Page 1 Member # First Name Last Name Display Name Company Name Address 1 2029579 Mark Adamson Mark E. Adamson, MA 20644 Corral Rd 45094 Sally Allamby Sally J. Allamby, RN 4301 Normal Blvd Unit 11 2023504 Joan Batenhorst Joan Batenhorst, BSN RN ACM CPN Childrens Hospital & Medical Center 8200 Dodge St 2037017 Becky Bell Becky L. Bell, RN, BSN, WCC 10101 S 134th St 62102 Jan Benes Jan M. Benes, RN, CCM 7840 Abigail Cir 75330 Antonette Blake Antonette Blake OHARA LLC PO Box 89527 63694 Patricia Bliujus Patricia Anne Bliujus, BSN, RN, MHA, CCM 3729 Falcon Dr 60126 Annette Brandl Annette M. Brandl, RN, BSN, MA, CCM 732 S 178th St 10257 Shirley Brick Shirley J. Brick 10604 Hartman Ave 2030735 Robin Carlson Robin Marie Carlson, RN, BS, CCM 9504 Emmet St 2031784 Angela Carroll Angela Louise Carroll, RN BSN CCM Encore Unlimited 1265 Main St Christoffers 76536 Brenda en Brenda Lea Christoffersen RN 2055 Crestridge Dr 47187 Linda Cooper Linda L. Cooper RN, BSA, CCM 6401 NW 105th St 67137 Kimberlee Custer Kimberlee J. Custer RN 1623 Gaeth Ave
Page 2 2036097 Patricia Davis Patricia A. Davis, RN, CCM Arbor Health Plan 2120 S 72nd St Ste 1000 2018931 Jeanne DeMars Jeanne M DeMars, RN BSN CCM CEES 308 N 37th St 2022242 Theresa Dumont Theresa Dumont, RN, BSN 1185 Rood Dr 68030 Linda Dunn Linda J. Dunn, RN, BSN CCM 4312 S 153rd St Franklin- 2011561 Lisa Marple Lisa Franklin-Marple Madonna Rehabilitation Hospital 5401 South St 69725 Rosemarie Giorgio Rosemarie Anne Giorgio, RN, MSN, CCM Promesa Health PO Box 3247 2017511 Rhonda Hanel Rhonda Hanel 1005 Maple Creek Dr 2040906 Michelle Harrison Michelle Harrison 146 Corinne Ave Jean E. Hedquist, RN, BSN, BAE, CCM, 800 Stevens Port Dr Ste 69827 Jean Hedquist COHNs Tyson Foods, Inc. Dd712 69041 Melinda Hightower Melinda Lea Hightower Coventry WC 83 Ginger Woods Rd 76472 Mary Hupp Mary S. Hupp RN, BS, CMCN Catholic Mutual Group 10843 Old Mill Rd Jensen- Susan Ann Jensen-Anderson, 2017648 Susan Anderson RN,MSN,OCN,CCM. 15128 Evans St 65593 Tracey Johnson Tracey Lea Johnson RN Bryan Medical Center 2300 S 16th St 63341 Savonda Johnson Savonda Johnson RN, MSA 55th Medical Group, TRICARE PO Box 13354 64307 Elizabeth Jones Elizabeth Ann Jones 1636 S 187th Cir 2041910 Jen Karolski Jen Karolski QLI 6404 N 70th Plz
Page 3 64289 Janice Kelpe Janice Kelpe, RN, BSN, CCM 16118 Shirley St 69531 Shelly Kinney Shelly Kinney, MSN, RN, CCM, CNLCP Kinney Consulting, Inc 6315 S 79th Cir 15635 David Knott David F. Knott, BA 12725 Burt St 2019369 Dana Koehn Dana Koehn, RN, MN 11015 W 126th Ter 2016212 LuAnn Leaders LuAnn Sue Leaders 27877 410th St 11518 Beverly Lonn Beverly M Lonn RN, BSN, CCM 7501 Thorn Apple Ln 2030550 Susan Lott Susan Elizabeth Lott, RN, BSN, MA 413 Elk Ridge Dr 2038743 Eileen McCain Eileen McCain 1019 N Blackstone Dr 44923 Roxanne Mostek Roxanne Mostek RN, CCM, CLNC 931 5th Rd 66707 Sandra Palensky Sandra M. Palensky CCM 1357 N Beech St 2014135 Melissa Pokorny Melissa Pokorny 821 Center Street 13604 Terry Popp Terry Popp RN, CCM 16161 Lamp St Reineke- 16909 Lakeside Hills Ct Ste 2012256 LaVonne Wulf LaVonne J Reineke-Wulf, RN, BSN 208 47248 Julie Ridgely Julie F. Ridgely Tyson Foods, Inc. 800 Stevens Port Dr # Dd709 60837 Salli Roberts Salli A. Roberts RN 4939 County Road P37 2029260 Theresa Rodino Theresa Agnes Rodino, RN 2767 S 12th St
Page 4 54811 Sue Rosenblatt Sue A. Rosenblatt BSN 13924 Poppleton Cir 12285 Nancy Skinner Nancy E. Skinner, RN-BC, CCM 7218 Mullins Cove Rd 2032131 Hilary Spurgeon Hilary Spurgeon Nebraska Methodist Hospital 8303 Dodge St 12523 Debra Tonack Debra Tonack RN 2910 Drawbridge Ct 15890 Marilyn Voss Marilyn Joan Voss, RN, CCM MJ Consulting PO Box 257 2016712 Patti Walters Patti Jo Walters, RN, BSN, CCM 1337 S 101st St Apt 121 69198 Susan Welsh Susan Diane Welsh RN, BSN 109 Elm St 13868 Kathleen Wilwerding Kathleen S. Wilwerding Catholic Mutual Group 10843 Old Mill Rd 2031083 Jayci Zakaras Jayci M. Zakaras, RN, BSN 1215 N 131st Ave 2027538 Pamela Baumker Pamela Baumker 2914 Rawlins Dr 45750 Charlotte Chovanec Charlotte K. Chovanec, RN, BSN, MHA Promesa Health, Inc. 10815 Old Mill Rd 2024478 Loretta Coppess Loretta Coppess 10815 Old Mill Rd 10644 Blenda Downey Blenda Downey RN, COHN-S, CCM 16718 Martha Cir 2018085 Dusty Horn- Larkins Dusty Horn-Larkins 110 5th St 2021406 Christina Peterson RN Christina Peterson RN, R.N., HIA, MHP Coventry Health Care 15950 W Dodge Rd 2018086 Rhonda VonKaenel- Jensen Rhonda VonKaenel-Jensen Promesa Health Inc PO Box 3646
Page 5 City State Zip Country Phone Fax Email Chapters Elkhorn NE 68022-2104 USA (402) 354-0842 (402) 289-5751 pro-cutsnebraska@cox.net NE1, CMSA Lincoln NE 68506-5529 USA (402) 483-9562 (402) 483-9460 sallamby@madonna.org NE1, CMSA Omaha NE 68114-4113 USA (402) 955-6138 jbatenhorst@childrensomaha.org CMSA, NE1 Bennet NE 68317-2123 USA (402) 483-9281 becky.bell@nreca.coop CMSA, NE1 Lincoln NE 68516-3855 USA (402) 477-9169 (605) 361-1106 jbenes@neb.rr.com CMSA, NE1 Sioux Falls SD 57109-9527 USA (308) 293-0344 tonib@oharallc.com NE1, CMSA Bellevue NE 68123-2251 USA (402) 968-3956 tbliujus@cox.net NE1, CMSA Omaha NE 68118-3510 USA (402) 333-0923 (402) 452-2777 annette.brandl@americanenterprise.com NE1, CMSA Omaha NE 68134-1242 USA (402) 493-0672 (402) 343-3444 sbrick@cox.net NE1, CMSA Omaha NE 68134-4557 USA (402) 214-9146 redhead45@gmail.com CMSA, NE1 Stevens Point WI 54481-2884 USA (308) 440-1267 acarroll@encoreunlimited.com CMSA, NE1 Blair NE 68008-3687 USA (402) 426-5195 bchristrn@aol.com CMSA, NE1 Malcolm NE 68402-9799 USA (402) 796-2434 (402) 796-2618 lindac@oharallc.com NE1, CMSA Fremont NE 68025-3623 USA (800) 363-4272 (402) 721-6925 kimc@oharallc.com CMSA, NE1
Page 6 Omaha NE 68124-2341 USA (402) 507-5893 prdavis1@cox.net CMSA, NE1 Omaha NE 68131-2420 USA (402) 212-3327 jeanne.demars@mutualofomaha.com CMSA, NE1 Wahoo NE 68066-4136 USA (866) 331-9067 theresa_dumont@uhc.com NE1, CMSA Omaha NE 68137-5153 USA (402) 894-2443 (402) 354-6610 lindadu@oharallc.com CMSA, NE1 Lincoln NE 68506-2150 USA (402) 483-9487 lfranklin68506@yahoo.com CMSA, NE1 Omaha NE 68103-0247 USA (402) 551-2348 ragiorgio@cox.net NE1, CMSA Clarkson NE 68629-4036 USA (402) 892-3005 rhanel@stubbe.com NE1, CMSA Council Bluffs IA 51503-1519 USA (402) 670-9758 mharrison@vqorthocare.com CMSA, NE1 Dakota Dunes SD 57049-5005 USA (866) 464-4619 (479) 203-4449 jean.hedquist@tyson.com NE1, CMSA Valley NE 68064-9404 USA (402) 359-2916 (402) 330-4314 mlh710@cox.net NE1, CMSA Omaha NE 68154-2643 USA (402) 514-2379 (402) 551-2943 mhupp@catholicmutual.org NE1, CMSA Omaha NE 68116-6195 USA (402) 496-7519 susan.anderson@alegent.org NE1, CMSA Lincoln NE 68502-3704 USA (402) 481-3272 (402) 481-8727 tracey.johnson@bryanhealth.org NE1, CMSA Omaha NE 68113-0354 USA (402) 294-9384 (402) 232-4133 w.johnson@us.af.mil NE1, CMSA Omaha NE 68130-2809 USA (402) 397-1073 (402) 398-7540 jandejones@cox.net NE1, CMSA NE1, CMSA, Omaha NE 68104-1074 USA (402) 573-3738 jkarolski@qliomaha.com IA1
Page 7 Omaha NE 68130-1627 USA (402) 758-1018 jpkelpe@msn.com CMSA, NE1 Ralston NE 68127-4271 USA (402) 657-0143 (913) 273-1119 srkinney@cox.net CMSA, NE1 Omaha NE 68154-4017 USA (402) 681-5052 (816) 681-6180 davidknott@aol.com CMSA, NE1 CMSA, OK1, Overland Park KS 66213-2153 USA (913) 220-3063 dana_koehn@baxter.com MO1, AR1, Hancock IA 51536-4233 USA (712) 310-4371 Leaders@fmctc.com CMSA, NE1 La Vista NE 68128-2331 USA (402) 331-2795 (402) 331-2795 lonn.thornapple@cox.net CMSA, NE1 Papillion NE 68046-4370 USA (402) 210-1732 jllsel@msn.com CMSA, NE1 AZ1, NE1, Chandler AZ 85224-3956 USA (602) 819-2062 emccain@ensigngroup.net CMSA, IA1 Chapman NE 68827-2738 USA (308) 986-2443 (308) 986-2443 rmconsult@gpcom.net NE1, CMSA Wahoo NE 68066-1330 USA (402) 480-2751 spalensky2003@yahoo.com CMSA, NE1 Howells NE 68641 USA (402) 986-0843 mpokorny@stubbe.com CMSA, NE1 Omaha NE 68118-4001 USA (402) 333-7799 (402) 333-9727 terry.popp@alarisgroup.com CMSA, NE1 Omaha NE 68130-4663 USA (402) 504-6306 (402) 758-5546 lreineke@lakesideortho.com NE1, CMSA NE1, IA1, Dakota Dunes SD 57049-5005 USA (605) 235-2936 (479) 757-6231 julie.ridgely@tyson.com CMSA Blair NE 68008-6093 USA (402) 426-9622 (402) 552-3598 salliroberts@abbnebraska.com NE1, CMSA Omaha NE 68108-1517 USA (402) 932-7634 tarodino@up.com CMSA, NE1
Page 8 Omaha NE 68144-1154 USA (402) 333-7365 (402) 333-5191 srosenblatt@tconl.com CMSA, NE1 Whitwell TN 37397-7125 USA (423) 645-3453 (423) 825-7012 casemanager@icloud.com AL1, CA1, Omaha NE 68114-4108 USA (402) 354-8449 hilary.spurgeon@nmhs.com CMSA, NE1 Lincoln NE 68516-4923 USA (402) 423-7843 CMSA, NE1 Arlington NE 68002-0257 USA (402) 478-4088 (402) 478-4028 auntie4m@aol.com CMSA, NE1 Omaha NE 68124-1095 USA (402) 445-9772 pjwalters@cvty.com CMSA, NE1 Kearney NE 68845-9354 USA (308) 234-1102 (308) 238-0011 susan_welsh@corvel.com NE1, CMSA Omaha NE 68154-2643 USA (800) 226-6108 ext. 2435 (402) 551-2943 kwilwerding@catholicmutual.org NE1, CMSA Omaha NE 68154-1268 USA (402) 516-2622 (402) 614-3436 jaycizakaras@gmail.com NE1, CMSA Council Bluffs IA 51501-7940 USA (800) 615-4320 ext. 4240 pfbaumker@promesahealth.com CMSA, NE1 Omaha NE 68154-2607 USA (402) 827-3247 ext. 4436 cchovanec@promesahealth.com CMSA, NE1 Omaha NE 68154-2607 USA (800) 615-4320 ext. 4302 lmcoppess@promesahealth.com CMSA, NE1 Omaha NE 68130-1531 USA (402) 330-2924 (402) 697-7920 blenda.downey@zurichna.com CMSA, NE1 Greenwood NE 68366-2534 USA (402) 429-4086 dghornlarkins@promesahealth.com CMSA, NE1 Omaha NE 68118-4030 USA (402) 995-7194 cmpeterson@cvty.com CMSA, NE1 Omaha NE 68103-0646 USA (800) 615-4320 ext. 4455 rgvonkaenel@promesahealth.com CMSA, NE1
Class SubClass Begin Date End Date Paid Thru Date Page 9 INDIV B 2/1/2014 1/31/2015 1/31/2015 INDIV A 5/1/2013 4/30/2014 4/30/2014 INDIV STUDENT 4/1/2013 3/31/2014 3/31/2014 INDIV A 7/1/2013 6/30/2014 6/30/2014 INDIV A 1/1/2014 12/31/2014 12/31/2014 INDIV A 9/1/2013 8/31/2014 8/31/2014 INDIV A 9/1/2013 8/31/2014 8/31/2014 INDIV A 4/1/2013 3/31/2014 3/31/2014 INDIV A 7/1/2013 6/30/2014 6/30/2014 INDIV A 1/1/2014 12/31/2014 12/31/2014 INDIV A 10/1/2013 9/30/2014 9/30/2014 INDIV A 4/1/2013 3/31/2014 3/31/2015
INDIV A 1/1/2014 12/31/2014 12/31/2014 INDIV A 2/1/2014 1/31/2015 1/31/2015 INDIV A 12/1/2013 11/30/2014 11/30/2014 INDIV A 2/1/2014 1/31/2015 1/31/2015 INDIV A 5/1/2013 4/30/2014 4/30/2014 INDIV A 10/1/2013 9/30/2014 9/30/2014 INDIV B 10/1/2013 9/30/2014 9/30/2014 INDIV A 5/1/2013 4/30/2014 4/30/2015 INDIV A 6/1/2013 5/31/2014 5/31/2014 INDIV A 7/1/2013 6/30/2014 6/30/2014 INDIV A 9/1/2013 8/31/2014 8/31/2014 INDIV MILITARY 10/1/2013 9/30/2014 9/30/2014 INDIV A 3/1/2014 2/28/2015 2/28/2015 INDIV A 12/1/2013 11/30/2014 11/30/2014 Page 10
INDIV A 1/1/2014 12/31/2014 12/31/2014 INDIV MILITARY 4/1/2013 3/31/2014 3/31/2015 INDIV A 3/1/2014 2/28/2015 2/28/2015 INDIV A 10/1/2013 9/30/2014 9/30/2014 INDIV MILITARY 4/1/2013 3/31/2014 3/31/2015 INDIV B 7/1/2013 6/30/2014 6/30/2014 INDIV A 12/1/2013 11/30/2014 11/30/2014 INDIV A 6/1/2013 5/31/2014 5/31/2014 INDIV A 3/1/2014 2/28/2015 2/28/2015 INDIV A 2/1/2014 1/31/2015 1/31/2015 INDIV A 3/1/2014 2/28/2015 2/28/2015 INDIV A 2/1/2014 1/31/2015 1/31/2015 Page 11
INDIV LIFETIME 7/1/2012 6/30/2014 6/30/2014 INDIV A 5/1/2013 4/30/2014 4/30/2014 INDIV A 3/1/2014 2/28/2015 2/28/2015 INDIV A 3/1/2014 2/28/2015 2/28/2015 INDIV A 3/1/2014 2/28/2015 2/28/2014 INDIV A 5/1/2013 4/30/2014 4/30/2014 INDIV A 4/1/2013 3/31/2014 3/31/2014 INDIV A 6/1/2013 5/31/2014 5/31/2014 Page 12