| Entity Name: | STARLING PHYSICIANS MSO, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 05 Jun 1998 |
| Business ALEI: | 0594831 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT, 06067, United States |
| Mailing address: | 2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT, United States, 06067 |
| ZIP code: | 06067 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | aclausen@starlingphysicians.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CT HEALTH MSO CAFETERIA PLAN | 2012 | 061518341 | 2013-07-19 | CONNECTICUT HEALTH MSO, LLC | 309 | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Active participants | 328 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-19 |
| Name of individual signing | NANCY GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-19 |
| Name of individual signing | NANCY GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | DFE |
| Date | 2013-07-19 |
| Name of individual signing | NANCY GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 602 |
| Effective date of plan | 1998-12-31 |
| Business code | 622000 |
| Sponsor’s telephone number | 8602583480 |
| Plan sponsor’s mailing address | 2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT, 06067 |
| Plan sponsor’s address | 2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT, 06067 |
Plan administrator’s name and address
| Administrator’s EIN | 061518341 |
| Plan administrator’s name | CONNECTICUT HEALTH MSO, LLC |
| Plan administrator’s address | 2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT, 06067 |
| Administrator’s telephone number | 8602583480 |
Number of participants as of the end of the plan year
| Active participants | 309 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-18 |
| Name of individual signing | CHERYL MANDIROLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| LORI VINCI COO | Officer | 2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT, 06067, United States | N/A, N/A, CT, 06067, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | CONNECTICUT MULTISPECIALTY GROUP MSO, LLC | STARLING PHYSICIANS MSO, LLC | 2015-12-29 |
| Name change | CONNECTICUT HEALTH MSO, LLC | CONNECTICUT MULTISPECIALTY GROUP MSO, LLC | 2012-03-30 |
| Name change | HHCC MSO, LLC | CONNECTICUT HEALTH MSO, LLC | 1998-08-11 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012185669 | 2024-02-07 | No data | Annual Report | Annual Report | No data |
| BF-0012316533 | 2023-11-14 | 2023-11-14 | Change of Agent | Agent Change | No data |
| BF-0011147610 | 2023-01-31 | No data | Annual Report | Annual Report | No data |
| BF-0010242063 | 2022-03-11 | No data | Annual Report | Annual Report | 2022 |
| 0007301970 | 2021-04-19 | No data | Annual Report | Annual Report | 2021 |
| 0007016175 | 2020-11-11 | 2020-11-11 | Interim Notice | Interim Notice | No data |
| 0007014646 | 2020-11-09 | 2020-11-09 | Change of Agent | Agent Change | No data |
| 0006734453 | 2020-01-28 | No data | Annual Report | Annual Report | 2020 |
| 0006541103 | 2019-04-23 | No data | Annual Report | Annual Report | 2019 |
| 0006321861 | 2019-01-15 | 2019-01-15 | Change of Agent | Agent Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
