MEWA-ECE Form
This Form is Open to Public Inspection
OMB No. 1210-0116
Department of Labor
Employee Benefits Security Administration
Complete as applicable:
04/13/2021
Federation of American Societies for Experimental Biology (FASEB)
Human Resources
P. O. Box 2288
Rockville, MD 20847
(301) 634-7086
52-0700497
506
Federation of American Societies for Experimental Biology (FASEB)
Human Resources
P. O. Box 2288
Rockville, MD 20847
(301) 634-7086
52-0700497
sschiaffino@faseb.org
Federation of American Societies for Experimental Biology 9FASEB)
Human Resources
P. O. Box 2288
Rockville, MD 20847
(301) 634-7086
52-0700497
Frank Krause
P. O. Box 2288
Rockville, MD 20847
(301) 634-7086
fkrause@faseb.org
Scott Steen
The American Physiological Society
6120 Executive Boulevard
Suite 600
Rockville, MD 20852
(301) 634-7086
William Coleman, Ph.D.
Ameircan Society for Investigative Pathology
1801 Rockville Pike
Suite 350
Rockville, MD 20852
(301) 634-7086
M. Michele Hogan, Ph.D.
American Association of Immunologists
1451 Rockville Pike
Suite 650
Rockville, MD 20852
(301) 634-7086
Shawn Boynes
American Association of Anatomists
6120 Executive Boulevard
Suite 725
Rockville, MD 20852
(301) 634-7086
John Courtney. Ph.D.
American Society for Nutrition
9211 Corporate Boulevard
Suite 300
Rockville, MD 20850
(301) 634-7086
Steve Miller
American Society for Biochemistry & Molecular Biology
11200 Rockville Pike
Suite 302
Rockville, MD 20852
(301) 634-7086
Mary Williams
Association for Molecular Pathology
6120 Executive boulevard
Suite 700
Rockville, MD 20852
Tracey DePellegrin
The Genetics Society of America
6120 Executive Boulevard
Suite 550
Rockville, MD 20852
Ida Chow, Ph.D.
Society for Developmental Biology
6120 Executive Boulevard
Suite 725
Rockville, MD 20852
Judith Suiciak, Ph.D.
American Society for Pharmacology & Experimental Therapeutics
1801 Rockville Pike
Suite 210
Rockville, MD 20852
Jennifer Holland
Society for Leukocyte Biology
10770 Columbia Pike, Suite 300
Silver Spring, MD 20901
Blue Cross Bue Shield
P.O. Box 14114
Lexington, KY 40512
(301) 652-6350
Kaiser Permanente
2101 East Jefferson Street
Rockville, MD 20852
(877) 514-5114
Blue Cross Blue Shield
P. O. Box 14114
Lexington, KY 40512
(888) 567-9155
53-0078070
Kaiser Permanente
2101 East Jefferson Street
Rockville, MD 20852
52-0954463
Frank Krause
P. O. Box
Rockville, MD 20847
(301) 634-7086
52-0700497
Scott Steen
The American Physiological Society
6120 Executive Boulevard
Suite 600
Rockville, MD 20852
(301) 634-7086
sschiaffino@faseb.org
53-0204660
Steve Miller
American Society for Biochemistry & Molecular Biology
11200 Rockville Pike
Suite 302
Rockville, MD 20852
(301) 634-7086
52-6050165
Judy Suiciak, Ph.D.
American Society for Pharmacology & Experimental Therapeutics
1801 Rockville Pike
Rockville, MD 20850
(301) 634-7086
58-6032060
Ida Chow, Ph.D.
Society for Developmental Biology
6120 Executive Boulevard
Suite 725
Rockville, MD 20852
(301) 634-7086
38-1909157
Shawn Boynes
American Association of Anatomists
6120 Executive Boulevard
Suite 725
Rockville, MD 20852
(301) 634-7086
23-6239047
William Coleman, Ph.D.
American Society for Investigative Pathology
1801 Rockville Pike
Suite 350
Rockville, MD 20852
(301) 634-7086
94-6079945
John Courtney, Ph.D.
American Society for Nutrition
9211 Corportate Boulevard
Suite 300
Rockville, MD 20850
(301) 634-7086
31-1507752
M. Michele Hogan, Ph.D.
1451 Rockville Pike
Suite 650
Rockville, MD 20852
(301) 634-7086
52-2317193
Jennifer Holland
Society for Leukocyte Biology
10770 Columbia Pike
Suite 300
Silver Spring, MD 20901
(301) 634-7086
23-7025568
Tracey DePellegrin
6120 Executive Boulevard
Suite 550
Rockville, MD 20850
(301) 634-7086
93-6023830
Mary Williams
Association for Molecular Pathology
6120 Executive Boulevard
Suite 700
Rockville, MD 20850
(301) 634-7086
31-1671642
No
Yes
Chubb Insurance
Yes
Yes
If no, please explain.
No
If yes, please identify each litigation or enforcement proceeding to include (if applicable): (1) the case number, (2) the date, (3) the nature of the proceedings, (4) the court, (5) all parties (for example, plaintiffs and defendants or petitioners and respondents), and (6) the disposition.
No
If yes, please explain.
No
Entity | Year |
---|
17a | 17b | 17c | 17d | 17e | 17f | 17g | 17h | 17i | 17j |
---|---|---|---|---|---|---|---|---|---|
Enter all States where the MEWA or ECE is operating. | Is coverage provided? | State registration number. | Name of state agent or entity for service of process. | Is the entity a licensed health insurer in this State? | If yes to 17e, enter NAIC number. | If no to 17e, is the entity fully insured? | If yes to 17g, enter name and NAIC number of insurer. | Does the entity purchase stop loss coverage? | If yes to 17i, enter the name and NAIC number of insurer. |
MD
Is new? |
Yes | No | Yes | 53007 & 95639 | No |
MD
275
N/A
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Under penalty of perjury and other penalties set forth in the instructions, I declare that I have examined this report, including any accompanying attachments, and to the best of my knowledge and belief, it is true and correct. Under penalty of perjury and other penalties set forth in the instructions, I also declare that, unless this is an extension request, this report is complete.