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MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 401k Plan overview

Plan NameMISSION SCHOOL TRANSPORTATION MEDICAL PLAN
Plan identification number 504

MISSION SCHOOL TRANSPORTATION MEDICAL PLAN Benefits

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

401k Sponsoring company profile

MISSION SCHOOL TRANSPORTATION has sponsored the creation of one or more 401k plans.

Company Name:MISSION SCHOOL TRANSPORTATION
Employer identification number (EIN):464489452
NAIC Classification:485510
NAIC Description:Charter Bus Industry

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSION SCHOOL TRANSPORTATION MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-12-01SANDRA SIMMONS2023-08-14
5042020-12-01SANDRA SIMMONS2022-11-23
5042018-12-01SANDRA SIMMONS2022-11-23
5042017-12-01SANDRA SIMMONS2022-11-23
5042016-12-01SANDRA SIMMONS2022-11-23
5042015-12-01SANDRA SIMMONS2022-11-23
5042014-12-01SANDRA SIMMONS2022-11-23
5042013-12-01SANDRA SIMMONS2022-11-23
5042012-12-01SANDRA SIMMONS2022-11-23
5042011-12-01SANDRA SIMMONS2022-11-23
5042010-12-01SANDRA SIMMONS2022-11-23
5042009-12-01SANDRA SIMMONS2022-11-23
5042008-12-01SANDRA SIMMONS2022-11-23

Plan Statistics for MISSION SCHOOL TRANSPORTATION MEDICAL PLAN

401k plan membership statisitcs for MISSION SCHOOL TRANSPORTATION MEDICAL PLAN

Measure Date Value
2021: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01113
Total number of active participants reported on line 7a of the Form 55002021-12-01118
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01118
Number of employers contributing to the scheme2021-12-010
2020: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01128
Total number of active participants reported on line 7a of the Form 55002020-12-01113
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01113
Number of employers contributing to the scheme2020-12-010
2018: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01115
Total number of active participants reported on line 7a of the Form 55002018-12-01111
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01111
Number of employers contributing to the scheme2018-12-010
2017: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01118
Total number of active participants reported on line 7a of the Form 55002017-12-01115
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01115
Number of employers contributing to the scheme2017-12-010
2016: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01108
Total number of active participants reported on line 7a of the Form 55002016-12-01118
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01118
Number of employers contributing to the scheme2016-12-010
2015: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01114
Total number of active participants reported on line 7a of the Form 55002015-12-01108
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01108
Number of employers contributing to the scheme2015-12-010
2014: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01126
Total number of active participants reported on line 7a of the Form 55002014-12-01114
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01114
Number of employers contributing to the scheme2014-12-010
2013: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01137
Total number of active participants reported on line 7a of the Form 55002013-12-01126
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01126
Number of employers contributing to the scheme2013-12-010
2012: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01137
Total number of active participants reported on line 7a of the Form 55002012-12-01137
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01137
Number of employers contributing to the scheme2012-12-010
2011: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01146
Total number of active participants reported on line 7a of the Form 55002011-12-01137
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01137
Number of employers contributing to the scheme2011-12-010
2010: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01203
Total number of active participants reported on line 7a of the Form 55002010-12-01146
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01146
Number of employers contributing to the scheme2010-12-010
2009: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01176
Total number of active participants reported on line 7a of the Form 55002009-12-01203
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01203
Number of employers contributing to the scheme2009-12-010
2008: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-12-01100
Total number of active participants reported on line 7a of the Form 55002008-12-01176
Number of retired or separated participants receiving benefits2008-12-010
Number of other retired or separated participants entitled to future benefits2008-12-010
Total of all active and inactive participants2008-12-01176
Number of employers contributing to the scheme2008-12-010

Form 5500 Responses for MISSION SCHOOL TRANSPORTATION MEDICAL PLAN

2021: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2018: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: MISSION SCHOOL TRANSPORTATION MEDICAL PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01First time form 5500 has been submittedYes
2008-12-01Plan funding arrangement – InsuranceYes
2008-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered111
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,331
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $873,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,331
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered113
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $24,620
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $978,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,482
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered111
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $23,802
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $793,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,281
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered115
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $22,126
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $736,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,126
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered118
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $23,111
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $770,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,111
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered108
Insurance policy start date2015-12-01
Insurance policy end date2016-11-30
Total amount of commissions paid to insurance brokerUSD $20,712
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $637,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,712
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered114
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $19,755
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $713,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,755
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered126
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $20,646
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $684,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,323
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered137
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered137
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $20,384
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $654,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,384
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered146
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $20,886
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $688,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,886
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered203
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $25,537
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $807,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,537
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number227202
Policy instance 1
Insurance contract or identification number227202
Number of Individuals Covered176
Insurance policy start date2008-12-01
Insurance policy end date2009-11-30
Total amount of commissions paid to insurance brokerUSD $20,234
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $726,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,234
Amount paid for insurance broker fees0
Insurance broker organization code?3

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