BLUE CROSS BLUESHIELD PPO 06/01/00 CHRIST HILL IDENTIFICATION NO. XYZ123456789 GROUP NO. 7654321 567

prepaid financing and administration of medical, hospital, and related health care services outside the service area of health maintenance organization

insurance and financial services, and for, comprehensive health care benefit program, including physician, dental, hospital, home health care, preventive health treatment, therapy, pharmacy, ambulance and other services outside the service area of a health maintenance organization