HealthPlan Services Insurance Agency, Inc.
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| Name: | HealthPlan Services Insurance Agency, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Conversion |
| Date of Organization in Rhode Island: | 24 Oct 2002 (23 years ago) |
| Date of Dissolution: | 16 May 2018 (7 years ago) |
| Date of Status Change: | 16 May 2018 (7 years ago) |
| Identification Number: | 000127838 |
| Place of Formation: | MASSACHUSETTS |
| Purpose: | SMALL GROUP LIFE AND HEALTH AND LONG TERM CARE INSURANCE |
| Historical names: |
Group Benefit Administrators Insurance Agency, Inc. |
| Principal Address: |
3501 FRONTAGE RD, TAMPA, FL, 33607, USA
|
NAICS
524210 Insurance Agencies and BrokeragesThis industry comprises establishments primarily engaged in acting as agents (i.e., brokers) in selling annuities and insurance policies. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JEFFERY W BAK | CEO | 3501 FRONTAGE RD TAMPA, FL 33607 USA |
| Name | Role | Address |
|---|---|---|
| NAGENDRA BANDARU | DIRECTOR | 15455 DALLAS PARKWAY ADDISON, TX 75001 USA |
| NS BALASUBRAMANIAN | DIRECTOR | 425 NATIONAL AVE MOUNTAIN VIEW, CA 94043 USA |
| ASHISH CHAWLA | DIRECTOR | 2 TOWER CENTER EAST BRUNSWICK, NJ 08816 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Conversion | 2018-05-16 | HealthPlan Services Insurance Agency, Inc. | HealthPlan Services Insurance Agency, LLC on 05-16-2018 |
| Name Change | 2004-08-30 | Group Benefit Administrators Insurance Agency, Inc. | HealthPlan Services Insurance Agency, Inc. |
| Number | Name | File Date |
|---|---|---|
| 201755373360 | Annual Report | 2017-12-26 |
| 201737214900 | Annual Report | 2017-03-02 |
| 201693564930 | Annual Report | 2016-03-02 |
| 201553808280 | Annual Report | 2015-01-16 |
| 201435029400 | Annual Report | 2014-02-04 |
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Date of last update: 22 Jul 2025
Sources: Rhode Island Department of State