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BEM 101 9 of 15 MA DESK AIDS BPB 2017-008 4-1-2017

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Medical Insurance Code Description Code Description 512 Reserved for future use 53 United Furniture Workers 54 Mutual Protective Medico Life 54 Employee Benefit 56 Strategic Resource Company (SRC Services, Inc.) 57 State Farm Insurance 58 Group Health Managers, Inc. 59 Pioneer Life Insurance Co of Illinois 60 Reserved for future use 61 Reserved for future use 62 Humana 63 Reserved for future use 64 United Food & Commercial Workers (includes Michigan United Food & Commercial Workers) 65 Mid America Associates 66 Administration System Research (ASR 67 Trades, Services & Union Carriers/Plans (except United Food & Commercial Workers)