401k Plan data: AMBERWELL ATCHISON ASSOCIATION EAP plan

AMBERWELL ATCHISON ASSOCIATION EAP 401k Plan overview

Plan Name	AMBERWELL ATCHISON ASSOCIATION EAP
Plan identification number	505

AMBERWELL ATCHISON ASSOCIATION EAP Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

AMBERWELL ATCHISON ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: AMBERWELL ATCHISON ASSOCIATION

Employer identification number (EIN): 480561974

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMBERWELL ATCHISON ASSOCIATION EAP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2021-01-01 JEFF PERRY 2022-11-29
505 2020-01-01 JEFF PERRY 2022-11-29
505 2018-01-01 JEFF PERRY 2022-11-29
505 2017-01-01 JEFF PERRY 2022-11-29
505 2016-01-01 JEFF PERRY 2022-11-29
505 2015-01-01 JEFF PERRY 2022-11-29
505 2014-01-01 JEFF PERRY 2022-11-29
505 2013-01-01 JEFF PERRY 2022-11-29
505 2012-01-01 JEFF PERRY 2022-11-29
505 2011-01-01 JEFF PERRY 2022-11-29
505 2010-01-01 JEFF PERRY 2022-11-29
505 2009-01-01 JEFF PERRY 2022-11-29
505 2008-01-01 JEFF PERRY 2022-11-29
505 2007-01-01 JEFF PERRY 2022-11-29
505 2006-01-01 JEFF PERRY 2022-11-29
505 2005-01-01 JEFF PERRY 2022-11-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
505	2021-01-01	JEFF PERRY	2022-11-29
505	2020-01-01	JEFF PERRY	2022-11-29
505	2018-01-01	JEFF PERRY	2022-11-29
505	2017-01-01	JEFF PERRY	2022-11-29
505	2016-01-01	JEFF PERRY	2022-11-29
505	2015-01-01	JEFF PERRY	2022-11-29
505	2014-01-01	JEFF PERRY	2022-11-29
505	2013-01-01	JEFF PERRY	2022-11-29
505	2012-01-01	JEFF PERRY	2022-11-29
505	2011-01-01	JEFF PERRY	2022-11-29
505	2010-01-01	JEFF PERRY	2022-11-29
505	2009-01-01	JEFF PERRY	2022-11-29
505	2008-01-01	JEFF PERRY	2022-11-29
505	2007-01-01	JEFF PERRY	2022-11-29
505	2006-01-01	JEFF PERRY	2022-11-29
505	2005-01-01	JEFF PERRY	2022-11-29

Plan Statistics for AMBERWELL ATCHISON ASSOCIATION EAP

401k plan membership statisitcs for AMBERWELL ATCHISON ASSOCIATION EAP

Measure Date Value
2021: AMBERWELL ATCHISON ASSOCIATION EAP 2021 401k membership
Total participants, beginning-of-year 2021-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
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 0
Number of employers contributing to the scheme 2021-01-01 0
2020: AMBERWELL ATCHISON ASSOCIATION EAP 2020 401k membership
Total participants, beginning-of-year 2020-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 320
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 320
Number of employers contributing to the scheme 2020-01-01 0
2018: AMBERWELL ATCHISON ASSOCIATION EAP 2018 401k membership
Total participants, beginning-of-year 2018-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 281
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 281
Number of employers contributing to the scheme 2018-01-01 0
2017: AMBERWELL ATCHISON ASSOCIATION EAP 2017 401k membership
Total participants, beginning-of-year 2017-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 281
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 281
Number of employers contributing to the scheme 2017-01-01 0
2016: AMBERWELL ATCHISON ASSOCIATION EAP 2016 401k membership
Total participants, beginning-of-year 2016-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 281
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 281
Number of employers contributing to the scheme 2016-01-01 0
2015: AMBERWELL ATCHISON ASSOCIATION EAP 2015 401k membership
Total participants, beginning-of-year 2015-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 281
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 281
Number of employers contributing to the scheme 2015-01-01 0
2014: AMBERWELL ATCHISON ASSOCIATION EAP 2014 401k membership
Total participants, beginning-of-year 2014-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 281
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 281
Number of employers contributing to the scheme 2014-01-01 0
2013: AMBERWELL ATCHISON ASSOCIATION EAP 2013 401k membership
Total participants, beginning-of-year 2013-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 281
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 281
Number of employers contributing to the scheme 2013-01-01 0
2012: AMBERWELL ATCHISON ASSOCIATION EAP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 281
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 281
Number of employers contributing to the scheme 2012-01-01 0
2011: AMBERWELL ATCHISON ASSOCIATION EAP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 281
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 281
Number of employers contributing to the scheme 2011-01-01 0
2010: AMBERWELL ATCHISON ASSOCIATION EAP 2010 401k membership
Total participants, beginning-of-year 2010-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 281
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 281
Number of employers contributing to the scheme 2010-01-01 0
2009: AMBERWELL ATCHISON ASSOCIATION EAP 2009 401k membership
Total participants, beginning-of-year 2009-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 281
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 281
Number of employers contributing to the scheme 2009-01-01 0
2008: AMBERWELL ATCHISON ASSOCIATION EAP 2008 401k membership
Total participants, beginning-of-year 2008-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 281
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 281
Number of employers contributing to the scheme 2008-01-01 0
2007: AMBERWELL ATCHISON ASSOCIATION EAP 2007 401k membership
Total participants, beginning-of-year 2007-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 281
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 281
Number of employers contributing to the scheme 2007-01-01 0
2006: AMBERWELL ATCHISON ASSOCIATION EAP 2006 401k membership
Total participants, beginning-of-year 2006-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 281
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 281
Number of employers contributing to the scheme 2006-01-01 0
2005: AMBERWELL ATCHISON ASSOCIATION EAP 2005 401k membership
Total participants, beginning-of-year 2005-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 281
Number of retired or separated participants receiving benefits 2005-01-01 0
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 281
Number of employers contributing to the scheme 2005-01-01 0

Measure	Date	Value
2021: AMBERWELL ATCHISON ASSOCIATION EAP 2021 401k membership
Total participants, beginning-of-year	2021-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
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	0
Number of employers contributing to the scheme	2021-01-01	0
2020: AMBERWELL ATCHISON ASSOCIATION EAP 2020 401k membership
Total participants, beginning-of-year	2020-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	320
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	320
Number of employers contributing to the scheme	2020-01-01	0
2018: AMBERWELL ATCHISON ASSOCIATION EAP 2018 401k membership
Total participants, beginning-of-year	2018-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	281
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	281
Number of employers contributing to the scheme	2018-01-01	0
2017: AMBERWELL ATCHISON ASSOCIATION EAP 2017 401k membership
Total participants, beginning-of-year	2017-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	281
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	281
Number of employers contributing to the scheme	2017-01-01	0
2016: AMBERWELL ATCHISON ASSOCIATION EAP 2016 401k membership
Total participants, beginning-of-year	2016-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	281
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	281
Number of employers contributing to the scheme	2016-01-01	0
2015: AMBERWELL ATCHISON ASSOCIATION EAP 2015 401k membership
Total participants, beginning-of-year	2015-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	281
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	281
Number of employers contributing to the scheme	2015-01-01	0
2014: AMBERWELL ATCHISON ASSOCIATION EAP 2014 401k membership
Total participants, beginning-of-year	2014-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	281
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	281
Number of employers contributing to the scheme	2014-01-01	0
2013: AMBERWELL ATCHISON ASSOCIATION EAP 2013 401k membership
Total participants, beginning-of-year	2013-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	281
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	281
Number of employers contributing to the scheme	2013-01-01	0
2012: AMBERWELL ATCHISON ASSOCIATION EAP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	281
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	281
Number of employers contributing to the scheme	2012-01-01	0
2011: AMBERWELL ATCHISON ASSOCIATION EAP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	281
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	281
Number of employers contributing to the scheme	2011-01-01	0
2010: AMBERWELL ATCHISON ASSOCIATION EAP 2010 401k membership
Total participants, beginning-of-year	2010-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	281
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	281
Number of employers contributing to the scheme	2010-01-01	0
2009: AMBERWELL ATCHISON ASSOCIATION EAP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	281
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	281
Number of employers contributing to the scheme	2009-01-01	0
2008: AMBERWELL ATCHISON ASSOCIATION EAP 2008 401k membership
Total participants, beginning-of-year	2008-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	281
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	281
Number of employers contributing to the scheme	2008-01-01	0
2007: AMBERWELL ATCHISON ASSOCIATION EAP 2007 401k membership
Total participants, beginning-of-year	2007-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	281
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	281
Number of employers contributing to the scheme	2007-01-01	0
2006: AMBERWELL ATCHISON ASSOCIATION EAP 2006 401k membership
Total participants, beginning-of-year	2006-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	281
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	281
Number of employers contributing to the scheme	2006-01-01	0
2005: AMBERWELL ATCHISON ASSOCIATION EAP 2005 401k membership
Total participants, beginning-of-year	2005-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	281
Number of retired or separated participants receiving benefits	2005-01-01	0
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	281
Number of employers contributing to the scheme	2005-01-01	0

Form 5500 Responses for AMBERWELL ATCHISON ASSOCIATION EAP

2021: AMBERWELL ATCHISON ASSOCIATION EAP 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: AMBERWELL ATCHISON ASSOCIATION EAP 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2018: AMBERWELL ATCHISON ASSOCIATION EAP 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: AMBERWELL ATCHISON ASSOCIATION EAP 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: AMBERWELL ATCHISON ASSOCIATION EAP 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: AMBERWELL ATCHISON ASSOCIATION EAP 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: AMBERWELL ATCHISON ASSOCIATION EAP 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: AMBERWELL ATCHISON ASSOCIATION EAP 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: AMBERWELL ATCHISON ASSOCIATION EAP 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: AMBERWELL ATCHISON ASSOCIATION EAP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: AMBERWELL ATCHISON ASSOCIATION EAP 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: AMBERWELL ATCHISON ASSOCIATION EAP 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: AMBERWELL ATCHISON ASSOCIATION EAP 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: AMBERWELL ATCHISON ASSOCIATION EAP 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: AMBERWELL ATCHISON ASSOCIATION EAP 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: AMBERWELL ATCHISON ASSOCIATION EAP 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	First time form 5500 has been submitted	Yes
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	4012020
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1
SAINT LUKES HEALTH SYSTEM (National Association of Insurance Commissioners NAIC id number: 62211 )
Policy contract number	EAP
Policy instance	1

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Company Name:	AMBERWELL ATCHISON ASSOCIATION
Employer identification number (EIN):	480561974
NAIC Classification:	622000
NAIC Description:	Hospitals