| Program Administrator: |
Mercer Health & Benefits Insurance Services LLC 12421 Meredith Drive Urbandale, IA 50398 |
| Phone: | 1-800-343-0132 |
| Application Mailing Address: |
Mercer P.O. Box 850386 Minneapolis, MN 55485-0386 |
| Email: | CABar.service@mercer.com |
| Fax | 212-948-5442 |