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| Plan Name | VIZANCE, INC. MEDICAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | VIZANCE, INC. |
| Employer identification number (EIN): | 391309381 |
| NAIC Classification: | 524210 |
| NAIC Description: | Insurance Agencies and Brokerages |
Additional information about VIZANCE, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2015-05-11 |
| Company Identification Number: | 4756219 |
| Legal Registered Office Address: |
1213 CASTLE HILL AVENUE Bronx BRONX United States of America (USA) 10462 |
More information about VIZANCE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-10-01 | ||||
| 502 | 2022-10-01 | TERESA CARDENAS | |||
| 502 | 2021-10-01 | ||||
| 502 | 2021-10-01 | TERESA CARDENAS |
| 2022: VIZANCE, INC. MEDICAL PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Submission has been amended | No |
| 2022-10-01 | This submission is the final filing | No |
| 2022-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-10-01 | Plan is a collectively bargained plan | No |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: VIZANCE, INC. MEDICAL PLAN 2021 form 5500 responses | ||
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | First time form 5500 has been submitted | Yes |
| 2021-10-01 | Submission has been amended | No |
| 2021-10-01 | This submission is the final filing | No |
| 2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-10-01 | Plan is a collectively bargained plan | No |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 ) | |
| Policy contract number | 841614 |
| Policy instance | 1 |
| HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 ) | |
| Policy contract number | 841614 |
| Policy instance | 1 |
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