| Name: | St. Luke's Health Plan, Inc. |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 01 Feb 2022 (3 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 4587628 |
| Place of Formation: | IDAHO |
| File Number: | 803623 |
| ZIP code: | 83712 |
| County: | Ada County |
| Mailing Address: | 190 E BANNOCK ST BOISE, ID 83712-6241 |
| Name | Role | Address |
|---|---|---|
| Ben Keith | Agent | 190 E BANNOCK ST, BOISE, ID 83712 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Doug W Dammrose | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Karen L Vauk | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| James P Souza | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| David T Self | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Christopher W Roth | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Kristina S Tapia | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Emily Baker | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Mike Hayhurst | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Stephen Todd Cooper | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Brigette Bilyeu | Director | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Marc McDonald | Treasurer | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Ben Keith | Secretary | 190 E BANNOCK ST, BOISE, ID 83712 | 2023-02-06 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Matt Wolff | President | 800 EAST PARK BLVD, BOISE, ID 83712 | 2024-02-02 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005578337 | 2024-02-02 |
| Annual Report | 0005098069 | 2023-02-06 |
| Initial Filing | 0004587628 | 2022-02-01 |
Date of last update: 06 Jan 2025
Sources: Idaho Secretary of State
