NY CITY DISTRICT COUNCIL 37, AFSCME AFL- has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37
401k plan membership statisitcs for WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37
| Measure | Date | Value |
|---|
| 2023: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 381 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 323 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 66 |
| Total of all active and inactive participants | 2023-01-01 | 389 |
| 2022: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 464 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 313 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 68 |
| Total of all active and inactive participants | 2022-01-01 | 381 |
| 2021: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 464 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 362 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 102 |
| Total of all active and inactive participants | 2021-01-01 | 464 |
| 2020: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 909 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 362 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 102 |
| Total of all active and inactive participants | 2020-01-01 | 464 |
| 2019: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 924 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 850 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 59 |
| Total of all active and inactive participants | 2019-01-01 | 909 |
| 2017: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 915 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 858 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 67 |
| Total of all active and inactive participants | 2017-01-01 | 925 |
| 2016: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 1,045 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 846 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 69 |
| Total of all active and inactive participants | 2016-01-01 | 915 |
| 2015: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 1,114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 931 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 114 |
| Total of all active and inactive participants | 2015-01-01 | 1,045 |
| 2014: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 1,126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,014 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 100 |
| Total of all active and inactive participants | 2014-01-01 | 1,114 |
| 2013: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 1,143 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,037 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 89 |
| Total of all active and inactive participants | 2013-01-01 | 1,126 |
| 2012: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 1,159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,058 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 85 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 1,143 |
| 2011: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 1,139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,077 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 82 |
| Total of all active and inactive participants | 2011-01-01 | 1,159 |
| 2009: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 1,120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,065 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 88 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 1,153 |
| Measure | Date | Value |
|---|
| 2017 : WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2017 401k financial data |
|---|
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Was this plan covered by a fidelity bond | 2017-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| 2016 : WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2016 401k financial data |
|---|
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Was this plan covered by a fidelity bond | 2016-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| 2023: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 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: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 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: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: WELFARE PLAN FOR EMPLOYEES OF DISTRICT COUNCIL 37 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11020521014 |
| Policy instance | 4 |
| Insurance contract or identification number | 11020521014 | | Number of Individuals Covered | 582 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,723,845 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 11020521004 |
| Policy instance | 3 |
| Insurance contract or identification number | 11020521004 | | Number of Individuals Covered | 73 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $721,020 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 11020521015 |
| Policy instance | 2 |
| Insurance contract or identification number | 11020521015 | | Number of Individuals Covered | 49 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $413,621 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11DBL0695400 |
| Policy instance | 1 |
| Insurance contract or identification number | 11DBL0695400 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2023-10-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $15,880 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $168,357 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 11020521004 |
| Policy instance | 3 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11DBL0695400 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 11020521015 |
| Policy instance | 2 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11020521014 |
| Policy instance | 4 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11DBL0695400 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYN4 |
| Policy instance | 2 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYP3 |
| Policy instance | 3 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYTK |
| Policy instance | 6 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYTL |
| Policy instance | 5 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102052014 |
| Policy instance | 7 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYQ1 |
| Policy instance | 4 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYQ1 |
| Policy instance | 4 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11DBL0695400 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYN4 |
| Policy instance | 2 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYP3 |
| Policy instance | 3 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYTL |
| Policy instance | 5 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 00001GYTK |
| Policy instance | 6 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102052014 |
| Policy instance | 7 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102052-1004 |
| Policy instance | 4 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667 |
| Policy instance | 2 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11DBL0695400 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | IP1 IPX IPY IPZ |
| Policy instance | 3 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 4 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 31D,675,7EY,7EX |
| Policy instance | 3 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667 |
| Policy instance | 2 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 11DBL0695400 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | X00001948 |
| Policy instance | 7 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00931955 |
| Policy instance | 8 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) |
| Policy contract number | G# 84804 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00003907 |
| Policy instance | 6 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 5 |
| AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 ) |
| Policy contract number | 260B68 |
| Policy instance | 4 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667 |
| Policy instance | 3 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00002591 |
| Policy instance | 2 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-696 |
| Policy instance | 3 |
| AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 ) |
| Policy contract number | 260B68 |
| Policy instance | 4 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 5 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00002591 |
| Policy instance | 2 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) |
| Policy contract number | G# 84804 |
| Policy instance | 1 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | R04160-002 |
| Policy instance | 7 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-000 |
| Policy instance | 8 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | X00001948 |
| Policy instance | 9 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00931955 |
| Policy instance | 10 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00003907 |
| Policy instance | 6 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | R04160-003 |
| Policy instance | 11 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | R04160-003 |
| Policy instance | 10 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | X00001948 |
| Policy instance | 9 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-000 |
| Policy instance | 8 |
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | R04160-002 |
| Policy instance | 7 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00003907 |
| Policy instance | 6 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00002591 |
| Policy instance | 2 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 5 |
| AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 ) |
| Policy contract number | 260B68 |
| Policy instance | 4 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-696 |
| Policy instance | 3 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) |
| Policy contract number | G# 84804 |
| Policy instance | 1 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | X00001948 |
| Policy instance | 9 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-000 |
| Policy instance | 8 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00003907 |
| Policy instance | 6 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | 53-57-661 |
| Policy instance | 7 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 5 |
| AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 ) |
| Policy contract number | 260B68 |
| Policy instance | 4 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-696 |
| Policy instance | 3 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00002591 |
| Policy instance | 2 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) |
| Policy contract number | G# 84804 |
| Policy instance | 1 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-696 |
| Policy instance | 3 |
| AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 ) |
| Policy contract number | 260B68 |
| Policy instance | 4 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 5 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00003907 |
| Policy instance | 6 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-000 |
| Policy instance | 8 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | X00001948 |
| Policy instance | 9 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00002591 |
| Policy instance | 2 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) |
| Policy contract number | G# 84804 |
| Policy instance | 1 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | 53-57-661 |
| Policy instance | 7 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | X00001948 |
| Policy instance | 9 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00002591 |
| Policy instance | 2 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-696 |
| Policy instance | 3 |
| AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 ) |
| Policy contract number | 260B68 |
| Policy instance | 4 |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | N00003907 |
| Policy instance | 6 |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1004018-004 |
| Policy instance | 5 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | 53-57-661 |
| Policy instance | 7 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 174667-000 |
| Policy instance | 8 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) |
| Policy contract number | G# 84804 |
| Policy instance | 1 |
