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| Plan Name | METHODIST HEALTH SYSTEM VOLUNTARY BENEFITS PLAN |
| Plan identification number | 512 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NEBRASKA METHODIST HEALTH SYSTEM |
| Employer identification number (EIN): | 470639839 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 512 | 2022-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: METHODIST HEALTH SYSTEM VOLUNTARY BENEFITS PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 1,825 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 1,825 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 1,825 |
| 2022: METHODIST HEALTH SYSTEM VOLUNTARY BENEFITS PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) | |||||||||||||||||||||||||||
| Policy contract number | 01-016769-00 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) | |||||||||||||||||||||||||||
| Policy contract number | 12469000 | ||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||
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