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| Plan Name | ARKOMA ENERGY SERVICES, INC. HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ARKOMA ENERGY SERVICES, INC. |
| Employer identification number (EIN): | 710559575 |
| NAIC Classification: | 484120 |
| NAIC Description: | General Freight Trucking, Long-Distance |
Additional information about ARKOMA ENERGY SERVICES, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2012-12-21 |
| Company Identification Number: | 0801705734 |
| Legal Registered Office Address: |
PO BOX 296 KATY United States of America (USA) 77492 |
More information about ARKOMA ENERGY SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-03-01 | ||||
| 501 | 2017-03-01 | DON BAILEY | |||
| 501 | 2016-03-01 | DON BAILEY | |||
| 501 | 2015-03-01 | DON BAILEY |
| Measure | Date | Value |
|---|---|---|
| 2019: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-03-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 108 |
| Number of retired or separated participants receiving benefits | 2019-03-01 | 0 |
| Total of all active and inactive participants | 2019-03-01 | 108 |
| Total participants | 2019-03-01 | 108 |
| 2017: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-03-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 85 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 85 |
| Total participants | 2017-03-01 | 85 |
| 2016: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-03-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 123 |
| Number of retired or separated participants receiving benefits | 2016-03-01 | 1 |
| Total of all active and inactive participants | 2016-03-01 | 124 |
| Total participants | 2016-03-01 | 124 |
| 2015: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-03-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 98 |
| Number of retired or separated participants receiving benefits | 2015-03-01 | 1 |
| Total of all active and inactive participants | 2015-03-01 | 99 |
| Total participants | 2015-03-01 | 99 |
| 2019: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | Submission has been amended | No |
| 2019-03-01 | This submission is the final filing | No |
| 2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-03-01 | Plan is a collectively bargained plan | No |
| 2019-03-01 | Plan funding arrangement – Insurance | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ARKOMA ENERGY SERVICES, INC. HEALTH 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 |
| 2016: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2016 form 5500 responses | ||
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | Submission has been amended | No |
| 2016-03-01 | This submission is the final filing | No |
| 2016-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-03-01 | Plan is a collectively bargained plan | No |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ARKOMA ENERGY SERVICES, INC. HEALTH PLAN 2015 form 5500 responses | ||
| 2015-03-01 | Type of plan entity | Single employer plan |
| 2015-03-01 | First time form 5500 has been submitted | Yes |
| 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 |
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 041556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 041556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 041556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 041556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 041556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 041556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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