MEDICAL PLAN 401k Plan overview

MEDICAL PLAN Benefits

401k Sponsoring company profile

Company Name:	HEMPHILL COUNTY HOSPITAL DISTRICT
Employer identification number (EIN):	756002888
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-01-01	CHRISTY FRANCIS, CEO	2023-01-04

Plan Statistics for MEDICAL PLAN

Measure	Date	Value
2021: MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	159
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	159
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for MEDICAL PLAN

Insurance Providers Used on plan

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