Minnesota Employers with Approved Annual Limit Waivers Applicant Applicant Type Number of Enrollees

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1 Minnesota Employers with Approved Annual Limit Waivers Applicant Applicant Type Number of Enrollees AccessAbility Inc. Self-Insured Employer 25 Andersen Corporation Multi-Employer Plans 252 Anoka Hennepin Credit Union Bang Printing 125 Becker County VEBA 5 Benton County 200 Bowman Sheet Metal Heating & 4 Air-Conditioning Brainerd Public Schools 42 Brooklyn Center Schools #26 90 Buffets, Inc. Self-Insured Employer 243 Building Material Supply, Inc. 2 Carlson Restaurants Self-Insured Employer 331 Carlton County 273 CDS Administrative Services LLC Center for Energy and 105 Environment City of Bloomington VEBA Health 750 Savings Plan City of Brooklyn Park 372 City of Burnsville 290 City of Cloquet 73 City of Cottage Grove 90 City of Eden Prairie 11 City of Inver Grove Heights 130 City of Lakeville 124

2 City of Maplewood City of Roseville MN City of Shakopee Post- Employment Health Care Savings Account Plan City of Shoreview 79 City of St. Louis Park 127 Cloquet Area Fire Department 22 Crystal Cabinet Works Inc. 353 D & D Ag Supply and Construction Inc. Data Listing Services (dba The Self-Insured Employer 39 Connection) Digi International 402 Diversified Industries, Inc. 21 Doorstep Healthcare Services 9 Dungarvin Group Inc. Self-Insured Employer 11 Electrical Workers Health and Multi-Employer Plans 1994 Engineered Network Systems 2 FIDUCIA 2 Freshwater Education District 104 Fridley Public Schools Health 79 Savings Plan General Parts LLC 0 Great River Regional Library Greater Metropolitan Hotel Multi-Employer Plans 1200 Haldeman-Homme 3 Health Care Compliance 1 Hiawatha Medical, Inc

3 Hannon Security Services, Inc. Self-Insured Employer 64 Hopkins ISD Hotel, Restaurant & Bar Multi-Employer Plans 9 Employees Health and Welfare Fund Ideacom Mid-America, Inc. 6 Independent School District 196 Innworks, Inc. 7 League of Minnesota Cities 70 Local 17 Hospitality Benefit Fund Multi-Employer Plans 1 LTX, Inc. 3 Luther Automotive Group HRA 0 M.A. Mortenson Self-Insured Employer 332 Madelia Community Hospital 3 Mandt Reiss & Associates PLLC 4 Mankato Rehabilitation Center, Inc. McGregor Schools ISD #4 3 Metropolitan Cardiology 95 Midwest Asphalt Corporation 47 Midwest Teamsters HRA 13 Minneapolis Retail Meat Cutters Multi-Employer Plans and Food Handlers Health & Minnesota and North Dakota Multi-Employer Plans 4450 Bricklayers and Allied Craftworkers Minnesota Cement Masons Multi-Employer Plans 2000 Health and Minnesota Gastroenterology 355

4 Minnesota State Retirement System Post-Employment Health Care Savings Plan - City of Roseville Minnesota Teamsters Construction Division Modern Aero, Inc. 20 Multi-Employer Plans Mounds View Public Schools 76 Nelson Numeric, Inc. 36 New River Medical Center 313 Nicollet County 30 North States Industries Inc. 92 Northern Minnesota-Wisconsin Multi-Employer Plans 3100 Area Retail Food Fringe Benefits Optometric Eye Care Center 20 Owakihi Inc. 35 Pearson Candy Company Self-Insured Employer 204 Perbix Machine Company 44 Physical Distribution Services, Self-Insured Employer 301 Inc. (PDSI) Plasterers & Cabinet Makers Multi-Employer Plans 1033 Health Fund Prescott Super Motel, Ltd. 7 Printing Enterprises, Inc. QA1 Precision Products, Inc. Regis Corporation Self-Insured Employer 3617 Robbinsdale Area Schools 210 Rockford Public Schools 124 Ron Clark Construction Health 1 Reimbursement Roofers Local No. 96 Health & Multi-Employer Plans 23 Sheet Metal #10 Benefit Fund Multi-Employer Plans 6223

5 Sieben Polk Law Firm Sierra Corporation - TK Products South Washington County Schools Southview Acres Southwest Transit St. Anthony/New Brighton Schools Tapemark Company Twin Cities Die Casting Company Totino-Grace High School United Food and Commercial Workers Local #79 and Saint Paul Food Employers Health Care Plan Winsor Learning Multi-Employer Plans 692 TOTAL 72,47