BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 401k Plan overview

BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL Benefits

401k Sponsoring company profile

Company Name:	GUTHRIE TOWANDA MEMORIAL HOSPITAL
Employer identification number (EIN):	240786657
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
582	2015-07-01	SHAWN MADIGAN
582	2014-07-01	SHAWN MADIGAN
582	2013-07-01	WILLIAM ROHRBACH
582	2012-07-01	WILLIAM ROHRBACH
582	2011-07-01	WILLIAM ROHRBACH
582	2009-07-01	WILLIAM ROHRBACH
582	2008-07-01	WILLIAM ROHRBACH
582	2007-07-01	WILLIAM ROHRBACH
582	2006-07-01	LINDA BERRY
582	2005-07-01	LINDA BERRY
582	2004-07-01	LINDA BERRY
582	2003-07-01	LINDA BERRY

Plan Statistics for BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL

Measure	Date	Value
2015: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-07-01	286
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	259
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	259
2014: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-07-01	281
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	283
Number of retired or separated participants receiving benefits	2014-07-01	3
Total of all active and inactive participants	2014-07-01	286
2013: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-07-01	281
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	283
Number of retired or separated participants receiving benefits	2013-07-01	4
Total of all active and inactive participants	2013-07-01	287
Total participants	2013-07-01	287
2012: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-07-01	271
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	274
Number of retired or separated participants receiving benefits	2012-07-01	7
Total of all active and inactive participants	2012-07-01	281
2011: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-07-01	286
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	266
Number of retired or separated participants receiving benefits	2011-07-01	5
Total of all active and inactive participants	2011-07-01	271
2009: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-07-01	293
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	292
Number of retired or separated participants receiving benefits	2009-07-01	6
Total of all active and inactive participants	2009-07-01	298
2008: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2008 401k membership
Total participants, beginning-of-year	2008-07-01	283
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	290
Number of retired or separated participants receiving benefits	2008-07-01	3
Total of all active and inactive participants	2008-07-01	293
2007: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2007 401k membership
Total participants, beginning-of-year	2007-07-01	264
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	279
Number of retired or separated participants receiving benefits	2007-07-01	4
Total of all active and inactive participants	2007-07-01	283
2006: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2006 401k membership
Total participants, beginning-of-year	2006-07-01	260
Total number of active participants reported on line 7a of the Form 5500	2006-07-01	264
Number of retired or separated participants receiving benefits	2006-07-01	0
Total of all active and inactive participants	2006-07-01	264
2005: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2005 401k membership
Total participants, beginning-of-year	2005-07-01	275
Total number of active participants reported on line 7a of the Form 5500	2005-07-01	260
Number of retired or separated participants receiving benefits	2005-07-01	0
Total of all active and inactive participants	2005-07-01	260
2004: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2004 401k membership
Total participants, beginning-of-year	2004-07-01	279
Total number of active participants reported on line 7a of the Form 5500	2004-07-01	275
Number of retired or separated participants receiving benefits	2004-07-01	0
Total of all active and inactive participants	2004-07-01	275
2003: BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL 2003 401k membership
Total participants, beginning-of-year	2003-07-01	655
Total number of active participants reported on line 7a of the Form 5500	2003-07-01	279
Number of retired or separated participants receiving benefits	2003-07-01	0
Total of all active and inactive participants	2003-07-01	279

Form 5500 Responses for BLUE CROSS HEALTH INSURANCE FOR EMPLOYEES OF GUTHRIE TOWANDA MEMORIAL HOSPITAL

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• BLUE CROSS OF NORTHEASTERN PENNSYLVANIA [EIN = 231743282]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561038919]
• BLUE CROSS BLUE SHIELD ALABAMA [EIN = 630355713]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF NORTH CAROLINA [EIN = 562384240]
• BLUE CROSS BLUE SHIELD ALABAMA DENTAL [EIN = 630355713]
• BLUE CROSS BLUE SHIELD PLAN [EIN = 451580204]
• BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST [EIN = 301140600]
• BLUE CROSS BLUE SHIELD OF MINNESOTA [EIN = 416050237]
• BLUE CROSS ANIMAL HOSPITAL GROUP 401(K) PLAN [EIN = 870903171]
• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND GROUP BUSINESS TRAVEL ACCIDENT PLAN [EIN = 050158952]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF ARIZONA, INC. EXECUTIVE SEVERANCE PLAN [EIN = 860004538]
• BLUE CROSS BLUE SHIELD OF TEXAS MEDICAL INSURANCE PLAN [EIN = 842662763]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTHCARE REIMBURSEMENT PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF AZ [EIN = 882806512]
• BLUE CROSS PET CARE, INC 401K PLAN [EIN = 873520766]
• BLUE CROSS OF IDAHO RETIREE HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 820344294]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 831077369]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS MEDICAL [EIN = 844205975]
• BLUE CROSS AND BLUE SHIELD OF MINNESOTA [EIN = 411500646]
• BLUE CROSS BLUE SHIELD OF TEXAS [EIN = 812845733]
• BLUE CROSS AND BLUE SHIELD OF MINNESOTA PENSION PLAN [EIN = 831330245]

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