JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN
|
2023
|
640362400
|
2024-05-02
|
ANDERSON REGIONAL MEDICAL CENTER
|
993
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-01 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-01 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2023
|
640362400
|
2024-05-20
|
ANDERSON REGIONAL MEDICAL CENTER
|
761
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-17 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-17 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN
|
2022
|
640362400
|
2023-12-21
|
ANDERSON REGIONAL MEDICAL CENTER
|
993
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-21 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-21 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2022
|
640362400
|
2023-12-15
|
ANDERSON REGIONAL MEDICAL CENTER
|
855
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Active participants |
793 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-12-14 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-14 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2022
|
640362400
|
2023-07-18
|
ANDERSON REGIONAL MEDICAL CENTER
|
855
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Active participants |
793 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-18 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2021
|
640362400
|
2023-12-19
|
ANDERSON REGIONAL MEDICAL CENTER
|
856
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-19 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-19 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH LIFE BENEFITS
|
2021
|
640362400
|
2023-12-19
|
ANDERSON REGIONAL MEDICAL CENTER
|
1121
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-19 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-19 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN
|
2021
|
640362400
|
2023-12-21
|
ANDERSON REGIONAL MEDICAL CENTER
|
1121
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-21 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-21 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2021
|
640362400
|
2022-07-27
|
ANDERSON REGIONAL MEDICAL CENTER
|
856
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2020
|
640362400
|
2021-12-14
|
ANDERSON REGIONAL MEDICAL CENTER
|
863
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
6015536000
|
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-12-14 |
Name of individual signing |
STEVEN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2018
|
640362400
|
2019-09-26
|
ANDERSON REGIONAL MEDICAL CENTER
|
1031
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084554P030036603969001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1981-02-01 |
Business code |
622000 |
Sponsor’s telephone number |
6015536000 |
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Number of participants as of the end of the plan year
Active participants |
1010 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
CASEY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2018
|
640362400
|
2019-09-28
|
ANDERSON REGIONAL MEDICAL CENTER
|
850
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/28/20190928161340P030041442961001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1981-02-01 |
Business code |
622000 |
Sponsor’s telephone number |
6015536000 |
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Number of participants as of the end of the plan year
Active participants |
834 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-28 |
Name of individual signing |
CASEY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2017
|
640362400
|
2019-09-26
|
ANDERSON REGIONAL MEDICAL CENTER
|
1043
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084901P040039557009001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1981-02-01 |
Business code |
622000 |
Sponsor’s telephone number |
6015536000 |
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Number of participants as of the end of the plan year
Active participants |
1072 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-26 |
Name of individual signing |
CASEY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2016
|
640362400
|
2019-09-26
|
ANDERSON REGIONAL MEDICAL CENTER
|
876
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084805P040039555617001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1981-02-01 |
Business code |
622000 |
Sponsor’s telephone number |
6015536000 |
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Number of participants as of the end of the plan year
Active participants |
851 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
CASEY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN
|
2015
|
640362400
|
2019-09-26
|
ANDERSON REGIONAL MEDICAL CENTER
|
1041
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084719P040039554561001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1981-02-01 |
Business code |
622000 |
Sponsor’s telephone number |
6015536000 |
Plan sponsor’s mailing address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Plan sponsor’s
address |
2124 14TH ST, MERIDIAN, MS, 393014040 |
Number of participants as of the end of the plan year
Active participants |
905 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
CASEY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN
|
2009
|
640362400
|
2011-05-02
|
JEFF ANDERSON REGIONAL MEDICAL CENTER
|
913
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/02/20110502162508P030245435168001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1975-12-01 |
Business code |
622000 |
Sponsor’s telephone number |
6015536000 |
Plan sponsor’s mailing address |
2124 14TH STREET, MERIDIAN, MS, 39301 |
Plan sponsor’s
address |
2124 14TH STREET, MERIDIAN, MS, 39301 |
Plan administrator’s name and address
Administrator’s EIN |
640362400 |
Plan administrator’s name |
JEFF ANDERSON REGIONAL MEDICAL CENTER |
Plan administrator’s
address |
2124 14TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6015536000 |
Number of participants as of the end of the plan year
Active participants |
965 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-05-02 |
Name of individual signing |
KATRINA S. CHAMBLEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|