GROUP MEDICAL INSURANCE PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2017
|
800617350
|
2018-12-15
|
OSCAR DE LA RENTA, LLC
|
242
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-01-01
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-12-13 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-13 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2017
|
800617350
|
2019-07-09
|
OSCAR DE LA RENTA, LLC
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-06-30
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-03 |
Name of individual signing |
JENNIFER OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-03 |
Name of individual signing |
JENNIFER OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2016
|
800617350
|
2018-06-27
|
OSCAR DE LA RENTA, LLC
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-06-30
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2016
|
800617350
|
2017-11-27
|
OSCAR DE LA RENTA, LLC
|
245
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-01-01
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-11-27 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-27 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2016
|
800617350
|
2017-07-25
|
OSCAR DE LA RENTA, LLC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-01-01
|
Business code |
448190
|
Sponsor’s telephone number |
2122820500
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DENTAL INSURANCE FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2015
|
800617350
|
2016-11-08
|
OSCAR DE LA RENTA, LLC
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-11-07 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-07 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2015
|
800617350
|
2017-02-16
|
OSCAR DE LA RENTA, LLC
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-06-30
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-02-16 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-16 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2015
|
800617350
|
2016-10-26
|
OSCAR DE LA RENTA, LLC
|
292
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-01-01
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-26 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-26 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2015
|
800617350
|
2016-08-01
|
OSCAR DE LA RENTA, LLC
|
162
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-01-01
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR THE EMPLOYEES OF OSCAR DE LA RENTA, LLC
|
2014
|
800617350
|
2016-06-29
|
OSCAR DE LA RENTA, LLC
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-06-30
|
Business code |
448190
|
Sponsor’s telephone number |
2123546777
|
Plan sponsor’s mailing address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Plan sponsor’s
address |
11 WEST 42ND STREET, 25TH FLOOR, NEW YORK, NY, 10036
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-28 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-28 |
Name of individual signing |
JEN OSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|