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| Plan Name | UHC |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CONCERN FOR INDEPENDENT LIVING, INC. |
| Employer identification number (EIN): | 237259687 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
Additional information about CONCERN FOR INDEPENDENT LIVING, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1972-05-24 |
| Company Identification Number: | 330687 |
| Legal Registered Office Address: |
312 EXPRESSWAY DRIVE SOUTH Suffolk MEDFORD United States of America (USA) 11763 |
More information about CONCERN FOR INDEPENDENT LIVING, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2020-01-01 | SANDRA CARRASQUILLO | 2021-06-28 | ||
| 503 | 2019-01-01 | SANDRA CARRASQUILLO | 2020-05-20 | ||
| 503 | 2018-01-01 | ||||
| 503 | 2017-01-01 |
| 2020: UHC 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: UHC 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 |
| 2018: UHC 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: UHC 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 920181 |
| Policy instance | 1 |
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) | |
| Policy contract number | GEDG-1004 |
| Policy instance | 1 |
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) | |
| Policy contract number | GEDG-1004 |
| Policy instance | 1 |
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) | |
| Policy contract number | GEDG1004 |
| Policy instance | 1 |
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