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| Plan Name | DELNOR COMMUNITY HEALTH SYSTEM EMPLOYEES GROUP LIFE INSURANCE PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DELNOR COMMUNITY HEALTH SYSTEM |
| Employer identification number (EIN): | 363379958 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2011-09-01 | SHAWN FITZGERALD | |||
| 508 | 2009-09-01 | MICHAEL KITTOE |
| 2011: DELNOR COMMUNITY HEALTH SYSTEM EMPLOYEES GROUP LIFE INSURANCE PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Submission has been amended | No |
| 2011-09-01 | This submission is the final filing | Yes |
| 2011-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-09-01 | Plan is a collectively bargained plan | No |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: DELNOR COMMUNITY HEALTH SYSTEM EMPLOYEES GROUP LIFE INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | Submission has been amended | No |
| 2009-09-01 | This submission is the final filing | No |
| 2009-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-09-01 | Plan is a collectively bargained plan | No |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
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