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| Plan Name | BUCHANAN GENERAL HOSPITAL FLEXIBLE BENEFITS PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BUCHANAN GENERAL HOSPITAL |
| Employer identification number (EIN): | 540895648 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2000-01-01 | TERESA COLEMAN-RATLIFF | 2020-10-27 |
| 2000: BUCHANAN GENERAL HOSPITAL FLEXIBLE BENEFITS PLAN 2000 form 5500 responses | ||
|---|---|---|
| 2000-01-01 | Type of plan entity | Single employer plan |
| 2000-01-01 | Submission has been amended | Yes |
| 2000-01-01 | This submission is the final filing | Yes |
| 2000-01-01 | Plan funding arrangement – Insurance | Yes |
| 2000-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 524415 |
| Policy instance | 1 |
| SHENANDOAH LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 70041537 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG51V3 |
| Policy instance | 3 |
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