401k Plan data: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN plan

MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 401k Plan overview

Plan Name	MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN
Plan identification number	504

MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) 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. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC.

Employer identification number (EIN): 480872931

NAIC Classification: 488100
NAIC Description: Support Activities for Air Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2020-01-01 DEANNA DRESEL 2021-05-25
504 2014-06-01 DEANNA DRESEL
504 2013-06-01 DEANNA DRESEL
504 2012-06-01 DEANNA DRESEL

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
504	2020-01-01	DEANNA DRESEL	2021-05-25
504	2014-06-01	DEANNA DRESEL
504	2013-06-01	DEANNA DRESEL
504	2012-06-01	DEANNA DRESEL

Plan Statistics for MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN

401k plan membership statisitcs for MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN

Measure Date Value
2020: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
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 0
Total of all active and inactive participants 2020-01-01 0
2014: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 100
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 93
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 93
2013: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 104
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 104
2012: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 101
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 102
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 102

Measure	Date	Value
2020: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
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	0
Total of all active and inactive participants	2020-01-01	0
2014: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	100
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	93
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	93
2013: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	104
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	104
2012: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	101
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	102
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	102

Form 5500 Responses for MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN

2020: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 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	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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
2014: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: MIDWEST AIR TRAFFIC CONTROL SERVICE, INC. HOSPITAL INDEMNITY PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	First time form 5500 has been submitted	Yes
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	MIDWEST AIR TRAFFIC CONTROL SERVICE, INC.
Employer identification number (EIN):	480872931
NAIC Classification:	488100
NAIC Description:	Support Activities for Air Transportation