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BAPTIST HEALTH PLAN, INC.

Headquarter

Company Details

Name: BAPTIST HEALTH PLAN, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 20 Apr 1993 (32 years ago)
Organization Date: 20 Apr 1993 (32 years ago)
Organization Number: 0314213
Primary County: Fayette
Place of Formation: KENTUCKY
Last Annual Report: 06 Jun 2019 (5 years ago)
Principal Office: 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY 40517
Principal Office ZIP code: 40517

Links between entities

Type Company Name Company Number State
Headquarter of BAPTIST HEALTH PLAN, INC. CORP_69648959 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 120
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 142
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 146
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 167
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 169
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 168
Retired or separated participants receiving benefits 8
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 191
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 198
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 205
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 189
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 187
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 199
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 204
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 196
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 196
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 195
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 611241101 2010-06-11 BLUEGRASS FAMILY HEALTH, INC. 195
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-12-14
Business code 524140
Sponsor’s telephone number 8592694475
Plan sponsor’s mailing address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Plan sponsor’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517

Plan administrator’s name and address

Administrator’s EIN 611241101
Plan administrator’s name BLUEGRASS FAMILY HEALTH, INC.
Plan administrator’s address 651 PERIMETER DRIVE, SUITE 300, LEXINGTON, KY, 40517
Administrator’s telephone number 8592694475

Number of participants as of the end of the plan year

Active participants 199
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOAN SANDERS
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
LINDSEY W INGRAM, JR. Director
JOHN D LOGAN Director
REV BOB G BAKER Director
ISAAC J MYERS II MD Director
WILLIAM SISSON Director
WILLIAM D. FUCHS Director
CONRAD SOBCZAK Director

Incorporator

Name Role
DEBORAH HOLLAND TUDOR Incorporator

Registered Agent

Name Role
JANET M. NORTON Registered Agent

Assistant Secretary

Name Role
PATRICE DAVIS Assistant Secretary

President

Name Role
ISAAC J MYERS II MD President

CFO

Name Role
STEPHEN R OGLESBY CFO

Secretary

Name Role
JANET M NORTON Secretary

Former Company Names

Name Action
BLUEGRASS FAMILY HEALTH, INC. Old Name

Assumed Names

Name Status Expiration Date
BAPTIST HEALTH PLAN Inactive 2020-05-01

Filings

Name File Date
Dissolution 2019-12-19
Annual Report 2019-06-06
Annual Report 2018-06-15
Annual Report 2017-06-06
Annual Report 2016-05-02
Amended and Restated Articles 2015-10-07
Withdrawal before effective date 2015-09-08
Amended and Restated Articles 2015-08-20
Amendment 2015-05-28
Annual Report 2015-05-26

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State