VISION INSURANCE PLAN
|
2021
|
141338471
|
2023-08-23
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
2025
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
|
TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS
|
2021
|
141338471
|
2023-08-23
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
2104
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1978-12-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
|
LIFE INSURANCE PLAN
|
2021
|
141338471
|
2023-08-23
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
2526
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1972-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
|
DENTAL INSURANCE PLAN
|
2021
|
141338471
|
2023-08-23
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
1131
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2012-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
|
CVPH AFLAC CANCER PLAN
|
2021
|
141338471
|
2023-08-23
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
479
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2002-04-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
|
CVPH LONG TERM DISABILITY BENEFITS PROGRAM
|
2021
|
141338471
|
2023-08-23
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
263
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2016-06-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
|
CVPH AFLAC CANCER PLAN
|
2021
|
141338471
|
2022-10-16
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
479
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2002-04-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
|
CVPH LONG TERM DISABILITY BENEFITS PROGRAM
|
2021
|
141338471
|
2022-10-16
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
263
|
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2016-06-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
|
VISION INSURANCE PLAN
|
2021
|
141338471
|
2022-10-17
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
2025
|
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
Active participants |
1779 |
Retired or separated participants receiving
benefits |
58 |
|
DENTAL INSURANCE PLAN
|
2021
|
141338471
|
2022-10-17
|
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
|
1131
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2012-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5185627300
|
Plan sponsor’s mailing address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Plan sponsor’s
address |
75 BEEKMAN ST, PLATTSBURGH, NY, 129011438
|
Number of participants as of the end of the plan year
Active participants |
1028 |
Retired or separated participants receiving
benefits |
37 |
|