| Plan Name | GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MENDOTA COMMUNITY HOSPITAL |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | MENDOTA COMMUNITY HOSPITAL |
| Employer identification number (EIN): | 362167785 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2013-06-01 | KIM KENNEDY |
| 2013: GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MENDOTA COMMUNITY HOSPITAL 2013 form 5500 responses | ||
|---|---|---|
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | First time form 5500 has been submitted | Yes |
| 2013-06-01 | This submission is the final filing | Yes |
| 2013-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |