Notification of Changes for Business Entity
General Information
Business Entity Name:	RIGHTCHOICE MANAGED CARE, INC.
Incorporation / Formation Date:	10/09/2001
FEIN:	47-0851593
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	ST. LOUIS
Business Address
Address 1:	1831 CHESTNUT STREET
Address 2:
City:	ST. LOUIS
State:	MO
Zip:	63103
Phone:	5028892259
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1831 CHESTNUT STREET
Address 2:
City:	ST. LOUIS
State:	MO
Zip:	63103
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	YES

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
RONALD PENCZEK	VICE PRESIDENT	354424267		YES	05/31/2016
ROBERT DAVID KRETSCHMER	VICE PRESIDENT	357586349	YES		05/31/2016

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)	NO
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?	NO
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	RENEE PEAZZONI
Title:	SENIOR LEGAL SPECIALIST
Phone Number:	502-889-2259
Email Address:	RENEE.PEAZZONI@ANTHEM.COM