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Plan Name | DODGE CITY MEDICAL CENTER CHARTERED CAFETERIA PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | DODGE CITY MEDICAL CENTER CHARTERED |
Employer identification number (EIN): | 481092267 |
NAIC Classification: | 621111 |
NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2018-07-01 | ||||
501 | 2017-07-01 | ||||
501 | 2016-07-01 | ||||
501 | 2015-07-01 | ||||
501 | 2014-11-01 |
Measure | Date | Value |
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2014: DODGE CITY MEDICAL CENTER CHARTERED CAFETERIA PLAN 2014 401k membership | ||
Total participants, beginning-of-year | 2014-11-01 | 96 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 96 |
Total of all active and inactive participants | 2014-11-01 | 96 |
2014: DODGE CITY MEDICAL CENTER CHARTERED CAFETERIA PLAN 2014 form 5500 responses | ||
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2014-11-01 | Type of plan entity | Single employer plan |
2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2014-11-01 | Plan funding arrangement – Insurance | Yes |
2014-11-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 ) | |||||||||||||||||||||||||
Policy contract number | 09416 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 ) | |||||||||||||||||||||||||
Policy contract number | 00009416 | ||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||
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