WHITE PLAINS HOSPITAL MEDICAL CENTER MEDICAL & DENTAL PLAN
|
2011
|
131740130
|
2012-10-14
|
WHITE PLAINS HOSPITAL MEDICAL CENTER
|
1253
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1959-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146811100
|
Plan sponsor’s mailing address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan sponsor’s
address |
LINE1, NYC, NY, 10010
|
Plan administrator’s name and address
Administrator’s EIN |
131740130 |
Plan administrator’s name |
WHITE PLAINS HOSPITAL MEDICAL CENTER |
Plan administrator’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699 |
Administrator’s telephone number |
9146811100 |
Number of participants as of the end of the plan year
Active participants |
1242 |
Retired or separated participants receiving
benefits |
26 |
Other
retired or separated participants entitled to future benefits |
29 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-14 |
Name of individual signing |
JOHN SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-14 |
Name of individual signing |
JOHN SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WHITE PLAINS HOSPITAL MEDICAL CENTER MEDICAL & DENTAL PLAN
|
2010
|
131740130
|
2011-07-28
|
WHITE PLAINS HOSPITAL MEDICAL CENTER
|
1172
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1959-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146811100
|
Plan sponsor’s mailing address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan sponsor’s
address |
LINE1, NYC, NY, 10010
|
Plan administrator’s name and address
Administrator’s EIN |
131740130 |
Plan administrator’s name |
WHITE PLAINS HOSPITAL MEDICAL CENTER |
Plan administrator’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699 |
Administrator’s telephone number |
9146811100 |
Number of participants as of the end of the plan year
Active participants |
1183 |
Retired or separated participants receiving
benefits |
12 |
Other
retired or separated participants entitled to future benefits |
61 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
JOHN SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-28 |
Name of individual signing |
EDWARD LEONARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WHITE PLAINS HOSPITAL MEDICAL CENTER INSURANCE BENEFITS PLAN
|
2010
|
131740130
|
2011-07-28
|
WHITE PLAINS HOSPITAL MEDICAL CENTER
|
1277
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1967-12-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146811100
|
Plan sponsor’s mailing address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan sponsor’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan administrator’s name and address
Administrator’s EIN |
131740130 |
Plan administrator’s name |
WHITE PLAINS HOSPITAL MEDICAL CENTER |
Plan administrator’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699 |
Administrator’s telephone number |
9146811100 |
Number of participants as of the end of the plan year
Active participants |
1211 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
JOHN SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-28 |
Name of individual signing |
EDWARD LEONARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WHITE PLAINS HOSPITAL MEDICAL CENTER MEDICAL & DENTAL PLAN
|
2009
|
131740130
|
2010-10-04
|
WHITE PLAINS HOSPITAL MEDICAL CENTER
|
1179
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1959-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146811100
|
Plan sponsor’s mailing address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan sponsor’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan administrator’s name and address
Administrator’s EIN |
131740130 |
Plan administrator’s name |
WHITE PLAINS HOSPITAL MEDICAL CENTER |
Plan administrator’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699 |
Administrator’s telephone number |
9146811100 |
Number of participants as of the end of the plan year
Active participants |
1202 |
Retired or separated participants receiving
benefits |
12 |
Other
retired or separated participants entitled to future benefits |
52 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
JOHN SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
EDWARD LEONARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WHITE PLAINS HOSPITAL MEDICAL CENTER INSURANCE BENEFITS PLAN
|
2009
|
131740130
|
2010-10-04
|
WHITE PLAINS HOSPITAL MEDICAL CENTER
|
1145
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1967-12-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146811100
|
Plan sponsor’s mailing address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan sponsor’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699
|
Plan administrator’s name and address
Administrator’s EIN |
131740130 |
Plan administrator’s name |
WHITE PLAINS HOSPITAL MEDICAL CENTER |
Plan administrator’s
address |
41 EAST POST RD., WHITE PLAINS, NY, 106014699 |
Administrator’s telephone number |
9146811100 |
Number of participants as of the end of the plan year
Active participants |
1142 |
Retired or separated participants receiving
benefits |
17 |
Other
retired or separated participants entitled to future benefits |
45 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
JOHN SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
EDWARD LEONARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|