| Company | COMPREHENSIVE CASUALTY INSURANCE, INC. |
|---|---|
| Address | P.O. Box 427, INDPLS, IN, 46206 - 0427, USA |
| Title | Secretary |
| Company | STRATEGIC EMPLOYEE BENEFIT SERVICES OF INDIANA, LLC |
|---|---|
| Address | 111 MONUMENT CIRCLE, SUITE 3800, , INDIANAPOLIS, IN, 46204 - 2030, USA |
| Title | Agent |