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AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 401k Plan overview

Plan NameAUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP
Plan identification number 502

AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP Benefits

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

401k Sponsoring company profile

AUTOMOBILE CLUB OF NEW YORK INC has sponsored the creation of one or more 401k plans.

Company Name:AUTOMOBILE CLUB OF NEW YORK INC
Employer identification number (EIN):130458080
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-04-01ROBERT WALTERS
5022014-04-01ROBERT WALTERS
5022013-04-01DENNIS CROSSLEY
5022012-04-01DENNIS CROSSLEY
5022011-04-01DENNIS CROSSLEY
5022009-04-01DENNIS CROSSLEY

Plan Statistics for AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP

401k plan membership statisitcs for AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP

Measure Date Value
2015: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2015 401k membership
Total participants, beginning-of-year2015-04-01396
Total number of active participants reported on line 7a of the Form 55002015-04-010
Total of all active and inactive participants2015-04-010
Total participants2015-04-010
2014: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2014 401k membership
Total participants, beginning-of-year2014-04-01423
Total number of active participants reported on line 7a of the Form 55002014-04-01388
Number of retired or separated participants receiving benefits2014-04-018
Total of all active and inactive participants2014-04-01396
Total participants2014-04-01396
2013: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2013 401k membership
Total participants, beginning-of-year2013-04-01398
Total number of active participants reported on line 7a of the Form 55002013-04-01420
Number of other retired or separated participants entitled to future benefits2013-04-013
Total of all active and inactive participants2013-04-01423
Total participants2013-04-01423
2012: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2012 401k membership
Total participants, beginning-of-year2012-04-01389
Total number of active participants reported on line 7a of the Form 55002012-04-01395
Number of retired or separated participants receiving benefits2012-04-013
Total of all active and inactive participants2012-04-01398
Total participants2012-04-01398
2011: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2011 401k membership
Total participants, beginning-of-year2011-04-01374
Total number of active participants reported on line 7a of the Form 55002011-04-01385
Number of retired or separated participants receiving benefits2011-04-014
Total of all active and inactive participants2011-04-01389
Total participants2011-04-01389
2009: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2009 401k membership
Total participants, beginning-of-year2009-04-01386
Total number of active participants reported on line 7a of the Form 55002009-04-01381
Number of retired or separated participants receiving benefits2009-04-014
Total of all active and inactive participants2009-04-01385
Total participants2009-04-01385

Form 5500 Responses for AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP

2015: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingYes
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: AUTOMOBILE CLUB OF NEW YORK INC MED CATA HOSP 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0314908
Policy instance 1
Insurance contract or identification number0314908
Number of Individuals Covered0
Insurance policy start date2014-07-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $17,026
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 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
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 $388,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,026
Insurance broker nameALLIANT INSURANCE SERVICES
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number314908-SL
Policy instance 1
Insurance contract or identification number314908-SL
Number of Individuals Covered408
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $28,545
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 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
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 $531,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,545
Insurance broker nameALLIANT INSURANCE SERVICES INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number314908
Policy instance 1
Insurance contract or identification number314908
Number of Individuals Covered423
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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 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
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 $479,712
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 number314908
Policy instance 1
Insurance contract or identification number314908
Number of Individuals Covered390
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $17,810
Welfare Benefit Premiums Paid to CarrierUSD $389,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,810
Insurance broker organization code?3
Insurance broker nameT&H BENEFITS LLC
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17155
Policy instance 1
Insurance contract or identification numberHCL17155
Number of Individuals Covered380
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $17,796
Welfare Benefit Premiums Paid to CarrierUSD $355,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17155
Policy instance 1
Insurance contract or identification numberHCL17155
Number of Individuals Covered387
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $6,792
Welfare Benefit Premiums Paid to CarrierUSD $295,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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