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Plan Name | WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | WHITE STAR PETROLEUM OPERATING, LLC |
Employer identification number (EIN): | 352555387 |
NAIC Classification: | 324190 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2018-01-01 | ||||
501 | 2017-01-01 | CHRISTIN BORDEN | CHRISTIN BORDEN | 2018-07-20 | |
501 | 2016-05-01 | TRACY BROWNE |
Measure | Date | Value |
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2018: WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-01-01 | 189 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 178 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 178 |
2017: WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 185 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 189 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 189 |
2016: WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-05-01 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 185 |
Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
Total of all active and inactive participants | 2016-05-01 | 185 |
2018: WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Submission has been amended | No |
2018-01-01 | This submission is the final filing | No |
2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-01-01 | Plan is a collectively bargained plan | No |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2017: WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Submission has been amended | No |
2017-01-01 | This submission is the final filing | No |
2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-01-01 | Plan is a collectively bargained plan | No |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2016: WHITE STAR PETROLEUM OPERATING, LLC WELFARE BENEFIT PLAN 2016 form 5500 responses | ||
2016-05-01 | Type of plan entity | Single employer plan |
2016-05-01 | First time form 5500 has been submitted | Yes |
2016-05-01 | Submission has been amended | No |
2016-05-01 | This submission is the final filing | No |
2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2016-05-01 | Plan is a collectively bargained plan | No |
2016-05-01 | Plan funding arrangement – Insurance | Yes |
2016-05-01 | Plan benefit arrangement – Insurance | Yes |
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 30072585 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 910431 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 6102 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | F015110 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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