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| Plan Name | MEDISCA INC.HEALTH AND WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MEDISCA INC. |
| Employer identification number (EIN): | 141752583 |
| NAIC Classification: | 325410 |
Additional information about MEDISCA INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1992-06-24 |
| Company Identification Number: | 1646528 |
| Legal Registered Office Address: |
661 ROUTE 3 UNIT C PLATTSBURGH United States of America (USA) 12901 |
More information about MEDISCA INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-06-01 | SUKO MDLAWUZO | 2019-10-14 | ||
| 501 | 2017-06-01 | ||||
| 501 | 2017-06-01 | JENNIFER PINSKY | 2018-10-04 | JENNIFER PINSKY | 2018-10-04 |
| Measure | Date | Value |
|---|---|---|
| 2018: MEDISCA INC.HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-06-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 104 |
| Total of all active and inactive participants | 2018-06-01 | 104 |
| Total participants | 2018-06-01 | 104 |
| 2017: MEDISCA INC.HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-06-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 96 |
| Number of retired or separated participants receiving benefits | 2017-06-01 | 5 |
| Total of all active and inactive participants | 2017-06-01 | 101 |
| Total participants | 2017-06-01 | 101 |
| 2018: MEDISCA INC.HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-06-01 | Type of plan entity | Single employer plan |
| 2018-06-01 | Submission has been amended | No |
| 2018-06-01 | This submission is the final filing | No |
| 2018-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-06-01 | Plan is a collectively bargained plan | No |
| 2018-06-01 | Plan funding arrangement – Insurance | Yes |
| 2018-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: MEDISCA INC.HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | First time form 5500 has been submitted | Yes |
| 2017-06-01 | Submission has been amended | No |
| 2017-06-01 | This submission is the final filing | No |
| 2017-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-06-01 | Plan is a collectively bargained plan | No |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00055402 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00122103 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00122103 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 409925 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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