COMMUNITY SYSTEMS, INC DENTAL INSURANCE (CT)
|
2021
|
061209941
|
2022-07-27
|
COMMUNITY SYSTEMS, INC
|
219
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK ROAD, TORRINGTON, CT, 06790
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
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 |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC HEALTH INSURANCE (CT)
|
2021
|
061209941
|
2022-07-27
|
COMMUNITY SYSTEMS, INC
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
516
|
Effective date of plan |
2019-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK ROAD, TORRINGTON, CT, 06790
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Active participants |
140 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC DENTAL INSURANCE (CT)
|
2020
|
061209941
|
2021-07-12
|
COMMUNITY SYSTEMS, INC.
|
220
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-12 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC HEALTH INSURANCE (CT)
|
2020
|
061209941
|
2021-07-12
|
COMMUNITY SYSTEMS, INC
|
181
|
|
File |
View Page
|
Three-digit plan number (PN) |
516
|
Effective date of plan |
2019-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-12 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC HEALTH INSURANCE (CT)
|
2019
|
061209941
|
2020-06-05
|
COMMUNITY SYSTEMS, INC.
|
181
|
|
File |
View Page
|
Three-digit plan number (PN) |
516
|
Effective date of plan |
2019-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-05 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-05 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC. DENTAL INSURANCE (CT)
|
2019
|
061209941
|
2020-06-04
|
COMMUNITY SYSTEMS, INC
|
216
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-04 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-04 |
Name of individual signing |
SANDRA COADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC. HEALTH INSURANCE PLAN (CT)
|
2018
|
061209941
|
2019-07-31
|
COMMUNITY SYSTEMS INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
CHAD LEAVELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
CHAD LEAVELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC. HEALTH INSURANCE PLAN (CT)
|
2017
|
061209941
|
2018-10-24
|
COMMUNITY SYSTEMS INC.
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Plan sponsor’s
address |
295 ALVORD PARK RD, TORRINGTON, CT, 067903468
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-24 |
Name of individual signing |
DON MYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-24 |
Name of individual signing |
DON MYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC HEALTH INSURANCE PLAN (CT)
|
2016
|
061209941
|
2017-07-12
|
COMMUNITY SYSTEMS, INC
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK ROAD, TORRINGTON, CT, 06790
|
Plan sponsor’s
address |
295 ALVORD PARK ROAD, TORRINGTON, CT, 06790
|
Number of participants as of the end of the plan year
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
161 |
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
CYNTHIA DAVISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
CYNTHIA DAVISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY SYSTEMS, INC HEALTH INSURANCE PLAN
|
2015
|
061209941
|
2016-07-11
|
COMMUNITY SYSTEMS, INC
|
309
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2010-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8604822887
|
Plan sponsor’s mailing address |
295 ALVORD PARK ROAD, TORRINGTON, CT, 06790
|
Plan sponsor’s
address |
295 ALVORD PARK ROAD, TORRINGTON, CT, 06790
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
CYNTHIA DAVISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-11 |
Name of individual signing |
CYNTHIA DAVISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|