401k Plan data: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN plan

INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 401k Plan overview

Plan Name	INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN
Plan identification number	502

INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Other welfare benefit cover

401k Sponsoring company profile

INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC.

Employer identification number (EIN): 112725336

NAIC Classification: 611000

Additional information about INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1983-06-13

Company Identification Number: 848208

Legal Registered Office Address: 35-55 223RD STREET
Nassau
BAYSIDE
United States of America (USA)
11361

More information about INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2019-12-01
502 2018-12-01
502 2017-12-01
502 2016-12-01 DAVID LOCKER
502 2015-12-01 DAVID LOCKER

Plan Statistics for INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN

401k plan membership statisitcs for INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN

Measure Date Value
2019: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-12-01 150
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 130
Total of all active and inactive participants 2019-12-01 130
Total participants 2019-12-01 130
2018: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-12-01 149
Total number of active participants reported on line 7a of the Form 5500 2018-12-01 150
Total of all active and inactive participants 2018-12-01 150
Total participants 2018-12-01 150
2017: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-12-01 145
Total number of active participants reported on line 7a of the Form 5500 2017-12-01 149
Total of all active and inactive participants 2017-12-01 149
Total participants 2017-12-01 149
2016: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-12-01 140
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 147
Total of all active and inactive participants 2016-12-01 147
Total participants 2016-12-01 147
2015: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-01 140
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 141
Total of all active and inactive participants 2015-12-01 141
Total participants 2015-12-01 141

Measure	Date	Value
2019: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-12-01	150
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	130
Total of all active and inactive participants	2019-12-01	130
Total participants	2019-12-01	130
2018: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-12-01	149
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	150
Total of all active and inactive participants	2018-12-01	150
Total participants	2018-12-01	150
2017: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-12-01	145
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	149
Total of all active and inactive participants	2017-12-01	149
Total participants	2017-12-01	149
2016: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-12-01	140
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	147
Total of all active and inactive participants	2016-12-01	147
Total participants	2016-12-01	147
2015: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-01	140
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	141
Total of all active and inactive participants	2015-12-01	141
Total participants	2015-12-01	141

Form 5500 Responses for INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN

2019: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Submission has been amended	No
2019-12-01	This submission is the final filing	No
2019-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-12-01	Plan is a collectively bargained plan	No
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2018: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	Submission has been amended	No
2018-12-01	This submission is the final filing	No
2018-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-12-01	Plan is a collectively bargained plan	No
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement – Insurance	Yes
2017: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	Submission has been amended	No
2017-12-01	This submission is the final filing	No
2017-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-12-01	Plan is a collectively bargained plan	No
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement – Insurance	Yes
2016: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Submission has been amended	No
2016-12-01	This submission is the final filing	No
2016-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-12-01	Plan is a collectively bargained plan	No
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes
2015: INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT BASIC ACCIDENTAL DEATH & DISMEMBERMENT AND LIFE INSURANCE PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )

Policy contract number

SYK600347

Policy instance

Insurance contract or identification number	SYK600347
Number of Individuals Covered	130
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $290
Total amount of fees paid to insurance company	USD $220
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 Carrier	USD $2,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	195
Additional information about fees paid to insurance broker	SALES & SERVICE
Commission paid to Insurance Broker	USD $290

CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )

Policy contract number

SGN600700

Policy instance

Insurance contract or identification number	SGN600700
Number of Individuals Covered	130
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $1,760
Total amount of fees paid to insurance company	USD $1,328
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $17,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1174
Additional information about fees paid to insurance broker	SALES & SERVICE
Commission paid to Insurance Broker	USD $1,760

CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )

Policy contract number

SYK600347

Policy instance

Insurance contract or identification number	SYK600347
Number of Individuals Covered	150
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $295
Total amount of fees paid to insurance company	USD $147
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 Carrier	USD $2,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $147
Amount paid for insurance broker fees	147
Additional information about fees paid to insurance broker	SALES & SERVICE

CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )

Policy contract number

SGN600700

Policy instance

Insurance contract or identification number	SGN600700
Number of Individuals Covered	150
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $1,781
Total amount of fees paid to insurance company	USD $891
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $17,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $887
Amount paid for insurance broker fees	891
Additional information about fees paid to insurance broker	SALES & SERVICE

CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )

Policy contract number

SYK600347

Policy instance

Insurance contract or identification number	SYK600347
Number of Individuals Covered	149
Insurance policy start date	2017-12-01
Insurance policy end date	2018-12-01
Total amount of commissions paid to insurance broker	USD $268
Total amount of fees paid to insurance company	USD $134
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 Carrier	USD $2,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )

Policy contract number

SGN600700

Policy instance

Insurance contract or identification number	SGN600700
Number of Individuals Covered	149
Insurance policy start date	2017-12-01
Insurance policy end date	2018-12-01
Total amount of commissions paid to insurance broker	USD $1,622
Total amount of fees paid to insurance company	USD $811
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $16,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	INTERDISCIPLINARY CENTER FOR CHILD DEVELOPMENT, INC.
Employer identification number (EIN):	112725336
NAIC Classification:	611000

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1983-06-13
Company Identification Number:	848208
Legal Registered Office Address:	35-55 223RD STREET Nassau BAYSIDE United States of America (USA) 11361