| Plan Name | FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC. LONG-TERM DISABILITY PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC. |
| Employer identification number (EIN): | 350900741 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2017-01-01 | ||||
| 504 | 2016-01-01 | HAYLEE CAVINS | |||
| 504 | 2015-01-01 | RHONDA MCPHERSON | |||
| 504 | 2014-01-01 | RHONDA MCPHERSON | |||
| 504 | 2013-01-01 | RHONDA MCPHERSON | |||
| 504 | 2012-01-01 | RHONDA MCPHERSON | RHONDA MCPHERSON | 2013-05-10 | |
| 504 | 2011-01-01 | RHONDA MCPHERSON | RHONDA MCPHERSON | 2012-07-19 | |
| 504 | 2010-01-01 | RHONDA MCPHERSON | RHONDA MCPHERSON | 2011-07-13 | |
| 504 | 2009-01-01 | RHONDA MCPHERSON |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | 9031432470 002 |
| Policy instance | 1 |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | 9031432470002 |
| Policy instance | 1 |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | 9031432470002 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 10154079 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 000010154079 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 000010154080 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 858361G |
| Policy instance | 3 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 858361G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 858361G |
| Policy instance | 1 |