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Date: Wed, 08 Jul 2020 11:40:27 GMT
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<style id='page-skin-1' type='text/css'><!--
/*
-----------------------------------------------
Blogger Template Style
Name:     Evo Magz Template
Designer: Mas Sugeng Baik Hati dan Suka Menabung
URL:      http://www.mas-sugeng.com http://www.evotemplates.net
Thanks to :
- http://www.blogger.com
- http://evomagzclone.blogspot.com/
- http://www.dte.web.id
- http://fortawesome.github.io/Font-Awesome/
- https://github.com/tessalt/dropdowns
- https://github.com/matthewhall/matt-tabs
- http://meyerweb.com/eric/tools/css/reset/
- http://hontap.blogspot.com/2010/04/page-navigation-voi-phong-cach-wp.html
----------------------------------------------- */
/* Variable definitions
====================
<Variable name="keycolor" description="Main Color" type="color" default="#66bbdd"/>
<Group description="Page Text" selector="body">
<Variable name="body.font" description="Font" type="font"
default="normal normal 13px Arial, sans-serif"/>
<Variable name="body.text.color" description="Main Text Color" type="color" default="#333333"/>
</Group>
<Group description="Main Backgrounds" selector=".body-fauxcolumns-outer">
<Variable name="body.background.color" description="Body Background" type="color" default="#dddddd"/>
<Variable name="wrapper.background.color" description="Wrapper Background" type="color" default="#f9f9f9"/>
</Group>
<Variable name="body.background" description="Body Background" type="background"
color="#dddddd" default="$(color) none repeat scroll top left"/>
<Variable name="body.background.override" description="Body Background Override" type="string" default=""/>
<Group description="Links" selector=".main-outer">
<Variable name="link.color" description="Link Color" type="color" default="#EE3322"/>
<Variable name="link.visited.color" description="Visited Color" type="color" default="#EE3322"/>
<Variable name="link.hover.color" description="Hover Color" type="color" default="#0072C6"/>
</Group>
<Group description="Blog Title" selector=".header h1.title, .header p.title">
<Variable name="header.font" description="Font" type="font"
default="normal bold 24px Fjalla One, Arial, Helvetica, sans-serif"/>
<Variable name="header.text.color" description="Title Color" type="color" default="#333333" />
</Group>
<Group description="Blog Description" selector=".header .description">
<Variable name="description.text.color" description="Description Color" type="color" default="#555555"/>
</Group>
<Group description="Primary Navigation Menu" selector=".menu">
<Variable name="menu1.font" description="Font" type="font"
default="normal normal 12px Arial, sans-serif"/>
<Variable name="menu1.background.color" description="Background Color" type="color" default="#ffffff"/>
<Variable name="menu1.text.color" description="Text Color" type="color" default="#666666"/>
<Variable name="menu1.hover.color" description="Hover Color" type="color" default="#f5f5f5"/>
<Variable name="menu1.border.color" description="Border Color" type="color" default="#e5e5e5"/>
</Group>
<Group description="Secondary Navigation Menu" selector="#nav">
<Variable name="menu.font" description="Font" type="font"
default="normal bold 12px Arial, sans-serif"/>
<Variable name="menu.background.color" description="Background Color" type="color" default="#333333"/>
<Variable name="menu.navigation.text.color" description="Text Color" type="color" default="#ffffff"/>
<Variable name="menu.navigation.hover.color" description="Hover Color" type="color" default="#222222"/>
<Variable name="menu.navigation.border.color" description="Border Color" type="color" default="#E73138"/>
</Group>
<Group description="Search Box" selector="#search-form">
<Variable name="input.background.color" description="Input Background Color" type="color" default="#ffffff"/>
<Variable name="button.background.color" description="Button Background Color" type="color" default="#E73037"/>
<Variable name="input.color" description="Input Color" type="color" default="#666666"/>
<Variable name="button.color" description="Button Color" type="color" default="#ffffff"/>
</Group>
<Group description="Post" selector=".post">
<Variable name="post.background.color" description="Background Color" type="color" default="#ffffff" />
<Variable name="post.border.color" description="Border Color" type="color" default="#e5e5e5" />
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<Group description="Post Title" selector="h2.post-title, .comments h4, h1.post-title">
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<Variable name="post.title.color" description="Text Color" type="color" default="#EE3322"/>
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<Group description="Post Footer" selector=".post-info, span.lebel-thumb-footer">
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<Variable name="post.footer.text.color" description="Text Color" type="color" default="#666666"/>
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<Variable name="recentpost.border.color" description="Border Color" type="color" default="#e5e5e5" />
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<Group description="Recent Post Widget Title" selector=".recent-post-title h2">
<Variable name="recentpost.title.font" description="Title Font" type="font"
default="normal bold 14px Arial, sans-serif"/>
<Variable name="recentpost.title.text.color" description="Title Color" type="color" default="#ffffff"/>
<Variable name="recentpost.title.background.color" description="Background Color" type="color" default="#E73138"/>
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<Group description="Recent Post Title" selector="span.label-thumb-title">
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default="normal normal 16px Fjalla One, Helvetica, Arial, sans-serif"/>
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<Variable name="sidebar.title.text.color" description="Title Color" type="color" default="#333333"/>
<Variable name="sidebar.title.border.color" description="Border Color" type="color" default="#E73138"/>
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<Variable name="bottombar.color" description="Color" type="color" default="#dddddd"/>
<Variable name="bottombar.link.color" description="Link Color" type="color" default="#dddddd"/>
<Variable name="bottombar.hover.color" description="Hover Color" type="color" default="#ffffff"/>
<Variable name="bottombar.border.color" description="Border Color" type="color" default="#e5e5e5"/>
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<Group description="Bottombar Widget Title" selector="#bottombar h2">
<Variable name="bottombar.title.font" description="Title Font" type="font"
default="normal bold 13px Arial, sans-serif"/>
<Variable name="bottombar.title.text.color" description="Title Color" type="color" default="#eeeeee"/>
<Variable name="bottombar.title.border.color" description="Border Color" type="color" default="#eeeeee"/>
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<Group description="Footer" selector="#footer-wrapper">
<Variable name="footer.background.color" description="Background" type="color" default="#333333"/>
<Variable name="footer.color" description="Color" type="color" default="#eeeeee"/>
<Variable name="footer.link.color" description="Link Color" type="color" default="#eeeeee"/>
<Variable name="footer.hover.color" description="Hover Color" type="color" default="#ffffff"/>
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<Group description="Read More" selector="a.readmore, .pagenavi, .label-size">
<Variable name="readmore.background.color" description="Background Color" type="color" default="#ffffff"/>
<Variable name="readmore.color" description="Color" type="color" default="#333333"/>
<Variable name="readmore.border.color" description="Border Color" type="color" default="#dddddd"/>
<Variable name="readmore.hover.color" description="Hover Color" type="color" default="#aaaaaa"/>
</Group>
<Group description="Back to Top" selector="#back-to-top">
<Variable name="backtp.background.color" description="Background" type="color" default="#E73037"/>
<Variable name="backtp.color" description="Color" type="color" default="#ffffff"/>
</Group>
<Group description="Label Cloud" selector=".label-size">
<Variable name="label.background.color" description="Background" type="color" default="#E73037"/>
<Variable name="label.color" description="Color" type="color" default="#ffffff"/>
<Variable name="label.hover.color" description="Hover Color" type="color" default="#333333"/>
<Variable name="label.count.color" description="Label Count" type="color" default="#333333"/>
</Group>
*/
/**
* Eric Meyer&#39;s Reset CSS v2.0 (http://meyerweb.com/eric/tools/css/reset/)
* http://cssreset.com
*/
html,body,div,span,applet,object,iframe,h1,h2,h3,h4,h5,h6,p,blockquote,pre,a,abbr,acronym,address,big,cite,code,del,dfn,em,img,ins,kbd,q,s,samp,small,strike,strong,sub,sup,tt,var,b,u,i,center,dl,dt,dd,ol,ul,li,fieldset,form,label,legend,table,caption,tbody,tfoot,thead,tr,th,td,article,aside,canvas,details,embed,figure,figcaption,footer,header,hgroup,menu,nav,output,ruby,section,summary,time,mark,audio,video{margin:0;padding:0;border:0;font-size:100%;font:inherit;vertical-align:baseline;}
/* HTML5 display-role reset for older browsers */
article,aside,details,figcaption,figure,footer,header,hgroup,menu,nav,section{display:block;}body{line-height:1;display:block;}*{margin:0;padding:0;}html{display:block;}ol,ul{list-style:none;}blockquote,q{quotes:none;}blockquote:before,blockquote:after,q:before,q:after{content:&#39;&#39;;content:none;}table{border-collapse:collapse;border-spacing:0;}
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}
.section,.widget{margin:0 0 0 0;padding:0 0 0 0;
}
strong,b{font-weight:bold;
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cite,em,i{font-style:italic;
}
a:link{color:#EE3322;text-decoration:none;outline:none;transition:all 0.25s;-moz-transition:all 0.25s;-webkit-transition:all 0.25s;
}
a:visited{color:#EE3322;text-decoration:none;
}
a:hover{color:#0072C6;text-decoration:none;
}
a img{border:none;border-width:0;outline:none;
}
abbr,acronym{border-bottom:1px dotted;cursor:help;
}
sup,sub{vertical-align:baseline;position:relative;top:-.4em;font-size:86%;
}
sub{top:.4em;}small{font-size:86%;
}
kbd{font-size:80%;border:1px solid #999;padding:2px 5px;border-bottom-width:2px;border-radius:3px;
}
mark{background-color:#ffce00;color:black;
}
p,blockquote,pre,table,figure,hr,form,ol,ul,dl{margin:1.5em 0;
}
hr{height:1px;border:none;background-color:#666;
}
/* heading */
h1,h2,h3,h4,h5,h6{font-weight:bold;line-height:normal;margin:0 0 0.6em;
}
h1{font-size:200%
}
h2{font-size:180%
}
h3{font-size:160%
}
h4{font-size:140%
}
h5{font-size:120%
}
h6{font-size:100%
}
/* list */
ol,ul,dl{margin:.5em 0em .5em 3em
}
ol{list-style:decimal outside
}
ul{list-style:disc outside
}
li{margin:.5em 0
}
dt{font-weight:bold
}
dd{margin:0 0 .5em 2em
}
/* form */
input,button,select,textarea{font:inherit;font-size:100%;line-height:normal;vertical-align:baseline;
}
textarea{display:block;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;
}
/* code blockquote */
pre,code{font-family:&quot;Courier New&quot;,Courier,Monospace;color:inherit;
}
pre{white-space:pre;word-wrap:normal;overflow:auto;
}
blockquote{background:#f0f0f0;margin-left:2em;margin-right:2em;padding:1em 1em;font-style:italic;font-size:110%;
}
blockquote:before {
content: "\f10d";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-right:4px;
color:#666;
}
/* blockquote:after{
content: "\f10e";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-left:4px;
} */
/* table */
.post-body table[border=&quot;1&quot;] th, .post-body table[border=&quot;1&quot;] td, .post-body table[border=&quot;1&quot;] caption{border:1px solid;padding:.2em .5em;text-align:left;vertical-align:top;
}
.post-body table.tr-caption-container {border:1px solid #e5e5e5;
}
.post-body th{font-weight:bold;
}
.post-body table[border=&quot;1&quot;] caption{border:none;font-style:italic;
}
.post-body table{
}
.post-body td, .post-body th{vertical-align:top;text-align:left;font-size:13px;padding:3px 5px;border:1px solid #e5e5e5;
}
.post-body th{background:#f0f0f0;
}
.post-body table.tr-caption-container td {border:none;padding:8px;
}
.post-body table.tr-caption-container, .post-body table.tr-caption-container img, .post-body img {max-width:100%;height:auto;
}
.post-body td.tr-caption {color:#666;font-size:80%;padding:0px 8px 8px !important;
}
img {
max-width:100%;
height:auto;
border:0;
}
table {
max-width:100%;
}
body#layout #wrapper, body#layout .post-container, body#layout .sidebar-container {
padding:0 0 0 0;
}
body#layout #header-wrapper {
margin-top:60px;
}
body#layout .panel {
float:left;
width:79px;
}
.clear {
clear:both;
}
.clear:after {
visibility:hidden;
display:block;
font-size:0;
content:" ";
clear:both;
height:0;
}
body {
background:#dddddd none repeat scroll top left;
margin:0 0 0 0;
padding:0 0 0 0;
color:#333333;
font:normal normal 13px Arial, sans-serif;
text-align:left;
}
/* WRAPPER */
#wrapper {
background:#f9f9f9;
max-width:1000px;
margin:20px auto;
padding:28px;
box-shadow: 0px 0px 5px rgba(80, 80, 80, 0.1);
overflow:hidden;
}
/* NAVIGATION MENU */
.menu {
font:normal normal 12px Arial, sans-serif;
padding:0 0;
background:#ffffff;
margin:0 auto;
height:38px;
border:1px solid #e5e5e5;
overflow:hidden;
}
.nav-menu {
list-style-type:none;
margin:0 0 0 0;
padding:0 0 0 0;
}
.nav-menu li {
display:block;
float:left;
line-height:38px;
margin:0 0 0 0;
padding:0 0 0 0;
border-right:1px solid #e5e5e5;
}
.nav-menu li a {
background:#ffffff;
color:#666666;
display:block;
padding:0 8px;
}
.nav-menu li a:hover {
background:#f5f5f5;
}
ul.nav-social {
height:38px;
margin:0 0 0 0;
padding:0 0;
float:right;
}
ul.nav-social li {
display:inline-block;
list-style-type:none;
float:right;
margin:0 0;
padding:0 0;
border-right:none;
border-left:1px solid #e5e5e5;
}
ul.nav-social li a {
display:inline-block;
line-height:38px;
height:38px;
padding:0 8px;
margin:0 0 0 0;
color:#666666;
}
ul.nav-social li a i {
line-height:38px;
}
ul.nav-social li a:hover {
color:#fff;
}
ul.nav-social li a.fcb:hover {
background:#3B5A9B;
}
ul.nav-social li a.gpl:hover {
background:#DD4B39;
}
ul.nav-social li a.twt:hover {
background:#1BB2E9;
}
ul.nav-social li a.ytb:hover {
background:#ED3F41;
}
/* HEADER WRAPPER */
#header-wrapper {
margin:0 auto;
overflow:hidden;
}
.header {
float:left;
width:25.7%;
max-width:257px;
margin:15px 0;
}
.header h1.title,.header p.title {
font:normal bold 24px Fjalla One, Arial, Helvetica, sans-serif;
margin:0 0 0 0;
text-transform:uppercase;
}
.header .description {
color:#555555;
}
.header a {
color:#333333;
}
.header a:hover {
color:#999;
}
.header img {
display:block;
}
.header-right {
float:right;
padding:0;
overflow:hidden;
margin:15px 0;
width:72.8%;
max-width:728px;
}
.header-right img {
display:block;
}
/* NAVIGATION MENU 2 */
.toggleMenu {
display:none;
background:#E73138;
padding:0 15px;
height:48px;
line-height:48px;
color: #fff !important;
}
#nav {
font:normal bold 12px Arial, sans-serif;
background:#333333;
text-transform:uppercase;
height:48px;
line-height:48px;
}
.nav-menu2 {
background:#333333;
list-style: none;
margin:0 0 0 0;
*zoom: 1;
float:left;
}
.nav-menu2:before,
.nav-menu2:after {
content: " ";
display: table;
}
.nav-menu2:after {
clear: both;
}
.nav-menu2 ul {
list-style: none;
margin:0 0 0 0;
width:12em;
}
.nav-menu2 a {
display:block;
padding:0 15px;
}
.nav-menu2 li {
position: relative;
margin:0 0;
}
.nav-menu2 > li {
float: left;
}
.nav-menu2 > li > a {
display: block;
height:48px;
line-height:48px;
color:#ffffff;
box-shadow: 0 4px 0 #333333 inset;
}
.nav-menu2 > li > a.active {
background:#222222;
box-shadow: 0 4px 0 #E73138 inset;
}
.nav-menu2 > li:hover > a {
background:#222222;
box-shadow: 0 4px 0 #E73138 inset;
}
.nav-menu2 li ul {
background:#fff;
display:block;
position:absolute;
left:0;
z-index:10;
visibility:hidden;
opacity:0;
-webkit-transition:all .25s ease-out;
-moz-transition:all .25s ease-out;
-ms-transition:all .25s ease-out;
-o-transition:all .25s ease-out;
transition:all .25s ease-out;
border: 1px solid #d9d9d9;
border: 1px solid rgba(217,217,217,1);
box-shadow:0 0 2px rgba(0,0,0,0.2);
}
.nav-menu2 li li ul {
left:100%;
top:-1px;
}
.nav-menu2 > li.hover > ul {
visibility:visible;
opacity:10;
}
.nav-menu2 > li > ul:before {
content:"";
width:0px;
height:0px;
position:absolute;
bottom:100%;
left:20px;
border-width:8px;
border-style:solid;
border-color:transparent transparent #fff transparent;
display:block;
}
.nav-menu2 li li.hover ul {
visibility:visible;
opacity:10;
}
.nav-menu2 li li a {
display: block;
color:#333;
position: relative;
z-index:100;
line-height:32px;
}
.nav-menu2 li li a:hover {
background:#f0f0f0;
}
.nav-menu2 li li li a {
background:#fff;
z-index:20;
color:#333;
}
.nav-menu2 li .parent:after {
content: "\f107";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-left:6px;
}
#search-form {
background:#333333;
float:right;
margin:0 0;
width:200px;
}
#search-form table {
width:100%;
margin:0 0 0 0;
}
#search-form td.search-box {
padding-right:30px;
}
#search-form input#search-box[type="text"] {
background:#ffffff;
height:36px;
line-height:36px;
margin:5px 0 5px 10px;
padding:0 10px;
width:99%;
color:#666666;
border:none;
}
#search-form input#search-button[type="submit"] {
font-family: FontAwesome;
background:#E73037;
color:#ffffff;
height:36px;
line-height:36px;
margin:5px 10px 5px 0;
padding:0 12px;
border:none;
outline:none;
transition:all 0.25s;
-moz-transition:all 0.25s;
-webkit-transition:all 0.25s;
}
#search-form input#search-button[type="submit"]:hover{
background:#222222;
cursor:pointer;
}
#search-form input#search-box[type="text"]:focus {
background:#eee;
outline:none;
}
/* CONTENT WRAPPER */
#content-wrapper {
background-color:transparent;
background-image:url(http://2.bp.blogspot.com/-yNE4A_H3C2o/U1E6RPYNEpI/AAAAAAAADRQ/UOP1mUKaxGE/s1600/line.png);
background-repeat:repeat-x;
background-position:top center;
margin:0 auto;
padding:5px 0 0;
word-wrap:break-word;
}
.largebanner {
background:#fff;
border-right:1px solid #e5e5e5;
border-bottom:1px solid #e5e5e5;
border-left:1px solid #e5e5e5;
}
.largebanner .widget {
padding:15px 14px;
overflow:hidden;
}
.largebanner img, .largebanner iframe{
display:block;
max-width:100%;
border:none;
overflow:hidden;
}
/* POST WRAPPER */
#post-wrapper {
background:transparent;
float:left;
width:70%;
max-width:700px;
margin:0 0 10px;
}
.post-container {
padding:15px 15px 0 0;
}
.breadcrumbs {
font-size:11px;
color:#666;
padding:15px;
margin:0 0 15px;
background:#ffffff;
border:1px solid #e5e5e5;
}
.post {
background:#ffffff;
border:1px solid #e5e5e5;
margin:0 0 15px;
padding:15px;
}
.post-body {
line-height:1.6em;
}
h2.post-title, h1.post-title {
font:normal normal 20px Fjalla One, Helvetica, Arial, sans-serif;
}
h2.post-title a, h1.post-title a, h2.post-title, h1.post-title {
color:#EE3322;
}
h2.post-title a:hover, h1.post-title a:hover {
color:#0072C6;
}
.img-thumbnail {
background:#fbfbfb url(http://3.bp.blogspot.com/-ltyYh4ysBHI/U04MKlHc6pI/AAAAAAAADQo/PFxXaGZu9PQ/w200-h140-c/no-image.png) no-repeat center center;
position:relative;
float:left;
width:200px;
height:150px;
margin:0 15px 0 0;
}
.img-thumbnail img {
width:200px;
height:150px;
}
span.rollover {
opacity:0;
-o-transition:all 1s;
-moz-transition:all 1s;
-webkit-transition:all 1s;
background:#333;
cursor: pointer;
position: absolute;
top:0;
right:0;
bottom:0;
left:0;
z-index: 1;
opacity: 0;
}
span.rollover:before {
content:"";
position: absolute;
background:url(data:image/png;base64,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) 50% 50% no-repeat;
width:24px;
height:24px;
margin:-12px;
top:50%;
left:50%;
}
span.rollover:hover {
opacity: .7;
-o-transition:all 1s;
-moz-transition:all 1s;
-webkit-transition:all 1s;
}
.post-info {
background:transparent;
margin:0 0 12px;
color:#666666;
font-size:11px;
}
.post-info a {
display:inline-block;
color:#666666;
}
.author-info, .time-info, .comment-info, .label-info, .review-info {
margin-right:12px;
display:inline;
}
a.readmore {
display:inline-block;
margin:15px 0 0;
background-color:#ffffff;
border:1px solid #dddddd;
padding:0px 10px;
line-height:26px;
color:#333333;
font-size:11px;
font-weight:bold;
text-transform:uppercase;
}
a.readmore:hover  {
border:1px solid #aaaaaa;
}
/* Page Navigation */
.pagenavi {
clear:both;
margin:-5px 0 10px;
text-align:center;
font-size:11px;
font-weight:bold;
text-transform:uppercase;
}
.pagenavi span,.pagenavi a {
padding:6px 10px;
margin-right:3px;
display:inline-block;
color:#333333;
background-color:#ffffff;
border: 1px solid #dddddd;
}
.pagenavi .current, .pagenavi .pages, .pagenavi a:hover {
border: 1px solid #aaaaaa;
}
.pagenavi .pages {
display:none;
}
/* SIDEBAR WRAPPER */
#sidebar-wrapper {
background:transparent;
float:right;
width:30%;
max-width:300px;
margin:0 auto;
}
.sidebar-container {
padding:15px 0;
}
.sidebar h2, .panel h2 {
font:normal bold 12px Arial, sans-serif;
color:#333333;
margin:0 0 10px 0;
padding:6px 0;
border-bottom:2px solid #e5e5e5;
text-transform:uppercase;
position:relative;
}
.sidebar h2:after, .panel h2:after {
content: " ";
width:90px;
height: 0px;
position: absolute;
left: 0;
bottom: -2px;
border-bottom:2px solid #E73138;
}
.sidebar .widget {
margin:0 0 15px;
}
.sidebar ul, .sidebar ol {
list-style-type:none;
margin:0 0 0 0;
padding:0 0 0 0;
}
.sidebar li {
margin:5px 0;
padding:0 0 0 0;
}
/* Recent Post */
.recent-post-title {
background:#fff url(data:image/png;base64,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) repeat-x;
margin:0 0 15px;
padding:0;
position:relative;
}
.recent-post-title h2 {
font:normal bold 14px Arial, sans-serif;
height:26px;
line-height:26px;
margin:0 0;
padding:0 10px;
background:#E73138;
color:#ffffff;
display:inline-block;
border-right:5px solid #fff;
}
.recent-post-title h2 a {
color:#ffffff;
}
.recent-post-title h2 a:after {
content: "\f18e";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-left:6px;
}
.recent-post-one-thumb {
float:left;
width:50%;
margin:0 0;
}
.recent-post-one-thumb .widget {
padding:0 15px 15px 0;
}
.recent-post-one-thumb .widget-content {
background:#ffffff;
border:1px solid #e5e5e5;
padding:15px;
}
.recent-post-one-thumb ul {
list-style-type:none;
margin:0 0 0 0;
padding:0 0 0 0;
}
/* Recent Post */
ul.rp_thumbs {
margin:0 0 0 0;
}
ul.rp_thumbs li {
font-size:12px;
min-height:68px;
margin:0 0 8px;
padding:0 0 8px;
border-bottom:1px dotted #e5e5e5;
}
ul.rp_thumbs .rp_thumb {
position:relative;
background:#fbfbfb;
margin:3px 0 10px 0;
width:100%;
height:0;
padding-bottom:46%;
overflow:hidden;
}
ul.rp_thumbs .rp_thumb img {
height:auto;
width:100%;
}
ul.rp_thumbs2 {
font-size:13px;
}
ul.rp_thumbs2 li {
padding:0 0;
min-height:66px;
font-size:11px;
margin: 0 0 8px;
padding: 0 0 8px;
border-bottom:1px dotted #e5e5e5;
}
ul.rp_thumbs2 .rp_thumb2 {
background:#fbfbfb;
float:left;
margin:3px 8px 0 0;
height:60px;
width:60px;
}
ul.rp_thumbs2 .rp_thumb2 img {
height:60px;
width:60px;
}
span.rp_title {
font:normal normal 16px Fjalla One, Helvetica, Arial, sans-serif;
display:block;
margin:0 0 5px;
line-height:1.4em;
}
span.rp_title2 {
font-size:14px;
}
span.rp_summary {
display:block;
margin:6px 0 0;
color:#666666;
}
span.rp_meta {
background:transparent;
display:block;
font-size:11px;
color:#666666;
}
span.rp_meta a {
color:#666666 !important;
display:inline-block;
}
span.rp_meta_date, span.rp_meta_comment, span.rp_meta_more  {
display:inline-block;
margin-right:8px;
}
span.rp_meta_date:before {
content: "\f073";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-right:4px;
}
span.rp_meta_comment:before  {
content: "\f086";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-right:4px;
}
span.rp_meta_more:before {
content: "\f0a9";
font-family: FontAwesome;
font-style: normal;
font-weight: normal;
text-decoration: inherit;
padding-right:4px;
}
ul.rp_thumbs2 li a:hover, ul.rp_thumbs li a:hover {
color:#0072C6;
}
/* BOTTOMBAR */
#bottombar {
background:#454545;
border-top:6px solid #e5e5e5;
overflow:hidden;
margin:0 auto;
padding:15px;
color:#dddddd;
}
#bottombar .left {
float:left;
width:34%;
}
#bottombar .center {
float:left;
width:34%;
}
#bottombar .right {
float:right;
width:32%;
}
#bottombar .left .widget, #bottombar .center .widget {
margin:0 15px 15px 0;
}
#bottombar .right .widget {
margin:0 0 15px 0;
}
#bottombar h2 {
font:normal bold 13px Arial, sans-serif;
margin:0 0 10px 0;
padding:6px 0;
border-bottom:2px solid #555;
text-transform:uppercase;
position:relative;
color:#eeeeee;
}
#bottombar h2:after {
content:" ";
width:90px;
height:0px;
position:absolute;
left:0;
bottom:-2px;
border-bottom:2px solid #eeeeee;
}
#bottombar ul, #bottombar ol {
list-style-type:none;
margin:0 0 0 0;
padding:0 0 0 0;
}
#bottombar li {
margin:5px 0;
padding:0 0 0 0;
}
#bottombar ul li:before {
color:#eeeeee !important;
}
#bottombar a {
color:#dddddd;
}
#bottombar a:hover {
color:#ffffff;
}
/* FOOTER */
#footer-wrapper {
background:#333333;
margin:0 auto;
padding:20px 5px;
overflow:hidden;
color:#eeeeee;
font-size:11px;
}
.footer-left {
float:left;
margin:10px;
}
.footer-right {
float:right;
margin:10px;
}
#footer-wrapper a {
color:#eeeeee;
}
#footer-wrapper a:hover {
color:#ffffff;
}
/* CUSTOM WIDGET */
.widget ul {
line-height:1.4em;
}
/* Tab Menu */
.set, .panel {
margin: 0 0;
}
.tabs .panel {
padding:0 0;
}
.tabs-menu {
border-bottom:3px solid #E73138;
padding: 0 0;
margin:0 0;
}
.tabs-menu li {
font:normal bold 12px Arial, sans-serif;
display: inline-block;
*display: inline;
zoom: 1;
margin: 0 3px 0 0;
padding:10px;
background:#fff;
border:1px solid #e5e5e5;
border-bottom:none !important;
color:#333333;
cursor:pointer;
position:relative;
}
.tabs-menu .active-tab {
background:#E73138;
border:1px solid #E73138;
border-bottom:none !important;
color:#fff;
}
.tabs-content {
padding:10px 0;
}
.tabs-content .widget li {
float:none !important;
margin:5px 0;
}
.tabs-content .widget ul {
overflow:visible;
}
/* label */
.label-size-1,.label-size-2,.label-size-3,.label-size-4,.label-size-5 {
font-size:100%;
filter:alpha(100);
opacity:10
}
.cloud-label-widget-content{
text-align:left
}
.label-size {
background:#E73037;
display:block;
float:left;
margin:0 3px 3px 0;
color:#ffffff;
font-size:11px;
text-transform:uppercase;
}
.label-size a,.label-size span{
display:inline-block;
color:#ffffff !important;
padding:6px 8px;
font-weight:bold;
}
.label-size:hover {
background:#333333;
}
.label-count {
white-space:nowrap;
padding-right:3px;
margin-left:-3px;
background:#333333;
color:#fff !important;
}
.label-size {
line-height:1.2
}
/* Custom CSS for Blogger Popular Post Widget */
.PopularPosts ul,
.PopularPosts li,
.PopularPosts li img,
.PopularPosts li a,
.PopularPosts li a img {
margin:0 0;
padding:0 0;
list-style:none;
border:none;
background:none;
outline:none;
}
.PopularPosts ul {
margin:.5em 0;
list-style:none;
color:black;
counter-reset:num;
}
.PopularPosts ul li img {
display:block;
margin:0 .5em 0 0;
width:50px;
height:50px;
float:left;
}
.PopularPosts ul li {
background-color:#eee;
margin:0 10% .4em 0 !important;
padding:.5em 1.5em .5em .5em !important;
counter-increment:num;
position:relative;
}
.PopularPosts ul li:before,
.PopularPosts ul li .item-title a, .PopularPosts ul li a {
font-weight:bold;
color:#000 !important;
text-decoration:none;
}
.PopularPosts ul li:before {
content:counter(num) !important;
display:block;
position:absolute;
background-color:#333;
color:#fff !important;
width:22px;
height:22px;
line-height:22px;
text-align:center;
top:0px;
right:0px;
padding-right:0px !important;
}
/* Set color and level */
.PopularPosts ul li:nth-child(1) {background-color:#A51A5D;margin-right:1% !important}
.PopularPosts ul li:nth-child(2) {background-color:#F53477;margin-right:2% !important}
.PopularPosts ul li:nth-child(3) {background-color:#FD7FAA;margin-right:3% !important}
.PopularPosts ul li:nth-child(4) {background-color:#FF9201;margin-right:4% !important}
.PopularPosts ul li:nth-child(5) {background-color:#FDCB01;margin-right:5% !important}
.PopularPosts ul li:nth-child(6) {background-color:#DEDB00;margin-right:6% !important}
.PopularPosts ul li:nth-child(7) {background-color:#89C237;margin-right:7% !important}
.PopularPosts ul li:nth-child(8) {background-color:#44CCF2;margin-right:8% !important}
.PopularPosts ul li:nth-child(9) {background-color:#01ACE2;margin-right:9% !important}
.PopularPosts ul li:nth-child(10) {background-color:#94368E;margin-right:10% !important}
.PopularPosts .item-thumbnail {
margin:0 0 0 0;
}
.PopularPosts .item-snippet {
font-size:11px;
}
.profile-img{
display:inline;
opaciry:10;
margin:0 6px 3px 0;
}
/* back to top */
#back-to-top {
background:#E73037;
color:#ffffff;
padding:8px 10px;
font-size:24px;
}
.back-to-top {
position:fixed !important;
position:absolute;
bottom:20px;
right:20px;
z-index:999;
}
/* ==== Related Post Widget Start ==== */
.related-post {
margin:15px 0 0;
border-top:1px solid #f0f0f0;
padding:15px 0 0;
}
.related-post h4 {
font-size:14px;
margin:0 0 .5em;
text-transform:uppercase;
}
.related-post-style-2 {
margin:0 0 0 0 !important;
padding:0 0 0 0 !important;
list-style:none;
}
.related-post-style-2 li {
margin:0 0 0 0;
padding:0 0 0 0;
}
.related-post-style-2 li {
padding:5px 0 !important;
border-top:1px solid #eee;
overflow:hidden;
}
.related-post-style-2 li:first-child {border-top:none}
.related-post-style-2 .related-post-item-thumbnail {
width:60px;
height:60px;
max-width:none;
max-height:none;
background-color:transparent;
border:none;
padding:0;
float:left;
margin:2px 8px 0 0;
}
.related-post-style-2 .related-post-item-title {
font:normal normal 16px Fjalla One, Helvetica, Arial, sans-serif;
}
.related-post-style-2 .related-post-item-summary {
display:block;
overflow:hidden;
}
.related-post-style-2 .related-post-item-more {}
/* share buttons */
.share-buttons-box {
height: 67px;
background: url(http://3.bp.blogspot.com/-moj4-jk-UB0/U1qCkCPaGQI/AAAAAAAADTY/tixmak8NHV8/s1600/share.png) no-repeat 330px 10px;
margin:20px 0 15px;
overflow:hidden;
}
.share-buttons {
margin:0 0;
height:67px;
float:left;
}
.share-buttons .share {
float:left;
margin-right:10px;
display:inline-block;
}
/* error and search */
.status-msg-wrap {
font-size:120%;
font-weight:bold;
width:100%;
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<div class='breadcrumbs'><span><a href='http://liveeconcerts.blogspot.com/' rel='nofollow'>Home</a></span> &#187; <span>Uncategories</span> &#187; <span>Federal BCBS Phone number, Claim &amp; Appeals address</span></div>
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Federal BCBS Phone number, Claim &amp; Appeals address
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<b>Federal BCBS Phone number, Claim &amp; Appeals address</b> - welcome to our blog <a href='http://liveeconcerts.blogspot.com/'>Techno Live</a>, now we will discuss information about the Federal BCBS Phone number, Claim &amp; Appeals address, our admins on this blog has been around to collect information you are looking for so that we usakan to display complete information for you, and in this blog, you can also search for other information, ok please continue reading may be easily understood:<br/><br/>

This is about : <span itemprop='itemreviewed'><b>Federal BCBS Phone number, Claim &amp; Appeals address</b></span><br/>
And this article : <a href='http://liveeconcerts.blogspot.com/2014/06/federal-bcbs-phone-number-claim-appeals.html'>Federal BCBS Phone number, Claim &amp; Appeals address</a><br/>
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<h1>Federal BCBS Phone number, Claim &amp; Appeals address</h1>
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/> <o:shapelayout v:ext="edit"><br />  <o:idmap v:ext="edit" data="1"/><br /> </o:shapelayout></xml><![endif]--><br /></head><br /> <br /><body lang=EN-US style='tab-interval:.5in'><br /> <br /><div class=WordSection1> <br /><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal;mso-outline-level:1'><b><span style='font-size:24.0pt; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-font-kerning:18.0pt'>FEP Blue Cross Blue<br />Shield<o:p></o:p></span></b></p> <br /><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=358  style='width:268.5pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt:  0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:15.0pt'>  <td width=358 style='width:268.5pt;padding:0in 0in 0in 0in;height:15.0pt'><br />  <div>  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>ALABAMA<o:p></o:p></span></p>  </div>  </td> </tr> <tr style='mso-yfti-irow:1;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Alabama<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:2;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>450 Riverchase<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:3;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Parkway East<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:4;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Birmingham, AL<br />  35244<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:5;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-492-8872<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:6;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:7;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>ALASKA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:8;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Alaska<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:9;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Appeals: P.O.<br />  Box 91058, Seattle, WA 98111<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:10;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Claims and<br />  Correspondence: P.O. Box 240489, Anchorage, AK 99524<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:11;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-562-1011<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:12;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:13;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>ARIZONA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:14;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Arizona<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:15;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>2444 West Las<br />  Palmaritas Drive<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:16;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Phoenix, AZ<br />  85021<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:17;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-345-7562<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:18;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Claims<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:19;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Arizona<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:20;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 2924<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:21;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Phoenix, AZ<br />  85062-2924<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:22;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:23;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>ARKANSAS<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:24;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Arkansas Blue<br />  Cross and Blue Shield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:25;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>601 South<br />  Gaines Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:26;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Little Rock, AR<br />  72201<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:27;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-482-6655<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:28;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>(AR only)<br />  Local: 501-378-2531<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:29;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:30;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>CALIFORNIA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:31;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross &#8212; California<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:32;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 70000<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:33;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Van Nuys, CA<br />  91470-1000<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:34;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-284-9093<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:35;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:36;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Shield of<br />  California<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:37;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 272510<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:38;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Chico, CA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:39;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>95927-2510<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:40;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-824-8839<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:41;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:42;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>COLORADO<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:43;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield, Colorado<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:44;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:45;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA 30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:46;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-852-5957<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:47;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:48;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>CONNECTICUT<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:49;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield of Connecticut<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:50;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:51;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:52;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-438-5356<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:53;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:54;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:55;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>DELAWARE<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:56;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Delaware<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:57;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 8830<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:58;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Wilmington, DE<br />  19899<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:59;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-721-8005<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:60;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:61;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>DISTRICT OF<br />  COLUMBIA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:62;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>CareFirst<br />  BlueCross BlueShield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:63;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>(Washington,<br />  DC)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:64;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:65;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Claims<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:66;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Mailroom<br />  Administrator<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:67;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 14113<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:68;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Lexington, KY<br />  40512-4113<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:69;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:70;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Correspondence<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:71;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Mailroom<br />  Administrator<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:72;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 14112<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:73;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Lexington, KY<br />  40512-4112<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:74;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:75;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-848-9766<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:76;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>(only in plan<br />  service area)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:77;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local:<br />  202-484-1650<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:78;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>(8 A.M. &#8211; 5<br />  P.M.)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:79;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:80;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>FLORIDA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:81;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Florida<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:82;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Florida<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:83;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Federal<br />  Employee Program<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:84;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 1798<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:85;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Jacksonville,<br />  Florida 32231<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:86;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-333-2227<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:87;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:88;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>GEORGIA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:89;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>BlueCross<br />  BlueShield of Georgia<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:90;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 7037<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:91;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Columbus, GA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:92;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>31908-7037<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:93;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-282-2473<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:94;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:95;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:96;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>HAWAII<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:97;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Hawaii Medical<br />  Service Association<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:98;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>818 Keeaumoku<br />  Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:99;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Honolulu, HI 96814<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:100;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:101;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1-800-966-6198<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:102;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:103;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>IDAHO<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:104;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross of<br />  Idaho Health Service<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:105;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>3000 East Pine<br />  Avenue<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:106;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Meridian, ID<br />  83642<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:107;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-627-6656<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:108;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Regence<br />  BlueShield of Idaho<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:109;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 30270<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:110;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Salt Lake City,<br />  UT 84131-0270<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:111;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-732-1209<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:112;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:113;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>ILLINOIS<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:114;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Illinois<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:115;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>300 E. Randolph<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:116;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Chicago, IL<br />  60601<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:117;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-972-8382<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:118;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:119;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>INDIANA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:120;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield, USa<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:121;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:122;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:123;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-382-5520<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:124;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:125;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:126;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>IOWA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:127;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Wellmark Blue<br />  Cross and Blue Shield of Iowa<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:128;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>636 Grand<br />  Avenue<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:129;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Des Moines, IA<br />  50309<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:130;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-532-1537<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:131;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:132;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>KANSAS<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:133;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Kansas<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:134;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1133 SW Topeka<br />  Blvd.<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:135;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Topeka, KS<br />  66629<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:136;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-432-0379<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:137;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:138;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>KENTUCKY<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:139;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue Cross<br />  and Blue Shield, Kentucky<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:140;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:141;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:142;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-456-3967<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:143;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:144;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>LOUISIANA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:145;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Louisiana<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:146;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>5525 Reitz<br />  Avenue<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:147;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Baton Rouge, LA<br />  70809<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:148;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-272-3029<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:149;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:150;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MAINE<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:151;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield of Maine<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:152;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:153;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:154;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-722-0203<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:155;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:156;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MARYLAND<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:157;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>CareFirst<br />  BlueCross BlueShield (Maryland)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:158;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:159;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Claims<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:160;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Mailroom<br />  Administrator<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:161;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 14113<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:162;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Lexington, KY<br />  40512-4113<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:163;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:164;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Correspondence<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:165;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Mailroom Administrator<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:166;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 14111<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:167;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Lexington, KY<br />  40512-4111<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:168;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:169;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-638-6756<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:170;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>(8 A.M. &#8211; 5<br />  P.M.)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:171;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:172;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MASSACHUSETTS<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:173;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Massachusetts<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:174;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>401 Park Drive<br />  Landmark Center<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:175;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Boston, MA<br />  02115<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:176;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-433-7766<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:177;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:178;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MICHIGAN<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:179;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Michigan<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:180;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>600 Lafayette<br />  East<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:181;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Detroit, MI<br />  48226<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:182;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-482-3600<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:183;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:184;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MINNESOTA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:185;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Minnesota<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:186;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>3535 Blue Cross<br />  Road<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:187;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>St. Paul, MN<br />  55122<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:188;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-859-2128<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:189;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:190;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MISSISSIPPI<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:191;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Mississippi<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:192;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>3545 Lakeland<br />  Drive<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:193;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Jackson, MS<br />  39208<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:194;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-932-7724<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:195;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:196;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MISSOURI<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:197;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Kansas City<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:198;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>2301 Main<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:199;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Kansas City, MO<br />  64108<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:200;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local:<br />  816-395-2500<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:201;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Missouri &#8212; Wellpoint<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:202;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:203;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:204;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-392-8043<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:205;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local:<br />  314-923-4404<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:206;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:207;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>MONTANA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:208;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Montana<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:209;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>3360 10th<br />  Avenue South<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:210;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Great Falls, MT<br />  59405<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:211;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-634-3569<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:212;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:213;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NEBRASKA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:214;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Nebraska<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:215;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>7261 Mercy Road<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:216;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Omaha, NE 68180<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:217;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-223-5584<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:218;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:219;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NEVADA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:220;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield Nevada<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:221;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:222;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:223;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-727-4060<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:224;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:225;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NEW HAMPSHIRE<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:226;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield &#8212; New Hampshire<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:227;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:228;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:229;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-852-3316<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:230;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:231;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NEW JERSEY<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:232;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Horizon Blue<br />  Cross Blue Shield of New Jersey<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:233;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>3 Penn Plaza<br />  East<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:234;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Newark, NJ<br />  07105<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:235;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-624-5078<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:236;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:237;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NEW MEXICO<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:238;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>New Mexico Blue<br />  Cross and Blue Shield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:239;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. BOX 27630<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:240;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Albuquerque, NM<br />  87125-7630<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:241;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-245-1609<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:242;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:243;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NEW YORK<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:244;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Excellus Blue<br />  Cross and Blue Shield &#8212; Central New York, Syracuse<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:245;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>333 Butternut<br />  Drive<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:246;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Syracuse NY<br />  13214<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:247;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-252-2209<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:248;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Excellus Blue Cross<br />  and Blue Shield &#8212; Utica-Watertown<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:249;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>12 Rhoads Drive<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:250;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Utica, NY 13502<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:251;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-252-2209<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:252;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Excellus Blue<br />  Cross and Blue Shield &#8212; Rochester<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:253;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>165 Court<br />  Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:254;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Rochester, NY<br />  14647<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:255;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-584-6617<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:256;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Western New York<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:257;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>257 West<br />  Genesee Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:258;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Buffalo, NY<br />  14202<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:259;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-234-6008<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:260;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local:<br />  716-884-5082<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:261;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Shield of<br />  Northeastern New York, Albany<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:262;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Call the<br />  Buffalo, NY Plan<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:263;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Empire<br />  BlueCross BlueShield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:264;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 3876<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:265;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Church Street,<br />  Station<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:266;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>New York, NY 10008-3876<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:267;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-522-5566<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:268;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:269;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:270;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NORTH CAROLINA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:271;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of North Carolina<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:272;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>5901 Chapel<br />  Hill Road<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:273;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Durham, NC<br />  27707<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:274;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-222-4739<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:275;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:276;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>NORTH DAKOTA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:277;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of North Dakota<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:278;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>4510 13th<br />  Avenue SW<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:279;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Fargo, ND 58121<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:280;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-548-4026<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:281;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:282;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>OHIO<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:283;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield, Ohio<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:284;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:285;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:286;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-451-7602<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:287;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:288;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>OKLAHOMA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:289;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Oklahoma<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:290;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1215 South<br />  Boulder<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:291;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Tulsa, OK 74102<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:292;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-722-3130<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:293;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:294;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>OREGON<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:295;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Regence<br />  BlueCross BlueShield of Oregon<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:296;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 2668<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:297;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Seattle, WA<br />  98111-2668<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:298;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-962-2731<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:299;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:300;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>PENNSYLVANIA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:301;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross of<br />  Northeastern Pennsylvania<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:302;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>70 North Main<br />  Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:303;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Wilkes-Barre,<br />  PA 18711<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:304;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-618-3337<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:305;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Capital Blue<br />  Cross<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:306;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>2500 Elmerton<br />  Avenue<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:307;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Harrisburg, PA<br />  17110<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:308;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-344-5446<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:309;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Highmark Blue<br />  Shield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:310;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1800 Center<br />  Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:311;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Camp Hill, PA<br />  17089<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:312;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-779-6945 (Professional)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:313;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll free:<br />  1-800-556-1720 (Institutional)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:314;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Independence<br />  Blue Cross<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:315;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1901 Market<br />  Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:316;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Philadelphia,<br />  PA 19103<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:317;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local:<br />  215-241-4400<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:318;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:319;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>PUERTO RICO<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:320;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Triple-S Salud,<br />  Inc.<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:321;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross Blue<br />  Shield of Puerto Rico<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:322;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 363628<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:323;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>San Juan, PR<br />  00936-3688<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:324;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1-800-981-3241<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:325;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:326;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>RHODE ISLAND<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:327;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Rhode Island<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:328;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>500 Exchange<br />  Street<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:329;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Providence, RI<br />  02903<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:330;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-377-4418<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:331;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:332;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>SOUTH CAROLINA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:333;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross Blue<br />  Shield of South Carolina<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:334;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>4101 Percival<br />  Road<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:335;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Columbia, SC<br />  29229<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:336;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-444-0025<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:337;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:338;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>SOUTH DAKOTA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:339;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Wellmark Blue<br />  Cross Blue Shield of South Dakota<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:340;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1601 West<br />  Madison St.<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:341;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Sioux Falls, SD<br />  57104<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:342;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-532-1537 (Hosp. Services)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:343;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1-888-800-1359<br />  (Phys. Services)<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:344;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:345;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>TENNESSEE<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:346;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Tennessee<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:347;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>1 Cameron Hill<br />  Circle<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:348;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Chattanooga, TN<br />  37402<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:349;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-572-1003<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:350;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local:<br />  423-535-5707<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:351;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:352;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>TEXAS<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:353;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Texas<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:354;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 660044<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:355;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Dallas, TX<br />  75266-0044<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:356;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-442-4607<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:357;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:358;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>UTAH<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:359;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Regence<br />  BlueCross BlueShield of Utah<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:360;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Correspondence:<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:361;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. BOX 30270<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:362;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Salt Lake City,<br />  UT 84130- 0270<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:363;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Claims:<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:364;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. BOX 30272<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:365;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Salt Lake City,<br />  UT 84130-0272&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:366;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-421-4498<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:367;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:368;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>VERMONT<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:369;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Vermont<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:370;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>445 Industrial<br />  Lane<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:371;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Montpelier, VT<br />  05601<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:372;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-328-0365<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:373;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:374;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>VIRGINIA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:375;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Anthem Blue<br />  Cross and Blue Shield &#8212; Virginia<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:376;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Federal<br />  Employee Program<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:377;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box<br />  27401&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:378;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Richmond, VA<br />  23279-7401<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:379;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-552-6989<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:380;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:381;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>WASHINGTON<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:382;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Premera Blue<br />  Cross<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:383;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Appeals: P.O.<br />  Box 91058, Seattle, WA 98111<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:384;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Claims and<br />  Correspondence: PO Box 33932, Seattle, WA 98133<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:385;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-562-1011<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:386;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Regence<br />  BlueShield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:387;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 21709<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:388;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Seattle, WA<br />  98111-3709<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:389;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-552-0733<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:390;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:391;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>WEST VIRGINIA<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:392;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Mountain State<br />  Blue Cross Blue Shield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:393;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>700 Market<br />  Square<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:394;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Parkersburg, WV<br />  26102<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:395;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-535-5266<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:396;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:397;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>WISCONSIN<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:398;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Wisconsin<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:399;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 105557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:400;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Atlanta, GA<br />  30348-5557<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:401;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-800-242-9635<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:402;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:403;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>WYOMING<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:404;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Blue Cross and<br />  Blue Shield of Wyoming<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:405;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>4000 House<br />  Avenue<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:406;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Cheyenne, WY<br />  82001<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:407;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Local: 307-634-1393<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:408;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>&nbsp;<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:409;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Carefirst Blue<br />  Cross Blue Shield<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:410;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Mailroom<br />  Administrator<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:411;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>FEP Overseas<br />  Claims<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:412;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>P.O. Box 14113<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:413;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Lexington, KY<br />  40512-4113<o:p></o:p></span></p>  </td> </tr> <tr style='mso-yfti-irow:414;mso-yfti-lastrow:yes;height:15.0pt'>  <td style='padding:0in 0in 0in 0in;height:15.0pt'><br />  <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;line-height:   normal'><span style='font-size:12.0pt;mso-fareast-font-family:"Times New Roman";   mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Toll-Free:<br />  1-888-999-9862<o:p></o:p></span></p>  </td> </tr></table> <br /><p class=MsoNormal><span style='mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin'><o:p>&nbsp;</o:p></span></p> <br /></div> <br /></body><br /> <br /></html><br /><br />
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