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AMERICARE AMBULANCE SERVICES 401(K) PLAN 401k Plan overview

Plan NameAMERICARE AMBULANCE SERVICES 401(K) PLAN
Plan identification number 002

AMERICARE AMBULANCE SERVICES 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

AMERICARE AMBULANCE SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:AMERICARE AMBULANCE SERVICE, INC.
Employer identification number (EIN):593422981
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICARE AMBULANCE SERVICES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01JEFF YOUNGBLOOD2023-10-10
0022021-01-01JEFF YOUNGBLOOD2023-01-31
0022020-01-01JEFF YOUNGBLOOD2021-09-26
0022020-01-01JEFF YOUNGBLOOD2021-09-20
0022019-01-01JEFFREY YOUNGBLOOD2020-07-24
0022018-01-01JEFFREY YOUNGBLOOD2019-10-15

Plan Statistics for AMERICARE AMBULANCE SERVICES 401(K) PLAN

401k plan membership statisitcs for AMERICARE AMBULANCE SERVICES 401(K) PLAN

Measure Date Value
2022: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01184
Total number of active participants reported on line 7a of the Form 55002022-01-01189
Number of retired or separated participants receiving benefits2022-01-0113
Number of other retired or separated participants entitled to future benefits2022-01-015
Total of all active and inactive participants2022-01-01207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01207
Number of participants with account balances2022-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-015
2021: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01208
Total number of active participants reported on line 7a of the Form 55002021-01-01171
Number of retired or separated participants receiving benefits2021-01-0113
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01184
Number of participants with account balances2021-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-016
2020: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01132
Total number of active participants reported on line 7a of the Form 55002020-01-01133
Number of retired or separated participants receiving benefits2020-01-0110
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01144
Number of participants with account balances2020-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-015
2019: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01146
Total number of active participants reported on line 7a of the Form 55002019-01-01114
Number of other retired or separated participants entitled to future benefits2019-01-017
Total of all active and inactive participants2019-01-01121
Total participants2019-01-01121
Number of participants with account balances2019-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01142
Total number of active participants reported on line 7a of the Form 55002018-01-01125
Number of retired or separated participants receiving benefits2018-01-015
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01130
Number of participants with account balances2018-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012

Financial Data on AMERICARE AMBULANCE SERVICES 401(K) PLAN

Measure Date Value
2022 : AMERICARE AMBULANCE SERVICES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3
Total income from all sources (including contributions)2022-12-31$57,077
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$174,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$145,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$227,988
Value of total assets at end of year2022-12-31$909,495
Value of total assets at beginning of year2022-12-31$1,027,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$29,290
Total interest from all sources2022-12-31$2,538
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$152,493
Participant contributions at end of year2022-12-31$62,120
Participant contributions at beginning of year2022-12-31$53,725
Participant contributions at end of year2022-12-31$55
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$3
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$3
Administrative expenses (other) incurred2022-12-31$14,634
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-117,730
Value of net assets at end of year (total assets less liabilities)2022-12-31$909,492
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,027,222
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$846,987
Value of interest in pooled separate accounts at beginning of year2022-12-31$972,742
Interest on participant loans2022-12-31$2,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$325
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$750
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$750
Net investment gain/loss from pooled separate accounts2022-12-31$-173,449
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$75,495
Employer contributions (assets) at end of year2022-12-31$8
Employer contributions (assets) at beginning of year2022-12-31$8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$145,517
Contract administrator fees2022-12-31$14,656
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FRSCPA, PLLC
Accountancy firm EIN2022-12-31592482214
2021 : AMERICARE AMBULANCE SERVICES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3
Total income from all sources (including contributions)2021-12-31$394,839
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$164,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$143,412
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$264,793
Value of total assets at end of year2021-12-31$1,027,225
Value of total assets at beginning of year2021-12-31$797,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$21,478
Total interest from all sources2021-12-31$2,210
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$182,278
Participant contributions at end of year2021-12-31$53,725
Participant contributions at beginning of year2021-12-31$47,739
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$182
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$3
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$3
Administrative expenses (other) incurred2021-12-31$6,279
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$229,949
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,027,222
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$797,273
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$972,742
Value of interest in pooled separate accounts at beginning of year2021-12-31$748,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$750
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$932
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$932
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2,210
Net investment gain/loss from pooled separate accounts2021-12-31$127,836
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$82,515
Employer contributions (assets) at end of year2021-12-31$8
Employer contributions (assets) at beginning of year2021-12-31$8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$143,230
Contract administrator fees2021-12-31$15,199
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FRSCPA, PLLC
Accountancy firm EIN2021-12-31592482214
2020 : AMERICARE AMBULANCE SERVICES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,818
Total income from all sources (including contributions)2020-12-31$379,721
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$67,018
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$42,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$286,405
Value of total assets at end of year2020-12-31$797,276
Value of total assets at beginning of year2020-12-31$490,388
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$24,858
Total interest from all sources2020-12-31$2,529
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$194,467
Participant contributions at end of year2020-12-31$47,739
Participant contributions at beginning of year2020-12-31$19,867
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$758
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$3
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$5,818
Administrative expenses (other) incurred2020-12-31$6,416
Total non interest bearing cash at beginning of year2020-12-31$41
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$312,703
Value of net assets at end of year (total assets less liabilities)2020-12-31$797,273
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$484,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$748,597
Value of interest in pooled separate accounts at beginning of year2020-12-31$470,480
Interest on participant loans2020-12-31$1,638
Interest earned on other investments2020-12-31$891
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$932
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$90,787
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$91,938
Employer contributions (assets) at end of year2020-12-31$8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$41,402
Contract administrator fees2020-12-31$18,442
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31FRSCPA, PLLC
Accountancy firm EIN2020-12-31592482214
2019 : AMERICARE AMBULANCE SERVICES 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$364,740
Total of all expenses incurred2019-12-31$37,368
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$17,001
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$301,612
Value of total assets at end of year2019-12-31$490,388
Value of total assets at beginning of year2019-12-31$163,016
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$20,367
Total interest from all sources2019-12-31$521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$214,176
Participant contributions at end of year2019-12-31$19,867
Participant contributions at beginning of year2019-12-31$1,990
Administrative expenses (other) incurred2019-12-31$5,394
Total non interest bearing cash at end of year2019-12-31$41
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$327,372
Value of net assets at end of year (total assets less liabilities)2019-12-31$490,388
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$163,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$470,480
Value of interest in pooled separate accounts at beginning of year2019-12-31$161,026
Interest on participant loans2019-12-31$521
Net investment gain/loss from pooled separate accounts2019-12-31$62,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$87,436
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$17,001
Contract administrator fees2019-12-31$14,973
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31FRSCPA, PLLC
Accountancy firm EIN2019-12-31592482214
2018 : AMERICARE AMBULANCE SERVICES 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$169,505
Total of all expenses incurred2018-12-31$6,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$181,726
Value of total assets at end of year2018-12-31$163,016
Value of total assets at beginning of year2018-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,489
Total interest from all sources2018-12-31$22
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$131,625
Participant contributions at end of year2018-12-31$1,990
Participant contributions at beginning of year2018-12-31$0
Administrative expenses (other) incurred2018-12-31$3,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$163,016
Value of net assets at end of year (total assets less liabilities)2018-12-31$163,016
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$161,026
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Interest on participant loans2018-12-31$22
Net investment gain/loss from pooled separate accounts2018-12-31$-12,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$50,101
Contract administrator fees2018-12-31$2,626
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31FRSCPA, PLLC
Accountancy firm EIN2018-12-31592482214

Form 5500 Responses for AMERICARE AMBULANCE SERVICES 401(K) PLAN

2022: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: AMERICARE AMBULANCE SERVICES 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number134582
Policy instance 1
Insurance contract or identification number134582
Number of Individuals Covered59
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,645
Total amount of fees paid to insurance companyUSD $14,634
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $4,198
Insurance broker organization code?3
Amount paid for insurance broker fees14634
Additional information about fees paid to insurance brokerTPA FEE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number134582
Policy instance 1
Insurance contract or identification number134582
Number of Individuals Covered65
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,737
Total amount of fees paid to insurance companyUSD $6,279
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $4,284
Insurance broker organization code?3
Amount paid for insurance broker fees6279
Additional information about fees paid to insurance brokerTPA FEE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number134582
Policy instance 1
Insurance contract or identification number134582
Number of Individuals Covered67
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,049
Total amount of fees paid to insurance companyUSD $6,416
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $2,757
Insurance broker organization code?3
Amount paid for insurance broker fees6416
Additional information about fees paid to insurance brokerTPA FEE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number134582
Policy instance 1
Insurance contract or identification number134582
Number of Individuals Covered63
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,516
Total amount of fees paid to insurance companyUSD $7,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7289
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $1,516
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number134582
Policy instance 1
Insurance contract or identification number134582
Number of Individuals Covered63
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,799
Total amount of fees paid to insurance companyUSD $3,862
Commission paid to Insurance BrokerUSD $776
Amount paid for insurance broker fees2760
Additional information about fees paid to insurance brokerSALES, MARKETING AND DISTRIBUTIONS
Insurance broker organization code?5

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