401k Plan data: ASSOCIATES MEDICAL BENEFIT PLAN plan

ASSOCIATES MEDICAL BENEFIT PLAN 401k Plan overview

Plan Name	ASSOCIATES MEDICAL BENEFIT PLAN
Plan identification number	501

ASSOCIATES MEDICAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Other welfare benefit cover

401k Sponsoring company profile

TRANSYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: TRANSYSTEMS, INC.

Employer identification number (EIN): 810443471

NAIC Classification: 484110
NAIC Description: General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATES MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 PATRICK RICE 2013-04-17
501 2011-01-01 PATRICK RICE
501 2010-01-01 PATRICK RICE 2011-04-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2012-01-01	PATRICK RICE	2013-04-17
501	2011-01-01	PATRICK RICE
501	2010-01-01	PATRICK RICE	2011-04-05

Plan Statistics for ASSOCIATES MEDICAL BENEFIT PLAN

401k plan membership statisitcs for ASSOCIATES MEDICAL BENEFIT PLAN

Measure Date Value
2011: ASSOCIATES MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 96
Number of retired or separated participants receiving benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 98

Measure	Date	Value
2011: ASSOCIATES MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	96
Number of retired or separated participants receiving benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	98

Form 5500 Responses for ASSOCIATES MEDICAL BENEFIT PLAN

2011: ASSOCIATES MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL14963

Policy instance

Insurance contract or identification number	HCL14963
Number of Individuals Covered	273
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $31,257
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $208,383

Potentially related plans

ASSOCIATES MEDICAL BENEFIT PLAN [EIN = 810359563]

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Company Name:	TRANSYSTEMS, INC.
Employer identification number (EIN):	810443471
NAIC Classification:	484110
NAIC Description:	General Freight Trucking, Local