OSOI Insurance List 7.18.2008

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 1 Insurance Carrier Table Sorted by Insurance Carrier Name AARP AARP HEALTH CARE OPTIONS PO BOX 740819 ATLANTA, GA 30374 P: 800-227-7789 AARP1 AARP HEALTH CARE OPTIONS PO BOX 13999 PHILADELPHIA, PA 19187 P: 1-800-523-5800 F: AARPM AARP MEDICARE COMPLETE SECURE HORIZIONSPO BOX 400055 SAN ANTONIO, TX 78229-1955 P: 888-866-8297 F: AARPU AARP MEDICARE COMPLETE P O BOX 400055 SAN ANTONIO, TX 78229 P: 800-950-9355 F: AARP2 AARP 601 E STREET NW WASHINTON, DC 20049 F: ABEL ABEL LAW FIRM 900 NE 63RD STREET OKLAHOMA CITY, OK 73105 P: 405-239-7046 F: 405-418-0833 ABSHT ABSENTEE SHAWNEE TRIBE 2029 S GORDON COOPER DR ATTN: THIRD PARTY BILLING SHAWNEE, OK 74801 P: 405-878-4702 F: 405-878-4540 AHP ACADEMIC HEALTH PLANS C/O TRUE CHOICE P O BOX 700307 DALLAS, TX 75370-0307 P: 800-226-5116 F: ACCO ACCO 429 NE 50TH OKLAHOMA CITY, OK 73105 P: 405-962-1920 X106 F: 405-960-1929 ACE ACE USA P O BOX 31051 TAMPA, FL 33631 P: 818-712-6203 F: 800-350-8263 ACTI ACTION LAW CENTER 116 SOUTH WALKER OKLAHOMA CITY, OKLAHOMA 73102 P: 405-232-2281 F: 405-239-1003 ADVCL ADVANCED CLAIMS SERVICE PO BOX 721078 OKLAHOMA CITY, OK 73172 P: 405-405-8612 F: 405-773-9951 ADVEN ADVENTIST RISK MANAGEMENT - SHARP P.O. BOX 4088 SILVER SPRINGS, , MD 20914-4088 P: 800-447-5002 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 2 Insurance Carrier Table Sorted by Insurance Carrier Name AEGIS AEGIS GROUP SPECIAL RISK ACCIDENT MEDICALP O BOX 14025 READING, PA 19612-4025 P: 888-888-8888 F: AETN5 AETNA CHOICE POS PO BOX 981107 EL PASO, TX 79998-1107 P: 1-888-632-3862 F: AETOA AETNA HEALTH - OPEN ACCESS HMO P.O. BOX 14089 LEXINGTON, KY 40512 P: 800-537-9384 F: AETH1 AETNA HEALTH INC - HMO P.O. BOX 1125 BLUE BELL, PA 19422 P: 877-402-8742 F: AETHM AETNA HEALTH INC/HMO PO BOX 981107 EL PASO, TX 79998-1107 P: 800-624-0756 F: AET05 AETNA INSURANCE PO BOX 14079 LEXINGTON, KY 40512 P: 888-632-3862 F: AET1 AETNA INSURANCE PO BOX 14089 LEXINGTON, KY 40512 P: 888-632-3862 F: AETN4 AETNA LIFE + CASUALTY P O BOX 91580 ARLINGTON, TX 76015 P: 800-541-3602 F: AENAP AETNA P O BOX 981109 EL PASO, TX 79998-1109 P: 800-214-6965 F: AET AETNA PO BOX 14586 LEXINGTON, KY 40516 P: 888-632-3862 F: AETN2 AETNA P.O. BOX 981107 EL PASO, TX 79998 P: 800-435-2969 F: AETN7 AETNA P.O. BOX 981106 EL PASO, TX 79998 P: 888-632-3862 F: AETNA AETNA PO BOX 981204 EL PASO, TX 79998 P: 1-888-802-3862 F: AFLAC AFLAC 1932 WYNNTON RD COLUMBUS, GA 31999 P: 800-992-3522 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 3 Insurance Carrier Table Sorted by Insurance Carrier Name AYFD AGENCY FOR YOUTH AND FAMILY DEVELOPMENT3400 DESKIN DRIVE NORMAN, OKLAHOMA 73069 P: 4057018530 EXT 223 F: 405-701-8531 AIG AIG CLAIM SVC 8023 E. 63RD # 225 TULSA, OK 74133 P: 888-224-6163 F: AIGCS AIG CLAIMS SERVICES **DO NOT USE**** DO NOT USE***BAD ADDRESS**** DALLAS, TX 75221 P: 214-932-2701 F: 866-844-9626 AIG-2 AIG CLAIMS SERVICES P.O. BOX 25975 SHAWNEE MISSIONS, KS 66225 P: 800-486-2422 X2657 F: 866-739-6983 AIG1 AIG INSURANCE COMPANY PO BOX 1822 ALPHARETTA, GA 30023 P: 502-561-8704 F: ALBER ALBERT AND ALBERT PO BOX 1748 ELK CITY, OK 73648 P: 580-225-2010 F: 580-225-2011 ALLST ALLSTATE INSURANCE CO P.O. BOX 440519 KENNESAW, GA 30160 P: 866-575-4363 F: ALL ALLSTATE INSURANCE P O BOX 26887 OKLAHOMA CITY, OK 73126 P: 800-473-6472 F: AMERI AMERICA'S CHOICE HEALTHPLANS PO BOX 922043 HOUSTON, TX 77292 P: 877-224-3627 F: AAG AMERICAN ADMINISTRATIVE GROUP, INC P.O. BOX 34297 SAN ANTONIO, TX 78265 F: AAG2 AMERICAN ADMINISTRATIVE GROUP, INC P.O. BOX 93670 LUBBOCK, TX 79493 F: AFRI AMERICAN FARMERS AND RANCHERS INS P O BOX 24000 UNION CITY, OK 73124 P: 877-263-1817 F: AMERH AMERICAN HEALTHCARE ALLIANCE PO BOX 8530 KANSAS CITY, MO 64114 P: 800-966-0073 F: AIU AMERICAN INTERNATIONAL UNDERWRITERS, INC.PO BOX 7727 SAN FRANCISCO,CA 94120-7727 P: 18007428711 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 4 Insurance Carrier Table Sorted by Insurance Carrier Name AMEIN AMERICAN INTERSTATE INSURANCE 2301 HIGHWAY 190 W DERIDDER, LA 70634 P: 405-350-3037 F: 405-350-8038 ALC AMERICAN LIFE CARE 1100 PYDRAS STREET STE 2600 NEW ORLEANS, LA 70163 F: AMS AMERICAN MEDICAL SECURITY/PCC PO BOX 19032 GREEN BAY, WI 54307 P: 800-232-5432 F: AMERP AMERICAN PIONEER P O BOX 130 PENSACOLA, FL 32591-0130 P: 800 999 2224 F: APLIC AMERICAN PULIC LIFE INS CO P O BOX 925 JACKSON, MS 39205 P: 800-256-8606 F: 601-939-4495 ARIC AMERICAN REPUBLIC INSURANCE CO P.O. BOX 2975 CLINTON, IA 52733-2975 P: 800-640-9016 AMR AMERICAN REPUBLIC PO BOX 10 DES MOINES, IA 50301 P: 800-247-2190 F: AMPRI AMERIPRISE P O BOX 19018 GREEN BAY, WI 54307-9018 P: 800-872-5246 F: 888-269-8408 ANCHO ANCHOR CLAIMS PO BOX 819045 DALLAS, TX 75381 P: 800-275-3193 F: 800-275-3194 ANDER ANDERSON TRUCKING SERVICE 725 OPPORTUNITY DRIVE ST CLOUD, MN 56301 F: BCBSA ANTHEM BLUE CROSS AND BLUE SHIELD P O BOX 37010 LOUISVILLE, KY 40233 P: 800-345-2460 F: ARIZ ARIZONA HEALTH CARE COST CONTAINMENT SYSTEMPO BOX 1700 PHOENIX, AZ 85002 P: 800-523-0231 F: ASI ASSOCIATION AND SOCIETY INSURANCE GROUPP O BOX 2510 ROCKVILLE, MD 20847 P: 800-638-2610 F: ASSUR ASSURANT HEALTH PO BOX 981652 EL PASO, TX 79998 P: 800-328-4316 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 5 Insurance Carrier Table Sorted by Insurance Carrier Name ATLAN ATLANTA CASUALTY INS. CO. PO BOX 830693 BIRMINGHAM, AL 35283 P: 800-225-8930 F: AXA AXA ASSISTANCE USA - CLAIMS DEPT PO BOX 2109 CHICAGO, IL 60690 P: 312-935-3624 F: BANKE BANKERS LIFE AND CASUALTY CO PO BOX 66927 CHICAGO, IL 60666 P: 800-773-4760 F: BNKRS BANKERS LIFE AND CASUALTY CO 222 MERCHANDISE MART PLAZA CHICAGO, IL 60654 P: 312-396-6000 F: BAS BAS, LLC / PHCS 17475 JOVANNA DRIVE HOMEWOOD, IL 60430 P: 888-246-8999 F: BEECH BEECH STREET - PAI PO BOX 6702 COLUMBIA, SC 29260 P: 18889637290 F: BSTRT BEECH STREET CORPORATION PO BOX 2568 FRISCO, TX 75034 P: 888-335-8222 F: BENCH BENCHMARK PO BOX 722798 NORMAN, OK 73070 P: 405-573-1090 F: 405-573-1091 BENE3 BENEFIT PLANNERS - HARTFORD LIFE INS COP.O. BOX 690450 SAN ANTONIO, TX 78269-0450 P: 800-368-3653 F: FISER BENEFIT PLANNERS/NPHO PO BOX 690450 SAN ANTONIO, TX 78269 F: BERK BERKLEY RISK ADMINISTRATORS 404 BNA CTR BNA CORPORATE CTR NASHVILLE, TN 37217 P: 615-493-7749 F: 866-382-0893 BITUM BITUMINOUS INSURANCE COMPANY P.O. BOX 12936 OKLAHOMA CITY, OK 73157 P: 1-800-947-0809 F: BCBSN BLUE CROSS AND BLUE SHIELD OF NEW MEXICOPO BOX 13509 ALBUQUERQUE, NM 87192 P: 1 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 6 Insurance Carrier Table Sorted by Insurance Carrier Name BCBS BLUE CROSS BLUE SHIELD OF OKLAHOMA PO BOX 3283 TULSA, OK 74102 P: 000-000-0000 F: BCBS2 BLUE CROSS BLUE SHIELD PLAN 65 PO BOX 3283 TULSA, OK 74102 F: BOLLI BOLLINGER INSURANCE, INC SPORTS CLAIMS DEPARTMENT PO BOX 390 SHORT HILLS, NJ 07078-0390 P: 866-267-0093 F: BJH BONE JOINT HOSPITAL W/C 1111 N DEWEY ATTN: LEEANN CHILDERS OKLAHOMA CITY, OK 73103 P: 272-9671 EXT 158 F: BRAUM BRAUMS 3000 NE 63RD OKLAHOMA CITY, OK 73121 P: 405-475-2449 F: 405-475-2460 BRENT BRENTWOOD SERVICES PO BOX 1125 BRENTWOOD, TN 37024 P: 800-524-0604 F: BRID BRIDGESTONE CLAIMS SERVICES PO BOX 26605 AKRON, OH 44319-6605 P: 330-379-6500 F: BRIDG BRIDGESTONE CLAIMS SERVICES P.O. BOX 247 SHELDON, IA 51201 F: BROA1 BROADSPIRE INSURANCE PO BOX 25104 LEHIGH VALLEY, PA 18002 P: 800-553-1053 F: BROAD BROADSPIRE INSURANCE PO BOX 10900 OVERLAND PARK, KS 66225 P: 800-553-1053 F: 913-663-7590 BRSP BROADSPIRE PO BOX 814610 DALLAS, TX 75381 P: 800-627-7358 F: 214-631-7115 BROTH BROTHERHOOD MUTUAL INS CO P O BOX 2228 FT WAYNE, IN 76801 P: 800-333-3371 F: 260-482-3589 BRYAN BRYAN ISD GROUP BENEFITS RISK POOL 101 N TEXAS AVE BRYAN, TX 77803 P: 800-937-2277 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 7 Insurance Carrier Table Sorted by Insurance Carrier Name BUNCH BUNCH AND ASSOCIATED PO BOX 32045 LAKELAND, FL 33802 P: 405-782-7746 F: BURLI BURLINGTON NORTHERN SANTE FE RAILWAY ATTN: INJURY CARE BILLING PO BOX 961016 FT WORTH, TX 76161-0016 P: 1 F: CSCIF CALIFORNIA ST COMPENSATION INS FUND P O BOX 3171 SUISUN CITY, PA 94585 P: 925-523-5721 F: CAMBR CAMBRIDGE INSURANCE 1501 LUNA ROAD STE 102B CAROLLTON, TX 75006 P: 469-546-2945 F: CCSMI CANNON COCHRAN MGMNT SVCS 1501 N UNIVERSITY AVENUE #767 LITTLE ROCK, AR 72207 F: CAREM CAREMED INTERNATIONAL TR 9 WEST BROAD STREET STAMFORD, CT 06902 P: 866-404-2062 F: 203-399-5596 CAROL CAROLINA CASUALTY INSURANCE PO BOX 2575 JACKSONVILLE, FL 32246 P: 8008748053 F: CARR CARR AND CARR ATTORNEYS AT LAW 1350 SW 89TH STREET OKLAHOMA CITY, OKLAHOMA 73159 P: 405-691-1600 F: 405-691-2128 CASUA CASUALTY CORP OF AMERICA P O BOX 1120 JONES, OK 73049 P: 405-399-9100 F: CBCA CBCA ADMINISTRATORS,INC PO BOX 1272 MINNEAPOLIS,MN 55440-1272 P: 1888-4465710 F: CBR CBR INSURANCE P.O. BOX 13770 OKLAHOMA CITY, OK 73113 P: 405-326-1624 F: CCMSI CCMSI 1501 N UNIVERSITY STE 767 LITTLE ROCK, AR 72207 P: 800-871-5964 F: 405-273-9852 CCNH CCN/HEALTHSCOPE BENEFITS P.O. BOX 619055 DALLAS, TX 75261 P: 1-877-883-5354 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 8 Insurance Carrier Table Sorted by Insurance Carrier Name CCSCO CCS CONSULTING LT PO BOX 221 DALLAS, TX 75354 P: 800-743-2231 F: 972-786-7320 CDS CDS GROUP HEALTH P O BOX 50190 SPARKS, NV 89435 P: 800-455-4236 F: CELTI CELTIC INDIVIDUAL HEALTH P O BOX 33839 INDIANAPOLIS, IN 46203 P: 800-477-7870 F: CENTR CENTRAL INSURANCE COMPANY 800 S WASHINGTON ST VAN WERT,OH 45891 P: 419-238-1010 F: 800-736-7026 CSO CENTRAL STATE HEALTH + LIFE CO OF OMAHAP.O. BOX 34952 OMAHA, NE 68134 F: CHC CENTURY HEALTH CARE PO BOX 2256 GRAPEVINE, TX 76099 P: 1-888-444-1995 F: CGS CGS - EMPLOYER'S RESOURCE GROUP/BCBS CGS CLAIMS DEPT. PO BOX 3028 TULSA, OK 74101-3028 P: 405-286-2991 F: CHAMP CHAMPVA HEALTH INSURANCE/CLAIMS P.O. BOX 65024 DENVER, CO 80206 P: 800-733-8387 F: CHA CHARITY 0-100% PO BOX 639400 IRVING, TX 75063 P: 000-000-0000 F: CHEST CHESTERFIELD RESOURCES, INC. PO BOX 1884 AKRON, OH 44309 P: 800-305-4271 F: CCIH CHICKASAW CLINIC INDIAN HEALTH 1001 N COUNTRY CLUB RD ATTN: MEDISAW ADA, OK 74820 F: CHICK CHICKASAW NATION PO BOX 1548 ADA, OKLAHOMA 74821 P: 5804362603 EXT 61824 F: 580-559-0755 CHOCT CHOCTAW NATION OF OKLAHOMA PO BOX 1210 DURANT, OK 7470 P: 800-522-6170 F: 580-920-3118

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 9 Insurance Carrier Table Sorted by Insurance Carrier Name CHUBB CHUBB INSURANCE GROUP 2001 BRYAN STREET SUITE 3400 DALLAS, TX 75201 P: 1-214-754-0777 F: CIG CIGNA / CONN. GENERAL PO BOX 182223 CHATTANOOGA, TN 37422 F: CIGN1 CIGNA HEALTHCARE PPO PO BOX 5905 SCRANTON, PA 18505 P: 800-235-5805 F: CIGHC CIGNA HEALTHCARE PO BOX 188023 CHATTANOOGA, TN 37422 F: CIGNA CIGNA HEALTHCARE PO BOX 182223 CHATTANOOGA, TN 37422 P: 800-438-0247 F: COFAL CITY OF ALTUS 300 COMMERCE STREET ALTUS, OK 73521 P: 580-481-2229 F: 580-481-2258 CODC CITY OF DEL CITY P.O. BOX 15177 DEL CITY, OK 73155 P: 405-671-3015 F: 405-671-3018 DURAN CITY OF DURANT PO BOX 578 DURANT,OK 74702 P: 580-924-8555 F: 580-924-8955 LINDS CITY OF LINDSAY ATTN: LINDA NEUBY PO BOX 708 LINDSAY, OK 34375 F: CIONO CITY OF NORMAN W/C CLAIMS P.O. BOX 370 NORMAN, OK 73070 P: 405-217-7720 F: 405-217-1063 NORMA CITY OF NORMAN P.O. BOX 370 NORMAN, OK 73070 P: 405-217-7720 F: 405-217-1063 STILL CITY OF STILLWATER PO BOX 1449 STILLWATER, OK 74076 P: 405-742-8239 F: 405-377-6807 FRATE CL FRATES PO BOX 269001 OKLAHOMA CITY, OK 73126 P: 800-850-7166 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 10 Insurance Carrier Table Sorted by Insurance Carrier Name CIS CLAIM INDEMNITY SERVICES PO BOX 26227 OKLAHOMA CITY, OK 73126 P: 405-556-2268 F: 405-942-6711 CLMET CLAIMETRIC P O BOX 22478 OKLAHOMA CITY, OK 73123 P: 877-728-5544 F: 800-635-1613 CLAIM CLAIMS AND RISKS SERVICES PO BOX 21450 OKLAHOMA CITY, OK 73156 F: CLMIN CLAIMS INDEMNITY P O BOX 26227 OKLAHOMA CITY, OK 73126 P: 405-556-2281 F: CMI CLAIMS MANAGEMENT INC PO BOX 1288 BENTONVILLE, AR 72712 P: 800-599-9906 F: 512-804-4714 CLCNT CLEVELAND CO SHERIFF'S OFFICE CLAIMS SUBMITION-SHERRY ROBERTSON 203 S JONES NORMAN, OK 73069 P: 405-321-8600 F: C N A CNA 600 N PEARL #1700 DALLAS, TX 74851 P: 800-262-1113 F: 214-530-3795 CNA CNA P.O. BOX 16030 READING, PA 19612 P: 1-877-378-0541 F: 1-877-378-0542 COLB COLBERT AND COLBERT 301 W MAIN SUITE 101 PO BOX 1421 ARDMORE, OKLAHOMA 73401 P: 580-226-6800 F: 580-226-6815 CICA COMBINED INS COMPANY OF AMERICA P O BOX 8132 FT WASHINGTON, PA 19034 P: 866-335-8362 F: COMMC COMMUNITY CARE HMO P.O. BOX 3249 TULSA, OK 74101 P: 800-777-4890 F: COMMU COMMUNITY CARE PO BOX 176 TULSA, OK 74101 P: 877-862-1356 F: MRBLU COMMUNITY CARE P O BOX 3249 TULSA, OK 74101 P: 800-642-8065 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 11 Insurance Carrier Table Sorted by Insurance Carrier Name COMP COMPBENEFITS P O BOX 8236 CHICAGO, IL 60680-8236 P: 800-342-5209 F: COMPC COMPCHOICE P.O. BOX 238800 OKLAHOMA CITY, OK 73123 F: CMPSC COMPSOURCE OKLAHOMA PO BOX 53505 OKLAHOMA CITY, OK 73152 P: 405-962-3435 F: CMSC2 COMPSOURCE P O BOX 50580 TULSA, OK 74150 P: 918-295-1562 F: 918-295-1599 CONEX CONEXIS PO BOX 226101 DALLAS, TX 75222-6101 P: 1-877-902-9207 F: CONSE CONSECO HEALTH INSURANCE COMPANY PO BOX 1957 CARMEL, IN 46082 P: 800-511-2251 F: CONS2 CONSECO HEALTH INSURANCE CO P.O. BOX 2034 CARMEL, IN 46082-2034 P: 800-541-2254 F: CONS3 CONSECO SENIOR HEALTH INSURANCE PO BOX 1955 CARMEL, IN 46082 P: 800-242-4852 F: CONSO CONSOLIDATED BENEFITS PO BOX 581630 TULSA, OK 74158 P: 918-594-5170 F: 918-594-5171 CONTI CONTINENTAL LIFE INSURANCE CO PO BOX 1188 BRENTWOOD, TN 37027 P: 615-377-1300 F: COOP1 COOPERATIVE BENEFIT ADMIN/FIRST HEALTHP.O. BOX 6249 LINCOLN, NE 68506 P: 402-483-9200 F: COOP COOPERATIVE BENEFIT ADMINISTRATORS/PHCSP.O. BOX 6249 LINCOLN, NE 68506 P: 402-483-9200 F: CBSA CORPORATE BENE SVC OF AMERICA/FIRSTHEALTHPO BOX 27267 MINNEAPOLIS, MN 55427-0267 P: 800-925-2272 F: CORVE CORVELL CORPORATION ATTN: MED CHECK 1900 NW EXPRESSWAY STE 1410 OKLAHOMA CITY, OK 73116 P: 405-843-3532 F: 405-843-3552

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 12 Insurance Carrier Table Sorted by Insurance Carrier Name CCLMS COUNTY CLAIMS OF OKLAHOMA 429 N E 50 OKLAHOMA CITY, OK 73105 P: 405-962-1920 F: 405-962-1929 CRVEL COVEL 1035 GREENWOOD BLVD STE 225 LAKE MARY, FL 32746 P: 407-321-5505 F: 866-434-1496 COVGR COVENANT GROUP 1420 MOCKINGBIRD LANE STE 550 DALLAS, TX 75247 P: 866-249-4298 F: 214-382-2425 COVEN COVENTRY HEALTH AND LIFE / CAREMARK PO BOX 7153 LONDON, KY 40742 P: 866-219-7695 F: CPR CPR/CCN PO BOX 680185 HOUSTON, TX 77268 P: 281-580-6865 F: CRAWF CRAWFORD AND COMPANY 2200 NW 50TH STE 200E OKLAHOMA CITY, OK 73112 P: 405-767-6956 F: DALLA DALLAS FIELD CLAIMS PO BOX 410350 CHARLOTTE, NC 28241 F: DNI DALLAS NATIONAL INS 14160 DALLAS PKWY STE 500 DALLAS, TX 75254 P: 800-728-0623 F: 972-960-8670 DAWIL DANE THOMAS WILSON ATTORNEY 421 E COMANCHE, SUITE C NORMAN, OK 73071 P: 405-701-1466 F: 405-360-5099 WILSO DANE WILSON PC 104 E EUFAULA STREET NORMAN, OKLAHOMA 73069 P: 405-701-1466 F: 405-701-1465 WCDAV DAVCP 25848 HWY 53 SPRINGER 73458 P: 580-561-2171 F: DEFIN DEFINITY HEALTH CLAIMS P O BOX 9525 AMHERST, NY 14226-9525 P: 866-333-4648 F: DALRC DELTA AIRLINES RETIREE COMMITTEE P.O. BOX 10432 DES MOINES, IA 50306 P: 1-800-923-4461 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 13 Insurance Carrier Table Sorted by Insurance Carrier Name DEPAR DEPARTMENT OF CORRECTION PO BOX 268928 OKLAHOMA CITY, OK 73216 P: 405-499-4919 F: DEPTV DEPARTMENT OF VETERAN AFFAIRS 2957 CLAIRMONT RD SUITE 200 ATLANTA, GA 30329 P: 877-222-8387 F: DOC DEPT OF CORRECTIONS/JOS HARP CORRECTIONSPO BOX 268928 OKLAHOMA CITY, OK 73216 P: 405-527-5593 F: DIAMO DIAMOND INSURANCE GROUP 1515 E WOODFIELD RD #820 SCHAUMBERG, IL 60173 P: 847-230-1331 F: 847-230-1381 DMERC DMERC DNB DO NOT BILL DOLLA DOLLAR GENERAL 5575 E DOLLAR GENERAL WAY MARION, IN 47356 P: 765-651-5307 F: 765-651-5390 DOLTR DOLLAR TREE 201 DOLLAR TREE RD MARIETTA, OK 73448 P: 580-276-9500 F: DEL DON ELWICK, ATTY AT LAW 300 N. STATE WEATHERFORD, OK 73096 P: 580-772-7228 F: 580-772-3386 DOUBL DOUBLE J RISK SERVICES 1905 INDUSTRIAL DRIVE ALTUS, OK 73521 P: 800-237-7713 F: ESIS2 E S I S P O BOX 31143 TAMPA, FL 33631 P: 800-858-6875 F: 800-373-5156 EDMON EDMONDS COLE LAW FIRM ONE NORTH HUDSON, SUITE 200 OKLAHOMA CITY, OKLAHOMA 73102 P: 405-272-0322 F: 405-235-4654 EMC EMC INSURANCE PO BOX 2070 OMAHA, NB 68103 P: 800-338-9735 F: 405-963-9662 EQUIT EQUITABLE LIFE P.O. BOX 3000 LANCASTER, SC 29721 P: 801-521-2500 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 14 Insurance Carrier Table Sorted by Insurance Carrier Name EPS EQUITABLE PLAN SERVICES P O BOX 720460 OKLAHOMA CITY, OK 73172 P: 800-749-2631 F: ESIS ESIS PO BOX 31143 TAMPA, FL 33631-3143 P: 972-465-7608 F: ESIS3 ESIS P.O. BOX 31081 TAMPA, FL 33631 P: 800-233-8931 F: 800-508-3127 ESIST ESIS PO BOX 31108 TAMPA, FL 33631-3108 P: 800-237-5798 X 107 F: EVERC EVERCARE PO BOX 400055 SAN ANTONIO, TX 78229-1955 P: 1888-846-2762 F: XPRES EXPRESS ENERGY ATTN: JEREMIAH JOHNSON2341 INDUSTRIAL DRIVE SULFUR, OK 73086 P: 580-618-0184 F: 580-622-4728 FAIR FAIR ISAAC CORPORATION P.O. BOX 3409 COPPELL, TX 75019 P: 1-800-732-0153 F: FALL FALLON COMMUNITY HEALTH PLAN PO BOX 15121 WORCESTER, MA 01615 P: 800-868-5200 F: FARA FARA 2901 WILCREST SUITE 285 HOUSTON, TX 77042 P: 1-888-821-3272 F: FARM2 FARM BUREAU INSURANCE LOUIS CHAMPAGNE PO BOX 1029 COLUMBIA, LA 71418 P: 318-649-2626 F: 318-649-0212 FARME FARMERS INS GROUP PO BOX 268994 OKLAHOMA CITY, OK 73126 P: 405-387-4574 F: 877-217-1389 FARM FARMERS INSURANCE P.O. BOX 149101 AUSTIN, TX 78714 P: 888-784-1662 F: FARM1 FARMERS NATIONAL DOCUMENT CENTER PO BOX 268994 OKC, OK 73126-8993 P: 1 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 15 Insurance Carrier Table Sorted by Insurance Carrier Name FST FAST LANES 1235 W MAIN NORMAN, OK 73069 P: 405-321-5260 F: FCE FCE BENEFITS 4615 WALZEM RD STE 300 SAN ANTONIO, TX 78218 P: 800-899-9355 F: BCBSF FEDERAL BLUE CROSS BLUE SHIELD PO BOX 3492 TULSA, OK 74101 P: 1 F: PHCS FEDERATED INS PO BOX 31716 TAMPA, FL 33681 P: 877-812-4477 F: ADMIN FIRST ADMINISTRATORS P O BOX 9900 SIOUX CITY, IA 51102 P: 800-410-4136 F: FAIG FIRST AMERICAN INSURANCE GROUP 2621 W HWY 30 GRAND ISLAND, NE 68802 P: 800-643-5633 F: FCOMP FIRST COMP P.O. BOX 3188 OMAHA, NE 68103 P: 1-888-500-3344 F: FHPOK FIRST HEALTH - PPO OKLAHOMA P.O. BOX 23805 TUCSON, AZ 85734 F: FHIBE FIRST HEALTH DIRECT 4040 MCEWEN STE 100 DALLAS, TX 75244 P: 800-527-0320 F: FIRCA FIRST HEALTH INSURANCE CENTER P.O. BOX 982009 NORTH RICHLAND HILLS, TX 76181 P: 888-757-0703 F: FHNEP FIRST HEALTH NETWORK/ THE EPOCH GRP P O BOX 12170 OVERLAND PARK, KS 66282-2170 P: 800-255-6065 F: FHFI FIRST HEALTH NETWORK P O BOX 5190 TAMPA, FL 33675 P: 800-226-5116 F: FIRHE FIRST HEALTH NETWORK P O BOX 5215 TAMPA, FL 33675-5215 P: 800-749-1422 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 16 Insurance Carrier Table Sorted by Insurance Carrier Name FRSTH FIRST HEALTH NETWORK PO BOX 5319 TAMPA, FL 33675-5319 P: 800-226-5116 F: FHDM FIRST HEALTH/ DESERET MUTUAL P.O. BOX 45530 SALT LAKE CITY, UT 84145 P: 1-800-777-3622 F: FHFMH FIRST HEALTH/FMH BENEFITS PO BOX 25946 OVERLAND PARK, KS 25946 P: 800-990-9058 F: FHMH FIRST HEALTH/MAIL HANDLERS PO BOX 8402 LONDON, KY 40742 P: 800-410-7778 F: FHNAL FIRST HEALTH/NALC PO BOX 9668 SCOTTSDALE, AZ 85252 P: 888-636-6252 F: FH FIRST HEALTH P.O. BOX 23810 TUSCON, AZ 85734 F: FHAN FIRST HEALTH ACORDIA NATIONAL PO BOX 3262 CHARLESTON, WV 25332 P: 1800-428-1291 F: FHHCA FIRST HEALTH P.O. BOX 8400 LONDON, KY 40742 P: 800-766-6824 F: FIRST FIRST HEALTH PO BOX 44198 LAS VEGAS, NV 89116 P: 800-664-1731 F: FSTHL FIRST HEALTH PO BOX 24505 TUCSON, AZ 85734 P: 405-477-5465 F: FRSTM FIRSTMED P O BOX 3188 OMAHA, NE 68103 P: 888-500-3344 F: 877-444-6806 FHFIS FISERV HEALTH/FIRST HEALTH P O BOX 520 PUEBLO, CO 81002 P: 866-802-1328 F: FISE1 FISERV HEALTH/FIRST HEALTH PO BOX 690450 SAN ANTONIO, TX 78269 P: 866-868-7412 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 17 Insurance Carrier Table Sorted by Insurance Carrier Name FISE3 FISERV HEALTH/PCC P.O. BOX 690450 SAN ANTONIO, TX 78269 P: 866-868-8748 F: FISE4 FISERV HEALTH/PHCS PO BOX 450 PUEBLO, CO 81002-0450 P: 800-826-9781 F: FISE FISERV HEALTH PO BOX 8013 WAUSAU, WI 54402-8013 P: 1-800-826-9781 F: FISRV FISERV HEALTH P O BOX 720 PUEBLO, CO 81002 P: 800-446-8182 F: PPOFM FMH BENEFIT SERVICES (PPO OKLAHOMA) P.O. BOX 25946 OVERLAND PARK, KS 66225 F: FMHPH FMH BENEFIT SERVICES P.O. BOX 25946 OVERLAND PARK, KS 66225 P: 866-297-9122 F: FORTI FORTIS INSURANCE CO P.O. BOX 624 MILWAUKEE, WI 53201-0624 P: 800-553-7654 F: GAB GAB ROBBINS 8500 W 110TH ST STE 105 OVERLAND PARK, KS 66210 P: 800-422-1930 F: 913-338-2422 GBS GALLAGHER BASSET SERVICES PO BOX 23812 TUSCON, AZ 85734 P: 800-382-0166 GALLA GALLAGHER BASSETT-DALLAS 6504 INTERNATIONAL PKWAY SUITE 2100 PLANO, TX 75093-8224 P: 800-382-0166 F: GALBA GALLAGHER BASSETT 7935 E PRENTICE AVE ENGLEWOOD,CO 80111 P: 713-346-9700 F: 303-796-9498 GALL GALLAGHER BASSETT 6303 WATERFORD BLVD STE 120 OKLAHOMA CITY, OK 73118 P: 405-843-7244 F: GLGHR GALLAGHER BASSETT P O BOX 721124 LITTLE ROCK, AR 72124 P: 800-672-0080 F: 866-947-0743

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 18 Insurance Carrier Table Sorted by Insurance Carrier Name GCS GCS CLAIMS DEPARTMENT PO BOX 3028 TULSA, OKALHOMA 74101 P: 405-286-2991 F: GEHA GEHA PPO USA PO BOX 4665 INDEPEDENCE, MO 64051 P: 1-800-821-6136 F: GENER GENERATIONS HEALTHCARE P O BOX 1747 OKLAHOMA CITY, OK 73101 P: 800-522-8506 F: GLENC GLENCO CONSTRUCTION 8201 NW 11TH OKLAHOMA CITY, OK 73127 P: 405-470-4322 F: 405-470-4319 GHFH GLOBAL HEALTH/FIRST HEALTH NETWORK P O BOX 1747 OKLAHOMA CITY, OK 73101-174 P: 877-280-5600 F: GOLDE GOLDEN RULE INSURANCE COMPANY 7440 WOODLAND DRIVE INDIANAPOLIS, IN 46278-1719 P: 317-297-4189 F: GAI GREAT AMERICAN INSURANCE 49 E 4TH STREET SUITE 300 NORTH CINCINATTI, OH 45202 P: 800-297-1971 F: 513-629-5004 GCLH GREAT CORNERSTONE LIFE AND HEALTH INS COP.O. BOX 30685 EDMOND, OK 73003 F: GREAT GREAT WEST CASUALTY 1100 WEST 29TH PO BOX 277 SOUTH SOUIX CITY, NE 68776 P: 800-228-8602 X 7298 F: GRTWS GREAT WEST HEALTHCARE F: GRWST GREAT WEST HEALTHCARE 1000 GREAT-WEST DRIVE KENNET, MO 63857 F: GWHC GREAT WEST HEALTHCARE P O BOX 5080 DENVER, CO 80217 P: 866-495-2363 F: PCCGW GREAT-WEST HEALTHCARE/PCC 1000 GREAT-WEST DRIVE KENNETT, MO 63857 P: 800-247-2190 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 19 Insurance Carrier Table Sorted by Insurance Carrier Name OLDRE GREATWEST/OLD REPUBLIC LIFE INS PO BOX 31289 KNOXVILLE, TN 37930 P: 865-670-8850 F: 800-833-1851 GRMH GRIFFIN MEMORIAL HOSPITAL PO BOX 151 NORMAN, OK 73070 P: 405-573-6667 F: 405-573-6650 GRADM GROUP ADMINISTRATORS, LTD P O BOX 95600 HOFFMAN ESTATES, IL 60195 P: 847-519-1880 F: GRPAD GROUP ADMINISTRATORS 450 E REMINGTON RD SCHAUMBURG, IL 60173 P: 847-519-1880 F: GROUP GROUP RESOURCES INC P O BOX 600999 DALLAS, TX 75360 P: 800-256-3730 F: GUIDE GUIDE ONE INSURANCE PO BOX 14543 DES MOINES, IA 50306 P: 888-748-4326 F: HARBO HARBOR INS 5416 S YALE #300 TULSA, OK 74135 P: 800-777-3818 F: HARRI HARRINGTON BENEFIT SERVICES P O BOX 30367 TAMPA FL 33630 P: 800-446-6182 F: HARTF HARTFORD GROUP PO BOX 14170 LEXINGTON, KY 40512 P: 1-800-662-5814 F: 1-877-536-9796 HART2 HARTFORD INSURANCE PO BOX 14187 LEXINGTON, KY 40512 P: 877-889-9222 F: 860-947-3625 HARV HARVARD PILGRIM P O BOX 699183 QUINCY, MA 02269 P: 8883334742 F: HA HEALTH ASSURANCE ATT: CLAIMS P O BOX 7088 LONDON, KY 40742 P: 800-669-2202 F: HSR HEALTH SPECIAL RISK HSR PLAZA 4001N JOSEY LN CARROLLTON, TX 75007-1520 P: 866-726-8870 F: 972-492-4945

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 20 Insurance Carrier Table Sorted by Insurance Carrier Name HEAL HEALTHCARE SOLUTIONS PO BOX 1309 MUSKOGEE, OKLAHOMA 74402 P: 918-687-1261 F: HLCHC HEALTHCHOICE P.O. BOX 24870 OKLAHOMA CITY, OK 73124-0870 P: 405-499-4920 F: HLTHC HEALTHCOMP P O BOX 1676 TOPEKA, KS 66601 P: 800-222-0089 F: HEALT HEALTHFIRST TPA P O BOX 130217 TYLER, TX 75713 P: 800-654-5161 F: HLTHP HEALTHPARTNERS PO BOX 1289 MINNEAPOLIS, MN 55440-1289 P: 800-883-2177 F: HILAN HILAND DAIRY P O BOX 490 BIXBY, OK 74008 P: 918-366-2450 F: 918-366-1089 HOLL HOLLOWAY DOBSON AND BACHMAN ONE LEADERSHIP SQUARE 211 NORTH ROBINSON, SUITE 900 OKLAHOMA CITY, OKLAHOMA 73102 P: 405-235-8593 F: 405-235-1707 HCOMP HOSPITALITY COMP 3800 N W 36TH ST OKLAHOMA CITY, OK 73112 P: 405-949-2381 F: 405-948-7697 HOWAR HOWARD C MCLEOD CORRECTION 1970 WHIPPERWILL LANE ATOKA, OK 74525 P: 1 F: HTH HTH WORLDWIDE P O BOX 30259 TAMPA, FL 33630 P: 888-350-2002 F: HUMA3 HUMANA CLAIMS OFFICE P.O. BOX 14610 LEXINGTON, KY 40512-4610 F: HUMAN HUMANA CLAIMS OFFICE P.O. BOX 14602 LEXINGTON, KY 40512 F: HUMA2 HUMANA GOLD CHOICE PFFS PO BOX 14601 LEXINGTON, KY 40512 P: 1-877-511-5000 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 21 Insurance Carrier Table Sorted by Insurance Carrier Name HUMA HUMANA GUIDANCE PPO P.O. BOX 14610 LEXINGTON, KY 40512 P: 866-427-7478 F: HUMCC HUMANA ONE/CHOICE CARE/CLAIMS OFFICE P.O. BOX 14635 LEXINGTON, KY 40512 P: 800-833-6917 F: IAC IAC / PPO OKLAHOMA PO BOX 828 PARK RIDGE, IL 60068 P: 800-226-5116 F: ICON ICON BENEFIT ADMINISTATORS PO BOX 167768 IRVING, TX 75016-7768 P: 800-4443995 F: CIHS INDIAN HEALTH SERVICES ATTN: CONTRACT HEALTH 3625 NW 56TH STREET OKLAHOMA CITY, OKLAHOMA 73112 P: 405-951-3870 F: 405-951-3920 PPONA INSURANCE CENTER/ PPOOK THE MEGA LIFE + HEALTH INS CO PO BOX 982009 NORTH RICHLAND HILLS, TX 76182 P: 888-757-0703 F: IMS INSURANCE MANAGEMENT SERVICES P O BOX 15688 AMARILLO, TX 79105 P: 800-687-3020 F: BARRA JACK BARRAGREE 9004 N MAY STE B OKLAHOMA CITY, OK 73120 P: 405-842-2122 F: 405-879-0114 KAISE KAISER PERMANENTE PO BOX 372910 ATTN: CLAIMS DENVER, CO 80237-6910 P: 1-888-681-7878 F: KEMPT KEMPTON GROUP ADMIN/OK ELECTRIC COOPERATIVEPO BOX 54889 OKLAHOMA CITY, OK 73154 F: KING KING CONSTRUCTION INC WORKERS COMPENSATION PO BOX 849 HESSTON, KS 67062 P: 316-999-9999 F: LARC LARC CORRECTION PO BOX 268928 OKLAHOMA CITY, OK 73216 P: 405-499-4919 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 22 Insurance Carrier Table Sorted by Insurance Carrier Name LAURE LAURENCE COLE INSURANCE P.O. BOX 600183 DALLAS, TX 75360 F: DAVIS LAW OFFICE OF DANIEL M. DAVIS 525 NW 13TH STREET OKLAHOMA CITY, OKLAHOMA 73103 P: 405-235-4000 F: 405-235-5176 LCHP LAWTON COMMUNITY/MAA MUTUAL ASSURANCE ADMINISTRATORS PO NOX 42096 OKLAHOMA CITY, OK 73123 F: LBTYM LIBERTY MUTUAL INSURANCE COMPANY PO BOX 59330 ORLANDO, FL 32859 P: 972-550-7899 F: LIBMC LIBERTY MUTUAL INSURANCE COMPANY C/O CONNIE WOLFE UNION PLAZA, 3030 NW EXPRESSWAY #5 OKLAHOMA CITY, OK 73112-5434 P: 405-702-5355 F: LIBE1 LIBERTY MUTUAL-PERSONAL MARKETING CLAIMS DEPTATTN: SHARONDA GREENE PO BOX 40459 HOUSTON, TX 77240 P: 800-958-8844 X892 F: LIB LIBERTY MUTUAL PO BOX 40460 HOUSTON, TX 77240 P: 800-533-3170 F: LIBER LIBERTY MUTUAL P.O. BOX 168208 IRVING, TX 75016 P: 1-800-300-0110 F: LIBMU LIBERTY MUTUAL 13201 NW FREEWAY SUITE 600 HOUSTON, TX 77040 P: 800-533-3170 F: LMUTU LIBERTY MUTUAL P O BOX 168368 IRVING, TX 75016 P: 405-694-3833 F: PPOMC MACORI ADMINISTRATION/PPOOK/NPHO P.O. BOX 2567 SPRING, TX 77383 P: 800-285-8133 F: MARRI MARRIOTT CLAIMS PO BOX 29208 HOT SPRINGS, AR 71903 P: 800-334-9691 X5585 F: 972-244-5550 MEADO MEADOWBROOK INSURANCE PO BOX 219559 KANSAS CITY, MO 64121 P: 800-825-9489 F: 913-273-0294

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 23 Insurance Carrier Table Sorted by Insurance Carrier Name MEDIC MEDI-CAL PO BOX 60007 LOS ANGELES, CA 90060 P: 800-407-4627 F: MCAID MEDICAID EDS PO BOX 5440 OKLAHOMA CITY, OK 73154 F: MED MEDICARE PO BOX 24700 OKLAHOMA CITY, OK 73124 P: 555-555-5555 F: MEDCO MEDICO INSURANCE CO PO BOX 3477 OMAHA, NE 68103 P: 999-999-9999 F: MOAA MEDIPLUS MILITARY OFFICERS ASSOC OF AMERICAP.O. BOX 9126 DES MOINES, IA 50306 P: 1-800-247-2192 F: FIRS5 MERCER ADMINISTRATORS/FIRST HEALTH 701 MARKET STREET - STE 1350 ST LOUIS, MO 63101 P: 800-546-9338 F: METLF METLIFE AUTO INS CLAIMS PO BOX 219011 DALLAS, TX 75221 F: 214-220-1690 METLI METLIFE 6303 COMMERCE DR STE 500 IRVING, TX 75063 P: 800-854-6011 F: MGP METRO GROUP PROPERTY/DALLAS FIELD CLAIMSP.O. BOX 410350 CHARLOTTE, NC 28241 F: MIDLA MIDLANDS CLAIM ADMINISTRATOR P O BOX 238808 OKLAHOMA CITY, OK 73123 P: 405-767-1700 F: 405-767-1212 MISS MISSIONARY MEDICAL PO BOX 45730 SALT LAKE CITY UT 84145 P: 800-777-7647 F: MOSHI MOSHIER CLAIM SERVICES PO BOX 80394 PHOENIX, AZ 85060 P: 800-344-5352 F: PPOMA MUTUAL ASSURANCE - PPO OK PO BOX 42096 OKLAHOMA CITY, OK 42096 P: 405-843-9551 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 24 Insurance Carrier Table Sorted by Insurance Carrier Name MAA1 MUTUAL ASSURANCE ADMIN / LCHP PO BOX 42096 OKLAHOMA CITY, OK 73123 F: PCCMA MUTUAL ASSURANCE ADMIN/PREFERRED COMM CHPO BOX 42096 OKLAHOMA CITY, OK 73123 F: MAFH MUTUAL ASSURANCE ADMINISTRATORS/FIRST HEALTHP.O. BOX 42096 OKLAHOMA CITY, OK 73123 P: 405-848-1975 F: MFOR MUTUAL OF OMAHA/FOREIGN SERVICE BENEFIT PLAN1716 N STREET NW WASHINGTON, DC 20036 P: 1-202-833-5751 F: MUTU1 MUTUAL OF OMAHA PO BOX 668329 CHARLOTTE, NC 28266 P: 800-638-8432 F: MUTUA MUTUAL OF OMAHA MUTUAL OF OHMAHA PLAZA OMAHA, NEBRASKA 68175 P: 1-800-775-1000 F: NAHGA NAHGA CLAIM SERVICE P O BOX 169 BRIDGETON, ME 04009 P: 800-962-4320 F: 207-647-4569 NALC NALC INS CO 20547 WAVERLY COURT ASHBURN, VA 20149 P: 888-636-6252 F: NAIC NATIONAL AMERICAN INSURANCE COMPANY P.O. BOX 38 CHANDLER, OK 74834 P: 1-800-332-2210 F: NATIF NATIONAL FOUNDATION LIFE INSURANCE 3100 BURNETT PLAZA 801 CHERRY ST UNIT 33 FORTH WORTH, OK 76102 P: 800-221-9039 F: NATL NATIONAL STATES INSURANCE 1835 CRAIG PARK CT ST LOUIS, MO 63146 P: 888-888-8888 F: NAT NATIONWIDE AGRIBUSINESS 1100 LOCUST STREET DPT 3010 DES MOINES, IOWA 50319 P: 866-322-7434 F: 800-842-1482 NATIO NATIONWIDE HEALTH PLANS PO BOX 15016 SACRAMENTO, CA 95851 P: 877-234-2424 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 25 Insurance Carrier Table Sorted by Insurance Carrier Name NETHE NETHERLANDS INSURANCE COMPANY PO BOX 833902 RICHARDSON, TX 75083 P: 800-443-2533 F: 866-445-7818 NRH NORMAN REGIONAL HOSPITAL P.O. BOX 1308 NORMAN, OK 73070 P: 405-496-0707 F: 405-579-4626 NAAPH NORTH AMERICA ADMINISTRATORS/PHCS PO BOX 1984 NASHVILLE, TN 37202 P: 800-411-3650 F: NPHO NPHO/OK HEALTH NETWORK/WATERSTONE 4013 NORTHWEST EXPRESSWAY SUITE 575 OKLAHOMA CITY, OK 73116 P: 405-440-8888 F: NTCA NTCA - ASHEVILLE SERVICE CENTER ONE WEST PACK SQUARE, SUITE 600 ASHEVILLE, NC 28801-3459 P: 828-281-9000 F: OESA OESA P O BOX 26227 OKLAHOMA CITY, OK 73126 P: 405-556-2281 F: 405-942-6711 OGB OFFICE OF GROUP BENEFITS P O BOX 44036 BATON ROUGE, LA 70804 P: 800-432-3432 F: OGE OGE/WC CLAIMS P.O. BOX 321 OKLAHOMA CITY, OK 73101 OKCCC OKLAHOMA CITY COMMUNITY CO JAIL 315 W 1-44 SERVICE ROAD OKLAHOMA CITY, OK 73118 P: 405-848-3895 F: OCVCP OKLAHOMA CRIME VICTIMS COMP PROGRAM 421 NW 13TH ST STE 290 OKLAHOMA CITY, OK 73103 P: 45-264-5006 F: OKLA OKLAHOMA FARM BUREAU MUTUAL INSURANCE CO5101 NORTH COUNCIL ROAD, SUITE B OKLAHOMA CITY, OKLAHOMA 73132 P: 405-523-2440 F: 405-523-2421 OSL OLD SURETY LIFE INS CO PO BOX 54407 OKLAHOMA CITY OK 73154-1407 P: 405-523-2112 F: OPTIM OPTIMUM CHOICE INC, UNITED HEALTHCARE COMPANY4 TAFT COURT ROCKVILLE, MD 20850 P: 800-638-8898 F: OSMA OSMA/FIRST HEALTH PO BOX 269001 OKLAHOMA CITY, OK 73126 P: 405-290-5666 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 26 Insurance Carrier Table Sorted by Insurance Carrier Name PACI4 PACIFICARE /UHC PO BOX 6099 CYPRESS, GA 90630 P: 866-316-9776 F: PACI7 PACIFICARE HMO P O BOX 400046 SAN ANTONIO, TX 78229 P: 18004428833 F: PCCHM PACIFICARE HMO PO BOX 400055 SAN ANTONIO, TX 78229 F: PACSE PACIFICARE SECURE HORIZONS INS CO P.O. BOX 6093 CYPRESS, CA 90630 F: PACRF PACIFICARE SENIOR SUPPLEMENT PLAN P.O. BOX 6072 CYPRESS, CA 90630 P: 1-800-851-3802 F: PACIF PACIFICARE SIGNATURE FREEDOM PO BOX 69312 HARRISBURG, PA 17106 P: 1-866-867-0700 F: PACSI PACIFICARE SIGNATURE OPTIONS PO BOX 6099 CYPRESS, CA 90630 F: PAC PACIFICARE SIGNATURE VALUE PO BOX 29127 SAN ANTONIO, TEXAS 78229-1955 P: 800-825-9355 F: PACSO PACIFICARE/PHCS P.O. BOX 6099 CYPRESS, CA 90630 F: PCARE PACIFICARE/UHC PO BOX 400055 SAN ANTONIO, TX 78229-1955 P: 800-825-9355 F: PATDR PATTERSON DRILLING 6000 SW 44TH ATTN: JIM RICH OKLAHOMA CITY, OK 73179 P: 405-686-0006 F: 405-686-0150 PATTE PATTERSON UTI DRILLING PO BOX 1416 SNYDER, TX 79550 P: 325-574-6419 F: PCCSE PCCSELECT P O BOX 3270 TULSA, OK 73145 P: 800-247-4695 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 27 Insurance Carrier Table Sorted by Insurance Carrier Name PEGAS PEGASUS 1 INDEPENDENCE PLAZA BIRMINGHAM, AL 35209 P: 205 870 8183 F: NOVA PHCS/NOVA P O BOX 9010 BUFFALO, NY 14231 P: 800-235-4357 F: PHILA PHILADELPHIA AMERICAN LI PO BOX 2927 HOUSTON, TX 77252 F: PLICO PHYSICIANS LIFE INSURANCE CO P O BOX 3313 OMAHA, NE 68131-2671 P: 800-228-9100 F: PMIC PHYSICIANS MUTUAL INSURANCE CO P.O. BOX 3313 OMAHA, NE 68103 F: PIONE PIONEER LIFE INS OF ILL PO BOX 100 ROCKFORD, OK 61105-0100 P: 815-969-7100 F: PION PIONEER TELEPHONE COOPERATIVE, INC PO BOX 539 KINGFISHER, OKLAHOMA 73750-0539 P: 877-375-6179 F: PAI PLANNED ADMINISTRATORS INC PO BOX 6072 COLUMBIA, S. CAROLINA 29260 P: 1-800-768-4375 F: POOK1 PPO OK - PRINCIPAL LIFE INSURANCE PO BOX 20040 OKLAHOMA CITY, OK 73156 F: POOK2 PPO OK PRINCIPAL - TAMPA PO BOX 5319 TAMPA, FL 33675 F: PPOOK PPO OK/CCN PROFESSIONAL FIREFIGHTERS OF OKPO BOX 5212 TAMPA, FL 33675-5215 P: 918-687-1261 F: PPOCC PPO OKLAHOMA/CCN PO BOX 5215 TAMPA, FL 33675 F: PPOK5 PPO OKLAHOMA/CCN P.O. BOX 5190 TAMPA, FL 33675 P: 1-877-224-3627 F: POOK3 PPO OKLAHOMA PO BOX 20040 OKLAHOMA CITY, OK 73156 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 28 Insurance Carrier Table Sorted by Insurance Carrier Name PPO08 PPO OKLAHOMA PO BOX 5319 TAMPA, FL 33675-5319 F: PPOO6 PPO OKLAHOMA P.O. BOX 5216 TAMPA, FL 33675 F: PCC PREFERRED COMMUNITY CHOICE PO BOX 3270 TULSA, OK 74101 F: PREFH PREFERRED HEALTH SYSTEMS PO BOX 48170 WICHITA,KS 67201 P: 866-618-1691 F: 3166092380 PREMI PREMIER CARRIER LLC 1905 INDUSTRIAL DR ALTUS, OK 73521 P: 800-237-7713 F: PRINC PRINCIPAL LIFE INS CO PO BOX 39710 COLORADO SPRINGS, CO 80949 P: 800-247-4695 F: PRINL PRINCIPAL LIFE INSURANCE COMPANY P O BOX 10826 CLEARWATER, FL 33757 P: 800-447-4701 F: PROGR PROGRESSIVE INSURANCE 9211 LAKE HEFFNER PARKWAY STE 210 ATTN: KRISTINA CUNNINGHAM OKLAHOMA CITY, OK 73120 P: 405-302-1856 F: PROV PROVIDENCE PROPERT AND CASUALTY PO BOX 2009 FRISCO, TX 75034 P: 888-339-5736 F: 888-339-5737 PROVA PROVIDENT AMERICAN INSURANCE COMPANY PO BOX 679005 DALLAS, TX 75367 P: 800-933-9456 F: 214-237-8664 PYRA PYRAMID LIFE INSURANCE COMPANY P O BOX 391885 CAMBRIDGE, MA 02139 P: 866-568-8921 F: QUADM QUADMED CLAIMS 555 SOUTH 108TH STREET WEST ALLIS, WI 53214 P: 1-800-937-2230 F: QUAL QUALCHOICE OF ARKANSAS P O BOX 25610 LITTLE ROCK, AR 72211 P: 800-235-7111 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 29 Insurance Carrier Table Sorted by Insurance Carrier Name RRMED RAILROAD MEDICARE HEALTH CLAIM PO BOX 10066 AUGUSTA, GA 30999 P: 877-288-7600 F: RSL RELIANCE STANDARD LIFE INSURANCE COMPANY505 SOUTH LENOLA ROAD,SUITE 231 MOORESTOWN,NJ 08057 P: 18663750775 F: RESRV RESERVE NATIONAL INS CO PO BOX 26620 OKLAHOMA CITY, OK 73126 P: 800-654-9106 F: RAUS RETIRED ASSOC FOR THE UNIFORMED SERVCES326 MAIN STREET FRANKLIN, TN 37064 P: 615-794-4400 F: ROCKY ROCKY MTN HEALTH PLANS P O BOX 10600 GRAND JUNCTION, CO 81502 P: 800-854-4558 F: RNA ROYAL NEIGHBORS OF AMERICA PO BOX 10850 CLEARWATER, FL 33757 F: SAFEC SAFECO P O BOX 515097 LOS ANGELES, CA 90051 P: 800-332-3226 F: 888-268-8840 SAIF SAIF CORPORATION 400 HIGH STREET S E SALEM, OR 97301 P: 800-285-8525 F: 503-945-3674 SECUH SECURE HORIZONS/ UNITED HEALTHCARE PO BOX 400055 SAN ANTONIO, TX 78229-1955 P: 800-417-4174 F: SECUR SECURE HORIZONS/PACIFICARE PO BOX 400055 SAN ANTONIO, TX 78229-1955 P: 800-950-9355 F: SDGWK SEDGWICK CLAIM P O BOX 14497 LEXINGTON, KY 40512 P: 214-922-0632 F: 214-922-0695 SEDGW SEDGWICK CMS PO BOX 831836 RICHARDSON, TX 75083 P: 866-897-0393X41054 F: 866-245-8599 SNTRY SENTRY INSURANCE P O BOX 8032 STEVENS POINT, WI 54481 P: 800-739-3344 F: 715-346-9708 SENTR SENTRY PO BOX 29460 PHOENIX, AZ 85038 P: 1-800-833-2244 X7036 F: 480-860-7987

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 30 Insurance Carrier Table Sorted by Insurance Carrier Name SHELT SHELTER INSURANCE COMPANIES PO BOX 6007 COLUMBIA, MO 65205-6007 P: 800-832-7011 F: 888-742-5671 SHEN SHENANDOAH LIFE INSURANCE COMPANY P O BOX 10854 CLEARWATER, FL 33757 P: 866-322-2856 F: SMITH SMITHWAY MOTOR EXPRESS 2031 QUAIL AVE ATTN CHUCK FREDRICKSON FORT DODGE, IA 50501 P: 515-576-7418 F: SMOLE SMOLEN AND SMOLEN 320 SOUTH BOSTON SUITE 1125 TULSA, OKLAHOMA 74103 P: 918-585-2667 F: 918-585-2669 SRS SPECIAL RISK SERVICES P.O. BOX 31156 OMAHA, NE 68131 P: 1-800-524-2324 F: SPRS SPECIALITY RISK SERVICES P.O. BOX 3117 NAPERVILLE, IL 60566 P: 1-800-358-2072 27109 F: SPCRS SPECIALTY RISK SERVICES P O BOX 14205 LEXINGTON, KY 40512 P: 405-782-7443 F: 405-782-7450 SPECI SPECIALTY RISK SERVICE PO BOX 29618 CHARLOTTE, NC 73120 P: 704-717-6791 F: 877-536-5003 SPEC SPECIALTY RISK PO BOX 139024 DALLAS, TX 75313 P: 800-677-1412 F: 860-380-9730 SJOHN ST JOHN'S HEALTH SYSTEM MED-PAY, INC PO BOX 10909 SPRINGFIELD, MO 65808 P: 800-777-9087 F: STAND STANDARD LIFE AND ACCIDENT INS CO PO BOX 1800 GALVESTON, TX 77553 P: 1-888-350-1488 F: STANL STANDARD LIFE P O BOX 1520 GALVESTON, TX 77553-1520 P: 800-226-5116 F: STAR STAR HRG - BEECHSTREET PO BOX 55270 PHOENIX, AZ 85078 P: 800-878-7896 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 31 Insurance Carrier Table Sorted by Insurance Carrier Name CALST STATE COMPENSATION INS FUND P O BOX 92622 LOS ANGELES, CA 90009 P: 818-550-5290 F: 818-550-5458 STAWC STATE COMPENSATION INSURANCE FUND PO BOX 65005 PINEDALE, CA 93650 P: 888-552-7346 F: 858-334-7783 STFRM STATE FARM AUTO INSURANCE P.O. BOX 720900 2411 SPRINGER ROAD NORMAN, OK 73070 P: 405-366-6900 F: STAT1 STATE FARM HEALTH INSURANCE/FIRST HEALTHP.O. BOX 339403 GREELEY, CO 80633 P: 866-855-1212 F: STATE STATE FARM INSURANCE PO 22101 TULSA, OK 74121 F: STAT2 STATE FARM PO BOX 22101 ERIC DANIELS TULSA, OK 74121 P: 918-621-3863 F: 888-650-1919 STFAR STATE FARM P O BOX 700 WATONGA, OK 73772 P: 800-331-1169 F: 800-624-4513 STEIN STERLING INVESTORS LIFE INS CO PO BOX 10844 CLEARWATER, FL 33757 P: 877-604-5240 F: STLNG STERLING LIFE INS CO P O BOX 5348 BELLINGHAM, WA 98227 P: 800-688-0010 F: STER1 STERLING OPTION 1 P.O. BOX 69314 HARRISBURG, PA 17106 P: 888-858-8551 F: EPOC1 THE EPOCH GROUP/PHCS 0795 WATSON ROAD ST. LOUIS, MO 63127 P: 800-365-9036 F: PPOEP THE EPOCH GROUP/PPO OKLAHOMA PO BOX 12170 OVERLAND PARK, KS 66282 F: HART THE HARTFORD COMPANY 704 WALL ST NORMAN, OK 73072 P: 405-360-4444 F: 405-360-4473

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 32 Insurance Carrier Table Sorted by Insurance Carrier Name HFMP THE HARTFORD-MP UNIT P O BOX 659490 SAN ANTONIO, TX 78265-9014 P: 405-000-0000 F: HART3 THE HARTFORD P.O. BOX 47571 SAN ANTONIO, TX 78265 P: 800-236-0398 F: HRTFD THE HARTFORD P O BOX 47511 SAN ANTONIO, TX 78265 P: 800-236-0398 F: LOOMI THE LOOMIS COMPANY PO 13814 READING, PA 19612 P: 888-585-7065 F: 610-373-9707 PPO04 THE MEGA LIFE INS PO BOX 982009 INS CENTER NORTH RICHLAND HILLS, TX 76182 P: 1-888-757-0703 F: VASSA THE VASSAR LAW FIRM 1001 NW 63RD STREET PO BOX 14126 OKLAHOMA CITY, OKLAHOMA 73113 P: 405-840-7700 F: 405-840-7703 TIME TIME INSURANCE COMPANY/ PHCS P.O. BOX 42033 HAZELWOOD, MO 63042 P: 1-800-454-5105 F: PHCS1 TIME INSURANCE COMPANY/PHCS P.O. BOX 981602 EL PASO, TX 79998 P: 800-256-2680 F: TIMCO TIME INSURANCE COMPANY P O BOX 981602 EL PASO, TX 79995 P: 1 F: TIMEW TIME INSURANCE COMPANY P O BOX 961602 EL PASO, TX 79998 P: 800-454-5015 F: SISCO TITAN - SISCO PHCS PO BOX 389 DUBUQUE, IA 52004-0389 P: 800-457-4726 X7581 F: TMCTR TMC TRANSPORTATION PO BOX 1774 DES MOINES, IA 50306 P: 515-974-3435 F: 515-953-0909 TML TML INTERFOVERMNETAL EMP BEN POOL P O BOX 149190 AUSTIN, TX 78714 P: 800-847-1213 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 33 Insurance Carrier Table Sorted by Insurance Carrier Name TODAY TODAY'S OPTIONS- PREMIER PLUS P.O. BOX 744946 HOUSTON, TX 77274 F: TOKIO TOKIO MARINE MANAGEMENT 1 RAVINIA DRIVE STE 1130 ATLANTA, GA 30346 F: TOWER TOWER LIFE INSURANCE COMPANY TOWER LIFE BUILDING 310 S. ST MARY'S STREET SAN ANTONIO, TX 78205 F: TRANS TRANSPORTATION INS COMPANY PO BOX 139046 DALLAS, TX 75313 P: 800-262-1113 F: 214-220-1691 TRAVE TRAVELERS INSURANCE PO BOX 660456 DALLAS, TX 75266 F: TRICP TRICARE (PRIME) SOUTH REGION CLAIMS DEPT PO BOX 7031 CAMDEN, SC 29020-7031 P: 800-444-5445 F: TRICS TRICARE (STANDARD) CLAIMS DEPT. PO BOX 7031 CAMDEN, SC 29020-7031 F: TICAR TRICARE FOR LIFE PO BOX 7890 MADISON, WI 53707 P: 866-773-0404 F: TRISW TRICARE SOUTHWEST PO BOX 7031 CAMDEN, SC 29020-7031 F: TRUEC TRUE CHOICE USA PO BOX 251369 PLANO, TX 75025 P: 866-440-1450 F: TUCK TUCKER CONSTRUCTION CO P O BOX 442 LINDSAY, OK 73052 P: 405-756-4977 F: UMRFH UMR/FIRST HEALTH P O BOX 30541 SALT LAKE CITY, UT 84130-0541 P: 877-233-1800 F: UNDER UNDERWRITERS SAFETY AND CLAIMS P O BOX 250897 GRAND PRAIRIE, TX 75053 P: 866-296-2829 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 34 Insurance Carrier Table Sorted by Insurance Carrier Name UNIC2 UNICARE GIC COMMONWEALTH INDEMNITY PLANPO BOX 9016 ANDOVER, MA 01810 P: 1-800-442-9300 F: UNIC1 UNICARE PLATINUM PPO P.O. BOX 4458 CHICAGO, IL 60680 P: 800-333-3304 F: UNICA UNICARE PO BOX 4068 SCHAUMBURG, IL 60168 P: 800-939-9355 F: UIEF UNINSURED EMPLOYERS FUND 320 W FOURTH STREET SUITE 690 LOS ANGELES, CALIFORNIA 90013 P: 213-576-7300 F: UNBA2 UNION BANKERS PO BOX 655433 DALLAS, TX 75265 P: 888-781-9555 F: UNBAN UNION BANKERS PO BOX 9110 CLEARWATER, FL 33758 F: FHUSI UNION SECURITY INSURANCE CO/FIRSTHEALTHP O BOX 981602 EL PASO, TX 79998 P: 18002265116 F: UNION UNION STANDARD INSURANCE CO P O BOX 152180 IRVING, TX 75015 P: 800-444-0049 F: UAC UNITED AMERICAN INSURANCE CO PO BOX 8080 MCKINNEY, TX 75070 P: 972-529-5085 F: UAMI UNITED AMERICAN INSURNACE COMPANY PO BOX 26400 OKLAHOMA CITY, OKLAHOMA 73126 P: 972-529-5085 F: UHC02 UNITED HEALTHCARE INSURANCE P.O. BOX 981502 EL PASO, TX 79998-1502 P: 800-893-6581 F: UHC06 UNITED HEALTHCARE INSURANCE P.O. BOX 740803 ATLANTA, GA 30374-0803 P: 877-842-3210 F: UHC UNITED HEALTHCARE STUDENT RESOURCES PO BOX 809027 DALLAS, TX 75380-9027 P: 888-251-6160 F: UHC 7 UNITED HEALTHCARE 7440 WOODLAND DR INDIANAPOLIS, IN 46278 P: 317-297-4189 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 35 Insurance Carrier Table Sorted by Insurance Carrier Name UHC05 UNITED HEALTHCARE PO BOX 740802 ATLANTA, GA 30374-0802 F: UHC1 UNITED HEALTHCARE PO BOX 740800 ATLANTA, GA 30374-0800 P: 877-842-3210 F: UHC3 UNITED HEALTHCARE P O BOX 740810 ATLANTA, GA 740810 P: 866-333-4648 F: UHC4 UNITED HEALTHCARE P.O. BOX 30557 SALT LAKE CITY, UT 84130 F: UHC5 UNITED HEALTHCARE PO BOX 30551 SALT LAKE CITY, UT 84130 P: 877-842-3210 F: UHC6 UNITED HEALTHCARE P.O. BOX 30985 SALT LAKE CITY, UT 84130 P: 1-800-842-9905 F: UHCAR UNITED HEALTHCARE P O BOX 29127 SAN ANTONIO, TX 78229 P: 800-825-9355 F: UHLTH UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY, UT 84130 P: 800-357-0978 F: UNHC UNITED HEALTHCARE P O BOX 740818 ATLANTA, GA 30374 P: 800-925-8025 F: UMR UNITED MEDICAL RES/PHCS PO BOX 145804 CINCINNATI, OH 45250 P: 800-371-2507 F: USC UNITED SAFETY CLAIMS P.O. BOX 471647 TULSA, OK 74147 F: UTAIC UNITED TEACHER ASSOCIATES INSURANCE COMPANY P.O. BOX 30010 AUSTIN, TX 78755 P: 1-800-880-8824 F: UWLIC UNITED WORLD LIFE INSURANCE COMPANY 3316 FARNAM STREET OMAHA, NE 68175 P: 1-877-617-5587 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 36 Insurance Carrier Table Sorted by Insurance Carrier Name BEECU UNIVERA/ BEECH STREET PO BOX 23000 ROCHESTER, NY 14692 P: 877-242-9464 F: UNIVE UNIVERSAL FIDELITY LIFE INS CO PO BOX 1428 815 W ASH ST DUNCAN, OK 73533 P: 405-255-8530 F: UNIVF UNIVERSAL FIDELITY PO BOX 1428 DUNCAN, OK 73534-1428 P: 800-366-8354 F: USDOL US DEPARTMENT OF LABOR OWCP PO BOX 8300 LONDON, KY 40742 P: 850-558-1818 F: 850-201-1718 USATK USA TRUCK INC. P.O. BOX 449 VAN BUREN, AK 72957 P: 479-471-6561 F: USAA USAA LIFE INSURANCE COMPANY 9800 FREDRICKSBURG ROAD SAN ANTONIO, TX 78288 P: 800-531-6978 F: USAAA USAA P O BOX 33490 SAN ANTONIO, TX 78265 P: 800 531 8722 F: 800-531-8669 VET VETERANS ADMINISTRAT VISN 16 CFU FLOWOOD, MS 39232 P: 601-933-7700 F: WAG WAGNER LAW FIRM 118 EAST RANDOLPH ENID, OKLAHOMA 73701 P: 580-237-5555 F: 580-233-4556 WASAU WASAU INS CO PO BOX 152800 IRVING, TX 75015 P: 405-840-8213 F: 4056033340304 WASH WASHINGTON NATIONAL INSURANCE CO P O BOX 2034 CARMEL, IN 46082 F: WAUS WAUSAU GENERAL INS CO PO BOX 8017 WAUSAU, WI 54402 F: WAU WAUSAU P O BOX 12928 OKLAHOMA CITY, OK 73157 P: 405-840-8213 F:

Jul 18, 2008 OKLAHOMA SPORTS AND ORTHPEDIC INSTITUTE Page 37 Insurance Carrier Table Sorted by Insurance Carrier Name WAUSA WAUSAU P O BOX 152800 IRVING, TX 75015 P: 405-840-8213 F: 603-334-0304 MAA WC MUTUAL ASSURANCE ADMINISTRATORS PO BOX 42048 OKLAHOMA CITY, OK 73123-3048 F: NEBCO WEB-TPA PO BOX 535309 GRAND PRAIRIE, TX 75053 P: 800-808-4516 F: FHWF WELLS FARGO TPA - FIRST HEALTH PO BOX 3262 CHARLESTON, WV 25332 P: 800-428-1291 F: WEYCO WEYCO / BEECHSTREET P.O. BOX 30319 LANSING, MI 48909 P: 800-748-0003 X1696 F: WOOD WILLIAM E. WOODSON, PLLC 307 EAST EUFAULA NORMAN, OKLAHOMA 73069 P: 405-360-1222 F: 405-360-1269 WORK WORKMED INSURANCE P.O. BOX 720358 OKLAHOMA CITY, OK 73172 P: 405-773-4266 F: 405-773-0205 WRKNE WORKNET P O BOX 3206 TULSA, OK 74101 P: 918-594-5288 F: WWINS WORLDWIDE INSURANCE AND CLAIM SERVICES4675 SOUTH HOLLAND SPRINGFIELD, MO 65810 P: 417-882-8100 F: 417-882-5528 TRIMC WPS TRICARE FOR LIFE P.O. BOX 7031 CAMDEN, SC 29020-7031 P: 1-866-773-0404 F: ZLOTO ZLOTOGURA AND ZLOTOGURA 27 E AYERS ST EDMOND, OK 73034 P: 405 F: ZUR ZURICH INS CO P O BOX 610787 DALLAS, TX 75261 P: 866-828-6816 F: ZURIC ZURICH SERVICES P.O. BOX 619507 DALLAX, TX 75261 P: 1-800-987-3373 F: End of Report. Tables/Ins Carriers/Print Requested by JAS and completed at 2:27PM on Jul 18 2008