| Uaw Retiree Medical Benefits Trust | 90-0424876 | 1 | 2013 | Claims Administration | $148,513,053 |
| 3M Employees Welfare Benefits Association | 36-3604792 | 1 | 2013 | Process Medical Claims | $12,350,431 |
| Health and Welfare Trust Local No 743 | 36-6076696 | 2 | 2013 | Health Care Provider | $9,445,035 |
| National Automatic Sprinkler Industry Welfare Fund | 53-0215881 | 1 | 2013 | Claims Processing | $6,168,485 |
| Teamsters Western Region and New Jersey Health Care Fund | 86-6052021 | 1 | 2013 | Cost Containment Fees | $3,892,290 |
| Youth Co-Op Inc. | 23-7320351 | 1 | 2013 | Health Insurance | $3,381,093 |
| Daimler Trucks Na LLC | 93-1092580 | 1 | 2013 | Contract Administrator | $3,348,779 |
| Central States Joint Board Health and Welfare Trust Fund | 36-2376645 | 1 | 2013 | Network Administration | $3,239,479 |
| 3 M Employees Welfare Benefits Association Trust I | 41-1294448 | 1 | 2013 | Process Medical Claims | $2,822,345 |
| U F C W Unions & Employers Midwest Health Benefits Fund | 36-2440523 | 1 | 2013 | Ppo Provider | $2,672,998 |
| Operating Engineers' Local 324 Health Care Plan | 38-1940673 | 1 | 2014 | Claims Processing | $2,621,708 |
| Midwest Operating Engineers Welfare Fund | 36-6109395 | 1 | 2013 | Health Care Mgmt | $2,484,106 |
| Automobile Mechanics' Local No 701 Union and Industry Welfare | 36-2331071 | 1 | 2013 | Claims Administrative Services | $2,470,494 |
| Health and Welfare Trust Fund Local 103 Ibew | 04-6063733 | 1 | 2013 | Health Claims Administration | $2,113,816 |
| Jefferson County Committee for Economic Opportunity | 63-0505899 | 1 | 2013 | Insurance | $2,113,437 |
| Sheet Metal Workers Local Union No 17 Insurance Fund | 04-2088633 | 2 | 2013 | Health Claims Administration | $2,048,276 |
| Construction Industry Laborers Welfare Fund | 44-0568755 | 1 | 2013 | Preferred Provider Org | $1,972,596 |
| Workers Federal Credit Union Fka | 04-2079901 | 1 | 2013 | insurance | $1,809,968 |
| Teamsters Local 727 Health and Welfare | 36-6069119 | 1 | 2013 | Claims Access Fees | $1,732,729 |
| Daimler Trucks Na LLC Employee Benefit Basic Trust | 94-3067499 | 1 | 2013 | Contract Administrator | $1,720,140 |
| Firstline Schools Inc. | 72-1409800 | 1 | 2014 | Benefits | $1,649,449 |
| Michigan Carpenters Council Health & Welfare Fund | 38-6058383 | 1 | 2014 | Claims Admin | $1,560,554 |
| Mo-Kan Sheet Metal Workers Welfare Fund | 44-0567087 | 1 | 2013 | Claims Admin & Repricing | $1,489,307 |
| The Benjamin Private School Inc | 59-1536502 | 1 | 2013 | Insurance | $1,421,156 |
| Suburban Teamsters of Northern Illinois Welfare Fund | 36-6158494 | 1 | 2013 | Ppo Network Provider | $1,414,266 |
| Sheet Metal Workers Local 73 Welfare Fund | 36-2145881 | 1 | 2013 | Ppo Provider | $1,391,680 |
| Louisiana Organ Procurement Agency | 72-1110932 | 1 | 2013 | Medical Insurance | $1,378,146 |
| MID Florida Community Services Inc. | 59-1235202 | 1 | 2013 | Insurance | $1,327,883 |
| Three Angels Broadcasting Network Inc. | 37-1179056 | 1 | 2013 | Healthcare Cost | $1,308,842 |
| Mercy Restorative Care Hospital Inc. | 75-3054855 | 1 | 2013 | Health Care Insurance | $1,293,467 |
| Iron Workers Local 25 Health Care Trust | 38-6216995 | 1 | 2014 | Claims Services | $1,194,276 |
| Jessie Trice Community Health System Inc. | 59-1235617 | 1 | 2013 | Healthcare | $1,137,359 |
| Teamsters Local 170 Health and Welfare Fund | 04-2219623 | 1 | 2013 | Claims Admin | $900,400 |
| International Brotherhood of Eletrl Workers Hlth & Wlfr Fnd Local 124 | 44-0569165 | 1 | 2013 | Administrative Services | $856,844 |
| Private Scavengers Health & Welfare Fund 731 I B of T | 36-2392752 | 1 | 2013 | Ppo Provider | $832,277 |
| Christian Retirement Homes Inc. | 47-6041813 | 1 | 2013 | Insurance | $827,357 |
| Massachusetts Bricklayers and Masons Health & Welfare Fund | 04-2145367 | 1 | 2013 | Healthcare And Stop Loss Insurance | $809,084 |
| Corn Belt Energy Corporation | 37-0228808 | 1 | 2013 | Health Insurance | $797,413 |
| Family Resource Center of South Florida Inc. | 59-1788265 | 1 | 2014 | Health Insurance | $785,100 |
| Lakeview Christian Home of the Southwest Inc. | 85-0160614 | 1 | 2013 | Housekeeping | $775,193 |
| York University | 47-0418641 | 1 | 2013 | Insurance | $757,678 |
| Texas Carpenters and Millwrights Health & Welfare Fund | 74-6075997 | 1 | 2013 | Claims Processing | $746,016 |
| Louisiana Carpenters Regional Council Health Benefit Trust Fund | 72-0683822 | 1 | 2013 | Administrative | $728,889 |
| Chicago Painters and Decorators Welfare Fund | 51-0245220 | 1 | 2013 | Health Care Provider | $727,431 |
| Administrative District Council 1 Welfare Fund | 36-2150067 | 1 | 2013 | Ppo Provider | $710,528 |
| Ibew Electrial Workers General Welfare Fund | 36-2951116 | 1 | 2013 | Ppo Access Fees | $709,983 |
| Teamsters Local 653 Welfare Fund | 04-2149479 | 1 | 2013 | Claims Admin | $695,007 |
| Fox Valley Laborers Health & Welfare Fnd | 36-6219639 | 1 | 2013 | Ppo Access Fees | $650,351 |
| Daimler Trucks Na LLC | 93-0886584 | 1 | 2013 | Contract Administrator | $573,099 |
| Wishek Hospital Clinic Association | 45-0358986 | 1 | 2013 | Health Insurance | $567,887 |
| Eugenio Maria De Hostos Charter School | 16-1588384 | 1 | 2013 | Insurance Provider | $566,571 |
| Trustees of Liquor & Allied Worker Union Local 3 Health and Welfare Sales | 36-3265979 | 1 | 2013 | Provider Network | $566,464 |
| Garage Attendants Linen and Laundry Health & Welfare Fund Local 731 Ibt | 36-6073849 | 1 | 2013 | Ppo Provider | $543,829 |
| Ufcw L1546 Food Handlers Welfare Fund C/O Zenith American Solutions | 36-2365968 | 1 | 2013 | Ppo Provider | $541,212 |
| Fabricutinc Employee Benefit Trust | 73-1219902 | 3 | 2019 | Third Party Adm | $539,908 |
| Family Health Care Clinic Inc. | 64-0877375 | 1 | 2013 | Group Insurance | $531,223 |
| Cement Masons Institute Local 502 Welfare Trust Fund | 36-2196729 | 1 | 2013 | Ppo Provider | $470,482 |
| Linton Hospital | 45-0253272 | 1 | 2013 | Health Insurance | $468,214 |
| United Food & Comm Workers Calumet Region Insurance Fund | 35-1065816 | 1 | 2013 | Ppo Provider | $458,462 |
| Glazing Employers & Glaziers Union Local No 27 Health and Welfare Fund | 36-6126628 | 1 | 2013 | Health Care Provider | $458,237 |
| Will County Local 174 Carpenters Welfare Fund | 36-2443112 | 1 | 2013 | Ppo Access Fees | $456,652 |
| Afof L - Agc Building Trades | 63-0327100 | 1 | 2013 | Insurance Provider | $452,633 |
| Leyden Family Service and Mental Health Center | 36-2235147 | 1 | 2013 | Health Insurance | $446,385 |
| Ironworkers Tri-State Welfare Plan | 36-6599036 | 1 | 2013 | Claims Processor | $438,726 |
| Daimler Trucks Na LLC Uaw Employee Benefit Supplemental Trust | 93-1092582 | 1 | 2013 | Contract Administrator | $426,031 |
| Local 734 Welfare Fund | 36-2272414 | 1 | 2013 | Ppo Network Provider | $402,197 |
| Tennessee Baptist Adult Homes Inc. | 62-0934533 | 1 | 2013 | Employee Health Insurance | $384,084 |
| Mountain Vista Health Park Inc. | 56-1255030 | 1 | 2013 | Group Medical Insurance | $378,164 |
| Sheet Metal Workers LCL 265 Welfare Fund | 36-2356062 | 1 | 2013 | Ppo Access Fees | $376,816 |
| Chicago Area Ib of T Health and Welfare Trust Fund | 36-2187389 | 1 | 2013 | Ppo Provider | $369,590 |
| Youville House Inc. | 04-3239593 | 1 | 2013 | Health And Dental Insurance | $332,968 |
| Chicago Area Jt Welfare Comm for the Pointing Cleaning Caulking Ind | 36-2344463 | 1 | 2013 | 3rd Party Administrator | $329,763 |
| Youville Place Inc. | 04-3297834 | 1 | 2013 | Health And Dental Insurance | $322,629 |
| Excavating Grading and Asphalt Craft 731 Health and Welfare Fund | 36-6073848 | 1 | 2013 | Ppo Provider | $312,462 |
| Chicago Graphic Arts Health and Welfare Fund | 36-2125291 | 1 | 2013 | Medical Ppo Provider | $309,847 |
| International Brthood of Electrical Workers Welfare Fund Local 728 | 59-6134297 | 1 | 2013 | Ppo Provider | $302,837 |
| Pipe Fitters Local Union 430 Health and Welfare Fund | 73-0776131 | 1 | 2013 | In-network Claims Processing | $277,651 |
| Twin Valley Electric Cooperative Inc | 48-0506619 | 1 | 2013 | Medical Insurance | $268,802 |
| East Texas Community Health Services Inc. | 75-2184369 | 1 | 2013 | Healthcare Provider | $267,906 |
| Daimler Trucks Na LLC Union Employee Benefit Supplemental Trust #2 | 93-1098095 | 1 | 2013 | Contract Administrator | $261,927 |
| Ex Students Association of The | 74-1109640 | 1 | 2013 | Insurance | $257,568 |
| Liquor & Allied Workers Local 3 Health & Welfare | 36-2947574 | 1 | 2013 | Provider Network | $244,430 |
| Athens Community Council on Aging Inc. | 58-0977680 | 1 | 2013 | Health insurance | $242,939 |
| St Jeans Credit Union | 04-1801520 | 1 | 2013 | Health Insurance | $241,421 |
| Bsds Inc. | 43-1851910 | 1 | 2013 | Insurance | $230,251 |
| Co Op Credit Union of Montevideo | 41-0693272 | 1 | 2013 | Health Insurance Provider | $218,375 |
| St. Hope Foundation Inc. | 76-0622487 | 1 | 2013 | Insurance | $195,532 |
| Center for Human Genetics Inc. | 04-3154223 | 1 | 2013 | Health Insurance | $192,605 |
| Daimler Trucks Na LLC Portland Shop Employee Benefit Trust | 93-1207916 | 1 | 2013 | Contract Administrator | $190,228 |
| Mary Crane League | 36-2195475 | 1 | 2013 | Insurance | $189,991 |
| Oklahoma Operating Engineers Welfare Plan | 73-0790052 | 1 | 2013 | Access Fee/Admin | $189,813 |
| Community Healthcare Connections | 20-2717744 | 1 | 2013 | Health Insurance | $183,292 |
| Plumbers & Pipefitters Local 23 Ua | 36-6110305 | 1 | 2013 | Ppo Provider | $178,598 |
| Georgia Mountains Hospice Inc. | 58-2051326 | 1 | 2013 | Health insurance | $156,915 |
| Arkansas Pipe Trades Health and Welfare | 71-6076840 | 1 | 2013 | Administrative | $156,096 |
| Southwest 66 Credit Union | 75-0815084 | 1 | 2013 | Health insurance | $145,408 |
| MID-South Iron Workers Welfare Fund | 73-6104291 | 1 | 2013 | PPO/Access Fees | $131,250 |
| Senior Life Midland Inc. | 75-1899190 | 1 | 2013 | Health insurance for employees | $108,641 |
| Plumbers & Steamfitters Local 106 Health and Welfare Fund | 72-0545875 | 1 | 2014 | Administrative | $106,978 |
| Asian Human Services Family Health Center Inc. | 01-0567661 | 1 | 2013 | Healthcare insurance | $104,627 |