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 |
|
|