UNITED MEMORIAL MEDICAL CENTER DENTAL PLAN
|
2018
|
160743029
|
2019-07-24
|
UNITED MEMORIAL MEDICAL CENTER
|
454
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-19 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER GROUP LIFE INSURANCE
|
2018
|
160743029
|
2019-07-24
|
UNITED MEMORIAL MEDICAL CENTER
|
548
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-04-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-19 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER GROUP HEALTH INSURANCE
|
2018
|
160743029
|
2019-07-24
|
UNITED MEMORIAL MEDICAL CENTER
|
321
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1970-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-23 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER SEVERANCE BENEFIT PLAN
|
2018
|
160743029
|
2019-10-08
|
UNITED MEMORIAL MEDICAL CENTER
|
715
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2001-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH ST, BATAVIA, NY, 140201631
|
Plan sponsor’s
address |
127 NORTH ST, BATAVIA, NY, 140201631
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-10-08 |
Name of individual signing |
LORRI JO MCCOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER GROUP HEALTH INSURANCE
|
2017
|
160743029
|
2019-08-02
|
UNITED MEMORIAL MEDICAL CENTER
|
334
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1970-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-08-02 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-02 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER GROUP LIFE INSURANCE
|
2017
|
160743029
|
2018-07-24
|
UNITED MEMORIAL MEDICAL CENTER
|
543
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-04-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-24 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER GROUP HEALTH INSURANCE
|
2017
|
160743029
|
2018-07-24
|
UNITED MEMORIAL MEDICAL CENTER
|
334
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1970-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-24 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER DENTAL PLAN
|
2017
|
160743029
|
2018-07-24
|
UNITED MEMORIAL MEDICAL CENTER
|
456
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Active participants |
446 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-24 |
Name of individual signing |
LEIGH ANN SCHON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER SEVERANCE BENEFIT PLAN
|
2017
|
160743029
|
2018-07-13
|
UNITED MEMORIAL MEDICAL CENTER
|
718
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2001-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH ST, BATAVIA, NY, 140201631
|
Plan sponsor’s
address |
127 NORTH ST, BATAVIA, NY, 140201631
|
Number of participants as of the end of the plan year
Active participants |
726 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-07-13 |
Name of individual signing |
LORRI JO MCCOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED MEMORIAL MEDICAL CENTER GROUP LIFE INSURANCE
|
2016
|
160743029
|
2017-06-23
|
UNITED MEMORIAL MEDICAL CENTER
|
517
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-04-01
|
Business code |
622000
|
Sponsor’s telephone number |
5853436030
|
Plan sponsor’s mailing address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Plan sponsor’s
address |
127 NORTH STREET, BATAVIA, NY, 14020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
SONJA GONYEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-22 |
Name of individual signing |
SONJA GONYEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|