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THE OCCUPATIONAL INJURY BENEFIT PLAN 401k Plan overview

Plan NameTHE OCCUPATIONAL INJURY BENEFIT PLAN
Plan identification number 502

THE OCCUPATIONAL INJURY BENEFIT PLAN Benefits

401k Plan TypeWelfare 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name:MILLENNIAL TRANSPORT
Employer identification number (EIN):814635076
NAIC Classification:484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE OCCUPATIONAL INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-10-01LOREAL ADAMS2021-01-22
5022019-10-01CARLA BARTON2022-03-04
5022018-10-01LOREAL ADAMS2020-04-01
5022017-10-01LOREAL ADAMS2020-04-01
5022017-09-01LOREAL ADAMS2020-04-01

Plan Statistics for THE OCCUPATIONAL INJURY BENEFIT PLAN

401k plan membership statisitcs for THE OCCUPATIONAL INJURY BENEFIT PLAN

Measure Date Value
2019: THE OCCUPATIONAL INJURY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01111
Total number of active participants reported on line 7a of the Form 55002019-10-01111
Number of retired or separated participants receiving benefits2019-10-0159
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01170
Number of employers contributing to the scheme2019-10-010
2018: THE OCCUPATIONAL INJURY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01181
Total number of active participants reported on line 7a of the Form 55002018-10-0194
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-0194
Number of employers contributing to the scheme2018-10-010
2017: THE OCCUPATIONAL INJURY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01101
Total number of active participants reported on line 7a of the Form 55002017-10-01103
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01103
Number of employers contributing to the scheme2017-10-010
Total participants, beginning-of-year2017-09-01112
Total number of active participants reported on line 7a of the Form 55002017-09-01112
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01112
Number of employers contributing to the scheme2017-09-010

Form 5500 Responses for THE OCCUPATIONAL INJURY BENEFIT PLAN

2019: THE OCCUPATIONAL INJURY BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedYes
2019-10-01This submission is the final filingYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: THE OCCUPATIONAL INJURY BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: THE OCCUPATIONAL INJURY BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-09-01Type of plan entitySingle employer plan
2017-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CRUM FORSTER SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 44520 )
Policy contract numberCF097588
Policy instance 1
Insurance contract or identification numberCF097588
Number of Individuals Covered111
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $12,384
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,384
Amount paid for insurance broker fees0
Insurance broker organization code?3
CRUM FORSTER SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 44520 )
Policy contract numberCF097588
Policy instance 1
Insurance contract or identification numberCF097588
Number of Individuals Covered94
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $21,812
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $124,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $21,812
Amount paid for insurance broker fees0
Insurance broker organization code?3
CRUM FORSTER SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 44520 )
Policy contract numberCF097588-1
Policy instance 1
Insurance contract or identification numberCF097588-1
Number of Individuals Covered103
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $19,943
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedOCCUPATIONAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $113,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CRUM FORSTER SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 44520 )
Policy contract numberCF097588-1
Policy instance 1
Insurance contract or identification numberCF097588-1
Number of Individuals Covered173
Insurance policy start date2017-09-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $1,250
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedOCCUPATIONAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $7,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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