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| Plan Name | GROUP LIFE AND DISABILITY INSURANCE |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | IDA COUNTY IOWA COMMUNITY HOSPITAL INC. |
| Employer identification number (EIN): | 420843389 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2013-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2013: GROUP LIFE AND DISABILITY INSURANCE 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 149 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 161 |
| Total of all active and inactive participants | 2013-01-01 | 161 |
| Total participants | 2013-01-01 | 161 |
| 2013: GROUP LIFE AND DISABILITY INSURANCE 2013 form 5500 responses | ||
|---|---|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | First time form 5500 has been submitted | Yes |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
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