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G-CNY GROUP DENTAL AND VISION PLAN 401k Plan overview

Plan NameG-CNY GROUP DENTAL AND VISION PLAN
Plan identification number 502

G-CNY GROUP DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • 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

CNY PAYROLL & DISBURSEMENTS LLC has sponsored the creation of one or more 401k plans.

Company Name:CNY PAYROLL & DISBURSEMENTS LLC
Employer identification number (EIN):352597966
NAIC Classification:236110

Additional information about CNY PAYROLL & DISBURSEMENTS LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2017-06-09
Company Identification Number: 5151719
Legal Registered Office Address: 1440 BROADWAY, 4TH FLOOR
New York
NEW YORK
United States of America (USA)
10018

More information about CNY PAYROLL & DISBURSEMENTS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G-CNY GROUP DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-09-01KATIE URTNOWSKI2021-01-19
5022018-09-01DIANA NIEVES2020-03-20
5022018-01-01

Plan Statistics for G-CNY GROUP DENTAL AND VISION PLAN

401k plan membership statisitcs for G-CNY GROUP DENTAL AND VISION PLAN

Measure Date Value
2019: G-CNY GROUP DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01105
Total number of active participants reported on line 7a of the Form 55002019-09-0195
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-0195
Number of employers contributing to the scheme2019-09-010
2018: G-CNY GROUP DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01118
Total number of active participants reported on line 7a of the Form 55002018-09-01105
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01105
Number of employers contributing to the scheme2018-09-010
Total participants, beginning-of-year2018-01-01100
Total number of active participants reported on line 7a of the Form 55002018-01-01118
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01118
Number of employers contributing to the scheme2018-01-010

Form 5500 Responses for G-CNY GROUP DENTAL AND VISION PLAN

2019: G-CNY GROUP DENTAL AND VISION PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: G-CNY GROUP DENTAL AND VISION PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number441009
Policy instance 1
Insurance contract or identification number441009
Number of Individuals Covered95
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $5,324
Total amount of fees paid to insurance companyUSD $2,376
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,324
Amount paid for insurance broker fees2376
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number441009
Policy instance 1
Insurance contract or identification number441009
Number of Individuals Covered105
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $5,729
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $153,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,729
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number441009
Policy instance 1
Insurance contract or identification number441009
Number of Individuals Covered118
Insurance policy start date2018-01-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $4,518
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,518
Amount paid for insurance broker fees0
Insurance broker organization code?3

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