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| Plan Name | SUMMIT HEALTHCARE ASSOCIATION HEALTH AND LIFE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SUMMIT HEALTHCARE ASSOCIATION |
| Employer identification number (EIN): | 860302447 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about SUMMIT HEALTHCARE ASSOCIATION
| Jurisdiction of Incorporation: | Arizona Corporation Commission |
| Incorporation Date: | |
| Company Identification Number: | 01038315 |
More information about SUMMIT HEALTHCARE ASSOCIATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-01-01 | REBECCA CREGER | |||
| 502 | 2015-01-01 |
| 2015: SUMMIT HEALTHCARE ASSOCIATION HEALTH AND LIFE PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | Yes |
| 2015-01-01 | This submission is the final filing | Yes |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 207217 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 207218 |
| Policy instance | 2 |
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) | |
| Policy contract number | 16-007832-000 |
| Policy instance | 3 |
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