MILLIKIN UNIVERSITY GROUP HOSPITALIZATION & MEDICAL PLAN
|
2018
|
370706154
|
2020-07-27
|
MILLIKIN UNIVERSITY
|
533
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1966-11-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY GROUP DENTAL PLAN
|
2018
|
370706154
|
2020-07-27
|
MILLIKIN UNIVERSITY
|
255
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1999-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY GROUP HOSPITALIZATION & MEDICAL PLAN
|
2018
|
370706154
|
2019-07-31
|
MILLIKIN UNIVERSITY
|
533
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1966-11-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Active participants |
543 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY GROUP DENTAL PLAN
|
2018
|
370706154
|
2019-07-25
|
MILLIKIN UNIVERSITY
|
255
|
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1999-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Active participants |
265 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY GROUP LIFE INSURANCE PLAN
|
2017
|
370706154
|
2020-07-27
|
MILLIKIN UNIVERSITY
|
324
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1970-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY SUPPLEMENTAL LIFE
|
2017
|
370706154
|
2020-07-27
|
MILLIKIN UNIVERSITY
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1994-11-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY GROUP TOTAL DISABILITY
|
2017
|
370706154
|
2020-07-27
|
MILLIKIN UNIVERSITY
|
324
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-08-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY VISION PLAN
|
2017
|
370706154
|
2020-07-27
|
MILLIKIN UNIVERSITY
|
256
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY VISION PLAN
|
2017
|
370706154
|
2018-11-14
|
MILLIKIN UNIVERSITY
|
256
|
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-11-14 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-14 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLIKIN UNIVERSITY SUPPLEMENTAL LIFE
|
2017
|
370706154
|
2018-11-15
|
MILLIKIN UNIVERSITY
|
173
|
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1994-11-01
|
Business code |
611000
|
Sponsor’s telephone number |
2173626416
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Plan sponsor’s
address |
1184 W MAIN ST, DECATUR, IL, 625222039
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-11-15 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-15 |
Name of individual signing |
DIANE LANE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|