| Entity Name: | FIRST COAST SERVICE OPTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 May 1998 (27 years ago) |
| Document Number: | P98000046321 |
| FEI/EIN Number | 59-3514335 |
| Address: | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| Mail Address: | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FIRST COAST SERVICE OPTIONS, INC., CONNECTICUT | 0657050 | CONNECTICUT |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRST COAST SERVICE OPTIONS, INC. 401(K) SAVINGS PLAN | 2012 | 593514335 | 2013-10-15 | FIRST COAST SERVICE OPTIONS, INC. | 2154 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363025560 |
| Plan administrator’s name | NATIONAL EMPLOYEE BENEFITS COMMITTEE |
| Plan administrator’s address | 225 N MICHIGAN AVENUE, CHICAGO, IL, 60601 |
| Administrator’s telephone number | 3122975786 |
Number of participants as of the end of the plan year
| Active participants | 2816 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 222 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 2583 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 93 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | TERRENCE COONEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-15 |
| Name of individual signing | SANDRA COSTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 524140 |
| Sponsor’s telephone number | 9047916111 |
| Plan sponsor’s mailing address | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32202 |
| Plan sponsor’s address | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32202 |
Plan administrator’s name and address
| Administrator’s EIN | 363025560 |
| Plan administrator’s name | NATIONAL EMPLOYEE BENEFITS COMMITTEE |
| Plan administrator’s address | 225 N MICHIGAN AVENUE, CHICAGO, IL, 60601 |
| Administrator’s telephone number | 3122975722 |
Number of participants as of the end of the plan year
| Active participants | 2020 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 133 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1078 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 28 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-18 |
| Name of individual signing | DAVID MANUSZAK |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 524140 |
| Sponsor’s telephone number | 9047916111 |
| Plan sponsor’s mailing address | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32202 |
| Plan sponsor’s address | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32202 |
Plan administrator’s name and address
| Administrator’s EIN | 363025560 |
| Plan administrator’s name | NATIONAL EMPLOYEE BENEFITS COMMITTEE |
| Plan administrator’s address | 225 N MICHIGAN AVENUE, CHICAGO, IL, 60601 |
| Administrator’s telephone number | 3122975722 |
Number of participants as of the end of the plan year
| Active participants | 2018 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 133 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1076 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 28 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | DAVID MANUSZAK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-12 |
| Name of individual signing | SANDRA COSTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANDERSON, THOMAS, Esq. | Agent | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| DIKTER, HARVEY | Chief Executive Officer | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| DIKTER, HARVEY | President | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| Marvin, Guy | Chairman | 532 Riverside Avenue, Jacksonville, FL 32202 |
| Name | Role | Address |
|---|---|---|
| Crum-Johnson, Rose | Director | 532 Riverside Avenue, Jacksonville, FL 32202 |
| Ledvina, Kathy | Director | 532 Riverside Avenue, Jacksonville, FL 32202 |
| Name | Role | Address |
|---|---|---|
| Hinkson, Thomas | Treasurer | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| ANDERSON, THOMAS C | Secretary | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-01-22 | ANDERSON, THOMAS, Esq. | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-30 | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-06-17 | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-03-06 | 532 RIVERSIDE AVENUE, JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-01 |
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-04-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEFINITIVE CONTRACT | AWARD | 75FCMC22C0018 | 2022-05-01 | 2025-04-30 | 2029-04-30 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Obligated Amount | 187690920.00 |
| Current Award Amount | 230619891.00 |
| Potential Award Amount | 558623425.00 |
Description
| Title | PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION N (JN). |
| NAICS Code | 524114: DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| Product and Service Codes | G007: SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS |
Recipient Details
| Recipient | FIRST COAST SERVICE OPTIONS, INC. |
| UEI | RK89KEJYQJR1 |
| Recipient Address | UNITED STATES, 532 RIVERSIDE AVE, JACKSONVILLE, DUVAL, FLORIDA, 322024914 |
Executive Compensation
| Name | HARVEY DIKTER |
| Amount | 2248464.00 |
| Name | THOMAS ANDERSON |
| Amount | 956566.00 |
| Name | DEBORAH TAYLOR |
| Amount | 789746.00 |
| Name | THOMAS HINKSON |
| Amount | 656388.00 |
| Name | KIMBERLY MARTIN |
| Amount | 615317.00 |
| Unique Award Key | CONT_AWD_HHSM5002014M0021Z_7530_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Award Amounts
| Obligated Amount | 642539515.36 |
| Current Award Amount | 771064231.36 |
| Potential Award Amount | 771064231.36 |
Description
| Title | A/B MAC JURISDICTION N |
| NAICS Code | 524114: DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| Product and Service Codes | G007: SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS |
Recipient Details
| Recipient | FIRST COAST SERVICE OPTIONS, INC. |
| UEI | RK89KEJYQJR1 |
| Recipient Address | UNITED STATES, 532 RIVERSIDE AVE, JACKSONVILLE, DUVAL, FLORIDA, 322024914 |
Executive Compensation
| Name | HARVEY DIKTER |
| Amount | 2248464.00 |
| Name | THOMAS ANDERSON |
| Amount | 956566.00 |
| Name | DEBORAH TAYLOR |
| Amount | 789746.00 |
| Name | THOMAS HINKSON |
| Amount | 656388.00 |
| Name | KIMBERLY MARTIN |
| Amount | 615317.00 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
