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  5. MEDISYS HEALTH NETWORK INC.

MEDISYS HEALTH NETWORK INC.

Company Details

Name: MEDISYS HEALTH NETWORK INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 01 May 1995 (30 years ago)
Entity Number: 1917794
ZIP code: 11418
County: Queens
Place of Formation: New York
Address: 89TH AVENUE AND VAN WYCK EXPWY, JAMAICA, NY, United States, 11418

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2023 113316802 2024-10-15 MEDISYS HEALTH NETWORK, INC. 1506
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1561
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2022 113316802 2023-10-15 MEDISYS HEALTH NETWORK, INC. 1450
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1506
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2021 113316802 2022-10-16 MEDISYS HEALTH NETWORK, INC. 1530
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1450
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2020 113316802 2021-10-15 MEDISYS HEALTH NETWORK, INC. 1533
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1530
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2019 113316802 2020-10-15 MEDISYS HEALTH NETWORK, INC 1514
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1533

Signature of
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2019 113316802 2020-10-15 MEDISYS HEALTH NETWORK, INC 1514
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1533

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK, INC 2018 113316802 2019-10-15 MEDISYS HEALTH NETWORK, INC. 1546
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1514

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK, INC. 2017 113316802 2018-10-15 MEDISYS HEALTH NETWORK, INC. 1530
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1546

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK, INC. EMPLOYEE BENEFITS PLAN 2016 113316802 2017-10-16 MEDISYS HEALTH NETWORK, INC 1514
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1530

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
EMPIRE DELUXE PPO FOR MEDISYS HEALTH NETWORK, INC. 2011 113316802 2012-10-15 MEDISYS HEALTH NETWORK, INC. 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPRESSWAY 4N, JAMAICA, NY, 11418
Plan sponsor’s address 8900 VAN WYCK EXPRESSWAY 4N, JAMAICA, NY, 11418

Plan administrator’s name and address
Administrator’s EIN 237391136
Plan administrator’s name EMPIRE HEALTH ASSURANCE
Plan administrator’s address 1 LIBERTY PLAZA, NEW YORK, NY, 10006
Administrator’s telephone number 2124767510

Number of participants as of the end of the plan year
Active participants 4657
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION %THE JAMAICA HOSPITAL DOS Process Agent 89TH AVENUE AND VAN WYCK EXPWY, JAMAICA, NY, United States, 11418

Filings

Filing Number Date Filed Type Effective Date
950501000420 1995-05-01 CERTIFICATE OF INCORPORATION 1995-05-01

Related by officers

No related officers

Related by address

89TH AVENUE AND VAN WYCK EXPWY, JAMAICA, NY, United States, 11418

MHN PROPERTIES, INC.

Date of last update: 04 Jan 2025

Sources: New York Secretary of State

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