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| Plan Name | LONG TERM DISABILITY |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WINTER HAVEN HOSPITAL, INC. |
| Employer identification number (EIN): | 590724462 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about WINTER HAVEN HOSPITAL, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1961-10-30 |
| Company Identification Number: | 703100 |
| Legal Registered Office Address: |
ATTENTION: LEGAL SERVICES DEPARTMENT CLEARWATER 33759 |
More information about WINTER HAVEN HOSPITAL, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2013-01-01 | STEPHEN NIERMAN | 2014-09-03 | STEPHEN NIERMAN | 2014-08-29 |
| 504 | 2012-01-01 | LANCE ANASTASIO | |||
| 504 | 2011-01-01 | LANCE ANASTASIO |
| Measure | Date | Value |
|---|---|---|
| 2013: LONG TERM DISABILITY 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 635 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 634 |
| Total of all active and inactive participants | 2013-01-01 | 634 |
| Total participants | 2013-01-01 | 634 |
| 2012: LONG TERM DISABILITY 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 670 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 635 |
| Total of all active and inactive participants | 2012-01-01 | 635 |
| Total participants | 2012-01-01 | 635 |
| 2011: LONG TERM DISABILITY 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 675 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 670 |
| Total of all active and inactive participants | 2011-01-01 | 670 |
| Total participants | 2011-01-01 | 670 |
| 2013: LONG TERM DISABILITY 2013 form 5500 responses | ||
|---|---|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: LONG TERM DISABILITY 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: LONG TERM DISABILITY 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 000400120006 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 000400120006 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 000400120006 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 000400120006 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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