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MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameMEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN
Plan identification number 501

MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

VIRGINIA MEDICAL TRANSPORT has sponsored the creation of one or more 401k plans.

Company Name:VIRGINIA MEDICAL TRANSPORT
Employer identification number (EIN):825435943
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-07-01BARBARA OWENS2020-02-27
5012018-07-01BARBARA OWENS2021-02-02

Plan Statistics for MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN

401k plan membership statisitcs for MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN

Measure Date Value
2018: MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-010
Total number of active participants reported on line 7a of the Form 55002018-07-010
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-010
Number of employers contributing to the scheme2018-07-010

Form 5500 Responses for MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN

2018: MEDICAL TRANSPORTATION SERVICES HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedYes
2018-07-01This submission is the final filingYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number8794895
Policy instance 1
Insurance contract or identification number8794895
Number of Individuals Covered4
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $15
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberB49X9
Policy instance 2
Insurance contract or identification numberB49X9
Number of Individuals Covered92
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $26,436
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $702,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,436
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number540161
Policy instance 3
Insurance contract or identification number540161
Number of Individuals Covered91
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $5,150
Total amount of fees paid to insurance companyUSD $1,876
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,150
Amount paid for insurance broker fees1876
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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