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| Plan Name | AHS EAST TEXAS LLC GROUP EMPLOYEE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | AHS EAST TEXAS HEALTH SYSTEM, LLC |
| Employer identification number (EIN): | 822901215 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about AHS EAST TEXAS HEALTH SYSTEM, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2017-09-13 |
| Company Identification Number: | 0802814042 |
| Legal Registered Office Address: |
1 BURTON HILLS BLVD STE 250 NASHVILLE United States of America (USA) 37215 |
More information about AHS EAST TEXAS HEALTH SYSTEM, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-01-01 |
| 2019: AHS EAST TEXAS LLC GROUP EMPLOYEE BENEFIT PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLOCK VISION (National Association of Insurance Commissioners NAIC id number: 95387 ) | |
| Policy contract number | 322300 |
| Policy instance | 1 |
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |
| Policy contract number | 16619 |
| Policy instance | 2 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | RO625848 |
| Policy instance | 3 |
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) | |
| Policy contract number | 52118 |
| Policy instance | 4 |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | CLI50,886 |
| Policy instance | 5 |
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