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NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 401k Plan overview

Plan NameNEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN
Plan identification number 502

NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

NEW YORK LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:NEW YORK LIFE INSURANCE COMPANY
Employer identification number (EIN):135582869
NAIC Classification:523900

Additional information about NEW YORK LIFE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 571930

More information about NEW YORK LIFE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022024-04-24CELINE STRICOFF
5022023-04-24
5022023-04-24MARIA J. MAUCERI
5022022-04-24
5022022-04-24MARIA J. MAUCERI
5022021-04-24
5022021-04-24MARIA J. MAUCERI
5022020-04-24
5022019-04-24
5022018-04-24
5022017-04-24MARIA J. MAUCERI
5022016-04-24MARIA J. MAUCERI
5022016-04-24MARIA J. MAUCERI2017-10-06
5022015-04-24MARIA J. MAUCERI MARIA J. MAUCERI2016-10-12
5022014-04-24MARIA J. MAUCERI MARIA J. MAUCERI2015-10-15
5022013-04-24MARIA J. MAUCERI MARIA J. MAUCERI2014-10-15
5022012-04-24MARIA J. MAUCERI MARIA J. MAUCERI2013-10-08
5022011-04-24MARIA J. MAUCERI MARIA J. MAUCERI2012-10-10
5022009-04-24MARIA J. MAUCERI MARIA J. MAUCERI2010-10-13

Form 5500 Responses for NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN

2023: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2023 form 5500 responses
2023-04-24Type of plan entitySingle employer plan
2023-04-24Submission has been amendedYes
2023-04-24This submission is the final filingNo
2023-04-24This return/report is a short plan year return/report (less than 12 months)No
2023-04-24Plan is a collectively bargained planNo
2023-04-24Plan funding arrangement – InsuranceYes
2023-04-24Plan benefit arrangement – InsuranceYes
2022: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2022 form 5500 responses
2022-04-24Type of plan entitySingle employer plan
2022-04-24Submission has been amendedNo
2022-04-24This submission is the final filingNo
2022-04-24This return/report is a short plan year return/report (less than 12 months)No
2022-04-24Plan is a collectively bargained planNo
2022-04-24Plan funding arrangement – InsuranceYes
2022-04-24Plan benefit arrangement – InsuranceYes
2021: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2021 form 5500 responses
2021-04-24Type of plan entitySingle employer plan
2021-04-24Submission has been amendedNo
2021-04-24This submission is the final filingNo
2021-04-24This return/report is a short plan year return/report (less than 12 months)No
2021-04-24Plan is a collectively bargained planNo
2021-04-24Plan funding arrangement – InsuranceYes
2021-04-24Plan benefit arrangement – InsuranceYes
2020: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2020 form 5500 responses
2020-04-24Type of plan entitySingle employer plan
2020-04-24Submission has been amendedNo
2020-04-24This submission is the final filingNo
2020-04-24This return/report is a short plan year return/report (less than 12 months)No
2020-04-24Plan is a collectively bargained planNo
2020-04-24Plan funding arrangement – InsuranceYes
2020-04-24Plan benefit arrangement – InsuranceYes
2019: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2019 form 5500 responses
2019-04-24Type of plan entitySingle employer plan
2019-04-24Submission has been amendedNo
2019-04-24This submission is the final filingNo
2019-04-24This return/report is a short plan year return/report (less than 12 months)No
2019-04-24Plan is a collectively bargained planNo
2019-04-24Plan funding arrangement – InsuranceYes
2019-04-24Plan benefit arrangement – InsuranceYes
2018: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2018 form 5500 responses
2018-04-24Type of plan entitySingle employer plan
2018-04-24Submission has been amendedNo
2018-04-24This submission is the final filingNo
2018-04-24This return/report is a short plan year return/report (less than 12 months)No
2018-04-24Plan is a collectively bargained planNo
2018-04-24Plan funding arrangement – InsuranceYes
2018-04-24Plan benefit arrangement – InsuranceYes
2017: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2017 form 5500 responses
2017-04-24Type of plan entitySingle employer plan
2017-04-24Submission has been amendedNo
2017-04-24This submission is the final filingNo
2017-04-24This return/report is a short plan year return/report (less than 12 months)No
2017-04-24Plan is a collectively bargained planNo
2017-04-24Plan funding arrangement – InsuranceYes
2017-04-24Plan benefit arrangement – InsuranceYes
2016: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2016 form 5500 responses
2016-04-24Type of plan entitySingle employer plan
2016-04-24Submission has been amendedYes
2016-04-24This submission is the final filingNo
2016-04-24This return/report is a short plan year return/report (less than 12 months)No
2016-04-24Plan is a collectively bargained planNo
2016-04-24Plan funding arrangement – InsuranceYes
2016-04-24Plan benefit arrangement – InsuranceYes
2015: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-04-24Type of plan entitySingle employer plan
2015-04-24Submission has been amendedNo
2015-04-24This submission is the final filingNo
2015-04-24This return/report is a short plan year return/report (less than 12 months)No
2015-04-24Plan is a collectively bargained planNo
2015-04-24Plan funding arrangement – InsuranceYes
2015-04-24Plan benefit arrangement – InsuranceYes
2014: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2014 form 5500 responses
2014-04-24Type of plan entitySingle employer plan
2014-04-24Submission has been amendedNo
2014-04-24This submission is the final filingNo
2014-04-24This return/report is a short plan year return/report (less than 12 months)No
2014-04-24Plan is a collectively bargained planNo
2014-04-24Plan funding arrangement – InsuranceYes
2014-04-24Plan benefit arrangement – InsuranceYes
2013: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2013 form 5500 responses
2013-04-24Type of plan entitySingle employer plan
2013-04-24Submission has been amendedNo
2013-04-24This submission is the final filingNo
2013-04-24This return/report is a short plan year return/report (less than 12 months)No
2013-04-24Plan is a collectively bargained planNo
2013-04-24Plan funding arrangement – InsuranceYes
2013-04-24Plan benefit arrangement – InsuranceYes
2012: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2012 form 5500 responses
2012-04-24Type of plan entitySingle employer plan
2012-04-24Submission has been amendedNo
2012-04-24This submission is the final filingNo
2012-04-24This return/report is a short plan year return/report (less than 12 months)No
2012-04-24Plan is a collectively bargained planNo
2012-04-24Plan funding arrangement – InsuranceYes
2012-04-24Plan benefit arrangement – InsuranceYes
2011: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2011 form 5500 responses
2011-04-24Type of plan entitySingle employer plan
2011-04-24Submission has been amendedNo
2011-04-24This submission is the final filingNo
2011-04-24This return/report is a short plan year return/report (less than 12 months)No
2011-04-24Plan is a collectively bargained planNo
2011-04-24Plan funding arrangement – InsuranceYes
2011-04-24Plan benefit arrangement – InsuranceYes
2009: NEW YORK LIFE INSURANCE COMPANY TRAVEL ACCIDENT PLAN 2009 form 5500 responses
2009-04-24Type of plan entitySingle employer plan
2009-04-24Submission has been amendedNo
2009-04-24This submission is the final filingNo
2009-04-24This return/report is a short plan year return/report (less than 12 months)No
2009-04-24Plan is a collectively bargained planNo
2009-04-24Plan funding arrangement – InsuranceYes
2009-04-24Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
Insurance contract or identification numberGTU 5466165
Number of Individuals Covered12744
Insurance policy start date2023-04-24
Insurance policy end date2024-04-23
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
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
Other welfare benefits providedTRAVEL ACCIDENT INSURANCE
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 $52,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
Insurance contract or identification numberGTU 5466165
Number of Individuals Covered12538
Insurance policy start date2022-04-24
Insurance policy end date2023-04-23
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
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
Other welfare benefits providedTRAVEL ACCIDENT INSURANCE
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 $5,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 5466165
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99069979
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99069979
Policy instance 1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99069979
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB001557
Policy instance 1

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