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G-CNY GROUP MEDICAL PLAN 401k Plan overview

Plan NameG-CNY GROUP MEDICAL PLAN
Plan identification number 501

G-CNY GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CNY PAYROLL & DISBURSEMENTS LLC has sponsored the creation of one or more 401k plans.

Company Name:CNY PAYROLL & DISBURSEMENTS LLC
Employer identification number (EIN):352597966
NAIC Classification:236110

Additional information about CNY PAYROLL & DISBURSEMENTS LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2017-06-09
Company Identification Number: 5151719
Legal Registered Office Address: 1440 BROADWAY, 4TH FLOOR
New York
NEW YORK
United States of America (USA)
10018

More information about CNY PAYROLL & DISBURSEMENTS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G-CNY GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-09-01KATIE URTNOWSKI2021-01-19
5012018-09-01DIANA NIEVES2020-03-20
5012017-09-01SANDRA ENGELSON2019-05-21

Plan Statistics for G-CNY GROUP MEDICAL PLAN

401k plan membership statisitcs for G-CNY GROUP MEDICAL PLAN

Measure Date Value
2019: G-CNY GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01113
Total number of active participants reported on line 7a of the Form 55002019-09-0191
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-0191
Number of employers contributing to the scheme2019-09-010
2018: G-CNY GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01117
Total number of active participants reported on line 7a of the Form 55002018-09-01113
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01113
Number of employers contributing to the scheme2018-09-010
2017: G-CNY GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01100
Total number of active participants reported on line 7a of the Form 55002017-09-01117
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01117
Number of employers contributing to the scheme2017-09-010

Form 5500 Responses for G-CNY GROUP MEDICAL PLAN

2019: G-CNY GROUP MEDICAL PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: G-CNY GROUP MEDICAL PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: G-CNY GROUP MEDICAL PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01First time form 5500 has been submittedYes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number626805
Policy instance 1
Insurance contract or identification number626805
Number of Individuals Covered148
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $75,959
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,595,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees75959
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGC19040
Policy instance 1
Insurance contract or identification numberGC19040
Number of Individuals Covered265
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $50,942
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,712,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,942
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGC19040
Policy instance 1
Insurance contract or identification numberGC19040
Number of Individuals Covered274
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $44,967
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,484,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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