| Sponsor | Loc | Premium | Comp | Carrier |
|---|---|---|---|---|
| SHELBY GRAVEL, INC. D/B/A SHELBY MATERIALS SHELBY MATERIALS EMPLOYEE MEDICAL BENEFIT PLAN | IN | $111K | $20K | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| CITY OPTICAL COMPANY INC. CITY OPTICAL COMPANY INC. MEDICAL PLAN | IN | $94K | $14K | GUARDIAN LIFE INSURANCE COMPANY |