# KALEIDA HEALTH YOUR SPECTRUM OF CHOICES BENEFIT PLAN

DOL Acknowledgment ID: 20250715082102NAL0002914352001
Plan number: 520
Plan effective date: 1999-07-01
Form year: 2024

## Sponsor

- Name: KALEIDA HEALTH
- EIN: 161533232
- Address: CORPORATE EMPLOYEE BENEFITS DEPT., BUFFALO, NY, 142031126
- Phone: 7168598000
- Business code: 622000

## Administrator

- Name: —
- EIN: —
- Phone: —

## Participation

- Total participants (beginning of year): 7,514
- Active participants: 8,351
- Retired / separated receiving benefits: —
- Beneficiaries receiving benefits: —
- Participants with account balance: —

## Plan types

### Pension benefits
—

### Welfare benefits
- 4A4B4D4H4L4Q: 4A4B4D4H4L4Q

## Funding & flags

- Funding sources: Insurance contracts, General assets
- Collective bargaining: No
- Amended filing: No
- Final filing: No

## Source

- DOL EFAST2 filing lookup: https://efast.dol.gov/5500Search/PlanFilings.aspx?AckID=20250715082102NAL0002914352001
- IRS BMF (sponsor): https://api.morvs.ai/nonprofit/161533232