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Plan Name | ROCKHAMPTON ENERGY, LLC HEALTH & WELFARE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ROCKHAMPTON ENERGY, LLC |
Employer identification number (EIN): | 364696699 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2017-10-01 |
Measure | Date | Value |
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2017: ROCKHAMPTON ENERGY, LLC HEALTH & WELFARE BENEFIT PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-10-01 | 123 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 130 |
Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
Total of all active and inactive participants | 2017-10-01 | 130 |
2017: ROCKHAMPTON ENERGY, LLC HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
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2017-10-01 | Type of plan entity | Single employer plan |
2017-10-01 | First time form 5500 has been submitted | Yes |
2017-10-01 | Submission has been amended | No |
2017-10-01 | This submission is the final filing | No |
2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-10-01 | Plan is a collectively bargained plan | No |
2017-10-01 | Plan funding arrangement – Insurance | Yes |
2017-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-10-01 | Plan benefit arrangement – Insurance | Yes |
2017-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||
Policy contract number | 00248726 | ||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||
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ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) | |||||||||||||||||||||
Policy contract number | 788037 | ||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||
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ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) | |||||||||||||||||||||
Policy contract number | 00118960 | ||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||
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