| Plan Name | NEW YORK ISLANDERS HOCKEY CLUB MEDICAL PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | NEW YORK ISLANDERS HOCKEY CLUB, L.P. |
| Employer identification number (EIN): | 112254417 |
| NAIC Classification: | 711300 |
| NAIC Description: | Promoters of Performing Arts, Sports, and Similar Events |
Additional information about NEW YORK ISLANDERS HOCKEY CLUB, L.P.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1992-08-13 |
| Company Identification Number: | 1658963 |
| Legal Registered Office Address: |
80 STATE STREET Nassau ALBANY United States of America (USA) 122072543 |
More information about NEW YORK ISLANDERS HOCKEY CLUB, L.P.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2021-01-01 | FRANK ROMANO | 2021-12-14 | ||
| 504 | 2020-01-01 | ZACHARY KLEIN | 2021-06-07 | ||
| 504 | 2019-01-01 | ||||
| 504 | 2019-01-01 | ZACHARY KLEIN | 2021-06-07 | ||
| 504 | 2017-01-01 | FRANK ROMANO | |||
| 504 | 2017-01-01 | ZACHARY KLEIN | 2021-06-07 | ||
| 504 | 2016-01-01 | ROY E. REICHBACH | |||
| 504 | 2016-01-01 | ZACHARY KLEIN | 2021-06-07 | ||
| 504 | 2015-01-01 | ROY E. REICHBACH | |||
| 504 | 2014-01-01 | ROY E. REICHBACH | |||
| 504 | 2013-01-01 | ROY E. REICHBACH | |||
| 504 | 2012-01-01 | ROY E. REICHBACH | |||
| 504 | 2011-01-01 | ROY E. REICHBACH | |||
| 504 | 2010-01-01 | ROY E. REICHBACH | |||
| 504 | 2009-01-01 | ROY E. REICHBACH |
| INTERNATIONAL BENEFITS ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | |
| Policy instance | 1 |
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) | |
| Policy contract number | 504 |
| Policy instance | 1 |
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) | |
| Policy contract number | 504 |
| Policy instance | 1 |
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) | |
| Policy contract number | 504 |
| Policy instance | 1 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) | |
| Policy contract number | JZ114 |
| Policy instance | 1 |
| TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 ) | |
| Policy contract number | JZ114 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) | |
| Policy contract number | 705A1G687 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) | |
| Policy contract number | 705A1G687 |
| Policy instance | 1 |