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OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN 401k Plan overview

Plan NameOUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN
Plan identification number 501

OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Employer identification number (EIN):150532221
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1936-05-20
Company Identification Number: 38264
Legal Registered Office Address: 80 STATE STREET
Broome
ALBANY
United States of America (USA)
122072543

More information about OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-01-01MARY HUGHS DAVID PATAK2013-10-03
5012011-01-01MARY HUGHS DAVID PATAK2012-10-15
5012010-01-01MARY HUGHS DAVID PATAK2011-07-29
5012009-01-01MARY HUGHS DAVID PATAK2010-07-26

Form 5500 Responses for OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN

2012: OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number510181
Policy instance 1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberN9858
Policy instance 2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberN9858
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number510181
Policy instance 2

Potentially related plans

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