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| Plan Name | GRAHAM HOSPITAL ASSOCIATION HEALTH PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GRAHAM HOSPITAL ASSOCIATION |
| Employer identification number (EIN): | 370673506 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-07-01 | MELANIE EWALT | 2024-11-11 | ||
| 502 | 2022-07-01 | KYLE COOK | 2023-11-02 | ||
| 502 | 2022-01-01 | KYLE COOK | 2023-01-31 | ||
| 502 | 2021-01-01 | KYLE COOK | 2022-09-22 | ||
| 502 | 2020-01-01 | KYLE COOK | 2021-10-04 | ||
| 502 | 2019-01-01 | ||||
| 502 | 2019-01-01 | KYLE COOK | 2021-12-06 | ||
| 502 | 2018-01-01 | KYLE COOK | |||
| 502 | 2017-01-01 | KYLE COOK | |||
| 502 | 2016-01-01 | KYLE COOK | KYLE COOK | 2017-07-28 | |
| 502 | 2015-01-01 | JULIE REEDER | JULIE REEDER | 2016-07-19 | |
| 502 | 2014-01-01 | JULIE REEDER | JULIE REEDER | 2015-06-08 | |
| 502 | 2013-01-01 | MELISSA WILSON | MELISSA WILSON | 2014-06-24 | |
| 502 | 2012-01-01 | MELISSA WILSON | MELISSA WILSON | 2013-05-14 | |
| 502 | 2011-01-01 | MELISSA WILSON | |||
| 502 | 2009-01-01 | MELISSA WILSON | |||
| 502 | 2009-01-01 | MELISSA WILSON | 2010-08-08 | ||
| 502 | 2009-01-01 | MELISSA WILSON | 2010-07-29 |
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) | |||||||||||||||||||
| Policy contract number | 11640 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) | |||||||||||||||||||
| Policy contract number | 11640 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) | |||||||||||||||||||
| Policy contract number | 11640 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||
| Policy contract number | 059101 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 04758 ) | |||||||||||||||||||
| Policy contract number | 10809 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||
| Policy contract number | 059101 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) | |||||||||||||||||||
| Policy contract number | 10809 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||
| Policy contract number | 059101 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47589 ) | |||||||||||||||||||
| Policy contract number | 10809 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
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