401k Plan data: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE plan

WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 401k Plan overview

Plan Name	WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE
Plan identification number	502

WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

WESTERN DEDICATED, LP has sponsored the creation of one or more 401k plans.

Company Name: WESTERN DEDICATED, LP

Employer identification number (EIN): 208023127

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-09-01 LOREAL ADAMS 2020-04-01
502 2015-09-10 LOREAL ADAMS 2020-04-01
502 2014-09-10 LOREAL ADAMS 2020-04-01
502 2013-09-10 LOREAL ADAMS 2020-04-01
502 2012-09-10 LOREAL ADAMS 2020-04-01
502 2011-09-10 LOREAL ADAMS 2020-04-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2016-09-01	LOREAL ADAMS	2020-04-01
502	2015-09-10	LOREAL ADAMS	2020-04-01
502	2014-09-10	LOREAL ADAMS	2020-04-01
502	2013-09-10	LOREAL ADAMS	2020-04-01
502	2012-09-10	LOREAL ADAMS	2020-04-01
502	2011-09-10	LOREAL ADAMS	2020-04-01

Plan Statistics for WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE

401k plan membership statisitcs for WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE

Measure Date Value
2016: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2016 401k membership
Total participants, beginning-of-year 2016-09-01 160
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 122
Number of retired or separated participants receiving benefits 2016-09-01 38
Number of other retired or separated participants entitled to future benefits 2016-09-01 0
Total of all active and inactive participants 2016-09-01 160
Number of employers contributing to the scheme 2016-09-01 0
2015: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2015 401k membership
Total participants, beginning-of-year 2015-09-10 189
Total number of active participants reported on line 7a of the Form 5500 2015-09-10 205
Number of retired or separated participants receiving benefits 2015-09-10 0
Number of other retired or separated participants entitled to future benefits 2015-09-10 0
Total of all active and inactive participants 2015-09-10 205
Number of employers contributing to the scheme 2015-09-10 0
2014: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-09-10 196
Total number of active participants reported on line 7a of the Form 5500 2014-09-10 189
Number of retired or separated participants receiving benefits 2014-09-10 7
Number of other retired or separated participants entitled to future benefits 2014-09-10 0
Total of all active and inactive participants 2014-09-10 196
Number of employers contributing to the scheme 2014-09-10 0
2013: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-09-10 224
Total number of active participants reported on line 7a of the Form 5500 2013-09-10 192
Number of retired or separated participants receiving benefits 2013-09-10 32
Number of other retired or separated participants entitled to future benefits 2013-09-10 0
Total of all active and inactive participants 2013-09-10 224
Number of employers contributing to the scheme 2013-09-10 0
2012: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-09-10 152
Total number of active participants reported on line 7a of the Form 5500 2012-09-10 221
Number of retired or separated participants receiving benefits 2012-09-10 0
Number of other retired or separated participants entitled to future benefits 2012-09-10 0
Total of all active and inactive participants 2012-09-10 221
Number of employers contributing to the scheme 2012-09-10 0
2011: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-09-10 103
Total number of active participants reported on line 7a of the Form 5500 2011-09-10 152
Number of retired or separated participants receiving benefits 2011-09-10 0
Number of other retired or separated participants entitled to future benefits 2011-09-10 0
Total of all active and inactive participants 2011-09-10 152
Number of employers contributing to the scheme 2011-09-10 0

Measure	Date	Value
2016: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2016 401k membership
Total participants, beginning-of-year	2016-09-01	160
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	122
Number of retired or separated participants receiving benefits	2016-09-01	38
Number of other retired or separated participants entitled to future benefits	2016-09-01	0
Total of all active and inactive participants	2016-09-01	160
Number of employers contributing to the scheme	2016-09-01	0
2015: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2015 401k membership
Total participants, beginning-of-year	2015-09-10	189
Total number of active participants reported on line 7a of the Form 5500	2015-09-10	205
Number of retired or separated participants receiving benefits	2015-09-10	0
Number of other retired or separated participants entitled to future benefits	2015-09-10	0
Total of all active and inactive participants	2015-09-10	205
Number of employers contributing to the scheme	2015-09-10	0
2014: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-09-10	196
Total number of active participants reported on line 7a of the Form 5500	2014-09-10	189
Number of retired or separated participants receiving benefits	2014-09-10	7
Number of other retired or separated participants entitled to future benefits	2014-09-10	0
Total of all active and inactive participants	2014-09-10	196
Number of employers contributing to the scheme	2014-09-10	0
2013: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-09-10	224
Total number of active participants reported on line 7a of the Form 5500	2013-09-10	192
Number of retired or separated participants receiving benefits	2013-09-10	32
Number of other retired or separated participants entitled to future benefits	2013-09-10	0
Total of all active and inactive participants	2013-09-10	224
Number of employers contributing to the scheme	2013-09-10	0
2012: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-09-10	152
Total number of active participants reported on line 7a of the Form 5500	2012-09-10	221
Number of retired or separated participants receiving benefits	2012-09-10	0
Number of other retired or separated participants entitled to future benefits	2012-09-10	0
Total of all active and inactive participants	2012-09-10	221
Number of employers contributing to the scheme	2012-09-10	0
2011: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-09-10	103
Total number of active participants reported on line 7a of the Form 5500	2011-09-10	152
Number of retired or separated participants receiving benefits	2011-09-10	0
Number of other retired or separated participants entitled to future benefits	2011-09-10	0
Total of all active and inactive participants	2011-09-10	152
Number of employers contributing to the scheme	2011-09-10	0

Form 5500 Responses for WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE

2016: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2015: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2015 form 5500 responses
2015-09-10	Type of plan entity	Single employer plan
2015-09-10	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-09-10	Plan funding arrangement – Insurance	Yes
2015-09-10	Plan benefit arrangement – Insurance	Yes
2014: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2014 form 5500 responses
2014-09-10	Type of plan entity	Single employer plan
2014-09-10	Plan funding arrangement – Insurance	Yes
2014-09-10	Plan benefit arrangement – Insurance	Yes
2013: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2013 form 5500 responses
2013-09-10	Type of plan entity	Single employer plan
2013-09-10	Plan funding arrangement – Insurance	Yes
2013-09-10	Plan benefit arrangement – Insurance	Yes
2012: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2012 form 5500 responses
2012-09-10	Type of plan entity	Single employer plan
2012-09-10	Plan funding arrangement – Insurance	Yes
2012-09-10	Plan benefit arrangement – Insurance	Yes
2011: WESTERN DEDICATED, LP DBA MILLENNIAL TRANSPORT OCCUPATIONAL ACCIDENT INSURANCE 2011 form 5500 responses
2011-09-10	Type of plan entity	Single employer plan
2011-09-10	First time form 5500 has been submitted	Yes
2011-09-10	Plan funding arrangement – Insurance	Yes
2011-09-10	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract number	OCAN10872297001
Policy instance	1
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	216-90-05-69
Policy instance	1
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	216-90-05-69
Policy instance	1
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	216-90-05-69
Policy instance	1
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	216-90-05-69
Policy instance	1

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Company Name:	WESTERN DEDICATED, LP
Employer identification number (EIN):	208023127
NAIC Classification:	484120
NAIC Description:	General Freight Trucking, Long-Distance