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| Plan Name | STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | STATEN ISLAND UNIVERSITY HOSPITAL |
| Employer identification number (EIN): | 112868878 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about STATEN ISLAND UNIVERSITY HOSPITAL
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1987-06-16 |
| Company Identification Number: | 1179657 |
| Legal Registered Office Address: |
ATTN ADMINISTRATION 475 SEAVIEW AVENUE STATEN ISLAND United States of America (USA) 10305 |
More information about STATEN ISLAND UNIVERSITY HOSPITAL
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | MARY BETH SPRINGSTEAD | MARY BETH SPRINGSTEAD | 2018-09-24 | |
| 501 | 2016-01-01 | MARY BETH SPRINGSTEAD | |||
| 501 | 2015-01-01 | MARY BETH SPRINGSTEAD | MARY BETH SPRINGSTEAD | 2016-07-25 | |
| 501 | 2014-01-01 | MARY BETH SPRINGSTEAD | MARY BETH SPRINGSTEAD | 2015-09-22 | |
| 501 | 2013-01-01 | MARY BETH SPRINGSTEAD | MARY BETH SPRINGSTEAD | 2014-10-14 | |
| 501 | 2012-01-01 | MARGARET DIALTO | MARGARET DIALTO | 2013-10-08 | |
| 501 | 2011-01-01 | MARGARET DIALTO | MARGARET DIALTO | 2012-07-31 | |
| 501 | 2009-01-01 | DEBRA SANTANGELO | DEBRA SANTANGELO | 2010-10-14 |
| Measure | Date | Value |
|---|---|---|
| 2017: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 4,159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 4,276 |
| Total of all active and inactive participants | 2017-01-01 | 4,276 |
| Total participants | 2017-01-01 | 4,276 |
| 2016: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 5,441 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 4,159 |
| Total of all active and inactive participants | 2016-01-01 | 4,159 |
| Total participants | 2016-01-01 | 4,159 |
| 2015: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 5,371 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 5,441 |
| Total of all active and inactive participants | 2015-01-01 | 5,441 |
| Total participants | 2015-01-01 | 5,441 |
| 2014: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 7,214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 5,371 |
| Total of all active and inactive participants | 2014-01-01 | 5,371 |
| Total participants | 2014-01-01 | 5,371 |
| 2013: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 7,737 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 7,214 |
| Total of all active and inactive participants | 2013-01-01 | 7,214 |
| Total participants | 2013-01-01 | 7,214 |
| 2012: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 7,907 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 7,737 |
| Total of all active and inactive participants | 2012-01-01 | 7,737 |
| Total participants | 2012-01-01 | 7,737 |
| 2011: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 7,168 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 7,907 |
| Total of all active and inactive participants | 2011-01-01 | 7,907 |
| Total participants | 2011-01-01 | 7,907 |
| 2009: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 1,460 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 7,078 |
| Total of all active and inactive participants | 2009-01-01 | 7,078 |
| Total participants | 2009-01-01 | 7,078 |
| 2017: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) | |
| Policy contract number | NSH 084,C84,095 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3215204 |
| Policy instance | 1 |
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 51360 ) | |
| Policy contract number | EXRK |
| Policy instance | 3 |
| DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) | |
| Policy contract number | NSH 084 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3215204 |
| Policy instance | 1 |
| DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) | |
| Policy contract number | NSH 084 |
| Policy instance | 2 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 616080D |
| Policy instance | 3 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 675324G |
| Policy instance | 4 |
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 51360 ) | |
| Policy contract number | EXRK |
| Policy instance | 5 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3215204 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 000TN613 |
| Policy instance | 6 |
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 51360 ) | |
| Policy contract number | EXRK |
| Policy instance | 5 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 675324G |
| Policy instance | 4 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 616080D |
| Policy instance | 3 |
| DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) | |
| Policy contract number | NSH 084 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3217144 |
| Policy instance | 1 |
| OXFORD, LLC (National Association of Insurance Commissioners NAIC id number: 0000 ) | |
| Policy contract number | SI1985 |
| Policy instance | 2 |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) | |
| Policy contract number | 3217144 |
| Policy instance | 1 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 616080D |
| Policy instance | 3 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 675324G |
| Policy instance | 4 |
| OXFORD, LLC (National Association of Insurance Commissioners NAIC id number: 0000 ) | |
| Policy contract number | SI1985 |
| Policy instance | 2 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 675324G |
| Policy instance | 4 |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) | |
| Policy contract number | 3217144 |
| Policy instance | 1 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 616080D |
| Policy instance | 3 |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) | |
| Policy contract number | 3217144 |
| Policy instance | 1 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 675324G |
| Policy instance | 4 |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |
| Policy contract number | 616080D |
| Policy instance | 3 |
| OXFORD, LLC (National Association of Insurance Commissioners NAIC id number: 0000 ) | |
| Policy contract number | SI1985 |
| Policy instance | 2 |
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