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| Plan Name | ANTHEM BLUE CROSS AND BLUE SHIELD |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ORCHARD HOSPITAL |
| Employer identification number (EIN): | 941049467 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about ORCHARD HOSPITAL
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | |
| Company Identification Number: | C0205130 |
More information about ORCHARD HOSPITAL
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2014-07-01 | LUTCHMAN PERUMAL | MARIVEL OYAMA | 2015-11-20 |
| Measure | Date | Value |
|---|---|---|
| 2014: ANTHEM BLUE CROSS AND BLUE SHIELD 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-07-01 | 89 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 177 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 177 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-07-01 | 0 |
| Total participants | 2014-07-01 | 177 |
| Number of participants with account balances | 2014-07-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-07-01 | 0 |
| Number of employers contributing to the scheme | 2014-07-01 | 0 |
| 2014: ANTHEM BLUE CROSS AND BLUE SHIELD 2014 form 5500 responses | ||
|---|---|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | First time form 5500 has been submitted | Yes |
| 2014-07-01 | Submission has been amended | No |
| 2014-07-01 | This submission is the final filing | No |
| 2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-07-01 | Plan is a collectively bargained plan | No |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
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