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MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES 401k Plan overview

Plan NameMEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES
Plan identification number 504

MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

WMC-NY, INC. has sponsored the creation of one or more 401k plans.

Company Name:WMC-NY, INC.
Employer identification number (EIN):134107864
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about WMC-NY, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1999-08-27
Company Identification Number: 2413545
Legal Registered Office Address: ATTN: OFFICE OF LEGAL AFFAIRS
100 WOODS RD EXEC OFFICES C-I
VALHALLA
United States of America (USA)
10595

More information about WMC-NY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042015-01-01NANCY ESTREMERA
5042014-05-09VICTORIA KOHLER

Plan Statistics for MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES

401k plan membership statisitcs for MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES

Measure Date Value
2015: MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES 2015 401k membership
Total participants, beginning-of-year2015-01-01931
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-010
2014: MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES 2014 401k membership
Total participants, beginning-of-year2014-05-09818
Number of retired or separated participants receiving benefits2014-05-090
Number of other retired or separated participants entitled to future benefits2014-05-090
Total of all active and inactive participants2014-05-090
Total participants2014-05-090

Form 5500 Responses for MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES

2015: MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MEDICAL PLAN FOR MID HUDSON VALLEY STAFFCO AND REGIONAL PHYSICIAN SERVICES 2014 form 5500 responses
2014-05-09Type of plan entitySingle employer plan
2014-05-09Submission has been amendedNo
2014-05-09This submission is the final filingNo
2014-05-09This return/report is a short plan year return/report (less than 12 months)Yes
2014-05-09Plan is a collectively bargained planNo
2014-05-09Plan funding arrangement – InsuranceYes
2014-05-09Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720970
Policy instance 1
Insurance contract or identification number720970
Number of Individuals Covered1552
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $166,644
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,961,741
Commission paid to Insurance BrokerUSD $166,644
Insurance broker organization code?3
Insurance broker nameRELPH ROBERT G AGENCY
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720970
Policy instance 1
Insurance contract or identification number720970
Number of Individuals Covered818
Insurance policy start date2014-07-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $11,341,884
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,984,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,341,884
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameRELPH ROBERT G AGENCY INC

Potentially related plans

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