LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2023
|
204111272
|
2024-05-03
|
LA COLONIA MEDICAL CENTER, INC.
|
985
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
990 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2024-05-03 |
Name of individual signing |
DAINERYS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2022
|
204111272
|
2023-06-30
|
LA COLONIA MEDICAL CENTER, INC.
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2023-06-30 |
Name of individual signing |
DAINERYS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2021
|
204111272
|
2022-06-10
|
LA COLONIA MEDICAL CENTER, INC.
|
875
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
907 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-10 |
Name of individual signing |
DAINERYS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2020
|
204111272
|
2021-04-16
|
LA COLONIA MEDICAL CENTER, INC.
|
488
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
490 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-04-16 |
Name of individual signing |
DAINERYS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2019
|
204111272
|
2020-09-08
|
LA COLONIA MEDICAL CENTER, INC.
|
607
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
735 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2020-09-08 |
Name of individual signing |
DAINERIS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2018
|
204111272
|
2019-07-29
|
LA COLONIA MEDICAL CENTER, INC.
|
570
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
570 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
DAINERIS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2017
|
204111272
|
2018-07-30
|
LA COLONIA MEDICAL CENTER, INC.
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
275 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
DAINERIS ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA COLONIA MEDICAL CENTER, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
|
2016
|
204111272
|
2017-07-31
|
LA COLONIA MEDICAL CENTER, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058233312
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
YEIMI RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVMED HEALTH PLANS
|
2015
|
204111272
|
2016-07-28
|
LA COLONIA MEDICAL CENTER, INC.
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
3058893121
|
Plan sponsor’s mailing address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Plan sponsor’s
address |
167 W 23RD ST, HIALEAH, FL, 330102211
|
Number of participants as of the end of the plan year
|