| Sponsor | Loc | Premium | Comp | Carrier |
|---|---|---|---|---|
| MEXI-GRILL, LLC JAVIER'S HEALTH BENEFITS PLAN | CA | $2.2M | $123K | KAISER FOUNDATION HEALTH PLAN INC. |
| COUNTRY MUTUAL INSURANCE COMPANY COUNTRY MUTUAL/COTTON STATES/MIDDLESEX RETIREE MEDICAL BENEFIT PLAN | IL | $88K | $12K | BLUE CROSS BLUE SHIELD OF ILLINOIS |