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CAM MINING LLC MEDICAL PLAN 401k Plan overview

Plan NameCAM MINING LLC MEDICAL PLAN
Plan identification number 501

CAM MINING LLC MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

RHINO ENERGY LLC has sponsored the creation of one or more 401k plans.

Company Name:RHINO ENERGY LLC
Employer identification number (EIN):432016320
NAIC Classification:212110
NAIC Description: Coal Mining

Additional information about RHINO ENERGY LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3661232

More information about RHINO ENERGY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAM MINING LLC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01THOMAS FAIRFIELD2021-01-22
5012019-01-01CHRISTOPHER L. CLARKE2020-07-20
5012018-01-01
5012017-01-01
5012016-01-01RICK BOONE
5012015-01-01RICHARD BOONE
5012014-01-01RICHARD BOONE
5012013-01-01RICHARD BOONE
5012012-01-01WILLIAM L MAY RICHARD A BOONE2013-10-14
5012011-01-01WILLIAM L MAY RICHARD A BOONE2012-10-11
5012010-01-01WILLIAM MAY RICHARD BOONE2011-10-14
5012009-01-01WILLIAM MAY RICHARD BOONE2010-10-13

Plan Statistics for CAM MINING LLC MEDICAL PLAN

401k plan membership statisitcs for CAM MINING LLC MEDICAL PLAN

Measure Date Value
2020: CAM MINING LLC MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01570
Total number of active participants reported on line 7a of the Form 55002020-01-01570
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01570
Number of employers contributing to the scheme2020-01-010
2019: CAM MINING LLC MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01570
Total number of active participants reported on line 7a of the Form 55002019-01-01570
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01570
Number of employers contributing to the scheme2019-01-010
2018: CAM MINING LLC MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01570
Total number of active participants reported on line 7a of the Form 55002018-01-01570
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01570
Number of employers contributing to the scheme2018-01-010
2017: CAM MINING LLC MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01572
Total number of active participants reported on line 7a of the Form 55002017-01-01570
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01570
2016: CAM MINING LLC MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01553
Total number of active participants reported on line 7a of the Form 55002016-01-01570
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01572
2015: CAM MINING LLC MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01698
Total number of active participants reported on line 7a of the Form 55002015-01-01531
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01531
2014: CAM MINING LLC MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01801
Total number of active participants reported on line 7a of the Form 55002014-01-01756
Number of retired or separated participants receiving benefits2014-01-0124
Total of all active and inactive participants2014-01-01780
2013: CAM MINING LLC MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01964
Total number of active participants reported on line 7a of the Form 55002013-01-01779
Number of retired or separated participants receiving benefits2013-01-0122
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01801
2012: CAM MINING LLC MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,033
Total number of active participants reported on line 7a of the Form 55002012-01-01964
Total of all active and inactive participants2012-01-01964
2011: CAM MINING LLC MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01895
Total number of active participants reported on line 7a of the Form 55002011-01-011,033
Total of all active and inactive participants2011-01-011,033
2010: CAM MINING LLC MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01869
Total number of active participants reported on line 7a of the Form 55002010-01-01897
Total of all active and inactive participants2010-01-01897
2009: CAM MINING LLC MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,336
Total number of active participants reported on line 7a of the Form 55002009-01-01869
Total of all active and inactive participants2009-01-01869

Form 5500 Responses for CAM MINING LLC MEDICAL PLAN

2020: CAM MINING LLC MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CAM MINING LLC MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: CAM MINING LLC MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CAM MINING LLC MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: CAM MINING LLC MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: CAM MINING LLC MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: CAM MINING LLC MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: CAM MINING LLC MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: CAM MINING LLC MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CAM MINING LLC MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: CAM MINING LLC MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: CAM MINING LLC MEDICAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number
Policy instance 1
Number of Individuals Covered2764
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $404
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $666,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $404
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number
Policy instance 1
Number of Individuals Covered2718
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $547,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number
Policy instance 1
Number of Individuals Covered2334
Insurance policy start date2009-06-01
Insurance policy end date2010-05-31
Total amount of commissions paid to insurance brokerUSD $46,613
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $455,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,261
Additional information about fees paid to insurance brokerSALES AND SERVICES
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL INC

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