FORELAND REFINING CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FORELAND REFINING CORPORATION MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2017: FORELAND REFINING CORPORATION MEDICAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 141 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 222 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-11-01 | 0 |
| Total of all active and inactive participants | 2017-11-01 | 222 |
| Number of employers contributing to the scheme | 2017-11-01 | 0 |
| 2016: FORELAND REFINING CORPORATION MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 117 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-11-01 | 0 |
| Total of all active and inactive participants | 2016-11-01 | 117 |
| 2015: FORELAND REFINING CORPORATION MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 90 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 114 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 0 |
| Total of all active and inactive participants | 2015-11-01 | 114 |
| 2014: FORELAND REFINING CORPORATION MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 90 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-11-01 | 0 |
| Total of all active and inactive participants | 2014-11-01 | 90 |
| 2017: FORELAND REFINING CORPORATION MEDICAL PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: FORELAND REFINING CORPORATION MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: FORELAND REFINING CORPORATION MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: FORELAND REFINING CORPORATION MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | First time form 5500 has been submitted | Yes |
| 2014-11-01 | Submission has been amended | No |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 ) |
| Policy contract number | V01537 |
| Policy instance | 1 |
| Insurance contract or identification number | V01537 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $11,363 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $377,105 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 ) |
| Policy contract number | G10137751001 |
| Policy instance | 2 |
| Insurance contract or identification number | G10137751001 | | Number of Individuals Covered | 521 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,209,151 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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