DEPARTMENT OF INSURANCE

PR00042: International Foundation of Employee Benefit Plans
Experior Provider Number:	S10696
Provider Type:	Independent
Certification Date:	6/4/1990
Address:	18700 West Bluemound Road PO Box 69 Brookfield, WI 530080069
Contact:	LAURA SCHOLZ
Telephone:	262-373-7757
Status:	Pending Replacement
Termination Date:	N/A