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| Plan Name | GROUP LIFE, DEPENDENT, AD&D AND SHORT TERM DISABILITY |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MARLETTE REGIONAL HOSPITAL |
| Employer identification number (EIN): | 381507302 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about MARLETTE REGIONAL HOSPITAL
| Jurisdiction of Incorporation: | Michigan Department of Licensing & Regulatory Affairs |
| Incorporation Date: | |
| Company Identification Number: | 813182 |
More information about MARLETTE REGIONAL HOSPITAL
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2012-01-01 | CYNTHIA TACHENY - AS PRACTITIONER | |||
| 502 | 2011-01-01 | LISA FRANK | |||
| 502 | 2009-01-01 | LISA FRANK | LISA FRANK | 2010-09-03 |
| 2012: GROUP LIFE, DEPENDENT, AD&D AND SHORT TERM DISABILITY 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: GROUP LIFE, DEPENDENT, AD&D AND SHORT TERM DISABILITY 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP LIFE, DEPENDENT, AD&D AND SHORT TERM DISABILITY 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
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