|
ADVANCED RADIOLOGY CONSULTANTS HEALTH INSURANCE PLAN
|
2010
|
061614148
|
2011-11-03
|
ADVANCED RADIOLOGY CONSULTANTS
|
186
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2001-12-31
|
| Business code |
621111
|
| Plan sponsor’s mailing address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
| Plan sponsor’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
Plan administrator’s name and address
| Administrator’s EIN |
061614148 |
| Plan administrator’s name |
ADVANCED RADIOLOGY CONSULTANTS |
| Plan administrator’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-11-03 |
| Name of individual signing |
ALAN KAYE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED RADIOLOGY CONSULTANTS HEALTH INSURANCE PLAN
|
2009
|
061614148
|
2010-10-21
|
ADVANCED RADIOLOGY CONSULTANTS
|
192
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2001-12-31
|
| Business code |
621111
|
| Plan sponsor’s mailing address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
| Plan sponsor’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
Plan administrator’s name and address
| Administrator’s EIN |
061614148 |
| Plan administrator’s name |
ADVANCED RADIOLOGY CONSULTANTS |
| Plan administrator’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED RADIOLOGY CONSULTANTS HEALTH INSURANCE PLAN
|
2009
|
061614148
|
2010-10-18
|
ADVANCED RADIOLOGY CONSULTANTS
|
192
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2001-12-31
|
| Business code |
621111
|
| Plan sponsor’s mailing address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
| Plan sponsor’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
Plan administrator’s name and address
| Administrator’s EIN |
061614148 |
| Plan administrator’s name |
ADVANCED RADIOLOGY CONSULTANTS |
| Plan administrator’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
ADVANCED RADIOLOGY CONSULTANTS HEALTH INSURANCE PLAN
|
2009
|
061614148
|
2010-10-21
|
ADVANCED RADIOLOGY CONSULTANTS
|
192
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2001-12-31
|
| Business code |
621111
|
| Plan sponsor’s mailing address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
| Plan sponsor’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
Plan administrator’s name and address
| Administrator’s EIN |
061614148 |
| Plan administrator’s name |
ADVANCED RADIOLOGY CONSULTANTS |
| Plan administrator’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
ADVANCED RADIOLOGY CONSULTANTS HEALTH INSURANCE PLAN
|
2009
|
061614148
|
2010-10-14
|
ADVANCED RADIOLOGY CONSULTANTS
|
192
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2001-12-31
|
| Business code |
621111
|
| Plan sponsor’s mailing address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
| Plan sponsor’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611
|
Plan administrator’s name and address
| Administrator’s EIN |
061614148 |
| Plan administrator’s name |
ADVANCED RADIOLOGY CONSULTANTS |
| Plan administrator’s
address |
56 QUARRY ROAD, TRUMBULL, CT, 06611 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE,MD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
ALAN KAYE, MD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
