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| Plan Name | TWIN CITY AMBULANCE MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TWIN CITY AMBULANCE CORPORATION |
| Employer identification number (EIN): | 160839594 |
| NAIC Classification: | 485990 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-03-01 | ANDREW KNOELL | |||
| 501 | 2015-03-01 | ANDREW KNOELL | |||
| 501 | 2014-03-01 | ANDREW KNOELL |
| Measure | Date | Value |
|---|---|---|
| 2017: TWIN CITY AMBULANCE MEDICAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-03-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 98 |
| Total of all active and inactive participants | 2017-03-01 | 98 |
| Total participants | 2017-03-01 | 98 |
| 2015: TWIN CITY AMBULANCE MEDICAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-03-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 83 |
| Total of all active and inactive participants | 2015-03-01 | 83 |
| Total participants | 2015-03-01 | 83 |
| 2014: TWIN CITY AMBULANCE MEDICAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-03-01 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 103 |
| Total of all active and inactive participants | 2014-03-01 | 103 |
| Total participants | 2014-03-01 | 103 |
| 2017: TWIN CITY AMBULANCE MEDICAL PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Submission has been amended | No |
| 2017-03-01 | This submission is the final filing | No |
| 2017-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-03-01 | Plan is a collectively bargained plan | No |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: TWIN CITY AMBULANCE MEDICAL PLAN 2015 form 5500 responses | ||
| 2015-03-01 | Type of plan entity | Single employer plan |
| 2015-03-01 | Submission has been amended | No |
| 2015-03-01 | This submission is the final filing | No |
| 2015-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-03-01 | Plan is a collectively bargained plan | No |
| 2015-03-01 | Plan funding arrangement – Insurance | Yes |
| 2015-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: TWIN CITY AMBULANCE MEDICAL PLAN 2014 form 5500 responses | ||
| 2014-03-01 | Type of plan entity | Single employer plan |
| 2014-03-01 | First time form 5500 has been submitted | Yes |
| 2014-03-01 | Submission has been amended | No |
| 2014-03-01 | This submission is the final filing | No |
| 2014-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-03-01 | Plan is a collectively bargained plan | No |
| 2014-03-01 | Plan funding arrangement – Insurance | Yes |
| 2014-03-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00419164 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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