HIGHER ONE, INC. VISION PLAN
|
2011
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
181
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. MEDICAL PLAN
|
2011
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
207
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06515
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06515
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06515 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE., INC. LIFE, AD&D, STD & LTD PLAN
|
2011
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
286
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. DENTAL AND SUPPLEMENTAL INSURANCE PLAN
|
2011
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
244
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. VISION PLAN
|
2010
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. MEDICAL PLAN
|
2010
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
207 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. LIFE, AD&D, STD & LTD PLAN
|
2010
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
237
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
286 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. DENTAL AND SUPPLEMENTAL INSURANCE PLAN
|
2010
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
244 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. MEDICAL PLAN
|
2009
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
144 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHER ONE, INC. LIFE, AD&D, STD & LTD PLAN
|
2009
|
061578063
|
2013-03-05
|
HIGHER ONE, INC.
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2037767776
|
Plan sponsor’s mailing address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan sponsor’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061578063 |
Plan administrator’s name |
HIGHER ONE, INC. |
Plan administrator’s
address |
115 MUNSON ST., NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037767776 |
Number of participants as of the end of the plan year
Active participants |
237 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
RACHEL ARNEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|