| Name | EMPLOYERS SELECT PLAN AGENCY, INC. | 
|---|---|
| Street | 6450 ROCKSIDE WOODS SUITE #290 | 
| City | INDEPENDENCE | 
| Zip | OH 44131 | 
| Status | Active | 
| Effective date | 2005-10-21T00:00:00+02:00 | 
| Company | "ESP" IN A 1/2 BLUE 1/2 GOLD SQUARE, WITH THE BOTTOM PORTION BEING THE GOLD CRESCENT SHAPE. "EMPLOYERS SELECT PLAN" IS.... | 
|---|---|
| Entity Number | 1577391 |