Enter a 3-digit numeric code when:

  • reporting TPL information for the first time,
  • changing TPL information, or
  • reporting HIB and/or SMIB.

Do not code automobile-medical comprehensive insurance. If the client has automobile-medical comprehensive insurance and has no other health insurance, enter code 000 - no TPL coverage.

Choose the health insurance code that applies from the following list.

000 No Health Insurance Coverage
888 More Than One Health Insurance Company
999 Miscellaneous TPL Resource

A B C D-E F G H I J-L M N-O P Q-S T-U W-Z

136 Academy Life Insurance Company
001 Aetna Life Insurance Company
142 Aid Association for Lutherans
048 Allstate Life Insurance Company
002 Amalgamated Life and Health Company
153 Amalgamated Life Insurance Company
154 American Centennial Life Insurance Company
061 American Family Life Assurance Company
475 American Federation of Government Employees
042 American Fidelity Assurance Company
103 American General Life and Accident - Nashville, TN
114 American General Life and Accident - Houston, TX
144 American Heritage Life Company
105 American Income Life Insurance Company
098 American Independence Life Insurance
062 American Integrity Insurance Company
161 American International Life Assurance Company of New York
063 American Liberty Life Insurance Company
064 American Life and Accident Insurance Company
065 American Life Insurance Company
066 American Mutual Life Insurance Company
056 American National Insurance Company
453 American Postal Workers Union
053 American Republic Insurance Company
137 American States Insurance Company
067 American Union Life Insurance Company
068 American United Life Insurance Company
169 Association Life Insurance Company Inc.
485 Atkinson Topeka & Santa Fe Employees Benefits Association
430 Automotive Wholesalers of Illinois
460 Bakery & Confectionery Workers Union
003 Bankers Life and Casualty Company
045 Bankers Multiple/World Insurance Company
086 Banner Life Insurance Company
069 Beneficial National Life Insurance Company
070 Beneficial Standard Life Insurance Company
611 Benefit Administration Systems - Homewood, Illinois
044 Blue Cross Blue Shield - Out of State
480 Blue Cross/Blue Shield - Federal
462 Boilermaker's Union
469 Bricklayer's Union
604 Brookfield Harrington
007 Business Men's Assurance Company
159 California Western States Life Insurance Company
008 Capitol Life Insurance Company
448 Carpenters' Health & Welfare Trust Fund
449 Caterpillar Tractor Company
080 Central Life Assurance Company
072 Central States Health & Life Company of America
443 Central States Joint Board Health & Welfare Trust Fund
452 Central States Southeast & Southwest Area H & W Fund
009 CHAMPUS/CHAMPVA/TRICARE PRIME
433 Chrysler Corporation
179 Chubb Life
073 Colonial Life and Accident Insurance Company
178 Combined American Life Insurance Company
047 Combined Insurance Company
084 Combined Insurance Company of America
076 Commonwealth Life and Accident Insurance Company
151 Commonwealth Life Insurance Company
180 Community Health Plan
077 Confederation Life Insurance Company
010 Connecticut General Life Insurance Company
074 Conseco Direct/Colonial Penn
011 Continental Assurance Company
613 Coordinated Financial Services - Chicago, Illinois
012 Country Life Insurance Company
054 Crown Life Insurance Company
156 Cuna Mutual Insurance Society
600 DuKane Claim Company - Aurora, Illinois
181 Educators Mutual Insurance
458 Electrical Workers Union
182 Employers Health/Humana
050 Employers Life Insurance Company of Wausau
013 Equitable Life Assurance
078 Equity National Life Insurance Company
171 Farmland Industries Inc.
163 Federal Home Life Insurance Company
079 Federal Life Insurance Company
183 Federated Mutual Insurance
081 Fidelity Life Association
082 Fidelity National Life Insurance Company
176 Fireman's Fund Life Insurance Company
149 First All America Financial
454 Food Handlers Union
096 Ford Life Insurance Company
431 Ford Motor Company
130 Fortis Benefits Insurance Company
120 Fortis Insurance Company (Time Insurance)
468 Furniture Worker's Union
608 Gallagher Benefit Administration
014 General American Life Insurance Company
437 General Electric Corporation
432 General Motors Corporation
461 Glazer's Union
083 Globe Life and Accident Insurance Company
085 Golden Rule Insurance Company
459 Government Employees Hospital Association
015 Great-West Life Assurance Company
201 Group Health Northwest
087 Guarantee Reserve Life Insurance Company
088 Guarantee Trust Life Insurance Company
089 Guardian Life Insurance Company
155 Gulf Life Insurance Company
016 Hartford Life/Mass Mutual
184 Harvard Community Health Plan
006 Health Care Service Corporation - BC/BS
601 Health Claims Administration
605 Health Insurance Administration
196 Health Partners of Midwest
187 Health Plus/John Alden
051 Hill Country/Columbia University
090 Holy Family Society of the USA
017 Home Life Insurance Company
018 Horace Mann Insurance Company
075 Humana Health Plans HMO
165 Ideal National Insurance Company
043 ILL Hospital and Health Service
019 ILL Mutual Life & Casualty Company
434 Illinois Bell
474 Illinois Central Hospital Association
445 Indiana Laborers and HOD Carrier
092 Industrial Life Insurance Company
441 International Funds
093 Inter-Ocean Insurance Company
164 Iowa State Travelers Mutual Assurance Company
471 Iron Worker's Union
446 J. C. Penney Company Inc.
049 J. C. Penney Life Insurance Company
145 Jefferson Pilot Insurance Company
447 John Deere - Heritage National Plan
071 John Deere Life Insurance Company
020 John Hancock Mutual/Unicare
603 Jonn P. Pearl & Associates
190 Kaiser Foundation Health Plan
451 Laborers Welfare Fund
021 Liberty Life Assurance Company
095 Liberty National Life Insurance Company
097 Life Investors Insurance Company of America
094 Lincoln Liberty Life Insurance Company
022 Lincoln National Life Insurance Company
023 Loyal Protective Life Insurance Company
473 Mail Handler's Benefit Plan
609 Management Services Inc.
467 Marine Worker's Union
099 Marquette National Life Insurance Company
444 Meatcutters and Butchers #100
146 Mennonite Mutual Aid Association
025 Metrahealth/United HealthCare
041 Mica (California Life Claims)
152 Midland Mutual Life Insurance Company
472 Millinery Worker's Union
479 Missouri Pacific Employee
100 Montgomery Ward Life Insurance Company
026 Monumental Life Insurance Company
058 Mutual Benefit Life Insurance Company
602 Mutual Medical Plan Inc. - Peoria, Illinois
028 Mutual of New York (MONY)
140 Mutual Protective Insurance Company
162 Mutual Security Life Insurance Company
027 Mutual/United of Omaha Insurance Company
455 National Association of Letter Carriers
101 National Benefit Life Insurance Company
102 National Ben Franklin Life Insurance Company
104 National Liberty Life Insurance Company
106 National States Insurance Company
107 Nationwide Life Insurance Company
057 New England Mutual Life Insurance Company
029 New York Life Insurance Company
122 North America Benefit Network
139 North American Company for Life & Health Insurance
150 North American Insurance Company
030 Northwestern Mutual Life Insurance Company
109 Old American Insurance Company
168 Old Republic Life Insurance Company
167 Old Southern Life Insurance Company
456 Operating Engineer Health & Welfare Fund
194 PACC HMO
177 Pacific Heritage Assurance Company
032 Pacific Mutual Life Insurance Company
450 Painters & Decorators Fund
110 Pan-American Insurance Company
111 Paul Revere Life Insurance Company
614 Paul Weisman & Associates - St. Louis, Missouri
200 PCA Solutions
112 Pekin Insurance Company
113 Penn Mutual Life Insurance Company
033 Pennsylvania Life Insurance Company
046 Peoples Benefit Life Insurance Company
195 Philadelphia American Life
158 Philadelphia Life Insurance Company
197 Phoenix Home Life
034 Physician's Mutual Life Insurance Company
198 Pilgrim Insurance Company
060 Pioneer Life Insurance Company
463 Pipefitter's Union
465 Plasterer's Union
466 Plumber's Union
478 Postmaster's Benefit Plan
004 Principal/American HMO
147 Protective Life Insurance Company
035 Provident Life & Casualty Insurance Company
157 Provident Mutual Insurance Company of Philadelphia
036 Prudential Insurance Company
188 Qual Medical Insurance
175 Reliable Life Insurance Company
059 Reliable Life/Rockford Life
108 Reliastar/Northwestern National Life
115 Reserve Life Insurance Company
477 Rural Carrier Benefit Plan
055 Safeco Life Insurance Company
607 Scott Wetzel Services Inc. - Chicago, Illinois
148 Security Benefit Life Insurance Company
037 Sentry Life Insurance Company
471 Service Employees & Maintenance Worker's Union
464 Sheet Metal Worker's Union
116 Southland Life Insurance Company
439 St Clair County Health Plan
117 Standard Life & Accident Insurance Company
118 Standard Life Insurance Company - Austin, Texas
119 Standard of America Life Insurance Company
052 State Farm Health Insurance Company
482 State of Illinois - Health Insurance
160 Supreme Life Insurance Company
615 Syncor Administrative Services - Northbrook, Illinois
457 Teamster's Health & Welfare Fund
191 Transport Life Insurance Company
038 Travelers Insurance Company
005 Trustmark Insurance Company
192 Tufts Associated Health
186 Unicare
141 Union Banker's Insurance Company
121 Union Casualty Company
123 Union Fidelity Life Insurance Company
039 Union Labor Life Insurance Company
173 Union Mutual Life Insurance Company
124 United American Insurance Company
125 United Benefit Life Insurance Company
442 United Food and Comm. Workers
128 United Founders Life Insurance Company
189 United Healthcare
127 United Insurance Company of America
436 United Mine Workers - The Funds
438 United Parcel Services
174 United States Life Insurance Company
166 United Teacher Associates Insurance
193 U S Healthcare
129 Wabash Life Insurance Company
476 Wabash Memorial Hospital Association
138 Wabash/Conseco
040 Washington National Insurance Company
172 Western Catholic Union
435 Western Electric Company
131 Western Southern Life Insurance Company
091 Wisconsin National Life Insurance Company
132 Woodmen Accident and Life Company
133 World Insurance Company
440 ZEBA - Flex Plus
610 Zenith Administrators Inc.
134 Zenith Life Insurance Company
135 Zurich American Insurance Company