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| Plan Name | ANC HEALTHCARE HEALTHY FUTURE PLAN |
| Plan identification number | 525 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MISSION HEALTH SYSTEM, INC. |
| Employer identification number (EIN): | 581450888 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 525 | 2020-01-01 | ||||
| 525 | 2019-02-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: ANC HEALTHCARE HEALTHY FUTURE PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 591 |
| 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 |
| 2019: ANC HEALTHCARE HEALTHY FUTURE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-02-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-02-01 | 591 |
| Number of retired or separated participants receiving benefits | 2019-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-02-01 | 0 |
| Total of all active and inactive participants | 2019-02-01 | 591 |
| 2020: ANC HEALTHCARE HEALTHY FUTURE PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ANC HEALTHCARE HEALTHY FUTURE PLAN 2019 form 5500 responses | ||
| 2019-02-01 | Type of plan entity | Single employer plan |
| 2019-02-01 | First time form 5500 has been submitted | Yes |
| 2019-02-01 | Submission has been amended | No |
| 2019-02-01 | This submission is the final filing | No |
| 2019-02-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-02-01 | Plan is a collectively bargained plan | No |
| 2019-02-01 | Plan funding arrangement – Insurance | Yes |
| 2019-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HEALTHSCOPE BENEFITS, INC (National Association of Insurance Commissioners NAIC id number: 52429 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | MIS301 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| HEALTHSCOPE BENEFITS, INC (National Association of Insurance Commissioners NAIC id number: 52429 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | MIS301 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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