| Baystate Health Systems Inc Health & Welfare Benefits Plan | 22-2531644 | 1 | 2013 | Claims payments/admin fees | $6,605,488 |
| California'S Valued Trust | 77-6009955 | 1 | 2013 | Claims admin service | $3,486,080 |
| 3M Employees Welfare Benefits Association | 36-3604792 | 1 | 2013 | Process Medical Claims | $1,172,031 |
| Massachusetts Public Employees Health and Welfare Fund | 22-2618894 | 1 | 2013 | Dental Administration | $1,160,417 |
| Carpenters Health and Welfare Trust Fund for Northern California | 94-1234856 | 1 | 2013 | Claims Administration | $1,081,089 |
| Laborers Health & Welfare Trust Fund for Northern California | 94-1235152 | 1 | 2013 | Claims Administration | $990,422 |
| San Francisco Culinary Bartenders & Service Employees Welfare Fund | 94-1645611 | 2 | 2024 | Claims Administratio • Claims Administrator | $815,278 |
| Rocky Mountain Human Services | 84-1182143 | 1 | 2013 | Professional Services | $666,267 |
| 3 M Employees Welfare Benefits Association Trust I | 41-1294448 | 1 | 2013 | Process Dental Claims | $528,323 |
| National Automatic Sprinkler Industry Welfare Fund | 53-0215881 | 1 | 2013 | Dental Claims Processing | $483,650 |
| North Atlantic States Carpenters Health Benefits Fund | 04-2191579 | 1 | 2013 | Administrator Of Benefits | $457,295 |
| Indianakentuckyohio Regional Council of Carpenters Welfare Fund | 35-6042362 | 1 | 2013 | Claims Processi | $376,705 |
| Iowa Bankers Benefit Plan | 42-1122086 | 1 | 2013 | Claim Processing | $370,605 |
| Writers Guild - Industry Health Fund | 23-7108536 | 1 | 2013 | Hos/hth Care Benefit | $361,337 |
| Rocky Mountain Ufcw Unions & Employers Health Benefit Fund | 84-6044454 | 1 | 2013 | Benefit Admin Fees | $343,496 |
| National Iam Benefit Trust Fund | 36-6562520 | 1 | 2013 | Claims Processing | $317,576 |
| Operating Engineers' Local 324 Health Care Plan | 38-1940673 | 1 | 2014 | Claims Processing | $300,625 |
| District Council 16 of Northern California Health & Welfare Trust | 41-2261950 | 1 | 2013 | Benefits Administration | $294,353 |
| Automotive Industries Welfare Fund | 94-6078226 | 1 | 2013 | Dental Claims Processing | $272,041 |
| Stationary Engineers Local 39 Health and Welfare Plan | 94-6171641 | 1 | 2013 | Claims Administration Fees | $239,552 |
| Indiana Laborers Welfare Fund | 35-0923209 | 1 | 2013 | Den Claims Proc | $233,020 |
| San Diego Electrical Health and Welfare Trust | 95-6035916 | 1 | 2013 | Claims Administration | $226,413 |
| Carpenters and Joiners Welfare Fund | 41-6024791 | 1 | 2013 | Claims Processor | $211,855 |
| Electrical Workers Health and Welfare Trust Fund for San Francisco | 94-6061762 | 1 | 2013 | Administration | $210,714 |
| Cambridge Public Employees Dental and Vision Fund | 04-2762048 | 1 | 2013 | Benefit Administration | $204,575 |
| MM&P Health & Benefit Fund | 13-5565128 | 1 | 2013 | Dental Claims Processing | $199,879 |
| Ibew 292 Health Care Plan | 41-1384754 | 1 | 2014 | Claims Netwrk Access | $163,764 |
| Consolidated Electrical Distributors Inc Health and Welfare Benefit Plan | 95-6803513 | 1 | 2013 | Administration | $160,919 |
| Iuoe Local 4 Health & Welfare Plan | 04-6040880 | 1 | 2013 | Dental | $157,642 |
| U a Local 393 Health & Welfare Trust | 94-6401544 | 1 | 2013 | Claims Administrator | $147,982 |
| New England Health Care Employees Welfare Fund | 06-1188411 | 1 | 2013 | 3rd Party Administra | $147,103 |
| Minneapolis Retail Meat Cutters and Food Handlers Health and Welfare Fund | 41-0905139 | 1 | 2014 | Benefit Admin Fees | $145,112 |
| Sheet Metal Workers Local 73 Welfare Fund | 36-2145881 | 1 | 2013 | Dental Provider | $133,327 |
| Seiu Health and Welfare Fund | 52-0904354 | 1 | 2013 | Administration | $125,161 |
| Pipe Trades District Council #36 Health and Welfare Trust Fund | 94-6082955 | 1 | 2013 | Administration | $124,001 |
| Sheet Metal Workers Health Fund of Local Union No 19 | 23-1324693 | 1 | 2013 | Administrative Fees | $119,366 |
| Ua Local 467 Health and Welfare Trust Fund | 94-6415220 | 1 | 2013 | Claims Administration | $114,113 |
| Plumbers' & Pipefitters' Welfare Educational Fund | 43-0657966 | 1 | 2013 | Dental | $113,630 |
| Painters District Council No 35 Health Benefits Fund | 04-2150983 | 1 | 2013 | Claims Processing | $112,648 |
| Cement Masons Health & Welfare Fund for Northern California | 94-1291152 | 1 | 2013 | Claims Administrator | $112,404 |
| International Union of Operating Engineers & Pipeline H&W Fund | 23-7134462 | 1 | 2013 | Claims Processing | $110,381 |
| Massachusetts Bricklayers and Masons Health & Welfare Fund | 04-2145367 | 1 | 2013 | Dental Care | $104,638 |
