053 XX 0001554 6931 0005466 Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental Premier XX XX XX Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Michigan Ohio/Michigan* Ohio/Michigan* New Jersey Ohio/Michigan* Tennessee Arkansas Texas California Kansas Pennsylvania South Carolina Ohio/Michigan* California Michigan Missouri Michigan XX 8400 51302 XX 9866 0001184 0009458 Delta Dental PPO Delta Dental Premier Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Pennsylvania California Wisconsin DDIC Colorado Michigan Ohio/Michigan* University of Texas** University of Texas claims should be sent to: DDIC PO Box 152140 Irving, TX 75015-­‐2140 800-­‐89-­‐DELTA University of Toledo, The University of Toledo Foundation University of Toledo Physicians University Physician Group Upper Arlington Schools US Coexcell, Inc. US Industries, Inc. US Sportsmen's Alliance Foundation US Xpress USA Trucks USAA USCS International, Inc. USD #229 Blue Valley USIS Uti Integrated Logistics UT-­‐Battelle, LLC UTi Worldwide Utica Enterprises Inc. Utili Corp United Utility Workers Union of America National Health and Welfare Fund Utz Quality Foods, Inc. Uvey Safety, Inc. VIASYS Healthcare VAE Nortrak North America, Inc. Vaisala Valassis Communications, Inc. Valco Cincinnati OH National Group Roster-PRRL
Program Type
64
Control Plan
04/2013
Group Name
Group Number
Valero Energy Corporation Valley Record Distributors Van Buren County Consortium Van Hoof Companies Van Koevering, Co. Vanguard Car Rental USA, Inc. Vector Securities, Inc. Vectren Corporation Vectren Energy Delivery of Ohio, Inc. 44-­‐4091 402 0006486 52811 / 52911 20206 5140 2977 0009280 0009286 & 0009287 0004560 XX 0000207 05949 20098 20151 20160 XX 583 0001076 DU 6584 74913 600126 0000024 XX 9494 XX 5763 0005627 & 0005628 XX 0401 9036 4952 0007450 0000026 0004548 0002027 5037-­‐0001 0000267 0001229 05763 0000325 XX 0001371 XX NY2371 0005099 XX 0009293 XX XX 0005509 Venchurs, Inc. Venio, LLC Ventura Engineering, Inc. Ventyx Inc. Veolia Transportation Veolia Water North America Veolia Water Solutions & Technologies Verano Inc Veritas Software Vermeer Heartland, Inc. Vermont American Corp. Vernon Company Versar, Inc. Vertellus Specialties, Inc. VERTIS Vestcom International Vetafore Veterans of Foreign War Veyance Technologies, Inc. Viamedia Inc. Viasoft, Inc. Viasys Healthcare Vico Products Vicon Fabricating Company Viktor Incentives & Meetings Village Of Blissfield Village of Chagrin Falls Village of Richfield Vineyard Columbus Violet Township Virginia College, LLC Virginia Tile Vishay Intertechnology Vision Information Technologies VisionQuest National, Ltd Viskase Companies, Inc. Vista-­‐Pro Automotive Visual Aids Electronics Vitran Express Vivisimo, Inc. Vmware, Inc. Voith Industrial Services, Inc. OH National Group Roster-PRRL
Program Type
Control Plan
XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (XX) Delta Dental Premier XX XX Delta Dental PPO (POS) XX Texas California Michigan Wisconsin Iowa Oklahoma Pennsylvania Indiana/Michigan* Indiana/Michigan* Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (XX) XX XX XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) XX Delta Dental PPO (XX) Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Michigan New York Ohio/Michigan* Georgia Illinois Illinois Illinois Massachusetts California Ohio/Michigan* Kentucky Iowa Virginia Indiana/Michigan* Pennsylvania Arizona Washington Missouri Ohio/Michigan* X Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (Standard) Delta Dental Premier Delta Dental Premier Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (Standard) XX Delta Dental PPO (Standard) XX XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO XX Delta Dental PPO (POS) Kentucky Arizona Pennsylvania Michigan Ohio/Michigan* Michigan Michigan Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Alabama Michigan Pennsylvania Michigan Arizonia New York Tennessee Pennsylvania Indiana/Michigan* Pennsylvania California Ohio/Michigan* 65
04/2013
Group Name
Group Number
Voith Paper Inc Volume Services American Inc. d/b/a Centerplate Volunteers of America Health Services Von Maur Vorys, Sater, Seymour, & Pease LLP Votorantim Cimentos North America dba VCNA Voyager Learning Company VPI & SU Affiliated Groups VPSI, Inc. VyTek Wireless, Inc. W.W. Norton and Company Wacker Chemical Corporation Wal Mart Walbridge Walgreen, Co. Walnut Township Local Schools Warwick School Department Washington Court House City Schools Washington Gas Light Company Washington Metropolitan Area Transit Washington Suburban Sanitary Comm Washington Township Wasserstrom Holding Inc Waste Management Wastren Advantage, Inc. Watco Companies Waterford Bank Waterford Wedgwood USA, Inc. Waters Corporation Watsontown Trucking Company, Inc. Watteredge, Inc. Wausau Homes, Inc. Wausau-­‐Mosinee Paper Co Wave Division Holdings, LLC dba Wave Broadband Wayne County Community College Wayne State University Wayne State University-­‐Retiree and Part-­‐
Time Faculty Pay All Plan Wayne Westland Community Schools WCP Champion Exposition Services, LLC Weas Engineering, Inc. Weather Channel Company (The) Weather Shield Mfg Inc Webcraft Technologies Webmedx Inc. Weiler Welding Company, Inc. Weiss & Neuman Welch’s Wellington Technologies, Inc. Wells’ Dairy, Inc. XX XX Delta Dental PPO (XX) XX Wisconsin` Missouri 5946 XX 0009852 0005911 Delta Dental Premier XX Delta Dental PPO (POS) Delta Dental PPO (POS) Minnesota Iowa Ohio/Michigan* Michigan XX 6264 0000357 2029 XX 0000102 8000 0009272 5772 0001216 8610 0007519 6039 1241 5804 0001072 0009533 5649 0005365 50153 0001078 5778 7857 8093 0000104 52898 5633 09314 XX Delta Dental PPO (XX) Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO Delta Dental PPO (POS) Delta Dental Premier XX Delta Dental Premier Delta Dental PPO (POS) PPP (POS) Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (Standard) Delta Dental Premier XX XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier XX Texas Virginia Michigan New York Pennsylvania Michigan Arkansas Michigan Illinois Ohio/Michigan* Rhode Island Ohio/Michigan* Virginia District of Columbia/PA* District of Columbia/PA* Ohio/Michigan* Ohio/Michigan* Illinois Tennessee Kansas Ohio/Michigan* New Jersey Massachusetts Pennsylvania Ohio/Michigan* Wisconsin Wisconsin Washington 0001718 0007544 0005989 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Michigan Michigan Michigan 0000821 009899 0007072 XX XX 3749 9024 0007313 6926 1753 0000221 XX Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO (Standard) XX Delta Dental PPO (Standard) Delta Dental Premier XX Delta Dental PPO (POS) XX Michigan Massachusetts Indiana/Michigan* Georgia Wisconsin New Jersey Pennsylvania Ohio/Michigan* Missouri Massachusetts Ohio/Michigan* Iowa OH National Group Roster-PRRL
Program Type
66
Control Plan
04/2013
Group Name
Group Number
Wells Fargo & Company/Norwest Wells Fargo Financial Wells Fargo/Wachovia (added to Wells Fargo contract) Wells Lamont Welspun USA, Inc. Wendy’s of Colorado Springs Wescom Credit Union West Chester Area School District West Licking Joint Fire District West Michigan Conference -­‐ UMC West Side Unlimited Corp West Washington School Corporation Westar Energy Westec Interactive Western and Central MA Plans Western Oilfields Supply dba Rain for Rent Western States Envelope Westerville City School District Westmont Hospitality, Inc. Weston Foods, Inc. Westward Hospitality Management Weyerhaeuser Company WeylChem Corporation Wheaton Industries, Inc. Wheeling/Nisshin Steel Whirlaway Corporation -­‐ Nn, Inc. Whirlpool Corporation Whiteford Agricultural Schools Whitesell International Corporation Whitton Boutros & Associates Wilbert, Inc. Wilkoff & Sons, LLC Willbros USA, Inc. William Carter Center (The) William Beaumont Hospital Williams Super Service, Inc. Williamson County Government Wilson Sporting Goods Windmoeller & Hoelscher Corp. Windstream, Inc. Wingeard Company Wintz Companies Wireless Vision LLC Wirtgen America, Inc. Wirthlin Worldwide Wisconsin Central Transportation Wisconsin Laborers Health Fund Wisconsin Sheet Metal Workers Witco Corp. Wolverine Advanced Materials, LLC Wolverine World Wide, Inc. Women in Community Service 5710 50649 5710, 51054 Delta Dental Premier Delta Dental PPO (XX) Delta Dental PPO (XX) Minnesota Minnesota Minnesota 740 0000082 XX XX XX 0001740 0001220 99993 0001125 90298 2035 009504 XX 5425 0001032 3941 XX 44-­‐4265 XX 11-­‐3756 9237 XX 0005373 0009179 0006179 0009055 5499 0371231 0000192 XX 2086 0004654 0001505 0008404 20121 1759 XX 60012 5824 0001309 0003144 63440000 5699 54601 53488 5298 0000176 0005844 8587 Delta Dental PPO (XX) Delta Dental PPO (POS) XX XX Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) XX XX XX Delta Dental Premier Delta Dental PPO (POS XX XX XX Delta Dental PPO XX XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental PPO (Standard) XX Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental Premier XX Delta Dental Premier Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier Delta Dental Premier Delta Dental PPO (XX) Delta Dental Premier Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Illinois Ohio/Michigan* Colorado California Pennsylvania Ohio/Michigan* Michigan Iowa Indiana/Michigan* Kansas California Massachusetts California Wisconsin Ohio/Michigan* Texas Pennsylvania Texas Washington Georgia New Jersey West Virginia Tennessee Michigan Michigan Michigan Michigan North Carolina/Michigan* Ohio/Michigan* Oklahoma Georgia Michigan Ohio/Michigan* Tennessee Illinois Rhode Island Arkansas Iowa Minnesota Michigan Tennessee Virginia Wisconsin Wisconsin Wisconsin New Jersey Michigan Michigan Virginia OH National Group Roster-PRRL
Program Type
67
Control Plan
04/2013
Group Name
Group Number
Wood County Employees Wood County Hospital World Savings & Loan Association WorkflowOne, LLC Workforce Services Unlimited, Inc. Workforce Software, Inc. World Energy Worldwide Equipment Wright and Filippis Wright Medical Technology Wright State University Writer’s Guild WMS Gaming` WMX Technologies, Inc. 0001395 0000248 XX 0005101 0002204 0000234 XX DU8019 0009625 0004088 0007344 XX 20116 5649 WNA Comet East, Inc. Wyle Laboratories, Inc. X-­‐Ray Industries, Inc. Xanitos Xavier University Xenos Christian Fellowship, Inc. XO Communications Xtek, Inc. Xunlight Corporation Yacobian Group LLC, The YALE UNIVERSITY Yanke Bionics Yellow Roadways Ygnition Networks, Inc. YMCA of Metro Detroit Yokowo Manufacturing of America, LLC York Label Corporation Yorozu Automotive Young Life, (The) Youngstown Diocesan Confederation of Teachers Youngstown Osteopathic Hospital Youngstown Thermal, LLC Youth Advocate Programs, Inc. YTB International Inc., (Your Travel Biz) Yusen Logistics (Americas) Inc. YWCA of Columbus Zah Group Zale Corporation Zale Corporation – DeltaCare USA Zebra Technologies Corporation Zhongding USA, Inc. Zin Technologies, Inc. Zipf Lock Co. Zircoa Inc. Zones, Inc. Zynga Game Network OH National Group Roster-PRRL
Program Type
Control Plan
Ohio/Michigan* Ohio/Michigan* California Ohio/Michigan* Ohio/Michigan* Michigan Massachusetts Kentucky Michigan Tennessee Ohio/Michigan* California Illinois California 006849 358 0005453 XX 9576 0000062 NY2336 0007321 0000029 XX 4630 0001080 XX 09313 0001451 0000223 51026 0004110 5735 0000666 Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) Delta Dental Premier Delta Dental PPO (POS) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (XX) XX Delta Dental PPO (Standard)
XX Delta Dental PPO (Standard) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Delta Dental PPO (Standard) XX XX Delta Dental PPO (POS) Delta Dental PPO (POS) XX Delta Dental PPO (POS) Delta Dental Premier Delta Dental Premier 5120 0005433 XX 20176 0004104 0000077 XX XX XX XX 0000270 0009241 0000307 0002037 XX XX Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO Delta Dental Premier Delta Dental PPO (POS) XX Delta Dental PPO (XX) DeltaCare XX Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) Delta Dental PPO (POS) XX XX Ohio/Michigan* Delta Dental PPO (POS) Pennsylvania Illinois Tennessee Ohio/Michigan* Illinois Texas Texas Illinois Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Ohio/Michigan* Washington California 68
Massachusetts California Michigan Pennsylvania Ohio/Michigan* Ohio/Michigan* New York Ohio/Michigan* Ohio/Michigan* Massachusetts New Jersey Ohio/Michigan* Kansas Washington Michigan Ohio/Michigan* Nebraska Tennessee Colorado Ohio/Michigan* 04/2013
Group Name
Group Number
Program Type
Control Plan
Please note: Some groups may have two states listed under the Control Plan column. The first state is the Control Plan; the second state processes claims for that group. Please send those claims to the address listed for the second state. XX Call the Control Plan to confirm the appropriate group number or program type. OH National Group Roster-PRRL
69
04/2013
Following is an alphabetical list of addresses and telephone numbers for the members of the national Delta Dental system.
(Note: two or more independent Delta Dental plans may use one processing center.)
ALABAMA
ILLINOIS
MONTANA
RHODE ISLAND
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
Delta Dental of Illinois
P.O. Box 5402
Lisle, IL 60532
(800) 323-1743
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
Delta Dental of Rhode Island
P.O. Box 1517
Providence, RI 02901-1517
(800) 843-3582
ALASKA
INDIANA
NEBRASKA
SOUTH CAROLINA
ODS Health Plan
610 SW 2nd Avenue, Suite 900
Portland, OR 97204
(888) 374-8906
Delta Dental of Michigan
P.O. Box 9085
Farmington Hills, MI 48333-9085
(800) 524-0149
Delta Dental of Minnesota
P.O. Box 59238
Minneapolis, MN 55459-0238
(800) 448-3815
Delta Dental of Missouri
P.O. Box 8690
St. Louis, MO 63126
(800) 335-8266
ARIZONA
IOWA
NEVADA
SOUTH DAKOTA
Delta Dental of Arizona
P.O. Box 43026
Phoenix, AZ 85080-3026
(800) 352-6132
Delta Dental of Iowa
P.O. Box 9000
Johnston, IA 50131-9000
(800) 544-0718
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
Delta Dental of South Dakota
P.O. Box 1157
Pierre, SD 57501
(800) 627-3961
ARKANSAS
KANSAS
NEW HAMPSHIRE
TENNESSEE
Delta Dental of Arkansas
P.O. Box 15965
N. Little Rock, AR 72231
(800) 462-5410
Delta Dental of Kansas
P.O. Box 789769
Wichita, Kansas 67278-9769
(800) 234-3375
Northeast Delta Dental
P.O. Box 2002
Concord, NH 03302-2002
(800) 832-5700
Delta Dental of Tennessee
240 Venture Circle
Nashville, TN 37228
(800) 223-3104
CALIFORNIA
KENTUCKY
NEW JERSEY
TEXAS
Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330
(888) 335-8227
Delta Dental of Kentucky
P.O. Box 242810
Louisville, KY 40224-2810
(800) 955-2030
Delta Dental of New Jersey
P.O. Box 222
Parsippany, NJ 07054
(800) 346-5377
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
COLORADO
LOUISIANA
NEW MEXICO
UTAH
Delta Dental of Colorado
P.O. Box 173803
Denver, CO 80217
(800) 233-0860
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
CONNECTICUT
MAINE
Delta Dental of New Mexico
2500 Louisianna Blvd., N.E.
Suite 300
Albuquerque, NM 87110
(800) 999-0963
Delta Dental of New Jersey
P.O. Box 222
Parsippany, NJ 07054
(800) 346-5377
Northeast Delta Dental
P.O. Box 2002
Concord, NH 03302-2002
(800) 832-5700
NEW YORK
Northeast Delta Dental
P.O. Box 2002
Concord, NH 03302-2002
(800) 832-5700
DELAWARE
MARYLAND
Delta Dental of Pennsylvania
One Delta Drive
Mechanicsburg, PA 17055
(800) 932-0783
Delta Dental of Pennsylvania
One Delta Drive
Mechanicsburg, PA 17055
(800) 932-0783
DISTRICT OF COLUMBIA
MASSACHUSETTS
Delta Dental of Pennsylvania
One Delta Drive
Mechanicsburg, PA 17055
(800) 932-0783
Delta Dental of Massachusetts
P.O. Box 9695
Boston, MA 02114
(800) 872-0500
FLORIDA
MICHIGAN
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
Delta Dental of Michigan
P.O. Box 9085
Farmington Hills, MI 48333-9085
(800) 524-0149
GEORGIA
MINNESOTA
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
Delta Dental of Minnesota
P.O. Box 59238
Minneapolis, MN 55459-0238
(800) 448-3815
HAWAII
MISSISSIPPI
Hawaii Dental Service
700 Bishop Street
Seventh Floor
Honolulu HI 96813-4196
(800) 232-2533
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
(800) 521-2651
IDAHO
Delta Dental of Missouri
P.O. Box 8690
St. Louis, MO 63126
(800) 392-1167
Delta Dental of Idaho
P.O. Box 2870
Boise, ID 83701
(800) 356-7586
MISSOURI
Delta Dental of Pennsylvania
One Delta Drive
Mechanicsburg, PA 17055
(800) 932-0783
NORTH CAROLINA
Delta Dental of Michigan
P.O. Box 9085
Farmington Hills, MI 48333-9085
(800) 662-8856
OHIO
Delta Dental of Michigan
P.O. Box 9085
Farmington Hills, MI 48333-9085
(800) 524-0149
OKLAHOMA
Delta Dental of Oklahoma
P.O. Box 548809
Oklahoma City, OK 73154-8809
(800) 990-7337
OREGON
ODS Health Plan
610 SW 2nd Avenue
Portland, OR 97204
(800) 452-1058
PENNSYLVANIA
Delta Dental of Pennsylvania
One Delta Drive
Mechanicsburg, PA 17055
(800) 932-0783
VERMONT
VIRGINIA
Delta Dental of Virginia
4818 Starkey Rd. SW
Roanoke, VA 24014
(800) 237-6060
WASHINGTON
Washington Dental Service
P.O. Box 75983
Seattle, WA 98175
(800) 238-3107
WISCONSIN
Delta Dental of Wisconsin
P.O. Box 828
Stevens Point, WI 54481
(800) 236-3712
WYOMING
Delta Dental of Wyoming
P.O. Box 29
Cheyenne, WY 82003-0029
(800) 735-3379
TRICARE RETIREE DENTAL PROGRAM
Delta Federal Services
P.O. Box 537007
Sacramento, CA 95853-7007
(888) 838-8737
Delta Dental...the nation’s
leader in dental benefits
PRRL34-OH v3
PA 3/13

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