SOUTHERN MEDICAL HEALTH SYSTEMS, INC. VISION PLAN
|
2023
|
630885975
|
2024-07-18
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
850
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2016-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Active participants |
849 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS INC MEDICAL PLAN
|
2023
|
630885975
|
2024-07-18
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
1203
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-06-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Active participants |
1164 |
Retired or separated participants receiving
benefits |
11 |
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. DENTAL PLAN
|
2023
|
630885975
|
2024-07-18
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
1240
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2016-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Active participants |
1187 |
Retired or separated participants receiving
benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. LONG TERM DISABILITY PLAN
|
2023
|
630885975
|
2024-07-18
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. LIFE AND AD&D PLAN
|
2023
|
630885975
|
2024-07-18
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
1564
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1984-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. FLEX PLAN
|
2023
|
630885975
|
2024-07-18
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
366
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2015-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. LIFE AND AD&D PLAN
|
2022
|
630885975
|
2023-07-24
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
1596
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1984-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. LONG TERM DISABILITY PLAN
|
2022
|
630885975
|
2023-07-24
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. VISION PLAN
|
2022
|
630885975
|
2023-07-24
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
829
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2016-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Active participants |
848 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC. FLEX PLAN
|
2022
|
630885975
|
2023-07-24
|
SOUTHERN MEDICAL HEALTH SYSTEMS, INC.
|
371
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2015-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
2514605280
|
Plan sponsor’s mailing address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Plan sponsor’s
address |
1000-A CODY RD S, MOBILE, AL, 366953425
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
REBECCA CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|