401k Plan data: MEDICAL TRANSPORTATION SERVICES plan

MEDICAL TRANSPORTATION SERVICES 401k Plan overview

Plan Name	MEDICAL TRANSPORTATION SERVICES
Plan identification number	503

MEDICAL TRANSPORTATION SERVICES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MEDICAL TRANSPORTATION SERVICES has sponsored the creation of one or more 401k plans.

Company Name: MEDICAL TRANSPORTATION SERVICES

Employer identification number (EIN): 541871251

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL TRANSPORTATION SERVICES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2015-07-01 CAMILLE BIRMINGHAM
503 2015-07-01
503 2014-07-01 CAMILLE BIRMINHAM

Plan Statistics for MEDICAL TRANSPORTATION SERVICES

401k plan membership statisitcs for MEDICAL TRANSPORTATION SERVICES

Measure Date Value
2015: MEDICAL TRANSPORTATION SERVICES 2015 401k membership
Total participants, beginning-of-year 2015-07-01 142
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 142
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 142
2014: MEDICAL TRANSPORTATION SERVICES 2014 401k membership
Total participants, beginning-of-year 2014-07-01 100
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 142
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 142

Measure	Date	Value
2015: MEDICAL TRANSPORTATION SERVICES 2015 401k membership
Total participants, beginning-of-year	2015-07-01	142
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	142
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	142
2014: MEDICAL TRANSPORTATION SERVICES 2014 401k membership
Total participants, beginning-of-year	2014-07-01	100
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	142
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	142

Form 5500 Responses for MEDICAL TRANSPORTATION SERVICES

2015: MEDICAL TRANSPORTATION SERVICES 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: MEDICAL TRANSPORTATION SERVICES 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	First time form 5500 has been submitted	Yes
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0277699

Policy instance

Insurance contract or identification number	R0277699
Number of Individuals Covered	7
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,066
Total amount of fees paid to insurance company	USD $65
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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
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 $12,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,066
Amount paid for insurance broker fees	65
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES, LLC

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0277699

Policy instance

Insurance contract or identification number	R0277699
Number of Individuals Covered	142
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $5,335
Total amount of fees paid to insurance company	USD $305
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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
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 $54,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,335
Amount paid for insurance broker fees	305
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES, LLC

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Company Name:	MEDICAL TRANSPORTATION SERVICES
Employer identification number (EIN):	541871251
NAIC Classification:	621900

Plan id#	Filing Submission Date	Name of Administrator
503	2015-07-01	CAMILLE BIRMINGHAM
503	2015-07-01
503	2014-07-01	CAMILLE BIRMINHAM