401k Plan data: MEDICARE ADVANTAGE PLAN plan

MEDICARE ADVANTAGE PLAN 401k Plan overview

Plan Name	MEDICARE ADVANTAGE PLAN
Plan identification number	573

MEDICARE ADVANTAGE 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.

401k Sponsoring company profile

SENTINEL TRANSPORTATION, LLC has sponsored the creation of one or more 401k plans.

Company Name: SENTINEL TRANSPORTATION, LLC

Employer identification number (EIN): 510392463

NAIC Classification: 483000
NAIC Description: Water Transportation

Additional information about SENTINEL TRANSPORTATION, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3087916

More information about SENTINEL TRANSPORTATION, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICARE ADVANTAGE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
573 2013-01-01 MARILYN L SHAW 2014-10-13 MARILYN L SHAW 2014-10-13
573 2012-01-01 MARILYN L SHAW 2013-10-14 MARILYN L SHAW 2013-10-14
573 2011-01-01 MARILYN L SHAW 2012-09-07 MARILYN L SHAW 2012-09-07
573 2010-01-01 MARILYN L SHAW 2011-08-26 MARILYN L SHAW 2011-08-26
573 2009-01-01 ANDREW DAVIS 2010-07-20 ANDREW DAVIS 2010-07-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
573	2013-01-01	MARILYN L SHAW	2014-10-13	MARILYN L SHAW	2014-10-13
573	2012-01-01	MARILYN L SHAW	2013-10-14	MARILYN L SHAW	2013-10-14
573	2011-01-01	MARILYN L SHAW	2012-09-07	MARILYN L SHAW	2012-09-07
573	2010-01-01	MARILYN L SHAW	2011-08-26	MARILYN L SHAW	2011-08-26
573	2009-01-01	ANDREW DAVIS	2010-07-20	ANDREW DAVIS	2010-07-20

Plan Statistics for MEDICARE ADVANTAGE PLAN

401k plan membership statisitcs for MEDICARE ADVANTAGE PLAN

Measure Date Value
2013: MEDICARE ADVANTAGE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 57
Number of retired or separated participants receiving benefits 2013-01-01 58
Number of other retired or separated participants entitled to future benefits 2013-01-01 6
Total of all active and inactive participants 2013-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 67
2012: MEDICARE ADVANTAGE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 54
Number of retired or separated participants receiving benefits 2012-01-01 53
Number of other retired or separated participants entitled to future benefits 2012-01-01 18
Total of all active and inactive participants 2012-01-01 71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 5
Total participants 2012-01-01 76
2011: MEDICARE ADVANTAGE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 54
Number of retired or separated participants receiving benefits 2011-01-01 52
Total of all active and inactive participants 2011-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 54
2010: MEDICARE ADVANTAGE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 54
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 2
Total participants 2010-01-01 56
2009: MEDICARE ADVANTAGE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 57
Number of retired or separated participants receiving benefits 2009-01-01 55
Total of all active and inactive participants 2009-01-01 55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 56

Measure	Date	Value
2013: MEDICARE ADVANTAGE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	57
Number of retired or separated participants receiving benefits	2013-01-01	58
Number of other retired or separated participants entitled to future benefits	2013-01-01	6
Total of all active and inactive participants	2013-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	67
2012: MEDICARE ADVANTAGE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	54
Number of retired or separated participants receiving benefits	2012-01-01	53
Number of other retired or separated participants entitled to future benefits	2012-01-01	18
Total of all active and inactive participants	2012-01-01	71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	5
Total participants	2012-01-01	76
2011: MEDICARE ADVANTAGE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	54
Number of retired or separated participants receiving benefits	2011-01-01	52
Total of all active and inactive participants	2011-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	54
2010: MEDICARE ADVANTAGE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	54
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	2
Total participants	2010-01-01	56
2009: MEDICARE ADVANTAGE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	57
Number of retired or separated participants receiving benefits	2009-01-01	55
Total of all active and inactive participants	2009-01-01	55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	56

Form 5500 Responses for MEDICARE ADVANTAGE PLAN

2013: MEDICARE ADVANTAGE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: MEDICARE ADVANTAGE PLAN 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: MEDICARE ADVANTAGE PLAN 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: MEDICARE ADVANTAGE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: MEDICARE ADVANTAGE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Potentially related plans

MEDICARE ADVANTAGE PLAN SERVICES, LLC 401(K) PLAN [EIN = 205883301]

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Company Name:	SENTINEL TRANSPORTATION, LLC
Employer identification number (EIN):	510392463
NAIC Classification:	483000
NAIC Description:	Water Transportation

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3087916