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  5. KENTUCKY PROFESSIONAL INSURANCE CORPORATION

KENTUCKY PROFESSIONAL INSURANCE CORPORATION

Company Details

Name: KENTUCKY PROFESSIONAL INSURANCE CORPORATION
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
File Date: 30 Nov 1984 (40 years ago)
Organization Date: 30 Nov 1984 (40 years ago)
Last Annual Report: 29 Mar 2016 (9 years ago)
Organization Number: 0196017
ZIP code: 40223
Primary County: Jefferson
Principal Office: 9520 ORMSBY STATION ROAD, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY
Authorized Shares: 22500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREFERRED HEALTH PLAN INC 401K RETIREMENT SAVINGS PLAN 2014 611066681 2015-04-24 PREFERRED HEALTH PLAN INC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-03-01
Business code 524290
Sponsor’s telephone number 5023397500
Plan sponsor’s address 9520 ORMSBY STATION ROAD, SUITE 300, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2015-04-24
Name of individual signing NORMAN E RISEN
Valid signature Filed with authorized/valid electronic signature
PREFERRED HEALTH PLAN INC 401K RETIREMENT SAVINGS PLAN 2013 611066681 2014-10-13 PREFERRED HEALTH PLAN INC 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-03-01
Business code 524290
Sponsor’s telephone number 5023397500
Plan sponsor’s address 9520 ORMSBY STATION ROAD, SUITE 300, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 611066681
Plan administrator’s name PREFERRED HEALTH PLAN INC
Plan administrator’s address 9520 ORMSBY STATION ROAD, SUITE 300, LOUISVILLE, KY, 40223
Administrator’s telephone number 5023397500

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing NORMAN E RISEN
Valid signature Filed with authorized/valid electronic signature
PREFERRED HEALTH PLAN INC 401K RETIREMENT SAVINGS PLAN 2012 611066681 2013-10-15 PREFERRED HEALTH PLAN INC 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-03-01
Business code 524290
Sponsor’s telephone number 5023397500
Plan sponsor’s address 9520 ORMSBY STATION ROAD, SUITE 300, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 611066681
Plan administrator’s name PREFERRED HEALTH PLAN INC
Plan administrator’s address 9520 ORMSBY STATION ROAD, SUITE 300, LOUISVILLE, KY, 40223
Administrator’s telephone number 5023397500

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing NORMAN E RISEN
Valid signature Filed with authorized/valid electronic signature
PREFERRED HEALTH PLAN, INC. 401(K) PLAN 2010 611066681 2010-12-07 PREFERRED HEALTH PLAN, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 524290
Sponsor’s telephone number 5023397500
Plan sponsor’s address P.O. BOX 437017, LOUISVILLE, KY, 40253

Plan administrator’s name and address
Administrator’s EIN 611066681
Plan administrator’s name PREFERRED HEALTH PLAN, INC.
Plan administrator’s address P.O. BOX 437017, LOUISVILLE, KY, 40253
Administrator’s telephone number 5023397500

Signature of
Role Plan administrator
Date 2010-12-07
Name of individual signing LESLIE O'BRYAN
Valid signature Filed with authorized/valid electronic signature
PREFERRED HEALTH PLAN, INC. 401(K) PLAN 2009 611066681 2010-12-03 PREFERRED HEALTH PLAN, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 524290
Sponsor’s telephone number 5023397500
Plan sponsor’s address P.O. BOX 437017, LOUISVILLE, KY, 40253

Plan administrator’s name and address
Administrator’s EIN 611066681
Plan administrator’s name PREFERRED HEALTH PLAN, INC.
Plan administrator’s address P.O. BOX 437017, LOUISVILLE, KY, 40253
Administrator’s telephone number 5023397500

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing LESLIE O'BRYAN
Valid signature Filed with authorized/valid electronic signature
PREFERRED HEALTH PLAN, INC. 401(K) PLAN 2009 611066681 2010-10-14 PREFERRED HEALTH PLAN, INC. 30
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 524290
Sponsor’s telephone number 5023397500
Plan sponsor’s address P.O. BOX 437017, LOUISVILLE, KY, 40253

Plan administrator’s name and address
Administrator’s EIN 611066681
Plan administrator’s name PREFERRED HEALTH PLAN, INC.
Plan administrator’s address P.O. BOX 437017, LOUISVILLE, KY, 40253
Administrator’s telephone number 5023397500

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing LESLIE O'BRYAN
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Marc Risen Director
Cathy New Director
Kent Risen Director
WILLIAM M. SCHREIBER, M. Director
STUART GRAVES, JR., M.D. Director
BEN R. BREWER Director
JAMES R. PETERSDORF Director
Norm Risen Director

Incorporator

Name Role
J. LARRY CASHEN Incorporator

Secretary

Name Role
Cathy New Secretary

Registered Agent

Name Role
CATHERINE NEW Registered Agent

Former Company Names

Name Action
PREFERRED HEALTH PLAN, INC. Old Name

Filings

Name File Date
Administrative Dissolution Return 2017-11-09
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-08-21
Annual Report 2016-03-29
Registered Agent name/address change 2015-06-23
Annual Report 2015-06-23
Amendment 2015-05-11
Annual Report 2014-04-08
Annual Report 2013-06-29
Annual Report 2012-04-20

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Related by address

No related companies by address

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State

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