| Entity Name: | MOUNT CARMEL HEALTH PLAN OF CONNECTICUT, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 08 Dec 2021 (Companies founded in December 2021) |
| Business ALEI: | 2399088 |
| Annual report due: | 20 Jan 2025 |
| NAICS code: | 524114 - Direct Health and Medical Insurance Carriers |
| Business address: | 3100 Easton Square Pl Ste 300, Columbus, OH, 43219-6290, United States |
| Mailing address: | 3100 Easton Square Pl Ste 300, Columbus, OH, United States, 43219-6290 |
| Place of Formation: | CONNECTICUT |
| E-Mail: | trisha.whetstone@trinity-health.org |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Jack Randolph | Officer | 6150 E Broad St, Columbus, OH, 43213-1574, United States | 9347 Duck Lake Ct, Sylvania, OH, 43560-8991, United States |
| David Vis | Officer | 6150 E Broad St, Columbus, OH, 43213-1574, United States | 1401 Caring Ct, Maitland, FL, 32751-4252, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Jack Randolph | Director | 6150 E Broad St, Columbus, OH, 43213-1574, United States | 9347 Duck Lake Ct, Sylvania, OH, 43560-8991, United States |
| Claudio Capone | Director | 1000 Asylum Ave., 2109A, Hartford, CT, 06105, United States | 20 Stockade Cir., Wethersfield, CT, 06109-4059, United States |
| David Vis | Director | 6150 E Broad St, Columbus, OH, 43213-1574, United States | 1401 Caring Ct, Maitland, FL, 32751-4252, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012325847 | 2024-01-03 | No data | Annual Report | Annual Report | No data |
| BF-0010500399 | 2023-01-20 | No data | Annual Report | Annual Report | No data |
| BF-0010163151 | 2022-01-20 | 2022-03-07 | First Report | Organization and First Report | No data |
| BF-0010163140 | 2021-12-08 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
