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| Plan Name | HOSPITAL INTERNISTS OF AUSTIN LIFE INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HOSPITAL INTERNISTS OF AUSTIN, P.A. |
| Employer identification number (EIN): | 742805020 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about HOSPITAL INTERNISTS OF AUSTIN, P.A.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1996-12-13 |
| Company Identification Number: | 0081768003 |
| Legal Registered Office Address: |
7000 N MOPAC EXPY STE 420 AUSTIN United States of America (USA) 78731 |
More information about HOSPITAL INTERNISTS OF AUSTIN, P.A.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-11-01 |
| 2017: HOSPITAL INTERNISTS OF AUSTIN LIFE INSURANCE PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | First time form 5500 has been submitted | Yes |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | Yes |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | TM05940322 |
| Policy instance | 1 |
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