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EXCELLUS HEALTH PLAN, INC.

Company Details

Name: EXCELLUS HEALTH PLAN, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 02 Jan 1936 (89 years ago)
Entity Number: 38007
ZIP code: 14647
County: Monroe
Place of Formation: New York
Address: 165 COURT STREET, ROCHESTER, NY, United States, 14647

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 165 COURT STREET, ROCHESTER, NY, United States, 14647

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
V23MY7HELMA7
CAGE Code:
3PPP0
UEI Expiration Date:
2025-02-26

Business Information

Division Name:
EXCELLUS BLUECROSS BLUESHIELD
Activation Date:
2024-02-29
Initial Registration Date:
2004-01-14

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3PPP0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-11
CAGE Expiration:
2029-02-28
SAM Expiration:
2025-02-26

Contact Information

POC:
DONNA MONROE
Phone:
+1 585-231-6874

National Provider Identifier

NPI Number:
1942578935

Authorized Person:

Name:
BRANDI BISHOP
Role:
DIRECTOR, NYS GOV'T PROGRAMS FINANC
Phone:

Taxonomy:

Selected Taxonomy:
302R00000X - Health Maintenance Organization
Is Primary:
Yes

Contacts:

Legal Entity Identifier

LEI Number:
254900XW4TFFU135LI22

Registration Details:

Initial Registration Date:
2020-07-07
Next Renewal Date:
2025-06-07
Registration Status:
ISSUED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
150329043
Plan Year:
2009
Number Of Participants:
5165
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
5330
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
376
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
3850
Sponsors Telephone Number:

History

Start date End date Type Value
1998-12-16 1999-08-10 Address GATEWAY CENTRE, 150 EAST MAIN STREET, ROCHESTER, NY, 14642, USA (Type of address: Service of Process)
1996-01-11 1998-12-16 Address 344 SOUTH WARREN STREET, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
1984-12-04 1996-01-11 Address 344 SOUTH WARREN ST, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
1984-12-04 1996-01-11 Name BLUE CROSS AND BLUE SHIELD OF CENTRAL NEW YORK, INC.
1973-08-15 1984-12-04 Address 407 S. STATE ST., SYRACUSE, NY, 13201, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
011001000185 2001-10-01 CERTIFICATE OF MERGER 2001-10-01
010102000253 2001-01-02 CERTIFICATE OF MERGER 2001-01-02
990810000129 1999-08-10 CERTIFICATE OF CHANGE 1999-08-10
981231000247 1998-12-31 CERTIFICATE OF AMENDMENT 1998-12-31
981216000682 1998-12-16 CERTIFICATE OF MERGER 1998-12-31

USAspending Awards / Contracts

Procurement Instrument Identifier:
6923G521P0034
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Awarding Agency Name:
Department of Transportation
Performance Start Date:
2021-01-01
Total Dollars Obligated:
43402.00
Current Total Value Of Award:
43402.00
Potential Total Value Of Award:
43402.00
Description:
DENTAL INSURANCE-COLLECTIE BARGINING AGREEMENT.
Naics Code:
524114: DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Product Or Service Code:
G008: SOCIAL- GOVERNMENT INSURANCE PROGRAMS: OTHER
Procurement Instrument Identifier:
6923G520P0036
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Awarding Agency Name:
Department of Transportation
Performance Start Date:
2020-01-01
Total Dollars Obligated:
39579.89
Current Total Value Of Award:
39579.89
Potential Total Value Of Award:
39579.89
Description:
DENTAL INSURANCE
Naics Code:
524114: DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Product Or Service Code:
G008: SOCIAL- GOVERNMENT INSURANCE PROGRAMS: OTHER
Procurement Instrument Identifier:
DTSL5515CC0391
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Awarding Agency Name:
Department of Transportation
Performance Start Date:
2015-01-01
Total Dollars Obligated:
157433.08
Current Total Value Of Award:
157433.08
Potential Total Value Of Award:
184433.08
Description:
IGF::OT::IGF DENTAL INSURANCE PLAN FOR APPROXIMATELY 80 SLSDC EMPLOYEES FOR CALENDAR YEAR 2015 WITH OPTIONS FOR AN ADDITIONAL 4 YEARS.
Naics Code:
524114: DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Product Or Service Code:
G008: SOCIAL- GOVERNMENT INSURANCE PROGRAMS: OTHER

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Fax:
(585) 238-4400
Add Date:
2006-06-21
Operation Classification:
Private(Property)
power Units:
1
Drivers:
4
Inspections:
0
FMCSA Link:

Court Cases

Court Case Summary

Filing Date:
2024-04-30
Status:
Pending
Nature Of Judgment:
Missing
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Contract Actions

Parties

Party Name:
EXCELLUS HEALTH PLAN, INC.
Party Role:
Plaintiff
Party Role:
Defendant

Court Case Summary

Filing Date:
2021-06-30
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Insurance

Parties

Party Name:
HUNTER
Party Role:
Plaintiff
Party Name:
EXCELLUS HEALTH PLAN, INC.
Party Role:
Defendant

Court Case Summary

Filing Date:
2018-12-07
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Employee Retirement Income Security Act (ERISA)

Parties

Party Name:
FORD
Party Role:
Plaintiff
Party Name:
EXCELLUS HEALTH PLAN, INC.
Party Role:
Defendant

Date of last update: 19 Mar 2025

Sources: New York Secretary of State