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| Plan Name | SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SIOUX CENTER HEALTH |
| Employer identification number (EIN): | 420796764 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about SIOUX CENTER HEALTH
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 1948-01-27 |
| Company Identification Number: | 081856 |
| Legal Registered Office Address: |
1101 9TH ST SE SIOUX CENTER United States of America (USA) 51250 |
More information about SIOUX CENTER HEALTH
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2016-01-01 | ||||
| 503 | 2016-01-01 | ||||
| 503 | 2015-01-01 | ||||
| 503 | 2014-01-01 | ||||
| 503 | 2013-01-01 |
| 2016: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | First time form 5500 has been submitted | Yes |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 ) | |
| Policy contract number | GL0900 |
| Policy instance | 1 |
| EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 ) | |
| Policy contract number | GL0900 |
| Policy instance | 1 |
| EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 ) | |
| Policy contract number | GL0900 |
| Policy instance | 1 |
| EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 ) | |
| Policy contract number | GL0900 |
| Policy instance | 1 |
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