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Trustmark was founded in 1913 as the Brotherhood of All Railway Employees when two railroad employees and two insurance experts teamed up to provide financial security for injured and disabled railway workers.
In 2007 employment in the area remained weak, but CareSource saw business growth and became the only Medicaid Managed Care provider to offer services in all 88 counties in Ohio. That year CareSource broke ground on its new corporate headquarters in Downtown Dayton, showing the company's commitment to the city it was founded in.