Laserfiche WebLink
EXHIBIT A. <br /> INSURANCE CARRIER/THIRD PARTY PROVIDER INFORMATION <br /> (as of January 1,2013) <br /> Group Medical Benefits <br /> Carrier Name: Medica <br /> Address: 401 Carlson Parkway <br /> Minnetonka, MN 55305 <br /> Phone Number: 952-945-8000 <br /> Policy or Group Number: 553904 <br /> Policy Year. January— December <br /> Group Dental Benefits <br /> Carrier Name: Principal Financial Group <br /> Address: 711 High Street <br /> Des Moines, IA 50392-0001 <br /> Phone Number: 800-843-1371 <br /> Policy or Group Number: 1015564 <br /> Policy Year: January— December <br /> Group Term Life <br /> Carrier Name: The Standard Insurance Company <br /> Address: PO Box 5676 <br /> Portland, OR 97228-5676 <br /> Phone Number: 800-628-8600 <br /> Policy or Group Number: 142052 <br /> Policy Year: January— December <br /> Long Term Disability Benefits <br /> Carrier Name: National Insurance Services of Wisconsin <br /> Address: 250 South Executive Drive, Suite 300 <br /> Brookfield, WI 63005-4273 <br /> Phone Number: 800-627-3660 <br /> Policy or Group Number: 018374 <br /> Policy Year: January— December <br /> Short Term Disability Benefits <br /> Carrier Name: Unicare Life &Health Insurance Company <br /> Address: PO Box 7654 <br /> Chicago, IL 60680-4654 <br /> Phone Number: 800-618-6435 <br /> Policy or Group Number: 146133WO01 <br /> Policy Year: January— December <br /> i <br /> i <br /> 4 <br /> ©2012 Hitesman&Wold, P.A. 49 City of Elk River <br /> Flexible Benefits Plan <br />