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| Plan Name | LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HOSPICE OF NORTHWEST OHIO |
| Employer identification number (EIN): | 341283188 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about HOSPICE OF NORTHWEST OHIO
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1979-02-14 |
| Company Identification Number: | 530589 |
| Legal Registered Office Address: |
30000 EAST RIVER ROAD - PERRYSBURG United States of America (USA) 43551 |
More information about HOSPICE OF NORTHWEST OHIO
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-01-01 | ||||
| 502 | 2016-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2017-09-13 | |
| 502 | 2015-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2016-06-22 | |
| 502 | 2014-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2015-07-21 | |
| 502 | 2013-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2014-07-21 | |
| 502 | 2012-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2013-08-06 | |
| 502 | 2011-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2012-04-26 | |
| 502 | 2009-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2011-08-01 | |
| 502 | 2009-01-01 | JUDY SEIBENICK | JUDY SEIBENICK | 2010-08-25 |
| 2017: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: LIFE & AD&D PLAN OF HOSPICE OF NORTHWEST OHIO 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05924180 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05924180 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | OK 966160 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | FLX964573 |
| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | FLX964573 |
| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | OK 966160 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | FLX964573 |
| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |
| Policy contract number | OK 966180 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | R0032714 |
| Policy instance | 1 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) | |
| Policy contract number | R0032714 |
| Policy instance | 1 |
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