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1 Employer Name Current TPA Group # Benefit, Eligibility Questions Precertification Information Claims Submission / Electronic Payer ID Claims Submission / Mailing Address Provider / EOB Info Claims Status Areas Employer Effective Date Employee Count Current Network Network Effective Date City of the Employer Notes Jack Walters & Sons Corporation SISCO ext Allenton, Hartford, Slinger, West Bend 7/1/ HPS Solutions/HEOS 7/1/2013 Allenton Karl's Transport Inc. Auxiant K896 (800) (866) Anigo, Wausau 7/1/ HPS/HEOS 7/1/2009 Antigo AZCO Inc. Cypress P or Appleton, Neenah, Menasha, Greenville 1/1/ HPS Solutions/Trilogy 1/1/2014 Appleton Contract Converting LLC Cypress S or Greenville, Appleton 1/1/ HPS Solutions/Trilogy 1/1/2015 Appleton Cypress Benefit Cypress CYPRESS or Appleton, Neenah, Menasha, Greenville 5/1/ HPS/Trilogy 8/1/2013 Appleton Orthopedic & Sports Institute of the Fox Valley Cypress S or Appleton, Neenah, Menasha 1/1/ HPS Solutions/Trilogy 1/1/2015 Appleton Surface Mount Technology Corporation Cypress S or Appleton, Neenah, Menasha 11/1/ HPS Solutions/Trilogy 11/1/2014 Appleton ThedaCare, Inc. Meritain Appleton, Neenah, Menasha, Greenville 1/1/ ThedaCareACO/Trilogy/HEOS 1/1/2015 Appleton A. to Z. Machine Auxiant A1010 (800) (866) Appleton, Neenah, Menasha 9/1/ HPS Solutions/Trilogy 9/1/2015 Appleton United Construction and Realty, Inc. Auxiant U784 (800) (866) Appleton, Menasha, Neenah 1/1/ HPS Solutions/HEOS 1/1/2012 Appleton YMCA of the Fox Cities Prairie States YMC or or Appleton, Menasha, Neenah 7/1/ HPS/HEOS 3/30/2012 Appleton Accelerated Genetics (Tri-State Breeders Cooperative dba) SISCO ext Baraboo, Westby, Portage 2/1/ HPS Solutions/HEOS 2/1/2013 Baraboo Good Karma Broadcasting, L.L.C. Auxiant G982 (800) (866) Beaver Dam 11/1/ HPS Solutions/Trilogy 11/1/2013 Beaver Dam White Construction Co., Inc. EBSO E Beaver Dam,Horicon, Mayville, Waupun 9/1/ HPS Solutions/Trilogy 9/1/2013 Beaver Dam Group change in funding & New Group ID No. Ripon Awardjackets, Inc. EBSO M Berlin, Ripon 5/1/ FABOH/HPS Solutions/Trilogy 10/1/2015 Berlin A. J. Manufacturing, Inc. Auxiant A980 (800) (866) Milwaukee 8/1/ HPS Solutions/HEOS 8/1/2013 Bloomer Great Midwest Bank, SSB Auxiant G780 (800) (866) Brookfield, Madison, Chilton, Appleton 5/1/ HPS Solutions/HEOS 11/1/2012 Brookfield City of Burlington Auxiant B918 (800) (866) Burlington 1/1/ HPS Solutions/Trilogy 1/1/2012 Burlington City of Fond Du Lac Auxiant F1013 (800) (866) Fond du Lac 1/1/ FABOH Advantage/HPS Solutions/Trilogy/ HEOS 1/1/2016 Fond du Lac R&B Wagner Company, Inc. Auxiant R974 (800) (866) Brown Deer, Milwaukee 7/1/ HPS Solutions/Trilogy 7/1/2011 Butler Willman Industries, Inc. Auxiant W883 (800) (866) Cedar Grove 1/1/ HPS Solutions/Trilogy 5/1/2012 Cedar Grove Wisconsin and Southern Railroad Auxiant W808 (800) (866) Milwaukee, Janesville, Horicon, Madison 1/1/ HPS Solutions/HEOS 1/1/2013 Chicago infinity Machine & Engineering Corporation Auxiant E944-1 (800) (866) Friendship/Wautoma 9/1/ HPS/HEOS 9/1/2010 Cornell Service Motor Company, Inc. Cypress C or Wausau, Stevens Point, Green Bay, Appleton, Fond du Lac 1/1/ HPS Solutions/Trilogy/HEOS 1/1/2012 Dale Hillcrest Lumber, Inc Auxiant 2631 (800) (866) Green Bay, De Pere, Ashwaubenon 9/1/ HPS Solutions/Trilogy 9/1/2015 De Pere Infinity Machine & Engineering Corporation Ashwaubenon, Green Bay 7/1/ HPS Solutions/Trilogy 7/1/2014 De Pere The Premonstratensian Fathers Green Bay, De Pere 1/1/ HPS Solutions/Trilogy 7/1/2013 De Pere St. John's Military Academy EBSO Delafield, Oconomowoc, Hartland 7/1/ HPS Solutions/Trilogy 7/1/2011 Delafield TTI Trucking,Inc. Cypress C or Eden 10/1/ FABOH/HPS Solutions/HEOS 9/1/2014 Eden Plyco Corporation Auxiant P886 (800) (866) Elkhart Lake 1/1/ HPS/HEOS 1/1/2009 Elkhart Lake Walworth County Auxiant W262 (800) (866) Elkhorn, Delavan, Whitewater, Lake Geneva 11/1/ HPS Solutions/HEOS 11/1/2012 Elkhorn General Beverage Auxiant G751 (800) (866) Madison, Oshkosh, Green Bay 9/1/ HPS Solutions/Trilogy/HEOS 10/1/2012 Fitchburg Tri-North Builders, Inc. Auxiant T996 (800) (866) Fitchburg, Madison 1/1/ HPS Solutions/Trilogy/HEOS 10/1/2015 Fitchburg BCI Burke Company, LLC Cypress Y or Fond du Lac 12/1/ FABOH/HPS Solutions/Trilogy 3/1/2017 Fond du Lac FABOH/ 3/1/2017 Buechel Stone Corporation Auxiant B1003 (800) (866) Fond du Lac 11/1/ FABOH/HPS Solutions/Trilogy 11/1/2014 Fond du Lac Mid-States Aluminum Prairie States MSA or or Fond du Lac 1/1/ FABOH/HPS Solutions/Trilogy 8/1/2014 Fond du Lac Silica Cypress C or Fond du Lac, Oshkosh 6/1/ HPS Solutions 5/1/2015 Fond du Lac Diversatek, Inc. Auxiant D866 (800) (866) Germantown, Milwaukee 6/1/ HPS Solutions/Trilogy 6/1/2013 Germantown Village of Germantown Auxiant G976 (800) (866) Germantown 1/1/ HPS Solutions/Trilogy 1/1/2013 Germantown Banner Welder Inc Auxiant B940 (800) (866) Germantown, Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2012 Germantwon Advanced Manufacturing Technologies, Inc. EBSO M Grafton 5/1/ HPS Solutions/Trilogy 5/1/2012 Grafton Ashwaubenon School District Ashwaubenon, Green Bay 7/1/ HPS Solutions Plus+/Trilogy 7/1/2016 Green Bay AWS-GB CORPORATION SISCO O Green Bay, De Pere 2/1/ HPS Solutions/Trilogy 1/1/2013 Green Bay Bay Towel, Inc. Cypress C or Green Bay, De Pere 5/1/ HPS/Trilogy 5/1/2011 Green Bay Castle Sales Co. Inc Cypress Y or Green Bay, De Pere 1/1/ HPS/HEOS 1/1/2010 Green Bay Essco Inc Auxiant E892 (800) (866) Green Bay 1/1/ HPS/Trilogy 9/1/2011 Green Bay Fabio Perini North America Inc Cypress Y or De Pere, Green Bay 1/1/ HPS Solutions/Trilogy Green Bay Fairchild Equipment, Inc. Prairie States FCE Green Bay, De Pere 10/1/ HPS Solutions/HEOS & HPS Solutions/Trilogy 9/1/2015 Green Bay Halron Lubricants Inc Cypress or De Pere, Green Bay 4/1/ HPS/Trilogy 7/1/2012 Green bay

2 Kadant Grantek Cypress C or Kitchen Fresh Foods Auxiant K924 (800) (866) Northern Metal and Roofing Co., Inc (800) (877) Pepsi Cola of Northeast Wisconsin Pomp's Tire Service, Inc. Auxiant P628 (800) (866) Village of Ashwaubenon Freight, Lime and Sand Hauling dba Flash Auxiant F572 (800) (866) PyraMax Bank Auxiant P814 (800) (866) Mantz Automation, Inc. Auxiant M965 (800) (866) Wendorff Bros. fka Steel-Craft Corp of Hartford Prairie States SCC or or JTS Direct, LLC Prairie States JTS or or X-Cel Tooling, Inc. EBSO M Cost of Wisconsin Inc Auxiant C904 (800) (866) Mastermold, LLC Auxiant M874 (800) (866) Mark's Transportation Auxiant M943 (800) (866) Crane Engineering Cypress Y or J.F. Brennan Company, Inc.; Brennan Marine, Inc. Auxiant J954 (800) (866) Scott Construction, Inc Auxiant S879 (800) City of Lake Geneva SISCO ext Primex Inc. Auxiant P917 (800) (866) Riverside Electronics 8248 (800) (800) D & S Machine Service, Inc. Auxiant D978 (800) (866) Care Wisconsin First, Inc SISCO ext Central Storage & Warehouse Company CSM Companies, Inc. Auxiant C876 (800) (866) Cher Make Sausage Company Auxiant C908 (800) (866) Manitowoc County Auxiant M969 (800) (866) Manitowoc Public Utilities Auxiant M614-1 (800) (866) Manitowoc Tool & Machining, LLC Auxiant M742 (800) (866) Northern Labs Prairie States NLA or or Shady Lane, Inc. Cypress P or St. Mary's Home for the Aged Auxiant S960 (800) (866) Farmers & Merchants Bank & Trust RuMar Mfg Corp Prairie States RMR or or Gunderson Group Auxiant G869 (800) (866) Midwest Contract Operations, Inc. aka MCO Cypress S or Glenroy Inc Auxiant G757 (800) (866) Mantel Machine Products, Inc. EBSO M Scan-Pac Mfg. Inc Auxiant S855 (800) (866) Carpenter Brothers Acro Automation Systems, Inc. Auxiant A932 (800) (866) American State Equipment Auxiant A792 (800) (866) Apple Steel Rule Die Auxiant A587 (800) (866) Bell Ambulance Prairie States BAM or or CableCom, LLC Exceedent EX GI Associates Prairie States GRA or or Kahler Slater Inc Prairie States KSL or or Krueger Bearings, Inc Lakeside International Trucks SISCO ext Metropolitan Associates Auxiant M929 (800) (866) Green Bay, De Pere 12/1/ HPS/Trilogy 1/1/2012 Green Bay Green Bay, Madison, Milwaukee 5/1/ HPS/Trilogy/HEOS 2/1/2013 Green Bay Green Bay 4/1/ HPS Solutions/Trilogy 4/1/2013 Green Bay Green Bay, De Pere 8/1/ HPS Solutions/Trilogy 8/1/2013 Green Bay Green Bay 1/1/ HPS Solutions/Trilogy/HEOS 1/1/2013 Green Bay Green Bay, De Pere 7/1/ HPS Solutions/Trilogy 7/1/2011 Green Bay Appleton 10/1/ FABOH/HPS Solutions/HEOS 10/1/2010 Green Lake Greenfield, Milwaukee, Franklin, West Allis, 12/1/ HPS Solutions/Trilogy 1/1/2012 Greenfield Waukesha, Mukwonago Hartford, Fond du Lac 5/1/ HPS Solutions/Trilogy 3/1/2012 Hartford Hartford, Milwaukee 9/1/ HPS Solutions/Trilogy 6/1/2013 Hartford Hartland, Waukesha, Oconomowoc, Sussex 1/1/ HPS Solutions/Trilogy 1/1/2015 Hartland Iron Ridge, Horicon, Mayville, Beaver Dam, Hartford 10/1/ HPS Solutions/Trilogy 10/1/2011 Iron Ridge Jackson 1/1/ HPS Solutions/Trilogy 1/1/2013 Jackson Johnson Creek, Watertown 8/1/ HPS Solutions/HEOS 8/1/2014 Johnson Creek Junction City, Mosinee, Stevens Point, Wausau 4/1/ HPS/HEOS 4/1/2010 Junction City Appleton, Neenah, Menasha, Greenville 1/1/ HPS/Trilogy/HEOS 1/1/2011 Kimberly La Crosse 4/1/ HPS Solutions/HEOS 4/1/2013 La Crosse Network change adding HPS Solutions Lake Delton, Wisconsin Dells 9/1/ HPS Solutions/Trilogy & HPS Solutions/HEOS 2/1/2017 Lake Delton HEOS 2/1/2017 Lake Geneva, Elkhorn, Delavan 7/1/ HPS Solutions/HEOS 7/1/2014 Lake Geneva Lake Geneva 1/1/ HPS Solutions/HEOS 1/1/2013 Lake Geneva La Crosse 7/1/ HPS Solutions 7/1/2015 Lewistown, MN Luxemburg, Green Bay 1/1/ HPS Solutions/Trilogy 1/1/2013 Luxemburg Madison 1/1/ HPS Solutions/HEOS 1/1/2015 Madison Madison 4/1/ HPS Solutions/HEOS 4/1/2013 Madison Wausau, Green Bay, Appleton 1/1/ HPS Solutions/HEOS 1/1/2012 Madison Manitowoc 4/1/ HPS/HEOS 4/1/2009 Manitowoc Manitowoc 1/1/ HPS Solutions/Trilogy 1/1/2012 Manitowoc Manitowoc 10/1/ HPS Solutions/Trilogy 1/1/2014 Manitowoc Manitowoc 6/1/ HPS/HEOS 6/1/2009 Manitowoc Manitowoc, Two Rivers 1/1/ HPS/Trilogy 1/1/2011 Manitowoc Manitowoc 3/1/ HPS/HEOS 3/1/2010 Manitowoc Manitowoc 1/1/ HPS/Trilogy 3/1/2012 Manitowoc Marinette, Menominee 1/1/ HPS Solutions/Trilogy 7/1/2013 Marinette Mayville, Horicon 1/1/ FABOH/HPS Solutions/HEOS 1/1/2015 Mayville Appleton, Menasha, Neenah 7/1/ HPS Solutions/HEOS 7/1/2012 Menasha Appleton, Neenah, Menasha 3/1/ HPS Solutions/Trilogy 3/1/2015 Menasha Menomonee Falls, Milwaukee 1/1/ HPS Solutions Plus+/Trilogy 1/1/2015 Menomonee Falls Menomonee Falls, Milwaukee 3/1/ HPS Solutions/Trilogy 11/1/2012 Menomonee Falls Menomonee Falls, Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2012 Menomonee Falls Milwaukee 3/1/ HPS Solutions/HEOS 3/1/2013 Mequon Milwaukee 10/1/ HPS Solutions/Trilogy 10/1/2012 Milwaukee Milwaukee, Little Chute, Wausau 4/1/ HPS Solutions/Trilogy/HEOS 4/1/2013 Milwaukee Milwaukee 1/1/ HPS Solutions/Trilogy 6/1/2013 Milwaukee Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2015 Milwaukee Milwaukee 6/1/ HPS Solutions/Trilogy 6/1/2016 Milwaukee Group change in TPA (previously EBSO) Miwaukee 1/1/ HPS Solutions/Trilogy 1/1/2015 Milwaukee Milwaukee 1/1/ HPS Solutions/Trilogy 6/1/2013 Milwaukee Milwaukee 2/1/ HPS Solutions/Trilogy 2/1/2014 Milwaukee Milwaukee, West Bend 9/1/ HPS Solutions/HEOS 9/1/2011 Milwaukee Network change from HPS Milwaukee 8/1/ HPS Solutions/HEOS Milwaukee Solutions/Trilogy to HPS Solutions/HEOS effective

3 Milwaukee Montessori School Prairie States WMM or or Milwaukee 12/1/ HPS Solutions/Trilogy 12/1/2012 Milwaukee Milwaukee Plating Company Cypress C Milwaukee 6/1/ HPS Solutions/HEOS 1/1/2015 Milwaukee Milwaukee Radiologists LTD Auxiant M964 (800) (866) Milwaukee 5/1/ HPS Solutions/Trilogy 5/1/2011 Milwaukee PFlow Industries, Inc. Cypress S or Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2014 Milwaukee Galloway Company Cypress C or Appleton, Neenah, Menasha, Greenville 1/1/ HPS Solutions/Trilogy 1/1/2012 Neenah McMahon Associates, Inc. Cypress C or Appleton, Neenah, Menasha 2/1/ HPS/Trilogy 1/1/2012 Neenah Menasha Corporation Cypress M or Neenah, Menasha, Green Lake, Oconomowoc, Hartford 4/1/ HPS Solutions/Trilogy 4/1/2012 Neenah Printron Engravers, Inc. SISCO ext Appleton, Neenah, Menasha 12/1/ HPS Solutions/Trilogy 12/1/2011 Neenah Midland Plastics Auxiant M905 (800) (866) Green Bay, New Berlin, Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2012 New Berlin M-B Companies, Inc. Auxiant M629 (800) (866) New Holstein 1/1/ HPS Solutions/HEOS 1/1/2013 New Holstein McAdams Graphics Auxiant M770 (800) (866) Oak Creek, Milwaukee, Franklin, 4/1/ HPS Solutions/Trilogy 1/1/2012 Oak Creek Rocky Rococo Corporation Prairie States RRC or or Oconomowoc, Hartland, Delafield 2/1/ HPS Solutions/Trilogy 2/1/2014 Oconomowoc T.I.C. Inc. Auxiant T957 (800) (866) Onalaska 1/1/ HPS/HEOS 1/1/2011 Onalaska Highview Custom Fabricating Cypress Y or Green Bay, De Pere, Ashwaubenon 3/1/ HPS Solutions/Trilogy 3/1/2015 Oneida Fox World Travel Cypress Y or Oshkosh 1/1/ HPS/Trilogy/HEOS 1/1/2013 Oshkosh Lee Beverage of Wisconsin, LLC Auxiant L928 (800) (866) Oshkosh 1/1/ HPS Solutions/Trilogy/HEOS 1/1/2013 Oshkosh Omni Glass & Paint, Inc Oshkosh 1/1/ HPS Solutions/Trilogy/HEOS 1/1/2015 Oshkosh SMC Metal Fabricators Auxiant S939 (800) (866) Oshkosh 1/1/ HPS Solutions/HEOS 1/1/2015 Oshkosh Dynex Rivett Inc. Cypress or Pewaukee 1/1/ HPS Solutions/Trilogy 1/1/2012 Pewaukee Ocenco, Inc Auxiant OO2462 (800) (866) Pleasant Prairie 5/1/ HPS/HEOS 5/1/2010 Pleasant Prairie City of Plymouth Prairie States PLY or or Plymouth, Sheboygan Falls, Sheboygan 10/1/ HPS/HEOS 10/1/2009 Plymouth Millennium Technologies Meritain Plymouth, Sheboygan Falls, Sheboygan 10/1/ HPS Solutions/Trilogy 10/1/2015 Plymouth Plymouth Foam Incorporated Auxiant P983 (800) (866) Plymouth, Sheboygan Falls, Sheboygan 1/1/ HPS Solutions/Trilogy 1/1/2014 Plymouth Plymouth Utilities Prairie States PLU or or Plymouth, Sheboygan Falls, Sheboygan 10/1/ HPS/HEOS 10/1/2009 Plymouth Van Horn Automotive Prairie States VAN or or Fond du Lac, Sheboygan, Plymouth 1/1/ FABOH/HPS Solutions/Trilogy 11/1/2014 Plymouth C.J.W., Inc. EBSO M Racine 1/1/ HPS Solutions/HEOS 1/1/2012 Racine Krier Foods, Inc. Auxiant K867 (800) (866) Random Lake, Sheboygan 6/1/ HPS Solutions/Trilogy 6/1/2013 Random Lake The Richland Hospital, Inc. SISCO Richland Center 1/1/ HPS/HEOS 1/1/2011 Richland Center Ripon Pickle Company, Inc. Auxiant R804 (800) (866) Ripon 1/1/ FABOH/HPS Solutions 10/1/2015 Ripon Baker Cheese Factory, Inc. EBSO M St. Cloud, Fond du Lac 1/1/ FABOH/HPS Solutions/Trilogy 11/1/2014 Saint Cloud Johnson Brass and Machine Foundry Inc Prairie States JBR or or Saukville, Port Washington, Grafton 1/1/ HPS Solutions/HEOS 1/1/2013 Saukville Shawano School District Auxiant S868 (800) (866) Shawano 7/1/ HPS Solutions/Trilogy 7/1/2014 Shawano Value Added Distributors LLC Prairie States VAD or or Shawano, Neenah, De Pere, Green Bay 1/1/ HPS/HEOS 1/1/2010 Shawano Lakeshore Display Mfg. Inc Auxiant L993 (800) (866) Germantown, Milwaukee 1/1/ HPS Solutions/HEOS 1/1/2014 Sheboygan RCS Empowers Prairie States RCS or or Sheboygan, Sheboygan Falls 8/1/ HPS/HEOS 8/1/2009 Sheboygan Sheboygan Board of Water Commissioners Prairie States CWU or or Sheboygan Falls, Sheboygan 7/1/ HPS Solutions/Trilogy 7/1/2013 Sheboygan Sheboygan Paper Box Co Prairie States SPB Sheboygan Falls, Sheboygan 2/1/ HPS Solutions/Trilogy 2/1/2015 Sheboygan City of Sheboygan Falls Prairie States CSF or or Plymouth, Sheboygan Falls, Sheboygan 5/1/ HPS Solutions/Trilogy 5/1/2013 Sheboygan Falls MBW Incorporated 319 or Slinger, Hartford 5/1/ HPS Solutions 5/1/2015 Slinger Multistack, LLC Allied A or Sparta, La Crosse, Tomah 3/1/ HPS Solutions/HEOS 3/1/2013 Sparta Boston Inc. Auxiant B956 (800) (866) Stevens Point, Green Bay, Plover, Appleton, Oshkosh, Wausau, Rhinelander, DePere 1/1/ HPS/HEOS 1/1/2011 Stevens Point Ortho Molecular Products SISCO ext ext Stevens Point, Green Bay, Plover, Appleton, Oshkosh, Wausau, Rhinelander, DePere 8/1/ HPS Solutions/HEOS 8/1/2015 Stevens Point County of Door Auxiant D897 (800) (866) Sturgeon Bay 2/1/ HPS Solutions/Trilogy 2/1/2013 Sturgeon Bay Door County Cooperative Cypress 0Y or Green Bay, Sturgeon Bay 11/1/ HPS/HEOS 11/1/2009 Sturgeon Bay Midwest Wire Products LLC Auxiant M875 (800) (866) Sturgeon Bay 10/1/ HPS Solutions/HEOS 10/1/2012 Sturgeon Bay N.E.W. Industries Inc. Auxiant N837 (800) (866) Sturgeon Bay 1/1/ HPS Solutions/Trilogy Sturgeon Bay Network change from HPS Trilogy to Beer Capitol Distributing Lake Country Auxiant W931 (800) (866) Sussex 9/1/ HPS Solutions/Trilogy 10/1/2012 Sussex Beer Capitol Distributing, Inc. Auxiant W931-1 (800) (866) Wauwatosa 12/1/ HPS Solutions/Trilogy 10/1/2012 Sussex Five Star Coatings Group, Inc. Allied A05117C or Kenosha 1/1/ HPS Solutions/Trilogy 1/1/2014 Twin Lakes Five Star Fabricating, Inc. Allied A or Kenosha 1/1/ HPS Solutions/Trilogy 1/1/2014 Twin Lakes

4 Miniature Precision Components Auxiant M933 (800) (866) Walworth, Delavan 1/1/ HPS Solutions/HEOS 1/1/2013 Walworth Trek Bicycle Corporation Auxiant T950 (800) (866) Waterloo 7/1/ HPS Solutions/HEOS 7/1/2014 Waterloo Griffin Automotive Group Prairie States GAT or or Miwaukee, Waukesha 10/1/ HPS Solutions/Trilogy 10/1/2012 Waukesha H.O. Bostrom Company Auxiant H858 (800) (866) Waukesha, New Berlin 1/1/ HPS Solutions/Trilogy 1/1/2012 Waukesha Marriott Construction Inc. Auxiant M833 (800) (866) Waukesha, New Berlin 9/1/ HPS Solutions/Trilogy 9/1/2012 Waukesha Marriott Drywall Material Inc. Auxiant M833-1 (800) (866) Waukesha, New Berlin 9/1/ HPS Solutions/Trilogy 9/1/2012 Waukesha Therm-Tech of Waukesha, Inc. Prairie States TTW or or Waukesha 9/1/ HPS Solutions/Trilogy 9/1/2013 Waukesha V&L Tool, LLC Auxiant V523 (800) (866) Waukesha 1/1/ HPS Solutions/Trilogy 1/1/2012 Waukesha Mallery & Zimmerman, SC Auxiant M946 (800) (866) Wausau 8/1/ HPS/HEOS 8/1/2010 Wausau Auxiant Auxiant 6100 (800) (866) Milwaukee 4/1/ HPS Solutions/HEOS 4/1/2017 Wauwatosa HPS Solutions/HEOS effective 4/1/2017 Agape of Appleton, Inc. Exceedent LF Appleton 79 HPS Solutions/Trilogy Appleton Clinicare, Corp. Auxiant C987 (800) (866) Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2014 West Allis Elliott's Ace Hardware Allied A or Milwaukee 3/1/ HPS Solutions/HEOS 3/1/2014 West Allis Symbiont Science, Engineering and Construction, Inc Auxiant S962 (800) (866) West Allis, Milwaukee 5/1/ HPS Solutions/Trilogy 5/1/2011 West Allis Washington County Auxiant W852 (800) (866) West Bend 7/1/ HPS Solutions Plus+/Trilogy 10/1/2014 West Bend Brakebush Brothers, Inc. EBSO Westfield 1/1/ HPS Solutions/HEOS 1/1/2014 Westfield School District of Weyauwega-Fremont Auxiant W864 (800) (866) Weyauwega 7/1/ HPS Solutions Plus Weywuwega Network change from HPS Solutions/Trilogy to HPS Solutions Plus effective Brooks Tractor SISCO ext ext Sun Prairie 12/1/ HPS Solutions/HEOS 12/1/2015 Sun Prairie Vollrath Prairie States VOL or or Sheboygan 1/1/ HPS Solutions/Trilogy 1/1/2016 Sheboygan The City of Fond Du Lac Auxiant F1013 (800) (866) Fond Du Lac 1/1/ FABOH/HPS Solutions/Trilogy /HEOS 1/1/2016 Fond du Lac St. Coletta of Wisconsin SISCO Fort Atkinson, Jefferson, Johnson Creek, 1/1/ HPS Solutions/Trilogy 1//1/2016 Jefferson DAAR Engineering Cypress S or Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2016 Milwaukee Fox Valley Tool & Die Auxiant F1016 (800) (866) Little Chute, Kaukauna, Appleton 1/1/ HPS Solutions/Trilogy 1/1/2016 Kaukauna Thern 8224 (800) (866) La Crosse 1/1/ HPS Solutions/HEOS 1/1/2016 Winona New Resources Companies Auxiant N1015 (800) (866) Milwaukee 1/1/ HPS Solutions/Trilogy 1/1/2016 Milwaukee Knight Barry Title, Inc Auxiant K1017 (800) (866) Milwaukee 1/1/ HPS Solutions / HEOS 1/1/2016 Milwaukee Fabick CAT Meritain Madison 1/1/ HPS Solutions / HEOS 1/1/2016 Madison H. J. Martin & Son, Inc. Cypress Y or Green Bay 1/1/ HPS Solutions/Trilogy Green Bay McClone Agency Prairie States MCL or or Menasha, Appleton 1/1/ HPS Solutions/HEOS & HPS Solutions/Trilogy 1/1/2016 Menasha National Packaging Services Corporation Auxiant N816 (800) (866) Green Bay 2/1/ HPS Solutions/Trilogy 2/1/2016 Green Bay Green Bay Radiology Prairie States GBR or or Green Bay 5/1/ HPS Solutions Plus+/Trilogy 5/1/2016 Green Bay Poblocki Paving Corporation Exceedent OR West Allis 6/1/ HPS Solutions/Trilogy 6/1/2016 West Allis Carew Concrete & Supply Co., Inc. Auxiant C795 (800) (866) Appleton 7/1/ HPS Solutions/HEOS 7/1/2016 Appleton Brillion Public Schools Prairie States BPA or or Brillion 7/1/ HPS Solutions/Trilogy 7/1/2016 Brillion Mercer School District Exceedent OR Mercer 9/1/ HPS Solutons/HEOS 9/1/2016 Mercer Vogel Seed & Fertilizer, Inc. dba Spring Valley USA Exceedent OR Jackson 9/1/ HPS Solutons/Trilogy 9/1/2016 Jackson Robert E. Lee & Associates Exceedent LF Green Bay 10/1/ HPS Solutions/Trilogy 10/1/2016 Hobart KK Integrated Logistics, Inc. Exceedent LF Marinette, Peshtigo, Manitowoc, Green Bay 10/1/ HPS Solutions/Trilogy 10/1/2016 Menominee Heartland Advisors, Inc. Exceedent LF Milwaukee 10/1/ HPS Solutions/Trilogy 10/1/2016 Milwaukee Mid-State Group, Inc. Auxiant M1027 (800) (866) Columbus 12/1/ HPS Solutions/Trilogy and HPS Solutions/HEOS 12/1/2016 Columbus Auth Consulting & Associates, Inc. Exceedent LF Menomonie 12/1/ HPS Solutions/HEOS 12/1/2016 Menominee Buying Group, Inc. Allied A12134B A12134C A12134E A12134F or Reedsville, Valders, Random Lake, Stephenson, MI 261 HPS Solutions/HEOS 12/1/2016 Reedsville Creative Metal Products, Inc. Exceedent LF Neenah, Menasha 44 HPS Solutions/Trilogy Neenah Dental Health Products Incorporated Exceedent LF Green Bay 88 HPS Solultions/Trilogy New Franken Eden Stone Co., Inc. EBSO Fond du Lac 131 FABOH/HPS Solutions/Trilogy Fond du Lac G&G Machine, Inc. Exceedent LF Outagamie & Calumet Areas 31 HPS Solutions/Trilogy Kaukauna Morton Drug Company Prairie States MDC or or Neenah 61 HPS Solutions/Trilogy Neenah Packer City International Trucks, Inc (800) (866) Green Bay 75 HPS Solutions Plus/Trilogy; HPS Solutions Plus/HEOS Green Bay Pacur, LLC Exceedent LF Oshkosh 109 HPS Solutions/Trilogy Oshkosh Penzeys, Ltd. Cypress E Milwaukee 166 HPS Solutions/Trilogy 8/1/2012 Wauwatosa Change in TPA from Allied to Cypress

5 Previant Law Firm, S.C. (The) Exceedent LF Shared Medical Services, Inc. Auxiant S901 (800) (866) Society Insurance Prairie States SCY or or Tri-Phase Automation, LLC Exceedent LF The Arc Fond du Lac, Inc. Exceedent LF J & E Construction Co., Inc. Prairie States JEC or or Great Lakes Foods, LLC Exceedent LF Building Service, Incorporated Auxiant B1032 (800) (866) Milwaukee 23 HPS Solutions/Trilogy Milwaukee Reedsburg, Madison Area 45 HPS Solutions Plus+/HEOS Cottage Grove Fond du Lac 241 FABOH/HPS Solutions/Trilogy Fond du Lac Waukesha County 24 HPS Solutions/Trilogy Pewaukee Fond du Lac 2/1/ HPS Solutions/Trilogy 2/1/2017 Fond du Lac Calumet County 2/1/ HPS Solutions/HEOS 2/1/2017 Stockbridge Menominee, MI 3/1/ HPS Solutions/Trilogy 3/1/2017 Menomoinee, MI Waukesha 4/1/ HPS Solutions/Trilogy 4/1/2017 Waukesha

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