ASPCA MIDWEST OFFICE GROUP HEALTH PLAN
|
2021
|
131623829
|
2023-08-21
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1999-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-08-21 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM AND SHORT TERM DISABILITY PLAN
|
2021
|
131623829
|
2023-08-21
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
943
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2009-03-09
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-08-21 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DENTAL, VISION, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE PLAN
|
2021
|
131623829
|
2023-08-21
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
954
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-08-21 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HEALTH INSURANCE PLAN
|
2021
|
131623829
|
2023-08-21
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
784
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-08-21 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HEALTH INSURANCE PLAN
|
2021
|
131623829
|
2022-10-13
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
784
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Active participants |
859 |
Retired or separated participants receiving
benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DENTAL, VISION, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE PLAN
|
2021
|
131623829
|
2022-10-13
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
954
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Active participants |
1040 |
Retired or separated participants receiving
benefits |
13 |
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM AND SHORT TERM DISABILITY PLAN
|
2021
|
131623829
|
2022-10-13
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
943
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2009-03-09
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASPCA MIDWEST OFFICE GROUP HEALTH PLAN
|
2021
|
131623829
|
2022-10-13
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
93
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1999-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HEALTH INSURANCE PLAN
|
2020
|
131623829
|
2021-10-04
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
790
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Active participants |
761 |
Retired or separated participants receiving
benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2021-10-04 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DENTAL, VISION, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE PLAN
|
2020
|
131623829
|
2021-10-01
|
THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
|
966
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-03-01
|
Business code |
541940
|
Sponsor’s telephone number |
2128767700
|
Plan sponsor’s mailing address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Plan sponsor’s
address |
424 E 92ND ST, NEW YORK, NY, 101286804
|
Number of participants as of the end of the plan year
Active participants |
937 |
Retired or separated participants receiving
benefits |
10 |
Signature of
Role |
Plan administrator |
Date |
2021-10-01 |
Name of individual signing |
JAMI DEANGELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|