MVP HEALTH CARE
|
2011
|
161469476
|
2012-06-20
|
ST. JOHN'S HEALTH CARE CORPORATION
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
13 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2011
|
161469476
|
2012-06-20
|
ST. JOHN'S HEALTH CARE CORPORATION
|
622
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1989-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
645 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARTFORD GROUP LIFE INSURANCE
|
2011
|
161469476
|
2012-06-20
|
ST. JOHN'S HEALTH CARE CORPORATION
|
788
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-04-11
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
639 |
Retired or separated participants receiving
benefits |
149 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELLUS
|
2011
|
161469476
|
2012-06-20
|
ST. JOHN'S HEALTH CARE CORPORATION
|
557
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1966-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
456 |
Retired or separated participants receiving
benefits |
97 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARTFORD GROUP LIFE INSURANCE
|
2010
|
161469476
|
2011-06-17
|
ST. JOHN'S HEALTH CARE CORPORATION
|
763
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-04-11
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469746 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
622 |
Retired or separated participants receiving
benefits |
141 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MVP HEALTH CARE
|
2010
|
161469476
|
2011-06-17
|
ST. JOHN'S HEALTH CARE CORPORATION
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
13 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELLUS
|
2010
|
161469476
|
2011-06-17
|
ST. JOHN'S HEALTH CARE CORPORATION
|
851
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1966-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
805 |
Retired or separated participants receiving
benefits |
46 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2010
|
161469476
|
2011-06-17
|
ST. JOHN'S HEALTH CARE CORPORATION
|
623
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1989-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5857601206
|
Plan sponsor’s mailing address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan sponsor’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620
|
Plan administrator’s name and address
Administrator’s EIN |
161469476 |
Plan administrator’s name |
ST. JOHN'S HEALTH CARE CORPORATION |
Plan administrator’s
address |
150 HIGHLAND AVE, ROCHESTER, NY, 14620 |
Administrator’s telephone number |
5857601206 |
Number of participants as of the end of the plan year
Active participants |
623 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
ELIZABETH SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|