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EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameEASTER SEALS NEW YORK HEALTH AND WELFARE PLAN
Plan identification number 502

EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

EASTER SEALS NEW YORK has sponsored the creation of one or more 401k plans.

Company Name:EASTER SEALS NEW YORK
Employer identification number (EIN):135596808
NAIC Classification:624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-07-01
5022015-09-01BRUCE R LASKO

Plan Statistics for EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN

401k plan membership statisitcs for EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN

Measure Date Value
2016: EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01104
Total number of active participants reported on line 7a of the Form 55002016-07-0191
Total of all active and inactive participants2016-07-0191
2015: EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01100
Total number of active participants reported on line 7a of the Form 55002015-09-01104
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01104

Form 5500 Responses for EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN

2016: EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: EASTER SEALS NEW YORK HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01First time form 5500 has been submittedYes
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720377
Policy instance 1
Insurance contract or identification number720377
Number of Individuals Covered156
Insurance policy start date2015-09-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $31,426
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,637,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,644
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC

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