BANK STREET COLLEGE OF EDUCATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN
401k plan membership statisitcs for BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN
| Measure | Date | Value |
|---|
| 2023: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 313 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 230 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 77 |
| Total of all active and inactive participants | 2023-01-01 | 307 |
| 2022: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 326 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 237 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 76 |
| Total of all active and inactive participants | 2022-01-01 | 313 |
| 2021: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 319 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 250 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 76 |
| Total of all active and inactive participants | 2021-01-01 | 326 |
| 2020: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 324 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 243 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 76 |
| Total of all active and inactive participants | 2020-01-01 | 319 |
| 2019: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 303 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 324 |
| Total of all active and inactive participants | 2019-01-01 | 324 |
| 2018: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 316 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 303 |
| Total of all active and inactive participants | 2018-01-01 | 303 |
| 2017: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 327 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 252 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 64 |
| Total of all active and inactive participants | 2017-01-01 | 316 |
| Total participants | 2017-01-01 | 316 |
| 2016: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 363 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 270 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 57 |
| Total of all active and inactive participants | 2016-01-01 | 327 |
| Total participants | 2016-01-01 | 327 |
| 2015: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 291 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 311 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 52 |
| Total of all active and inactive participants | 2015-01-01 | 363 |
| Total participants | 2015-01-01 | 363 |
| 2014: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 349 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 244 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 47 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 291 |
| Total participants | 2014-01-01 | 291 |
| 2013: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 344 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 309 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 40 |
| Total of all active and inactive participants | 2013-01-01 | 349 |
| Total participants | 2013-01-01 | 349 |
| 2012: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 351 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 311 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 33 |
| Total of all active and inactive participants | 2012-01-01 | 344 |
| Total participants | 2012-01-01 | 344 |
| 2011: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 315 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 325 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 26 |
| Total of all active and inactive participants | 2011-01-01 | 351 |
| Total participants | 2011-01-01 | 351 |
| 2010: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 314 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 294 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 21 |
| Total of all active and inactive participants | 2010-01-01 | 315 |
| Total participants | 2010-01-01 | 315 |
| 2009: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 311 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 293 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 21 |
| Total of all active and inactive participants | 2009-01-01 | 314 |
| Total participants | 2009-01-01 | 314 |
| 2023: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | NYEGR034 |
| Policy instance | 1 |
| Insurance contract or identification number | NYEGR034 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $13,575 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $169,398 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 814460 |
| Policy instance | 2 |
| Insurance contract or identification number | 814460 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,033 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,494 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | NYEGR034 |
| Policy instance | 2 |
| Insurance contract or identification number | NYEGR034 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $12,450 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $304,220 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 814460 |
| Policy instance | 1 |
| Insurance contract or identification number | 814460 | | Number of Individuals Covered | 237 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $889 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,729 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | NYEGR034 |
| Policy instance | 2 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0814460 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0242275 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0814460 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE430469 |
| Policy instance | 3 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE455597 |
| Policy instance | 4 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102043000 |
| Policy instance | 5 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE430469 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE455597 |
| Policy instance | 3 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 814460 |
| Policy instance | 4 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102043000 |
| Policy instance | 5 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0814460 |
| Policy instance | 4 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102043 |
| Policy instance | 5 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE455597 |
| Policy instance | 3 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE430469 |
| Policy instance | 2 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 100286E000 |
| Policy instance | 5 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 814460 |
| Policy instance | 4 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE455597 |
| Policy instance | 3 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE430469 |
| Policy instance | 2 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE455597 |
| Policy instance | 2 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0814460 |
| Policy instance | 3 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE430469 |
| Policy instance | 4 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 100286E000 |
| Policy instance | 3 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE430469 |
| Policy instance | 2 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0814460 |
| Policy instance | 4 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE455597 |
| Policy instance | 2 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 92534 ) |
| Policy contract number | AE430469 |
| Policy instance | 2 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 ) |
| Policy contract number | BS28112 |
| Policy instance | 1 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 92534 ) |
| Policy contract number | AE430469 |
| Policy instance | 2 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 92534 ) |
| Policy contract number | AE382326 |
| Policy instance | 4 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00317883 |
| Policy instance | 3 |
| HEALTH NET OF NY (National Association of Insurance Commissioners NAIC id number: 95305 ) |
| Policy contract number | 058774 |
| Policy instance | 1 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 92534 ) |
| Policy contract number | 045072 |
| Policy instance | 2 |
