MDRC TRAVEL ACCIDENT PLAN
|
2017
|
237379473
|
2018-07-13
|
MDRC
|
255
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2008-12-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 E 34TH ST FL 19, NEW YORK, NY, 100164328
|
Plan sponsor’s
address |
16 E 34TH STREET, 19TH FLOOR, NEW YORK, NY, 100164328
|
Number of participants as of the end of the plan year
Active participants |
252 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-13 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC TRAVEL ACCIDENT PLAN
|
2016
|
237379473
|
2017-10-13
|
MDRC
|
251
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2008-12-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 E 34TH ST FL 19, NEW YORK, NY, 100164328
|
Plan sponsor’s
address |
16 E 34TH ST FL 19, NEW YORK, NY, 100164328
|
Number of participants as of the end of the plan year
Active participants |
255 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC TRAVEL ACCIDENT PLAN
|
2015
|
237379473
|
2016-10-14
|
MDRC
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2008-12-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34TH STREET, 19TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34TH STREET, 19TH FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Active participants |
251 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC LIFE AND DISABILITY PLAN
|
2015
|
237379473
|
2016-10-14
|
MDRC
|
316
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
1982-12-31
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34TH STREET, 19TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34TH STREET, 19TH FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Active participants |
308 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC MEDICAL, DENTAL, VISION AND HOSPITALIZATION GROUP INSURANCE PLAN
|
2015
|
237379473
|
2016-10-14
|
MDRC
|
316
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1991-05-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34TH STREET, 19TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34TH STREET, 19TH FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Active participants |
310 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
LORRAINE KARLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC TRAVEL ACCIDENTAL DEATH AND DISMEMBERMENT
|
2014
|
237379473
|
2015-10-01
|
MDRC
|
238
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2008-12-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-01 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC MEDICAL, DENTAL, VISION, AND HOSPITALIZATION GROUP INSURANCE
|
2014
|
237379473
|
2015-10-01
|
MDRC
|
284
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1991-05-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-01 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC BASIC, DEPENDENT, AND OPTIONAL LIFE, SHORT AND LONG-TERM DISABILITY, ACCIDENTAL DEATH AND DISMEMBERMENT
|
2014
|
237379473
|
2015-10-01
|
MDRC
|
297
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
1982-12-31
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC TRAVEL ACCIDENTAL DEATH AND DISMEMBERMENT
|
2013
|
237379473
|
2014-10-14
|
MDRC
|
247
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2008-12-01
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MDRC BASIC, DEPENDENT, AND OPTIONAL LIFE, SHORT AND LONG-TERM DISABILITY, ACCIDENTAL DEATH AND DISMEMBERMENT
|
2013
|
237379473
|
2014-10-14
|
MDRC
|
268
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
1982-12-31
|
Business code |
541990
|
Sponsor’s telephone number |
2125323200
|
Plan sponsor’s mailing address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
16 EAST 34 STREET, 19 FLOOR, NEW YORK, NY, 10016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
JESUS AMADEO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|