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WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 401k Plan overview

Plan NameWNY INDEPENDENT LIVING, INC. MEDICAL PLAN
Plan identification number 501

WNY INDEPENDENT LIVING, INC. MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or 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

WESTERN NEW YORK INDEPENDENT LIVING, INC. has sponsored the creation of one or more 401k plans.

Company Name:WESTERN NEW YORK INDEPENDENT LIVING, INC.
Employer identification number (EIN):222316065
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about WESTERN NEW YORK INDEPENDENT LIVING, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1980-03-27
Company Identification Number: 617216
Legal Registered Office Address: 3108 MAIN ST.
Erie
BUFFALO
United States of America (USA)
14214

More information about WESTERN NEW YORK INDEPENDENT LIVING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WNY INDEPENDENT LIVING, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-03-01DOUGLAS J. USIAK2024-08-30
5012022-03-01DOUGLAS J. USIAK2023-08-19
5012021-03-01DOUGLAS J. USIAK2022-09-09
5012020-03-01DOUGLAS J. USIAK2022-05-27
5012019-03-01DOUGLAS J. USIAK2022-05-27
5012018-03-01DOUGLAS J. USIAK2022-05-27
5012017-03-01DOUGLAS J. USIAK2022-05-27
5012016-03-01DOUGLAS J. USIAK2022-05-27
5012015-03-01DOUGLAS J. USIAK2022-05-27
5012014-03-01DOUGLAS J. USIAK2022-05-27

Plan Statistics for WNY INDEPENDENT LIVING, INC. MEDICAL PLAN

401k plan membership statisitcs for WNY INDEPENDENT LIVING, INC. MEDICAL PLAN

Measure Date Value
2023: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-01135
Total number of active participants reported on line 7a of the Form 55002023-03-01146
Number of retired or separated participants receiving benefits2023-03-010
Number of other retired or separated participants entitled to future benefits2023-03-010
Total of all active and inactive participants2023-03-01146
Number of employers contributing to the scheme2023-03-010
2022: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01145
Total number of active participants reported on line 7a of the Form 55002022-03-01135
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01135
Number of employers contributing to the scheme2022-03-010
2021: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01166
Total number of active participants reported on line 7a of the Form 55002021-03-01145
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01145
Number of employers contributing to the scheme2021-03-010
2020: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01178
Total number of active participants reported on line 7a of the Form 55002020-03-01166
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01166
Number of employers contributing to the scheme2020-03-010
2019: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01157
Total number of active participants reported on line 7a of the Form 55002019-03-01178
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01178
Number of employers contributing to the scheme2019-03-010
2018: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01138
Total number of active participants reported on line 7a of the Form 55002018-03-01157
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01157
Number of employers contributing to the scheme2018-03-010
2017: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01141
Total number of active participants reported on line 7a of the Form 55002017-03-01138
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01138
Number of employers contributing to the scheme2017-03-010
2016: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01115
Total number of active participants reported on line 7a of the Form 55002016-03-01141
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01141
Number of employers contributing to the scheme2016-03-010
2015: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01101
Total number of active participants reported on line 7a of the Form 55002015-03-01115
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01115
Number of employers contributing to the scheme2015-03-010
2014: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-0197
Total number of active participants reported on line 7a of the Form 55002014-03-01101
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01101
Number of employers contributing to the scheme2014-03-010

Form 5500 Responses for WNY INDEPENDENT LIVING, INC. MEDICAL PLAN

2023: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes
2022: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: WNY INDEPENDENT LIVING, INC. MEDICAL PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01First time form 5500 has been submittedYes
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number130598
Policy instance 1
Insurance contract or identification number130598
Number of Individuals Covered146
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $62,859
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number130598
Policy instance 1
Insurance contract or identification number130598
Number of Individuals Covered135
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $58,435
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,435
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered145
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $61,756
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,519,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,756
Amount paid for insurance broker fees0
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered165
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $52,727
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,533,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,727
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered168
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $52,227
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,510,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,227
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered143
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $26,383
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,316,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,383
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered133
Insurance policy start date2016-03-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $23,715
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,172,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,715
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered130
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $29,145
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $966,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,145
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number86610
Policy instance 1
Insurance contract or identification number86610
Number of Individuals Covered100
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $8,820
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $773,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,820
Amount paid for insurance broker fees0
Insurance broker organization code?3

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