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| Plan Name | MCLEOD HEALTH STAFF LEVEL VOLUNTARY EARLY RETIREMENT PROGRAM |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MCLEOD HEALTH |
| Employer identification number (EIN): | 510473500 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2020-01-01 | OCTAVIA WILLIAMS-BLAKE | 2021-07-12 | ||
| 509 | 2019-06-24 |
| Measure | Date | Value |
|---|---|---|
| 2020: MCLEOD HEALTH STAFF LEVEL VOLUNTARY EARLY RETIREMENT PROGRAM 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 59 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
| 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 | 0 |
| Number of employers contributing to the scheme | 2020-01-01 | 0 |
| 2019: MCLEOD HEALTH STAFF LEVEL VOLUNTARY EARLY RETIREMENT PROGRAM 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-06-24 | 162 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-06-24 | 0 |
| Number of retired or separated participants receiving benefits | 2019-06-24 | 59 |
| Total of all active and inactive participants | 2019-06-24 | 59 |
| Total participants | 2019-06-24 | 59 |
| 2020: MCLEOD HEALTH STAFF LEVEL VOLUNTARY EARLY RETIREMENT PROGRAM 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: MCLEOD HEALTH STAFF LEVEL VOLUNTARY EARLY RETIREMENT PROGRAM 2019 form 5500 responses | ||
| 2019-06-24 | Type of plan entity | Single employer plan |
| 2019-06-24 | First time form 5500 has been submitted | Yes |
| 2019-06-24 | Submission has been amended | No |
| 2019-06-24 | This submission is the final filing | No |
| 2019-06-24 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-06-24 | Plan is a collectively bargained plan | No |
| 2019-06-24 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-06-24 | Plan benefit arrangement – General assets of the sponsor | Yes |
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