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CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY 401k Plan overview

Plan NameCRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY
Plan identification number 502

CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

CRIMSON OAK GROVE RESOURCES, LLC has sponsored the creation of one or more 401k plans.

Company Name:CRIMSON OAK GROVE RESOURCES, LLC
Employer identification number (EIN):851222574
NAIC Classification:212110
NAIC Description: Coal Mining

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022022-01-01JASON ADKINS
5022021-01-01
5022021-01-01JASON ADKINS
5022020-09-16

Form 5500 Responses for CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY

2022: CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CRIMSON OAK GROVE RESOURCES, LLC WELFARE PLAN - HOURLY 2020 form 5500 responses
2020-09-16Type of plan entitySingle employer plan
2020-09-16First time form 5500 has been submittedYes
2020-09-16Submission has been amendedNo
2020-09-16This submission is the final filingNo
2020-09-16This return/report is a short plan year return/report (less than 12 months)Yes
2020-09-16Plan is a collectively bargained planYes
2020-09-16Plan funding arrangement – InsuranceYes
2020-09-16Plan funding arrangement – General assets of the sponsorYes
2020-09-16Plan benefit arrangement – InsuranceYes
2020-09-16Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44017
Policy instance 1
Insurance contract or identification number44017
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-08-01
Total amount of commissions paid to insurance brokerUSD $7,042
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $75,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44017
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44017
Policy instance 1

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