SHORT TERM DISABILITY 401k Plan overview

SHORT TERM DISABILITY Benefits

401k Sponsoring company profile

Company Name:	ROCK REGIONAL HOSPITAL
Employer identification number (EIN):	814594719
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
502	2023-01-01	LESLIE HIEBERT	2024-10-14

Plan Statistics for SHORT TERM DISABILITY

Measure	Date	Value
2023: SHORT TERM DISABILITY 2023 401k membership
Total participants, beginning-of-year	2023-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	138
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	138
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for SHORT TERM DISABILITY

Insurance Providers Used on plan

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