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HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 401k Plan overview

Plan NameHEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE
Plan identification number 501

HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

NORTHERN RIVERS FAMILY SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTHERN RIVERS FAMILY SERVICES, INC.
Employer identification number (EIN):460759782
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about NORTHERN RIVERS FAMILY SERVICES, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2012-07-23
Company Identification Number: 4274195
Legal Registered Office Address: 60 ACADEMY ROAD
ATTENTION: PRESIDENT
ALBANY
United States of America (USA)
12208

More information about NORTHERN RIVERS FAMILY SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01

Form 5500 Responses for HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE

2017: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number16428
Policy instance 1
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number20029982
Policy instance 2
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number16428
Policy instance 1
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number20029982
Policy instance 2
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number16428
Policy instance 1
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720865
Policy instance 2

Potentially related plans

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