401k Plan data: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN plan

GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN
Plan identification number	501

GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance) 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

GUARANTEED TRANSPORT SERVICE has sponsored the creation of one or more 401k plans.

Company Name: GUARANTEED TRANSPORT SERVICE

Employer identification number (EIN): 821145432

NAIC Classification: 484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-10-01 DONNA DIAS 2023-03-10
501 2020-10-01 TAYLOR ROSE 2022-04-26
501 2019-10-01 VICTOR THOMPSON 2021-04-22
501 2018-10-01 VICTOR THOMPSON 2020-04-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-10-01	DONNA DIAS	2023-03-10
501	2020-10-01	TAYLOR ROSE	2022-04-26
501	2019-10-01	VICTOR THOMPSON	2021-04-22
501	2018-10-01	VICTOR THOMPSON	2020-04-15

Plan Statistics for GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2021: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 175
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 64
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 64
Number of employers contributing to the scheme 2021-10-01 0
2020: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 175
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 158
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 158
Number of employers contributing to the scheme 2020-10-01 0
2019: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 151
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 212
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 212
Number of employers contributing to the scheme 2019-10-01 0
2018: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 101
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 151
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 151
Number of employers contributing to the scheme 2018-10-01 0

Measure	Date	Value
2021: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	175
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	64
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	64
Number of employers contributing to the scheme	2021-10-01	0
2020: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	175
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	158
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	158
Number of employers contributing to the scheme	2020-10-01	0
2019: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	151
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	212
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	212
Number of employers contributing to the scheme	2019-10-01	0
2018: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	101
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	151
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	151
Number of employers contributing to the scheme	2018-10-01	0

Form 5500 Responses for GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN

2021: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2020: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: GUARANTEED TRANSPORT SERVICE, LLC HEALTH & WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	First time form 5500 has been submitted	Yes
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number	5P02
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	894617G
Policy instance	2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	759677
Policy instance	3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number	5P02
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	163700
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	9Y0832
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	163700
Policy instance	2

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Company Name:	GUARANTEED TRANSPORT SERVICE
Employer identification number (EIN):	821145432
NAIC Classification:	484120
NAIC Description:	General Freight Trucking, Long-Distance