SANDATA HEALTH PREMIUM PLANS
|
2014
|
272047041
|
2015-08-21
|
SANDATA TECHNOLOGIES LLC
|
219
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5164844400
|
Plan sponsor’s mailing address |
26 HARBOR PARK DRIVE, PORT WASHINGTON, NY, 11050
|
Plan sponsor’s
address |
26 HARBOR PARK DRIVE, PORT WASHINGTON, NY, 11050
|
Number of participants as of the end of the plan year
Active participants |
233 |
Other
retired or separated participants entitled to future benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2015-08-21 |
Name of individual signing |
DAVID GERSHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-21 |
Name of individual signing |
DAVID GERSHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDATA HEALTH PREMIUM PLANS
|
2013
|
272047041
|
2014-10-07
|
SANDATA TECHNOLOGIES LLC
|
227
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5164844400
|
Plan sponsor’s mailing address |
26 HARBOR PARK DRIVE, PORT WASHINGTON, NY, 11050
|
Plan sponsor’s
address |
26 HARBOR PARK DRIVE, PORT WASHINGTON, NY, 11050
|
Number of participants as of the end of the plan year
Active participants |
215 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
DAVID GERSHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDATA HEALTH PREMIUM PLANS
|
2012
|
272047041
|
2013-10-11
|
SANDATA TECHNOLOGIES LLC
|
345
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5164844400
|
Plan sponsor’s mailing address |
26 HARBOR PARK DRIVE, PORT WASHINGTON, NY, 11050
|
Plan sponsor’s
address |
26 HARBOR PARK DRIVE, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
272047041 |
Plan administrator’s name |
SANDATA TECHNOLOGIES LLC |
Administrator’s telephone number |
5164844400 |
Number of participants as of the end of the plan year
Active participants |
215 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
11 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
DAVID GERSHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
DAVID GERSHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDATA HEALTH PREMIUM PLANS
|
2011
|
112841799
|
2012-10-02
|
SANDATA TECHNOLOGIES
|
319
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5164844400
|
Plan sponsor’s mailing address |
26 HARBOR DRIVE NORTH, PORT WASHINGTON, NY, 11050
|
Plan sponsor’s
address |
26 HARBOR DRIVE NORTH, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
112841799 |
Plan administrator’s name |
SANDATA TECHNOLOGIES |
Plan administrator’s
address |
26 HARBOR DRIVE NORTH, PORT WASHINGTON, NY, 11050 |
Administrator’s telephone number |
5164844400 |
Number of participants as of the end of the plan year
Active participants |
345 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
ALLAN AMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDATA HEALTH PREMIUM PLANS
|
2010
|
112841799
|
2011-10-12
|
SANDATA TECHNOLOGIES
|
313
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5164844400
|
Plan sponsor’s mailing address |
26 HARBOR DRIVE NORTH, PORT WASHINGTON, NY, 11050
|
Plan sponsor’s
address |
26 HARBOR DRIVE NORTH, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
112841799 |
Plan administrator’s name |
SANDATA TECHNOLOGIES |
Plan administrator’s
address |
26 HARBOR DRIVE NORTH, PORT WASHINGTON, NY, 11050 |
Administrator’s telephone number |
5164844400 |
Number of participants as of the end of the plan year
Active participants |
619 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
ALLAN AMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDATA HEALTH PREMIUM PLANS
|
2009
|
112841799
|
2010-10-13
|
SANDATA TECHNOLOGIES
|
313
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5164844400
|
Plan sponsor’s mailing address |
26 HARBOR DRIVE NORTH, C/O CLAIRE WEBER, PORT WASHINGTON, NY, 11050
|
Plan sponsor’s
address |
26 HARBOR DRIVE NORTH, C/O CLAIRE WEBER, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
112841799 |
Plan administrator’s name |
SANDATA TECHNOLOGIES |
Plan administrator’s
address |
26 HARBOR DRIVE NORTH, C/O CLAIRE WEBER, PORT WASHINGTON, NY, 11050 |
Administrator’s telephone number |
5164844400 |
Number of participants as of the end of the plan year
Active participants |
334 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
ALLAN AMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|