 |
|
|
|
| Plan Name | ENDEAVOR HEALTH SERVICES WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | MID-ERIE MENTAL HEALTH SERVICES, INC. |
| Employer identification number (EIN): | 161017709 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
Additional information about MID-ERIE MENTAL HEALTH SERVICES, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1972-12-27 |
| Company Identification Number: | 249828 |
| Legal Registered Office Address: |
EXECUTIVE DIRECTOR 1526 WALDEN AVENUE SUITE 400 CHEEKTOWAGA United States of America (USA) 14225 |
More information about MID-ERIE MENTAL HEALTH SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | MELANIE J. TARANTELLI | 2024-07-12 | ||
| 501 | 2022-01-01 | MELANIE J. TARANTELLI | 2023-10-13 |
| 2023: ENDEAVOR HEALTH SERVICES WELFARE 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 benefit arrangement – Insurance | Yes |
| 2022: ENDEAVOR HEALTH SERVICES WELFARE PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||
| Policy contract number | 00212728 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) | |||||||||||||||||||||||||
| Policy contract number | 000010236989 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |||||||||||||||||||||||||
| Policy contract number | 00130613 | ||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 ) | |||||||||||||||||||||||||
| Policy contract number | 11445515 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||
| Policy contract number | 00212728 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
| If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping | |
| | |
|