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5.3. ERMUSR 02-09-2010
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5.3. ERMUSR 02-09-2010
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2/5/2010 4:08:14 PM
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City Government
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ERMUSR
date
2/9/2010
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EXHIBIT A <br />Insurance Carrier /Third Party Provider Information <br />(as of January 1, 2010) <br />Elk River Municipal Utilities Flexible Benefits Plan <br />Elk River Municipal Utilities Medical Expense Reimbursement Plan <br />Elk River Municipal Utilities Dependent Care Expense Reimbursement Plan <br />Claims Administrator Name: Elk River Municipal Utilities <br />Address: 13069 Orono Parkway <br />Elk River, MN 55330 <br />Phone Number: 763-441-2020 <br />Elk River Municipal Utilities Group Medical Benefits <br />Carrier Name: BlueCross BlueShield of Minnesota <br />Address: P.O. Box 64338 <br /> St. Paul, MN 55164 <br />Phone Number: 651-662-5517 <br />Group Number: GA175 <br />Policy Year: January through December <br />* Group Medical Benefits are obtained through Resource Training & Solutions and the City, <br />County and Other Governmental Agencies ("CCOGA") Health Insurance Pool. <br />Elk River Municipal Utilities Group Dental Benefits <br />Carrier Name: Assurant Employee Benefits <br />Address: P.O. Box 842573 <br /> Kansas City, MO 64184-2573 <br />Phone Number: 800-733-7879 <br />Group Number: 5299207 <br />Policy Year: January 1 through December 31 <br />GP:2722532 v2 <br />44 <br />
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