MEWA-ECE Form
This Form is Open to Public Inspection
OMB No. 1210-0116
Department of Labor
Employee Benefits Security Administration
Complete as applicable:
02/15/2017
Collegiate Association Resoures of the Southwest
CARES
3824 Cedar Spring Rd #583
Dallas, TX 75219
(214) 665-9466
68-0589116
501
Scott Kiedaisch
3824 Cedar Spring Rd #583
Dallas, TX 75219
(214) 665-9466
68-0589116
s.kiedaisch@caresbenefits.org
University of Dallas
1845 E. Northgate Dr.
Irving, TX 75062
(972) 721-5201
75-0926755
Austin College
900 N. Grand Ave
Sheman, TX 75090
(903) 813-2435
75-0827409
Scott Kiedaisch
Exective Director
3824 Cedar Springs Rd #583
Dallas, TX 75219
(214) 665-9466
s.kiedaisch@caresbenefits.org
Leonard Robertson
AVP Finance & Accounting
University of Dallas
1845 E Northgate Dr
Irving, TX 75062
(972) 721-5236
lrobertson@udallas.edu
Richard Huntley
Asst VP Human Resources
1845 E Northgate Dr
Irving, TX 75062
(972) 721-4142
rhuntley@udallas.edu
Keith Larey
Chief Human Resources Officer
Austin College
900 N Grand Ave
Sherman, TX 75090
(903) 816-2435
klarey@austincollege.edu
Melanie Oelfke
Director of Wellbeing and Human Resources
900 N Grand Ave
Sherman, TX 75090
(903) 813-2433
moelfke@austincollege.edu
Scott Kiedaisch
Executive Director
3824 Cedar Springs Rd #583
Dallas, TX 75219
(214) 665-9466
s.kiedaisch@caresbenefits.org
68-0589116
Legacy Texas Bank
P.O. Box 869105
Dallas, TX 75086
(972) 578-5000
Holmes Murphy
12712 Park Central Drive
Suite 100
Dallas, TX 75251
(214) 265-6654
bferguson@holmesmurphy.com
42-0985055
Blue Cross Blue Shield of Texas
1001 E. Lookout Dr.
Richardson, TX 75082
(972) 766-6148
casey_sharp@bcbstx.com
36-1236610
Leonard Robertson
AVP Finance & Accounting
University of Dallas
1845 E. Northgate Ave.
Irving, TX 75062
(972) 721-5236
lrobertson@udallas.edu
75-0926755
Keith Larey
Chief Human Resources Officer
Austin College
900 N. Grand Ave.
Sherman, TX 75090
(903) 813-2435
klarey@austincollege.edu
75-0827409
Leonard Robertson
AVP Finance & Accounting
University of Dallas
1845 E. Northgate Dr.
Irving, TX 75062
(972) 721-5236
lrobertson@udallas.edu
75-0926755
Keith Larey
Chief Human Resources Officer
Austin College
900 N. Grand Ave.
Sherman, TX 75090
(903) 813-2435
klarey@austincollege.edu
75-0827409
Richard Huntley
Asst VP Human Resources
1845 E Northgate
Irving, TX 75062
(972) 721-4142
rhuntley@udallas.edu
75-0926755
Melanie Oelfke
Director Wellbeing and Human Resources
900 N. Grand Ave
Sherman, TX 75090
(903) 813-2433
moelfke@austincollege.edu
75-0827409
No
Yes
Chuub
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. |
TX
Is new? |
Yes | No | No | Yes | Symetra Financial |
TX
622
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.