AMWTP FLEXIBLE BENEFITS PLAN
|
2015
|
264033556
|
2016-05-17
|
IDAHO TREATMENT GROUP, LLC
|
314
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1989-01-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-05-17 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP VISION CARE PLAN
|
2015
|
264033556
|
2016-05-23
|
IDAHO TREATMENT GROUP, LLC
|
441
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1993-01-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Active participants |
508 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-05-23 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP BUSINESS TRAVEL INSURANCE PLAN
|
2015
|
264033556
|
2016-05-03
|
IDAHO TREATMENT GROUP, LLC
|
637
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1966-04-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-05-03 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP DENTAL CARE PLAN
|
2014
|
264033556
|
2016-03-03
|
IDAHO TREATMENT GROUP, LLC
|
574
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1995-01-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Active participants |
623 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-03-03 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP HEALTHCARE PLAN
|
2014
|
264033556
|
2016-03-03
|
IDAHO TREATMENT GROUP, LLC
|
585
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1966-07-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Active participants |
604 |
Retired or separated participants receiving
benefits |
29 |
Signature of
Role |
Plan administrator |
Date |
2016-03-03 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP LIFE INSURANCE PLAN
|
2014
|
264033556
|
2016-04-28
|
IDAHO TREATMENT GROUP, LLC
|
651
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1966-07-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Active participants |
689 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2016-04-27 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP SEVERANCE PAY PLAN
|
2014
|
264033556
|
2016-02-18
|
IDAHO TREATMENT GROUP, LLC
|
645
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
1987-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-02-17 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP LONG TERM DISABILITY INSURANCE PLAN
|
2014
|
264033556
|
2016-02-16
|
IDAHO TREATMENT GROUP, LLC
|
393
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1968-12-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Active participants |
385 |
Retired or separated participants receiving
benefits |
11 |
Signature of
Role |
Plan administrator |
Date |
2016-02-16 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP SHORT TERM DISABILITY PLAN
|
2014
|
264033556
|
2016-02-16
|
IDAHO TREATMENT GROUP, LLC
|
645
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1992-08-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-02-16 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMWTP ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2014
|
264033556
|
2016-04-19
|
IDAHO TREATMENT GROUP, LLC
|
645
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1966-09-01
|
Business code |
562000
|
Sponsor’s telephone number |
2085570930
|
Plan sponsor’s mailing address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Plan sponsor’s
address |
850 ENERGY DRIVE, SUITE 100, IDAHO FALLS, ID, 83401
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-04-19 |
Name of individual signing |
JENNIFER ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|