| Plan Name | GROUP HEALTH COOPERATIVE HMO |
| Plan identification number | 507 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI |
| Employer identification number (EIN): | 391199466 |
| NAIC Classification: | 621491 |
| NAIC Description: | HMO Medical Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 507 | 2009-01-01 | CRAIG BRENHOLT |
| 2009: GROUP HEALTH COOPERATIVE HMO 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 | Yes |
| 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 |