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| Plan Name | RENEGADE WELL SERVICES, LLC MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | RENEGADE GROUP, LLC |
| Employer identification number (EIN): | 204671663 |
| NAIC Classification: | 213110 |
| NAIC Description: | Support Activities for Mining |
Additional information about RENEGADE GROUP, LLC
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2011-04-25 |
| Company Identification Number: | 20111246962 |
| Legal Registered Office Address: |
489 Fox Run Street Court Clifton United States of America (USA) 81520 |
More information about RENEGADE GROUP, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2014-10-01 | JACOB PERCIFULL | |||
| 501 | 2013-12-01 | JACOB PERCIFULL | |||
| 501 | 2012-12-01 | SHANNON RUDD | |||
| 501 | 2011-12-01 | SHANNON RUDD |
| Measure | Date | Value |
|---|---|---|
| 2014: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-10-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 0 |
| Total of all active and inactive participants | 2014-10-01 | 0 |
| 2013: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-12-01 | 598 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 521 |
| Number of retired or separated participants receiving benefits | 2013-12-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-12-01 | 0 |
| Total of all active and inactive participants | 2013-12-01 | 522 |
| 2012: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-12-01 | 236 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 334 |
| Number of retired or separated participants receiving benefits | 2012-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-12-01 | 0 |
| Total of all active and inactive participants | 2012-12-01 | 334 |
| 2011: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-12-01 | 264 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-01 | 236 |
| Number of retired or separated participants receiving benefits | 2011-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-12-01 | 0 |
| Total of all active and inactive participants | 2011-12-01 | 236 |
| 2014: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Submission has been amended | No |
| 2014-10-01 | This submission is the final filing | Yes |
| 2014-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-10-01 | Plan is a collectively bargained plan | No |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2013 form 5500 responses | ||
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | Submission has been amended | No |
| 2013-12-01 | This submission is the final filing | No |
| 2013-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2013-12-01 | Plan is a collectively bargained plan | No |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2012 form 5500 responses | ||
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | Submission has been amended | No |
| 2012-12-01 | This submission is the final filing | No |
| 2012-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-12-01 | Plan is a collectively bargained plan | No |
| 2012-12-01 | Plan funding arrangement – Insurance | Yes |
| 2012-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: RENEGADE WELL SERVICES, LLC MEDICAL PLAN 2011 form 5500 responses | ||
| 2011-12-01 | Type of plan entity | Single employer plan |
| 2011-12-01 | Submission has been amended | No |
| 2011-12-01 | This submission is the final filing | No |
| 2011-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-12-01 | Plan is a collectively bargained plan | No |
| 2011-12-01 | Plan funding arrangement – Insurance | Yes |
| 2011-12-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0743339 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 107919 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0743339 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95003 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | US396469 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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