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| Plan Name | ROGERS MEMORIAL HOSPITAL INC LONG-TERM DISABILITY PLAN |
| Plan identification number | 520 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ROGERS MEMORIAL HOSPITAL, INC |
| Employer identification number (EIN): | 391139101 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 520 | 2006-08-01 | CHRIS JAGODITZ | 2023-07-25 |
| Measure | Date | Value |
|---|---|---|
| 2006: ROGERS MEMORIAL HOSPITAL INC LONG-TERM DISABILITY PLAN 2006 401k membership | ||
| Total participants, beginning-of-year | 2006-08-01 | 451 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2006-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-08-01 | 0 |
| Total of all active and inactive participants | 2006-08-01 | 0 |
| Number of employers contributing to the scheme | 2006-08-01 | 0 |
| 2006: ROGERS MEMORIAL HOSPITAL INC LONG-TERM DISABILITY PLAN 2006 form 5500 responses | ||
|---|---|---|
| 2006-08-01 | Type of plan entity | Single employer plan |
| 2006-08-01 | Submission has been amended | Yes |
| 2006-08-01 | This submission is the final filing | Yes |
| 2006-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2006-08-01 | Plan funding arrangement – Insurance | Yes |
| 2006-08-01 | Plan benefit arrangement – Insurance | Yes |
| THE PAUL REVERE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67598 ) | |||||||||||||||||||||||||
| Policy contract number | 1043046 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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