401k Plan data: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES plan

MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 401k Plan overview

Plan Name	MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES
Plan identification number	501

MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

NATIONAL VAN LINES, INC has sponsored the creation of one or more 401k plans.

Company Name: NATIONAL VAN LINES, INC

Employer identification number (EIN): 361534810

NAIC Classification: 484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01
501 2021-01-01 GERRY MUNDT
501 2020-01-01
501 2019-01-01
501 2018-01-01 KATHLEEN BACHMAN
501 2012-01-01 GERRY MUNDT
501 2011-01-01 GERRY MUNDT
501 2010-01-01 MAUREEN BEAL MAUREEN BEAL 2011-09-09
501 2009-01-01 MAUREEN BEAL
501 2009-01-01 MAUREEN BEAL 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2021-01-01
501	2021-01-01	GERRY MUNDT
501	2020-01-01
501	2019-01-01
501	2018-01-01	KATHLEEN BACHMAN
501	2012-01-01	GERRY MUNDT
501	2011-01-01	GERRY MUNDT
501	2010-01-01	MAUREEN BEAL	MAUREEN BEAL	2011-09-09
501	2009-01-01	MAUREEN BEAL
501	2009-01-01		MAUREEN BEAL	2010-10-14

Plan Statistics for MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES

401k plan membership statisitcs for MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES

Measure Date Value
2021: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2021 401k membership
Total participants, beginning-of-year 2021-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 133
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 135
2020: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2020 401k membership
Total participants, beginning-of-year 2020-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 142
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 143
2019: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2019 401k membership
Total participants, beginning-of-year 2019-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 98
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 98
2018: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2018 401k membership
Total participants, beginning-of-year 2018-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 136
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 136
2012: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 91
Total of all active and inactive participants 2012-01-01 91
Total participants 2012-01-01 0
2011: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 95
Total of all active and inactive participants 2011-01-01 95
Total participants 2011-01-01 95
2010: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2010 401k membership
Total participants, beginning-of-year 2010-01-01 87
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 91
Total of all active and inactive participants 2010-01-01 91
Total participants 2010-01-01 91
2009: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2009 401k membership
Total participants, beginning-of-year 2009-01-01 76
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 87
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 87
Number of participants with account balances 2009-01-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2021: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2021 401k membership
Total participants, beginning-of-year	2021-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	133
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	135
2020: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2020 401k membership
Total participants, beginning-of-year	2020-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	142
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	143
2019: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2019 401k membership
Total participants, beginning-of-year	2019-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	98
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	98
2018: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2018 401k membership
Total participants, beginning-of-year	2018-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	136
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	136
2012: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	91
Total of all active and inactive participants	2012-01-01	91
Total participants	2012-01-01	0
2011: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	95
Total of all active and inactive participants	2011-01-01	95
Total participants	2011-01-01	95
2010: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2010 401k membership
Total participants, beginning-of-year	2010-01-01	87
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	91
Total of all active and inactive participants	2010-01-01	91
Total participants	2010-01-01	91
2009: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2009 401k membership
Total participants, beginning-of-year	2009-01-01	76
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	87
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	87
Number of participants with account balances	2009-01-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES

2021: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2012: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: MEDICAL HEALTH PLAN FOR EMPLOYEES OF NATIONAL VAN LINES, INC. AND SUBSIDIARIES 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	137681 0800
Policy instance	5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	137681 0001
Policy instance	4
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012656
Policy instance	3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1086429
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	0MC137 B53364
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	137681 0800
Policy instance	5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	137681
Policy instance	4
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012656
Policy instance	3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1086429
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	0MC137 B53364
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	137681
Policy instance	4
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012656
Policy instance	3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1086429
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	0MC137 B53364
Policy instance	1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	OMC137 B53364
Policy instance	3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1086429
Policy instance	2
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012656
Policy instance	1

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Company Name:	NATIONAL VAN LINES, INC
Employer identification number (EIN):	361534810
NAIC Classification:	484120
NAIC Description:	General Freight Trucking, Long-Distance