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Summary of New Plan Sponsors and Important Information - page 2 / 5

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Summary of New Plan Sponsors continued

Plan Sponsor AEGON (HSA) AEGON (HRA) Cummins (HSA)

Rx Group # RXAEGCO RXAEGCO CUMMINS

ID number format 12 alphanumeric characters 12 alphanumeric characters 12 alphanumeric digits

# of lives 7250 3,500 11,000

RxBIN: PCN:

610084 PRODUR1

Plan Sponsor CHCDE Medicaid (Diamond)

Rx Group # CVTYMDM

ID number format 11 numeric digits

# of lives 8,200

RxBIN:

AEGON USA LLC.

610056

Geographic area Nationwide Nationwide

Nationwide (esp. IA, WI, TN)

Geographic area Maryland

Sample Prescription Identification Cards RxBIN: 610014

Ball State University

BCBSM – State of Michigan

Blue Care Network of Michigan

BlueCaid of Michigan)

Coventry Health Care plans

See the posted Coventry communication at www.medco.com/rph

Cummins

Cummins (HRA)

Fidelity Investments FMR LLC

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