0001660209-17-000001.txt : 20170607 0001660209-17-000001.hdr.sgml : 20170607 20170607132915 ACCESSION NUMBER: 0001660209-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170607 DATE AS OF CHANGE: 20170607 EFFECTIVENESS DATE: 20170607 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MELODY HEALTH INSURANCE, INC. CENTRAL INDEX KEY: 0001660209 IRS NUMBER: 475391343 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-288213 FILM NUMBER: 17896770 BUSINESS ADDRESS: STREET 1: 1550 17TH STREET STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-892-9400 MAIL ADDRESS: STREET 1: 1550 17TH STREET STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 D 1 primary_doc.xml X0707 D LIVE 0001660209 MELODY HEALTH INSURANCE, INC. 511 North Broadway DENVER CO COLORADO 80203 720-437-8874 DELAWARE None None Corporation true 2015 Salvatore Gentile 511 North Broadway Denver CO COLORADO 80203 Executive Officer Director David Pinkert 511 North Broadway Denver CO COLORADO 80203 Executive Officer Director Eduardo Cruz 511 North Broadway Denver CO COLORADO 80203 Director Michael S. Pinkert 511 North Broadway Denver CO COLORADO 80203 Director Daniel S. Phillips 511 North Broadway Denver CO COLORADO 80203 Executive Officer Lisa Yacuzzo 511 North Broadway Denver CO COLORADO 80203 Executive Officer Health Insurance Decline to Disclose 06b false 2017-06-01 false true false 0 5000000 3044932 1955068 false 2 0 0 0 false MELODY HEALTH INSURANCE, INC. /s/ Lisa Yacuzzo Lisa Yacuzzo Chief Legal Officer 2017-06-07