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| Plan Name | OPTIONS FOR COMMUNITY LIVING, INC. GROUP MEDICAL AND VISION |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OPTIONS FOR COMMUNITY LIVING, INC. |
| Employer identification number (EIN): | 112612035 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about OPTIONS FOR COMMUNITY LIVING, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1982-04-01 |
| Company Identification Number: | 761349 |
| Legal Registered Office Address: |
25 HOWARD PLACE Suffolk RONKONKOMA United States of America (USA) 11779 |
More information about OPTIONS FOR COMMUNITY LIVING, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-04-01 | LORI BARRAUD | |||
| 502 | 2014-04-01 | LORI BARRAUD |
| 2015: OPTIONS FOR COMMUNITY LIVING, INC. GROUP MEDICAL AND VISION 2015 form 5500 responses | ||
|---|---|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | Yes |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: OPTIONS FOR COMMUNITY LIVING, INC. GROUP MEDICAL AND VISION 2014 form 5500 responses | ||
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | First time form 5500 has been submitted | Yes |
| 2014-04-01 | Submission has been amended | No |
| 2014-04-01 | This submission is the final filing | No |
| 2014-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-04-01 | Plan is a collectively bargained plan | No |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) | |
| Policy contract number | 378288 |
| Policy instance | 1 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) | |
| Policy contract number | 378288 |
| Policy instance | 1 |
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