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| Plan Name | LINCOLN SURGERY CENTER, LLC MEDICAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LINCOLN SURGERY CENTER, LLC |
| Employer identification number (EIN): | 470807324 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about LINCOLN SURGERY CENTER, LLC
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2008-01-21 |
| Company Identification Number: | 20081040521 |
| Legal Registered Office Address: |
11960 Lioness Way Ste 120 Parker United States of America (USA) 80134 |
More information about LINCOLN SURGERY CENTER, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-01-01 | ROBIN F LINAFELTER | ROBIN F LINAFELTER | 2018-07-25 | |
| 503 | 2017-01-01 | ||||
| 503 | 2016-01-01 | ROBIN LINAFELTER | ROBIN LINAFELTER | 2017-07-27 | |
| 503 | 2016-01-01 | ROBIN LINAFELTER | |||
| 503 | 2015-01-01 | ROBIN LINAFELTER | ROBIN LINAFELTER | 2016-07-22 | |
| 503 | 2014-01-01 | ROBIN LINAFELTER | ROBIN LINAFELTER | 2015-07-28 | |
| 503 | 2013-01-01 | ROBIN LINAFEFLTER | ROBIN LINAFEFLTER | 2014-07-16 | |
| 503 | 2012-01-01 | ROBIN LINAFELTER | ROBIN LINAFELTER | 2013-07-18 | |
| 503 | 2011-01-01 | ROBIN LINAFELTER | ROBIN LINAFELTER | 2012-07-20 | |
| 503 | 2010-01-01 | ROBIN LINAFELTER | ROBIN LINAFELTER | 2011-07-22 |
| BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 ) | |
| Policy contract number | 305200 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 ) | |
| Policy contract number | 305200 |
| Policy instance | 1 |
| COVENTRY HEALTH CARE OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 8036080000 |
| Policy instance | 1 |
| COVENTRY HEALTH CARE OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 8036080000 |
| Policy instance | 1 |
| COVENTRY HEALTH CARE OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 8036080000 |
| Policy instance | 1 |
| COVENTRY HEALTH CARE OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 8036080000 |
| Policy instance | 1 |
| COVENTRY HEALTH CARE OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 8036080000 |
| Policy instance | 1 |
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