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| Plan Name | P.K.L. BUSINESS ENTERPRISES, INC. WELFARE HEALTH PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ZIMMER NORTHEAST, INC. |
| Employer identification number (EIN): | 462198660 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
Additional information about ZIMMER NORTHEAST, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2013-03-06 |
| Company Identification Number: | 4370089 |
| Legal Registered Office Address: |
20 COMPUTER DRIVE WEST ALBANY ALBANY United States of America (USA) 12205 |
More information about ZIMMER NORTHEAST, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2013-01-01 | STEPHEN GANNS | STEPHEN GANNS | 2014-01-14 | |
| 502 | 2012-04-01 | NICHOLAS BLAIN |
| Measure | Date | Value |
|---|---|---|
| 2013: P.K.L. BUSINESS ENTERPRISES, INC. WELFARE HEALTH PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 181 |
| Total of all active and inactive participants | 2013-01-01 | 181 |
| Total participants | 2013-01-01 | 181 |
| Number of employers contributing to the scheme | 2013-01-01 | 181 |
| 2012: P.K.L. BUSINESS ENTERPRISES, INC. WELFARE HEALTH PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-04-01 | 142 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-04-01 | 139 |
| Total of all active and inactive participants | 2012-04-01 | 139 |
| Total participants | 2012-04-01 | 139 |
| 2013: P.K.L. BUSINESS ENTERPRISES, INC. WELFARE HEALTH PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-01-01 | Type of plan entity | Multi-employer plan |
| 2013-01-01 | First time form 5500 has been submitted | Yes |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: P.K.L. BUSINESS ENTERPRISES, INC. WELFARE HEALTH PLAN 2012 form 5500 responses | ||
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | Submission has been amended | No |
| 2012-04-01 | This submission is the final filing | No |
| 2012-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-04-01 | Plan is a collectively bargained plan | No |
| 2012-04-01 | Plan funding arrangement – Insurance | Yes |
| 2012-04-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 062803 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 52-0807803 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 057-4597-00 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0742089 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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