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FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN 401k Plan overview

Plan NameFALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN
Plan identification number 502

FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Other welfare benefit cover

401k Sponsoring company profile

FALLEN TRUCKING CO., INC has sponsored the creation of one or more 401k plans.

Company Name:FALLEN TRUCKING CO., INC
Employer identification number (EIN):541335347
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022011-10-01SCOTT MICHAEL2015-07-02
5022010-10-01
5022009-10-01
5022008-10-01

Plan Statistics for FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN

401k plan membership statisitcs for FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN

Measure Date Value
2008: FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN 2008 401k membership
Total participants, beginning-of-year2008-10-0125
Total number of active participants reported on line 7a of the Form 55002008-10-0114
Number of retired or separated participants receiving benefits2008-10-0111
Total of all active and inactive participants2008-10-0125

Financial Data on FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN

Measure Date Value
2009 : FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN 2009 401k financial data
Total income from all sources2009-09-30$110,857
Expenses. Total of all expenses incurred2009-09-30$92,990
Benefits paid (including direct rollovers)2009-09-30$62,382
Total plan assets at end of year2009-09-30$17,867
Total plan assets at beginning of year2009-09-30$0
Net income (gross income less expenses)2009-09-30$17,867
Net plan assets at end of year (total assets less liabilities)2009-09-30$17,867
Net plan assets at beginning of year (total assets less liabilities)2009-09-30$0
Total contributions received or receivable from employer(s)2009-09-30$110,857
Expenses. Administrative service providers (salaries,fees and commissions)2009-09-30$30,608

Form 5500 Responses for FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN

2008: FALLEN TRUCKING CO., INC INSURANCE AND HEALTH REIMBURSEMENT PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedYes
2008-10-01Plan funding arrangement – TrustYes
2008-10-01Plan benefit arrangement – InsuranceYes
2008-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD-313C0004
Policy instance 1
Insurance contract or identification numberPD-313C0004
Number of Individuals Covered14
Insurance policy start date2008-10-01
Insurance policy end date2009-09-30
Total amount of commissions paid to insurance brokerUSD $1,890
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $4,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $700
Insurance broker organization code?3
Insurance broker nameBENEFITS SPECIALTIES, INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberCGCC0004
Policy instance 2
Insurance contract or identification numberCGCC0004
Number of Individuals Covered14
Insurance policy start date2008-10-01
Insurance policy end date2009-09-30
Total amount of commissions paid to insurance brokerUSD $14,474
Total amount of fees paid to insurance companyUSD $8,528
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,474
Insurance broker organization code?3
Amount paid for insurance broker fees4505
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameWEB TPA EMPLOYER SERVICES, LLC

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