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VARFLEX CORPORATION GROUP INSURANCE PLAN 401k Plan overview

Plan NameVARFLEX CORPORATION GROUP INSURANCE PLAN
Plan identification number 501

VARFLEX CORPORATION GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

VARFLEX CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:VARFLEX CORPORATION
Employer identification number (EIN):150478990
NAIC Classification:339900

Additional information about VARFLEX CORPORATION

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1924-04-29
Company Identification Number: 19629
Legal Registered Office Address: 512 WEST COURT STREET
Oneida
ROME
United States of America (USA)
134404010

More information about VARFLEX CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VARFLEX CORPORATION GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-04
5012021-05-04
5012020-05-04
5012019-05-04
5012018-05-04
5012017-05-04CHARLES J. SCHOFF2018-08-17 CHARLES J. SCHOFF2018-08-17
5012016-05-04CHARLES J. SCHOFF2017-06-26 CHARLES J. SCHOFF2017-06-26
5012015-05-04CHARLES J. SCHOFF2016-12-05 CHARLES J. SCHOFF2016-12-05
5012014-05-04CHARLES J. SCHOFF2015-07-31 CHARLES J. SCHOFF2015-07-31
5012013-05-04CHARLES J. SCHOFF2014-07-31 CHARLES J. SCHOFF2014-07-31
5012012-05-04CHARLES J. SCHOFF2013-06-25 CHARLES J. SCHOFF2013-06-25
5012011-05-04CHARLES J. SCHOFF2012-06-22 CHARLES J. SCHOFF2012-06-22
5012009-05-04CHARLES J. SCHOFF2010-07-29 CHARLES J. SCHOFF2010-07-29

Plan Statistics for VARFLEX CORPORATION GROUP INSURANCE PLAN

401k plan membership statisitcs for VARFLEX CORPORATION GROUP INSURANCE PLAN

Measure Date Value
2022: VARFLEX CORPORATION GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-0476
Total number of active participants reported on line 7a of the Form 55002022-05-0475
Total of all active and inactive participants2022-05-0475
2021: VARFLEX CORPORATION GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-0483
Total number of active participants reported on line 7a of the Form 55002021-05-0476
Total of all active and inactive participants2021-05-0476
2020: VARFLEX CORPORATION GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-0496
Total number of active participants reported on line 7a of the Form 55002020-05-0483
Total of all active and inactive participants2020-05-0483
2019: VARFLEX CORPORATION GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-0492
Total number of active participants reported on line 7a of the Form 55002019-05-0496
Number of retired or separated participants receiving benefits2019-05-040
Number of other retired or separated participants entitled to future benefits2019-05-040
Total of all active and inactive participants2019-05-0496
2018: VARFLEX CORPORATION GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-0489
Total number of active participants reported on line 7a of the Form 55002018-05-0492
Number of other retired or separated participants entitled to future benefits2018-05-040
Total of all active and inactive participants2018-05-0492
2017: VARFLEX CORPORATION GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-0496
Total number of active participants reported on line 7a of the Form 55002017-05-0489
Number of other retired or separated participants entitled to future benefits2017-05-040
Total of all active and inactive participants2017-05-0489
2016: VARFLEX CORPORATION GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-0498
Total number of active participants reported on line 7a of the Form 55002016-05-0496
Number of other retired or separated participants entitled to future benefits2016-05-040
Total of all active and inactive participants2016-05-0496
2015: VARFLEX CORPORATION GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-04130
Total number of active participants reported on line 7a of the Form 55002015-05-0498
Number of retired or separated participants receiving benefits2015-05-040
Total of all active and inactive participants2015-05-0498
2014: VARFLEX CORPORATION GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-04117
Total number of active participants reported on line 7a of the Form 55002014-05-04130
Number of retired or separated participants receiving benefits2014-05-040
Total of all active and inactive participants2014-05-04130
2013: VARFLEX CORPORATION GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-0499
Total number of active participants reported on line 7a of the Form 55002013-05-04117
Number of retired or separated participants receiving benefits2013-05-040
Total of all active and inactive participants2013-05-04117
2012: VARFLEX CORPORATION GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-0493
Total number of active participants reported on line 7a of the Form 55002012-05-0499
Number of retired or separated participants receiving benefits2012-05-040
Total of all active and inactive participants2012-05-0499
2011: VARFLEX CORPORATION GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0481
Total number of active participants reported on line 7a of the Form 55002011-05-0493
Number of retired or separated participants receiving benefits2011-05-040
Total of all active and inactive participants2011-05-0493
2009: VARFLEX CORPORATION GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-0490
Total number of active participants reported on line 7a of the Form 55002009-05-0479
Number of retired or separated participants receiving benefits2009-05-041
Total of all active and inactive participants2009-05-0480

Financial Data on VARFLEX CORPORATION GROUP INSURANCE PLAN

Measure Date Value
2023 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2023 401k financial data
Total income from all sources2023-05-03$1,371,140
Expenses. Total of all expenses incurred2023-05-03$1,371,140
Benefits paid (including direct rollovers)2023-05-03$1,371,140
Total contributions received or receivable from participants2023-05-03$274,228
Net income (gross income less expenses)2023-05-03$0
Total contributions received or receivable from employer(s)2023-05-03$1,096,912
2022 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2022 401k financial data
Total income from all sources2022-05-03$1,289,685
Expenses. Total of all expenses incurred2022-05-03$1,289,685
Benefits paid (including direct rollovers)2022-05-03$1,289,685
Total contributions received or receivable from participants2022-05-03$258,203
Net income (gross income less expenses)2022-05-03$0
Total contributions received or receivable from employer(s)2022-05-03$1,031,482
2021 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2021 401k financial data
Total income from all sources2021-05-03$1,356,544
Expenses. Total of all expenses incurred2021-05-03$1,356,544
Benefits paid (including direct rollovers)2021-05-03$1,356,544
Total contributions received or receivable from participants2021-05-03$271,309
Net income (gross income less expenses)2021-05-03$0
Total contributions received or receivable from employer(s)2021-05-03$1,085,235
2020 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2020 401k financial data
Total income from all sources2020-05-03$1,336,695
Expenses. Total of all expenses incurred2020-05-03$1,336,695
Benefits paid (including direct rollovers)2020-05-03$1,336,695
Total contributions received or receivable from participants2020-05-03$267,339
Net income (gross income less expenses)2020-05-03$0
Total contributions received or receivable from employer(s)2020-05-03$1,069,356
2018 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2018 401k financial data
Total income from all sources2018-05-03$1,103,480
Expenses. Total of all expenses incurred2018-05-03$1,103,480
Benefits paid (including direct rollovers)2018-05-03$1,103,480
Total contributions received or receivable from participants2018-05-03$220,696
Net income (gross income less expenses)2018-05-03$0
Total contributions received or receivable from employer(s)2018-05-03$882,784
2017 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2017 401k financial data
Total income from all sources2017-05-03$1,099,005
Expenses. Total of all expenses incurred2017-05-03$1,099,005
Benefits paid (including direct rollovers)2017-05-03$1,099,005
Total contributions received or receivable from participants2017-05-03$219,801
Net income (gross income less expenses)2017-05-03$0
Total contributions received or receivable from employer(s)2017-05-03$879,204
2016 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2016 401k financial data
Total income from all sources2016-05-03$1,092,709
Expenses. Total of all expenses incurred2016-05-03$1,092,709
Benefits paid (including direct rollovers)2016-05-03$1,092,709
Total contributions received or receivable from participants2016-05-03$218,542
Net income (gross income less expenses)2016-05-03$0
Total contributions received or receivable from employer(s)2016-05-03$874,167
2015 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2015 401k financial data
Total income from all sources2015-05-03$1,191,693
Expenses. Total of all expenses incurred2015-05-03$1,191,693
Benefits paid (including direct rollovers)2015-05-03$1,191,693
Total contributions received or receivable from participants2015-05-03$230,694
Net income (gross income less expenses)2015-05-03$0
Total contributions received or receivable from employer(s)2015-05-03$960,999
2014 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2014 401k financial data
Total income from all sources2014-05-03$1,062,002
Expenses. Total of all expenses incurred2014-05-03$1,062,002
Benefits paid (including direct rollovers)2014-05-03$1,062,002
Total contributions received or receivable from participants2014-05-03$204,284
Net income (gross income less expenses)2014-05-03$0
Total contributions received or receivable from employer(s)2014-05-03$857,718
2013 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2013 401k financial data
Total income from all sources2013-05-03$966,768
Expenses. Total of all expenses incurred2013-05-03$966,768
Benefits paid (including direct rollovers)2013-05-03$966,768
Total contributions received or receivable from participants2013-05-03$186,138
Net income (gross income less expenses)2013-05-03$0
Total contributions received or receivable from employer(s)2013-05-03$780,630
2012 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2012 401k financial data
Total income from all sources2012-05-03$873,755
Expenses. Total of all expenses incurred2012-05-03$873,755
Benefits paid (including direct rollovers)2012-05-03$873,755
Total contributions received or receivable from participants2012-05-03$167,822
Net income (gross income less expenses)2012-05-03$0
Total contributions received or receivable from employer(s)2012-05-03$705,933
2011 : VARFLEX CORPORATION GROUP INSURANCE PLAN 2011 401k financial data
Total income from all sources2011-05-03$702,928
Expenses. Total of all expenses incurred2011-05-03$702,928
Benefits paid (including direct rollovers)2011-05-03$702,928
Total contributions received or receivable from participants2011-05-03$142,468
Net income (gross income less expenses)2011-05-03$0
Total contributions received or receivable from employer(s)2011-05-03$560,460

Form 5500 Responses for VARFLEX CORPORATION GROUP INSURANCE PLAN

2022: VARFLEX CORPORATION GROUP INSURANCE PLAN 2022 form 5500 responses
2022-05-04Type of plan entitySingle employer plan
2022-05-04Plan funding arrangement – InsuranceYes
2022-05-04Plan benefit arrangement – InsuranceYes
2021: VARFLEX CORPORATION GROUP INSURANCE PLAN 2021 form 5500 responses
2021-05-04Type of plan entitySingle employer plan
2021-05-04Plan funding arrangement – InsuranceYes
2021-05-04Plan benefit arrangement – InsuranceYes
2020: VARFLEX CORPORATION GROUP INSURANCE PLAN 2020 form 5500 responses
2020-05-04Type of plan entitySingle employer plan
2020-05-04Plan funding arrangement – InsuranceYes
2020-05-04Plan benefit arrangement – InsuranceYes
2019: VARFLEX CORPORATION GROUP INSURANCE PLAN 2019 form 5500 responses
2019-05-04Type of plan entitySingle employer plan
2019-05-04Plan funding arrangement – InsuranceYes
2019-05-04Plan benefit arrangement – InsuranceYes
2018: VARFLEX CORPORATION GROUP INSURANCE PLAN 2018 form 5500 responses
2018-05-04Type of plan entitySingle employer plan
2018-05-04Plan funding arrangement – InsuranceYes
2018-05-04Plan benefit arrangement – InsuranceYes
2017: VARFLEX CORPORATION GROUP INSURANCE PLAN 2017 form 5500 responses
2017-05-04Type of plan entitySingle employer plan
2017-05-04Plan funding arrangement – InsuranceYes
2017-05-04Plan benefit arrangement – InsuranceYes
2016: VARFLEX CORPORATION GROUP INSURANCE PLAN 2016 form 5500 responses
2016-05-04Type of plan entitySingle employer plan
2016-05-04Plan funding arrangement – InsuranceYes
2016-05-04Plan benefit arrangement – InsuranceYes
2015: VARFLEX CORPORATION GROUP INSURANCE PLAN 2015 form 5500 responses
2015-05-04Type of plan entitySingle employer plan
2015-05-04Submission has been amendedYes
2015-05-04Plan funding arrangement – InsuranceYes
2015-05-04Plan benefit arrangement – InsuranceYes
2014: VARFLEX CORPORATION GROUP INSURANCE PLAN 2014 form 5500 responses
2014-05-04Type of plan entitySingle employer plan
2014-05-04Plan funding arrangement – InsuranceYes
2014-05-04Plan benefit arrangement – InsuranceYes
2013: VARFLEX CORPORATION GROUP INSURANCE PLAN 2013 form 5500 responses
2013-05-04Type of plan entitySingle employer plan
2013-05-04Plan funding arrangement – InsuranceYes
2013-05-04Plan benefit arrangement – InsuranceYes
2012: VARFLEX CORPORATION GROUP INSURANCE PLAN 2012 form 5500 responses
2012-05-04Type of plan entitySingle employer plan
2012-05-04Plan funding arrangement – InsuranceYes
2012-05-04Plan benefit arrangement – InsuranceYes
2011: VARFLEX CORPORATION GROUP INSURANCE PLAN 2011 form 5500 responses
2011-05-04Type of plan entitySingle employer plan
2011-05-04Plan funding arrangement – InsuranceYes
2011-05-04Plan benefit arrangement – InsuranceYes
2009: VARFLEX CORPORATION GROUP INSURANCE PLAN 2009 form 5500 responses
2009-05-04Type of plan entitySingle employer plan
2009-05-04This submission is the final filingNo
2009-05-04Plan funding arrangement – InsuranceYes
2009-05-04Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 3
Insurance contract or identification number522884
Number of Individuals Covered89
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,034
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered120
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $755
Total amount of fees paid to insurance companyUSD $33,069
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered75
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $53,607
Total amount of fees paid to insurance companyUSD $1,371,141
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,371,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 4
Insurance contract or identification number522884
Number of Individuals Covered90
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,273
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05934357
Policy instance 3
Insurance contract or identification numberTM05934357
Number of Individuals Covered97
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,308
Total amount of fees paid to insurance companyUSD $10,258
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered121
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,126
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered76
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $53,214
Total amount of fees paid to insurance companyUSD $1,289,685
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,289,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered83
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $55,194
Total amount of fees paid to insurance companyUSD $1,356,544
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,356,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,870
Insurance broker organization code?3
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered102
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,048
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05934357
Policy instance 3
Insurance contract or identification numberTM05934357
Number of Individuals Covered101
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,714
Total amount of fees paid to insurance companyUSD $10,081
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,380
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 4
Insurance contract or identification number522884
Number of Individuals Covered96
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,963
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered96
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $54,885
Total amount of fees paid to insurance companyUSD $1,336,695
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,336,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered126
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,693
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05934357
Policy instance 3
Insurance contract or identification numberTM05934357
Number of Individuals Covered106
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,544
Total amount of fees paid to insurance companyUSD $10,450
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 4
Insurance contract or identification number522884
Number of Individuals Covered114
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,978
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered118
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered92
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,173,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 4
Insurance contract or identification number522884
Number of Individuals Covered107
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05935357
Policy instance 3
Insurance contract or identification numberTM05935357
Number of Individuals Covered103
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 4
Insurance contract or identification number522884
Number of Individuals Covered109
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05935357
Policy instance 3
Insurance contract or identification numberTM05935357
Number of Individuals Covered110
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered109
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered89
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,103,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60213 )
Policy contract number540230
Policy instance 8
Insurance contract or identification number540230
Number of Individuals Covered98
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered0
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $727,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered111
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,871
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LIFE-A
Policy instance 3
Insurance contract or identification numberR0308221 LIFE-A
Number of Individuals Covered0
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LTD_TR
Policy instance 4
Insurance contract or identification numberR0308221 LTD_TR
Number of Individuals Covered0
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05935357
Policy instance 5
Insurance contract or identification numberTM05935357
Number of Individuals Covered109
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MOHAWK VALLEY PHYSICIANS HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 47062 )
Policy contract number490080-001
Policy instance 6
Insurance contract or identification number490080-001
Number of Individuals Covered98
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $365,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number522884
Policy instance 7
Insurance contract or identification number522884
Number of Individuals Covered98
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered104
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LIFE-A
Policy instance 3
Insurance contract or identification numberR0308221 LIFE-A
Number of Individuals Covered10
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LTD_TR
Policy instance 4
Insurance contract or identification numberR0308221 LTD_TR
Number of Individuals Covered122
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered122
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered103
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered124
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LTD_TR
Policy instance 4
Insurance contract or identification numberR0308221 LTD_TR
Number of Individuals Covered124
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LIFE-A
Policy instance 3
Insurance contract or identification numberR0308221 LIFE-A
Number of Individuals Covered10
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LTD_TR
Policy instance 4
Insurance contract or identification numberR0308221 LTD_TR
Number of Individuals Covered116
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered99
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $966,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LIFE-A
Policy instance 3
Insurance contract or identification numberR0308221 LIFE-A
Number of Individuals Covered10
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered116
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered113
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LIFE-A
Policy instance 3
Insurance contract or identification numberR0308221 LIFE-A
Number of Individuals Covered10
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LTD_TR
Policy instance 4
Insurance contract or identification numberR0308221 LTD_TR
Number of Individuals Covered113
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered93
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LTD_TR
Policy instance 5
Insurance contract or identification numberR0308221 LTD_TR
Number of Individuals Covered10
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0308221 LIFE-A
Policy instance 4
Insurance contract or identification numberR0308221 LIFE-A
Number of Individuals Covered10
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE BUSINESS COUNCIL OF NYS INC. INSURANCE FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0519
Policy instance 2
Insurance contract or identification number0519
Number of Individuals Covered100
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number404135-001
Policy instance 1
Insurance contract or identification number404135-001
Number of Individuals Covered81
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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