HENGESTONE HOLDINGS, INC. has sponsored the creation of one or more 401k plans.
Additional information about HENGESTONE HOLDINGS, INC.
Submission information for form 5500 for 401k plan UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN
401k plan membership statisitcs for UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN
| Measure | Date | Value |
|---|
| 2021: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-11-01 | 176 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-11-01 | 185 |
| Total of all active and inactive participants | 2021-11-01 | 185 |
| 2020: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-11-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-11-01 | 176 |
| Total of all active and inactive participants | 2020-11-01 | 176 |
| 2019: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-11-01 | 178 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-11-01 | 172 |
| Number of retired or separated participants receiving benefits | 2019-11-01 | 2 |
| Total of all active and inactive participants | 2019-11-01 | 174 |
| 2018: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-11-01 | 173 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-11-01 | 178 |
| Number of retired or separated participants receiving benefits | 2018-11-01 | 0 |
| Total of all active and inactive participants | 2018-11-01 | 178 |
| 2017: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 166 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 172 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 1 |
| Total of all active and inactive participants | 2017-11-01 | 173 |
| 2016: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 164 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 2 |
| Total of all active and inactive participants | 2016-11-01 | 166 |
| 2015: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 140 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 148 |
| Total of all active and inactive participants | 2015-11-01 | 148 |
| 2014: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 146 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 146 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 2 |
| Total of all active and inactive participants | 2014-11-01 | 148 |
| 2013: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 145 |
| Number of retired or separated participants receiving benefits | 2013-11-01 | 1 |
| Total of all active and inactive participants | 2013-11-01 | 146 |
| 2012: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 142 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 144 |
| Number of retired or separated participants receiving benefits | 2012-11-01 | 1 |
| Total of all active and inactive participants | 2012-11-01 | 145 |
| 2011: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-11-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-11-01 | 141 |
| Number of retired or separated participants receiving benefits | 2011-11-01 | 1 |
| Total of all active and inactive participants | 2011-11-01 | 142 |
| 2010: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-11-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-11-01 | 144 |
| Number of retired or separated participants receiving benefits | 2010-11-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2010-11-01 | 0 |
| Total of all active and inactive participants | 2010-11-01 | 145 |
| 2009: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-11-01 | 157 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 158 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2009-11-01 | 0 |
| Total of all active and inactive participants | 2009-11-01 | 159 |
| 2008: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-11-01 | 209 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-11-01 | 152 |
| Number of retired or separated participants receiving benefits | 2008-11-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2008-11-01 | 0 |
| Total of all active and inactive participants | 2008-11-01 | 158 |
| 2007: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-11-01 | 221 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-11-01 | 216 |
| Number of retired or separated participants receiving benefits | 2007-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-11-01 | 0 |
| Total of all active and inactive participants | 2007-11-01 | 216 |
| 2006: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-11-01 | 346 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-11-01 | 383 |
| Number of retired or separated participants receiving benefits | 2006-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-11-01 | 0 |
| Total of all active and inactive participants | 2006-11-01 | 383 |
| 2021: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2021 form 5500 responses |
|---|
| 2021-11-01 | Type of plan entity | Single employer plan |
| 2021-11-01 | Plan funding arrangement – Insurance | Yes |
| 2021-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2020 form 5500 responses |
|---|
| 2020-11-01 | Type of plan entity | Single employer plan |
| 2020-11-01 | Plan funding arrangement – Insurance | Yes |
| 2020-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2019 form 5500 responses |
|---|
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2018 form 5500 responses |
|---|
| 2018-11-01 | Type of plan entity | Single employer plan |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | Single employer plan |
| 2011-11-01 | Plan funding arrangement – Insurance | Yes |
| 2011-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2010 form 5500 responses |
|---|
| 2010-11-01 | Type of plan entity | Single employer plan |
| 2010-11-01 | Plan funding arrangement – Insurance | Yes |
| 2010-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | This submission is the final filing | No |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2008: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2008 form 5500 responses |
|---|
| 2008-11-01 | Type of plan entity | Single employer plan |
| 2008-11-01 | Plan funding arrangement – Insurance | Yes |
| 2008-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2008-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2008-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2007: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2007 form 5500 responses |
|---|
| 2007-11-01 | Type of plan entity | Single employer plan |
| 2007-11-01 | Plan funding arrangement – Insurance | Yes |
| 2007-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2007-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2007-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2006: UNILOCK GROUP OF COMPANIES MEDICAL AND VISION PLAN 2006 form 5500 responses |
|---|
| 2006-11-01 | Type of plan entity | Single employer plan |
| 2006-11-01 | First time form 5500 has been submitted | Yes |
| 2006-11-01 | Plan funding arrangement – Insurance | Yes |
| 2006-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2006-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2006-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420770 |
| Policy instance | 4 |
| Insurance contract or identification number | 00420770 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $3,975 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,975 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420771 |
| Policy instance | 3 |
| Insurance contract or identification number | 00420771 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $6,605 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,605 | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 02,03,04,05,06 |
| Policy instance | 2 |
| Insurance contract or identification number | 02,03,04,05,06 | | Number of Individuals Covered | 336 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $1,591 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,385 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,591 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420772 |
| Policy instance | 1 |
| Insurance contract or identification number | 00420772 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $3,100 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,100 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420770 |
| Policy instance | 4 |
| Insurance contract or identification number | 00420770 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $3,428 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,428 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420771 |
| Policy instance | 3 |
| Insurance contract or identification number | 00420771 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $5,770 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,770 | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 02,03,04,05,06 |
| Policy instance | 2 |
| Insurance contract or identification number | 02,03,04,05,06 | | Number of Individuals Covered | 352 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $1,776 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,692 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,299 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420772 |
| Policy instance | 1 |
| Insurance contract or identification number | 00420772 | | Number of Individuals Covered | 103 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $2,706 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,706 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420770 |
| Policy instance | 4 |
| Insurance contract or identification number | 00420770 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $3,158 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,158 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420771 |
| Policy instance | 3 |
| Insurance contract or identification number | 00420771 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $6,100 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,100 | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 02,03,04,05,06 |
| Policy instance | 2 |
| Insurance contract or identification number | 02,03,04,05,06 | | Number of Individuals Covered | 327 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $1,448 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,801 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,448 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00420772 |
| Policy instance | 1 |
| Insurance contract or identification number | 00420772 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $2,997 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,997 | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 02,03,04,05,06 |
| Policy instance | 2 |
| Insurance contract or identification number | 02,03,04,05,06 | | Number of Individuals Covered | 326 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $1,539 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,526 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,539 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 772,766,770,771 |
| Policy instance | 1 |
| Insurance contract or identification number | 772,766,770,771 | | Number of Individuals Covered | 378 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $65,413 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $65,413 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 772,766,770,771 |
| Policy instance | 1 |
| Insurance contract or identification number | 772,766,770,771 | | Number of Individuals Covered | 352 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $58,377 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
