| Sponsor | Loc | Premium | Comp | Carrier |
|---|---|---|---|---|
| CENTRIA HEALTHCARE LLC CENTRIA HEALTHCARE LLC | MI | $10.2M | $453K | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| SAM DONG, INC. SAM DONG, INC. WELFARE BENEFITS PLAN | TN | $3.0M | $159K | BLUECROSS BLUESHIELD OF TENNESSEE, INC |
| EAST FORK POTTERY, LLC EAST FORK POTTERY EMPLOYEE BENEFITS PLAN | NC | $685K | $50K | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA |