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STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameSTATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN
Plan identification number 502

STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

STATEN ISLAND UNIVERSITY HOSPITAL has sponsored the creation of one or more 401k plans.

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01MARY BETH SPRINGSTEAD MARY BETH SPRINGSTEAD2018-09-24
5022016-01-01MARGARET DIALTO
5022015-01-01MARGARET DIALTO MARGARET DIALTO2016-07-25
5022014-01-01MARGARET DIALTO MARGARET DIALTO2015-09-22
5022013-01-01MARGARET DIALTO MARGARET DIALTO2014-10-07
5022012-01-01MARGARET DIALTO MARGARET DIALTO2013-10-08
5022011-01-01MARGARET DIALTO MARGARET DIALTO2012-07-31
5022010-01-01MARGARET DIALTO MARGARET DIALTO2011-07-27

Plan Statistics for STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN

Measure Date Value
2017: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,055
Total number of active participants reported on line 7a of the Form 55002017-01-012,050
Total of all active and inactive participants2017-01-012,050
Total participants2017-01-012,050
2016: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,816
Total number of active participants reported on line 7a of the Form 55002016-01-012,055
Total of all active and inactive participants2016-01-012,055
Total participants2016-01-012,055
2015: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,968
Total number of active participants reported on line 7a of the Form 55002015-01-011,816
Total of all active and inactive participants2015-01-011,816
Total participants2015-01-011,816
2014: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,695
Total number of active participants reported on line 7a of the Form 55002014-01-011,968
Total of all active and inactive participants2014-01-011,968
Total participants2014-01-011,968
2013: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,698
Total number of active participants reported on line 7a of the Form 55002013-01-012,695
Total of all active and inactive participants2013-01-012,695
Total participants2013-01-012,695
2012: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,666
Total number of active participants reported on line 7a of the Form 55002012-01-012,698
Total of all active and inactive participants2012-01-012,698
Total participants2012-01-012,698
2011: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,617
Total number of active participants reported on line 7a of the Form 55002011-01-012,666
Total of all active and inactive participants2011-01-012,666
Total participants2011-01-012,666
2010: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,800
Total number of active participants reported on line 7a of the Form 55002010-01-012,617
Total of all active and inactive participants2010-01-012,617
Total participants2010-01-012,617

Form 5500 Responses for STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN

2017: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 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: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 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: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 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: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number725110809042DEP
Policy instance 1
Insurance contract or identification number725110809042DEP
Number of Individuals Covered2050
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,128
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,564
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
Insurance broker nameBENEFITS PLANNING CORP.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number72511080904217D
Policy instance 1
Insurance contract or identification number72511080904217D
Number of Individuals Covered1816
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $118
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
Insurance broker nameBENEFITS PLANNING CORP.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number725110809042171
Policy instance 1
Insurance contract or identification number725110809042171
Number of Individuals Covered1968
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,286
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $25,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $643
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
Insurance broker nameBENEFITS PLANNING CORP.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number725110809042171
Policy instance 1
Insurance contract or identification number725110809042171
Number of Individuals Covered2695
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $27,192
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $421,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,596
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
Insurance broker nameBENEFITS PLANNING CORP.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number725110809042171
Policy instance 1
Insurance contract or identification number725110809042171
Number of Individuals Covered2698
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $21,514
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $359,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,757
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
Insurance broker nameBENEFITS PLANNING CORP.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number725110809042171
Policy instance 1
Insurance contract or identification number725110809042171
Number of Individuals Covered2666
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $24,382
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $388,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number725110
Policy instance 1
Insurance contract or identification number725110
Number of Individuals Covered2617
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $23,890
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $371,563
Commission paid to Insurance BrokerUSD $11,945
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
Insurance broker nameBENEFITS PLANNING CORP.

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