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UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameUPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN
Plan identification number 501

UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

UPSTATE NEW YORK POWER PRODUCERS INC has sponsored the creation of one or more 401k plans.

Company Name:UPSTATE NEW YORK POWER PRODUCERS INC
Employer identification number (EIN):455079945
NAIC Classification:221100

Additional information about UPSTATE NEW YORK POWER PRODUCERS INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5137766

More information about UPSTATE NEW YORK POWER PRODUCERS INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01JOE PROVINO
5012014-01-01JOE PROVINO
5012014-01-01JOE PROVINO

Plan Statistics for UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN

401k plan membership statisitcs for UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN

Measure Date Value
2015: UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01192
Total number of active participants reported on line 7a of the Form 55002015-01-01137
Number of retired or separated participants receiving benefits2015-01-0129
Number of other retired or separated participants entitled to future benefits2015-01-0125
Total of all active and inactive participants2015-01-01191
Total participants2015-01-01191
2014: UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01185
Total number of active participants reported on line 7a of the Form 55002014-01-01158
Number of retired or separated participants receiving benefits2014-01-0127
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01185
Total participants2014-01-01185

Form 5500 Responses for UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN

2015: UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: UPSTATE NEW YORK POWER PRODUCERS INC WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
Insurance contract or identification number00112678
Number of Individuals Covered174
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $114,121
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $114,121
Insurance broker organization code?3
Insurance broker nameMANNING & NAPIER BENEFITS LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number514353
Policy instance 2
Insurance contract or identification number514353
Number of Individuals Covered177
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,284
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,284
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameMANNING & NAPIER BENEFITS LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00340172
Policy instance 3
Insurance contract or identification number00340172
Number of Individuals Covered185
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,277
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $236,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,277
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameMANNING & NAPIER BENEFITS LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number514353
Policy instance 2
Insurance contract or identification number514353
Number of Individuals Covered181
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,750
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,750
Insurance broker organization code?3
Insurance broker nameMANNING & NAPIER BENEFITS LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112677
Policy instance 1
Insurance contract or identification number00112677
Number of Individuals Covered46
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $17,827
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $399,948
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 number00340172
Policy instance 3
Insurance contract or identification number00340172
Number of Individuals Covered189
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,007
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $195,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,007
Insurance broker organization code?3
Insurance broker nameMANNING & NAPIER BENEFITS LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
Insurance contract or identification number00112678
Number of Individuals Covered178
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $94,520
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,520
Insurance broker organization code?3
Insurance broker nameMANNING AND NAPIER BENEFITS LLC

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