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| Plan Name | EMPLOYEES GROUP DISABILITY INSURANCE PLAN |
| Plan identification number | 526 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MISSOURI DELTA MEDICAL CENTER |
| Employer identification number (EIN): | 430633449 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about MISSOURI DELTA MEDICAL CENTER
| Jurisdiction of Incorporation: | Missouri Secretary of State |
| Incorporation Date: | |
| Company Identification Number: | B00009537 |
More information about MISSOURI DELTA MEDICAL CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 526 | 2011-10-01 | JON BRANSTETTER | JON BRANSTETTER | 2013-07-03 | |
| 526 | 2009-10-01 | WENDY PENNINGTON | WENDY PENNINGTON | 2011-03-28 | |
| 526 | 2009-10-01 | WENDY PENNINGTON | WENDY PENNINGTON | 2011-03-28 |
| Measure | Date | Value |
|---|---|---|
| 2011: EMPLOYEES GROUP DISABILITY INSURANCE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-10-01 | 616 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 655 |
| Total of all active and inactive participants | 2011-10-01 | 655 |
| 2009: EMPLOYEES GROUP DISABILITY INSURANCE PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-10-01 | 645 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 638 |
| Total of all active and inactive participants | 2009-10-01 | 638 |
| 2011: EMPLOYEES GROUP DISABILITY INSURANCE PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Submission has been amended | No |
| 2011-10-01 | This submission is the final filing | No |
| 2011-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-10-01 | Plan is a collectively bargained plan | No |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: EMPLOYEES GROUP DISABILITY INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | Submission has been amended | No |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-10-01 | Plan is a collectively bargained plan | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
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