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Plan Name | PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PREMIUM OILFIELD SERVICES, LLC |
Employer identification number (EIN): | 352437202 |
NAIC Classification: | 213110 |
NAIC Description: | Support Activities for Mining |
Additional information about PREMIUM OILFIELD SERVICES, LLC
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2012-02-13 |
Company Identification Number: | 0801550309 |
Legal Registered Office Address: |
4819 HIGHWAY 90 W NEW IBERIA United States of America (USA) 70560 |
More information about PREMIUM OILFIELD SERVICES, LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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504 | 2019-06-01 | KERRY UBRICH | 2020-11-24 | ||
504 | 2018-06-01 | KERRY UBRICH | 2019-12-17 | ||
504 | 2017-06-01 |
Measure | Date | Value |
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2019: PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-06-01 | 121 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 95 |
Number of retired or separated participants receiving benefits | 2019-06-01 | 98 |
Number of other retired or separated participants entitled to future benefits | 2019-06-01 | 40 |
Total of all active and inactive participants | 2019-06-01 | 233 |
2018: PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-06-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 122 |
Number of retired or separated participants receiving benefits | 2018-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-06-01 | 3 |
Total of all active and inactive participants | 2018-06-01 | 125 |
2017: PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-06-01 | 114 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 123 |
Number of retired or separated participants receiving benefits | 2017-06-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2017-06-01 | 17 |
Total of all active and inactive participants | 2017-06-01 | 141 |
2019: PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN 2019 form 5500 responses | ||
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2019-06-01 | Type of plan entity | Single employer plan |
2019-06-01 | Submission has been amended | No |
2019-06-01 | This submission is the final filing | No |
2019-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-06-01 | Plan is a collectively bargained plan | No |
2019-06-01 | Plan funding arrangement – Insurance | Yes |
2019-06-01 | Plan benefit arrangement – Insurance | Yes |
2018: PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN 2018 form 5500 responses | ||
2018-06-01 | Type of plan entity | Single employer plan |
2018-06-01 | Submission has been amended | No |
2018-06-01 | This submission is the final filing | No |
2018-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-06-01 | Plan is a collectively bargained plan | No |
2018-06-01 | Plan funding arrangement – Insurance | Yes |
2018-06-01 | Plan benefit arrangement – Insurance | Yes |
2017: PREMIUM OILFIELD SERVICES, LLC HEALTH AND WELFARE PLAN 2017 form 5500 responses | ||
2017-06-01 | Type of plan entity | Single employer plan |
2017-06-01 | First time form 5500 has been submitted | Yes |
2017-06-01 | Submission has been amended | No |
2017-06-01 | This submission is the final filing | No |
2017-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-06-01 | Plan is a collectively bargained plan | No |
2017-06-01 | Plan funding arrangement – Insurance | Yes |
2017-06-01 | Plan benefit arrangement – Insurance | Yes |
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0102741 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0102741 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0102741-0102741 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0102741-0287556 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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